Maturing hairline vs recessions: I believe that a “Maturing hairline” is the same as MPB receding hairline. Someone people just recede more slowly than others or have their hair loss isolated to their hairline.
That is not true. A maturing hairline is the normal evolution of a juvenile hairline that disappears in most Caucasian men between the ages of 18-29
Dr. Rassman,
Do you still actively conduct research, or do you feel like you’ve given all you have to offer to the hair loss world in terms of innovations such as the FUE procedure or other novel ways of approaching loss?
I strongly believe that the research is an inseparable part of the practice of medicine. Every physician should constantly seek better ways to do things. Hair restoration surgery has been progressing rapidly within the last few years, but there are still many questions to be answered. As a matter of fact, every new finding opens our horizon to many other questions and possibilities.
Here at New Hair Institute, we are actively pursuing several research projects. They are either to increase our general knowledge of hair loss or to improve our techniques and skills. We are also collaborating with nationally known research centers in some sophisticated researches on hair loss and potential treatment modalities for baldness. We will publish our results when they become available and may also release some of the findings on this site.
Dear Docs,
is there any way to determine one’s hair shaft thickness (whether coarse or medium etc) without microscopic measurements? Some websites suggest that coarse hair needs more time to dry than normal, others claim that fine hair reflects more light and can’t be felt between thumb and index finger. Are these statements true? Sometimes I realize that even in my donor some hairs vary in colour and thickness, cant remember if this has always been the case. On top of that, whats the difference between medium and medium coarse?
Thanks
I suppose you can use a micrometer and caliper to measure the shaft diameter, but I wonder how this information will be helpful to you? If you have fine, medium, or coarse hair, that is just who you are. Hair can vary in thickness depending on what stage of the growth cycle they are in.
As for defining medium and medium coarse, it sounds pretty self-explanatory to me. Medium hair thickness is the middle of the spectrum, and medium coarse would be just between medium and coarse.
We do know that there is a reduction in the quality of semen in many men who are taking Finasteride (it becomes water and the volume is reduced). This article explains it.
For men who have had this side effect, when they stopped the Finasteride, their semen returned to normal.
I was on Androgel since august 2018 after being diagnosed at 208 nG/dL. The reason I got myself diagnosed in the first place was because of my high pitched voice and lack of (muscle) development. While I was on TRT, I did feel slightly stronger and my biceps did get bulkier and feel significantly firmer to the touch (and I don’t work out). However, around the turn of 2019 I noticed my hair was noticeably thinner. I had always had a dense forest of hair on my head ever since I remember. That changed only after I started TRT. I quit Androgel cold turkey in January, but the damage was done. My hair kept deteriorating so I got a DHT test: 747.67 pg/ml. (Normal range: 250 – 990)
I then got on Dutasteride for a month, but taking it didn’t seem to help so I tested my DHT again while I was on it: 1110.8 pg/ml.
I have since stuck to Finasteride, and my DHT levels dropped to 590 pg/ml then rose to 990 pgml. My ferretin was measured at 48 ng/ml on a range of 30 to 440.
My hair is worse than ever. I have a noticeable bald spot on my crown and my hairline has receded noticeably. My hair now parts naturally in a very noticeable path, looks like severe diffuse thinning. I started fin in march and mine in June, but my hair is worse than ever and sheds more than 100 hairs daily. Hair is frizzy and curly whereas it was straight before trt. Shed hairs are much thinner towards the bulb.
I wish I never took TRT. My hair was fine before TRT and that was not the only thing Androgel affected. I wish I could rewind time back to last year and convince my younger self not to make this irreversible decision.
Unfortunately, many men who go on Testosterone therapy lose their hair if they have the genes for balding. Many older man who had minimal hair loss and then take T therapy, start losing their hair big-time
2021-03-18 02:22:272021-03-18 07:46:53Men who take testosterone and then lose their hair
I seem to have less hair on the right side of my face in relation to the left side, but yet nobody else in my family has this issue. What is usually the cause of this and is a hair transplant the only solution?
Some men develop asymmetrical beard growth. If you are just starting growing your beard in the past year, don’t worry. Also the transition from a juvenile hairline to a mature hairline is also often asymmetrical as well.
This article was published however, I am not impressed that this will cross-over into humans. You judge for yourself.
https://www.sciencedaily.com/releases/2020/07/200727145808.htm
2020-08-03 11:44:152020-08-03 11:44:38micro RNA grows hair in mice
I would like to know what you found out in regards to Avodart at the hairloss convention. Please get back to me when you get a chance.
There is a strong suggestion that Avodart will work better than Propecia from what I heard at the meeting. There are, however, many questions not answered such as:
These are the reasons that most doctors do not want to prescribe Avodart ‘off label’ (not FDA approved for hair loss treatment). From a medical-legal point of view, as well as a licensing issue, I can not really prescribe it. Also, my expertise is in surgery, not medications (although I try to use medications I command and know forward and backward). There are some dermatologists, internists, urologists and family doctors that would prescribe this medication, and if you want to go that route, you should try to find one of them to prescribe it for you. With an off-label use, the issues of safety are risks that you must take.
The preliminary studies that were presented indicate that it works to grow hair when Propecia fails to do so. Still, Propecia should be the first line for the medical treatment of hair loss. What does concern many doctors, however, is that there may be a Vioxx type of hidden side effect in the young man that is not known. Will it produce cancers or heart disease or some other problem that is not yet identified? This is the reason we look to the FDA, to define safety and effectiveness for us. So far, the safety is not clear and the effectiveness appears to be coming into view through unofficial channels.
There is some good teaching in your photos. This is an outstanding regrowth of hair from microneedling and minoxidil. I want to call your attention to the corner area which received microneeding beyond (below) the natural adult mature hairline, which did not bring back the hair to the full extent of the microneddling. It is important to note that microneeding in areas where your juvenile hairline is lost, microneedling this area will not bring your juvenile hairline back. For those who are microneedling, please limit it to the mature hairline you want to return to.
[If you have any questions, you can reach me at williamrassman33@gmail.com]
My forehead came down about 1cm with 1500 grafts. I am unhappy with the unnatural look, and my skin is elevated and white. I would like to reduce my forehead surgically and reverse the transplant.
This is not an easy assessment without seeing, at the least, a photo. You said the hairline was only lowered about 1cm, so I need to know what it looks like. Also, your comments about the elevated grafts after growth and the white color of the skin is concerning. If the entire area in front of your normal hairline is no more than 2.5 cm, then a hairline lowering procedure may be able to remove the entire transplanted area. You should see a surgeon that offers hairline advancement surgery, and this could be a good solution for you.
2018-04-06 06:53:472018-06-21 09:30:51I Had a Bad Hairline Lowering Hair Transplant
