Category: Uncategorized

Posted on

3 weeks on Minoxidil, what do you think (photos)?

The changes you are seeing may be more styling and product application than reality; however, there is a suggestion of new hair growth seen in the photos. Good luck and I look forward to seeing your photos in about 6 months.


2020-12-04 11:29:173 weeks on Minoxidil, what do you think (photos)?

Posted on

Insulin and Finasteride

There is a link between finasteride or dutasteride and insulin sensitivity as shown in this article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207930/

The conclusion of the article states: Dual inhibition of 5?Rs, but not inhibition of 5?R2 alone, modulates insulin sensitivity in human peripheral tissues rather than liver. This may have important implications for patients prescribed dutasteride for prostatic disease.


2020-09-14 10:15:09Insulin and Finasteride

Posted on

3000 grafts not enough, why? (Photo)

Assuming that all of the grafts grew, your may have fine or very fine thickness hair. The total hair bulk needed to cover these areas are probably insufficient to get the density you want with the length of hair showing. Alternatively, if your hair is medium weight or thicker, it is likely that many of the grafts just didn’t grow. To get a fuller look, (1) longer hair will give you more hair bulk if your hair is fine, (2) more hair grafts will help for fine hair, or (3) if the hair transplant failed to grow all of the grafts, then another hair transplant would be a good idea, possibly with another surgeon, and (4) Scalp Micropigmentation can make the hair look fuller. You didn’t show the hairline so I can’t comment on that.


2021-08-20 08:44:393000 grafts not enough, why? (Photo)

Posted on

At 38, I Am Thinking About Getting a Hair Transplant.

I am 38 years old and in the early stages of male pattern baldness. Currently, I am probably type 2 but it could evolve into type 4. I have been using coconut oil for the past 1-2 months and I do notice some growth (maybe 5%). However, I was looking into getting a minor hair transplant (FUE). I just had a few questions. If you could shed some light, I would be grateful. Thanks!

  1. I have a short haircut in general with buzzed sides and long hair on top. Do I have to shave my head completely for the procedure?

  2. If I get a minor transplant, and somehow it gets worse in the future, would I be able to get another one? Why do some people say you can only get a few transplants throughout your lifetime? Assuming you have enough donor hair.

  3. Do I have to be on medications after getting a transplant? I am looking into this because I did not want to be on propecia or monoxidil due to the side affects.

  4. How often do you have to come back for checkup and what does the entire procedure entail?

  5. Is there usually a minimum number of grafts that a doctor requires?

1. You only need to shave the back of your head short and within a week it will look like normal short hair.
2. There are lifetime limits to FUE and hair transplants in general. If you exceed these limits, then you can become bald in the back of your head. Read here: https://newhair.com/donor-area/
3. I would like to see pictures of your hairline. If you were my patient, I would do a HAIRCHECK test to find out what the naked eye can’t see from planning purposes. Send photos to: wrassman@newhair.com
4. Once a hair transplant is done, other than a final sign-off with the doctor when it is grown out, there is no real maintenance.
5. There is an activation cost for the surgery room, the staff, and the set-up which is embedded into our fees. Generally, there is a $3,500-4,000 minimum cost but that would include about 600 grafts if it is not FUE.
I look forward to hearing more from you after reviewing photos.


2019-02-14 07:04:44At 38, I Am Thinking About Getting a Hair Transplant.

Posted on

Iron Levels and Hair Loss

Dr Rassman,

I am a 27-year-old female who has experienced a gradual overall thinning for the past 10 years. It is now fairly severe. I have always had low iron levels and saw a hematologist for over a year. My ferritin levels have hovered between 14-35, despite taking a 325mg ferrous gluconate supplement daily.

My ferritin is currently 14 and my hematologist says that since the laboratory test range is 10-150, my levels aren’t so bad; that it would take anemia to cause hair loss. My B12 is also in the low range – 325 on the 200-1200 normal zone. I feel that I must not be absorbing iron if the levels haven’t changed despite taking a supplement and I am frustrated by wasting more time without being able to rule this out as a source of the thinning. My two younger brothers have male pattern baldness but I am loathe to accept genetics are to blame for me too…

My question is: how low do iron levels have to be to be considered a legitimate cause for hair loss? And how soon would regrowth occur after normal levels are restored?

Thanks so much for your time.

Anemia is a very broad topic to tackle. There are many causes of anemia, like microcytic anemia and macrocytic anemia. Microcytic anemia is caused by iron deficiency, thalassemia, and various chronic disease. Macrocytic anemia is caused by folate and B12 deficiency. There is no cut off level of iron that one can define as the starting point for hair loss. Ferritin & Vitamin B12 deficiencies may produce hair loss and anemia and they may accompany other vitamin deficiencies including the entire B group [Vitamin B1 (thiamin),Vitamin B2 (riboflavin), Vitamin B3 (niacin), Pantothenic acid, Biotin, Vitamin B6 (pyridoxine), Folic acid (folate), Vitamin B12 (cyanocobalamin)].

Have you tried to take iron with vitamin-C? Sometimes that may help to increase absorption of iron. Liver and red meat have high iron levels. Your doctor may have evaluated your GI tract for mal-absorption problems leading to some malnutrition or other vitamins and nutrient deficiencies, each which may contribute to hair loss. If the normal level of iron is restored, it may take a few months before you can see noticeable regrowth of hairs.


2006-02-06 11:09:49Iron Levels and Hair Loss

Posted on

Is being bald better than having hair?

A recent study suggests that most women actually LOVE bald men. And that hairy men easily get jealous of bald people Also genetic analysis has found out that balding men have the best genes for strong bodies

Bald is better?

Shaving your head may give women a sense that you have self-confidence and women love men who are confident in themselves.


2021-04-06 07:58:13Is being bald better than having hair?

Posted on

Is Finasteride Making My Eyes Sensitive to Light?

Hi Dr. Rassman,
I saw my Dermatologist recently and after a quick scan of my hair, he prescribed me Proscar for early stages of MPB. I’m 28 now. I started taking 1/4ths and after 3 months decided to cut
it into 1/8ths to stay below 1mg per day.

About a month in, I noticed a few things with my vision. I noticed a couple of floaters, I was more sensitive to light especially at night with headlights and street lights and my eyes
were more dry. A trip to the eye doctor revealed no issues, but the effects still persist periodically.

In your experiences, have you had any patients report any changes to their eyes/vision? I’ve read some posts on message boards with the same issues but don’t find them reliable.

Many thanks! and this is a great board!

First, I commend you in having the skill to break such a small pill into 8 equal pieces.

Second, I doubt finasteride is the cause of your eye problem. I’ve not had any reports of this from any patient I’ve prescribed finasteride to and I haven’t seen anything in the medical literature about vision issues from finasteride. It is unclear if you were seen by a optometrist or an ophthalmologist (the latter is a physician who specializes in eye problems). Seeing “floaters” may be benign, but it may also herald other medical issues.


2007-07-25 14:32:44Is Finasteride Making My Eyes Sensitive to Light?