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    Neck hair is missing, called retrograde alopecia (photo)

    Oct 31, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    This happens to some men as they get older. They lose their neck hair as shown here. This is a very extreme example of retrograde alopecia

    Over-harvested donor area (photo)

    Oct 29, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    This man went to Turkey for FUE grafts.  There is considerable scarring present in the donor area. The surgeon (or non-surgeon who did this surgery), did not understand how to keep the donor density at a sufficient level to keep coverage of the donor area.

    Does Telogen Effluvium cause permanent hair loss?

    Oct 29, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    Does the permanent loss from TE apply to one who is taking dutasteride? I’d like to believe that it may help in preventing miniaturization to some extent. What do you say doc?

    TE never cases permanent hair loss, it is temporary and often goes away in a year or so. It also rarely impacts men.

    cost of a hair system is high

    Oct 29, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    cost of a hair system is higher than you think.  This is what one poster wrote: cost of a hair system is high

    The one clinic I’ve found near me has hair systems starting from $900 (!) and it’s assumed i will need 3 of those per year. Then I need a cleaning of the hair system and re-attachment every 3 weeks costing $130 each time.

    Annual cost is thus: $2700 for hair system itself + $2300 for re-attachments = $5000!! This is not including all the hair styling products and special kinds of schampoos needed (which is not cheap). What the heck?? Why is it so expensive?

    I heard you can buy cheaper from online stores but that it’s basically a gambling not getting different kind of hair or a damaged system etc. Anyone with experience?

    Scalp massage after hair transplant

    Oct 28, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    Hair Transplant: can massaging the scalp cause transplanted hairs to be lost after 3-4 weeks?

    The problem is not with the transplanted grafts as they are secure in their new home but from the native hair that can be fragile after a hair transplant and come out easy particularly the miniaturized hairs.

    How long will finasteride work?

    Oct 28, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    The general thought is that it keeps working, at the least slowing down the loss. We know that it does that because many men who have stopped it after 10-20 years of use, found that they lost hair after stopping in within a few months.

    Anatomy of a graft (follicular unit)

    Oct 27, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    Well written article on possible brain effects from finasteride use

    Oct 27, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064044/

    When PFS happens, do you feel responsible?

    Oct 27, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    The focus here is on possibly less than 1% of the population taking finasteride.The majority of the people I have prescribed the drug for, tell me it is a miracle drug. Some of the posters on Reddit also comment positively about it and show fantastic results with a full return of their original hair. So there is a Yin and a Yang, the Yin is high satisfaction and Yang is PFS or for some small percentage or sexual side effects that requiring stopping the drug. I try to tell everyone the story both good and bad so of the hour I spend with each new patient in my office, a good 10-15 minutes is presenting the balance between finasteride good and bad in the appropriate new patient. My PATIENTS make the decision to take it and I do not influence them or intimidate them in any way.  I try to tell the facts and offer alternatives as well.  That is what being a good doctor is. Every medication in the world has had negative effects, even Aspirin has killed people, so you can live a sheltered life and never venture into the world of any drugs, or you can be a smart, educated buyer when you need some medication, whatever it is and take the drug for the benefits it offers, but be sure to understand the down side.

    sperm count, low libido before taking finasteride.

    Oct 26, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    I’m curious, If someone has a low sperm count and low libido, is it safe to take Finasteride with family backround of low fertility? Thanks! I’m too embarrassed to ask my doctor.

    You shouldn’t be embarrassed to speak with your doctor. One of my son’s had a low sperm count while on finasteride but he conceived after trying for a few months. I don’t know the answer to your question but you elect to take finasteride then get a sperm count before and one and two months later to find out if there is a connection for you.

    Finasteride 0.5mg twice a day instead of 1mg once a day?

    Oct 26, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    The blood levels for finasteride are not important. The fact that this drugs stays in the hair follicles for up to a week or more, is what brings on the benefits of finasteride as a competitive inhibitor, so if you take a half dose twice a day or a single dose once a day of 1mg, the results will be the same.

    4 months on minxoxidil for female (photo)

    Oct 25, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    The picture says it all

    How do you know it is a mature hairline?

    Oct 25, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    I always look to the highest crease of the furrowed brow. The mature hairline is a gentle V-shaped hairline where the middle is usually about 1/2 inch above the highest crease unless there is a persistent forelock.  I can’t see your corner hairline so I don’t know if it is a normal hairline or you have recession in the corners. I need more photos

    Companies doing hair research (from Reddit)

    Oct 24, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    Androgenetic Alopecia Therapies Master List 2021

    16 months on finasteride & Minoxidil (photo)

    Oct 22, 2021/by William Rassman, M.D./0 /Hair Loss Causes

    This is a nice return to almost normal with the two staple drugs finasteride and minoxidil in 16 months, Congrats!

     

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