Category: Uncategorized

I don’t think that your analysis is correct. Maybe there are other causes for your weight gain. With a good libido and a strong erection, the drug is clearly not impacting your sexuality.

Dr.Rassman, you’ve written much about dermatitis and hair loss. It seems that in your opinion even the worst case of sebhorrheic dermatitis (excessive plaque, high levels of sebum, chronic flaking, bleeding etc.) doesn’t contribute directly to hair loss – especially of the patterned kind. However many people out there believe the two to be linked, including many physicians. I just came across an article from a non-profit organization called the American Hair Loss Association detailing various hair fungi and scalp conditions.

In their discussion of dermatitis they claim that, and I quote, “Although all this inflammation is not specifically directed at the hair follicle, if hair follicles are in the vicinity of the inflammatory cells then they can still be adversely affected. Hair follicles find inflamed skin an unhealthy environment in which to grow. Thus seborrheic dermatitis may non-specifically cause diffuse hair loss.” Is this a reputable source and how would you respond to this claim?

*The full article can be found here: AHLA – Infectious Agents

Flaking of the skin from seborrheic dermatitis itself does not cause hair loss, but if the scalp is picked and the flakes are pulled off, then hair loss can be a result of that process (meaning the hair will come off with the plaque). If a person picks on it regularly, that person can develop traction alopecia or even a condition called dermatillomania, a form of OCD.

I usually point out to our readers that the most common cause of hair loss (in men) is related to genetics. The differentiating factor for male pattern (genetic) hair loss from other types of hair loss is the “pattern” of the loss… but there are other causes of hair loss aside from genetics. Hair loss can be from fungus, psoriasis, anemia, immunologic, infections, stress, etc and many of these conditions may appear like a form of dermatitis. These types of hair loss can be diffuse or patchy, but there is not necessarily a cause and effect between the skin condition and the hair loss.

The American Hair Loss Association is a good, well meaning organization. I just do not agree with the opinion that they expressed connecting seborrhea to hair loss directly. I’m not sure where they got their information about that.

Here is the article, you judge for yourself. These units are expensive and from what I hear, the benefits are marginal. One of the problems with LLLT is the distance from the scalp and the amount of hair between the LLLT and the scalp. The longer the distance and the more hair, the less effective it will be. I would conclude that a shaved head would give the best response and should be tested: https://journals.lww.com/md-journal/FullText/2020/07170/Low_level_light_therapy_using_a_helmet_type_device.73.aspx

Is the long term use of corticoisteroids possible? It has helped with my itching and light burning on my scalp and I would like to continue using it as it reduces shedding.

I am also exploring the idea of corticoisteroid injections as my dermatologist had offered it.

I have been on fin for 1 month already.

Steroids will induce hair loss if it is prolonged and you have the genes for hair loss.

You need your donor density and donor hair mass measured to find out if you are a suitable candidate and what you can expect. Make sure that you get numbers from your doctor as this is mathematically based. I have answered this question many times, so read many of my answers here: https://baldingblog.com/?s=how+many+grafts

There is a misconception that many patients and surgeons that they must replace the recipient area density in the balding area when having a hair transplant. Nothing could be further from the truth. Too many Reddit patients are wasting their donor supply by using too many grafts to cover Class 3 or 4 patterns of balding. Too many Reddit patients do not seek a Personalized Master Plan ((https://baldingblog.com/creating-a-personalized-master-plan-for-present-and-future-balding) with their surgeon before they embark on a hair transplant in Turkey or elsewhere. First, look at the analogy and the following numbers: Assuming a surgeon removed 12,500 grafts from the donor area in a Class 7 patterned patient. The average man has 50,000 follicular units (grafts) on his head (race in not dependent upon this number) of which 12,500 grafts reflect the donor area (12,500 grafts reflect 25% of the total follicular units). The total donor supply equals 25% of the total hair supply. This means that if the surgeons did only FUE and transplanted 12,500 grafts in the recipient area, there would be nothing left in the donor area. In such a surgery, the patient would likely become either bald in the donor area or heavily overharvested in the donor area if partial follicular units were excised rather than full FUe grafts. This patient would have a new problem: a bald donor area. His recipient area density would not exceed 30% of the original recipient donor density. With too many grafts removed from the donor area, there is no going back after this is done. Even transplanted numbers of 5000, 6000, or 7000 grafts reported by many Reddit patients reflect the maximum yield of their donor area if they have fine or possibly medium-weight hair. They may end up with a see-through donor area for their entire lives. Many of these Class 3, 4, or 5 balding patterns may leave very few grafts left in the donor area to address almost certain future balding because hair loss is ALWAYS progressive. When I review Reddit’s transplanted patient posts, I often see too many grafts for a particular balding pattern, reflecting poor planning and an impulse surgery decision in men who are often too young.

do some balding/thining men lose their eye lash hair too, i noticed my dad has some hair there left, but not much, it seems like im losing some eye lash hair too

The loss of eyelashes in men can be a genetic characteristic. It could be unrelated to male patterned balding. From what you wrote, that is what it seems like. Are there other men in the family line that also have loss of eyelash hair?

For a near complete review of the subject see: ISHRS – Eyebrow & Eyelash Hair Restoration Surgery

I currently have a full head of hair, but have noticed that my hairline continues to recede into a widow’s peak. I’m becoming increasingly self-conscious of this and recently bought rogaine to see if that will help. Has anyone here used rogaine for a similar problem and did it work? I read the warnings on the Rogaine box and it made me a little hesitant to use the product since my hair loss isn’t on the crown of my head nor do I understand why I’m losing hair (other than the fact that my maternal grandfather was bald).

The appearance of a widows peak indicates that your hairline has only receded about half way to a mature hairline. I wrote the book on this here: https://newhair.com/wp-content/uploads/2018/11/phenotype-article-published.pdf Send me your photos if you like to info@newhair.com.