Vasoconstrictors and MPB (Adderall, caffeine)

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

Posting this thread to get your opinions/insight. If minoxidil is the opposite of a vasoconstrictor, does this mean stimulants could have the opposite effect of min and elicit the follicle to squeeze shut even faster in people prone to MPB?  Additionally- If this is the case- would the effect be negligent at best? Could be totally wrong but I’d like to hear from someone who knows a lot about follicle mechanisms.

Although Adderall has known hair loss effects, I don’t believe it is related to its vascular properties.  Caffeine stimulates hair growth so you got it wrong here.

Do hairs thicken in new anagen hair cycles?

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

For example, if there is a miniaturized hair due to T.E, so will the hair grow thin at first, then fall off and grow and bit thicker and this cycle will go on till the hair follicle achieves it’s full thickness ?

Hair does not normally thicken in cycles unless it is miniaturized and impacted by DHT blockers like finasteride or dutasteride.

A History of Long Hair in Men

/by William Rassman, M.D./0 /
November 18, 2020
THE LONG HAIR

Traditionally, long hair has always been a symbol of masculinity. All of history’s great warriors had long hair, from the Greeks (who wrote ode to their heroes’ hair) to the Nordic, from the American Indians (famous for their long shiny hair) to the Japanese. And the longer and more beautiful the hair was, the more manly the warrior was considered. Vikings had their braids, and samurai used their long hair as a symbol of their honor (they cut their braid when they lose their honor). The Romans are the ones who “invented” short hair to say it somehow, between the 1st and 4th centuries. S.. In battles they believed this gave them defensive advantages since their opponents couldn’t take them by the hair. This also helped them to recognize each other on the battlefield. But at the same time it was a political decision, and the emperors imposed this habit on men as a form of political-social control. Many villages continued to maintain the traditional custom of associating long hair with masculinity even after the Roman invasions. There have also been societies forcing men to wear wigs, because their natural hair was not pretty enough (e.g. France XIII Century). Short hair in men is a relatively new invention that has nothing to do with aesthetic. Nowadays men use it short because the peoples conquered by the Romans adopted this habit generation after generation and we inherit it. Nowadays it seems almost natural and many believe men are better off that way, but this belief is the result of cultural indoctrination. In addition to the reasons the Romans had for cutting their hair, short hair became a symbol of humiliation.

When a warrior was captured, they cut his mane to humiliate him, to take away his beauty. This habit has been incorporated into what is military service today. When new soldiers begin their training, the first thing they do is cut off their hair to undermine their self-esteem, make them submissive, and show them who’s in charge. He looks so innocent today. Men are not so worried about aesthetics and it is very comfortable to use it for their short. But if we think about it, the social obligation to cut one’s hair is comparable to the oppression suffered by women throughout history, not letting them show their legs by wearing short skirts and stuff, which doesn’t apply anymore. But nowadays we see humiliated men, sometimes called “gay” for using long hair, not knowing that short hair is actually anti-masculinity and it’s a repressive social imposition, while long hair symbolizes l Berta. On top of all the above, it’s a form of psychic sensory domination by the elite to keep the human being asleep.

Female hairline for male

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

This hairline is rounded as female hairlines should be.  I have no way to tell if this is what the patient wanted for what the surgeon thought a male hairline should look like. The arrows indicate that the surgeon didn’t follow the preoperative plan.  Technically, the transplant looks good but design wise, terrible for a male hairline (sourced from the internet)

Hair clusters vs follicular groups

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

My goal would be to find a procedure that transplants clusters of hairs together, with a good amount of surrounding tissue, as some evidence is showing survival rates of those hairs fair much better when compared to single hairs that have been separated from the unit and transplanted. They specify that as 6-12mm.

Punch sizes of between 6-12 mm is way to big for FUE. The typical FUE uses 0.9 -1.0mm sized punches. All punch sizes even greater than 6mm were tried in the early days of hair transplantation in the late 1950 and 1960s.  The oxygen never got to the hairs inside of the graft so that the only growth was on the rim of the graft, a donut shape hair pattern of growth.  Then after I introduced FUE to both the ISHRS and published in a prominent journal, a demand for FUE appeared in the marketplace.  The problem was that there were few good tools that everyone would standardize upon.  Now there are a lot of different tools including dull punches, hybrid punches and round sharp[ circular punches are can remove grafts with a diameter as small as 0.8mm.  Each doctor has their preferences. To get grafts with good tissue around them 100% of the time, if you don’t believe in FUE, you should consider a Strip surgery as the graft and its surrounding tissue and capsule are always harvested correctly. The FUE is a blind procedure depending upon unique surgical skills, good eyesight, and mechanical factors that allow the punch to successfully harvest the grafts,  The grafts are 100% visible with the strip surgery because the follicular units can be seen (100%) under high powered microscopes. As far as clusters of hairs is concerned, the natural looking hair transplant uses only follicular units (clusters of follicular groups look like plugs), the normal anatomical grouping of the grafts, see photo below

 

Maybe my donor is overharvested?

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

I am 4 month post op after 2500 grafts and I have had it cut for the first time today grade 1 so it’s short and you can see the area where the surgeon has taken the grafts. I am fully aware how the transplant work and under no illusions the area won’t thicken out itself but I was under the impression the donor area wouldn’t be noticeable once healed. Is the donor area still healing? Has the surgeon taken too many grafts in a short area? It isn’t patchy just one big area going around the back and side of my head. I am hoping it isn’t noticeable when it grows a little more and maybe I can’t cut it too short anymore.

The number of grafts that are harvested and then produce a see-through donor area varies with (1) donor density, (2) hair shaft thickness and how many grafts were removed.  Low original donor densities and super fine hair in combination can cause a see-through donor area with 2500 grafts harvested with FUE. Your surgeon can discuss risk with you and your specific situation

How long will transplants last?

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

Do we know how transplanted will look like 60 years after they are transplanted!

We know that these transplants can last more than 40 years as the commercialization of hair transplantation happened in the late 1950s in New York. These original transplants didn’t look good, but they lasted nevertheless. I think that Joe Biden’s original hair transplant is more than 40 years old and makes up the bulk of the hair that he has not in the front of his head

I have low testosterone, will taking testosterone cause hair loss?

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

Low T symptoms have been bothering me for 5 years in such a way that  I lost all ability to function normally. I am pretty much set on it starting it soon, but my only concern is losing hair on it. I am NW0 and have pretty healthy-looking hair for 31 year old, but still would not like to lose it. I know fin + TRT could pretty much be in conflict with each other, but my low T symptoms are so severe that I think I would let my hair go if I could function normally again.

If you don’t have the balding genes, you probably will not lose hair by taking exogenous testosterone. Also, if you don’t have the balding genes, you don’t have to take DHT blockers like finasteride or dutasteride