Category: Uncategorized

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Can I Accelerate Male Pattern Baldness?

is there any way to speed up mpb???? if mpb is caused by adrogens, would using any product that may otherwise cause some form of hairloss speed it up??? acelerate it????
also do you recomend any recomended sleep patterns for men loosing their hair?

Good question. Although the mechanism of hair loss in men is known to be hormone related, there are many other factors that can accelerate your hair loss, including:

  • emotional changes and stress
  • major medical condition
  • major surgery
  • inflammation of skin
  • nutritional imbalance
  • steroid or steroid-like drug use
  • extreme dieting
  • hair transplant surgery

Having said that, most of those conditions never cause permanent hair loss if you don’t have the genetic susceptibility for it.


2007-10-08 15:33:50Can I Accelerate Male Pattern Baldness?

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My Hairline is Receding and I’m 20. Please Help

Well from the last year i think my hairline has been receding. I am 20 years old and i just have a strange feeling that it has started receding from the sides.. Please help..

You should see a doctor who offers ‘bulk analysis’ with the instrument called Haircheck. This will tell you fairly definitively, if you are starting to lose your hair. Some doctors have not acquired the instrument, so as you check the doctors in your area, call them and ask their office in advance if they have the instrument. You can also have a doctor look at your under a microscope for a Minaturization test. This can give you some objective (measurable) perspective on your hair status. In general most common cause of hairline receding for a 20 year old is genetic male pattern balding (MPB).

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Can I Flatten a Keloid in Donor Area?

i had hair transplantation in 2001. I had only two small patches to cover them but during the surgery i shed too many hairs and now i have a large scar at the back of my head and also have kind of wounds in some of the transplanted areas where scab is formed and i keep scratching those areas(what to do to get rid of these wounds). The scar at the back is like a small Keloid, is there a war to get it removed or flatten with some steroid injection? Also tell me if i can have hair transplanted on the area from where strip was taken so that i can keep short hair and that area remains covered. If it is possible hair from which part of the body will be taken as i dont want to donate hair from the back of my scalp. Chest hair, shoulder hair etc will do the job. Thanks

Wow, this is pretty complicated. I really can’t give a proper response without at least pictures and I may need to even see you directly to see precisely what needs to be worked with.

Keloids may respond to steroids directly placed into the keloid if it is relatively fresh (past few months). Some people are keloid formers. You can always do FUE for hair transplants. Flattening them does not usually work. In your case, using body hair is a possibility.


2007-10-08 12:34:18Can I Flatten a Keloid in Donor Area?

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My Loss Started at the Crown and Now the Hairline

I’ve started balding a year ago (when I was 19), since then my crown has become very thin, but now i’m also slowly losing hair in front and top, what kind of Norwood class did I start with because I can’t find any that starts with the vertex while having full hair in front, but slowly thinning on top and front too.

Also, would you advice propecia to a 20 year old?

If you were taking Propecia (finasteride), the hair loss you are experiencing will be slowed, stopped, or reversed (particularly in the crown). The Norwood scale is to define the final stage of balding, not the interim steps you are experiencing. It’s not unusual to have the loss start in the crown.

Get a good doctor who will work with you to build a Master Plan for your short and long term hair loss problem.


2012-04-26 13:24:08My Loss Started at the Crown and Now the Hairline

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Can I Have a Transplant Now, Then Redistribute Those Same Grafts Years Later?

I’ve been reading on treatments for months after realizing I’m beginning to express an NW3 pattern on my head. I’m extremely worried about how silly I will look like, when Propecia wanes and hair loss accelerates in my 50s and beyond, if I have a hair transplant at 30 and use up too much donor hair.

So to tone down my worries, I’m conjuring a kind of modification of the “Master Plan”; one which will involve a transplanting those follicles now, then having a scarce few of them re-extracted in my 50s, if the hair loss gets too bad, and re-distribute these to go well with the decreased density of hair. Would you do a FUE like this twice on the same follicles?

It technically can be done… but that would not be a good plan. Generally, when the Norwood class 3 pattern is treated, it should remain untouched. If you are smart about your hair loss treatment and use the drug finasteride (Propecia), then hopefully you can prevent your migration of the hair loss as you age. That makes more sense.

On the other hand, if you progressed to a more extensive pattern and stay with the hair transplants in the front/top, the results should always look normal.

I get that you’re trying to plan for a worst case scenario, but Propecia doesn’t necessarily just stop working for everyone. Some men might see the effects wane after some years, but I’ve had patients taking it for over a decade with great results. Besides, in 20 years there could hopefully (fingers crossed) be new treatments available.


2012-05-16 21:16:57Can I Have a Transplant Now, Then Redistribute Those Same Grafts Years Later?

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My Son Has Been Losing Hair Since 18 Months Old

Hello Dr. Rassman.

My son began to lose patches of hair since he was 18 months old. Doctors say that can be due to stress or Alopecia Areata. His father was diagnosed with that a few years ago and he was also told that his own father had it too when he was stressed. My son’s grandfather and father recovered their hair, but they didn’t begin so young. I am extremely concerned about this. My son has also dark lines under his eyes and is a very picky eater. The only thing he loves is milk. My son began losing hair in his top right side, it spread down then it happened in the left side, after that he lost a couple of patches on the back of his head, and now, he lost a big patch in the middle of the frontal part and the last is on the top of his head… Please give me your advice. Thank you very much.

Alopecia Areata is found in family lines, like yours. The treatment of this disease must be done by experts who specialize in this. Check with a good Dermatologist for the appropriate referral. I have little to offer you via the internet for this problem.

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Can I Restart Using Rogaine to Regain Lost Hairs?

Hello, I’m a 21 year old male who started using Rogaine at the age of 19. I was worried I was losing my hair because it is very prevalent in my mom’s family. After using Rogaine for over two years I decided to stop because of the irritation it was causing on my scalp. I stopped late last January and for the first three months I did not notice my hair count change at all, but in about the past three weeks my hair has been falling out by the handfulls. If this continues much longer I may be left with no hair at all. I have been using Rogaine again now for about a week and will continue, but do you think I will be able to get back in the large amount of hair I lost that was apparently dependent on Rogaine? Will reintroducing Rogaine to the follicles bring my hair back to what it was? thank you!

The only two FDA approved products approved for male pattern hair loss are topical minoxidil (Rogaine) and oral finasteride (Propecia). They both have limitations and work primarily by slowing hair loss than growing new hair. Only a small minority of men with genetic hair loss will experience great amounts of hair regrowth with minoxidil, while Propecia will show more predictable results in someone of your age. In your case, your genetic destiny may be catching up to you. It is doubtful that restarting Rogaine will regrow your hair, but Propecia, on the other hand, may reverse recent hair loss. Both drugs may slow the process of hair loss, but if you are genetically balding, Propecia attacks the cause of the hair loss and therefore is far superior. Get your diagnosis by mapping out your hair for miniaturization and with good measurement, you will be smarter about what is causing your hair loss and what benefits you may or may not get from doing whatever you choose to do.


2006-05-22 09:47:57Can I Restart Using Rogaine to Regain Lost Hairs?

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Can I Tell If I Have MPB By Pulling?

I was wondering how to actually notice hair loss. When I was 25 I remember visibly seeing hairs in the shower and in my sink. Since then I have slightly receded but that is it. I am now 31 and I notice one or two hairs when I put gel in my hair and a few on the floor in my bathroom. I also notice I can slightly tug a few hairs out every once and a while. It just as easy to pull them from my sideburns as the top of my head. No one on either side (first and second generation) is bald in the back of the head. All related men do have recession and slight thinning (which I think is common). It looks like pattern 2. Is the fact that I notice the hair in my sink, tub and by pulling a sign of hair loss or MPB?
Thank you!!

No, you cannot tell if you have male pattern balding (MPB) by simply pulling on your hair. It is normal to lose 100 hairs a day. You may be able to see MPB pattern under a hair densitometer, which is a special microscope for the hair, by demonstrating miniaturization of hair. To make the actual diagnosis, the patterns of thinning and miniaturization can be mapped out for predictive purposes.


2006-07-18 12:27:14Can I Tell If I Have MPB By Pulling?

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naNOx9 Supplement and Hair Loss

I was wondering if you could answer a question for me. I am a 26 y/o male who is very much into working out (running, weight training, etc). Unfortunately, I am in the beginning stages of MPB as well. I really have changed my whole life around to maintain the hair I have. That being said, I am very cautious about what I put into my body. I came across a supplement at GNC called naNOx9. I was wondering if you knew anything about this supplement, and if so…will it accelerate my hair loss or is it completely healthy? The ingredients are listed below….if you could answer this question for me I would really appreciate it. Dr Rassman, thank you for creating this blog…..I have gained much knowledge about hair loss that I would not ever know otherwise.

Serving Size 3 Caplet(s)
Servings Per Container 60

Amount Per Serving % DV

naNOx9 3520.00 mg **

L-arginine*-xanthinol nicotinate **

L-arginine-ketoisocaproic acid-yohimbine HCl **

** Daily Value (DV) not established

Other Ingredients: hydroxpropryl cellulose, Silica, Artificial Flavor, Magnesium Stearate, Microcrystaliline Cellulose, Croscarmellose Sodium, Polyvinylpyrrolidone, vegetable stearine, coating (Polyvinyl Alcohol, Polyethylene Glycol, FD&C Red #40, Talc, Titanium Dioxide, FD&C Blue #2)

Here is the link to the product as well:
https://www.gnc.com/product/index.jsp?productId=2486356&cp=2348700.2325087&parentPage=family

Thanks again Dr. Rassman!

Sorry, I do not know of naNOx9. For that matter, I don’t even know how to pR0noUNcE it. The list of ingredients are substantial and I can not attest to how one ingredient impacts another. You have to have faith in the product and the manufacturer and can not just look to a website for such assurance.

I’ll quote myself from a previous blog entry: Millions of dollars are spent on marketing supplements to a health conscious society and it gives a skewed perspective on our health and subliminally gives us the message that we need to take these extra supplements to make us better (lose weight, grow hair, increase our sex drive, build muscle, feel happy, get smarter, reverse aging). As long as things are not done in the extreme and it seems to help, there is nothing wrong with taking supplements. There is no hard medical science supplied which would support the majority of the claims.


2010-07-16 08:31:56naNOx9 Supplement and Hair Loss