Category: Uncategorized

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Dutasteride and depression

Hello dr rassman Im from south korea and i ve heard about you from NHI in korea I ve took finasteride for over 10years with out side effects 2month ago i started dutasteride After 5-6weeks i felt depression. First time in my life. 8 weeks i finally give up taking dutasteride to go back to finasteride. Now its almost 10 days and still have depressive mood. I’m wondering is it ok to maintain finasteride 1mg untill dutasteride half life ends (i know its 5weeks)

The drug dutasteride will last a good 3 months or possibly more as there is tissue fixation that also occurs. Six weeks is the blood/serum half-life. Be patient.

 

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Scalp Micropigmentation vs Hair Transplant, what should I do?

I am a 35 years old male, Been losing my hair in the last few years, and been cutting it short, I do like the shaved look and when my hair is completely shaved my hair loss is not very apparent. I am now at a point that I am thinking either to fully accept the shaved look and add some SMP to it to make it look better and be done with it or going with a FUE Hair Transplant so i can get my hair back.

Some pros for the SMP – cheaper, much more easy and simple procedure, not having to worry about my hair looking good after/or in the future. cons: have to stick to this one hair style always, having to shave my hair every few days.

Pros for the HT: well i will have hair again that i will be able to grow and style and i will probobly look better overall.
cons: complected surgery, having to look like shit for the first few months, having to start taking pills in order to keep the rest of my hair.

What do you guys think? Would love to get your input on this delima

The choice between these two radically different approaches are clear. Is hair itself important to you? IF yes, a hair transplant is the answer, if no than the shaved look of Scalp Micropigmentation is a great solution ( https://scalpmicropigmentation.com/ )


2021-01-04 13:23:25Scalp Micropigmentation vs Hair Transplant, what should I do?

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Effectiveness of finasteride in 126 men over 5 years (two hospital study)

https://onlinelibrary.wiley.com/doi/full/10.1111/1346-8138.14719

Abstract

Finasteride 1 mg is considered to be the standard treatment method for male androgenetic alopecia (AGA). However, there have only been a few studies investigating its long term efficacy. Moreover, its effect on various types of AGA remains unknown. In this study, the authors investigated the 5 year efficacy of finasteride 1 mg in Korean men with AGA and analyzed the changes in hair growth according to the distribution of hair loss. The medical records of male AGA patients who were treated with oral finasteride for a period of at least 5 years at two university hospitals were retrospectively reviewed. Patients’ photographs were evaluated using the basic and specific (BASP) classification and investigator’s global assessment. Of the total 126 patients, 108 (85.7%) showed improvement after 5 years of treatment. According to the BASP classification, hair loss of the anterior hair line (basic type), vertex (V type), and frontal area (F type) was improved in 44.4%, 89.7% and 61.2% of patients, respectively. The V type showed a more rapid and steady improvement compared with the other types. Progression of alopecia after peak improvement was seen in 10.3% of cases of the V type, 16.2% of the F type and 0% of the basic type. In conclusion, finasteride 1 mg showed a sustainable effect for at least 5 years in Korean male AGA patients. The exact time points showing signs of first clinical improvement and sustainability were different depending on the type of alopecia


2019-11-25 10:02:01Effectiveness of finasteride in 126 men over 5 years (two hospital study)

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Scars from hair transplant

I got an FUT 3 years ago. My scar unfortunately is “raised” and wider than expected. I’m not sure if it just healed wrong, or surgeon error. I was originally told my hair would need to be cut to a “5” for it to be unnoticeable, but it takes more like an “8” or “9”. I use dermatch or fibers to cover it with shorter hair.

A few months ago, I decided to get SMP on it. I had 5 sessions, and the ink just didn’t stick at all. The practitioner said it was due to the scar being “raised”. This was a couple thousand dollars, so I’m not feeling great about it.

Should I have something done to the scar before attempting something like SMP again? What about grafting some hairs into the scar? I’m not sure if my scar is hypertrophic, a keloid, or what. I just don’t want to spend more money on something that won’t work.

We treat raised scars with Kenalog injections which flatten then out (sometimes it takes a few months and more than one injection). Then I do the SMP into normal scars. See here: https://scalpmicropigmentation.com/gallery/scar-covering/


2020-09-04 12:34:15Scars from hair transplant

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Emotional Overeating and Female Hair Loss

Hello,

I am 20 years old and have been experiencing female pattern hair loss during the last two years. Most of my blood work is fine other than I was on the lower end of the normal range for iron levels and my TSH was at 5.7 so now I am on synthroid and my TSH levels are normal. The only other thing is that I sometimes emotional over eat but otherwise I eat a very healthy diet. Could emotional over eating cause hair loss?

It seems that the hair loss process was kicked off with thyroid problems and some anemia. To answer your question, stress (something you may handle with over eating) can cause hair loss as well.


2007-07-18 08:33:40Emotional Overeating and Female Hair Loss

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Seborrheic Dermatitis and Hair Loss

Hi,

I got Seborrheic dermatitis for the first time last year. I have the problem resurfaced now. I tried several medicated shampoos but the problem didn’t disappear. I went to a general physician and he gave me a topical solution to apply to scalp (fluc.. something). I’ve been seeing more scaling and itchiness after using the topical solution. Is this normal? Also the hair that fall have a small flake attached to them. Is this a temporary hair loss?

Thanks

Your doctor probably prescribed fluocinolone acetonide, which works in the treatment of dandruff. Some people need a shampoo that will treat dandruff, so certain shampoos may contain zinc pyrithione, which is active for such problems. The shampoos will generally state on the packaging if they are recommended for people with dandruff. Other ingredients routinely included in shampoos include panthenol, which some scientists believe helps the hair grow by improving the moisture content of the hair.

You should go back to your doctor and ask more questions and see what else he has up his sleeve.


2008-07-01 16:15:26Seborrheic Dermatitis and Hair Loss

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Especially on TV, Your Appearance is Everything

Hi Doctor. My hairline has been the same for about 20yrs and about a year ago noticed a slight change on one side. I haven’t seen much of a change in a year and a half. To me, it looks like my hairline never finished maturing. I’m now 37 years old and recently made my debut on national television. My hair is black and curly with good density. I did see a doctor who said that at this point, if I got a HT, it would look like I had hair on my forehead. She said the measurments were normal etc. I am also starting to get gray hair and will probably start dying it soon. Is it possible when you go gray your hairline might change slightly? If I wanted, would you lower my hairline if it continues to recede? People tell me that at age 37 if you aren’t showing signs of baldness, or have mild recession you probably wont lose your hair; is this true. Just concerned about my new career on tv, where your appearance is everything. Thanks.

Firstly, grey hair and balding are not related. Look at the beautiful head of hair on George Clooney for an example.

At one time I had transplanted a number of men who were in their early 20s and had soap opera stardom, with hair loss starting as you described. The entertainment field demands that many of its male soap opera actors look almost like boy toys, apparently that being the look most women like. So getting hair transplants to maintain a career look is not an unusual request and I would be happy to render you my opinion upon examining you. I’d argue that for many people, appearance is everything — so that isn’t limited to just entertainment-based careers.

If you are receding slightly and want to do something proactive (due to TV careers, personal preference, etc), a choice to have a hair transplant surgery is an option, but it is one that you must fully be educated on with respect to its limitations and expectations. At your age (37), if you don’t have significant balding, your chances of further balding may be slim. You may continue to recede in the front corners, but I really cannot tell. You should have your hair examined under a microscope for miniaturization. If appearance in front of a camera is important to you and you are conscious of your frontal hairline, you can also consider using makeup products (like DermMatch or Toppik) that make your hair look fuller.


2008-12-11 11:09:55Especially on TV, Your Appearance is Everything

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Selegiline and Moclobemide and Hair Loss

Dear Doctor, I am a 41 y.o. male and suffer from androgenic alopecia, which I am currently treating (with poor results) with Finasteride 1.5 per day and minoxidil. Unfortunately, I also suffer from social anxiety and my doctor prescribed me selegiline 10 mg per day(Jumex). I have not taken this drug as I am afraid of the side effect on hair loss. Before I was on moclobemide 450mg, which I stopped due to mediocre results and concern of hair loss (which I thought got worse due to Moclobemide). I would kindly ask you:
1) Selegiline can worsen my hair loss? How likely is this to happen. Is it a rare occurrence or a common one?
2) How long after stop taking Moclobemide can I assume that that drug is not making my hair loss worse? Thank you for the great information you provide.

Selegiline and Moclobemide are medications to treat depression and anxiety. I do not have experience in the type of medications that you are using so I really cannot say much about its effect on hair.

You must understand the “big picture”. Male pattern hair loss (MPB) is genetic. Medications such as Propecia (finasteride) can help slow down the hair loss. It sometimes improves and regrows hair. But over the long term you will continue to lose hair. Genetics always win out. The side effects from medications is not really an issue as much as it is a genetic problem. Many people try to make sense of their hair loss issue by correlating it with their diet, drugs, or other non specific factors but they do not understand that the root cause of the hair loss is mainly the genetic fate that they were born with. At this point, there is no cure for hair loss.