WRassman,M.D. BaldingBlog
    • Menu

    What is dandruff? Does it lead to hair loss?

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

    Dandruff doesn’t necessarily lead to hair loss; however, if you aggressively scrape or pick at it, you can get hair loss from that. The frequency of genetic hair loss in people with dandruff is probably the same as in people who don’t have dandruff.

    Microneedling, minoxidil for 11 weeks

    Jan 25, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Very nice early result suggests that you are sensitive to both minoxidil and the microneedling.

    Just notice crown thinning

    Jan 25, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Recently noticed thinning above the crown; is this a sign of MPB? If so, what would the logical steps be to prevent any further thinning?

    Crown thinning is often the first sign of genetic balding; however, your does not appear severe enough to worry at this time. You can see a hair doctor and have trichoscopy performed to find out if there is significant miniaturization present, and if there is, then treatment might be appropriate.

    Hair loss after Covid

    Jan 24, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    For the past 2 weeks, i was shedding quite a bit. I am not sure if finasteride causes shedding after 2 years or is this TE from the covid I caught 3 months ago.  Can the covid be the cause of my hair loss?

    Any disease can cause a telogen effluvium so it is reasonable to connect your bout of Covid with the hair loss. Hopefully, you will be stable after the TE resolves.

    Recent thinning in 22 year old

    Jan 24, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    You should get a doctor to use a trichoscope and see if the central area has considerable miniaturization and if so, work out a Master Plan for the future.

    What do you think of the SMP I had done? (photo)

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

    It’s supposed to look like hair, not dots of different sizes. You might consider removing it with a laser (special lasers in doctors office to remove tattoo) and do it with someone that know what it is supposed to look like.

    Kidney transplant and minoxidil use for hair loss

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

    My hair loss is due to my kidney transplant that I received over two years ago. The medication causes hair loss. Before my kidney issues/transplant I had a lot of hair. I have been on Minoxidil for 3 weeks, I am currently going through the “shedding face” super scary. However I’ve heard that Minoxidil is used for andorgenteic allopecia not for chemical induced allopecia. And that it won’t work on me and will make me hair loss worst. Is this true ?  

    From what I have read, Minoxidil does not adversely affect renal function in the majority of patients with hypertension and a normal glomerular filtration rate (GFR). In patients with established chronic kidney disease, minoxidil can stabilize GFR — if not improve renal function — when BP is properly controlled.  Always check with your doctor.

    New cause of hair loss

    Jan 21, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Does Liposomal Finasteride go systemic?

    Jan 20, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Do you know a good dosage for liposomal? I have a 0.1% fin 5% min liposomal gel that I custom ordered, applying 1ml every day. But I’ve seen some places sell the liposomal gel at fricken 2.5% fin. I had an online pharmacist explain that the liposomal mechanism means this higher dosage is effective and safe, but as someone who got sides from just 0.25 mg of oral fin EOD, it seems like an absurd risk. Any insight? At the end of the day I just don’t want to be dicking around with the 0.1% liposomal gel if it’s ineffective and I’m still losing ground.

    From my research, 82% of the topical liposomal finasteride stays in the skin. You can calculate that if 18% goes systemic, what the equivalent dose would be for the liposomal preparation. That is the reason I titrate upwards when I prescribe it assuming that 18% of the dose might go systemic, so that would be 18% of the 0.01%. My experience so far is that one out of hundreds of my patients developed sexual side effects. I have written a series of post on https://baldingblog.com/ addressing topical liposomal finasteride which you might want to read.

    How long does minoxidil last?

    Jan 19, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Ok, how is the long term efficacy of minoxidil when mixed with finasteride?

    When you grow hair from minoxidil, it usually stays around until you stop it; however, continuing to take it, may not grow a wave of new hair.

    Minoxidil dependent hair

    Jan 19, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    The hair grown with minoxidil requires you to stay on the minoxidil as the hair is dependent upon this drug. if you stop the drug, the minoxidil dependent hair will fall out.

    TE and hair quality changes

    Jan 18, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Why do TE change the hair texture so much? My hair is completely dry and stringy

    You can treat your TE hair with a good quality thickening and softening products.

    Widow’s peak

    Jan 18, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    Had a question about my hairline and widows peak. My mom has three brothers. Two have normal straight hairlines and one has a widows peak. My mom also has a widows peak. Her other sister does not. My moms mom does not have a widows peak but my moms dad does.

    On the opposite side my dad or grandfather does not have a widows peak. My moms brother who has a widows peak has a good hairline for 60. Much like my moms father up until he passed away at 40. Is it safe to say im following there pattern for hair given my widows peak?

    The widow’s peak is a remnant of the juvenile’s hairline which means that the hair around it (when you were a child) disappeared leaving the point called the Widow’s peak. I would suspect that you might follow this pattern as well

    Scabs and density in frontal hair transplant

    Jan 17, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    I want to know why there are so many scabs covering my grafts.  I can’t see the density that the surgeon put in.  What advice can you give me?

    These are questions you should be asking your surgeon. Scabbing occurs because of bleeding around the grafts and/or leakage of a serous fluid around the grafts that contain fibrin which form these ‘clots’ or scabs.  Once they get set up (about 2 days) then they shouldn’t be removed aggressively because that will pull out the grafts.  I have a vigorous washing technique to prevent this from happening. 

    Sorry that you didn’t get this information in advance of your hair transplant.  because of the scabbing photos you sent me, I can’t read the density.  Your surgeon will tell you how many grafts he put in and you can measure the recipient area and calculate the recipient transplanted density.

    When do I decide on a transplant?

    Jan 17, 2023/by William Rassman, M.D./0 /Hair Loss Causes

    After using topical minoxidil for about 6 months, I switched to 1mg finasteride daily due to palpitation problems. It has been more than 1 year in total. The shedding has decreased a lot (thank God) but there is no new hair growth from the shedding areas. Bald areas are covered with feather-like hair but there is no progress. I am 44 years old and now I am seriously considering hair transplantation. Do you think it can be improved with medication or should I turn to transplantation?

    If you have developed a Personalized Master Plan with your doctor and you are over 25 without effective medical treatment and more progressive balding, then maybe it is time to have a discussion with a good hair transplant doctor who cares for his patients above making a ‘transplant sale.’

    Newer Entries
    1234
    Older Entries
    Page 2 of 1169

    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