Category: Uncategorized

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Rarely, hair transplants don’t last the life time of the patient

There is an autoimmune disease called Lichen planopilaris (LLP) which appears to be a rare inflammatory condition that results in patchy progressive permanent hair loss mainly on the scalp. From time-to-time this disease, which may be present when we perform a hair transplant and is not evident with any of the modalities available, can reactivate and could then kick out the hair that was transplanted. Some patients might have signs that LLP participated in their frontal balding, possibly overlying the genetic component of the hair loss.


2017-11-19 15:59:39Rarely, hair transplants don’t last the life time of the patient

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Does Adderall Increase Testosterone?

Can Adderall increase testosterone in men? Thanks drs

To my knowledge, Adderall does not affect testosterone levels. Adderall is prescribed for patients with ADHD and its mechanism of action has to do with dopamine uptake.


2012-10-24 10:05:10Does Adderall Increase Testosterone?

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Reader Tells Others to Calm Down Over ACell Inquiries

Hey Dr Rassman i hope your day is treating you well.

Being a hairloss sufferer myself i can relate to the extraordinary anticipation and hype surrounding the new buzz word in the field of hair restoration ”Acell”. However i also realize that this is far from establishing itself as a practical solution to genetic alopecia(if it even makes it that far). As a hair restoration physician i imagine you grow tired of those ”cure” type perennial questions. In my opinion readers need to recognize that when the hairloss community is equip with innovators like yourself Dr Rassman it provides us with the best chance possible of making the most out of these types (Acell) situations.

Being a daily reader of this blog i have nothing but good things to say about it. There is not a doubt in my mind that Dr Rassman and the other physicians that contribute to the blog will be efficient at posting occasional updates. So for a lack of a better term just ”chill out” time will tell…..

Thank you for your support! I don’t mind the large amount of emails I’ve received with ACell questions, as I kind of expected that… but I don’t want to give anyone the wrong idea about what it can do (we’re still trying to figure it all out).

We will most definitely update the readers of this site on our progress as we can.


2010-12-07 11:03:21Reader Tells Others to Calm Down Over ACell Inquiries

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Does DHT Type I Cause Hair Loss?

Finasteride lowers type II DHT while Avodart lowers both type I and II. Does the amount of type I DHT have any effect on hair or it is only type II that may cause hair loss?

Thanks.

We answered this years back here. Short answer — it’s been proven that type II is linked to MPB, but type I hasn’t been linked.

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Recent Transplant in 19 Year Old

I would like to get some information on hair loss. I’m 19 and lost my hair on the temples. It’s not that bad because I can cover it. It’s the only hair loss problem.I had hair transplants in that area done by Dr [name removed], 250 grafts on each side. it’s been 2 and a half month’s now,can’t see any results yet. also the Doctor prescribed propecia for me but he say’s it only stops the hair loss in the crown area and there my hair is full and is in my family as well!!! I have been taking it for 5 months now and am not sure if should continue taking it!!! What would you recommend? I don’t want to lose anymore hair and also after I see the results from the transplant I had and want to still fix my hairline I really like what you are offering!! Please email me on your suggestions!! Thank you

If it has only been a few months since the transplant, you must wait this out. I suspect that you had 250 grafts in each corner, similar to a Norwood Class 3 pattern. The full benefit of Propecia will take 8-12 months, and the transplant should show 80% of the benefit in 8 months. Keep on the course you have started and do not stop the Propecia.

I am concerned that you had a transplant at the age of 19. If you are in Los Angeles, please come by and introduce yourself for a second opinion. You need to have your scalp hair mapped out for miniaturization and you need a Master Plan in hand, particularly now that you already started the process.


2006-02-25 08:15:34Recent Transplant in 19 Year Old

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Redness After Hair Transplant, and It Responded Well to Benadryl

I have histamine positive skin. Six weeks after HT, it was still quite red. I used OTC topical antihistamine gel (Benadryl), applied to affected area twice a day for 5 days, and it dramatically reduced the redness.


2018-05-22 10:20:07Redness After Hair Transplant, and It Responded Well to Benadryl

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Does Finasteride Never Lose Efficacy?

I have heard many times people say finasteride loses its efficacy over time. However, you have said its just the naturally balding process taking over. Does that mean then, finasteride never loses efficacy and its just the balding gene taking over?

Think about a tug of war — one side (finasteride) pulling against the other side (genetics). The genes will eventually win the tug of war in most people (using a multi-decade time scale). Remember, the balding pattern you are inheriting can be almost any pattern. The worst pattern, the Norwood Class 7, is only present in 7% of the population.

Balding is progressive, but the speed and the degree of the balding process varies. There is no doubt that finasteride works constantly against the balding process but sooner or later, the balding pattern you inherited MAY be achieved.

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Remaining Vellus Hairs from My Juvenile Hairline

As a rule, does miniaturization need to be present behind the frontal hair line to indicate genetic hair loss? What would you say to someone who presented you with an intact, albeit mature, hair line – with no thinning present behind but had noticeable vellus hairs along frontal edge particularly in the corners where the hair line had raised a little bit with age? These “straggler” vellus hairs look to be the remnants of a retreating hair line – from juvenile to mature – but its hard to tell and self-diagnosis is uncertain at best.

(33year old caucasian male, no significant family history of early hair loss)

On occasion, I have seen some men lose hair without going through miniaturization. This is more common in the process of developing a mature hairline, but anything is possible. At times, some vellus hairs remain in the frontal area where the juvenile hairline formerly was.


2010-08-03 11:19:53Remaining Vellus Hairs from My Juvenile Hairline

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Does Hair Age?

Does hair age?

Of course hair shows the effect of aging and it will often change as we get older. Look at the huge crop of large diameter hairs in the ponytail of a twenty two year old women and think of the meager, thin hair of some 80 year old women. Hair often gets smaller in diameter and fewer in number as we age.

The process of getting finer shafts (or lower densities of the hair) with age occurs insidiously over many years, starting in some people in their early 20s (male and female) and progressively becoming more frequent with each decade. We just notice the changes when we look at an isolated 80 year old in a nursing home and we think ‘Old’. The medical profession calls this type of thinning ‘senile alopecia’ (doctors have to use some Latin to create a medical mystique to it). Most people will notice that their adult hair changes in character as their age advances. This change in character may be from wavy to straight, or from thick gorilla hair to a see through appearance where the scalp can be seen in reasonably bright light (htat may never have been the case in that same person when they were 20). I would suspect that the thinning of hair densities occurs in fully 1/3rd of the adult population (male and female) at some time during their lifetime and I see this process in some men who are in their early 20s, which we now call ‘diffuse unpatterned alopecia’, yet another abuse of the latin language of olden days.

By Drs. Jim Arnold and William Rassman