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We’re taking a few days off for the New Year holiday.

2015 marks the 10th year of Baldingblog with over 12,363 posts to date!
A special thanks goes out to all readers of this site with never ending hair loss questions.

We’ll be back in 2015!!!

Happy New Year

 

It’s the holiday season, so we’re off for the week.

While there may be no new posts, there’s still plenty of 12,000+ posts I’m sure you’ve missed over the years. Please use the search box at the top right to find a topic that interests you!


Happy Holidays!

Happy Holidays!

 

 

Can you stimulate the scalp to grow hair with Lasers? One hair restoration site was promoting hair growth with Lasers used for women’s hair loss.

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The following is just my personal opinion. In my practice I have offered lasers and have carried out limited trials on various lasers offered. I got these lasers free so I tested them on my patients and did not charge them for these treatments. I saw no consistent benefits from the lasers in most of the patients who had the treatment. Some patients have reported subjective benefits and they have been happy. But I have not seen the benefit on a measurable scale so I do not promote it in my practice.

Low Level Laser Light Therapy (LLLT) is pushed by many doctors because they sell these lasers as laser combs, Laser Hats and other Laser delivery systems under the premise that they bring blood to the balding area and the hair growth therefore improves or there is some direct impact of the LLLT therapy on the hair. There has been no clinical demonstration that these lasers actually help grow hair. If in fact it did bring blood to the area (which I doubt), bringing blood to the area cannot make hair appears where it has died from genetic hair loss. As hair is being lost, it is often impacted by miniaturization (a transition period leading to full hair loss in some people) and the Lasers have not been shown to be effective in these conditions either. Hair won’t suddenly appear, but your wallet will get lighter. Some doctors make a killing selling lasers for as much as $3,000 each.

wallet

 

I am taking Red Bull along with my work out program. I keep losing hair and I saw from your blog site that working out will not cause hair loss. With that in mind, I want to know if using energy drinks can help my body grow hair. I drink a great deal of Red Bull, but I have not seen value for my hair regrowth.

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What in the world would make you thing Red Bull may help your body grow hair? I am missing the logic!
Red Bull contains: caffeine, niacin, pantothenic acid, vitamins B6 and B12. There is nothing special about it from a hair follicle point of view.

Energy drinks like Red Bull will not grow your hair back as you have already noticed. When taken in excess amounts, this particular brand can be dangerous, especially if you are a diabetic. There was been one report in the medical literature that presented a patient who drank about 100 ounces of Red Bull per day (5 20 ounce servings). In this particular patient, he developed renal failure (kidney failure) which fortunately did reverse when the Red Bull was stopped. Red Bull contain caffeine as well as other ingredients such as vitamins, sugar, amino acids, and herbs and when taken in moderate doses, it is probably safe, but 100 ounces a day for 3 consecutive weeks, did seem to bring on the kidney problem, a condition that could be life threatening. Just one report may not really do this side effect justice. Using energy drinks in moderation like anything you consume, makes sense.

Tags: energy drinks, renal failure, kidney failure, Red Bull, hair growth, losing hair

 

We just got the most up-to-date laser hair removal system in our office (The Laser Vectus System) and I stepped up to the plate as one of the earliest patients with this very new technology. My target was my back hair, my neck hair and most significantly my ear hair. I am sure you can see from the subject of this post that my vanity does dictate my actions. As for pain, it was barely detectable for me. Even if it hurt, I knew that the benefit for my ear hair was worth whatever pain it would cause, and once it was done, it was a non-event for me.

From reading our previous posts on hair cycling addressing Anagen and Telogen hair cycles, back hair is like any body hair, which means than only about half of the hair is growing at any one time. The laser only kills hair in the Anagen phase of hair growth. With this knowledge, I expect that the next time I do it (about 8 weeks), there will be new hair on my back that came out of the Telogen phase and went into the Anagen phase. As the laser can only kill hairs in Anagen, at my second session, half of the hairs that remain will not show (as they are beneath the skin surface in some ‘stem cell’ form), so I will have to do it a third time about 8 weeks later to get those hairs that were not in Anagen. The more times I do it, the less Anagen hairs will appear until they will essentially be all gone. My neck hair will probably have a growth cycle similar to my back hair; however, possibly with longer Anagen hair cycles so I am hopeful that the ear hair will have an even higher Anagen to Telogen ratio that would therefore take less sessions.

Now I am so excited about it, I might just tackle some of my chest and arm hair next, but my wife likes my chest hair so the problem is more of a ‘couple problem’ then a medical one. I knew women who did their bikini pubic area and underarm hair. We men may not be as bold and fearless as some women. If you are like me and your are in Southern California, you might now want to take advantage of our Laser Hair Removal Technology and make an appointment with us for an evaluation (see: http://www.newskin.com/z_vt_hair_removal.htm). This technology is not for everyone, especially for men with very dark skin (African Americans) or white hair (not easily killed in Anagen as the laser kills the darker hair only). We will offer anyone coming from this site a 15% discount off of our regular prices for hair removal to qualified candidates.

vectus

Tags: body hair, chest hair, neck hair, ear hair, hair removal, Anagen Cycling, Telogen Cycling

 

Most consumers and patients take for granted that “board certification” implies some level of expertise and qualification of a doctor. What does it ultimately mean to you? Why do we even bother with it? Is it to advertise achievement reflecting doctors’ credentials?

In the United States there are 24 approved medical specialty boards that are overseen by The American Board of Medical Specialties (ABMS), a not-for-profit organization. Certification by an ABMS Member Board has long been considered the gold standard in physician credentialing. To be ABMS board certified means that the physician has undergone formal educational and clinical training with adequate supervised activities a medical institution AFTER earning their medical degree. After this training, they must successfully pass a level of competence through written and oral examinations.

Hair transplant surgery is not a part of the ABMS so there really is not a board certified hair transplant surgeon in the traditional sense the public thinks of. This is mainly because there is no formal supervised training or credentialing in hair transplant surgery. There is no curriculum and no oversight. There is no place to formally learn to become a hair transplant surgeon. To date, the only way to learn how to perform hair transplant surgery is to read a book, attend a seminar, or become an apprentice to a doctor in the private practice of hair transplantation. We know of doctors who never performed a hair transplant surgery but only attended a seminar and within a week set up shop proclaiming that they were experts at Follicular Unit Transplants. If there was truly a board or some sort of governing body, the physicians who learn the field through an overnight effort would have been discredited and alienated from his/her peers. But this is not what happens because hair transplant surgery is not considered mainstream surgery and anyone with a medical degree (even straight out of medical school with no training) can legally perform it. Unfortunately, a license to practice any or all specialties of medicine comes after 4 years of medical school and an internship and with that completed, a doctor could proclaim themselves even a neurosurgeon; however, no hospital would allow this overnight sensation to practice neurosurgery.

Recognizing the need to become part of the mainstream, in the mid 1990’s the American Board of Hair Restoration Surgery was formed to independently certify hair transplant surgeons. The Board requires recommendations for other doctors and 100 hair transplant surgeries to qualify to take the Board’s examination. But the board can not certify adequate supervised training, as there is none. It is also powerless in its structure to monitor any doctor’s training or enforce any form of discipline. Why? Because there is no place for a physician to train to become a hair transplant surgeon. There is no education/training center. There is no residency. There is no fellowship in the traditional sense. Thus, the term “board certified” hair transplant surgeon is NOT the same nor does it hold the same value as “board certified” in the common sense that we think of a board certified plastic surgeon or neurosurgeon. In fact, states like California forbid doctors to use the term ‘certification’ unless it reflects the American Board of Medical Specialties’ endorsement, which is not the case today, nor should it be. The reality of this training process is that this is a one surgery field. Today, I know personally of doctors who started doing FUE after only attending one ISHRS meeting. When I spoke to the doctors about their results from the FUE they were doing in the first 6 months and they admitted to me privately, that they had very significant failures in their initial treated patient population.

This is why many hair transplant surgeons are not board certified in hair transplant surgery. Drs. Rassman, Pak, and Kim are not board certified in hair transplant surgery mainly because they felt that it had little significance to their practice or credibility. Since Dr. Rassman is widely regarded as one of the pioneers of modern day follicular unit transplantation (from the early 1990s) and even the innovator who started the FUE technique in 2002, his reputation stands on its own without a certification. When Dr. Rassman started performing hair transplant surgeries in 1991, the standard was ‘plugs’. He visited doctors who had great reputations in the hair transplant field and watched what they did. He figured out that the techniques that were used did not meet his standards and he refused to adopt that technique. He learned the details of how it was done by others over a period of a year and then he pioneered (a risky move) what eventually became the standard for hair transplantation across the world.

Dr. Pak was part of the original research team (working as an engineer) that developed FUE instrumentation from the mid-90’s (that eventually ended up in a U.S. Pat. No. 6,572,625 licensed to Restoration Robotics for the Artas® Robot) and has been trained exclusively by Dr. Rassman as a hair transplant surgeon. Dr Pak’s hair transplant surgery education was in the traditional sense of a fellowship or apprenticeship by working one on one with a mentor, Dr. Rassman, for more than a year. For that matter many well respected physicians have gotten their start from Dr. Rassman in the 1990’s and 2000’s. To this day, Dr. Rassman receives several emails a month from physicians requesting private fellowship training. In fact, we even found on multiple occasion, doctors from a foreign country that display photos of Dr. Rassman standing next to themselves to advertise to their patients that they were trained under him. These pictures were taken at conferences.

Misrepresentation in this industry are common. A series of website or “forums” or ‘Networks’ exist that define the best doctors in the world for its viewers. To get such endorsements, doctors must join that organization and pay a monthly fee in excess of over $1000/month. The implication is that if the doctor is not endorsed by that particular ‘forum’ that they are not amongst the “elite” and highly respected doctors in the world. The ‘forums’ or ‘networks’ collect these prospective patients and dole them out to the doctor so that the doctor might get there money back through professional fees. It becomes an interesting way to advertise through third party ‘endorsements’. To be as blunt as possible, these ‘forums’ or ‘networks’ are not neutral patient advocate sites but a subtle way for doctors to advertise by paying a membership fee. As I know most of the really great hair transplant surgeons world-wide, I know who is good, who is very good and who is not so good. The good and the bad surgeons may inevitably be endorsed by the website as long as the payment is made. I do not know them all. So you, the consumer, must be really careful if you accept the endorsements of these organizations without doing your research.

In the end the consumers (patients) are left not knowing what to believe. Board certification does not mean much if no one can enforce a certain standard of care or even oversee the training of surgeons. The Forum that endorse doctors do it for their profit, so they should not be trusted without really doing your own research. Sadly many great hair transplant surgeons are intermingled with the sleazy opportunistic ones and the entire profession is dragged through the mud as a whole but the consumer who do not get what they paid for, what they expected and end up blaming the ‘sourcing’ for their doctors.

Tags: hair transplant, surgery, surgeon, board certified

 

Ever since I became a doctor, friends and family have asked me to prescribe antibiotics for them as a favor when they don’t feel quite right and think that they are coming down with something. They don’t want to go to a doctor’s office when they have the flu-like or upper respiratory complaints such as a cough, a runny nose, sinus pain, and many other such miladies. When I have refused to prescribe the requested antibiotic, my routine, they make me feel as if I have betrayed them, after all, it is so simple for me to do it.

“The Centers for Disease Control and Prevention (CDC) reports that each year in the United States, at least 2 million people become infected with bacteria resistant to antibiotics, and at least 23,000 people die as a direct result of antibiotic-resistant infections.

Tom Frieden, MD, MPH, CDC Director, points out, “It’s clear that we’re approaching a cliff with antibiotic resistance. But it’s not too late. Clinicians and healthcare systems need to improve prescribing practices. And patients need to recognize that there are both risks and benefits to antibiotics — more medicine isn’t best; the right medicine at the right time is best.”

The above quote was taken from Medscape General Surgery website July 7, 2014 and after reading it, I felt better about turning down my friends and family when they don’t feel well and ask me to prescribe an antibiotic for them. There clearly is some misconception in our society that antibiotics cures the common cold, flu, coughs and sinusitis. FYI, none of my family or friends died or became hospitalized as a result of my turning them down for their requests.

Tags: antibiotic

 

head tattoo, not smp

This image was created by fooyoh.com


head tattoo, not smp
Look at all of the tattoos shown here. Fascinating!

Tags: scalp tattoo

 

We are announcing a summer discount program for hair transplants as follows:

· Follicular Unit Extraction (FUE), reduced from $8/graft to $6/graft (minimum 1,000 grafts)

· Strip surgery reduced from $6 to $5/graft (minimum fee $3,000)

These fees will apply for any surgery performed before August 31, 2014.

In addition, we want to invite you to visit us and see the amazing results of Scalp Micro Pigmentation(SMP) on previous hair transplant patients who wanted a fuller look or wanted to address their scars (see scalpmicropigment.com). During your free consultation, ask to observe one of our SMP procedures so you can see, for yourself, the value of this process. At our Open House Events you can meet many patients who have already had hair transplants and Scalp Micro Pigmentation – our Summer events are Thursday July 10th from 4-7 PM and Saturday August 9, 2014 from 11AM to 2PM.

Please visit us at our open house: July 10th between 4 and 7 PM.
5757 WIlshire blvd.
Prom. 2
Los Angeles, CA

Or Call us at:
(800) New-Hair

Tags: summer sale, FUE, strip surgery, hairloss, hair loss

 

Snippet from the article:

A three-year-old Italian boy who suffers from a rare and incurable degenerative disorder called Krabbe disease received a stem cell injection last Saturday. It was his sixth dose, and according to the person who developed the treatment, Davide Vannoni, the boy has obtained “very good results.” Under normal circumstances, any claims of improvement in this boy’s ability to move around and develop mentally would be more than welcome. But Vannoni’s assertions — that his stem cell injections can reverse the effects of any number of fatal diseases — aren’t supported by peer-reviewed studies or clinical trials. And he isn’t backed by a drug company or a university either.

In fact, outside of his small circle of associates, he has received very little support from the scientific community. Yet his organization, a nonprofit called the Stamina Foundation, has treated more than 100 patients since 2007 — and at least 14 of those treatments were paid for by the Italian government.

“They claim that they are able to isolate mesenchymal stem cells from the bone marrow of patients simply by using a drill,” says Elena Cattaneo, a pharmacologist and the director of UniStem, the University of Milan’s Centre for Stem Cell Research. “And then they have been claiming that they’re able to transform these mesenchymal stem cells in 20 minutes into neural stem cells,” to restore a person’s neural functioning. This is impossible, she says, adding “I spent my life generating neurons from stem cells. All this makes no sense.”

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Read the rest — Meet the con man selling fake stem cell treatments to children

Stem cell clinics are seemingly appearing everywhere. Why? The answer is plain and simple MONEY. I was just invited to join such an organization and of course, I declined. Let the buyer beware!

Tags: stem cells, stem cell treatmnt, con man

 

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