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    Heart problems from Minoxidil

    Apr 30, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    I kinda have a weird sensation after applying minox. My heartbeat is normal but I get this weird feeling when I breath in and out, my heart gets cold and feels like a needle sticking.

    Minoxidil causes reduced blood pressure and could cause cardiac symptoms. You should see your family doctor as this could be a sign of other heart problems.

    I’m a 52 year old female with hair thinning for 4 years and all treatments failed (photo)

    Apr 30, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    Yes, we offer Scalpmicropigmentation for women like you. This process is very successful. See here: https://scalpmicropigmentation.com/smp-for-women/

    Screen Shot 2019-01-18 at 11.44.41 AM

    Should have have taken finasteride? From Reddit

    Apr 30, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    #shouldhavetakenFin from tressless

    Hair loss can occur on one side of the scalp that is exposed to more sun than the other side

    Apr 29, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    This happens when a person drives a car or truck for a living, the side on the window gets more sun exposure than the other side causing damage from to the skin and more hair loss. We can see this very well in the photo below, of a truck driver whose face aged more on the drivers side of his face.  For people who drive in Australia, the opposite occurs because they drive on the other side of the road.

    Hair transplant result (from Reddit)

    Apr 29, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    Nice job! Congrats. You are a man who took charge of your hair loss situation and now can go on with your life.

    Machine Gun Kelly Hair Transplant Transformation from tressless

    20 year old wants a ‘small’ transplant (bad thing to do)

    Apr 29, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    I am on Fin and Min and my hairloss doesn’t seem to progress. Because I have high temples naturally and no regrowth, I wanted to ask if there are clinics that transplant hair from the top of the head, rather than the back. As I believe I will lose all hair eventually, I would like to have a small transplant of hair that will fall out with the other hair if I stop Fin. I am 20 right now by the way.

    You are absolutely wrong about your hair loss. The back and sides always stick around regardless of how much hair you lose. A small transplant is like being a little bit pregnant, there is no such thing. If a 20 year old gets a little transplant, then the balding will accelerate (worst and most probable case), and you lose out big time. See a good doctor, make a Master Plan with that doctor and follow that plan with that good doctor for the next 20+ years. Look at this previous post I wrote which defined the issues very well: https://baldingblog.com/22-year-old-received-a-hair-transplant-of-2800-grafts-from-reddit/

    Do clogged pores cause hair loss?

    Apr 29, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    No! Clogged pores do not cause hair loss but there are many people who believe this and will want to sell you some product or service to unplug your pores. Rip-offs are commonly presented by those who promote clogged pores.

    Haircheck Test, How it is done and what its value (Video)

    Apr 27, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    What is the HAIRCHECK test?  This video shows how it is done. It was edited to show the various step quickly (less than 1 minute). Although we only measured three areas on this man’s head, we can measure more regions, which may be important as early balding may show in the top of the head, but not in the front or crown. In this case, we add measurements as needed.  We use a 4-pronged temporary tattoo stamp which marks an area 3/4 inch square. All of the hair inside of that area is then gathered up and placed inside the HAIRCHECK instrument. Once inside the instrument, it is squeezed so that the bulk of the hair inside this 3/4 inch area is measured digitally. Each area get a ‘number’ reading. These readings are compared. The normal level for each person is the number that is measured in the back of the head (the area we called the ‘permanent zone’ or the donor area where hair from a hair transplant is usually taken from). This ‘permanent zone’ is a unique area in all men, because it is NEVER impacted by genetic balding so whatever that number appears for this area, that number is the base line where all other areas are compared. In this particular young man, he is clearly not balding because the number reading in each area reads 120, 125 and 120 (this last reading is in the permanent zone). A human error might occur in the 10% range. but I have found over the years that the donor area correlated to the changes in the balding patterns that we see.  It helps me in determining the effectiveness of treatment. It is a wonderful test to (1) map out the balding as it occurs over years, (2) to judge the effectiveness of the medications we use such as minoxidil or finasteride and (3) to help patients plan for future hair loss, possibly even a hair transplant if the balding ramps up.

    Here is an example of a 19 year old who felt he was balding but needed confirmation because his parents didn’t believe him. Looking at him you can see why, but the HAIRCHECK test confirmed that he was balding. I worked out a Master Plan with him for his short and long term future. For now it would be the drug finasteride, in the future, if the balding developed significantly, a hair transplant may be something he should think about. The value of this test is that he can repeat it every year and see if he is gaining on his hair loss with whatever treatment he is using, or losing ground and if he is losing ground, how fast that is happening. The first visit to our office is free and that includes a HAIRCHECK test as well as the production of a Master Plan with each patient and a prescription for what you may need.  Yearly HAIRCHECK tests are critical in controlling this process as much as possible and being smart about it as well.  See his photos here.

    28 year old female who has seen many doctors about her hair loss (from Reddit)

    Apr 26, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    I have been to 4 different doctors about my hair loss and none of them gave me a diagnosis or treatment recommendation other than Rogaine.  I am not happy with the results of the Rogaine and I want a solution to find out what is wrong with me and what can I do about it. Any suggestions you might offer will be helpful.

    You most likely have some component of female genetic hair loss. I look at you and would ask: How can I help you if you came to see me. Assuming that your blood tests and medical history was clear of causes for hair loss, I would do the following:

    1- Perform a hair transplant in the frontal 1 1/2 inches where there is clear balding

    2- Perform Scalp Micropigmentation for the rest of your scalp where your hair is thinning as hair transplants don’t do well with thinning hair in women (see here: https://scalpmicropigmentation.com/smp-for-women/)

    See if you can find a doctor who can do both of these processes. If not, consider coming to Los Angeles, as we do offer travel subsidies.

    female hair loss Tx plus SMP

    A celebrity endorsing a hair transplant clinic in Europe. Not a good endorsement!

    Apr 26, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    The hairline is straight, the grafts have more than one hair in the frontal edge and the shape is not natural.  For a celebrity, that is a bad career move!

    Screen Shot 2019-01-18 at 12.22.01 PM

    I think I have early results from finasteride in just 6 weeks (photo)

    Apr 25, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    It is too early to tell for sure but it does look promising. I believe that in another year, if it is the drug that is making the change and not your hair length or defects in your photography, you will know if it is working. Good luck.

    6 weeks on finasteride

    5 months on finasteride (from Reddit)

    Apr 24, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    The lighting on the pictures should be better to be sure of what we are seeing, but what it looks like is great. I expect that it is real

    Screen Shot 2019-01-18 at 11.51.57 AM

    Does Propecia interfere with surgeries?

    Apr 24, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    If you need any type of surgery, finasteride will not interfere with it.

    A single surgery result after 1175 grafts were done 7 months ago

    Apr 23, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    Hair frames the face and a properly designed hairline that doesn’t look like a line makes all of the difference.

    Post-op photos 6 days after 3320 grafts

    Apr 23, 2019/by William Rassman, M.D./0 /Hair Loss Causes

    This patient is now 6 days post op. He was very careful about following our washing routines. Crusting (scabbing) never appeared and he goes out in public without embarrassment. With our techniques that prevent swelling, he had no swelling after the surgery and almost no pain, rarely taking pain medications except the first night after the surgery.

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    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.

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

    William R. Rassman, M.D.

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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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