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If Minoxidil and Propecia Work Best in the Crown, How Can I Save My Hairline? – Hair Loss Information by Dr. William Rassman

I am 33 years of age and my hair line has become considerably thinner over the last year or so. Apart from having a transplant what else can I do to prevent further hairline loss seeing as Propecia and Rogaine only work on the crown?

Also is it possible that hair loss occurs in stages that last a year or so and then slow down?

Hair loss can occur in stages, spurts of hair loss and then a quieter period. Frontal hair loss is difficult to reverse, but Propecia (assuming you have genetic hair loss) does slow the process down. I have seen many men who were losing hair rapidly in the front, then go on Propecia and see the hair loss stop. If they should stop the Propecia (some do for reasons that I do not understand) the hair loss picks up again and makes up for the time the drug was effectively holding the hair there. Get your hair mapped out for miniaturization and then consider the Propecia option, if indicated. You may be concerned about frontal loss today, but taking action with the drug Propecia will help you in the frontal area today. Crown loss can be thwarted as well.

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I Can’t See Much Difference Between Avodart and Propecia – Hair Loss Information by Dr. William Rassman

i like to know if avodart is better treatment then propecia? i’m taking avodart for 8 months and i cant say that i see so much different….

Avodart (dutasteride) should be reserved for those who do not respond to Propecia (finasteride). It is an off-label use, which means that the FDA does not authorize Avodart’s use for hair loss. In most people, the difference should be non-existent, but for the few who are unable to get Propecia to work, Avodart may have an advantage as it is a more powerful DHT blocker.

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Getting a Lot of Scalp Pimples 6 Months After Hair Transplant – Balding Blog

did second transplant 6 months ago.i seem to have alot of pimples and they are getting worse.is there any cure.tried with pills already but doesn’t work.thanks.age 27-sex male

Six months after a hair transplant should be enough time to end any cycle of pimples. I’m not sure what pills you might’ve taken to eliminate the scalp pimples, but I suggest you go back to your hair transplant surgeon and get yourself evaluated. You have a doctor, take him/her to task. Patient aftercare is important, and your doctor should be willing to answer your concerns.


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Hair Loss InformationIf Intercytex Is In Phase II Trials, Why Is Hair Multiplication So Many Years Away? – Hair Loss Information – Balding Blog

Hello Dr. Rassman,

Intercytex has completed phase I human trials of their hair multiplication product ICX-TRC. The founder of the company, Dr. Paul Kemp, was one of the phase I trials volunteers. Phase II trials have recently begun in the U.K. and may be expanded to the U.S. sometime during 2007. Although there are always roadblocks that can slow progress, they are working towards phase III trials in late 2007/2008 in both the U.K. and U.S. and then the final FDA review for the 12-18 months following. This timeline would bring us to around 2010.

If they have already completed phase I and have started phase II, why do many in the hair transplant community still think it’s many, many years away until hair multiplication is a reality?

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I was at the ISHRS conference in San Diego a week ago and more importantly to your question, I was in attendance for the Intercytex presentation at this event. It was stated that the phase II trials will end in 2008. Intercytex’s presentation, while enthusiastic, did not include any human volunteer examples or mention a specific (near future) time line. Anyone can assume and put a guess to a when and if hair multiplication would be a reality. But, considering that the completion of phase II trials is still two years away, it is virtually impossible to state when/if it would become a reality. There are still many obstacles ahead.

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Hair Loss InformationI’m Taking Propecia, But I Want to Try Out Rogaine Foam – Hair Loss Information – Balding Blog

For time and financial reasons, how effective is it to start and stop minoxidil within propecia treatment? In other words, can I retain whatever I gain from Minoxidil as long as I’m still taking propecia.

I’m on propecia right now and would like to try the Rogaine foam, but don’t necessarily want to be committed to taking it for life without it being a waste.

Thanks for your help.

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Stay on the Propecia and add minoxidil foam, but use the minoxidil foam for at least 8 months prior to concluding if it works. If there is benefit beyond what you got from Propecia, then you should stay on both, probably for life. The two drugs work differently and they can have added value to each other.

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Hair Loss InformationPropecia and the Crooked Penis – Hair Loss Information – Balding Blog

Ok, I just have to ask. I have been searching around for information regarding pros/cons of starting propecia. I came to a web forum in which several people were discussing the fact that propecia made their penis crooked. I have not read this anywhere in the side effects category listed with Merck. Is this a real possibility?

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I highly doubt your penis will grow crooked after taking Propecia (finasteride 1mg). Many men are born with a penis that leans to one side or the other (example, Wikipedia – Chordee). What you read on that web forum just goes to show how the internet can be misleading and you must take all the information available with a grain of salt.

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Hair Loss InformationHigh Side Hairline (Above Ears) – Can It Be Lowered? – Hair Loss Information – Balding Blog

hi there,
i’ve been reading some of these articles about high hairlines, and most of them talk about the hairline at the forehead. however, with me, my hairline at my forehead is fine, its the hairline at the side of my head (near my ears) thats high. its been a real issue with me ever since i was a kid and i’d always need long hair to cover it up so that it wouldn’t seem as if i’m balding (which i’m not). my doctor says that i am not vulnerable to balding when i get older. i am an 18 yr old filipino male. and i was wondering if there are any treatments to this surgically/nonsurgically. i’d prefer nonsurgical more than surgical. but if there is anything at all, pls tell me. thx

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Some people have a genetic high temple hairline (above ears) which can be treated with hair transplants very effectively. There are no other treatments for this that I know of.

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Hair Loss InformationAny Solutions for Severe Dandruff? – Hair Loss Information – Balding Blog

Dr. Rassman,

For the past 3 to 4 years, i am suffering from severe dandruff. I have also been diagnosed with PCOS last year which is now under control. Mine is long hair and this dandruff is also cyclic. Some times it is perfectly clean and sometimes at its worse. I have used topical products like diprovate with minimal improvement and the shampoos are also not giving the desired result. The dandruff is primarily flaky which is very embarrassing to me. Please suggest me if there is any solution to it. My hair is thinning day by day.

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Dandruff may be the sign of a skin disorder like seborrhea, psoriasis, etc. You need to see a good dermatologist and find out if you have some scalp disorder causing what you are seeing and calling dandruff.

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Hair Loss InformationGoing to Bed with Wet Hair Causes Hair Loss? – Hair Loss Information – Balding Blog

Hello I’ve been told that going to bed with wet hair, after coming out of the shower without drying it first, can cause hair loss because of the humidity it builds up or something like that? Is this an old wives tale or is there some truth to it?

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If you go to bed with wet hair, I do not believe that it will cause you to lose hair — but it will get your pillow all wet. Be sure that the wet hair does not get pulled when you move around. Generally, it’s probably best to dry it first.

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Hair Loss InformationI Had an Iron Deficiency, When Will My Hair Regrow? – Hair Loss Information – Balding Blog

(female) I lost a lot of my hair due to an iron deficiency, after 2 months on iron pills it stopped falling. Now 5 months after it stopped falling I still have no noticeable regrowth. When do I start to worry. Do I need more Iron to get it started. I am at 31 which is in the normal range 20-160 thanks

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If you corrected the problem, you will have to wait a full year to find out if the hair loss will reverse. It may not, but in a year with good nutrition, you will probably know.