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    Hair Transplant Expectations — Hope vs Reality

    Aug 2, 2013/by William Rassman, M.D./3 /Hair Transplantation, Pigments, Repair

    Here’s a story about a patient that has had four total hair transplant procedures — procedure #1 and #2 in 1995-1996 with us totaling 3286 hair grafts, procedure #3 with another doctor a couple of years ago of 1000 grafts, and finally procedure #4 (to fix procedure #3). This gentleman continued to lose hair after his first two procedures in the mid-1990s, and although he did not like what was happening to him, he was reluctant to have another procedure.

    That is, until he saw an advertisement for hair transplants at $2/graft. At that price, he decided that one more surgery would solve his problem. Unfortunately, this cheap procedure produced a harsh, detectably grafted hairline which made him never really satisfied with the final results. He came back to us to correct this harsh hairline to some degree about a year ago with one of our standard hairline repairs, but he still did not like his look and the larger grafts from procedure #3 still showed.

    We are all torn between what we hope to achieve and what we really end up achieving, and progressive hair loss during the treatment phase does not help the problem. This particular patient had unrealistic expectations and that is why he went to another doctor who, based upon promises, sold him a procedure that just made him angry with himself for falling for a sales pitch. As planned, after the repair of the frontal hairline that we performed a year ago, he came in for Scalp MicroPigmentation (SMP) about a month ago and told me that he is now euphoric with the results (today was the last SMP procedure).

    “Why didn’t you offer me this 15 years ago,” he asked. I told him that it was not available until three years ago. “Innovation moves at its own pace, driven by problems that need solutions,” I told him. This innovation took time and the right circumstances to find its place in our treatment regimen. He continued to discuss the personal toll that he experienced with his hair loss and his recent dependency on surgery to fix something that he did not like. “It was not pleasant, but now things are different,” he continued. And he can put the entire hair loss experience and the toll it took on his self confidence behind him. It was rewarding to hear this from him, so I decided to share it with our readers.

    Many people can not achieve their goals of a perfect end look because they either:

    1. don’t have enough hair to cover the balding area
    2. their balding pattern is advanced and the supply/demand equation for hair does not math out, or
    3. they continue to lose hair without a Master Plan that took into account the progressive nature of the hair loss.

    Scalp MicroPigmentation bridges the gap for many people who fall into the above categories. Doctors want to believe that given enough money, every person that they treat can get a full head of hair; however, nothing can be further than the truth.

    I continue to write this blog because it is an important part of our practice, educating patients and bringing them to understanding what is happening to them. At the last ISHRS physicians meeting, I was told many times that the doctors in this industry read my blog and that it has become a resource for them when dealing with their patients. That just adds to our (editors) satisfaction in knowing that this blog is a good community service.

    Tags: hair transplant, hair restoration, scalp micropigmentation, smp, hairloss, hair loss, reality

    My Mom’s Dermatologist Prescribed Clobetasol for Months and Her Hair Loss is Even Worse!

    Aug 2, 2013/by William Rassman, M.D./0 /Drugs (Cause Hair Loss), Female Hair Loss

    My mom’s hair was thinning a little. She went to see a dermatologist. The doctor prescribed Clobetasol ointment & Clobex shampoo. She was using these for 6 months straight. Her hair was falling out in clumps & getting a lot worse. The doctor kept telling her it takes time. Everything that I read about Clobetasol states not to use it more than 2 weeks. Would Clobetasol and/or Clobex make her hair loss worse? Please help.

    Thanks!

    Heavy doses of Clobetasol (a corticosteroid) can cause hair loss, among other systemic side effects. If you are concerned about this treatment, I would ask your mother to seek another opinion by a physician you see face to face, not over the Internet. I do not know the diagnosis here, so I can not comment on the treatment plan.

    Tags: corticosteroid, clobetasol, female hair loss, hairloss, hair loss

    Can I Safely Take Propecia with Antidepressants?

    Aug 2, 2013/by William Rassman, M.D./0 /Drugs

    Hello Dr,
    I wanted to know if it is safe to take propecia with the antidepressants abilify and celexa?

    Always check with your prescribing doctor for questions like this. Generally, the antidepressants do not cause a problem with Propecia.

    Tags: finasteride, propecia, antidepressants, hairloss, hair loss

    I Had No Problems with Propecia But If I Stop It Will I Have Post-Finasteride Syndrome?

    Aug 1, 2013/by William Rassman, M.D./2 /Drugs

    hey doctor, amazing blog helping a lot of people…
    i’ve been on propecia for a 14 months with min to no result. i’m 24 now. i had no problem staying on the drug and give it another 8 months since i didn’t experience any side effect hoping to see better results, until i read about post-finasteride syndrome and it had me worried. so just needed a clear answer from you doctor before considering stopping the drug. is post-finasteride syndrome a real thing?

    thank you doctor

    This “Post-Finasteride Syndrome” suggests that there are persistent sexual, neurological, and physical side effects for some men when they stop taking the medication (Propecia). It sounds like it’s just a fancy name to wrap around the seemingly endless list of side effects that people on the internet are attributing to finasteride. The data that is available and the information I have from my own patients doesn’t sync up with the reports on the anonymous message boards.

    Much of this seems to have stemmed from the hysteria created about a year ago based on a couple of published articles about men that were recruited from a Propecia complaint forum that were interviewed about their side effects. If it sounds ridiculously biased to you, then we agree.

    If I am to understand this “Post-Finasteride Syndrome” correctly, it is for those that had side effects, stopped the medication, yet the side effects persisted. If you don’t have any side effects, I don’t think this applies to you. If you want to learn more about this, here is the other side of the coin — PFS Foundation.

    Tags: hairloss, hair loss, propecia, finasteride

    Does Temporary Hair Loss from Stress Regrow the Same?

    Aug 1, 2013/by William Rassman, M.D./0 /Hair Loss Causes

    Greetings Doctor!

    If hair falls out from stress and then regrows, does it grow in the same way it did before? Or is it noticeably weaker or different character? I am just curious if you’ve witnessed this regrowth firsthand.

    Thanks!

    If your hair loss is caused by genetic male pattern baldness and stress accelerates it, it rarely regrows. If it does regrow, it often is a weaker hair that has more miniaturization to it. If the hair loss is from other causes such as telogen effluvium or alopecia areata (as two examples), the hair loss with these conditions may reverse and the full character of the hair may return.

    Tags: hairloss, hair loss, stress, telogen effluvium, alopecia areata

    Not Hair Loss News – Over 96 Percent of Testicular Cancer Patients Recover

    Aug 1, 2013/by William Rassman, M.D./0 /Diseases

    Snippet from the article:

    Survival rates for the disease have risen by almost a third since the 1970s and more than 96 per cent of men who contract the cancer today are now cured. Fewer than 70 per cent of patients survived the disease 40 years ago.

    Each year around 2,300 new cases of testicular cancer are diagnosed in the UK. Unlike many other cancers, the disease strikes at a relatively young age. It is the most common cancer in men aged 15 to 49.

    The improvement in survival rates is in large part down to the use of the drug cisplatin, a chemotherapy drug also used to treat bladder, lung and ovarian cancers.

    Read the rest — Almost all testicular cancer patients now recover

    Tags: cancer, testicular cancer, medical, cisplatin
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    This site is intended to educate the public on hair loss topics based on personal experience and opinions from Dr. William Rassman and contributing physician editors. Information provided on BaldingBlog.com should not be used for the purpose of medical diagnosis or treatment.

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