Some growth with dermaroller in 2 months

/by William Rassman, M.D./0 /

I’ve been on Finasteride for years. It’s been great at maintaining hair but got zero regrowth from it. I added minoxidil and only saw minimal regrowth.  Then eventually, I decided to try micro needling with a derma pen. It’s been only few months but I think i’m seeing regrowth. However, the hair strands are thin and not as thick as the rest of my native hair so I’ve been using hair fibers to equalize the density which makes my hair look 100% natural and already getting comments on how my hair is looking “healthier”.  Now although the hair fibers are doing the trick, I don’t want to rely on them forever. So my question is, does the hair gained from micro needling get thicker eventually?

To maximize the controlled insult with microneedling, you should use a Dr. Pan device with the most needles and a depth of 1.25mm. Each area must be held over the targeted balding area for at least 10 seconds to produce the insult needed to maximize the wound healing and hair growth. The problem with the dermaroller is that you may not be delivering enough of a wound to get the best results possible.

Tinnitus while taking finsteride!

/by William Rassman, M.D./0 /

Hi, I’ve been experiencing tinnitus (ringing in ears) and some heavy depressive moments over the last few weeks. What’s your opinion on dht suppression of GABA receptors that can cause tinnitus.

Tinnitus is a known side effect of finasteride.  Stop the medication and hopefully, this will go away.  See your doctor

Finasteride and body growth

/by William Rassman, M.D./0 /

I feel like I’m still growing despite being old at 23, would fin disrupt this?

No, finasteride will not stop your growth. Our bodies continue to grow and change, even those in their 90s.  New cells are replacing old cells.  The human body is very dynamic.  

SSRI and Telogen Effluvium

/by William Rassman, M.D./0 /

You’ve said SSRIs can cause telegen affluvium. But do all men with Male pattern baldness who take SSRI get Telegen affluvium? And is it rare? What is the percentage that develop TE?

Hair loss is just known as a side effect of many SSRIs. Taking SSRIs doesn’t mean that you will develop a telogen effluvium.  FYI: Selective serotonin reuptake inhibitors (SSRIs) are a series of drugs that include:

  • citalopram (Cipramil)
  • dapoxetine (Priligy)
  • escitalopram (Cipralex)
  • fluoxetine (Prozac or Oxactin)
  • fluvoxamine (Faverin)
  • paroxetine (Seroxat)
  • sertraline (Lustral)
  • vortioxetine (Brintellix)

 

Trial held in Switzerland for two nurses illegally doing hair transplants

/by William Rassman, M.D./0 /

Nurses on trail for performing hair transplants in Zurich.  In a hair transplant practice in Zurich, transplants were performed by unqualified personnel from Turkey. The two women must now answer to the Zurich District Court.

The dream of a full head of hair has turned into a nightmare for some men in Zurich. In practice in Bahnhofstrasse, hair transplants were performed by unqualified personnel from Turkey. 

The practice for hair transplant was in a prime location: the men who wanted full hair again were treated right next to Zurich’s main train station. 

The men were found shaking on a small table in a makeshift operating room facility, having surgery with both sterile and non-sterile equipment. They paid the ladies 2300 frans. 

The two women were sentenced to jail. Three others were also charged, including those who helped these ladies set up the hair transplant practice.  

 

Dr. Rassman’s Comments:  This type of activity goes on even in the US as more and more technicians are now setting up a hair transplant facility and either have no doctor or find a “duped” doctor to be present.  Beware of such clinics.  Illegal clinics are appearing in almost every country in the world. I was in Dehli earlier this year, and the Indian doctors were telling me that there are more illegal clinics than legal ones throughout the country, even though it is illegal there.  Death is a real risk from overdoses of medications used for the hair transplant by someone who doesn’t have the training to know the limits of these medications. 

2.5 months into finasteride and horny as hell

/by William Rassman, M.D./0 /

Hi! I started treatment (1,25mg fin a day) 4 and a half months ago, and my libido skyrocketed, i havent been this horny since 17-18, i am 24 years old currently. Somebody had similar experience with finasteride?

One of my nephews also went on finasteride and his sex drive went through the roof.  The drug worked so well, he wouldn’t give it up.  

Corner hairline, what is happening here?

/by William Rassman, M.D./0 /

I guess the title says it all but here’s some context: i had to quit finasteride 6+ months ago due to sexual sides. Th past month or 2 i’ve been losing a lot of hair again, and my libido is (at the same rate) slowly coming back fortunately. I was just wondering, is it possible to see if something is new growth or if its miniaturized hair? I’m not on any treatment as for now so i reckon its miniaturization.

The photos are incomplete; however, you have a small widow’s peak and the thinning is appearing in the corner of what seems like a remnant of your juvenile hairline. Better photos would help. Send a frontal view with your hair pulled back and your eyebrows lifted high so that the creases on the forehead show up.   This will show me anatomical landmarks to measure where your hairline belongs and more about what the shape should be to williamrassman33@gmail.com and I will give you a free opinion