WRassman,M.D. BaldingBlog
    • Menu

    Brand vs Genetic Finasteride

    Nov 22, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Your story seems disturbing and common place. The FDA is supposed to guarantee quality of production even in generics if purchased in the US, but many doctors and patients tell me differently.  Probably best to stick to the known brand names

    Hair regressing after 2.5 years of progress from tressless

    hair loss with male testosterone enhancement

    Nov 22, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    I am 68 yrs old, very fit, weight lifter, and runner. I have been taking Cialis 60mg usually about 3 to 4 times a week. I also take male enhancement pills.Since I got serious about my sex drive and enjoy it almost daily, I have noticed my hair getting thinner.Could it be the Cialis, or male testosterone enhancements?

     male testosterone enhancements of all kinds are known to cause hair loss

    What happened to my hair transplanted scalp? (photo)

    Nov 21, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    You had scalp necrosis, usually the cause of technical issues in instrumentation and judgments made by the doctor. When the recipient sites are made with a larger instrument and/or they are placed too close to each other, especially in the area between the ears in the center of the scalp where your problems are showing, necrosis may occur. This will take sometime to heal. Find a doctor who knows how to manage wound problems.

    skin necrosis

     

    Eating nuts can cut your risk of heart disease and stroke

    Nov 21, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    People who regularly eat nuts have a reduced risk of cardiovascular disease (CVD) and coronary heart disease (CHD) when compared to people who rarely or never eat nuts, according to a study published Nov. 13 in the Journal of the American College of Cardiology. This study was done after up to 32 years of follow-up and the researchers assessed the associations of total nut intake and the consumption of individual nuts with CVD, CHD and stroke risk. CVD and CHD included a combination of MI and stroke, but CVD also included all forms of cardiovascular-related death. People who ate one 28-gram serving of nuts at least five times a week cut the risk of cardiovascular disease (CVD) by 14 percent and the risk of coronary heart disease (CHD) by 20 percent when compared to people who rarely or never consumed nuts.

    What is wrong with my scalp? (photo)

    Nov 20, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    This is a classic picture of an autoimmune disease of the scalp, possibly alopecia areata. You should see a dermatologist

    aa2aa3

    Dr. Gho’s Method for Hair Regeneration/Cloning

    Nov 20, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    A reader send this posst to me:
    Subject: New data on Dr Gho’s stem cell method

    Message Body:
    In 2012, you suggested the circumstances for making an exhaustive documentation on Dr. Gho’s ‘stem cell method’. The idea was to count the number or percentage of transplanted hairs that actually grew, along with investigating the donor.

    Fine, but what then? Who validates it? Who can say whether such an effort is scientific or not. And what about credibility?

    A sizeable study of such sort was made very recently, with photos. See it here:
    https://www.baldtruthtalk.com/threads/26632-HASCI-analysis-w-photos-results

    There is nothing here that looks lkike science to me. This is the problem I have had with Dr. Gho’s research.

     

     

    I have pimples 6 weeks after my hair transplant (photo)

    Nov 20, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Pimples may or may not reflect an infection but a doctor should make that call.  Sometimes the hair spicules react that have been left behind and they cause pimples which usually spontaneously drain on their own, but it can also be an infection so your surgoun should evaluate it.

    pimples3

    Black hair and 66% loss of the frontal hair and 55% loss of the crown hair.

    Nov 17, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    This patient came today at the age of 44. He start to lose hair just 3 years ago, an came because he wanted a hair transplant. His hair is black, medium weight and it has a good wave to it. He is of Italian heritage which gives him a terrific hair character. I measured his hair bulk with the HAIRCHECK instrument and found that he lost 66% of the hair in the front and 55% of his hair in the crown. Considering that is hair is black and his skin is light, he still have good coverage in the front of his head which shows something very important, that you really only need 33% of your hair when the quality is there to have a reasonably full look.  This is the type of look to generally achieve in a single hair transplant in a bald man.

     

     

    PAK50060-1024x768 PAK50062-1024x768

    Two post operative patients (photos)

    Nov 16, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    I periodically show photos of patients after their surgeries because so many people are afraid of what they will look like right after the surgery. There are visions or war wounded heads in the minds of many people who think that after their hair transplant, they will announce to the world what they had done and have a full invasion of their privacy. As you can see in these picture, there is nothing much to see and styling can easily hide even the one man on the right who is just one day after the surgery by combing his existing hair forward. The man on the left is one day after surgery and had 1500 FUE grafts and we are showing both the recipient area and the donor area which should be completely undetectable in two more days. The man on the right had 2125 grafts by strip surgery and is 4 days post surgery with some mild pinkness still evident to the camera, not so much on looking at him face on. To see what terrible post-op care looks like, see here (https://baldingblog.com/2017/10/18/now-2-weeks-hair-transplant-cant-go-public-photo/) which is the results of poor washing techniques used immediately after surgery.

    PAK50110 PAK50114PAK50116

    I am 22 years old female and losing my hair (photo)

    Nov 16, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Past three months my hair loss has been really bad. I’ve checked my blood for problems with my thyriod, iron and hormones with a doctor and my blood work turned out ok. It is all okay, so I’m assuming it might be genetic since it is in my family on my father’s side. My mother and sister don’t have this problem.

    Female genetic hair loss can usually be seen on the female side of the family (mother, aunt, grandmother, sister) but not always and your male connections with balding really don’t count.  When the diagnosis is not clear, the problem of thinning impacts the social life of the woman. We have been using Scalp Micropigmentation (SMP) for many of these women with great results and although the hair loss may not have been diagnosed, the fullness comes as a result of the SMP process (https://scalpmicropigmentation.com/smp-for-women/)

    female hair loss2

    Female pattern hair loss vs Chronic Telogen Effluvium

    Nov 15, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    I am in my mid-30s and I have had three hair transplants to address the thinning but they did not work and I am no better. I also had PRP and that also did not give me any benefit. My doctor told me that he wanted to use drugs like spirinolactone and told me about them, but he also said these drugs did not work well.  What else can I do?

    I never treat women like you with hair transplants when there is diffuse thinning present because it does not produce value for you. The diagnosis sounds like typical female genetic balding and if I am correct, your donor area will show significant miniaturization, which always makes the diagnosis for me.  The only treatment is a cosmetic one, the use of scalp micropigmentation (SMP),  See these links which show many women who have been treated with SMP and now have a fuller look. https://scalpmicropigmentation.com/smp-for-women/

    Peyronies disease, the penis and finasteride

    Nov 15, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Several months ago, my doctor said I might have Peyronies disease because I bent my penis somehow. I finally have an appointment with a urologist next week. After reading your post about penile fibrosis and arguing with my mom that there is no proof Finastride caused my problem, I wanted to ask you how I can tell if Finastride caused my Peyornies or if due to injury? In my story below, I have evidence that it’s due to injury because I was injured. But what role did Finastride play?

    My regimen before Peyronies was 1.25 mg Finastride (2x per week) + 5% Minoxidil. As you may remember me, I emailed you about my increased sex drive from low-dose Finastride and you said it has been reported by some of your patients. The week before my penis injury, I ejaculated 4-5x per day for around 1 week. I also felt extreme exhaustion during the second half of that week. The day of my injury, I ejaculated only twice and felt a pinching pain on my penis which signaled me to stop doing what I was doing. I also noticed my penis would not stand up straight when I laid down nor could I maintain a full erection standing up or walking. For the last 5 months, my penis lays on the right side and doesn’t point straight up like it used to.

    Later on I noticed that I have a 20-40% degree bend on the bottom shaft of my penis. I’ve lost .5 – 1 inch in length and my girth is smaller. I lose my erection when I stand up very quickly and I can’t maintain it. My penis is also very sensitive to touch.

    In the early weeks after my accident, I stopped masturbating for 1 or 1.5 weeks at a time, 2-3x. As the weeks went by, I began to masturbate regularly once every few days then 1-3x per day but with using very little force, almost like a feather. I wasn’t able to have a full erection, not only because of the bend in my penis but also due to fear and discomfort. My erections are a bit painful sometimes.

    Around September of this year, I stopped taking Minoxidil and increased my dosage of Finastride to 1.25 mg – M-W-F, then to every other day. I noticed my penis erections because stronger, the strongest they have ever been. This might be coincidence becuse it was 4-5 months after my injury or it could be that I experienced increased libido from a higher dose of Finastride. When I initially started taking Finasteride a few years ago, I had an increased sex drive for several months so that’s why I think Finasteride helped strengthen my erections. However, my penis bend did not go away and my erection was still .5 – 1 inch shorter and smaller in girth.

    Recently I have noticed a loss of sensitivity in part of my penis foreskin. This could be due to regular masturbating and how I masturbate. I’m afraid to touch the shaft of my penis so I only massage the foreskin and a small part of the top-shaft. I also recently woke up with a penis bent. Although, it is improving. I sleep very unusual position so that I don’t injur my penis. I sleep almost crossed legged so that I don’t attempt to squeeze my penis with my thighs when I sleep at night. This has worked well for me because I sleep on my backside.

    As you can see doctor, I don’t know how to look for any evidence that Finastride caused my Peyronies, but that doesn’t mean it didn’t play role. Am I wrong?

    What study can prove Finastride caused Peyronies? Do you think Finastride helped increase the strength of my erections when I took a higher dose?  Is a low dose of Finastride (0.25mg) enough to cause Peyronies? I am in my early thirties.

    There is no evidence connecting the penis abnormalities you spoke about with finasteride or minoxidil. You spoke about an injury to your penis which can cause the bend that is associated with Peyronies disease but no where else did you discuss the timing of your problems with this injury in a time-line fashion. Your visit with the urologist is critical and he should go over this careful history you put together. Finasteride is not a tratment for Peyronies disease but there are treatments for this that the urologist can recommend.

    What do you think of my hairline? (photo)

    Nov 14, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    It is ok, but it does not meet my standards. The hairline has many two hair in the leading edge of the hairline which makes it an obvious hair transplant. I would build a transition zone in front of these grafts so that no-hairline hairline exists, meaning that the hairline does not have an abrujpt start as it does in these photos. There is also a small gap on the sides which should be addressed. The hairline on the right is one of our hairlines and as you can see it is much different than the one on the left (your hairline)

    what do you thinknormal hairline

    Can Creatine powder cause hair loss?

    Nov 13, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    Creatine is a protein powder and by itself, will not cause hair loss; however, some compounds of Creatine have steroids put into them and this will cause hair loss impacting the genetic sensitive hairs that you have on your head. Be sure to read the label which lists contents

    Shedding of hair grafts with a hook on them suggest J-Hairs. (photo) ok to go

    Nov 13, 2017/by William Rassman, M.D./0 /Hair Loss Causes

    This is a photo of hairs that have shed. The hairs take on a J shape which means that the grafts were kinked when then were placed by the surgical team. There is always a question if these grafts will grow out as normally as those without the kink.

    j hairs

    123
    Page 1 of 3

    Videos

    Podcasts

    Ask Dr. Rassman

    * Your questions may be published (without your contact information).

    [contact-form-7 id=”27935″ title=”Sidebar Contact”]

    Over 21 million women and 35 million men in America suffer from hair loss. For many of these people, the psychological impact on their life is debilitating.

    Dr. Rassman is a world leading expert in hair loss with over 25 years of experience and over 50,000 satisfied clients.

    About

    This site exists to educate about hair loss and hair restoration.

    William R. Rassman, M.D.

    Categories

    • ACell
    • African American
    • Age
    • April Fools
    • Density
    • Diseases
    • Drugs
    • Drugs (Cause Hair Loss)
    • Favorites
    • Female Hair Loss
    • FUE
    • Hair Cloning
    • Hair Loss Causes
    • Hair Pieces / Systems
    • Hair Products
    • Hair Transplantation
    • Hairlines
    • Megasession
    • Other
    • Other Surgical Procedures
    • Personal Stories
    • Photos
    • Pigments
    • Podcasts
    • Post-Operative
    • Repair
    • Repost
    • Scalp MicroPigmentation
    • Scarring
    • Thinning
    • Tidbits
    • Training
    • Videos

    Archives

    • March 2023
    • February 2023
    • January 2023
    • December 2022
    • November 2022
    • October 2022
    • September 2022
    • August 2022
    • July 2022
    • June 2022
    • May 2022
    • April 2022
    • March 2022
    • February 2022
    • January 2022
    • December 2021
    • November 2021
    • October 2021
    • September 2021
    • August 2021
    • July 2021
    • June 2021
    • May 2021
    • April 2021
    • March 2021
    • February 2021
    • January 2021
    • December 2020
    • November 2020
    • October 2020
    • September 2020
    • August 2020
    • July 2020
    • June 2020
    • May 2020
    • April 2020
    • March 2020
    • February 2020
    • January 2020
    • December 2019
    • November 2019
    • October 2019
    • September 2019
    • August 2019
    • July 2019
    • June 2019
    • May 2019
    • April 2019
    • March 2019
    • February 2019
    • January 2019
    • December 2018
    • November 2018
    • October 2018
    • September 2018
    • August 2018
    • July 2018
    • June 2018
    • May 2018
    • April 2018
    • March 2018
    • February 2018
    • January 2018
    • December 2017
    • November 2017
    • October 2017
    • September 2017
    • August 2017
    • July 2017
    • June 2017
    • May 2017
    • April 2017
    • March 2017
    • February 2017
    • January 2017
    • December 2016
    • November 2016
    • October 2016
    • June 2016
    • May 2016
    • April 2016
    • March 2016
    • February 2016
    • January 2016
    • December 2015
    • November 2015
    • October 2015
    • September 2015
    • August 2015
    • July 2015
    • June 2015
    • May 2015
    • April 2015
    • March 2015
    • February 2015
    • January 2015
    • December 2014
    • November 2014
    • October 2014
    • September 2014
    • August 2014
    • July 2014
    • June 2014
    • May 2014
    • April 2014
    • March 2014
    • February 2014
    • January 2014
    • December 2013
    • November 2013
    • October 2013
    • September 2013
    • August 2013
    • July 2013
    • June 2013
    • May 2013
    • April 2013
    • March 2013
    • February 2013
    • January 2013
    • December 2012
    • November 2012
    • October 2012
    • September 2012
    • August 2012
    • July 2012
    • June 2012
    • May 2012
    • April 2012
    • March 2012
    • February 2012
    • January 2012
    • December 2011
    • November 2011
    • October 2011
    • September 2011
    • August 2011
    • July 2011
    • June 2011
    • May 2011
    • April 2011
    • March 2011
    • February 2011
    • January 2011
    • December 2010
    • November 2010
    • October 2010
    • September 2010
    • August 2010
    • July 2010
    • June 2010
    • May 2010
    • April 2010
    • March 2010
    • February 2010
    • January 2010
    • December 2009
    • November 2009
    • October 2009
    • September 2009
    • August 2009
    • July 2009
    • June 2009
    • May 2009
    • April 2009
    • March 2009
    • February 2009
    • January 2009
    • December 2008
    • November 2008
    • October 2008
    • September 2008
    • August 2008
    • July 2008
    • June 2008
    • May 2008
    • April 2008
    • March 2008
    • February 2008
    • January 2008
    • December 2007
    • November 2007
    • October 2007
    • September 2007
    • August 2007
    • July 2007
    • June 2007
    • May 2007
    • April 2007
    • March 2007
    • February 2007
    • January 2007
    • December 2006
    • November 2006
    • October 2006
    • September 2006
    • August 2006
    • July 2006
    • June 2006
    • May 2006
    • April 2006
    • March 2006
    • February 2006
    • January 2006
    • December 2005
    • November 2005
    • October 2005
    • September 2005
    • August 2005
    • July 2005
    • June 2005
    • May 2005
    • April 2005
    • June 202
    • May 202

    Links

    Disclaimer

    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.

    Scroll to top