Rejuvx

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

What is your opinion on the product rejuvx for male pattern baldness? Is it any different from Rogaine?

https://www.rejuvx.co.uk

I wonder if some of the companies may be sending me emails just for me to mention their product on this very popular website. I don’t know if that is the case here, but I’m just thinking…….

I have reviewed the material on their website and can’t find anything of real value for the treatment of hair loss. There is nothing mentioned on their site to suggest that this product has anything in it that will regrow hair like Rogaine (minoxidil) could. There are crazy claims of DHT neutralizing, which makes no sense to me. I can’t even tell if it does the job that it claims to do — that is, providing a good shampoo and conditioner.

Tags: hairloss, hair loss, rejuvx, rogaine, minoxidil

I Am Fine With a Receding Hairline — I Think

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

Hello. I was wondering if TE can cause any kind of receding of the hairline. Also i did have burning and redness on the scalp and everything happened all at the same time. I must say if it is mpb, i am totally fine with it(One step at a time) although i feel that stress could be a contributor, yet i i heard it also might not be. My hair is thin on top but it is also thin on the sides but not as thin. I was wondering if you could possibly tell me what it is? My hair grew back thin after it was thin before but not as thin, and this all happened after i had perming done to the scalp which caused the redness and irriatation of the hair. I did not have a receding hairline in high school and i am 21 (male) and just now noticing things. Thanks.

Knowledge is power, so smarten up and take charge of what is happening to you. If you are fine with whatever is happening to you, leave it alone and do not obsess with it. If you are not fine with it, then see a good doctor. Sounds like you are not fine with it and may be denying it if it really bothers you.

Tags: hairloss, hair loss, hairline

18 Year Old Female’s Bald Spot

/by William Rassman, M.D./1 /,

I am an 18 year old female, about to enter her freshman year of college. In my freshman year of high school (2002), one night before bed, I was brushing my hair and I screamed. I ran out to my mom and yelled that I was dying!!! I bent over and showed her the spot on my head the size of a quarter where there was not a single hair. Now, four years later, I do not have that one spot, but when I am in the shower washing my hair, I notice large amounts of hair that fall out into my hands, then, after my shower, I often wonder how much more will come out when I comb my hair with a wide tooth comb, and again, a lot. I do not know the cause of this, and I was wondering if you could please help me in telling me some of the causes of this that are in an 18 years olds life. Thank you.

See a dermatologist and let him/her examine you to answer your questions. It does require a good doctor and the knowledge that he/she has between their ears. Sorry, this isn’t the type of question I could easily answer over the internet without examining you first.

Tags: hairloss, hair loss, female, woman, women, bald spot, dermatologist, dermatology

But I’m Very Gentle With My Scalp…

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

I am a 24 year old male who began receding at age 18 and thinning at 19, and around age 21 the right front of my scalp became more receded and thinner than the left. I am almost 25 and have begun to accept this process, although hair loss has slowed or stopped considerably since I began taking BOTH Propecia and Rogaine 2 years ago (exception: front center still thinning). However, I have often wondered if my hair loss were unique, and here’s why: I am VERY gentle with my front scalp and temples when I shampoo, and when I dry my hair I dab with the towel instead of rubbing. But based on the amount of hairs that come out easily when I comb my hair, I believe that if i were to vigorously pet/rub my hair forward for only a few minutes, 20, 30, 50, or more hairs would immediately fall to the floor. I have never had the courage to try this, but the way they fall on the keyboard and come out in my baseball hat (which I wear sparingly) has made me believe that if I were nearly as rough as most men are on their hair I would already be bald. Is my situation unique?

No, you are not in a unique position. This is not something that requires gentle combing or brushing. Healthy hair can be brushed without falling out. Get your hair mapped out for miniaturization and find out what your diagnosis is. You might also be developing a mature hair line, something that happens in men between the ages of 18-29.

Tags: hairloss, hair loss, miniaturization, gentle, brush, comb, hair

Reconstructing Temples in Patients

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


Some posters on an Internet board (hairsite.com) say reconstructing temple points is a must for a Norwood 6 guy’s transplant to look natural. Is this true? Do you often reconstruct temple points in your patients who have advanced balding?

Temple transplants are unusual. I offer them, but suggest to most patients to defer on them until the first session has grown out. Most pass on temple hair transplants, because the existence of good frontal hair usually solves most of their problems.

Temple transplantation shows the quality of a doctor. If the angles are not perfect, if the recipient sites are not small, and if distribution is not well placed, temple hair transplants look terrible.

I wanted to show a transplanted temple prominence, close up. The temple before photo is on the left — the after is on the right. The after photo was taken 9 months post-procedure. if you look very closely, you will see a few hairs in the transplanted area that were present prior to the transplant. Also note that the transplanted hairs have less gray than the hairs on the pre-operative photo. Color differences in transplanted hair reflect the color of the hair taken from the back of the head. This patient liked less gray, which is now his ‘new temple’ look.



Tags: hairloss, hair loss, hair transplant, temples, photos

Hair Sling

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

I thought I saw and heard of everything as a treatment for hair loss, but a bra made for the hair… well this is a first for me.

The site’s author says, “After much time and thought into why hair loss occurs, I came to the conclusion that hair loss can occur because of a progressive restriction of blood circulation to the scalp and hair follicles.” Sounds fascinating, but there’s no scientific evidence to show this holds any merit at all.

Is there anything people won’t try? Look, if you want to buy a $28 chin strap (plus shipping and handling) that apparently needs to be replaced every 12-18 months (so says the product’s website), you might want to just get yourself a bike helmet and save the embarrassment.

Tags: hairloss, hair loss, chin strap, hairsling, hair sling

Not Washing My Head After Hair Transplant

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

I am having a hair transplant tomorrow. I’m scared that when I wash my hair after I might pull the new hairs out. What will happen if I don’t touch my hair at all for 10 days after? No washing, sprays or anything. Thanks, love the site!

Good washing is critical to complete and rapid recovery. At NHI, we wash the patient’s scalp the very next day, because we do it professionally and thoroughly, and we can remove any scabbing. I teach the patient how to do this and insist on having the patient become expert enough to take charge so the recovery is quick — usually in a few days to a week most of the transplants can not be seen. Not washing your hair for 10 days will almost guarantee crusting and may potentiate complications like folliculitis.

Tags: hair transplant, folliculitis, hair restoration, hairloss, hair loss, aftercare

Asymmetrical Facial Hair Loss

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

I have a question about facial hairloss. I am 34 years old male and have never had a problem with hair loss untill about 5 months ago. Thats when I noticed a diamond shaped bald spot on the side of my chin it was at the time smaller than a dime. It has since grown to be over two inches. About a month ago I saw two more small bald spots on the other side of my chin. They have since grown together and are now about the size of a nickel.

Can you tell me what might cause this and do you think I need to see a doctor?

Any info you have would be very helpful. Thank you

Balding spots that are not symmetrical may represent infections like ringworm, or autoimmune problems like alopecia areata. I would suggest seeing a dermatologist.

Tags: hairloss, hair loss, beard, chin, bald spots, dermatologist, dermatology, ringworm, alopecia

Copper Peptides for Follicular Enlargement?

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

Have you ever heard of copper peptides for follical enlargment, hair growth, wound and scar tissue healing? Is there anything to it?

skinbiology.com

thanks

That site suggests that if you have guinea pigs, pigs, rabbits, rats, dogs, and a few other mammals, that they can repair their tissues and possibly live longer. I am not sure that I want my 14 year old dog to outlive me, but perhaps that’s just me.

I actually have used copper peptides to reduce the degree of redness in wounds in those people who are prone to get red after a scratch or surgery. Originally, the company claimed that it accelerated hair growth after a hair transplant, so we tried that on a number of people and did not find that it worked as a growth accelerator. The observation of reduced redness is what called my attention to some value for the compound.

Tags: hairloss, hair loss, copper peptides, redness, hair growth, hair transplant

Scalp Pimples Cause Hair Loss?

/by William Rassman, M.D./1 /

Male – Age 20, Question: Do Scalp Pimples cause any amount of hairloss whatsoever?

Hi, usually over the summer i get oily hair for some reason and with that i get scalp pimples. they occur in random places all over and can get to a decent size. they hurt only when i would accidently scratch over top of them or when i try to pick one. my question is, do scalp pimples in moderation cause hairloss, i mean i was wondering because since its a pimple it would cover the hair follicles resulting in no oxygen, etc.? and when the pimple drys out it leaves sorta a scab like cap over the hairs until its washed away or picked off. prove me if i’m wrong here. i’m just concerned. thanks

Pimples in the scalp generally do not cause hair loss unless infection gets out of control. You need to see a good dermatologist to control them, for that is no way to live.

Tags: hairloss, hair loss, scalp, pimple, pimples, acne

Hair Loss from Anemia

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

i was recently in a hospital for severe iron deficenty my red blood count was 2 out of normal of 14. it was determined that i have been aneimic for close to a year. i experienced a lot of hair loss during that period. my question is if aniemia was root cause will the hair grow back? thank you doctor

From your description I am not certain if you are male of female. The cause of hair loss is generally very different between men and women. Gender differences aside, hair loss from severe iron deficiency anemia should reverse if it is corrected. However, people generally respond differently to such stress on their body and the hair growth may be varied. If you are a female, anything that causes hair loss can become permanent if you have the genetic code for female genetic hair loss. In other words only time will tell.

Tags: hairloss, hair loss, anemia

Hair Breaks 3 Inches From Root

/by William Rassman, M.D./2 /,

I have a question for my friend.. She has had hair breakage about 3 inches from the root. She has had over 15 surgeries in the past 7 years due to a motorcycle accident.. Her hair breaking has been an issue for over a year or 2.. She has had blood work done and nothing was found wrong. She has made an appointment with a hair specialist to do a test on a piece of her scalp. Is there any other simple reason that the doctors would be looking over like her nutrition? I am concerned for her and I wanna help her as much as I can.. If you have any answers for me I would appreciate it.

Stress from surgery can cause hair to fall out. I have often stressed (no pun intended) the importance of miniaturization mapping of the scalp to see the pattern of hair loss. This may be of benefit to your friend.

With regard to hair breakage (if it were you), I would want to know more about how you manage your hair, how you brush/comb it, what shampoos and conditioners you use, what changes you have implemented prior to noticing the breakage problem, and what the nutritional status of your body is (the hair may reflect vitamin and other nutritional deficiencies).

Tags: hairloss, hair loss, female, woman, women

Why Don’t More People Just Get Hair Transplants?

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

hi!

I’m wondering….

Lots of men are slowly getting bald mostly in front areas. In some stage of a life they usually develop “high forehead”. It’s unfortunately a normal course of events for majority of us.

I’m talking about mild baldness classified II to III or IIa to IIIa by Norwood Classes…

So my question is: why don’t these men simply transplant their hair from back to front. As I understood it lasts forever(if I presume that back hair is not sensitive to DHT)

I suppose looking long term it’s safer solution(using chemicals for 10 years might have some consequneces in 30years) and might be even cheaper.

So where is the trick/hoax that people don’t decide for it and instead of this possibility using drugs?

The answer is not clear. Changing people’s attitudes is a difficult task. Adoption of plastic surgery for vanity purposes is believed by many to be a feminine thing, not a manly thing. If you are going to embark upon a hair transplant solution it requires that:

  1. you recognize that you have a problem in the first place and want to do something about it
  2. will not be embarrassed for doing it (the old transplant plugs failed this test and the people are still walking around advertising an obsolete technology that scares most new people)
  3. get the education you need to make an informed decision (few people understand how easy it is to make a bad decision by being impulsive and not doing your shopping).

Did you know that wigs are more expensive than transplants, yet many people use them and avoid the “painful” perception that transplants can always be detected? Most wigs are detected and women make a game of it, trying to pick out those with wigs vs normal hair.

Over and over again, I find the occasional patient who hides the hair transplant from their brother, mother, and significant other. That is just how good they can be. The balding problem is widespread, because 50% of men will have some clinical balding by the time they reach the age of 45, yet less than 1% of men with balding ever start the research process for the transplant option and I suspect that it is less than half of them that go forward with a hait transplant. Tackling the hair transplant option seems to have some negative stigma associated with it. Of course, we all know that the man’s man is not vain about his hair loss, right?

Tags: hair transplant, hairloss, hair loss

DHT and Follicles That Are Transplanted

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

Dear Sir/Madam,
I would like to know how a hair follicle falls off. I was told that as DHT accmulates at the bottom of hair follicles hair falls off. This DHT is produmed by male harmones. Is this true? If this is the case even after hair transplantation DHT will be accumulating and it will cause the transplanted follicle to fall off. Then how is hair transplantation a permanent solution?

I think you have it wrong. DHT does accumulate in body tissues, but it has no hair loss impact unless there is a genetic defect in the hair follicles. The hair in the back and around the sides of the head have no genetic defect, so the DHT does not impact these follicles. The follicles are, for all intents and purposes, immune to DHT.

Tags: dht, hair loss, hairloss, follicle

Taking 0.5mg Finasteride Twice a Day

/by William Rassman, M.D./1 /

Hi Sir,
I take Proscar and break the pills in 1/4. Considering the fact that finasteride remains only a few hours in the body, would it be better if I’d break the pills in 1/8 and would take it twice a day?

thanks

What you say may be true. The problem is that the 5 hour half life is a reflection of blood levels for the drug (5 hours drops the concentration in the blood by half). The more important number may be tissue level of bound drug that binds to the receptor targets. I believe that this number is much longer than 5 hours (maybe a few days). Thinking this through is an intellectual exercise only:

  1. The pill might be able to be taken less often, rather than more often.
  2. A smaller dose might be just as effective. I was told in a personal communication some years ago with Dr. David Whiting (who was involved in the original Merck studies to determine the best dose to use) that half of a Propecia (0.5mg) is 80% as good as a whole pill.

It may be in nobody’s interest to really solve this problem for you so your guess is as good as anyone. I tend to stay with what is known and that happens to be Merck’s story on the commercial pill. Other than saving some money, I am not sure that for most men without any side effects of the drug that taking less of a dose has any advantage over the recommended dose.

Tags: hairloss, hair loss, merck, propecia, finasteride, proscar