WRassman,M.D. BaldingBlog
    • Menu

    Protein identified for controlling hair death

    Jan 16, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Researchers at the University of California Riverside (UC Riverside) have identified a single protein that seems to control when hair follicles die. Armed with this new information, it might eventually be possible to reverse the process and stimulate hair regrowth.

    The protein in question is known as TGF-beta, a signaling protein that regulates the division, growth and death of cells. As such, it plays major roles in important jobs like wound healing, and seems to be hijacked by cancer cells to allow uncontrolled growth. In this case, the team found that TGF-beta extends its work to the cells inside hair follicles.

    Read more here:  https://newatlas.com/biology/hair-loss-baldness-regulator-protein/

    Asymmetrical beard and hairline

    Jan 13, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    I seem to have less hair on the right side of my face in relation to the left side, but yet nobody else in my family has this issue. What is usually the cause of this and is a hair transplant the only solution?

    Some men develop asymmetrical beard growth. If you are just starting growing your beard in the past year, don’t worry. Also the transition from a juvenile hairline to a mature hairline is also often asymmetrical as well.

    20 years after a hair transplant

    Jan 13, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    There is no doubt that this man, now in his mid-50s, looks younger than his balding before state. I did his surgery 20 years ago and it is always a pleasure seeing my older patient.  He maintains his hair situation from progressing by taking finasteride which he has been taking since 2002. He has no side effects. I want those of you who are looking at his hairline and see if you can see that this man had a hair transplant.  I can’t tell even today.  His hair transplant shows the value of a 1/4 inch transition zone made up with around 350 single hair grafts in front of the 2 and 3 hair grafts that bring on hair bulk. This shows that the hairline is not a ‘line’ and it should never be.  The transplant does not need the finasteride to hang in for his lifetime because these hairs came from the back of the head where the hair is lifetime hair. 

    6 months on finasteride and minoxidil (photo)

    Jan 12, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    This man shows the value of the combination of both finasteride and minoxidil

     

    l

    Minoxidil plus finasteride 18 months (photos)

    Jan 12, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    June 2021 vs. today (11.2.2022), 1.5 years on 1mg fin every day, Niz 3x per week, and 1 month on 2.5mg oral min every day.

    Nice improvement. Stay on your routine and it will only get better. It may take another full year to see more value of what you are doing and it is even more likely that it will get better if you add weekly microneedling to your routine.  If this is not enough and you are over 25, then a hair transplant will give you a normal hairline, something to consider.

    Alternating topical and oral minoxidil

    Jan 11, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    My idea is to use topical once every other day and and oral every other day as well, like

    Monday : topical

    Tuesday : 2.5mg oral

    Wednesday : topical

    and so on…

    I’m using topical min since 1.5 years now and would like to add oral min to increase effectiveness. It’s also getting really tiring to apply the topical everyday.  Topical min was really good for me but I feel like it lost its efficiency. I’m also on 1mg finasteride for 2 months.

    This makes no sense to me. If you are on the oral minoxidil, stay on it and forget the topical. You don’t want to overdose this medication because of heart side effects. 

    Recently Recovered from Telogen Effluvim

    Jan 11, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    I’m currently going through TE and I might be tested positive with covid, will I 100% go through another round of TE cause of this?

    There are no certainties in predicting what you are asking me; however, overlying Covid after having TE, I would suspect that your risk of another episode of TE is high

    Class 7 pattern planning

    Jan 10, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Is my donor area too thin to use for a hair transplant?  I have sent the same pictures to a doctor who said we could do 5000 grafts, with permission to use around 800 grafts give or take from my beard, but I am concerned they just want my business.

    I don’t know your age, but you clearly are developing a Norwood Class 7 pattern of hair loss. That means that you MUST develop a Personalized Master Plan to get hair back and always look normal. A good hair doctor will measure your donor supply and your hair mass index and when you believe that a hair transplant is the right approach, the plan must take these two factors into consideration to make sure that you always have hair and always look normal. I believe that if your hair is fine, that 5000 FUE grafts taken from your donor area will be a disaster. Take a look at this man who followed his class 7 pattern from the age of 30 and has always kept hair.  We developed a strategic Personalized Master Plan for him to be able to keep up with his hair loss.  What is significant about him, is that he had about 250,000 birth hairs on his head (Caucasian is usually 110,000) and his hair was medium coarse and wavy which was highly desirable. His ability to get 11,000 grafts was unusual, but for him, it fit his personalized PLAN: https://baldingblog.com/norwood-class-7-pattern-patient-received-11000-grafts-plus-smp/

    5mg oral minoxidil vs 2.5mgs

    Jan 10, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    5mg oral minoxidil once a day or 2.5mg oral minoxidil twice a day, which would yield better results?

    The issue at hand is not the blood levels achieved. A dose of 5mgs runs heart risks not worth taking for a healthy man. The point is at what level will the hair effect happen. The answer is a 2.5mgs daily, good results are seen and it is safe from severe cardiac side effects which is very rarely reported.

    Minoxidil and hair transplants

    Jan 9, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    My question is, should I be using topical liquid min on my frontal area where I’ve had hairs transplanted? I never do as the box says it only works on the crown area, but is this different for the transplanted hairs?

    Hair transplants do not need minoxidil and minoxidil will not stimulate hair transplants to grow as they grow regardless of medications used. By all means, use it in the crown where it may work well.

    Finasteride side effects went away

    Jan 9, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    I started fin 13 months ago 1mg /daily. At first I had sides, loss of sex drive, runny ejac, and shitty boners. I’m a vain man, I work in sales and I figured this was all worth keeping my head of hair. Fast forward 3 months and they went away. I was hesitant to celebrate but it’s been 9 months and they haven’t come back. Fin not only stopped my balding dead in its tracks, also got some regrowth. I’m 31 so hair loss is pretty normal at this age but I still get the “you lucky bastard” comments from the less hairy lol. This might sound dramatic but good looks are an insane advantage in our society and finasteride saved my life lol.  

    This is a positive story, something about side effects one doesn’t hear often

    Finasteride for 2 months, no effects

    Jan 6, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    If finasteride works, it often takes 6-15 months to see a gain. You are over 40, so men over 40 get less frequency of hair loss reversal.  Its immediate effect is to slow down the hair loss, something you may or may not notice.

    23 wanting a hair transplant

    Jan 6, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Should I get a HT ? Im 23 i used minoxidil for 2 years and did nothing just stopped the shedding so what you advice me to do ?

    I am against surgery in someone your age because you might progress to a full Class 7 pattern and if you did, without careful planning, you might run out of donor hair. You need a personalized Master Plan for your hair loss with a good doctor who knows how to build one, see here:https://baldingblog.com/creating-a-personalized-master-plan-for-present-and-future-balding-photos/

    Maturing hairline

    Jan 6, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Maturing hairline vs recessions:  I believe that a “Maturing hairline” is the same as MPB receding hairline. Someone people just recede more slowly than others or have their hair loss isolated to their hairline.

    That is not true.  A maturing hairline is the normal evolution of a juvenile hairline that disappears in most Caucasian men between the ages of 18-29

    Restarting finasteride

    Jan 5, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    I experienced further thinning one year on fin and stopped it. Im 32 years old NW1.5, should I give Fin a second chance risking 1 more year?

    It’s not a good idea, assuming no side effects from finasteride, to stop it.  That allows you to lose more hair. I tell everyone that finasteride is always working at the least to slow down the hair loss and at the best it may reverse it (common in men under 25).  I would go back on finasteride and stick to it.  You should be managed by a good hair doctor.

    Newer Entries
    12345
    Older Entries
    Page 3 of 564

    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

    • 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