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    Fat cells to treat scars

    Jan 10, 2017/by William Rassman, M.D./1 /Hair Loss Causes

    The University of Pennsylvania has been on the cutting edge of both (1) stem cell development for hair growth and (2) fat cell use in the treatment of acute scars producing reprogramming of cells in a wound. This is going to become a huge field with almost incalculable value. We have known for a long time that fat has stem cells has significant value when used in the treatment of various skin and scar problems. For example, the yellow fat next to the hair follicles seen in a hair transplant, has strong supportive characteristics that are important anatomical elements contributing to a successful hair transplant.

    Various presentations on the use of such fat cells have been presented at medical meetings and in various medical publications. One in particular stands out was the use of hair grafts for the treatment of huge ulcers on the leg resulting from vascular disease. When these ulcers are transplanted with hair grafts that contain significant amounts of fat around them, these non-healing ulcers fully heal. As my background included the treatment of such non-healing ulcers, I was amazed to see the value of such grafts in such dire circumstances.

    Read here: https://tonic.vice.com/en_us/article/doctors-may-have-figured-out-a-way-to-heal-scar-tissue

    Bleeding under the skin in recipient area, what should I do now 5 days after HT?

    Jan 9, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    A small hematoma very rarely occurs from bleeding in the recipient area. As long as it is not infected, it will eventually absorb

    I had hair transplants on my hairline and then lost hair in the back of my head, why?

    Jan 8, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Shock loss is induced by the anesthetic., not the surgery. The crown hair must have been miniaturized and the hair loss was induced by the surgical process. The only way to prevent this is to take finasteride

    Do all races of humans bald?

    Jan 6, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    All races of males have male pattern balding; however, the American Indians whose ancestors came out of the Alaskan Bridge, have no balding present. This is most unusual because their ancestors have balding. There has been a suggestion that the absence of balding in this group of American Indians may have reflected some cultural ethnic cleansing in the very early days when the immigration happened and the populations were very small. With this thesis, the male pattern balding genes would have been wiped out.

    I wrote a post on baldingblog.com many years ago where I discussed causes of balding from an evolutionary point of view and the discussion covers the theory of balding in men. See here: https://baldingblog.com/2007/05/04/why-does-the-back-and-sides-of-the-head-not-lose-hair/

    How do you tell someone you care about him and that he is balding?

    Jan 5, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Be honest and that shows you care. Men often deny early balding and by the time to stop denying it, the are past the point when they might have prevented or reversed it with medications. This goes to extremes and the denial can occur over a generation to the point where men can’t even see what happened to them such as those with the awful comb-overs whose wives and family never say a word. I know your question is really about early balding, but by being open and frank, you can show how much you really care and take a load off of his back.

    Genetic receptors found that seem to impact the way finasteride works on different people

    Jan 5, 2017/by William Rassman, M.D./1 /Hair Loss Causes

    “Long-term adverse symptoms of men who used oral finasteride against androgenic alopecia have been recently described as post-finasteride syndrome (PFS).” These men report that the sexual side effect after taking finasteride seem to hold for them for long periods of time. The frequency of this finding shows that it is not common as most men who develop the negative sexual side effects of finasteride, return to normal after stopping the medication. The following article recently appeared in the Journal of Sexual Medicine and is worth reading. What it suggests is that there may be differences in the genetic make-up of patients who experience PFS as compared to most others.

    https://www.smoa.jsexmed.org/article/S2050-1161(16)30075-7/abstract

    Does Oxytocin release with ejaculation cause hair loss?

    Jan 5, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    This is a momentary phenomenon and any hormones that are released in the male do not last long enough the impact the hair growth cycle. The following is interesting reading: https://www.ncbi.nlm.nih.gov/pubmed/16436468

    Is taking 1/2 of a finasteride pill as good as taking one pill every other day?

    Jan 5, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Skipping a dose of finasteride (e.g. one pill every other day) is as effective as taking 1/2 of a pill every day because even though the blood half life is under 6 hours, the tissue fixation life is about 1 week. That means that it sticks to the hair follicle growth center for 1 week after taking the medication.

    Now there is a topical finasteride that is offered by many doctors through compounding pharamacies

    Jan 5, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    For years, mainly because of the 4% risk of sexual side effects from finasteride. man have asked for a topical form of finasteride. Now we are seeing many more examples of topical finasteride (liposomal topical finasteride formulation) which suggests that this works. Most doctors can order this through compounding pharmacies; however, the result of the effectiveness of this is not clearly define in the medical literature as of this time. I am sure we will hear more about it soon

    24 year old male with early mature hairline

    Jan 4, 2017/by William Rassman, M.D./1 /Hair Loss Causes

    How do you tell the difference between hairline recession and early balding? The first way to tell is to measure the distance of the hairline from the highest crease in the furrowed brow. In this 24 year old, the hairline is just starting to rise from the highest crease, a distance of not more than 3/4 inch is the point at which recession becomes the diagnosis. The corners rise more because the original hairline of the pre-adolescent male hugs the highest crease of the furrowed brow as the hairline takes on a ‘V’ shape.

    The second way to tell is to measure the hair bulk in different parts of the head. I did this on this young man and found that there is no hair loss in any portion of the hair on his head. The bulk behind the frontal hairline and in the crown, was equal to the hair bulk in the back of his head. That tells me that there is not even the slightest amount of balding.

    Between the location of the hairline and the normal hair bulk I measured, this patient does not have male pattern balding at least, at this time. He will come back yearly for rechecks if he is worried about his hair situation. Any surgeon who would suggest transplanting this patient would be guilty of malpractice.

    The pictures below tell the story with appropriate labels. Click to enlarge.

    Hairline3

    Hairline2

    hairline1

    Necrosis, A Terrible Complication of Hair Transplantation

    Jan 4, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    This is a highly unusual complication of a hair transplant which I have seen posted on the web. I have seen necrosis in the mid-scalp (between the ears) when the patient was a smoker or when the surgeon made wounds that were too large and possibly too close together in combination. I have reported necrosis from internet posts here previously on baldingblog.com. I am perplexed about the cause of this problem and considering that we have performed well over 15,000 surgeries in the past 16 years and never seen this type of complication in the frontal portion of the scalp, I am wondering why more and more such problems are arising and being exhibited on the internet by worried patients. Surgical techniques certainly may have something to do with these problems and smoking may also be a contributing factor. I have written to this person and ask for more details.

    I would be worth searching ‘necrosis’ in the search bar in the right upper hand corner of the screen to see more cases and some of my analysis in the past.

    frontal necrosis.jpg

    Technology Comes to Hair Brushes by L’Oreal

    Jan 4, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    https://www.adweek.com/news/technology/loreal-made-smart-hairbrush-analyzes-beauty-habits-and-suggests-products-175350

    Amazing way to sell hair products announced by L’Oreal. The hair brush listens to the way it works its way through the hair to report dryness and other hair characteristics. “Built-in sensors then determine if someone is brushing hair when it’s dry or wet while a gyroscope and accelerometer count the average number of brush strokes and measure the force used to brush hair.”

    Hair Brush

    I had a HT strip surgery one year ago and now continue to have pain in one area of the incision

    Jan 4, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    I had a Hair Transplant strip surgery one year ago and now continue to have pain in one area of the incision. 

    You report that you have pain in the donor area 1 year after strip Hair transplant surgery. Your doctor should examine you for a neuroma associated with one or more of the nerves in the area where the excision occurred. Neoromas are common if the nerve was damaged at the time of the surgery. Generally there is a single spot along the incision that if you tap it with a finger, it will bring on the pain.

    I am 28 years old, am I a good hair transplant candidate (photo)

    Jan 3, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    You have a Class 7 pattern of balding and this balding pattern has a high need for hair. To find out if the supply of your donor area is adequate, you will have to have it measured. If your donor density is very high and your hair is no fine in thickness you may be a reasonable candidate.  If, on the other hand your donor density is average and your donor hair is coarse, you MAY be a candidate. Lower hair thickness and low donor densities make your balding pattern very difficult to fill with hair unless you become bald in the donor area, something nobody wants.

    Class 7 pattern

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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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