Do Men Tend to Overanalyze Their Hair After Starting Propecia? – Hair Loss Information by Dr. William Rassman

Hey doc, In your experience, do you feel that lots of guys tend to over analyze their hair after starting a treatment like propecia? For instance im 5 1/2 months in, for the last week i was convinced it was starting to see some hair come back, then today i look and it looks awful. I go through these mood swings all the time, since i started propecia. I should have listened to you and got a minuturization test done but my derm just gave me the meds, so now all I have to go off of is my memory of what it looked like when i started. Secondly between what months do most your patients see improvement in their hair, or become convinced that propecia is working in some form or another?

What was the phrase — a watched pot never boils? If you’re taking a pill to treat hair loss, of course you’re likely to watch your hair with an intense focus. It’s not unusual, but you shouldn’t stress yourself out about it. It generally takes 8 to 24 months to see the benefits of Propecia (finasteride). Full benefits may take the full 24 months.

The reason I suggest mapping the scalp for miniaturization is well defined by your comment. Our memory is not objective, but scalp miniaturization mapping is objective… so you do not have to rely on your memory.

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World’s First Accurate Baldness Calculator? Not Quite! – Hair Loss Information – Balding Blog

Snippet from the article:

The ‘baldness calculator’ – said to be the world’s first reliable tool for predicting hair loss – has been a huge hit with men in other countries.

The program calculates the exact age at which someone will go bald or have lost most of their hair or provides reassurance by predicting that they will still have a full head of hair in old age.

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Read the rest at Telegraph UK

Bad calculationsA PR firm sent me the press release and apparently the Telegraph in the UK got the same release and ran with it, presenting the article above. This “baldness calculator” is a clever way to market a caffeine-based shampoo called Alpecin, but I don’t know how this thing can claim to be accurate. It’s guessing the year you’ll lose your hair based on these factors you feed it — age, number of hairs lost daily, current hair loss pattern, scalp dryness, how often you wear a hat (???), stress, activity level, family history of hair loss, location (which apparently is limited to the UK), marital status, and career. Most of the questions are yes/no, and some have zero relevance. And surprise, surprise — when the answer is “calculated”, the solution is a special shampoo! I am completely and utterly SHOCKED (note sarcasm)!

For fun, I asked one of my employees to go through the steps of the “calculator” to see where he’d end up. It determined he’d go bald at 60 years old (though he’s not in the UK, so he had to choose a region that he doesn’t live in and probably has never visited). How’d it come up with that age? Your guess is as good as mine. He’s got miniaturization on the top of his scalp already (he’s been taking Propecia to maintain it), so clearly 60 years old may be completely wrong (who really knows).

My verdict: Fun way to try to sell you a shampoo, but to call this “accurate” is completely ridiculous. In fact, it’s laughable. Determining the age you’ll go bald is just not that simple, folks. If you want to try it yourself, go here, but keep in mind what I just wrote about the accuracy. Perhaps their claims for the shampoo are equally as accurate?

Hair Loss InformationAm I Under-Qualified to Be a Hair Restoration Technician? – Hair Loss Information – Balding Blog

I have received a job offer that seams to good to be true. I responded to and add for an administrative assistant listing and at the interview they offered me a position as a hair restoration technician. I believe that I am under- qualified with a Bachelor’s Degree in Music Business. Is it customary to only hire women technicians? How do I know if this job is legit?

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Training for a hair transplant technician takes considerable time and to become proficient once the skills are learned, may take a few years. If the doctor has experience training technicians and you like the detailed work that is involved, then you can embark on this as a career move. I would hope that the doctor who offered you the position does not let you loose and expect that you will become an instant member of the surgical team, making many mistakes along the learning path. It often helps if you have some medical assistant training so you understand the sterile technique process.

Hair Loss InformationCan Chemical Relaxers Done Professionally and Correctly Still Cause Hair Loss? – Hair Loss Information – Balding Blog

Can chemical relaxers applied properly by a professional at a salon cause hair loss? It seems as though every question here about chemical relaxers involve doing it yourself or messing up and burning the scalp.

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Professionals make mistakes on occasion so the use of relaxers always put you at risk for chemical burns. In the hands of experienced professionals, I would think that the risks are minimal.

With that said, I just met with a nice lady who had a professional use a relaxer on her hair about a year ago, and ended up with two thumb-print type bald spots that appeared after a 6 month course of treating open burn wounds on her scalp. I will be transplanting those thumb-print bare areas shortly.

In the News – Celebrity Hair Transplants by Dr Farjo – Hair Loss Information – Balding Blog

Snippet from the article:

[Shaun] Williamson and [Duncan] Bannatyne had hair transplants performed by Dr Bessam Farjo at his medical centre in Manchester. He says: ‘The biggest difference I find after the procedure is in the patients’ outlook.

‘You can see the change in their self-confidence and self-belief – they are smiling and making more eye contact. For many people, losing their hair is a burden, and then it is gone.’

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Read the rest — Revealed: New techniques that may have helped James Nesbitt beat his baldness

Admittedly, I don’t know who any of these celebrities are, but Dr. Farjo got a good mention and our friends across the pond will likely find this article interesting for the celeb factor.

My 2 Year Old Has Significant Hair Loss – Hair Loss Information by Dr. William Rassman

Hello,
I have a healthy 2 year old daughter who up until 8 weeks ago had a full head of hair. Now the front/top of her scalp is experiencing significant hairloss. There are no actual spots without hair (it is either breakage or regrowth). The dermatologist diagnosed her with seborraic dermitits, however upon reading, I’ve noticed that this is not common to cause hairloss. Neither sides of the family have any baldness. The dermatologist mentioned possible TE, but I’m finding it hard to believe that either TE or dermitits would cause this much hair loss in a child that previously had thick healthy hair. Do you think either of these conditions would possibly cause so much hair loss in a 2 year old? Thank you

I agree with you that I do not like the suggestion that this is seborrheic dermatitis. Speak with her pediatrician and get an another referral for a second opinion.

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Follicare and Minoxidil? – Hair Loss Information by Dr. William Rassman

Hi Doc,

I’ve been using Minoxidil 5% for around 18 months and although results are evident they aren’t miraculous…as to be expected. My question to to you is, I’ve bought some Follicare supplement to assist with my progress. DO you know if this contains any harmful chemicals or will it cause a reaction with the minoxidil? I;ve read the chemicals are natural but to what extent? I know that follicare sells a package containing minoxidil but I wonder if it is any different to Kirkland minoxidil.

Anyway thanks for your time

FollicareI do not believe there is anything harmful in a supplement, aside from the harm it does to your wallet. If the product contains minoxidil, that’s going to be the ingredient that regrows your hair — so I’d stick to the generic minoxidil. I would not double up on the minoxidil, using the generic and the Follicare at the same time. Follicare’s various sprays and lotions also contains botanical extracts, saw palmetto, vitamins, oils, and lots of other stuff. It might make your hair shiny, but I don’t see where the treatment for hair loss is in there.

I’m looking at the Follicare website now, and I am not impressed by the tiny and blurry before/after photos. Ever notice how so many of these various hair loss products for sale are often accompanied by lots of hype, little proof, and even smaller photographs?

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My Hair is Shoulder Length and I Haven’t Had a Haircut In Almost 30 Years! – Hair Loss Information – Balding Blog

I am not sure what type of doctor to see, my hair has always been very thin, and getting thinner and thinner. I don’t think I have had any hair regrowth, ever. I have never had a haircut, except before my mothers death at age 7. My life has been ALWAYS very stressful, so I don’t know if that has something to do with it. My hair has Never grown past my shoulders. I am 44 and down to my last bit of hair, and getting worried. What type of doctor do I need to see? thank you

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Our hair grows to a fixed maximum length and if your is shoulder length, that is your maximum length. I am sure you have seen hair loss over the months and years since your last haircut when you were 7 years old. Men usually have a shorter maximal length than women, but everyone is different. Maximum length may be as high as 7 feet in some women (see Rapunzel! Let Down Your Long, Golden Hair).

If your hair is suddenly getting thinner and thinner, I’d see your general doctor about a variety of possible causes (those are listed here).

I’m Worried About My Mom’s Severe Hair Loss – Hair Loss Information – Balding Blog

Hi my mom is 65 and recently she has been experiencing a severe loss of hair and scalp irritation at the crown of her head. It is quite noticeable the hair loss is about the size of a small bowl. Clumps are also left on her pillow when she awakes/washes her hair.

She has been to GP and natualpath and on thyroid tablets to cleanse system as well as steriod topical cream to easer the itching and severe hotness of the area. This has been quite disconcerning for her. She also says that besides the severe heart in her head she wants to pull the air out to relieve the pressure. The doctor has sent her for biopsies as well as to see the ear /nose/throat specialists and they say there is no specific information they can give.

Any suggestions? Thanks, I hate to see my mom is such discomfort it unnerves me as I can’t relieve it as even head massage hurts her.

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I understand your feelings and sympathize. You want to comfort your mother and it’s tough to see her in pain. She needs to complete the biopsies and then take her to see a dermatologist to evaluate her hair loss. I really can not help her here, as this is too complex to handle without an exam and the internet has its limitations.

Learn How To Select Your Hair Transplant Doctor! – Balding Blog

Dr RassmanEach and every day, I receive emails from readers asking about individual doctors’ and their reputations or even wondering if the doctor they just met with is a good doctor. Most doctors care about you and are competent and ethical, but there are a few who really don’t give a damn about you and look at you as a way to simply make more money. The unethical doctors often push men who are too early to have a transplant (like most 20 year olds) into getting one when they don’t need it, or they expand the number of grafts in a transplant procedure into areas that do not have hair loss under the guise of performing preventive hair transplants which happen to push their fees higher. Unfortunately, there are too many unethical doctors doing hair transplants and while I’m always willing to help when I can, I’m disappointed when I hear how some doctors take advantage of people in an attempt to line their pockets with your money.

In the years I’ve been posting on BaldingBlog, I’ve accumulated a lot of content about avoiding doctors that don’t put patient welfare as priority #1. I’m outspoken when it comes to patient advocacy, so I’ve also written much about how to select your hair transplant doctor. Most of my comments have been put on the daily responses I write to questions posed to me, but I’ve never put all the information in one easy-to-find place and organized it in a way that makes the job easier for the reader. So with that being said, I now present you a new “How To” type of series. These are MUST READ articles for those interested in having hair restoration surgery.

Selecting a Hair Transplant Doctor

How to Avoid Dishonest Doctors

 

TravelI also write about why it’s important to shop around for the best doctor before committing to a hair transplant. Don’t be afraid to have to travel to get a surgery that is PERMANENT and on your head! Don’t settle for someone you’re not comfortable with just because it is convenient. At NHI, we offer travel discounts, so factoring travel and hotel costs into your surgery should not be a concern.

Why Should You Visit Us?

 




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