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Month After Eyebrow Transplant, Still Red with Bumps – Hair Loss Information by Dr. William Rassman

Hi. Dr. Rassman,
I had an eyebrow transplant a month ago and still have redness and bumps like goose pimples. Most of the donor hairs have fallen out but I haved had a few pimples in the donor area. I still have not been out in public since (work out of my house) it looks obvious something was done to my face. Am I one of the few that this procedure might not work? I’m starting to worry, and I do see my doctor next week for a follow up. Your thoughts would be greatly appreciated. By the way I’m a 47 yr. old male with fair skin. (Swedish mostly). Thank you

The best thing is to follow-up with the doctor who did your eyebrow transplants. It seems you may have local irritation and may have developed local folliculitis, which can all be a normal part of healing or it can be an infection of the new follicles. There’s really no way for me to tell if there is something wrong from just a brief description without knowing what was done and how it was done (only your doctor knows this information) and what it looks like to my eye.

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Lamisil and Hair Loss – Hair Loss Information by Dr. William Rassman

have been taking Lamisil for 2 months now and that past week I have been losing hair in clumps. I read on the net that this is an all too common side effect. I wanted to see if you knew if my hair would grow back after I stop taking it. If so then I may suffer through one more month to never have to take it again. I am a 31 year old male

Lamisil is often used in the treatment of fungal diseases of the skin, such as ringworm (when impacting the scalp it is called Tinea Capitis). These infections often cause hair loss and if you use Lamisil for treatment of the primary cause of the hair loss (Tinea Capitis) then it is easy to assume that it is the drug causing the thinning, but this is not usually true. From my research on the subject, Lamisil only rarely can be correlated with hair loss (one to one relationship).

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Does a Low Calorie, Low Fat Diet Contribute to Hair Loss? – Hair Loss Information by Dr. William Rassman

Would a prolonged (5 yr duration) low caloric/fat restricted diet (low carbohydrate, moderate protein/high protien, very low fat intake) contribute to hairloss? If so, would the hair loss manifest itself in unpatterned total head thinning/miniaturization?

If you are not malnourished and have met your daily recommended requirements for vitamins, then a low fat, low caloric diet should not cause hair loss.

Balding Forum - Hair Loss Discussion

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Bruce Willis Will Kick Your Ass – Hair Loss Information by Dr. William Rassman

Bruce WillisApparently, this is pretty old, but I don’t think I saw it before so it’s new to me and worth sharing. Actor Bruce Willis was quoted earlier this year as saying…

“I’m a man and I will kick anybody’s ass who tries to tell me that I’m not one because my hair’s thinning.”

Strong words. There’s not much more to the article, but here’s the link for those interested:

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10 Days Post Op, Can I Blow-Dry My Hair? – Hair Loss Information by Dr. William Rassman

Hi Doc, I recently had a hair transplant, and just had my sutures removed (10 days post-op). My Dr. said that I can pretty much go back to normal on activities such as the way I sleep, shampoo my hair, etc.. All my scabs are off my head…

Can I blow-dry my hair now? Or should I wait unto my transplanted hairs shed within the coming weeks? Same for rogaine, can I start to reapply this to the transplanted area? I am starting to experience a good amount of shockloss, even being on propecia, so I want to restart my rogaine regiment…

Thanks! Great Site by the way

Your doctor should have covered this. Yes, you can blow dry your hair and use grooming adjuncts as you did prior to the transplant. Sleep any way you are comfortable. And if you were on Rogaine prior to the surgery and the hair is Rogaine dependent, do start it up or you will experience withdrawal hair loss.

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Transplanting Transgender Patients – Hair Loss Information by Dr. William Rassman

My younger brother (32 years old) is undergoing a sex change operation. He’s on the hormones and going to the doctors, and i’m not really sure what is involved but the family supports him. My question is relating to the genetic hair loss that runs deep in our family in almost all of the males (our dad, my cousin, me, my brother). He started to lose his hairline before he began his transition and i think it is quite rare for a woman to lose the hairline, right? Right now he wears a wig, and he’s going to have enough challenges with closed minded people that i don’t want him to have to deal with something like hair that he can probably take care of with a hair transplant. What do you recomend? Thank you for your time.

When men become women, they bring with them whatever male patterned hair loss they had. As such, looking like a female is not possible without either a wig or a transplant. The reverse is also the case if a woman becomes a man. Exposure to high doses of testosterone will precipitate a male pattened loss if the person has the genetics for genetic balding. In this situation, their balding genetics were protected when they did not have testosterone and were a woman, but that protection is lost when the sex is switched. Transgender patients may be candidates for hair transplants if their balding can be diagnosed as genetic hair loss.

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Taking Tamoxifen with Propecia for Hair Loss – Hair Loss Information by Dr. William Rassman

Actually I don’t think I’m a candidate yet for grafts. My question is about Propecia. I have tried propecia twice: once at the normal dose and once at a much lower dose. Both times I have experienced mild breast enlargement. I have a job for which having a full head of hair is very important. Given this, what I’m wondering is, if a low dose of Tamoxifen or some other anti-estrogen could be justified.

The following link shows the side effects of Tamoxifen in men. I have no experience with this or other approaches like other anti-estrogens.

Balding Forum - Hair Loss Discussion

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My Hair Is Hyper-Sensitive to Change, Medication, Sickness – Hair Loss Information by Dr. William Rassman

Hi Dr,

I started losing my hair when I was 17 after becoming bulimic for a wrestling season to keep my weight down (I only did this for one year). Ever since then I have gone through periods of shedding and at 31 my hair keeps getting thinner, mainly on top, not so much the crown or hairline. The odd thing is sometimes I will not lose much hair for months and then all of a sudden it is non-stop.

It seems that my hair has become hyper sensitive to change, medicine, illness… anything results in shedding. I take propecia (for about 2 years) with little results and Rogain seems just as useless.

There is no history of baldness in my family and the doctors can not seem to find anything. You are my last hope, what could it be and how do I stop it?

Thank you

You need to develop a personal relationship with a doctor who will:

  1. examine you by mapping out your hair for miniaturization
  2. take a careful history to determine what it is that you are actually seeing
  3. find out if you possibly have some medical disease causing your problem
  4. care about you and is willing and able to work with you

Balding Forum - Hair Loss Discussion

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Is Early Gray Hair Related to Premature Balding? – Hair Loss Information by Dr. William Rassman

I seem to have come down with gray hair at an alarmingly young age, but as per your website, this is apparently possible and common. However, I would like to know if such a thing is related to premature hair loss. Could you please answer, if you could spare the time?

  • Gray hair is not related to premature balding.
  • You can have premature balding withou gray hair.
  • You can have gray hair without premature balding.

In my experience I have not seen a good correlation. It is just a genetic puzzle that we are still trying to figure out. We are all different.

An interesting point to note about hair color though, I have read that being a red head is associated with high pain tolerance. See Melanocortin-1 Gene for Red Hair and Pain Tolerance for details.

Balding Forum - Hair Loss Discussion

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