Category: Uncategorized

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The Three Leading Causes of Deaths in the US. You Would Be Surprised at #3.

We all know that heart attacks and cancer are the two leading causes of death in the US, but did you know that preventable errors in hospitals cause 440,000 deaths a year and is the third-leading cause of fatalities, not only in the US but also in the UK? We take an Electrocardiogram (ECG) to detect heart disease and various other tests for early detection of cancer, but what can you do to prevent your unintended death from an error in the hospital where you’re life needs to be saved? The key is to get involved in your hospital care, and don’t always accept what you hear and see without asking questions.

 

Ref: New Scientist 19, May 2018


2018-06-26 10:02:41The Three Leading Causes of Deaths in the US. You Would Be Surprised at #3.

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Hair Breaks on Top of Scalp

I am 33 years old female and I am having a problem with hair breakage, it is been going on for about 5 years .The breakage is only in the top of my head ,and that part of my scalp is very sore. I do not know what to can you please tell me if you know about this condition. thank you

I am having trouble connecting the breakage of your hair with the soreness of your scalp. I think that an examination by a good doctor may be helpful. Most dermatologists can address this problem for you.

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Tissue Expansion

Hello Dr. Rassman,

I have read in a few your blog responses about a procedure called Tissue Expansion involving the insertion and inflation of a balloon into the scalp to create new tissue allowing for a effective scar reduction. Are you familiar w/ patients w/ HT scars that have used TE and if so have they been successful?

I’m interested in learning more about this procedure and it’s viability. I live in LA – would it be possible for you to refer a Dr. who perfroms TE?

Thank you for your insight.

I would be happy to see you myself, where I would first assess your scarring problem. One must command the problem before recommending a proper treatment. I have been involved with tissue expansion for the past few years, but it is not the solution for everyone. If I can not manage the process, my ego would not get in the way; I would then refer you to an appopriate expert, that is, if you needed another opinion. First, let’s start with a visit to my Los Angeles office. Please call 800-NEW-HAIR to setup a free consultation.

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When my hair dresser dyed my hair, gobs of hair fell out on the foil. Did I get a chemical burn?

I now have a few areas of white scalp which I can see coming from where the hair fell out. Will it grow back?

Dyes can be dangerous when they are improperly used and you most likely had a chemical burn from inappropriately used dyes which goes deep below the skin to kill the hair follicles in many instances. This is unfortunately common and these chemical burns most often cause permanent hair loss. Hair transplantation works if the burn is not too extensive. ?Scalp Micropigmentation also works in some situations (see here: https://scalpmicropigmentation.com/smp-for-women/


2017-02-10 10:28:00When my hair dresser dyed my hair, gobs of hair fell out on the foil. Did I get a chemical burn?

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Hair Grows As It Miniaturizes

In regards to the thread of Low testosterone and low LH……..

Doesnt hair miniaturization happen between growth cycles? When an old hair is shed then a new finer/thinner hair replaces it, correct? The way my hair is progressing is that it is miniaturizing as it is growing… I have no shedding, my hair is continuing to grow as it miniaturizes… is that normal?

The hair that is miniaturized is not the hair that appears between cycles as you postulated. Miniaturized hair grows until it becomes so thin that it is thread-like, but miniaturized hair does grow, albeit slower than normal hairs.


2006-12-15 10:00:21Hair Grows As It Miniaturizes

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Topical finasteride and Minoxidil, used in combination

At a meeting in Manchester UK (which I attended this past week), there was a wonderful presentation about the combined use of topical finasteride and minoxidil. The presenting doctor from Italy, Chiara Insalaco, showed some wonderful results on men of varying ages for thinning and balding both on top of the head where thinning may have occurred as well as in the crown. Sometimes it took a year or more to get some amazing results which she demonstrated. While I was there, I sourced the topical finasteride which seems to cost about $60/month. According to her presentation, the sexual side effects from the pill, which drove the patients to her treatment approach, were significantly less or absent in many of the men she treated. When I return to Los Angeles, I will inquire into the ‘tele-medicine’ rules that may allow me to prescribe this through a telephone consultation. If this can be done, I might consider offering this avenue of treatment to people who link to me on this blog, those who are not within traveling distance to one of my two Southern California offices. For my own existing patients or those who can visit me, this will not be a restriction on what I can do and will most likely offer it to my patients. I asked Dr. Insalaco to write up a post for me which I will make available to my readers and bloggers. Stay Tuned!


2019-06-08 23:03:35Topical finasteride and Minoxidil, used in combination

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Hair Line of John Hurley and Mature Hair Line

I know there is often a lot of talk about celebrity hairlines, but one celebrity whose hair I’ve never seen on any blog is John O’Hurley, who is in fact known for his thick head of hair. I take particular interest because my hairline is very similar to his. It forms a stark v-shape and leaves his top brow ridge, but as far as I can tell has not receded over the decades. Is this representative of the “mature hairline,” or has he possibly had this hairline since birth? Any insight would be most appreciated.

older

peterman2

young2

Mature hair line is basically a hair line that develops from childhood to adult transition. Many young men think it is a sign of balding and toil over the definition or seek a diagnosis of this phenomenon to assuage the insecurity of hair loss.

John Hurley is not bald or balding. He still has a great head of hair as he had in his earlier years. The shape of his hair line is just his trait. I do not know what his hair line looked like in his childhood. Maybe his hair line changed a bit as he aged, but he is clearly not bald or balding.

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Toprol-XL and Hair Loss

dr. increased my toprol-xl from 50 mg to 100 can this cause hair loss? never noticed any loss or spots on my face until it was increased.

thank -you

Toprol-XL is in a class of blood pressure medications (beta blockers) which, amongst other side effects, include hair loss. With women it is reversible, but in men it may accelerate genetic hair loss and may not be reversible.

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Hair Loss After Using Clobetasol for My Seborrheic Dermatitis

Hi Dr. Rassman,

Thank you for spending time answering many young mens’ questions about hair loss. This website shows how dedicated you are to your profession, as well as your ability to give advice. I was interested in your opinion on how often to use clobetasol propionate for my sebborheic dermatitis. I have had breakouts off and on for 6 years now, with recent flareups being particularly bad.

My dermatologist, who is very well-regarded, said that as long as I use the corticosteroid every other and NOT everyday that I will avoid hair loss from the drug, even if I use it for several weeks and months in a row. After using the corticosteriod for 10 weeks every other day, the scale has retreated, but my hair has thinned extensively in these places. I also have excessive hair loss when the scales flake off; usually there is a lot of hair attached in the scale, both long and small. My question basically is: Am I, in your opinion, using the potent corticosteroid too much, and since I generally lose a lot of hair from places that I get scalp scales, is this hair loss from the corticosteroid or from the dermatitis?

I am a 24 year old male with a Norwood Class 3V hair progression and have also been taking propecia for the last six months. In the last month my hair has thinned excessively in places where I had scale even though I have not used the corticosteroid much at all. The last month I used it everyday was November, and it began to thin excessively in March.

The chronic use of strong topical steroids (such as clobetasol) will cause hair loss. I wonder if your have psoriasis instead of sebborheic dermatitis, as that is what it sounds like to me, so ask your dermatologist about psoriasis. What you are asking me here is to render an opinion on your care for your treatment, something I can not do over the Internet.