Shock loss from complications of FUT (photo)

These scars may occur as a complication of an FUT strip surgery. Sometimes they just happen and sometimes it occurs when the wound is closed under tension. Wait a period of six months and then, if it does not go away, you might have to consider doing something about it like Scalp MicroPigmentation which works very well for scars in the donor area provided that it is not too large. There is a good chance it will grow hair within six months.


2017-09-15 12:08:41Shock loss from complications of FUT (photo)

FDA Approval Costs Too Much for the Poor Snake Oil Salesmen

Hi Dr,
first of all thank you for doing this blog. I just wanted to ask a couple of questions and would really appreciate any answers. Firstly I know that you usually recommend FDA approved products in your blogs i.e. propecia and minoxidil and dont recommend any product that is not backed by the FDA. I actually emailed 2 companies (procerin and revivogen) who both make hair loss products and claim that they are really effective in treating hair loss and asked them that if their product is so effective why hasn’t it been approved by the FDA like propecia and minoxidil. They both gave me similar answers which consisted of 2 reasons:

a) getting FDA approval costs millions of dollars i.e. it is very expensive and that is something we dont have, and
b) our products are natural i.e they are not medicines and therefore they cannot be approved like propecia and minoxidil.

Can you please tell me if these answers make any sense?

Secondly I was looking at the revivogen scalp solution as a possible treatment to my hair loss (i’ve tried minoxidil and am allergic to it and am abit worried about the side effects of propecia) and came across a video (on YouTube) which contains an interview of the Dr that developed it, he gives a scientifc explanation of how the product combats the effects of DHT and allows the hair to grow.

I would really really appreciate it if you can watch this video or atleast a part of it and give us your opinion on this Dr’s scientific theory regarding revivogen. Many Thanks

You said it all in the first paragraph above — the makers of those products “both make hair loss products and claim that they are really effective in treating hair loss“. To be sure that this is the case, it MUST be scientifically studied with a good peer reviewed (that means unbiased) process. I agree that there are a number of ways to get there and these are all not necessarily FDA routes, but some analysis must be in hand to really substantiate the claims. If I told you that I have a pill that will make you live to at least 100 years old, would you believe me without proof? Of course when you are 100 years old, I could say “I told you so” — and if 1000 people took that pill, possibly one man will be around to make that claim at 100.

It does bother me that we have such proof with the drug Propecia (finasteride 1mg) and we know the possible side effects (which if they occur you can stop the medication and make the side effect go away) and yet people still seek out the unproven products with slick marketing. We really do not know the side effects of these other products, because it is not in the interest of the various companies to promote side effects, and as there is no FDA involvement they have no legal reason to list all possible side effects. If you are a man with male pattern baldness (MPB) and don’t take Propecia (finasteride 1mg), what you lose while you fool around with these other products is your valuable hair, which will be lost forever.

Should a Norwood Class 3 Person Consider Himself Lucky?

You may have touched upon this question before but I was looking for clarification. In an early post (I’m talking a few months ago) you mentioned how a norwood class 3 would rarely, if ever, progress to a norwood 6/7. By this, can a norwood 3 consider himself quite lucky in the sense that he’s probably not going to experience crown loss? What exactly did you mean by this?

Norwood 3Everybody is different. If you have stabilized your hair loss pattern at a Norwood class 3, then you will probably not progress to further balding.

You are born with certain traits ranging from eye color, skin color, dimples, to hair loss patterns. I would not say having one trait is better or luckier than the other. I believe about 8% of men are born with a Norwood 6/7 trait. Does that mean those men are unlucky? For example, Michael Jordan is likely a Norwood 6. Would you consider him unlucky?

Female Genetic Hair Loss

Hello,

I am a 25 year old woman and I have been losing my hair since the age of 12. All of the women in my family have been affected, but I am the first to lose it as such a young age and actually have it the worst. I am generally bald in the front and have thin hair everywhere else, but it’s not bald. I currently am using a weave, but I’ve noticed that is has actually become worse and I’d really like to lose the weave and have a natural hair line. Is New Hair catered for men only, and if not, can I be helped?

Desperate in Brooklyn

First of all, you should see a good doctor who knows about hair loss in women. Since you are in New York, I would recommend you set up an appointment with Dr. Robert Bernstein at (201) 585-1115. He has offices in Manhattan and New Jersey and can address your unique problem. It sounds like you do have genetic female hair loss, but first let’s get an expert to determine it. You must have a full check-up to determine if you have any metabolic diseases as well. For more questions and answers about female hair loss, please click here for previous blog entries.

Should I Replace Propecia with Minoxidil?

What about Regaine Minoxidil 2% thats sprays the hair. Is it effective? This way I avoid having the side effects of the propecia.

Minoxidil is effective on its own, but for men, I’ve seen a greater response to Propecia and it is what I recommend for my patients. Minoxidil (available over the counter without prescription) is not a substitute for Propecia (by doctor’s prescription only).

If you’re considering switching from Propecia to minoxidil and have been on Propecia for a while and saw benefits from it, I have no doubt that you will lose lots of hair if you swap one for the other. It should be noted that both medications have their risks of side effects, although quite small.

Female Hair Loss Specialist in France or Switzerland?

Thank you for your website, which is the best source of information I have seen. My twenty-four year old daughter has been losing her hair severely for six years and has been seeing doctors and trying various ways to stop hair loss, without success. Can you please refer her to a doctor either in France or Switzerland?

I don’t have any personal doctor recommendations in France or Switzerland, but you can find doctors in your area by using the physician search at ISHRS.org.

Be sure to research any doctor you’re interested in, but you should also know that treating female hair loss can be quite difficult. I wish your daughter the best.


2012-10-24 11:05:24Female Hair Loss Specialist in France or Switzerland?

Should I wait to get a hair transplant?

Is it better to do it sooner or does it really matter when you undergo surgery? do I need to rush into it or will the results be the same if I wait a couple of years?

Timing of the surgery is a personal decision. The question is if you are bald, can you handle it, or , if you are becoming balder, can you handle it? If you are over 25, a hair transplant can be an option. Will getting your hair back now make a difference in your life?

 

The Other Side of the Finasteride Story of Long Term Problems Discussed by a Well Informed Person

Dr. Rassman’s Comments: I fully understand the clinical science that is stated below; however, this reflects a minority of patients who take this drug who report side effects. Many people have no side effects and great results from the drug finasteride. Despite this, everyone on this drug should read these comments carefully because his concerns are real and as he said, if you are the one that is impacted, it is 100% for you.

The fact that this poison is still being regularly prescribed undermines the legitimacy and perceived objectivity of the American medical system and the pharmaceutical industry. There have been plenty of publications that have come out over the decade that have shown 5 alpha reductase inhibitors to be dangerous, even to those who appear to respond well to them, which I’ll link at the end of this comment. I am glad that the FDA was objective enough to deny the approval of these drugs as chemo-preventative therapies – who knows how many lives would’ve been destroyed if they’d been approved for that – and that they decided to finally label the drugs with serious warnings, but it’s not enough.

The risk of full-blown Post Finasteride Syndrome, while apparently low, is not something to dismiss. Additionally, the odds of developing side effects increases with time. These drugs have been shown to chronically lower neurosteroid levels, the most significant of which being allopregnanalone, which is responsible for anxiolytic, anti-depressant, pro-sexual, and other important effects. And as it turns out, DHT isn’t useless after puberty like many people seem to claim. There is no way to screen for who is at risk for post-5ARI syndrome and who isn’t. Even if the odds are low, you’re playing with fire. And many men who don’t develop the condition will still eventually have milder side effects, like a loss of morning erections, weaker erections, lower libido, increased anxiety or depression, etc. all to save a few thousand hair follicles. How do physicians justify this? It’s one thing to prescribe it for a hyperplastic prostate (and even that’s questionable), it’s quite another to prescribe it for vanity. Any physician that considers prescribing this drug for hair loss, as far as I’m concerned, should never be allowed practice medicine again, and should be sued for malpractice and negligence. Clearly they’ve never considered “first do no harm”.

Many physicians’ ignorance of what they’re prescribing is astounding, and the denial of a very real condition when it happens is, at the very least, cruel and pathetic. This sort of science-denial is akin to climate change “skeptics” or evolution deniers. I don’t think I need to explain why this is a terrifying trait to see in a licensed physician. The science is in and has been for years now.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064044/

https://www.sciencedirect.com/science/article/pii/S0960076017301024

https://www.researchgate.net/publication/308996540_Exploring_the_neural_mechanisms_of_finasteride_A_proteomic_analysis_in_the_nucleus_accumbens

https://www.ncbi.nlm.nih.gov/pubmed/28289563

https://link.springer.com/article/10.1007%2Fs11930-015-0061-y


2019-03-18 23:56:21The Other Side of the Finasteride Story of Long Term Problems Discussed by a Well Informed Person

Fiinasteride not working after one year

It has been a rollercoaster with finasteride: I first used 5 months of topical Morr-F, which at first I saw real results after just a month or 2, but after that my hair seemed to get worse again. It got really bad when in April I started oral fin and used minoxidil instead of the Morr-F, but at around June my hair had become significantly worse. I am a Nw2.5-3 with diffuss forelock, but initially saw vellus hairs fill in the temples. It could have been that not all the morr f was legitimate, I don’t know. The strange thing was that around last month I thought I finally began to see results: the vellus hairs came back and the forelock was slightly thicker it seemed, but since a few weeks it has all gone again and it is significantly thinner again.

I am very confused guys. My hair is in a terrible state in the front (at or below baseline) so am I just unlucky or should I wait even longer? It gets me quite depressed. No side effects though on fin (except abdominal fat gain since starting oral, no change in diet).

Finasteride isn’t for everyone. In some men it just doesn’t work. See a hair expert MD for how to manage your hair.


2020-09-15 12:39:53Fiinasteride not working after one year