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    What Will My Future Hold? I Have Thinning In My Corners.

    Jul 31, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    About two years ago I noticed thinning at the front of my scalp and corners, now I still have thin hair at the front but what really bothers me is that there are two dime sized patches of hair that is not completely bald but much much thinner. will this progress? and should I expect more thinning in the future?

    future

    I often get these questions emailed to me. Actually I get these questions asked alot! I just want to make it clear that I am not a fortune teller nor can I diagnosis hair loss over the Internet. If your hair loss bothers you, see a doctor. You can always search the Internet but you’ll end up with mixed messages or information. I can tell you in general the most common cause of men’s hair loss is genetic and it is known as male pattern balding (MPB). If you have MPB and would like to do something about it, there are medications (Rogaine or Propecia) and hair transplant surgery. There is also Scalp Micropigmentation (see scalpmicropigmentation.com). When people describe circular dime sized or quarter sized bald patches, it makes me think of alopecia areata (AA), an autoimmune disease that requires a doctor to make the diagnosis. There is no cure for AA, it has a different cause than male pattern balding and if hair is transplanted in to these ‘dime sized areas’ it will not grow unlike male pattern balding where good results from a transplant can be expected.

    Tags: fortune teller,hairloss, hair loss, rogaine

    SMP Scalp Micropigment Patient Talks About How Others Were Upset

    Jul 31, 2014/by William Rassman, M.D./0 /Hair Pieces / Systems, Hair Transplantation, Scalp MicroPigmentation, Videos

    before_SMP_1 Before SMP

    This patient talks about how others were upset that he was visiting a hair transplant clinic when he had so much hair! They didn’t know he had SMP.

    I Turned 27 And I Am Concerned About My Hair Line Because Someone Commented On It

    Jul 30, 2014/by William Rassman, M.D./5 /Hair Loss Causes

    I have just turned 27 and I am concerned about my hairline . I have never really given it much thought but then someone commented on it and I noticed it is a triangle shape. I am concerned that I am going bald but have heard of the term mature hairline. I have drawn in a line to show my highest wrinkle. I am thinking about getting a hair transplant as the hairline looks rather odd. My crown is fine I think ! I have attached photos which may be of use. There are no bald people on either side of my family which is why I find it strange that I could be.

    Any help or guidance would be much appreciated.

    image2

    If you are concerned about your hair line and considering a hair transplant, you should see a hair transplant surgeon. I don’t mean to sound obvious but there is not much I can say here. Balding occurs in the 20s for most men. From your picture there are two things happening: (1) your forelock comes down to the highest crease which indicates it is located where it was when you were 5 years old, and (2) you hairline on the corners is certainly receding upwards giving you a bizarre shape to the hairline that that makes it look pointed. If you transplant the frontal corners, you can move to a different hairline that better fits with your look. You are in your 20’s and that is when such frontal recession appears.

    Tags: hairline, balding

    Does The SMP Scalp Micropigmentation Turn Green or Blue Over Time?

    Jul 30, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    You mentioned in one of your posts that you generally use grey/black or grey/brown ink tones. I understand that they will fade over time but does the fading change the remaining pigment to a slight blue tone. This is the type of thing you see with tattoos that use black ink which generally fade to a blue tone over time. Or does the ink hold its colour integrity over time? Thanks


    download
    All pigments deposited under the skin will turn blue/ green over time. The time frame that this happens is within a week to a month (not years). And the blue I am referring to is nothing like the blue in this post, it is a black color with a tinge of blue to it.

    Any claim that it does not is a marketing gimmick as the human body will react with the pigment as well as the layer of overlying skin will alter the perception of color. For example your red blood vessels will look green under your skin but the green you see is an absorption issue because these blood vessels contain red blood, yet these blood vessels don’t look red under the skin. There is actually a paper written on this topic HERE.

    The green /blue that some may think of (or you may be referring to) are the old pigments or cheap brands that oxidize and actually change color dramatically. The green/ blue I’m referring to is generally not noticeable unless you have a keen sense of color. If the SMP pigment is high quality and the person applying them is experienced you should not have this issue. The best and ultimate test is to physically see a SMP patient up close in person. Don’t rely on advertisements or photos.

    Tags: scalpmicropigmentation, smp, green, blue

    I am Norwood 2 But I Noticed Thinning On My Crown Area

    Jul 30, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    I started receding when I was about 18 but it stabilized and never went past what I now understand to be a “Norwood 2.”

    However, now that I’m in my early 40s, and particularly over the last year, I’ve noticed a substantial thinning on top (still no bald batch in the back). I can clearly see scalp.

    Could this be a medical issue (hormone changes with age) or is there something I should be tested for to correct the situation?

    My grandfather (mother’s side) was bald; my father had his hair, as did his father. My uncle (on mother’s side) lost most of his hair in his 40s-50s. I have two older brothers and both are receding but nothing dramatic.

    norwood

    This is called getting old. Maybe you always had some thinning but as you get old it is showing more. Maybe you were genetically programmed to be a Norwood 2V/ 3V. I do not know.

    The best test to find out if you are balding, is to get a hair Bulk Analysis or a Miniaturization Test in a doctor’s office. We do these routinely. Just yesterday, a 27 year old male came in with hair loss in the frontal hairline, but when I did the hair bulk analyses, I found that he was losing hair in the top and crown where he could not see it. There really is no blood test other than establishing a diagnosis by a competent doctor in the office setting. I realize there are genetic blood test for androgenic alopecia but the results will not give you a clear cut yes or no with regard to whether you are balding or not. Even if the answer to the genetic test is that you do or do ot have genetic balding genes, you still have the hair loss issue that is something that only a doctor can tell you once he examines you for hair bulk around your entire scalp.

    In the end if you want to do something about it, you are left with (1) drugs (Propecia or Rogaine) (2) hair transplant surgery if you can see the hair loss (3) scalp micropgimentation (4) different hair style. Finally it is rare for men to have other medical issues that would cause a “pattern” balding. The “pattern” you are describing may be Male “Pattern” Balding. See a doctor if you want to do something about it.

    Tags: patterned balding

    My Hairline is Receding and I’m 20. Please Help

    Jul 29, 2014/by William Rassman, M.D./1 /Hair Loss Causes

    Well from the last year i think my hairline has been receding. I am 20 years old and i just have a strange feeling that it has started receding from the sides.. Please help..

    You should see a doctor who offers ‘bulk analysis’ with the instrument called Haircheck. This will tell you fairly definitively, if you are starting to lose your hair. Some doctors have not acquired the instrument, so as you check the doctors in your area, call them and ask their office in advance if they have the instrument. You can also have a doctor look at your under a microscope for a Minaturization test. This can give you some objective (measurable) perspective on your hair status. In general most common cause of hairline receding for a 20 year old is genetic male pattern balding (MPB).

    Tags: bulk analysis, haircheck, miniaturization

    Losing Hair Since 18 Fast. I’m Afraid of Having Surgery

    Jul 29, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    I have noticed that I’ve been losing my hair since I was about 18 years old. For the past few years , I’ve been using finasteride, nizoral, and minoxidil. It worked for a couple years but now I’m noticing that my hair has been falling at a very fast rate. I currently live in Seoul, South Korea, and I have been thinking about having a hair transplant but I’m afraid of having one at a young age.
    Do you have any advice?

    afraid

    There are things you need to be clear of:
    1) Losing hair is not fun but it may be something you may have to face. More than 50% of men face some degree of genetic hair loss. If you are worried, find a doctor who can give you a diagnosis and a Master Plan for how to possibly address the hair loss.
    2) You don’t have to have a hair transplant. Losing hair does not automatically mean you need to have surgery. There may be other options such as medication or scalp micropigmentation.
    3) As you live ins Seoul Korea, you can always visit my colleague Dr. Jino Kim of New Hair Institute in Seoul Korea.

    Tags: losing hair, fast hairloss, scalp micropigmentaton, finasteride

    More Input on the New Laser Light Therapy Study for Hair Growth

    Jul 29, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    I was wondering if you could give some more input on the new LLT study from the American Journal of Clinical Dermatology.

    What do the results mean? How does it compare to other treatments like Minoxidil or Finasteride?

    Would this be useful for someone like myself who is just starting to have miniaturized follicles and are the results of the study impressive at all?

    Is it to early to tell or does this study point to LLT being beneficial?

    laser

    I found a copy of the study online HERE.

    If you read the conclusion (at the end) it states there was some statistical improvement after a 6 month study comparable to Rogaine or Propecia use. But in the long term (over a year) Rogaine and Propecia was better.

    The conclusion also stated: “A higher percentage of lasercomb-treated subjects reported overall improvement of hair loss condition and thickness and fullness of hair in self-assessment, though the results did not always reach statistical significance.”

    In my experience, the results that I have seen from patients who have used lasers were equivocal. I personally did not see gross improvement when I followed up with them. (Results were not dramatic) Maybe this is my bias, but I have on many occasions seen patients who had dramatic results with Rogaine or Propecia. I have not seen a “worth while” results with laser light therapy alone. Seeing a statistical improvement is not like seeing a cosmetic improvement.

    Tags: laser light therapy, lasercomb

    Questions About SMP – Graying, Number of Sessions, Length of Sessions and Touch-ups

    Jul 28, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    How many hours does it take for each SMP sessions and how many sessions will it take? I understand it is permanent ink and was wondering if it fades after time and would need additional touchups? What happens when my hair turns gray? Will I need additional touch ups at that time? How many additional treatments after graying would be recommended?

    Yes, there are between 2-4 procedures over a time span of a few weeks (you work that schedule with us). A full head SMP takes between 20-30 hours and we like to see some spacing between the procedures so that if it is going to fade, we can adjust for the fading on the subsequent session. The cost is $7,000 for an entire head SMP and we generally cover it until you are happy with the results. If it fades more than most people, we will do extra work at no charge. Touch-up may occur after a year or so at a cost of $500/tough-up. Most of our patients have not come back for touch-ups. We use a variation of gray/black or gray/brown in the inks and if you turn gray, worst case years down the road (and the inks did not fade enough for you) you might want to color your hair. You can expect that the pigment will fade over long periods of time. The absolutely best way to know the answer to your questions about graying over time, is to come to our Open House and we usually have a patient with gray hair so that you can see the answer for yourself. I hope that this answers your questions.

    bad_concealer_Bad Concealer (Too Much)

    no_SMPNo Concealer , No SMP

    grey_SMPWith SMP

    This patient was 87 year old with SMP who had Toppik plastered on his head and he looked ghoulish. We just washed the hair and then did an SMP on his whole head (see attachment). A different man who is now dating again. Age does not mattern.

    Tags: SMP, scalpmicropigmentation, age

    I Like Being Bald What’s The Big Deal

    Jul 28, 2014/by William Rassman, M.D./0 /Hair Loss Causes


    I am a 33 year old woman who has been completely bald (by choice) about eight times. I have been shaving my head since 2008, and my hair is usually about a number 1. I did not do this to raise money for cancer research, or anything similar. I shave my head because I love having short hair. I think it is very sad that so many people consider hair loss to be a bad thing, and spend ludicrous amounts of money just to have more hair.

    I shave my head myself every week and spend about 30 cents a week on shampoo. I own a few beanies for Winter, and in Summer I never have that disgusting feeling of sweat-soaked hair.

    Why have hair, when you can just shave it all off? I used to have beautiful long hair, but it is more fun to NOT have hair.

    If you are worried about hair loss, you must have a very boring life!

    Thank you for sharing your experience. I think bald can be beautiful too! But hair loss does bother many men and women and at least they have a choice to do something or nothing about it!

    Can Dutasteride Harm Pregnant Women or the Unborn Child If You Touch the Semen?

    Jul 28, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    Merck states that “Contact with the semen from a man being treated with PROPECIA is not a risk to the unborn child of a pregnant woman“. My question is: can the same rule be applied to those taking DUTASTERIDE, considering this is a higher potent DHT inhibitor? I take 0.5mg daily for the treatment of hair loss.

    Probably not, but we don’t know. Dutasteride can also have fertility issues in the men who take this drug, but the proof is not available at this time. This is probably one of the many reasons that dutasteride is not approved for the treatment of hair loss by the FDA.
    sperm

    Tags: dutasteride, propecia, fertility

    Not Hair Loss News – Can You Knock Some Brains Into Yourself?

    Jul 27, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    In an issue of Scientific American, a young 10 year-old boy was knocked unconscious one day by a baseball. After the accident, he could recall the “exact day of the week for any date after the accident and could remember the weather for each day since the trauma”… along with “minute daily events”. Another example of a victim of a brutal mugging in 2002. He began seeing images and was able to sketch them on paper. His images reflected ‘fractals‘ a mathematical repeating pattern. This is called an “acquired savant Syndrome”, a near genius level of brain function that appeared after the injury. This syndrome can appear after a blow to the head or some brain insult.

    Many of the affected people can develop the ability to create poetry, paint or play a musical instrument where there was never a talent for this before. Some researchers and experts in the field think that there is a ‘genius’ switch in the brain and are looking for ways to be able to turn it on. I want to volunteer for this type of experimentation. I wish I could knock this type of ‘brains’ into the crazy people in this world who just don’t get the basic value of life and would rather make war than appreciate all of the beauty on this planet for the short time we will be here.

    Can You Use Leg or Body Hair for Eyebrow Transplants?

    Jul 26, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    Can You Use Leg or Body Hair for Eyebrow Transplants? I understand that if you use head hair for eyebrow transplants, the hair will keep growing longer than the other hairs on the eyebrow and I don’t like cutting my eyebrows.

    leg-hair

    Leg hair has a different hair cycle than head hair. Some body hair has 70% of its life cycle in telogen (sleep) and does not appear on the recipient area transplanted therefore but 30% of the time. So a successful eyebrow transplant with body hair, will keep to its growth cycle. It will disappoint the recipient as only about 70% of the hair will grow at any one time, even if it was successfully transplanted. There is no way to stop head hair moved into the eyebrow from growing. I generally joke to my patients that they can grow a pony tail from an eyebrow transplant. So basically, you will have to cut these hairs twice a week or so, and when you cut them, they must be cut on an angle making the tip look sharp.

    Tags: leg hair, body hair, eyebrow transplant

    There Was A Fix For Hair Loss With Gold Wire Back in 1914

    Jul 26, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    The Scientific American reported a fix for hair loss in August 1914. Let me share it with you. “A gold wire 1/500 inch in diameter is bent to form a loop barely visible to the naked eye, which is then threaded with a woman hair of the desired color and from 8 to 12 inches long. The wire is introduced into a Pravaz hypodermic needle and then bent and cut, forming a tiny hook. The needle is inserted normally, twisted and carefully withdrawn. The doubled hair is anchored by the hook in the subcutaneous tissue. As many as 50,000 hairs may be required. ”

    scientific americaSource: Scientific America

    That amounts to 15 grains of gold. Someone made money out of this.

    I was Norwood Class I and Took Propecia for 8 Years. Can I Stop Taking it To Have A Baby?

    Jul 25, 2014/by William Rassman, M.D./0 /Hair Loss Causes

    Hi Dr – Firstly just wanted to say thank you for the wonderful work you are doing on this site!

    I took Propecia 1mg for 8 years, but a couple of years ago I noticed I was losing ground (NW1 – NW3). I increased my Propecia dosage to 2mg and have been taking this for the past 2 years and experienced no side effects.

    I am 34 years old now and thinking of starting a family. My question is: Is it safe to be on 2mg Propecia a day and trying for a baby? If I completely stopped Propecia now, how long will it take for the drug to be completely out of my system? I really worry that, so much Finasteride will pose a risk to my unborn child? I will be discussing this with my doctor, but you are a specialist in this field and would really appreciate some advice.

    First and foremost, please follow up with your doctor and address your question to him/her.

    I have some issues with your history and you need to follow your doctors recommendation. If you are a Norwood 1 or even 3, I question if you should have been on Propecia. Propecia does not work to prevent a mature hairline from forming. Propecia is meant for the frontal area, the top and the crown areas. It is sometimes taken in hopes that it will help with the frontal corners but that decision is up to you and your doctor. At least you didn’t have any side effects and you seem to have done well. Another issue is that higher dose of Propecia doesn’t really work any better than the 1mg dose.

    Finally, Propecia does not affect conceiving or having a baby. There is no evidence of this. For those who are still worried about it, Propecia has a half life of about 4 hours in the blood stream. This means almost all the medication will be out of your blood stream in 1 day. With respect to tissue fixation and possible traces left in your body it can take between 1 to 2 weeks. Considering the thousands of men who may have fathered children while on the drug, to my knowledge there has been no medical issues or legal issues.

    Tags: stop propecia
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