Category: Uncategorized

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Moustache Restoration?

i would like information on moustache restoration as mine is thin

The use of hair transplants for the moustache is relatively easy to do technically, but may be more difficult from a planning point of view. The hair usually would come from the back of the head and you therefore must be reasonably sure that the character of your hair from the back of the head will look like your existing moustache. If you have a coarse, brown haired moustache and fine, blonde hair in the back of your head, a transplant using scalp hair might not be the right decision. To get around this, one could use pubic hair which is more coarse than a fine character scalp hair transplant. Get an expert to find out what is reasonable.


2006-05-17 15:50:13Moustache Restoration?

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Book On Hair Loss Photos: “Alopecia Uncovered”

The following was sent to us from the author of the book.

Alopecia Uncovered is a fine art photography book that explores the therapeutic potential of the portrait through a series of arresting black and white images, essays and journeys of those affected by the condition.

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Daniel Regan’s Alopecia Project, in which he invited sufferers to be photographed as and how they wished to be represented, was shot over a three year period. For some of his subjects it involved baring all and showing their natural selves, whilst others wished to retain their eyelashes or eyebrows. However the true message of this project is that it’s OK being you, but most importantly being the you that you choose.

Now combined with analytical texts by art psychotherapist Jennifer Chambers, Alopecia Uncovered encapsulates the emotional difficulties of sufferers by allowing subjects to reclaim their sense of self by confronting these images of themselves. This book investigates issues of self-esteem, fractured identities and perceptions of illness, illustrated through the use of empowering yet vulnerable photography that challenges the social constructs of beauty.


2014-12-11 09:10:26Book On Hair Loss Photos: “Alopecia Uncovered”

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Must I lose my erections to stop shock loss with Propecia?

I am 26 years old and had a hair transplant last week and my surgeon recommended that I take Propecia to prevent shock loss. I am afraid to do this because I heard that I won’t get erections on this drug. Is this true?

The risks of ED with finasteride is 3-4% while the risks for young men in their 20s for shock loss after a hair transplant is probably 90%. You should have been on the drug before your surgery. Now it is completely your call.

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Brain Fog on Finasteride and Minoxidil

So I have been taking Finasteride 1mg daily and minoxidil 1ml twice a day for the past 2 months now. I thought I was experiencing brain fog as a side effect for awhile and denied it for a bit. I go to look up what brain fog is and it has more to do with confusion. What I’m experiencing feels more like an irl motion blur of sorts and as far as I know I’m experiencing no forms of confusion (or more than regular at least as I have adhd to begin with). Can this be classified as brain fog? Can this be caused by Finasteride or minoxidil? It seems to start every time I get to work and lasts for 3-5 hours and it’s really not that bad but its noticeable.

Brain fog has been reported with finasteride, but not minoxidil. I would try to meet with your prescribing doctor to discuss this ‘brain fog’ as it may not be what you think.


2020-03-13 08:51:37Brain Fog on Finasteride and Minoxidil

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My Brother Was Bald By 22, My Dad Was Bald By 26 — I Think Propecia Helped Me Dodge a Bullet

First off, great job on the blog Dr. Rassman. It’s probably the most valuable information regarding hair loss on the internet.

I noticed the first “signs” of MPB when i was 22 (26 now). I thought the corners of my hairline started to recede. That coupled with my brother and father being bald I freaked out and decided to see a doctor. I sought the help of a reputed NYC area specialist (I’m not going to mention his name) and upon a hair miniaturization test and the divulging of my family history he advised I go on Propecia. He assured me though that the minituarization was only slightly present just in the front of the hairline.

I got on Propecia right away and 4 years later my hair looks exactly the same short of a little more recession in the hairline but I would say that I am STILL not 100% at the mature hairline point that you describe so thoroughly on this blog.

Because my brother was pretty much bald (full NW5) by the time he was 22 and my father also a full NW5 by age 26 is it somewhat safe to assume that I may have dodged the bullet since I am 26 and not even a full NW2 yet? If it makes any difference I also physically take after my mother and in her family baldness is not common.

It is also very much possible that Propecia may be responsible for me keeping all my hair but I would want to know if there is any way to find out for sure. I would not want to take a drug I don’t really need for all my life especially with all the recent commotion about this product.

Thank you.

Thank you for sharing your story. I guess the way to find out for sure if Propecia was responsible, you’d have to stop taking the medication and see if your hair falls out. Not exactly ideal, and not something I’d recommend.

There’s also the HairDX Finasteride Response test, but it won’t tell you if Propecia is the reason you still have hair on your head. It should tell you if you’re responding to finasteride, though.

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What Is Brotzu, and How Does It Work to Help People Losing Their Hair?

According to a Google look-up, Dr. Brotzu pioneered this lotion. It is reported to be an “Omega-6 fatty acid. It is supposed to be an anti-inflammatory lotion. It is being promoted in the product as a precursor to PGE1. Specifically, DGLA is converted to PGE1 via the cox-1 and cox-2 pathways.” There are no FDA claims that have been cleared by this. So much of what you read is hypothetical and possibly illegal in the US. I can’t say if it works or not, as I would have to read a clinical scientific paper on it first.


2018-06-19 08:46:41What Is Brotzu, and How Does It Work to Help People Losing Their Hair?

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My Dermatologist Said My Hairline Recession Could Be From a Final Surge of Hormones

Hi Dr. Rassman,

I’m 20 years old with a receded hairline (my derm. diagnosed me as a NW2). No one in my family is bald, with the exception of one distant relative. My hairline receded 2 years ago but then didn’t budge. However, over the past few months, I’ve noticed it rapidly thin about a 1/4 inch into the hair line all around. My derm. said this could be the result of a final surge of hormones as I finish growing/developing. Is this common?

I’ve been on Propecia for one week now and will that be able to help me return to where I was only a few months ago? Any help would be greatly appreciated and keep up the great work with this blog!

A “final surge of hormones” sounds nutty to me. Young men always have hormones that surge. What you’re describing could just be your genetics, not some hormonal surge.

Starting on Propecia when you have early hair loss is the best course of action, so stick with it and lets hope that it reverses or halts the progression as it does in many 20 year olds. I can’t say for sure what benefits you’ll see, but you’ll know in the coming months if you’re experiencing less loss or regrowth.

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Does caffeine stimulate hair on the scalp like minoxidil?

Both Caffeine and Minoxidil when applied to the scalp, can induce hair growth. In a recent study in a peer reviewed journal, both 2% caffeine and the 5% minoxidil were both equal in value when applied to the scalp topically.?


2018-12-06 13:10:32Does caffeine stimulate hair on the scalp like minoxidil?

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My Doctor Prescribed Propecia for My Acne

Hi Doctor. I recently went to my doctor regarding an acne problem I have had for years, and he prescribed me to take propecia for it. He said that acne is caused my the same hormone that causes hairloss. Something called DHT. And that the ingridient in propecia inhibts DHT and thus eliminating acne. What do you thik about this, it seems kind of wierd to me. Please inform me soon because you seem to be an expert on propecia. I wanted to ask him more questions, but he is one of those doctors thats always in a hurry.

He was pretty condfident that propecia treats acne really well

I haven’t heard of Propecia (finasteride) being prescribed for treating acne. Acne is generally caused by bacteria on your skin and certain hormones in conjunctions with a high sebum production. I recently wrote about acne and DHT here.

So while Propecia does inhibit some of these androgens (such as DHT), Propecia is not prescribed for acne as a treatment. I would consider seeking another physician for a second opinion (mine does not count as I am not your doctor) since you are clearly not comfortable with your treatment plan nor your doctor.

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Can a tight bun cause hair loss?

Tight pulling on the hair from a tightly pulled bun, like a tight ponytail, might cause traction alopecia if it is done over a long period of time


2021-10-14 05:49:34Can a tight bun cause hair loss?