The official half life in the blood is about 6 hours and in the body tissues is 4-7 days. But as you take the calculation forward, some will remain for a few weeks after that. I tell my patients that 4-6 weeks is a reasonable expected target.
2021-08-18 01:30:052021-08-14 08:14:46What is the half-life of finasteride in tissues?
I am a little confused by Wayne Rooney’s hair transplant. He only got the procedure done a couple of months ago and already has what appears to be complete growth. Even immediately afterwards it looked as if he had just a shaved head which I didn’t realise would be the case.
For those unfamiliar, we’ve written about soccer star Wayne Rooney’s hair transplant a few times (see here).
I have had some patients that had their transplanted hair grow out very fast. I might see such growth in 2-3 months if every graft grew out immediately, but this is rare. I’m not Mr. Rooney’s surgeon, so I don’t have the benefit of examining his scalp. From the looks of the couple recent photos I’ve seen, styling and hair color have more to do with his new look than full growth does. I am sure he still has a way to go before complete growth is seen. Generally, it’ll take up to a year to see the final results from a hair transplant.
One of my reasonably bald cousins that I did a hair transplant for had full growth of 2 inch long hair in 4 months… so while every patient would like to see the immediate visual impact from the surgery, it’s the lucky few that see such speedy growth.
2021-03-09 02:30:062020-11-05 12:32:07What is your opinion of this transplant (photo)
So I’ve been to dermatologist and started using fin and minoxidil. He used some camera to see whether I have hair follicles on my temples and it turns out that I have a lot (basically I could go back by 0.5-1 norwood if I grew them out). From what I understood my dermatologist seemed to suggest that there is hope in regrowing this hair. But I’m not sure whether I understood his words correctly. It’s said a lot that fin is going to let you “preserve what you already have at the moment”. And that minox works on scalp only. But I’ve been instructed to use fin, dermaroll once a day and use minox on both crown (which has very little loss) and temples. Does it mean I’m trying to regrow hair on my temples this way? Most articles mention that hair regrowth on the temples is unlikely as hair follicles are probably already dead (unless you lost your hair just recently). In my case I’ve lost hair on my temples quite within 4-5 years mark but most of the follicles seem to still be there. Does it mean I can expect regrowth?
A proper examination of the hair for balding is (1) the use of a video or hand microscope, (2) the use of a HAIRCHECK instrument which will measure the actual hair bulk in different parts of the scalp, and (3) see a good doctor who specializes in this field. With all of that done, you can be confident that you have done everything you need to do to make a proper diagnosis and commence treatment. Hair may or may not regrow with drugs like minoxidil and finasteride.
2019-08-15 04:25:282019-03-26 18:25:46How do I make the proper diagnosis for hair loss?
Dr Rassman.
I was just browsing through your SMP site. Great work!
This particular client caught my eye: scalpmicropigmentation.com
What sized mm punch was used to extract his grafts? He wasn’t an NHI client, correct? Thanks for your time!
Actually, he wasn’t our surgical patient. I believe 1mm to 1.5mm punch was used, though I would guess more on the 1mm side.
I should point out that even while he wasn’t our FUE patient, he could have had the same punch scars produced if we did the surgery. What I mean is, FUE is NOT a scar-less surgery that many clinics claim it to be. Even 1mm punch will leave a scar. Even 0.8mm punch will leave a scar. Not everyone will develop scars to this degree, but as you can see in the photo, it’s a possibility.
Hi Dr.
I have a question for you. Why does Rogaine sell a Women’s version, and a Men’s version, Why couldn’t I use the womens version if they have both have minoxodil in them?????Thank you
Yes, you could use the “for women” version if you wanted to.
Propylene glycol is found in many products, and you can learn more about that here.
You’ve said before that balding comes from both sides with a tiny bit more weight on your mother’s side. When looking through a family tree for traits and patterns of hair loss (which I’m sure every visitor to this site has done over and over), how far back or in to your extended family should you look (cousins, uncles, great uncles, etc.), or can it spring up out of anywhere? I understand there are many environmental factors as well, but I ask because I have some unique traits I can’t attribute to anyone I have photos of in the past two generations or my second cousins even.
Genetic hair loss will likely be visible somewhere in your family tree, but I really cannot give you a definitive way to predict if you have the hair loss gene just by looking at your family members. The best way to know is look in the mirror… or see a doctor for a miniaturization study and/or hair bulk analysis.
The genes can be determined by genetic testing to 70% accuracy (see HairDX), but the test doesn’t tell you at what point the genes will be expressed, if at all.
2011-02-04 10:46:142011-02-01 13:07:46How Far Back In My Family Tree Should I Look for Balding?
(male) Hi, i was wondering something and had a question. When i cut my hair real short and stand under direct light you can see my scalp, but if i am in just regular light like out in the car i can not see it. The strange thing is when i let it grow out i cant see through it at all. I dont understand whats goin on. People say my hair looks thin at the top but the lady that does my hair says i have good fine thin curly hair. Could you please give me some insight? thanks.
Imagine looking out your window when you’re in an airplane on a sunny day and seeing some thin, short trees. You’d probably be able to see the ground in between them. Now imagine looking out that same window on a gloomy day and seeing thick, tall redwoods. You probably won’t be able to see the ground between the trees. Now apply that logic to the hair on your head.
If that doesn’t make sense, how about this: Fine hair has less hair bulk than coarser hair, so the longer the fine hair is, the more significant will be the bulk. People with fine hair have difficulty looking full-headed, because the bulk of the hair shaft is small.
2009-11-04 14:33:172009-11-03 09:59:28When I Cut My Hair Short, It Looks Thinner
Hi, Im 23 and i had a hair transplant almost 4 months ago. I’ve been on propecia for 3 + years with good results. I have an observation and a question for you regarding shock loss.
I’ve noticed that i’m losing a fair amount of native hairs in my recipient area, BUT, i’m really only losing these hairs after i workout really hard. For instance I went for a very intense run two months and right after i was finished i ran my hands through my hair and i noticed a mass amount of hair falling out from my recipient area. Do you think my workouts are contributing to the process of shock loss? If so how long will this last? ( how long can shock loss last?)
For starters, shock loss usually slows down between 3-5 months following your hair transplant. I really can’t fully address your concerns, because I haven’t had the opportunity to examine you before and after your surgery.
In our office, we offer the use of a device called HairCheck, which is a way of measuring hair bulk. We would’ve had measurements of before your surgery and if you really had shock loss after the surgery, we would actually be able to calculate how much hair you lost. This test could have been repeated monthly after noticing the problem. The first thing is to diagnose what is really happening.
Many men in your young age group are riskier patients for shock hair loss. Based upon your report, I can’t confirm your opinion without at least seeing you and all of your before photos. I would want to know what your patterned hair loss was like, where the recipient sites were placed (I hope that it was not placed in areas where you had significant amounts of native hair), and I would want to be able to predict the status of your miniaturization throughout the scalp. If you had significant miniaturization present and rapid hair loss present before your surgery, that would be an alert of an unusual risk for shock loss.
