PRP injected into face causes blindness in four patients

/by William Rassman, M.D./0 /

This article reports on 4 patients who had occlusion of the ophthalmic artery with irreversible blindness after PRP injection of the face, the most common cosmetic procedure performed today. It shows the risks associated with PRP into the face.  In addition to the case report in the article below, another doctor reported 3 more cases of blindness associated with facial PRP especially when injected in the glabella (area are of the forehead near the upper bridge of the nose.

ttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7722697/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7722697/?fbclid=IwAR3mlM8QufQirPvusQ81fhkGzpHhyQEo6r70y7_EA2ssLkNDYfLYq8T5L8s  

Norwood Class 7 pattern, are the hairs still alive?

/by William Rassman, M.D./0 /

If you’re a Norwood 7 do you still have the 100,000 hairs that you were born with but they are miniaturized stuck in the telogen phase for decades or does DHT completely destroy the follicle?

If you are a Caucasian and have a typical donor density with 110,000 hairs on your head and then you develop a Class 7 pattern, the follicles that disappeared may be there and alive in the form of inactive stem cells for a number of years. After some time (don’t know the time-line), these stem cells are thought to die off. Maybe 10, 20 or 30 years have to pass. We don’t know. I am about to treat such men to find out with a possibly cure for hair loss so in a year, maybe I can tell you what I found.

minoxidil, finasteride and microneedling 4 months

/by William Rassman, M.D./0 /

Great results in just 4 months from minoxidil, finasteride & microneedling

5 months on finasteride & Minoxidil (photo)

/by William Rassman, M.D./0 /

This is a terrific result from the use of minoxidil and finasteride after 5 months of use. This man restored his hairline on medication alone

Female treated with finasteride and minoxidil (photo)

/by William Rassman, M.D./0 /

This is a young woman who was started on finasteride one year ago and minoxidil 3 months ago.  The change is dramatic.  Of great concern is the possibility of pregnancy while on finasteride which she must avoid or develop a child with possibly sexual identification problems.

Over-harvested donor area (photo)

/by William Rassman, M.D./0 /

Over and over again, many doctors don’t know when to quit with excising grafts from the donor area as shown in this photo.

6 month on finasteride and no change yet

/by William Rassman, M.D./0 /

You have to give it between 12-18 months to see if it will reverse. Add topical minoxidil along with microneedling and you have a better chance of reversal

Dutasteride, finasteride. minoxidil, microneedling 1 month (photo)

/by William Rassman, M.D./0 /

This man did everything that can be done and in a month has early hair growth.  This should get better over time.

 

20 y/o with hair loss (photos)

/by William Rassman, M.D./0 /

What do I do,  How do I start?

You need a good doctor and anything short of an experienced doctor to help you manage your hair loss is a mistake you will take with you every year you get older. Regrets are when you don’t do the right thing and lose your hairy look when maybe you don’t have to. At your age, your’e in trouble as anyone can see.  With this much hair loss at your age, you may be heading to a very bald man.  Have you thought about it?

 

Does hair from donor area grow back ?

/by William Rassman, M.D./0 /

No, once it is removed, it is gone forever. That is why I talk about the donor bank as a bank that only allows withdrawals, never deposits.

Brain fog from finasteride, what do I do?

/by William Rassman, M.D./0 /

Dr. Rassman PLEASE help, I was planning on sticking with fin but this morning after taking fin I had the worst brain fog and memory problems I’ve ever had. I’m working on becoming an MD so I have a lot to read and yet I couldn’t read, or focus on anything. I have an extremely careful diet and exercises regularly and this has never happened. I think I’m going to stop using fin but the brain fog won’t leave and it’s been over 15 hours. What do I do? Is there blood work that would help?

Stopping the finasteride is critical here. It may take a few weeks for the brain fog to go away. It stays in your body’s tissues for a few weeks, lessening each week until it is gone within about a month or less. You should have a doctor managing this problem for you. I can’t be that doctor over the internet.

I’m 21 and already have crown loss (photo)

/by William Rassman, M.D./0 /

There may be a suggestion of hair loss in the crown, but what about elsewhere, hair loss that you can’t see. You can lose hair up to 50% and not see the loss, but then if you start treatment after the 50% loss, what you lost may be gone for good. Get on top of it, get a HAIRCHECK test (https://baldingblog.com/haircheck-test-how-it-is-done-video/) and if you have say 25% loss elsewhere, you can start treatment early with a good doctor who understands the idea of a Personalized Mater Plan for you as you age and lose more hair.

Does low ferritin or low iron cause hair loss?

/by William Rassman, M.D./0 /

Low ferritin or low iron can cause hair loss and is a common finding in women. A low iron level needs to be treated.

Hair miniaturization, genetic hair loss?

/by William Rassman, M.D./0 /

Is hair miniaturization a sure sign of male pattern baldness? Is there any other possible causes of hair miniaturization on the hairline and all over the head or is mpb the only thing to cause these symptoms

Miniaturization is the stage that the hair shafts go through as they are progressively lost with genetic balding. They often get thinner and thinner and eventually shorter and stop growing before falling out and never returning. That is the most common scenario for hair loss.