Balding Blog – About – Hair Loss Information

BaldingBlog.com began in April, 2005 by William Rassman, M.D., Medical Director and Founder of the New Hair Institute, with the goal of educating about hair loss and hair restoration. Posts on the site are written by Dr. Rassman, with assistance from Jae P. Pak, M.D.

 

Dr. William Rassman, M.D. Senior Editor:
William R. Rassman, M.D.
Bio | CV
  Dr. Jae Pak, M.D. Contributing Editor:
Jae P. Pak, M.D.
Bio

 

For a free physician consultation to discuss your hair restoration options, please call New Hair Institute toll-free at 800-NEW-HAIR. We are located in Los Angeles, California.

This site is intended to educate the public on hair loss topics based on personal experience and opinions from Dr. William Rassman and contributing physician editors. Information provided on BaldingBlog.com should not be used for the purpose of medical diagnosis or treatment.

I Just Started Finasteride and Got Gynecomastia, Thoughts?

I just had a quick question. I took 1mg of finasteride for 2 weeks and noticed I was starting to develop gynecomastia. I immediate stopped taking finasteride and gyno has since went down. This was my only symptom. My question is, in theory, would taking only 0.25mg everyday give me a better chance of not developing gyno? I understand there’s about 60% DHT inhibition at 0.25mg. At 0.25mg, would I have less extra testosterone that would get converted to estrogen, and give me a better chance at not developing gyno? If this is a stupid way of thinking just to continue taking finasteride, please let me know. I’d appreciate your honesty!

Since it stopped quickly, you can try the lower dose and see. I always suggest that you clear everything with your doctor.


2019-02-14 06:23:52I Just Started Finasteride and Got Gynecomastia, Thoughts?

Acne, Dandruff, Hair Loss, and the Unexplained Mysteries of the World

I believe acne and dandruff and hair loss are related. They are all caused by cells that go through their cellular life cycle at much faster rates than normal. How can this be denied?

I believe Bigfoot, the Yeti, and the Loch Ness monster are all related. They’re unexplained mysteries that can’t be proven. How can my claim be denied?

Honestly, it is very easy to deny something and much harder to prove something. Show me scientific proof and I won’t deny your theory.

Adding Avodart Once a Week to My Daily Propecia?

Doctor Rassman, I am sure you get this questioned asked alot, but in your opinion as a hair restoration expert, do you think by adding 0.5 mg avodart once a week to a every 1 mg propecia regimen can make a difference in loss of hair or even gain?

There was a study of a an individual who took one avodart pill once a week to a propecia everyday regimen and he saw substantial growth. The study was only on one person, but its not a conicidence that it happened when he added the low dose of avodart once a week? or do you think avodart and finasteride at the end of the day still produce the same outcome? I know at the 2.5mg it produces the best results, put more of a high side affect profile, and very expensive.

Both Avodart (dutasteride) and Propecia (finasteride) work in a similar mechanism by blocking the formation of DHT, but I have often stated that treating androgenic alopecia is not only about blocking DHT. I do not believe if you block DHT 100% you will stop or reverse the balding process.

I’m not sure which study you’re referring to, but if it was an anecdotal report on ONE patient, it isn’t something I would put a lot of stock into. Please note that just because there is study results available, it doesn’t necessarily make it the golden truth. Now with that said, many doctors believe Avodart is a better medication for stopping hair loss than Propecia, but I am concerned about sexual side effects and the few reports of sterility that came from Avodart.

A few patients that I treated with Avodart did get a response after Propecia stopped working as well for them. That is as much as I know. I couldn’t tell you if adding a single Avodart dose per week will make a difference, though.

Lactic Acid in the Scalp

I read the item about hair foliclle damage because of lactic acid secretions on the scalp. Well, I was told the same thing, and given a lotion to neutralize the acid. I can confirm this situation does occur when subject to unpresidented levels of stress. When i say stress, stress at such a level I was physically ill with it, for a long period of time. Halucinations etc

One day I notice that my incredibly thick hair was going fine and curly. Finasteride made no difference, and I was shown hairs from my head, that had no outer sheath on them. Also prior to seeking advice the affected area became hot, itchy and greasy- when i was stressed, and this is where the hair follicles have died.

Lactic acid is not a cause of hair loss. Whatever you read about lactic acid secretions on the scalp causing hair loss is false. I found some message board that talked about it, but I don’t think it went beyond speculation. It wasn’t mentioned in any medical journal that I could find.

Without knowing what dose or how long you took finasteride, I don’t know that I could agree that it “made no difference”. I don’t know enough information to give you anything beyond generalities, but if you’re balding in a pattern, it’s not stress. Stress could be exacerbating the loss, but it’s ultimately your genetics. I wouldn’t expect a “hot, itchy, and greasy” scalp to be normal from stress, and it’s certainly not normal to have hallucinations, no matter how much the stress. You need to seriously see a doctor.


2011-01-25 14:50:07Lactic Acid in the Scalp

African American with Donor Site Depletion

Your donor area may show some donor site depletion from the FUE. This is not unusual if you had many grafts harvested.

The average African American hair density is generally low, so it limits the FUE procedure to about 1500 FUE grafts.


2018-11-01 06:45:15African American with Donor Site Depletion

After a Year on Propecia (with Photos)

This patient came to our office a year ago showing a Norwood Class 3 pattern of hair loss. Dr Pak prescribed Propecia to this young man and after a year of taking it every day, the patient returned to our office to show off his results. He had no hair transplant surgery. The results shown (in the photo on the right) are strictly from a daily Propecia pill.

Before on the left, after on the right. Click the photos below to enlarge.