I have a question regarding my start with Finasteride. Im a 26 years old Male suffering from mpb. I just started Finasteride 1mg / day 3 Days ago and feel some kind of pain in my right Breast area i didn’t have before. What would you recommend lowering the dosage to 0,5mg or stop the medication at all or try to ride it out with 1mg? Im really afraid that fin won’t work for me because of the very rare side effect of gynecomastia.

I recommend seeing your doctor who prescribed you the medication. Having your doctor examine your breast and having a discussion about side effects associated with the drug.

I suppose anything is possible but some things are improbable. Go see a doctor (in person).

Dear Dr. Rassman: Had the 2nd of my three procedures today. Almost like a sculpture, it really now has started to take shape. Sure, I’ve looked at photos and seen real live guys at your Open House shows who’ve had this process, but there’s nothing like having SMP done to your own challenged head.

Once again, Kudos to the technicians who worker harder than stainless steal and have the patients of angels and Dr. Pak who stepped in mid-way and said: “Now it’s time to mail down your front hairline” which he did with the precision of a rocket shop landing on the moon.

But I do have one regret… which I expressed to your staff openly: “Where were you guys 40 years ago when I first coulda used this?

Dr. Rassman’s comment: This man started his hair transplant process too many years ago. He is now in his 60s and shaved his head for the procedure. He will eventually allow his hair to grow on top of the SMP. This type of comment occurs almost every day in our office.  Scalp MicroPigmentation is one of the most satisfying procedures we have ever offered.

A long time in coming, Costco announced the following prices for 1mg generic finasteride at $13.00 for a 30 day supply and $23.92 for a 90 day supply. This is really great news for patients and those of you who read our blog (who are taking Propecia).

Australian Times:

Jack was 16 when he first noticed that his hairline was receding, as he checked photos his surfing friends had posted on Instagram.

“I’d look at pictures of me when I was 14 or 15, see the hairline and then look at pictures from a year later and say, ‘Oh, that’s changed’,” says Jack, a bashful but athletic high-school student.

Last week Jack, still just 17, underwent hair-transplant surgery to move 3,000 hair follicles from the back of his head to the front to re-create the hairline.

His parents, worried about the impact on his self-confidence, paid dollars 22,000 (pounds 14,000) for the surgery.

Jack is one of thousands of American teenagers turning to surgery for a follicular fix.

“We live in a world where you are judged by the pictures that you take – particularly by the opposite sex,” he said.

“In our age group, most of what you do is going towards appealing to the opposite sex. We’re just fixing something that, by genetics, we just didn’t luck out (on).”

Dr Keith Durante, who is treating Jack, claims that a growing proportion of the 200 hair-transplant procedures he performs in a year in West Islip, New York, are for men in their early twenties or late teens.

Thanks to the barrage of high-resolution pictures on social media, young men are spotting their retreating hairlines and thinning crowns at a much younger age.

Many of the patients Durante treats are diagnosed with clinical depression and are beginning to isolate themselves socially as a result of paranoia about their baldness, he claims.

“You will spend more money on psychiatry bills and medications than you would if you just gave these kids some hair and let them enjoy it for 5 to 10 years,” Durante said. “If they need (the treatment) done again, we can do it.”

Hair-transplant surgeons have been reluctant to treat men until their balding has plateaued, fearing treated hair could end up as an island of fluff if the balding continues. Durante says he can offset the hair-loss process with a mix of treatments.

Nonetheless, some rival surgeons believe it is irresponsible to begin treatment at a young age.

“You’re not creating new hair – you are just moving hair,” said Dr Spencer Kobren, a hair-loss expert.

“You have a finite amount of hair you can utilise. Most experts in the field would say that not only is that medically inappropriate, but it’s unethical.”

I found this article of interest. It was in a woman who had extensive leg tattoos and known cervical cancer. A whole-body PET-CT scan revealed what appeared to be cancer spread in the left and right ileac lymph nodes, the team reports and this resulted in a surgical exploration of these lymph nodes which revealed the tattoo pigment in the lymph nodes not cancer. We know that Tattoos spread and in many body tattoos particularly when the tattoo is placed deep in the dermis. This produces lateral spreading to obtain the color backgrounds that the tattooist wants to achieve (Not what we do in scalp micropigmentation). These tattoos however do not stay in the deeper dermis, but move up the body’s lymphatics into the regional lymph nodes. Many of these pigments have heavy metals in them that have a tendency to migrate as the body tries to ‘clean it up’. Some of the temporary tattoos that are used in scalp micropigmentation have a silicon base, and silicon is known to migrate from the placement site to as far as the brain and lungs and if it is silicon based, that is a real risk.

We perform scalp micropigmentation with organic pigments (no silicon or heavy metals) and keep them located to the very upper part of the dermis to minimizes systemic spread. We are very aware that proper placement of the pigment is critical, not only to obtain the discrete ‘dots’ we create that looks like cut hairs, but to keep these ‘dots’ very superficial so that lateral spread is minimized.

Drug increases stiffness of infected erythrocytes, favouring their elimination from the blood circulation and reducing transmission to mosquitoes.

“French and British researchers have found a potential further use for sildenafil citrate, the active agent in Viagra. This could help prevent transmission of the mature malaria parasite from humans to mosquitoes. The study has been published in “PLOS One”.”……

The scientists thus sought to stiffen the infected erythrocytes such that the derformed red blood cells which are infected by the parasite may be picked up by the spleen of the human and destroyed. This is an interesting development possibly for those traveling to infected malaria areas, but that may be a stretch on my part.

This young man is enrolled in University of California in San Diego and has a career in Physics in front of him. He is very bright and he is balding already, now only in the crown, but he has early thinning evident in the frontal corners which may follow his father’s pattern of a Class 6 balding pattern.

He said, point blank, that he did not want to go through the four hair transplant surgeries that I did on his dad, even though, he admitted, his dad looked ‘good’. He was dead set against Propecia, for sound, rational reasons and understood clearly, that the decision not to take this drug would inevitably lead him to continue with the progressive balding process he is presently experiencing. He came to this decision having thought hard and long, and after doing considerable research on the subject. “My body has its own clock and my unique genetics and I have known this since I turned puberty. I fully realize that I am ready to go bald, if I must, but I don’t want to keep worrying about it, day in and day out. Now, I live under a base ball hat and I want to go out not worrying about my hair and my visible aging, balding head”

So he came to see me because he decided to have Scalp Micropigmentation. We discussed his changing natural hairline that may disappear with time, and he fully realize that the hairline that we will create with SMP will be permanent and that he was willing to accept the normal recession and adjust his styling, possibly locking in a short hair style (almost shaved look) for the rest of his life. He wanted for us to create a natural shape and configuration of a youthful hairline that he saw on our website on some of our hair transplant patients and on some men who shaved their head and never went bald. I told him that for a while, he will be able to let his hair grow out, until the frontal hairline recedes. He didn’t mind and liked the idea that once he had the SMP done, he would be finished with his hair problem and go on with his career as a physicist and focus on the rest of his life.