Category: Uncategorized

I have seen great initial growth with finasteride in some men 18-22. It works best when the hair loss is recent. See the photo collection from Dr. Robert Bernstein’s office here: https://baldingblog.com/dr-robert-bernsteins-library-of-finasteride-results/

Dr. Rassman:

In one of your replies to a question about Scalpmed, you stated that it is “normal” to lose 100-150 hairs per day. While this may be true for people with NW 0, it certainly is not the case
for NW2+. I would imagine that daily hair loss is PROPORTIONAL to the amount of hair left on the head. Your assertion is misleading and quite untrue.

Thank you

I’ve often said that a “normal” range of 100-150 hairs (sometimes even 200 hairs) are lost some days. While it is true that this is a generalization, the importance of a miniaturization (microscopic) examination of your scalp is all the more relevant if you believe you are losing more hair and not growing it back. For a man who lost 50% of his original hair, for example, the daily loss of hair will be half of the original daily cycling loss, reflecting the population of hairs that remain.

The one thing I stress most on this site is the importance of a miniaturization study and not just making assumptions based on the fixed number of falling hairs you may be seeing.

I am thinking of getting a hair transplant. Unfortunately I have chronic folliculitis on the back and sides of my scalp. It comes and goes in intensity. Nothing on the top of my head. Does this disqualify me automatically?

I would have to examine you, possibly even biopsy your scalp where the folliculitis is. Did you get a diagnosis? If so is it called Folliculitis Decalvans? If so, then you would not be a candidate for a hair transplant. I clearly need to know more.

I have two crowns on the top of my head. If I can expect to start thinning at the crown later in life, will it be from one crown over the other, or both? One of my crowns in more centralized in respect to the other. If only one were to experience thinning, would that be the most likely culprit?

Also, any news on the alleged hair loss creme that reduces PGD2 levels in men? It was announced in 2012 that because there are already cremes that reduce PGD2 levels for other ailments, that we could expect it on shelves as early as 2014.

Two crowns…. do you have two heads? The crown is the top of your head. Are you referring to two cowlicks or swirls on your head? If you were born with the genes for male pattern baldness, then you will lose your hair in a certain pattern as described in the Norwood classification chart (see here).

I am not privy to any new hair loss treatment creams that work. Prostaglandin D2 (PGD2) was being touted as a potential baldness “cure”, but the last I remember reading about it was that it was going to start clinical trials in a couple years, not necessarily be on shelves by then. There’s a long way to go still before PGD2 is proven to work for humans beyond hypotheses and lab mice research.

I’ve only just noticed I have bald spot after someone mentioned it, it is in an awkward place to see in the mirror. The bald spot is only at the crown area and I haven’t noticed any other hair loss anywhere else. However I do think my hair has thinned recently (last year or so). Do you have any suggestions as to what I should do next -see a GP, observe for a few months etc.?

I’m only 21 years old and I’m quite self conscious now that I’ve had comments about it.

Thanks in advance for any help.

You can consider a visit to our office in Los Angeles if you’re local or planning a trip out this way (the consultation is free). Otherwise see a good doctor, perhaps your family doctor, who will be able to determine what you have and what you can do about it.

If you think it is the beginning of male pattern baldness, you certainly want to see about starting treatment early… but I don’t know what is causing your bald spot at this point. I often mention the Master Plan when considering future hair loss. Educate yourself.