WRassman,M.D. BaldingBlog
    • Menu

    Death in Turkey from a Hair Transplant

    Jan 31, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Apparently the Turkish court reviewed the death and made a decision that was not favorable to the illegal practice of hair transplants.  Some of the good doctors in Turkey are disappointed in the results of the court hearing.  If you are going to Turkey, get a well known and established doctor. You shouldn’t have to die to get a hair transplant!  How many have died?  I don’t believe we will know the answer to that question.

    Is the mature hairline phenomenon only common in Caucasians?

    Jan 31, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Most men undergo an evolution in their hairlines as they get to the ages between 18-29, but the mature hairline looks different in some Asians and Africans.  For men from India, more men retain their juvenile hairlines than most Caucasians do.  Bill Clinton has retained his juvenile hairline but after his heart attack, some of the hairline eroded.

    4 months on finasteride and minoxidil (photo)

    Jan 31, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    The photos suggests that your hairline filled in a bit, is that what you are seeing? If so, good job.  Better lighting on the photos would make it easier to see the benefits


    PFS (Post Finasteride Syndrome) in my practice

    Jan 28, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Just curious. You have had zero people with PFS, how many prescriptions have you given out over the years? I’m guessing in the thousands?

    I have written thousands of Rx for finasteride since it first came out. Also many other doctors who are full time in this business compared notes and not one of them have seen PFS in their patients either. This is just sampling of other comparable quality doctors who do hair restoration. It’s not that I don’t believe that PFS happens, it is just not as common as portrayed. The following are two baldingblog posts reflecting Dr. Robert Haber’s experience with sexual dysfunction in his patient population compared to men not taking it:  https://baldingblog.com/new-report-that-finasteride-does-not-cause-sexual-side-effects/  and https://baldingblog.com/finasteride-what-are-the-real-sexual-side-effects/

    Questions about hair transplants

    Jan 28, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    I appreciate all answers and am looking for multiple perspectives!

    1. Does transplanted hair really remain forever, even without Fin/Min?

    2. Is it possible to tell early on I’m the balding process, if I would be a good candidate for a hair transplant? I am 30.

    3. What makes a good hair transplant candidate?

    4. Is there such as thing as doing a transplant too early?

    5. Is there a limit to how many transplants I can get?

    6. Is there an optimal time to get a transplant?

    7. Is it OK to get a transplant (or multiple) and not take Fin/Min?

    8. Can I transplant from beard if beard hair is dense and thick?

    1- Transplants remain forever in 95% of men provided the hair came from the donor area
    2- Balding does show in most men unless they can style their hair to cover it
    3- Right age (over 25), setting realistic expectations, good donor area, great surgeon and team
    4- Transplants prior to 25 are not advisable. Be sure that no scalp skin diseases exist on the head
    5- Transplantation in a single session has limits. Total lifetime supply of grafts is about 2/3rd of the donor supply provided that your hair is not fine in character
    6- Over 25, with realistic expectations, sit down with a great surgeon and work out a Master Plan for our future
    7- If you are over 30 and miniaturization is not a problem, then not using finasteride with the transplant may be ok. Remember, the risks of hair loss continue and even more so if you had recent hair loss when you had a hair transplant. Genetic hair loss is a progressive process, something you must remember
    8- Beard hair is a secondary donor site if you run out of scalp hair. Scalp hair is the best hair because it has the same character of the hair you lost

    Hypertrichosis from minoxidil

    Jan 28, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    I plan to stay on oral minoxidil but it gives me unwanted body hair. I know that in normal situation, a laser hair removal works after few session, but does it destroy the entire hair follicle?

    So if i keep taking the minoxidil the unwanted hair, will it regrow despite the laser removal?

    If you have a lot of unwanted hair from minoxidil, you might just stop using it.  Have a discussion with your doctor about substitutes for minoxidil in your situation.

    I am losing 150 hairs per day

    Jan 28, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    When will all of my hairs leave me bald?

    The average scalp loses 100 hairs per day and regrows 100 hairs per day to keep the number of hairs on the head constant. The cycle determines how many hairs are lost per day. 365 Days * 100 hairs *3 years is the average cycle in a young man gives you a cycling of 109,500 hairs over 3 years (which is the average hair count for a Caucasian). That means every hair on the head is regrown in 3 years. If the cycle is shorter and you still shed 150 hairs per day, the non-balding man might just have a shorter cycle, like a two year hair cycle.

    Article suggests finasteride could produce poor beard growth

    Jan 27, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    https://pubmed.ncbi.nlm.nih.gov/8287580/

    Some doctors don’t agree with the conclusion in this article as finasteride only blocks 70% of DHT leaving 30% to produce beard growth.  In other words, this is a controversial conclusion.

    What hair cycle am I in?

    Jan 27, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    I’ve been on Fin for three months and I am shedding about 200 hairs daily…… I don’t know what to do and not sure if wasting more money in useless dermatologists who don’t care at all is a good idea, so before booking an appointment I would like to know what hair cycle I am in?

    Each follicular unit (there are 50,000 on a human head) have their own hair cycle. That is why we lose hair each and every day and regrow hair each and every day as the hair are cycles from anagen to telogen

    Minoxidil has an effect on wound healing and it grows hair

    Jan 26, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    https://pubmed.ncbi.nlm.nih.gov/9326711

    The authors have proposed minoxidil as a topical inhibitor of wound contraction and proliferative scarring. This was never performed in people or animal studies, just invitro studies

    Effectiveness and safety of low-dose oral minoxidil in male androgenetic alopecia (jaad.org)

    This article shows the value of oral minoxidil in treating balding and thinning in the top and crown of the head with an effectiveness of 92%.

    6 months on minoxidil and finasteride (from Reddit)

    Jan 25, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    6 Month Progress- Min and Fin only from tressless

    Post Finasteride Syndrome (PFS) Question

    Jan 25, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    A simple question that I don’t I find very often an answer to it.

    I have minor Fin side effects for some time now and I’m sure they won’t go away. My erection works and it gets fully hard, but it takes a bit longer than before. I do get morning wood, but I do not get random boners when I think about a girl or sex. I do need stimulation to get it fully hard tho. So my penis still works, but it feels less alive. Would this be considered libido issues or ED issues?

    Is it okay to tolerate these side effects and just continue using Fin? Will there be any consequences?

    The doctor in this thread once commented that if you continue using Fin while having side effects, you run the risk of having PFS. I know he’s a doctor, but I’m not 100% on the boat that sides are permanent. I actually took a break once from Finasteride after 6 months, and my sides dissapeared in like 3 days.

    Already tried different doses and dropping Fin isn’t an option (at least I hope).

    If there is something called Post Finasteride Syndrome (PFS), then the longer you hold onto significant sexual side effects, the more likely you could get this syndrome. Many doctors like myself, believe that prolonged severe sexual side effects on finasteride put you at risk for PFS (but many question the legitimacy of this syndrome)

    Decision to take finasteride?

    Jan 25, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    On one hand, I really want to hop on fin. Because I’m not ready to lose my hair. Sure, taking a medication for 10+ years is not exactly jolly, but it’s better than losing my hair. I’ve seen much evidence pointing to the fact that finasteride is safe and effective. It’s a well tolerated medication and if you do experience side effects, it can be mitigated with titration adjustments. And discontinuation will most definitely end any side effects.

    Here comes the issue:

    On the OTHER hand, I do see a lot of compelling evidence against it. I’ve read about the effects on allopregnanolone, an important neurosteroid. Finasteride DOES kill this hormone off, since it relies on 5AR. However, we don’t see many side effects in most people anyway, so what the hell?

    And to muddy the water even further, there are things such as Merck lying about other medications and the scandal with the FDA and finasteride.  Can you chime in on this? Thank you

    I tell my patients that it is worth trying if you really have genetic balding and it is active. The odds are 96% that you will not get sexual side effects. It has to do a lot with your state of mind. If you try it and you get any significant side effects (sexual of otherwise) then you can always stop it.

    If You are Interested in DHT, Testosterone and DHT Blockers, read this article

    Jan 24, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    Dihydrotestosterone: Biochemistry, Physiology, and Clinical Implications of Elevated Blood Levels

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459338/

     

    This is a very good review of the relationships between DHT in the blood and in the hair follicle, Testosterone and the use of DHT blockers.

    My hair character changed with hair transplant.

    Jan 24, 2022/by William Rassman, M.D./0 /Hair Loss Causes

    My natural hair is fine and wavy.  After the hair transplant, the frontal area is now thicker but it is clear there are two types of hair there. One is super curly.  Will this go away with time? Did my surgeon screw up? Will it happen for all subsequent transplants if I go that route?

    The hair should mimic the hair from the back of the head in terms of thickness (not the frontal miniaturized hairs). The increased waviness is not an uncommon finding after a hair transplant. For those men who develop more wavy hair after the first hair transplant, the same is likely after a second hair transplant in my experience.   I don’t know why it happens.

    1234
    Page 1 of 4

    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