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    Synthetic Hair Became Infected

    Jun 30, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Infection is very common when synthetic hair is placed into the scalp.  This process has been outlawed by most Western Nations, but somehow the companies that sell it get someone to put them in the scalp on some balding men.  I am told that initially, the implants look great and can make a bald man look like he has a full head of hair, but in time, these artificial hairs get infected.  The infections are persistent and don’t respond to antibiotics.  These or foreign bodies and the patients develop severe scars.  Even if these hair could be removed, which is very, very difficult, the infections often remain.  In this man, the infection went down and exposed his skull.

    2500 grafts clearly not normal appearing (Video)

    Jun 30, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Getting 2500 grafts from an FUE doesn’t mean that it will be aesthetically pleasing or successful.  This is an example of a failure on both ends of the FUE process from a Turkey clinic.  To make matters worse, 2500 grafts that were taken from the donor area are lost for future hair transplant work. When needed.  Fortunately, this can be fixed, but there is no bargain when you pay for it twice.

    https://baldingblog.com/wp-content/uploads/2023/06/VIDEO-2023-06-10-00-47-14.mp4

    Restarting fiansteride with disasterous results

    Jun 30, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    I was on finasteride for 5 years when I stopped it and then lost all of my hair.  Fortunately, I restarted it and it all came back. 

    Some men who stopped it and waited too long were not as lucky as you were in getting all the benefits back.  I hope others learn from you but don’t expect the same result. 

    3 months on finasteride and minoxidil (photo)

    Jun 29, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Some men inherit a strong forelock and then bald around it as is the case in this man.  The forelock was not genetically sensitive to his DHT but not the hair around it nor behind it.  He is lucky that these impacted hairs responded to finasteride and minoxidil. 

    4 months on topical minoxidil (photo)

    Jun 29, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    This is a good response to topical minoxidil

     

    9 months on finasteride (photo)

    Jun 28, 2023/by William Rassman, M.D./0 /Hair Loss Causes

     

     

     

     

     

     

     

    Some men hide their faces and even their entire hairline to hide their identity.  I often wonder why they post at all.  They want feedback on the benefits of their treatment, even congratulations for emotional support, yet the photo so poorly reflects what they want to show, the process is self-defeating. 

    Do you take oral Fin and oral min together? In the AM or PM?

    Jun 28, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    It doesn’t matter when you take these pills. You can take them together if it is easier to remember to do it.

    Antidote for balding?

    Jun 27, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    https://edition.pagesuite.com/popovers/dynamic_article_popover.aspx?guid=7cbe3a1a-aebd-40c4-8c77-ab87235371d6&appcode=OCR108&eguid=fafc843d-8648-49e1-b261-1195c824e9e2&pnum=2#

    Widow’s peak with hair transplant?

    Jun 27, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    I just had a hair transplant and my doctor did not give me a widow;s peak which I always had before losing my hair.  Is that usual?

    The doctor could have put a Widow’s peak in your reconstructed hairline but unless you ask for it, it is normally not done. Why didn’t you ask for it?

    Pink color in transplant area now 90 days

    Jun 26, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    I have seen this only a few times in thousands of surgeries.  The pink color will eventually go away.  Some people put hydrocortisone 1% on it (can be purchased over the counter, but only apply it twice a day for 5 days and then stop it).  If it doesn’t go away, maybe a dermatologist can prescribe a more potent anti-inflammatory drug or you can wait it out.  I doubt it is a low-grade infection, but maybe if you don’t respond to the hydrocortisone cream, see a dermatologist.

    Complaint that penis lost its girth on finasteride

    Jun 26, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Hi doctor.Are your patients mostly recovering from sexual sides of finasteride when they quit? For example,my penis lost its girdth after 18 months of finasteride use.Will it become better If I quit this drug?

    I have not really understood the complaints about a reduction in penis size as a side effect of finasteride. My patients, thousands of them, have never brought up that subject with me. I can’t help you with this one

    Coping with Hair Loss

    Jun 23, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Guest Article by Edrian Blasquino

    Embracing Change: Coping with Hair Loss Emotionally and Psychologically

    We all know that change is an inevitable part of life, but sometimes it manifests in ways we least expect. One such change that can deeply affect our emotional and psychological well-being is hair loss. 

    Whether it occurs due to medical conditions, hormonal imbalances, stress, or other factors, hair loss can be a challenging experience. 

    In this blog, let’s explore the emotional and psychological aspects of coping with hair loss and discover ways to embrace this change with self-compassion and resilience.

     

    Read more

    Just from Topical Liposomal Finasteride alone

    Jun 23, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    It was because of Dr. Insalaco’s work that I began prescribing topical liposomal finasteride as shown in her patient below

    7 months finsteride and topical minoxidil (photo)

    Jun 23, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Great result with the topical minoxidil and finasteride combination. 

    Hiding baldness (Boufant) (photo)

    Jun 22, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    I remember a patient of mine that woke up at 3:30am every morning with his Class 6 pattern of balding.  He let the hair on the sides grow very long and then for 2+ hours every morning, he would style his hair so that the side hair would cover his balding Class 6 pattern. His combover (called a Boufant) was successful, but his life was arranged around his hair, where he could not go to certain places or visit certain people, or go out on a windy day, he generally stayed indoors when it rained, and often called in sick from work when rain was predicted. Fortunately, he lived in California where rain is restricted to the months between December-February. He reduced his time away from home and became a prisoner to his need to create his morning Boufnat. 

    The hair transplant changed his life as he was no longer imprisoned by his need to style his hair. 

    The man below could be heading in the same direction which I am sure creates similar restrictions on his life.  He does a great job covering the bald frontal area with his side and back hairs (see arrows).  The best ticket to freedom for his life is to get a hair transplant. I suspect this can be corrected in a single hair transplant. 

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