This is an extensive overview of two great products for men and women who need to camouflage their hair loss. The products are very different in the way that they are used.
From my patient population over the years, I found that each person has his/her favorite. https://www.gll-getalife.com/the-best-hair-loss-concealers-toppik-dermmatch-results
2018-03-21 05:22:242018-06-21 13:23:17Concealers, Two Great Products: Toppik and Dermatch (from Reddit)
Hi doctor I have three major concerns:
- I have been using Tricovivax (“Minoxidil 5%”) for about two months and I have noticed a massive rate of hair fall, shedding, and thinning. Even my family members are telling you are starting to have bald spots in your head.
- I am very concerned with thinning at the back of my head (donor) are and when my doctor mapped my hair for “Miniaturization” noticed that my donor area is thinning too; and he applied the “pull test” and noticed a large amount of hair being pull.
- Is setting long time at the computer screen during work will accelerate my hair loss since the computer screen emits radiation?
Thanks a lot doctor
I am pleased to hear that you have had a miniaturization study done. By your brief description, you may have a condition known as DUPA (diffuse unpatterned alopecia) or chronic telogen effluvium. Using drugs such as minoxidil or finasteride may not help in these cases. You need to follow-up with your doctor for options, diagnosis, and treatment. Sounds like he started off by taking the first correct steps.
Sitting at a computer screen will not cause hair loss.
2007-05-22 13:33:272007-05-22 13:33:28Computers Causing Hair Loss?
Dr. Rassman:
Do you use computer imaging with your patients, to manipulate a current patient picture into a “target goal” picture? I did not see any info about this on your website, but it certainly seems to me the best way to ensure both patient and doctor share the same vision. Thank you.
We have been offering open house events for 14 years so that prospective patients can see, first hand, what the actual results are from hair restoration surgery. The use of computer imaging is frequently misleading, just as photography can be, because it shows what the operator wants to show and does not take into account the real elements that make ‘coverage’ for hair replacement surgery. Things like hair thickness and hair character can not accurately be portrayed with computer imaging. The view can also be misleading. Frontal views, for example, are often better than top views for showing more fullness.
Setting patient expectations is at the core of what I do. I have written extensively on the artistic elements in the hair restoration process and published these observations in prestigious medical journals and text books. I do not believe that correct expectations can be set by the imaginary world created by computer images. As a side note, although many doctors do computer imaging, few will give the patient a picture of what they might look like from such imaging systems. The reason is simple: such a picture is like a contract, which can be used in court against the doctor if the result in that picture is not obtained. If the correlation between computer generated images poorly defines the differences between projected results and the actual results, then this tool does not set proper expectations for the bald buyer. It is clearly better when you examine a person up close, who has actually had a surgical hair restoration procedure and holds his ‘before’ picture for you to examine with his ‘after’ presence in person.
This computer imaging is vastly different for a nose job where a nose is altered in length, or taking out a bumb. A breast augmentation is also a simple computer image to demonstrate because size and location with support or poor support is easly altered on the computer as it would be in surgery. Most patients who show at the open house, will let you feel the thickness of their hair and then you can compare your thickness with theirs. In addition, the hair character (curly vs straight) will be evident. You can look from many views, even the worst view so that you absolutely know what will happen to you. What you see is going to be what you are going to get.
Hair is very different and that is why we rely on the open house format. I do not want to mislead anyone.
I have no idea if compounding finasteride myself is the way to go and if it does anything. The only objectively sure thing is that I have experienced no side effects so far. But I also have no results in the 3 weeks since I started this self made drug and it is a real hassle making it myself.
Maybe with no results, what you did to make your own topical finasteride is not working. There is a reason that compounding pharmacies do this, they have expertise that you don’t have
2021-07-15 01:39:262021-07-15 06:46:51Compounding my own finasteride vs oral
Dr. Rassman in your practice have you ever had a patient with an adverse reaction to oral min? Thanks so much!
Yes, some people can’t tolerate this medication for one of many reasons, and the blood pressure effects can be disabling for a few people, with lightheaded and rapid heart beat. Here is a list of some of the side effects of minoxidil. Some of these side effects only relate to the topical application of minoxidil.
2020-04-10 04:00:262020-04-19 09:41:49Complications of Mesotheray (Photo)
2020-03-15 21:26:292020-03-15 21:29:43Comparison of Corona and flue viruses
I find that the conclusions offered are not justified by the content in the following ways:
This leads me to conclude that 60% of men without the active enzyme in their scalp who were treated with topical minoxidil received systemic minoxidil through the skin.
William Rassman, M.D.
Human steroid 5 alpha-reductase type II is a prostate-specific, membrane-associated enzyme that catalyzes the conversion of testosterone to dihydrotestosterone, the most potent androgen in the prostate gland. Genetic variants of this enzyme have been associated with both the development and the progression of prostate cancer. Both finasteride and dutasteride are competitive inhibitors of the type II steroid 5 alpha-reductase that have been effectively used for the treatment of benign prostatic hyperplasia. Finasteride has also been successfully utilized for prostate cancer chemoprevention. We here investigate 5 alpha-reductase inhibition assays in vitro to measure the effect of incubation time on the apparent inhibition constant (Ki) for both constitutional and somatic (prostate cancer) enzyme variants. Our systematic pharmacogenetic analysis shows that both finasteride and dutasteride are slow, time-dependent inhibitors of steroid 5 alpha-reductase type II, and that the inhibition kinetics depend on the 5 alpha-reductase genotype. We also show that, overall, dutasteride is a more efficient steroid 5 alpha-reductase inhibitor than finasteride. Based on our data, we are able to map areas of the enzyme that are responsible for this time-dependent inhibition for either (or both) enzyme inhibitor(s). This comprehensive pharmacogenetic analysis of steroid 5 alpha-reductase variants unveiled significant pharmacogenetic variation for both finasteride and dutasteride and thus should be taken into account when designing protocols for treatment and/or chemoprevention of prostatic diseases with either one of these 5 alpha-reductase inhibitors since there is considerable pharmacogenetic variation for both drugs.
2020-02-20 04:00:362020-02-22 12:20:03Comparison Between Finasteride and Dutasteride
2020-06-08 04:00:532020-06-04 18:27:48Comparison Between Diffuse Thinning Believed by Man and His Normal Hair on the Same Man (Photos)
