I’ve heard quite a few stories claiming that generic finasteride is not as effective as Propecia.

Hi Dr. Rassman. I’ve heard quite a few stories claiming that generic finasteride is not as effective as Propecia. Do you prescribe both, and if so have you noticed a difference in your patients responses?

Some patients have reported reduced effectiveness when they switch from propecia to the genetics but there are a few manufacturers of the generics and I have not kept a record of which is which.


2019-04-08 13:31:25I’ve heard quite a few stories claiming that generic finasteride is not as effective as Propecia.

A Remarkable Change Made from SMP on a Thinning Scalp (with Photos)

This patient came to see us after having a hair transplant (from another clinic) that still left him not a full as he would like. We offered Scalp MicroPigmentation (SMP) as an alternative option to having further transplant surgeries. He took this alternative option and the transformation was very exciting.

It would have taken between 3500-6000 grafts had he gone the hair transplant route and the results would have taken possibly 16 months for two procedures. The results you see here were instantaneous — no waiting period — although he had some touch-ups after the initial session.

Click the photos to enlarge:

After:

 

Before:

 

Jason Alexander (reddit)

Jason Alexander has made a fortune with his ‘look’ and his talent. Clearly his balding was not a problem for him in the days when the TV show was popular.

It has.. from tressless


2019-04-19 08:51:59Jason Alexander (reddit)

About Grey Hair

The following is taken from MSN Lifestyle:

  1. HOW HAIR TURNS GREY

Hair grows in a follicle, a bulb-like tube on your scalp. The average head has 100,000 to 150,000 follicles, each operating independently from the others. Hair in its basic, unpigmented state is white. It gets its color from melanin, a pigment that also determines skin color. Two types of melanin, eumelanin (dark brown or black) and phaeo-melanin (reddish yellow), combine to make all the hair colors. One hypothesis for why hair goes grey is that aging slows or stops the hair from accessing the melanin, so it comes out grey, silver, or white instead.

  1. GREYING IS CAUSED BY HEREDITY

When you’re born, your genes are already hardwired for when and how your hair will turn grey. This includes premature greying—people who grey before age 30 usually do so because it runs in the family. For most of us, greying starts in middle age. Dermatologists go by the 50/50/50 rule of thumb: by age 50, half the population will have at least 50 percent grey hair—although a worldwide survey showed that number was much lower, with only 6 to 23 percent of people half grey by age 50.

  1. RACE IS ALSO A FACTOR

In a related matter, race also determines when you’re likely to grey. In general, Caucasians gray in their mid-30s, Asians in their late-30s, and African Americans in their 40s.

  1. PLUCKING ONE GREY HAIR WILL NOT CAUSE THREE TO GROW IN ITS PLACE

This old wives’ tale is a myth. Each follicle can contain only one hair, and plucking it won’t make it able to produce multiple hairs. Furthermore, what you do to one follicle has no effect on the ones around it. That said, excessive plucking isn’t a good idea—it can damage the follicles and even stop hair production in that area altogether.

  1. STRESS PROBABLY PLAYS A ROLE IN GREYING

When President Obama went grey his first term in office, was it stress, age, or a combination of both? Scientists aren’t sure. While some researchers say that your genes alone are responsible for grey hair, others say that there seems to be a connection between greying and stress, just no direct link to prove it. In 2011, a study by Nobel Prize winner Robert Lefkowitz discovered that long-term productions of the body’s fight or flight response—the instinctive ability to mobilize energy in response to a threatening situation—can damage your DNA and cause premature aging, including greying hair.

  1. TRAUMA WON’T MAKE YOU GO GREY OVERNIGHT

Another myth is that a major shock will cause your hair to suddenly turn grey. This is sometimes called the Marie Antoinette Syndrome because the French queen’s hair supposedly turned white the night before she was beheaded. But hair, once grown, doesn’t change color, so waking up with a head of white hair isn’t going to happen. Although there is a very rare condition where all of the colored hairs can fall out, leaving only white hairs behind, the simpler answer is that Marie Antoinette probably just took off her wig.

  1. SMOKING MAY CAUSE YOU TO PREMATURELY GREY

Multiple studies have linked smoking with premature aging, which includes early greying. In 2013, a study found that there is a significant relationship between smoking and grey hair in people under 30. In fact, “smokers were two and half times more prone to develop PHG” or premature hair greying.

  1. BODY HAIR ALSO TURNS GREY

All your body hair—chest, nose, pubic, etc.—can turn grey. Body hair tends to grey at a different rate than the hair on your head, which is why some men can have grey beards and brown hair, or vice versa. By the way, dyeing grey pubic hair is a thing.

  1. SOMEDAY, RESEARCH MAY LEAD TO A GREY HAIR CURE

Scientists in Europe discovered a breakthrough with vitiligo, a disease where skin loses pigment and develops white patches. Like hair, vitiligo is caused by “massive oxidative stress via accumulation of hydrogen peroxide,” causing the skin to bleach itself from the inside out. Researchers have successfully treated the discolored skin and eyelashes of vitiligo patients, which has led some to predict a potential cure for grey hair. But while the idea sounds promising, history is full of tonics and creams claiming to cure grey hair. As far as we know, none of them have worked yet.

I Just Purchased an Inexpensive Hand Video Microscope and I Think That My Hairs Are Miniaturizing?

Yes, you are miniaturizing with thinning and wispy hairs that exceed 20% of the hairs that you are looking at. This is the early part of the balding process which often progresses with eventual loss of these miniaturized hairs. I put a few arrows to give you different stages of miniaturization in your hair, from thread-like to half a hair shaft volume. See arrows below.


2018-12-01 08:38:11I Just Purchased an Inexpensive Hand Video Microscope and I Think That My Hairs Are Miniaturizing?

Adderall or Ritalin — Which Is More Likely to Cause Hair Loss?

Between Adderall and Ritalin, which of the two would be most likely to cause alopecia? I know this is a loaded question. Thanks drs

There’s no way for me to know that. Adderall’s safety label was updated last year to include alopecia, and there are some reports of hair loss associated with Ritalin as well… but these are likely rare. I don’t generally prescribe either medication, so perhaps your doctor might be more familiar with them.

For men, the most common cause of hair loss is due to genetics (not medication).

Lack of randomness in a hair transplant with photo

This is a picture of two patients with a hair transplant. Please note the alignment of the grafts, like soldiers in a field. It should look like a random pattern and not a series of circular lines as hair grows in random patterns. In these patients, when the hair grows out, you will see a similar circular pattern and know that it was a hair transplant. I have seen this problem in too many doctors who have this ‘orderly mind’ and do not have the artistic flair needed to do this right,