Blogging direct from The New Hair Institute HQ

Balding is progressive

I’m 26 years old, 27 in October. Until around the end of last year, my hair loss hadn’t been very bad at all and was progressing much slower than the other men in my family. I was about a 3A/3V until I started noticing a bald patch appear on my crown about 4 months...

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Drug turns gray hair brown or black

Cancer patients’ gray hair turns brown while taking new immune drugs Associated Press Published: July 23, 2017, 7:30 am This undated combination of photos provided by the Journal of the American Medical Association in July 2017 shows a cancer patient with gray hair...

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Tattoos travel through the body

Tattoos: Does ink travel through your body? Published Friday 14 July 2017 By Yella Hewings-Martin, PhD 0 The body stores tattoo ink in cells and between collagen bundles in the dermis. But some pigment particles go on a longer journey. What happens when tattoo ink is...

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Am I balding?

These are great pictures. You have not developed a mature hairline yet, but there is a suggestion in the corners that you may be moving your hairline up. This may not be balding as you may be transitioning into a more mature hairline. A hand microscope will help to...

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Itching after a hair transplant

I have been itching and trying to avoid scratching my head. I use minoxidil and various lotions but without effect. Suggestions?? Minoxidil is an irritant and it can cause problems, but itching can be a sign of healing. I recommend that you never scratch the graft...

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Do I have an infection? (photo)

I had a hair transplant three weeks ago and these pimples bother me a great deal and they look horrible as well. What should I do? This could be mild folliculitis. Go back to your doctor. He will probably want to lance one of these pimples and see if any pus comes...

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How can I prevent shock loss?

Shock loss is an acceleration of hair loss after the stress of a hair transplant. It is more common in younger men in their 20 and less common in men as they get older, like their 40s and 50s. The best prevention of it is the drug finasteride which seems to protect...

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I want to tell you about my hair transplant

I ended up having the operation and have been very happy. You will be pleased to know Dr. Rassman that my doctor showed me your 2003 paper initially describing FUE (as he knew I was also in academic medicine). He certainly has a great deal of respect for you. On the...

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Why don’t women lose hair?

50 percent of women over 50 have thinning hair. So they are not immune. Their estrogens support their hair and when the estrogen levels drop with menopause, the androgens take over and the genetic that impact men start showing;,however, most women do not develop...

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Widows peak, why is it there since I was 13?

I might have even been younger than that I just remember 7th grade biology we were learning about genetic traits such as widows peaks and when I pulled my hair back the whole class noticed my pronounced peak. This was hidden until college as I always had long hair...

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The Temple Peaks can be lost due to balding

The Temple Peaks can be lost due to balding

The temple peaks can be lost independently from the balding process. I noticed that Ronald Reagan lost his peaks well before he became an old man but he kept a full head of hair. I also transplanted many full Class 7 balding pattern patients who kept their peaks...

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Depleted donor area from too many FUE grafts

I went to Turkey and had about 4,500 grafts. Now I can see that my donor area is see-through. I am now one month since my surgery and I want to know if it is going to get better? You should wait a period of 6 months from the time of your surgery. If it is not better,...

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How many grafts would it take to fix my hairline

I am 29 years-old and would like to bring my corner hairline down. How many grafts will it take? The number of grafts used in a hair transplant is dependent on the characteristic of the hair (fine, medium or coarse). Fine hair need more grafts and coarser hair need...

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Took Finasteride and lost some beard hair

I was on Minoxidil for six months and got good filling in pretty nice. With its use on my scalp I saw minor improvement. Two months ago, I started to use Finasteride and noticed my beard became patchy again almost like before I started using the Minoxidil. I want hair...

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21 Year-old African-American with thinning hair

If you are under 25, you should never consider a hair transplant. I would try the drug Finasteride as it may reverse the early thinning I see. This would also be true if you were over 25, giving you a try to reverse it without surgery. African hair is better than...

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18 and my hairline is receding

I’m only 18 and just wondering if my hair looks like it’s starting to recede or not. I know I have my dads hairline but my dad is bald and that does creep in my head sometimes as he started balding in his 20s. Both my grandfathers have most of their hair....

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When would I be a candidate for an FUE?

I have a few questions I hope you all can answer. What age would be reasonable for an FUE to be done? Do I look like a good FUE candidate? Where would I fall on the Norwood scale? My biggest question, if I was to have a procedure soon can I implant in my crown or just...

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Scalp MicroPigmentation (SMP) to cover FUE Scars

This patient had visible FUE scars that he wanted to conceal. To accomplish this, we performed Scalp MicroPigmentation on the donor area with great results. FUE is a terrific procedure but it does form many very small scars for each follicular unit that is excised....

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My penis got bigger on Finasteride

This worried me as I have read that most people who complain about their penis size, find that it shrinks on Finasteride. I believe from what I read that some people get an increased testosterone level when they take Finasteride. I don’t really understand the...

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Where Are the Temples (with photos)?

Hello doctor, I have a 2 part question: I am confused about the location of temples. I’ve been reading many of the previous posts here and I’ve heard you say a few times that people get the temples/corners mixed up and that the temples are above the ear....

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Hair Loss From Hair Color?

I have hair loss. I also us an herbal hair color. Is using hair color promoting hair loss? Hair coloring agents only impact the part of the hair follicle which is essentially the visible hair located on the head. Hair represents highly compressed skin which is not...

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Depleted Donor Area From FUE (with photo)

I am seeing more and more patients with depleted donor areas and thinning/balding in the back of the head where the hair formerly looked normal. This can be avoided in FUE by controlling the number of FUE grafts excised. It can only be treated with Scalp...

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40% Of Adults Will develop Diabetes

“About 40% of US adults will develop diabetes, primarily type 2, in their lifetime, and over 50% of some ethnic minorities will be affected” according to the Centers for Disease Control and Prevention (CDC) and Emory University, Atlanta, Georgia, published...

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Bald Scalp Lacks Progenitor Cells

Interesting article : Bald scalp in men with androgenetic alopecia retains hair follicle stem cells but lacks CD200-rich and CD34-positive hair follicle progenitor cells. This is exciting because this means that the critical elements for creating the mature hair...

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Dreadlocks and hair loss

I am white female in my early 30’s. I had dreadlocks for 10 years and cut them off because of the same problem, the twisting and weight was too mich and caused permanent damaged. I loved my hair it grew down my calves and to cut it was a hard decision. I cut them 7...

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Minoxidil in a young girl

I am 19 year old girl..started using minoxidil when my hair started falling at tremendous rate…i used it for around 3 months and then stopped using it…again hair started falling….and I again switched to minoxidil. Now, I have been using it for around...

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Pain from FUE

Hi I’m getting this horrible pain after FUE. I know its been some time please let me know how long does this pain last its been 4 Weeks now I am still with burning sensation and pressure pain all around my donor area and face You should go back and speak with...

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Is this soccer player balding?

I don’t like this soccer payer’s hairline as the corners go up too much. My corners do not go up so high. What do you think? http://static1.purepeople.com/articles/9/60/29/@/20727-zinedine-zidane-637×0-1.jpg I think that he has developed a normal...

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Post operative question on wound washing

I just had anFUE hair transplant 4 days ago in Thailand by a good surgeon who is a ABHR member also, they advised me to spray the recipient area hourly for 3 days while I was awake, but for some reason I missed that part and for the first 24 hours after surgery I...

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I just hit puberty at 20

Basically I remember that I hit puberty later than my peers, when ohers grew pubic hair,etc. I had literally 0 hairs everywhere else. People tell me today that I look like 17/18 eventhough I am 20 so I am wondering if I should wait with fin or not. I haven’t...

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Studies on Rat Penis with Finasteride

Would you tell me what you think of this article? https://www.ncbi.nlm.nih.gov/pubmed/22375859 I get these types of emails from many patients. I have no idea what they mean except for the rat. There is no evidence that this is a problem in humans who take Finasteride....

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Am I balding (with photos)?

This handsome young man had a hair loss consultation with me because he believed he was losing his frontal hairline. He came to see me because he thinks he is losing about 100 hairs each day. As part of the examination, we used the HAIRCHECK instrument to determine if...

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Can one start balding in their 30s or 40s?

I have a friend who just turned 36, who says that he had a “thinning” phase when he was around 22-23 where he said his hair noticeably changed in texture (became thinner and weaker). He’s not on Finasteride or anything but for some reason his...

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I am a non-reponder to finasteride

I was hoping that you’d be able to give me some feedback on my situation. I have been on Finasteride for the last 12 months of so, to counteract frontal loss. I have continued to thin out all over in the past year. I tried to remain diligent.. In this 12 month...

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Repair of hairline transplants (photos)

This patient had two previous hair transplants at another clinic and did not achieved his goal. Not only were the results of these transplants thin and see-through but the leading edge of the hairline had two and three hair unit grafts that made it look...

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20 and wants a hair transplant

I’ve currently been on Finasteride for 3 months now, and Minoxidil for 5. My hairline is starting to regrow extremely slowly, but at the same time i’m not sure it will come back. I also would like to see if it would be possible to lower my hairline with...

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Successful Penis Transplant in Boston

http://www.medscape.com/viewarticle/880910?nlid=115421_1381&src=WNL_mdplsnews_170602_mscpedit_surg&uac=128368AK&spon=14&impID=1360157&faf=1 This was a very impressive achievement for both the surgical team and the patient. Feeling good about...

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Miniaturized hairs and how they develop

Miniaturized hairs and how they develop

Is it normal for hair to thin towards the root in a single strand during the balding process?  Looking at the photo below, can you tell if there any miniaturized hairs? Let’s say the hair is on average 10 inches long and that you can easily tell...

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Gabapentin and hair loss

I started taking Gabapentin at 600mg a day seven months ago and noticed my hair has been coming out bad. At first I thought it was Keppra I was on but I stopped that in November and it just continued. It never occurred to me that it might be the Gabapentin...

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Are Your Family Jewels Getting older?

As men get older, the risk of producing children with a variety of defects rises e.g. Autism, Schizophrenia. Although this risk doubles, it is still very small (in the order of 1 percent rather that 0.5 percent). To balance this negative, men over 40 are...

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2 days after 1534 FUE grafts (photos)

2 days after 1534 FUE grafts (photos)

Take a careful look at the donor area as it is almost healed in just two days. That is because we use small instruments that facilitate fast healing. The recipient area is also clean of crusts which means that he will look completely normal possibly as early as...

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Early Diagnosis of Alzheimer’s Disease

The following report came from the Alzheimer’s Association International Conference (AAIC) 2014 by Medscape Medical News: “A Simple Eye Tests to Detect Alzheimer’s Disease in the Works” COPENHAGEN, Denmark — Two novel, noninvasive,...

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Being young and balding

I would like to keep hair forever. But you don’t understand balding in the early 20s. Your choice of women falls greatly. I shaved my head once and got less attention from women. I look better with hair makes me look young because I am. I just want to enjoy life...

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Scalp Necrosis from a Hair Transplant

Scalp Necrosis from a Hair Transplant

These pictures show the problem of packing the hair grafts too close. The blood supply in the center of the scalp does not have any large blood vessels feeding this rea but has small tributaries from the large vessels from the front, back and side of the head. All of...

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What Vitamins Should We Take?

IN 1911, Polish chemist Casimir Funk made one of the most influential biomedical discoveries of all time. He learned that a disease called beriberi affected those who ate a diet of mainly white rice, but not those who ate mostly brown rice. He isolated a chemical from...

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Another Happy Patient

Another Happy Patient

This patient came in, now 49 years old, with the hairline he had when he was 20. He loved his new hair, something that can only be done by a good hair transplant. Note the normal appearing hairline, so normal in fact, that no one ever knew he had it done despite the...

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Denmark Stem Cell Clinic

I spent about an hour reviewing a Denmark based hair stem cell clinic with offices around Europe. What I saw was flamboyance with 8 start offices, some out of a castle, very impressive spokesperson, communicative in multiple languages including English, and lots of...

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Genetics of hair curl

The following is a quote taken from the 23andme website. This is a most interesting site as it allows you to look at some of your similar genetics to other people in the general population that also participated in this set of genetic tests. I took this test about...

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Take a look at my results from your FUE doc!

Take a look at my results from your FUE doc!

This patient had 1400 FUE grafts 18 months ago and is thrilled with the results. Now he came in because he wants temple peaks which was not his interest 18 months ago. As you can see from his after picture, he does not have any temple peaks present on the side...

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What if a cure for hair loss was found?

Let’s say one has been going strong on Finasteride for a couple years now and he experienced a great amount of regrowth. Let’s also say that a new treatment for MPB has been found, proven to be better than Finasteride. Would it not be recommended to...

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Scalp scar from forehead lift

Scalp scar from forehead lift

This man had a forehead lift and was left with a scar that runs ear-to-ear. His scar can be concealed with Scalp MicroPigmentation.  A hair transplant would work well to address the frontal recession of his hairline.   The post Scalp scar from forehead...

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Can you exercise enough to lose weight?

Can you exercise enough to lose weight?

The answer to this question is NO. From the attached article here (Still No Giraffe) and a recent article in the Scientific American, it is clear that our metabolic rate is relatively stable regardless of how much we exercise.  The attached article has a...

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Depression and finasteride

I have a history of severe depression. Will finasteride harm me?   With a history of depression, you need to discuss taking finasteride with your doctor. There are potential side effects with people who have a history of severe depression so great caution should...

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Thinning hair, shaving it and regrowth

Thinning hair, shaving it and regrowth

I’m thinning, and i decided to shave it all off. A big thing for me is the fact that once its all shaved off, there are follicles everywhere and thus it looks like i shaved out of style and not necessity. My question can the hair follicles itself, as time...

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Accutane and hair loss

I went to the dermatologist the other day and she diagnosed me with TE. I am 21 years old and male. She blamed it on stress, when in reality I’m not stressed. What I believe it’s from is the 5 month accutane course I finished up in October of 2016. I...

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Nizoral and hair loss, does it work?

“I seemed to respond well to rogaine and I’m wondering how long my hair will stay where it is now? I’m very nervous about using fin because of possible sides but am considering adding Nizoral a couple times a week as well. If I responded well to...

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New source of powerful antibiotics are coming

New source of powerful antibiotics are coming

Researchers have found that the Komodo Dragon is impervious to disease and infection. They seem to have powerful proteins circulating in their blood that protect them. The compounds may produce antibiotic like activity for humans, a discovery which will be worth...

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Seasonal hair loss and finasteride dosage

I’ve noticed that as the weather has gotten warmer, my hair looks a lot thinner than it did in the winter. I’m currently on the big Finasteride at a half dose, so I don’t think I suddenly lost more hair (although possible). Could it be that your...

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19 and losing my hair

I’m 19 and started to notice I was shedding a lot about six weeks ago.  In those six weeks I’ve lost probably half of my density at the front, and a decent amount at the crown. What the hell is happening? How can this happen so quickly, this is...

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Exercise, testosterone and hair loss

Would the increase in testosterone due to exercising cause more hair loss (via increased DHT through conversion), or would losing weight induce hair loss assuming you’re on fin in either case? No, exercising will not cause hair loss no matter how vigorous you...

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finasteride and mis-information

My docotor who prescribed Finpecia (Finateride 1mg by Dr. Ready Pharmaceuticals) for 90 days. He indicated about men suffering from erectile dysfunction but only in 1 % case. But now after surfing the website http://buying-propecia.com/ including this finding, I...

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Finasteride and sleep problems

I’ve been taking fin for a couple weeks now and my sleep has been greatly affected by it , specifically I am unable to hit R.E.M sleep or stay asleep for a long time. Does this resolve itself over time, or do you recommend stopping completely? I have not heard...

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spider bite

spider bite

Spider bites are common. They can be very dangerous. A few years ago, I got bitten by a brown recluse spider. These spiders often are found around boxes in your garage.  I was very lucky as some people can lose a leg or arm or even die from such a spider...

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Juvenile hairline with balding behind it

Juvenile hairline with balding behind it

This man shows a juvenile hairline that is about a half inch thick at the leading edge of his hairline.  The genetics on his hairline is different than the genetics on the rest of his head. The hair behind the juvenile hairline clearly shows male...

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Posting comments from patients

Posting comments from patients

I must be the luckiest man in the world. I love people and my patients are the special people who are like family to me.  I get emails like this all of the time but this patient took the time out of his busy law practice to write a letter and to tell me about his...

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My hairline is going fast. What can I do?

My hairline is going fast. What can I do?

It seems that you are losing the entire frontal hairline and if you look carefully, you will have a ‘U’ shaped frontal hairline. We classify this as a Class 3A pattern of balding. Gene Hackman (actor) developed this type of hairline which you can see in...

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Male balding from a woman’s perspective

I have to say, this has been a real education for me, as a woman, reading how devastated young men get get when they experience hair loss. One thing I am certain about…there are JUST as many physical pressures on men as there are on women. For what it’s...

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Hairline transplanted too low

I had a hair transplant and the hairline I was given is too low. The doctor said he would FUE out the hairline grafts. Putting a hairline too low is a real bad problem. Just trying to do FUE to the grafts in the hairline does not work well. The laser hair removal...

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Finasteride and brain effects

Finasteride not only decreases the conversion of testosterone into DHT but also nearly a dozen reactions as you can see here: https://en.wikipedia.org/wiki/5%CE%B1-Reductase#List_of_conversions This study looked at PFS patients and determined that compared to healthy...

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Finasteride and brain effects

Finasteride not only decreases the conversion of testosterone into DHT but also nearly a dozen reactions as you can see here: https://en.wikipedia.org/wiki/5%CE%B1-Reductase#List_of_conversions This study looked at PFS patients and determined that compared to healthy...

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Smoking and hair loss

I have been loosing my hair evenly for about four years. I quit smoking for about 6 months and noticed my hair had stopped falling out and was definitely filling in. I started smoking again about two weeks ago and the whole process started again . Needless to say...

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Smoking and hair loss

I have been loosing my hair evenly for about four years. I quit smoking for about 6 months and noticed my hair had stopped falling out and was definitely filling in. I started smoking again about two weeks ago and the whole process started again . Needless to say I’m...

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Stress, surgery and drugs can cause hair loss

I am so thankful I found this site, as many have already expressed. I had my 8th back surgery on 2-28-2017. Things went wrong, and I hàd severe leg pain from nerves. They put me on this drug and I just started to notice a ton of hair falling out. I have such...

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Stress, surgery and drugs can cause hair loss

I am so thankful I found this site, as many have already expressed. I had my 8th back surgery on 2-28-2017. Things went wrong, and I hàd severe leg pain from nerves. They put me on this drug and I just started to notice a ton of hair falling out. I have such thick...

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Hair loss from Head and Shoulder’s Shampoo

I am 18. I had very thick and dense hair. I was facing slight hairloss. I started using Hair and shoulders. And I started loosing crazy amounts of hair and started going bald in front region. Now I am quitting head and shoulders. lets hope for the best. At 18, you may...

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Hair loss from Head and Shoulder’s Shampoo

I am 18. I had very thick and dense hair. I was facing slight hairloss. I started using Hair and shoulders. And I started loosing crazy amounts of hair and started going bald in front region. Now I am quitting head and shoulders. lets hope for the best. At 18, you may...

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Minoxidil side effect

I have been on minoxidil foam for just 2 months and am getting dizzy and lose my balance from time-to-time. I have developed constant ringing in both ears for 2 weeks… I am going to stop the foam today…. please help if you have had the same...

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Minoxidil side effect

I have been on minoxidil foam for just 2 months and have had off and on red ears and getting dizzy and lose my balance have now developed constant ringing in both ears for 2 weeks now… I am going to stop the foam today…. please help if you have had the...

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Finasteride not working, should I add minoxidil?

On fin for almost 2 years now and Finasteride worked amazing for the first year then miniaturization started again. I went on Dutasteride, but got breast pain and had to stop it. My doctor told me to try minoxidil in addition to going back on finasteride, what do you...

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Could I have Alopecia Areata?

I am a 22 year old male living in New Zealand suffering diffuse thinning localized in the occipital region of my scalp. Dermatologist is stumped, he believes it could be alopecia areata but as the thinning is diffuse (uncharacteristic of AA) he is not able to provide...

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Could I have Alopecia Areata?

I am a 22 year old male living in New Zealand suffering diffuse thinning localized in the occipital region of my scalp. Dermatologist is stumped, he believes it could be alopecia areata but as the thinning is diffuse (uncharacteristic of AA) he is not able to provide...

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Lack of bloodflow causing baldness, myth?

Can smoking cigs mess up your mpb from reduced circulation? Smoking may have some effect on the blood flow to the scalp but there is no evidence that it accelerates the balding process. Stress is; however, known to accelerate the balding process and people who some...

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Lack of bloodflow causing baldness, myth?

Can smoking cigs mess up your mpb from reduced circulation? Smoking may have some effect on the blood flow to the scalp but there is no evidence that it accelerates the balding process. Stress is; however, known to accelerate the balding process and people who some...

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Do I have DUPA?

You have what appears to be diffuse thinning from the view in the photos below, but to make the diagnosis you need a microscopic examination of the donor area to quantify the degree of miniaturization that is present in the donor area directly at the bottom of the...

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Picture of depleted donor area from FUE

People see the FUEs from Turkey in the 5000 range and somehow this has created a standard world-wide that is unwarranted and unearned because many of these men get depleted balding areas with worse scaring than had they had a strip surgery. The picture below is an...

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I am on Propecia and I wrestle

I am on Propecia and I wrestle and after a match, I notice that my hair is falling out more than at other times. The Propecia seems to help a little. Should I stop wrestling to avoid more hair loss? I never think that one should give up the important things in life to...

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Marijuana may benefit brain cognition

“Treatment with tetrahydrocannabinol (THC), the activate ingredient in marijuana, can restore cognition in old mice and induce molecular changes that make them more similar to young animals, scientists reported today (May 8) in Nature Medicine. Previous studies...

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Finasteride and Fertility

I believe the study showed that sperm count went down after being finasteride in all subjects. But stopping for six months showed an increase in sperm count. However sperm motility did not go back to normal after six months. Is my understanding true? Can finasteride...

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Article promoting PRP

http://stemcellstm.alphamedpress.org/content/early/2015/09/23/sctm.2015-0107.abstract The single best test for hair regrowth is the HAIRCHECK test which measures actual bulk. Photographic evaluation is not accurate, in my opinion, in determining the effects for the...

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Cord Blood Rejuvenates Old Blood

Multiple articles have been appearing in scientific and medical journal lately that show that the infusion of blood from young people into older people can improve brain function in people with aging diseases of the brain including dementia. In the recent issue of New...

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Am I balding (see my see picture)?

To answer this question, you would need to have a doctor check you with an instrument called HAIRCHECK which will show the hair bulk in different parts of your scalp with good clinical numbers ascribed to each measurement. If you were balding, it would take...

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Question about pill cutting of finasteride 5mg tablets.

I usually cut a ~10 day supply but the last couple of months. I feel like finasteride doesn’t do anything since I started doing this. For the first months I used to have watery semen and sometimes feel slight reduction of my sex drive but the last couple of...

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Stem cells may drive cancer

A Harvard researcher reported: “The promise of regnerative medicine to grow human tissue outside the body using pluripotent stem cells and to use that tissue to treat diseases such as diabetes has shown significant potential. But recent work by Harvard...

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Scalp Micropigmentation (SMP) with Bold Look

This young man decided to shave his head and with the help of scalp micropigmentation (SMP) he looks like he has a full head of hair and maximizes this good looks. This is an option that is being taken up more and more by young men wanting a perfect looking head of...

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Questions about finasteride

I’m wanting to start taking fin but I have a couple of questions on my mind if you don’t mind answering. I have an inconsistent sleep schedule. Would there be much of an issue if my pill taking is not spot on 24 hours? If for example I take 1mg at 12pm and...

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Question about finasteride in women

I have a questions about finasteride. Is it something I could add to help with my balding? I already take 100mg of spironolactone daily. I have gone on/off spiro afew times d/t having kids but now haver had a hysterectomy so do not have to worry about any teratogenic...

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Questions about finasteride

I'm wanting to start taking fin but I have a couple of questions on my mind if you don't mind answering. I have an inconsistent sleep schedule. Would there be much of an issue if my pill taking is not spot on 24 hours? If for example I take 1mg at 12pm and then the...

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Question about finasteride in women

I have a questions about finasteride. Is it something I could add to help with my balding? I already take 100mg of spironolactone daily. I have gone on/off spiro afew times d/t having kids but now haver had a hysterectomy so do not have to worry about any teratogenic...

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Finasteride and loss of body and beard hair

I have an identical twin brother who never took Fin while I have been on it for four years. He has less hair than I do on his head so I guess the drug is working to stop my hair loss. He has a ferocious beard. I, on the other hand have a pretty light beard with no...

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2 years on finasteride in young man in early 20s

Men always worry about hair loss and young men are hung up on the 3-4% risk of sexual side effects of the drug finasteride; but form time to time we see the huge impact of this drug on hair loss reversal in young men as shown in this photos of a young man on the drug...

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If I stop my finasteride and minoxidil

If I stop fin and or minox, is the rate of balding accelerated to greater than it would have been without trying treatment or just go back to pre treatment levels? thanks When you stop these drugs you go back to point zero, where point zero is the amount of hair...

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If I stop my finasteride and minoxidil

If I stop fin and or minox, is the rate of balding accelerated to greater than it would have been without trying treatment or just go back to pre treatment levels? thanks When you stop these drugs you go back to point zero, where point zero is the amount of hair that...

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Testicular pain on finasteride

Many people with side effects who are persistent and stay on the drug often find that their side effects eventually go away. The decision to take this medication is, of course, yours. Without side effects, it is an easier decision, but with such side effect, if they...

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Breast pain with finasteride

I took finasteride 1,25mg daily for a month. After a week or so I started to have gyno symptoms: stabs of pain in my chest, sensitivity in my nipples and general discomfort in my chest. I quit and after a couple of weeks I was fine. Decided with my derm to get back on...

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Finasteride sexual side effects reported

I'm about half way through my second month, didn't experience any of the ball ache associated with the first week. I had about a week near the end of month 1 where I had watery semen but it's returned to normal since. Throughout this week though I have experienced...

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Many questions about finasteride!

Since you have lots of first hand experience with this topic, I have a couple questions for you about hair loss treatments. I greatly appreciate you taking the time to read this: 1) Approximately how many patients have you prescribed finasteride? Out of these...

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Accutane and hair loss

I am sure you get a lot of similar hair loss messages but I am really distraught and was wondering whether you could give me some advice on my situation. I'm an 18 year old girl and went on an 8 month course of accutane from December 2015-August 2016. My hair started...

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Question:  Hello sir! I thought i'd reach out to someone who's actually a professional. So i'm 19 years old and definitely lost a lot of volume in my hair really quickly in the last few months. I started Fin 1mg almost a week ago now. Took 4 pills so far. However i...

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Does smoking cause balding?

Some doctors say that smoking reduces the blood supply to the scalp and causes hair loss in those prone to it through genetic balding. I don't believe that there is any evidence that this is true.

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Photos by young man on finasteride for one year

They say photos are worth 1000 words. The type of change here may be seen in men under 30, the younger they are, the greater the chance of having this happen.  Keep in mind, when genetic hair loss is very, very active leading to an advanced hair loss pattern at an...

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A New website for genetic balding testing

I have been contracted by the author of the site: http://hairlosstests.com/. The author is a geneticist and believes that the genes present that are detected by the saliva tests performed through the 23&me website, may predict your hair loss pattern.  Of course,...

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A letter from a very happy patient

"I thought I would share my hair story with you. I am sure you hear many stories like this one. After the hair transplant grew in, I felt different, more confident, more self-assured. People told this to me but, to my surprise, no one noticed my hair transplant. You...

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Phone Call I want to share

I patient of mine, a very straight laced accountant, had two hair transplant procedures performed by me some years ago. He had been pushed to get into 'working out' by his kids, so he went to a gym and got a trainer. During their 'get to know each other session' she...

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Depleted Donor Area from FUE Over-harvesting

This patient had a localized harvest of his donor area with FUE. The area extended outside the permanent zone of hair which means that the patient has had hair moved from areas which are not permanent and that the harvest with FUE may have been too great.  We see this...

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Will Finasteride mess with my hormones?

Finasteride does change the entire testosterone metabolic pathway. We know, for example, that people taking finasteride often see a rise in their testosterone levels; however, the DHT hormone which is a metabolic product of testosterone metabolism, is a hormone that...

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Stem Cell Bank Now Open in UK

For those of us in the field of hair restoration, we have waited for the day when stems cells could be used to activate hair. In my previous post, I linked an article on Progenerator cells and their role in hair regeneration.  With the opening of this Stem Cell Bank...

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Suicide in a young man from hair loss reported

A balding college student reported that one of his classmates killed himself because he was balding. He apparently left a suicide note connecting his depression with his balding. This is terrible, but not totally unheard of. In my 26 years in this business, I have...

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Hair grown with progenitor stem cells

http://www.businessinsider.com/samumed-wants-to-regenerate-hair-bone-cartilage-2017-3?r=US&IR=T Here is a snapshot of what they said in the above article: "Your body is equipped with something called progenitor stem cells. These cells are in charge of repairing...

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Sleaziest of doctors gets 10 years in prison

Justice was finally given out which should be an example to other doctors who think that their medical license allows them to extort money from patients by concocting diseases and then recommend treatment for profit.  Here is such an example: "Ophthalmologist David...

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Causes of cancer discussed in recent journals

The following was taken from the AMA news directly. Majority Of Cancers Caused By Random Genetic Mistakes, Researchers Say In “To Your Health,” the Washington Post (3/23, McGinley) reports research published in Science suggests “more than two-thirds of cancer-causing...

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Moth eaten scars following 5000 FUE grafts

We see this type of result when men have large FUE sessions.  There is little doubt that this is a vascular problem induced by the FUE technique. The good news is that we can treat this very successfully with scalp micropigmentation, but the hair will never come back...

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Dietary Supplements for Genetic Hair Loss

I have been asked over the past 20+ years if there is any dietary supplement that can be taken to treat Genetic hair loss. I have always said the answer to this question is NO.  Now a recent article in the Journal of Cosmetic and Aesthetic Dermatology published a...

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Two post op patients (with photos)

This patient had surgery yesterday. Other than the tape that is applied to his forehead to prevent swelling from working its way down, there is no evidence of the surgery from yesterday.  He had 1600 grafts from a combined strip and FUE surgery. He came in for his...

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Will a simple test eventually predict balding?

Genetic prediction of male pattern baldness. Hagenaars SP1,2,3, Hill WD1,2, Harris SE1,4, Ritchie SJ1,2, Davies G1,2, Liewald DC1, Gale CR1,2,5, Porteous DJ1,4, Deary IJ1,2, Marioni RE1,4. Author information Abstract Male pattern baldness can have substantial...

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One day post-op after receiving 906 grafts

I have been asked lately to show more pictures after the surgery so that prospective patients can understand what they may look like.  Each patient is different because of hair and skin color.  The lower the contrast, the less detectable it is, the grater the contrast...

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One days post-op 1303 grafts by FUE

I have been asked lately to show more pictures after the surgery so that prospective patients can understand what they may look like.  Each patient is different because of hair and skin color.  The lower the contrast, the less detectable it is, the grater the contrast...

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8 Days after 2380 grafts with photos

I have been asked lately to show more pictures after the surgery so that prospective patients can understand what they may look like.  Each patient is different because of hair and skin color.  The lower the contrast, the less detectable it is, the grater the contrast...

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Hair Loss and Vitamin D

My doctor told me that my hair loss was caused by Vitamin D deficiency a year ago. Since then I have been taking Vitamin D but the thinning hair I have did not get better. A vitamin D deficiency can definitely cause hair loss. Treating it can stop the progression but...

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Can I get back my original hair density?

Can I get back my original hair density?  I have attached a picture. To get and keep the original density for an area that large would require an extra-ordinary hair donor density present in less than 1% of the Caucasian population. But getting hair transplants to...

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Female hairline 1 day after hair transplant

The pictures below reflect a very beautiful top model who had a hairline transplant in the past that she did not like. The previous hair transplant surgeon did not understand the differences between male hairlines and female hairlines, nor the need to put very fine...

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Can a hair transplant be completely undetectable

The answer to this is ABSOLUTELY when done well it can not be detected as a hair transplant. This is routinely our style. We did hair transplants on my wife and my daughter-in-law and not only where they thrilled but the friends they told have come in to do it also....

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I developed Gynecomastia when I turned 13

I still have enlarged breasts and I am 18. I am also conscious about it, never going out without a shirt on. I never had it treated as my doctor thought I could live with it. My doctor told me that I would have to go through a surgery to fix the problem. My question...

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Can I hide my hair transplant?

Below are four patients (two of them are ours, two of them are not). The first reflects our transplant technique where we have focused heavily on what a patient would look like after they leave the office. This patient is just a few minutes after her surgery was...

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What is being a hair transplant surgeon about?

"Hi Bill! I really feel remiss for not checking in with you sooner after my last procedure, but somehow during the 6 month period that followed there was not much to say other than that the recovery period was pretty much text book and as you described it, would be;...

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Will Emu Oil regrow my hair?

Emu Oil comes from the flightless bird in Australia which the native aborigines killed and use the fat of the bird for all sorts of medicinal purposes. The oil is a mixture of monounsaturated and saturated and polyunsaturated fatty acids, some of which is used, when...

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Will I be fertile if I take finasteride?

Many men have successfully had children who were on finasteride. There is some concern, although not proven statistically, that the sperm count might actually drop while on the drug. We have seen sterility reports on the drug dutasteride, another more effective...

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AT 21, am I too young to get a hair transplant?

Yes, 21 is too young for a hair transplant because you will not know what is your eventual balding pattern at 21. If, for example, you transplant a receding hairline at 21, and then should develop significant balding by the time you are 26, you will have hair where...

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Setting hair transplant expectations

"I am almost 1 year since my hair transplant and I am very disappointed with the results". I have heard this before. Setting proper expectation that are realistic is critical between the doctor and the patient. From what this patient told me in his email, he did not...

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Will Propecia produce depression?

Depression is a known potential side effect from Propecia (finasteride). There are actions of the 5AR enzymes in many parts of the body and as it blocks the effect of this enzyme, the effects can be seen everywhere the enzyme exists which does include the brain. The...

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What is Post-finasteride Syndrome (PFD)?

This is a condition that is reported when a young man was on finasteride and developed sexual and other side effects that did not go away. This syndrome is highly suspect because of the litigation going on with Merck and two important observations: (1) The drive to...

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How many hairs are there in a hair graft?

Hairs grow in groups of 1,2 3,4 and occasionally 5-6 hairs per group. These are called Follicular Units. Most doctors transplant Follicular Units and for simplicity call these units 'grafts. When I do a hair transplant, regardless of the harvesting system (strip...

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JAK Inhibitor Drug Reverses Alopecia Areata

The use of JAK inhibitor drugs have been shown to be effective in the treatment of Alopecia Areata. Janus Kinase Inhibitors (JAK) are drugs which supress the functions of the JAK enzyme, a critical en\This is an inherited 'autoimmune' disease that causes the body to...

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Fat cells to treat scars

The University of Pennsylvania has been on the cutting edge of both (1) stem cell development for hair growth and (2) fat cell use in the treatment of acute scars producing reprogramming of cells in a wound. This is going to become a huge field with almost...

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Do all races of humans bald?

All races of males have male pattern balding; however, the American Indians whose ancestors came out of the Alaskan Bridge, have no balding present. This is most unusual because their ancestors have balding. There has been a suggestion that the absence of balding in...

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24 year old male with early maturing hairline

How do you tell the difference between hairline recession and early balding? The first way to tell is to measure the distance of the hairline from the highest crease in the furrowed brow. In this 24 year old, the hairline is just starting to rise from the highest...

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Technology Comes to Hair Brushes by L’Oreal

http://www.adweek.com/news/technology/loreal-made-smart-hairbrush-analyzes-beauty-habits-and-suggests-products-175350 Amazing way to sell hair products announced by L'Oreal. The hair brush listens to the way it works its way through the hair to report dryness and...

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Problems With FUE and Immoral Doctor Promotions

A number of patients (many under 30 years old) are coming in to our office and telling us that they only want one session of FUE transplants and don’t want more in the future, and it is because they see these advertisements on the internet that say that this is...

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Five days after 1400 FUE grafts with photos

This patient had an FUE 5 days earlier. What I want our readers to note, is that there is not only no crusting on the recipient area, but the donor area is completely healed, I get emails frequently which show terrible crusting after a hair transplant in the recipient...

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Value of HAIRCHECK instrument

Today I had an 18 year old man visit me worried about early frontal recession. My eyes told me that he was developing a maturing hairline and not balding. So to confirm my suspicions, I ran a HAIRCHECK test on him. What I found was an unusual reading, where the hair...

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New Hope for Alopecia Areata

A drug has been recently discussed in the Yale University news letter: "In 2014, King showed that tofacitinib, marketed as Xeljanz, could be used to treat alopecia areata. The new study confirms the validity of that report and builds a case for pursuing treatment of...

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Treating FUE scars with an FUE procedure

One of my patients asked if I could treat the FUE scars using FUE graft into the scar through another FUE. I smiled at him and ask what we would do with the new FUE scars created when treating the old ones, He got it! The only answer to FUE scars is Scalp...

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Erectile Dysfunction with finasteride studied

The study was released by the Britich Medical Journal which reported that the association of finasteride and Erectile Dysfunction when used for Benigh Proetatic Hypertrophy stated: "Our findings should be reassuring that the risk of erectile dysfunction is not higher...

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Doctor often do far more grafts than you need

Doctors often perform hair transplants with too many grafts recommended just to make more money from each patient. This is very common world-wide and something I see all of the time. I saw a young man that had 3500 grafts and lost hair as a result of the high number....

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SMP Will Solve The Problem of Thinning Hair

SMP Will Solve The Problem of Thinning Hair

It may seem like there are few options for women who are losing their hair. After all, not every girl can pull off a short hairstyle. The situation is not so hopeless, however. Even if wigs, special shampoos, and surgeries haven’t done the job, Scalp MicroPigmentation isn’t short hair specific! read more

African Americans Who Want FUE – Beware

When an African American with a coarse, kinky hair wants an FUE procedure because he sees one of those straight, low, sharply cut hairlines in famous black actors or black athletes, they come to a hair transplant surgeon with what often turns out to be an unrealistic...

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Am I losing my hair?

This young man came to see me because he saw hair in the shower and on his hands and started to worry about hair loss. He did not see any balding or thinning nor did I. We did a HAIRCHECK bulk measurement and much to my surprise he lost 56% of the hair in the front...

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Topical Finasteride – How Does It Work?

To get the drug finasteride to be absorbed by the skin, is not simply a process of grinding up the pill and rubbing into your scalp. The scalp and your skin protect you from everything that could be harmful. So you might ask 'if topical finasteride is not simple to...

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Female Hairline Created

This is a woman in her mid-50s, who lost her frontal female hairline and felt less feminine. "Hair is so important to my sense of who I am and the woman in the mirror does not look like I want to look" she said to me. This is not an uncommon comment when it comes to...

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FUE: Shaving with Long Hair/How to Hide It

Follicular Unit Extraction or FUE is a popular form of harvesting hair grafts for hair transplant surgery, however it requires shaving your head to harvest the grafts. This is because you cannot pluck out individual hair follicles with your hair kept long. A very...

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Where do hairlines belong?

This was a very general question that was asked on the Realself website:  Here is how I responded to it. "I asked the same question a few years ago. To answer this question, I studied over 1000 children from 5-18 of both sexes and studied the hairlines from a...

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FUE Surgery With Photos Before and 4 Days After

This patient has an FUE procedure and the photos show what he looked like before it was done and just 4 days after the surgery. People who experience FUE with us are amazed how fast the marks of the surgery disappear and how normal they look in just a few days. The...

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All About Artas

We invented the two most significant components of the Artas® Robot long before the Artas® came to market and it was incorporated into the Artas® Robot for more on the Artas® Robot click...

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Grey Hair Gene?

On March 1, 2016 Nature Communications posted an article finally linking hair greying to a specific gene... “We already know several genes involved in balding and hair colour but this is the first time a gene for greying has been identified in humans, as well as other...

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Is Your Scalp MicroPigmentation Fading?

Is Your Scalp MicroPigmentation Fading?

I believe there are two issue with the fading of Scalp MicroPigmentation SMP in the first few weeks to months that applies to everyone: 1) In the first few weeks there is always some degree of fading as the top layer of skin exfoliates.  Any pigment on the epidermis...

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Hair Transplant FUE Trouble in Turkey

I had a FUE hair transplant from Istanbul Turkey 9 weeks ago was reported in Realself.com. What the patient reported appeared to be an infection. The man did not know where to turn. He tried to reach the doctors in Turkey but they did not return the call. Good medical...

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How many FUE grafts do I need?

There is a direct relationship between the size of a bald area and the amount of hair that has to be put into it to get the look of a full head of hair. I want the reader first to know, however, that the average person does not need to restore their original hair...

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How Many Grafts Do I need?

How Many Grafts Do I need?

When asked ‘how many grafts’ do I need, what most people want to know is ‘what will be the cost?’ There is a direct relationship between the size of a bald area and the amount of hair that has to be put into it to get the look of a full head of hair. I want the reader...

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Scalp MicroPigmentation for FUE Scar

Scalp MicroPigmentation to fix FUE Scar is now a well known method to hide old hair transplant linear scars.  You can view many before and after photos on my website.  Nowadays there is an uptick at my clinic in Los Angeles where I am seeing many unhappy patients with...

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Habits – Are They Good Or Bad?

Did you know that 40% of our daily behavior is habitual freeing up our minds for other things. This was a cover story in the January 16th issue of New Scientists. Think, if you could only control your brain and put it into autopilot more often. The focus of the...

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UNETHICAL Hair Transplant Surgery

HERE IS A LETTER I SENT TO A PATIENT:  "You have had previous hair transplants done by Dr. XXX with 3400 grafts in the front of your head. You were very frightened about the prospect of being bald at that age of 23. Now you are 31 years old and started Propecia 4...

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Daily Low Dose Aspirin Reduces Cancer Risks

"Regular, long-term use of low-dose aspirin is linked to a small decrease in overall cancer risk, with much of the reduction due to decreased gastrointestinal (GI) cancers, particularly colorectal cancer (CRC), new research involving more than 135,000 adults...

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Stem Cells? Really?

I spent about an hour tonight on youtube reviewing a Denmark based hair stem cell clinic with other offices in Europe (https://www.youtube.com/watch?v=uu-pNdl7z38).  I watched three videos about a half an hour each. What I saw was flamboyance with 8 star offices. One...

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What’s New In Transplants?

If you ever heard someone tell you to "get your head together' I don't think that they were tell you to get a new head as these researchers did here: This is a technical challenge for the surgeons doing these head transplant, but it is a real ethical issue for me...

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What Is Wrong With Donald Trumps Hair?

I have heard from reliable sources that Donald Trump has had more than one scalp surgery to treat balding over 20 years ago. Many people who have had the older types of hair transplant procedures from the 1980s and 1990s often received deforming procedures that caused...

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Death During A Hair Transplant In Chicago

CHICAGO – A Cook County woman is suing a physician, alleging negligence, after her husband died while undergoing an elective hair restoration procedure in December 2014. The suit alleges that despite the patient's history of heart disease, no EKG monitoring was used...

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Does Wind Cause Hair Loss?

My question relates to wind exposure. I've read on this blog (and elsewhere) that there is no correlation between exposure to high wind gusts and hair loss. However, I've also read here that most of the hairs shed daily "blow out in the wind," and from showering,...

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Image And Cause Of Hair Split Ends

Split ends reflect drying and trauma over time. The longer hair ends are the oldest part of the hair shaft and that is why we see the greatest damage at the ends. The trauma is caused by sunlight, blow driers, hot rollers, rubbing too hard, hacking it with dull...

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About Grey Hair

The following is taken from MSN Lifestyle: HOW HAIR TURNS GREY Hair grows in a follicle, a bulb-like tube on your scalp. The average head has 100,000 to 150,000 follicles, each operating independently from the others. Hair in its basic, unpigmented state is white. It...

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Obesity Influences Male Sperm

There seems to be an impact when obese men have children. The same may apply to women as well, but the study that is referenced here (December 3, 2015 The Scientist by Karen Zusi) states “Obese men have information that can be transferred to children that could...

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Can You Use Rogaine for African American Hair

I am an African American woman and have braided hair...is it safe to use Rogaine on my scalp??? If you are losing hair, it would be advisable to find the cause for the hair loss before seeking treatment.  Rogaine is a medication to grow hair.  It does not matter if...

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Can I Get My 15 Year Old Femail Hairline Back

A young woman wrote this a while back and this week, just four days before these pictures were taken, we moved her hairline back to her 15 year old concave hairline. This is the same hairline that my wife had done here over a year ago. This rounded frontal...

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Surgical Complications in Hair Transplantation

Surgical Complications in Hair Transplantation: A series of 533 Procedures Sandro Salanitri, MD1, 5, , , Antonio José Gonçalves, PhD2, Américo Helene Jr., PhD3, 5, Flavia Helena Junqueira Lopes4 Background Surgical complications in hair transplantation can sometimes...

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Should I Be Worried About My Hair Thinning?

I noticed this slightly off patch of hair about mid way down my crown two or three months ago from a photo taken from behind. My friend couldn't tell if it was just my hair colour (I have mousy brown hair at the back and sides but it is naturally very highlighted...

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If the DHT is Low Why Do You Have Balding?

If the DHT levels are already low, why would then somebody suffer from alopecia? I.e., if you are suffering from male pattern baldness, isn't that already an indicator your DHT levels are high? Or, from another angle, what hope do people then with low DHT levels but...

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A Chemical May Help Cure Alzheimer’s Disease

Resveratrol, found in wine, actually in the grape skin, might help in the fight against Alzheimer's Disease The skin of the grape is a potential treatment for a variety of age related disorders, reported from the Georgetown University Medical Center in Washington DC....

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Can Scalp Exercises Grow Hair?

I see you posted about this website before - http://www.hairloss-reversible.com/my_approach.htm. It recommends treating hair loss by using the muscles at the front and back of the head to move the scalp back and forth. I know this is unscientific and likely...

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My Transplanted FUE Hairs Look Uneven.

I had a hair transplant by fue technique and as to be expected I did start shedding around the 2nd week point. However, when I inspect the shedding hairs I noticed that some of the transplanted hairs that shed are short and some are longer. Is it normal to have...

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Is Receding Just One Temple Peak Normal?

I have a question about temporal hair peak, my temporal hair peak in my left side has disappeared whereas the right side temporal hair peak is still ok, thus it makes an asymmetrical looks. It does not bother me since the temporal hair peak is not as important as...

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I Am Losing Hair Please Help Please Help.

Hello doctor Hope you are doing fine... I am a 40 years old lady and always had thick densed hair. But since july'14 I suddenly started losing hair. I was devastated when doctor said it Will take 3-4 months to stop... I was losing 100+ hair.I got my blood test done...

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I Think My Hair Transplant Surgery Failed.

I had a hair transplant surgery three months ago by a reputable doctor, but I am not seeing any results. I think it may be a failure. What can I do? Transplanted hair grafts usually shed and fall out within the first few weeks after surgery. Transplanted hair grafts...

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Transitioning From Hairpiece to FUE Surgery

I currently wear hairpiece that I've had for about 25 years (I'm 50 now). it's a bonding tape/glue kind. my shop in phila is closing and I'm wondering if it's time to consider transplantation. however, how would i transition to that w/o everyone knowing? do you have...

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Terrific Scalp Micropigmentation Story (SMP)

I have had more transplant in the past than I care to mention including the old fashion scalp reductions and have been stuck with weaves and wigs ever since. The SMP procedure is the most marvelous procedure ever. It got rid of all scarring from my transplants...

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How many grafts can you harvest with surgery?

How many grafts can you harvest with surgery? Maximum number of grafts in one session is dependent on the exam. Doctor needs to determine your hair density and scalp elasticity for maximum harvest. Every person is different and with each surgery the maximum number...

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I Am Balding. Help.

i am 30,having male pattern baldness(loosing hair for last 5-6 years),using minokem n 5% and finpecia 1mg(using last 3-4 years).no impressive result,can i switch to Regaine 5% /Hair 4u 5% /Mintop 5% /Morr Forte 5%.or any other? please suggest. If you have genetic male...

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Why Is My FUE Hair Transplant Result Greasy?

Had a FUE about 3 years ago and was very happy with the results. Now, it seems like I have half the hair after the FUE and my hair gets very greasy - like one day after shampooing, it feels oily. Could the transplant have transplanted extra sweat glands in addition to...

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Short Anagen Syndrome

My granddaughter is 13 years old and will be going into the 7th grade. This hair condition she has has become a huge problem with her self esteem and confidence as she is constantly made fun of and bullied. After researching this condition it seems there is absolutely...

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Elderly Woman’s Hair Loss

I am 68 years old, very active & healthy. Approximately 2 years ago I went through a stressful time & started loosing my hair. The stressful time is way behind me & im balding from ear to ear ( located where a headband would be placed. My dermatologist...

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Scalp MicroPigmentation SMP Pigments and MRI

Hypothetical question: would it be safe for someone who had SMP done to undergo an MRI test? I thought most tattoo inks contain metal and thus, anyone with a tattoo could not get an MRI test. Just wondering if this also applies to SMP? SMP is a form of tattoo.  Tattoo...

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Question About Propecia Dosing

Just wanted to ask you a question about dosage. Most drugs become more effective when the dosage is increased. I assume that's why doctors start their patients off at a small dose and increase it if the patient isn't responding to treatment. However, I believe you've...

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Twelve Cancers High In Smokers

  JAMA Internal Medicine study estimates that the number of deaths attributable to cigarette smoking for 12 smoking-related cancers and found that continued progress in reducing cancer mortality requires more comprehensive tobacco control (in other words, best if...

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A Patient Story That Touched My Heart

"The waiting is the hardest part." - Tom Petty and... "The waiting is the hardest part." - Tom Petty and the Heartbreakers If my chronicle of hair had a theme song, that 1985 hit would be it. But let's go back in time and set the stage. When I first met Dr. Rassman, I...

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Hair Washing and Hair Loss

I'm a 36 year old male with no visible hair loss.....yet. For around 6-8 months now I've been following a very lax hair washing routine. I had a girlfriend who had adopted the wash less routine in an attempt to achieve healthier looking locks. Apparently her stylist...

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Miniaturization of Hair and Balding

My question is about miniaturization of hair. Does everyone have some degree of miniaturization of their hair? Or if you are experiencing miniaturization of hair, you have male pattern baldness? Can you experience miniaturization even if you don't "suffer" from mpb?...

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Male Pattern Balding And Body Hair

I've been learning a few things about Male Pattern Baldness but one thing remains unknown for me ( and for scientists also , maybe). I am a 19 years old dude who has growing body hair (A LOT) , even in the back. By my mother's side no one lost his hair, but in the...

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I Took Propecia For 3 Days And Have Gynecomastia

I have a question regarding my start with Finasteride. Im a 26 years old Male suffering from mpb. I just started Finasteride 1mg / day 3 Days ago and feel some kind of pain in my right Breast area i didn't have before. What would you recommend lowering the dosage to...

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Why Do Humans Have Eyelashes?

Eye lashes are 1/3rd as long as eyes are wide. This is true, not only for most humans of all races, but for 21 other mammal species as well. This is the body's spectacular engineering to control the air flow around the eye to keep dust out and moisture in, reports Dr....

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Daily Hair Loss

Hi Doctor Rassman, how much daily hair loss is normal? some say 50-100, others say 100-150-200 is normal. From your expertise what is normal for an average male with no hairloss. I believe we wrote about this subject many times over. The average person can loses 0.1%...

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FUE From Turkey. Help!

I did my FUE in Turkey. After opertion I noticed some part of my recipient area seems more dark than rest of the part.After 1st week after wash the head is getting clean but those area,where still seems to be wet and little red.Today is 12th day,I am getting worried...

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Balding at 14 Years Old

I work in a school and recently met an 8th grade student, so 13 or 14 years old, who had very advanced male pattern baldness. It had clearly progressed in the male pattern, and he was somewhere around a Norwood 5 or 5A. There was a large bald circle on the crown, and...

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A Letter From A Patient

Dear Dr. Rassman: Yesterday, the first of 3 session for Scalp Micropigmentation at the New Hair Institute was pretty remarkable. Under the guidance of Dr. Rassman and Dr. Pak, the technicians, Christine and Leonard, delivered tens of thousands of precise ink dots that...

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Can I Have Arm Pit Hair Transplant To My Head?

Hi doctor, weird question. Have you ever taken a strip from the arm pit region? One would think there would be great elasticity in that area. If not, would you ever consider it? Thanks again! We have had these requests in the past. There has to be a good reason (such...

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Propecia and Shedding Phase

I am 23 years old. I would like to know if the shedding phase associated with Propecia is a real thing. I was on Propecia for 2 months when a shed began. I was losing about 3 times as much hair as usual. I read on some online forums that Propecia can have a "shedding...

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Short Cycling Morphology Of Hairs

Thanks for your great blog. It's really helped me be informed about hair loss. If I am shedding many short, thin hairs that are tapered at the end, not the root, is this an early sign of male pattern balding? I assume that my hairs growth cycles are shortening and...

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A Patient From 1993 Surgery

This patient came in today to ask for Scalp Micropigmentation to make his hair appear thicker. It was a pleasure seeing him today. He still remembered the upbeat environment that the surgery was performed in 22 years ago! In addition, he sent a friend after he had it...

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Propecia Stopped Working After 3 Years.

Hi. I have been taking propecia for about 3 years now. After the end of first year, the results were significant and I could see 20% regrowth. But then it started receeding by month 13-14. then I got on to propecia and Minoxidil. About 7-8 months of this combination,...

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What To Start First? Minoxidil or Propecia

Doctor. I appreciate that you always advise patients to try one product at a time so they know what's working. And you always advise men to try Propecia first and minoxidil later. Propecia is obviously more effective. But couldn't it be less effective if minoxidil was...

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I Lost My Hair After Crash Diet

During period of two months October - December 2014 I lost 35 pounds, cca 15% of my total weight. I ate mainly vegetables, basically it was starvation and gym. At end of december noticed diffuse hair loss. Immediately normallized my eating pattern, went to...

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Patient Story After FUE Surgery Cracked Me Up!

A patient who had a surgery yesterday, told me about his experience as he was walking the two blocks to his hotel. His surgery was finished at about 4:00 pm and he was wearing a surgical cap (to cover his FUE and hair transplant surgery) and a doctor's scrub top...

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I Was Prescribed An Anti-DHT Medication

I am 21 year old male suffering from moderate hair loss. The males from my mothers family are all bald and I share the same blood group hence the problem may be genetic. I have been prescribed anti DHT drugs by my doctor. The dosage will be 4mg per month for 6 months...

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Scalp MicroPigmentation Medical Publications

As a physician (who reads medical journal articles regularly) and someone who received scalp micropigmentation (SMP) at your office, I thought your recently published article on SMP in the March issue of The Journal of Clinical and Aesthetic Dermatology was...

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LeBron James and Hair Transplant Scar

LeBron James is probably one of the most well-known athletes in the world. Articles have been written that he is perhaps self-conscious about his hair loss and wears a headband very high on his head in an atypical way to cover his receding temporal hairline. I was...

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Will You Perform Piloscopy?

If and when Piloscopy becomes a thing, will you adopt it too? I'm asking this because you are a very skillful surgeon and it would be a great thing if big surgeons such as you adopt it.. First, what is Piloscopy. A presentation of an endoscopic approach to follicular...

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Minoxidil and Propecia Side Effect

what's with all the horror stories being posted on this blog about side effects that are irreversible- or reversible over a long period of time? I'd very much like to try minoxidil and would really appreciate a professional opinion on the matter. These anecdotes about...

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Propecia and Fertility and Sperm Count

I am 27 year old Male. I have diffuse thinning of hairs. There is no bald spot yet and i can hide my thinning with thickening shampoo. But thinning became quite visible when my hairs are wet or oily. I have been using 2% Rogain for past 2 years and it helped in hair...

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Plucking Hair Can Help Treat Baldness

Hi Dr. Rassman, I've been a "lurker" on your blog for yrs, 46 yrs old and if I were to guess, a Norwood 3. I've been taking finaesteride for about 1 1/2 years, shampoo with nizoral a couple times / week. I started using Rogaine foam for a few months, but at $62 CAD /...

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Don’t Believe Everything You Read

Creator of Cancer-Cure Diet Faked Her Cancer Nick Mulcahy April 23, 2015 "The creator of a best-selling mobile phone app and cookbook,The Whole Pantry, has confessed that her story of healing terminal brain cancer through diet and other natural therapies is a...

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Morning Erection and Finasteride Doseage

Your website is a great and informative, objective source of information. Well done. I'm 48 and been on fin for nearly 15 years under the care of a doctor. I started on 1 mg per day, but reduced to 0.25 mg per day mid last year in response to what I perceived as...

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High Anxiety and Hair Loss

If I have been using Propecia religiously but also been experiencing anxiety to the point of palpitations and twitching, would Propecia blunt any possible stress-related hair loss? If stress is what has lately been causing thick hairs to fall out when I gently comb my...

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Dental Numbing Agent and Hair Loss?

Can that numbing agent that the dental assistant repeatedly injected into my gums before she cleaned my teeth cause hair loss? There is no connection between your gum anesthesia and your hair, but if you are stressed, you might induce more hair loss as stress is a...

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Hair Loss Misdiagnosis

I am a 25 year old male with dark and curly hair. Some family background: My father has no hair loss, but has a high hairline. Possibly NW2/NW2A. My paternal and maternal grandfathers both experienced Male Pattern Hairloss around the age of 60. My maternal uncle is an...

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Did You Know That Alcoholics Die 7 Years Earlier

"Alcohol-dependent patients in general hospitals live significantly shorter than patients without alcohol dependency. According to a German-British study published in "European Psychiatry", they die 7.6 years earlier on average. In addition, they suffer from several...

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Am I Really Balding?

"I'm seeing a few hundred hairs in the shower drain every day. I really don't think I am balding, but I came to ses you because I wanted to be sure that if I was balding, you could transplant my hair and keep it looking good." This comment reflected the comments, one...

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Can Baby Hairs Grow To Normal Hairs?

Thank you for taking time to read this and I love how this site is very informative. I have always been wondering if there is anyway to let baby hairs grow into normal hair. Lots of my hair stops growing at a very short length and it gives the impression of the lack...

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Suicide: Should It Be Allowed?

More and more healthy adults are raising the issue of "rational suicide" and we are ill prepared for this concelt. Doctors have thought about it for themselves if they should get very sick an terminal. Doctors are just people with the same concerns and at the American...

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Platelet Infusion Stem Cell PRP In Hair Growth

Dr Joe Greco of Greco Med Group Florida claiming 80% success rate with infusing growth factors from ones own platelets into the scalp to regenerate hair. Really 80%? How can doctors make claims like this? Any safe treatment that had an 80% success rate would be...

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Propecia – Brand vs. Generic

I currently take Propecia, 1 mg., and am paying $86 at Costco for a one month's supply. I have been told by a pharmacist that the generic has the same ingredients as the brand name. The generic sells for $22 for the same amount. My question is - are the results the...

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Minoxidil Tablets to Beat Male Pattern Balding?

Long time reader, first time poster. As an avid reader of your excellent blog i just wanted to post a few pictures and get an indication of where you think my hair loss is? I have been receding for a while now however over the last year I have become very concerned...

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Politician Declines to Campaign Due to Baldness

A reader sent us an article on Huffington Post. Take it with a bit of sense of humor but there really have not been many bald presidents considering that about 50% of the male population has some degree of balding. “To more completely describe his actual beliefs,...

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How Do You Know If You Lose 100 Hairs A Day?

Hi Doctor, you say that one lose on average 100 hairs each day. On what basis you say that? is it based on a scientific research and finding or just your own guess based on average number of hairs on someone's head and the percentage of hair in telogen phase and...

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Hair Transplant On Vertex Crown

I am a 26 year old male with vertex hair loss only. My hairline and frontal hair is very strong, yet my vertex is almost slick bald for a few years now. I was thinking about having a hair transplant, yet I am not sure whether I will lose my hair in the front or not. I...

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Propecia and Sperm Morphology

I have recently had a sperm analysis done and have seen that I have abnormal sperm morphology, pretty much close to 100%. I have been taking Propecia for close to 9 years. Does Propecia increase the effects of abnormal sperm morphology? There is a report in Fertil...

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Plant Sterols Beta Sitosterol and Propecia

Hi Dr. Rassman , Please help me on this one . I have been taking Plant Sterols 1000 MG. siad to contain 375 MG Beta Sitosterol per Tablet ... combined with Generic Finasteride 1 MG. every DAY ! My Question is : Can I combine the two i.e. Plant sterols and Propecia (...

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Exercise Gives You Better Erections

"Men who engage in a high level of physical activity report better erectile and sexual function regardless of their race". The study seems to cross all racial groups (March 20 in the Journal of Sexual Medicine). The threshold seemed to point to at least 2 hours of...

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Heart Disease Starts In Childhood

According to the article in Circulation, March 18 "Most US children start life with optimal cardiovascular health (CVH), but it declines substantially over time. "Our findings indicate that, in general, children start with pretty good blood pressure. But if they have...

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I Am Balding And I Can’t Get A Job

Hi Doc, Here is an interesting msg I ran into in Craigslist, a guy who is job hunting, might be good for the blog sfo Help! I am bald and cannot get a job! "Recently, people interviewing me have been staring at my bald head. I used to have a receding hairline (a la...

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Marriage And Work

On NPR duing my morning drive this morning, a somewhat interesting study of work habits was discussed. Hedge funds are those funds which manage wealth for the very rich. It seems that for those funds which have a single manager (common), if the manager is either...

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Heroin Overdoses Rises Dramatically Since 2010

"Drug-poisoning deaths involving heroin use have soared since 2000, and most of the increase occurred since 2010. From 2010 to 2013, the rate of heroin overdose deaths increased 163%. From 2010 to 2013, the rate of heroin overdose deaths increased 163% for men, from a...

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Is Testosterone Supplemental Therapy Safe?

More and more men are taking supplemental testosterone to increase their feeling of youth and augment their sex drive. The concern for some time has been concerns about safety asking questions related to the risks of increased stroke or heart attacks in those men...

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Sibling Hair Loss Pattern

I have a question regarding hair loss patterns in siblings. Hair loss is frequent on my fathers side of the family (it is almost nonexistent in my mothers side). My father and uncle were both NW 3 around age 35, but they are NW 6 now. My brother on the other hand had...

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Does Perm Damage Hair Root?

I am a 30 years old male, I did a perm 5 years ago to make my fine hair look a bit curly, so that it did not look as limp as it used to be, that was actually the suggestion from the hair stylist based on my soft fine hair, I initially wanted to make it volumized, so...

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I Am Constantly Worried About Balding

I am a 28 year old male, and have a few questions. When I was 21 my hairline changed a bit, going up in the temples, about an inch or so. Literally since then there has been no change in my hair, in either the hairline or the density. Despite this I am constantly...

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Can You Predict The Norwood Pattern

You say that the earlier in life the balding process begins, the likelihood the sufferer will lose a lot of hair, but you also say that if a man has not started balding in to a norwood 6 - 7 type by the end of his 20s, then it is unlikely that his hair will degenerate...

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Balding Time Frame

Is it possible to START prematurely balding at the age of say, 17,18,19,20 or below the age of 25/30 if there is no family history of STARTING balding below the age of 35? Also, does hairline maturing occur at a similar time frame as predecessors or does it have it's...

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Can I Stop Being Bald Like My Father?

I am 24 years old and now have advanced my balding to include the front and the crown. I don't want to be bald like my dad who is probably has a Class 6 pattern of balding. He said he got most of it when by the time he was 35. What if I started taking Propecia when I...

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Abdominal Pain And Hair Loss

Hello Dr Rassmann,this blog is great. Sir suppose a person has genetic hairloss for around last 3 years. If he also has abdominal pain for around last 6 months, so is it possible that his abdominal pain can increase/accelerate his genetic hairloss but without causing...

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Diffuse Hairloss and Sebum Plugs

I've have consistent diffuse hairloss universally around my head for about a year and a half, to the point where I believe I've lost about 60-70% of my hair. Many of the hairs that fall have large white plugs attached to them (see pictures), which I believe may be...

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NSAID and Hair Loss From Hair Transplant.

On the day of my surgery I took an lozenge for my sore throat. Later I realized in horror it contained a NSAID (Flurbiprofen 8.75mg). There was no excessive bleeding during or after the surgery. However I'm afraid that the NSAID caused just enough bleeding to dislodge...

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Beta Sitosterol and Propecia

Hi Dr. Rassman , I have been taking one Tab. Beta sitosterol (375 Mg containing Total Plant sterols at 1000 Mg ) along with Propecia / Finasteride ( 1 Mg )every day daily , as I wanted to combine the Natural with the Prescription , Please note that I am taking Generic...

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People Who Lost Hair In Later Years

As we commonly see that men display their balding pattern by their late 20s, it's sometimes surprising to see how much hair was present in people's old photos. A most striking example is Mickey Rooney, who managed to appear in a very thick head of hair into his 30s,...

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Rubbing Eyebrows and Hair Loss

Hi I really wanted to know whether gently rubbing your eyebrows while washing your face could do any damage to them in the long run and if I have been doing it quite frequently. "Gently" rubbing eyebrows or just plainly washing your face and eyebrows (or any part of...

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Advantage of Long Hair FUE

Hello. What is the advantage of Long Hair FUE, don't the transplant hairs fall out quick anyway? Is it to just avoid shaving? And can you not shave on both the donor and transplant site? Thank you. One aspect of having a FUE procedure is that you need to shave the...

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What Is The Value Of Follicular Units

What are Follicular Units? In the picture below, the normal scalp hair that is being parted with the hand. Note how the hair seems to grow as single strands. The hair in every person’s scalp grows in tiny bundles called follicular units. Although this had been...

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Propecia and Effectiveness

Thank you very much for your posts and the great help that you are offering to your readers and far beyond. You have stated in previous posts that Propecia halts the loss of hair but at the end the gene will win and the outcome will be as it should have been without...

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Will SMP Cause Hair Loss?

I was just wondering, will Micro Scalp Pigmentation damage hair follicles? I'm on minox and propecia currently for hairloss.. I have diffuse thinning, so meantime, I was considering SMP while hoping for my hair to grow back with the meds. Will SMP damage hair...

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Proton Pump Inhibitors (PPI) and Hairloss

Hi Dr Rassman, Sir does proton pump inhibitors such as omeprazole causes telogen effluvium? Or does PPI increase hair fall in a person with androgenic alopecia? Aside from what you may read in drug insert labels noting all the possible side effects, I personally have...

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I Use Rogaine and Have Scalp Itching.

Hello. Dr Rassmann. I have MPB and i am using minoxidil 5% and finisteride for last 4-5 months. Sir the problem is that i am expriencing itching with the use of minoxidil. I m not experiencing any scaling etc but just itching. Sir , if i am experiencing itching...

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Prohormone Induced Hair Loss

(sorry for my bad English) I had been on prohormone stacks 3-4 times for one year. The types of prohormone that I took are mild one except the last one. My hair started to fall out 3 months after quiting it. My doctor diagnosed me to the MPB(two months after the onset...

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Can X-Rays Cause Hair Loss?

Sir does xrays causes telogen effluvium, or accelerates hair fall in patients with male pattern baldness? X-ray is a type of electromagnetic radiation that is all around us. It falls between the ultraviolet light and gamma rays in the spectrum of electromagnetic...

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Propecia Time Effectiveness And Statistics

Thank you very much for your posts and the great help that you are offering to your readers and far beyond. You have stated in previous posts that Propecia halts the loss of hair but at the end the gene will win and the outcome will be as it should have been without...

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Does Topical DHT Inhibitors Work For Hair Loss?

Hello, Dr William i have male pattern baldness. I am already taking finisteride 1mg daily and using minoxidil 5% spray twice daily. Sir, if I also want to add any topical dht inhibitor in my regimen then which one will you suggest? Despite what you may find on the...

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Can I Add Dutasteride For My Hair Loss?

Hello, Sir i m taking finisteride 1 mg daiily for my Male Pattern Baldness. Sir if with daily finisteride i want to add dutasteride 0.5mg just twice a month , so can i do so? Even if it does not enhance the results of finisteride, but still if one want to take it...

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Where Does The Hair Line Start?

I realize that individuals vary greatly, but is possible to determine, from measuring a person's facial proportions, where their natural hairline, prior to any hair loss, should be? i.e. how far up the forehead should it be located. Each and every patient is different...

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Is Propecia Effective Against DUPA Hair Loss?

Is propecia effective against DUPA hair loss? Do you prescribe propecia to patients diagnosed with DUPA? Propecia works for genetic androgenic alopecia not DUPA (Diffuse Unpatterned Alopecia). Some patients may have both DUPA (hair loss throughout the entire scalp)...

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Can You Take Finasteride 5mg for Hair Loss?

Dr William, in order to prevent hairloss and to regrow some hair in androgenic alopecia patients , can one take finsteride 5mg daily instead of finisteride 1mg? The recommended dose for finasteride for the treatment of androgenic alopecia is 1mg daily. Taking more...

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Interesting Topical Medication For Hair Loss

The drug melatonin, a potent antioxidant and growth modulator, was identified as a promising candidate for the topical treatment of hair loss. The study was conducted in 2003 at the Forenap Centre Hospitalier in Rouffach, France. The drug was found to be well...

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Rogain and Weight Gain

Dr Rassman ,does side effect of weight gain always occur in all male patients who uses 5% topical minoxidil? After how many days/months of discontinuation of topical minoxidil 5%, will the patient reach to his original /actual weight? As far as I know, weight gain is...

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Does Caffeine Help Stop Hair Loss?

Sir does alpecin caffeine liquid helps in halting hairloss and stimulating regrowth in male pattern baldness patients? And can it be used with minoxidil 5%? The only medication or treatment I know that helps (not stop) hair loss in male pattern balding is Rogain...

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I Have Burning Pain On My Scalp And Losing Hair.

Hey there, so I have a serious question. It is probably on that you have seen frequently. Well, last year in October/ early November I began 1.25 mg finasteride due to slight temple recession ( I have a V hairline and it started to round a tad on the right side). All...

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High Speed Train After Hair Transplant

At less than 48 hours after my hair transplant. To return home I took high speed train, unluckily this train had very high frequency vibration, actually makes the trip of 3 hours rather uncomfortable. I wonder if this continuous movement during three hours could have...

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Does Mesotherapy Halp Hair Loss?

Sir I have male pattern baldness. I m currently taking finisteride and applying minoxidil 5%. Sir what are your views on mesotherapy with dermaheal HL. Does it halts hairloss and stimulates regrowth? There is no drug or treatment that "halts" hair loss. Male Pattern...

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What Are Your Thoughts On Hair Line Lowering?

My question concerns hairline lowering, i.e., juvenile hairline restoration surgery. I have read that you rarely do this, and it often should not be considered. However, the blog posts where you talk about this seem to suggest that you have done it very occasionally....

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Happy New Year 2015

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...

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I Hate My Widows Peak

i shave my widows peak every other day i really do not like it. what will happen to me in the future and is it fine if i keep shaving it everyday? what should i do help. also if i try growing it back it looks very ugly what should i do? If you don't like your widows...

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Naturally Low Hair Density or Am I Balding?

Hi there. I have always had a low density of hair around the top part of my scalp since my early teens however I have recently become much more conscious about it. For example after a shower my scalp is quite visible on the top part of my scalp and also when i part my...

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Happy Holidays from BaldingBlog!

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!...

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Do You Re-Shed Hairs When You Re-Start Propecia?

I have been taking Propecia for 2 years than stopped for roughly 1 year. I recently started to taking the medicine again for the last four month, but it seems I am losing a lot of hair. I am wondering if one experience initial shed again if one stops it for long time...

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Revisited – Compassion for Balding Men

I am down right angry about everyone targeting balding men as the butt of jokes. People do not understand that behind every bald man, is a feeling sensitive man and I wish that people will stop jabbing at us. In this week’s issue of The New Yorker magazine (January 9,...

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More On Finasteride Effects Wearing Off

I am part of a group of doctors who discussed the value of long term finasteride. There is a general consensus that this drug has good long term effects, even if it just in slowing hair loss 'progression' however, a few patients pop up periodically who actual start...

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Asymmetric Hair Line From Parting The Hair

I recently saw a lot of posts here about the asymmetrical hairline or hairline receding, however, I am wondering as many people part their hair in one side for a long time, is it possible to cause asymmetrical hairline receding due to the parting? If people do not...

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Book On Hair Loss Photos: "Alopecia Uncovered"

The following was sent to us from the author of the book. Alopecia Uncovered is a fine art photography book that explores the therapeutic potential of the portrait through a series of arresting black and white images, essays and journeys of those affected by the...

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Does The Tanning Bed With UV Light Damage Hair?

I have a hair transplant 6 months ago, can I use a tanning salon to improve my overall look? Tanning beds give off significant amounts of UV light which can cause skin cancer, make you look older with frequent use and damage your hair (See: HERE) I realize many people...

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Finasteride and Itraconzaole Interaction

Itraconazole inhibits the enzyme 'CYP3A4' and the same enzyme metabolites Finasteride. Does it mean that Itraconazole decrease the effectiveness of Finasteride? Many drugs and even fruits (grapefruit) can inhibit CYP3A4 but it may not have a significant clinical...

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The Value Of A Forelock In Advanced Balding

The forelock is the pancake size area of hair located in the center of the frontal area found in some family lines and are often independently genetically programed to outlive the hair of the frontal area around it. David Letterman (TV late night host) has a...

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I've Been On Propecia And I Am Still Losing Hair

Hi Doc, I've been on propecia for 4 months now and have been shedding a lot of hair to the point where my baldness is getting more visible. I'm going to stick with the treatment for a year to see how it goes I just wanted to ask if this is normal? Also the hairs that...

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Does Excessive Amounts of Sugar Cause Hair Loss

I was just wondering if a diet high in sugar causes hairless. The reason I'm asking is because i looked up online and it says that sugar increases DHT which leads to hair loss. I often write the Internet is a great source of information as well as misinformation. Are...

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Male Hair Loss Animated Videos By the ISHRS

These are cleaver animations put forth by the International Society of Hair Restoration Surgeons which simply and nicely explain hair loss issues.   Part 1: Scarring Alopecia and Young Male Hair Loss – Bill’s Story https://www.youtube.com/watch?v=O-4tVFqgCmc Part...

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Dr. Richard Shiell Researched The Tattoo History

Scalp pigmentation is a tattoo for the scalp. It appears that body tattooing has been around for at least 10,000 years. Carbon black from various sources is the basic ingredient but henna appeared early on the list. I am sure they used whatever colored minerals they...

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I Have Asymmetrical Receding Hairline

I share this because I think Im a pretty good example of aysmmetircal receding of the hairline. I am a 27 year old (half Italian half English caucasian male) and my right corner of my hairline began to slowly recede exactly two years ago. The left is still more or...

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Hair Loss And Propecia – Revisited And Updated

Hi doctor Rassman. you have an amazing blog and are so informative when it comes to hairloss. I have been taking propecia (the brand version from merck frost) for 6 months and 3 days to be exact. (I started taking it on June 1 2011, and today is december 3 2011). I...

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Finasteride Drug Dose Revisited And Rethought

First of all thank you for what you do with this site it is a tremendous resource. I am twenty and began to recede at the hairline about a year ago. I started taking one fourth of a proscar daily in April without a prescription and got a prescription for it in June...

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Not- Hair Loss News – Physician Suicide

Medscape November 17, 2014 The fact is that each year we lose over 400 doctors to suicide—that's like an entire medical school gone. I lost both men I dated in med school to suicide. In my town, in just over a year, we lost three doctors to suicide. One doc in town...

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Hair Line of John Hurley and Mature Hair Line

I know there is often a lot of talk about celebrity hairlines, but one celebrity whose hair I've never seen on any blog is John O'Hurley, who is in fact known for his thick head of hair. I take particular interest because my hairline is very similar to his. It forms a...

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My Hair Is Thinning, Please Help

I am losing hair at the top of my hair and now my scalp is becoming visible. I have tried strategically placing my hair pieces but its becoming very consuming. Please help me. If your hair loss is an issue and you want medical or surgical options, you can always...

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I Am 18 Year Old With a 40 Year Old Hair Line.

I am 18 years old and i have experience the hairless of a 40 year old man. The front of my hairline is 3 fingers above what it should be, and my temples are about 5. I have no idea what i should do. I tried laser but it does nothing but thicken my existing hair. I am...

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Does Balding Start At The Hair Whorl?

I have a question regarding to human hair whorl, if we talk about the hair loss on the top for men, does it normally begin to thin from the whorl area? Cheers Genetic hair loss in men have a certain "pattern" as described by Dr. Norwood. That is why it is often called...

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Effects of Hard Water and Hair Loss

Some variation of this question has been posted on this blog before but I would like to ask: Can hard water indirectly cause hair loss? I am not asking about the effects of hard water on genetic baldness but whether hard water can aggravate scalp conditions in...

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Minoxidil Reborn?

I read about a compounded minoxidil solution called Formula 82M. I have been using Minoxidil 5% for more than six years and I think I am losing the battle against baldness. Can the above solution give me much needed reinforcements? Can you also please suggest any...

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Is PRP Good To Use With My Hair Transplant?

I have been reading various blogs and posts on hair transplants before I take the dive. Many doctors are using PRP, is this a valuable thing to use? At the recent International Society of Hair Restoration Surgeons (ISHRS annual meeting), the subject of the use and...

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Hairline Lowering Question

A saw a very beautiful woman today in consultation. She wanted me to lower her hairline. She noticed that the hairline she had, appeared on the part of her skull that was not perpendicular to the ground just and the hairline was about 2cm above the point where the...

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Hairline Lowering For Women

How many procedures does it take to lower a women's hairline? There are two types of procedures for lowering a woman's hairline. One, is a surgical excision of the upper forehead followed by the downward advancement of the hairline up to an inch from where it was...

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Selegiline and Moclobemide and Hair Loss

Dear Doctor, I am a 41 y.o. male and suffer from androgenic alopecia, which I am currently treating (with poor results) with Finasteride 1.5 per day and minoxidil. Unfortunately, I also suffer from social anxiety and my doctor prescribed me selegiline 10 mg per...

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How Does Finasteride (Propecia) Work

I am a medical student and was wondering how finasteride works to give people a fuller appearance of hair. In the Journal of the American Academy of Dermatology July 2006, Volume 55, Dr. Vera Price summarized the action of finasteride as follows: "Long-term...

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How Often Can I Safely Wash My Hair?

I hear every conceivable answer to the question of washing ones hair. Should it be done daily, twice a day or weekly? A famous hair researcher recently suggested that a wool sweater of the highest grade, if washed everyday for a year, would eventually show significant...

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Go Does Minoxidil And Finasteride Work The Same?

Dr Rassman, My question is: does finasteride play any role in maintaining minoxidil dose-dependent hair? I got started on 5% minoxidil topical in early Feb, 2009. My derm prescribed Finasteride oral 1mg/day too, but I did not pursue that medication due to the usual...

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Diet And Hair Loss

Doctor Rassman I have a question. once every 2 months I eat Veal Liver that is milk raised. I just want to know can that cause genetic hair loss because liver has high cholesterol and stuff. and its always a very small piece that it every 2 months. I'm not sure how...

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Propecia (finasteride 1mg) Cost Varies

We called around the Los Angeles area. Only Costco appears to have lowered their prices to an affordable rate. Costco and Target still offer a year supply of 5mg pills for $27 (90 pills, or $9 for #30) This works out to 360 day supply or less than $3 a month....

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Will Vitamin D Cure My Hair Loss

Includes snippets from Wall Street Journal Article: Crucial to the hair-growth and balding process, scientists have found, vitamin D and the microscopic receptors that bind to it in skin as essential to good hair growth. These elements have become the focus for...

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The World Record Follicular Unit

The world record follicular unit was found by Dr, Michael Beehner, an excellent hair transplant surgeon in upstate New York. The concept that the New Hair Institute developed and published, points to the great value of transplanting just the follicular units (an FU is...

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Is Hair Loss Is From Your Skull Expanding ?

I have questions about hair loss. We know that hair loss can be the cause of stress, poor diet, Hair products, and other various known symptoms, especially most heredity (MPB) in men as people say. Considering male hair loss which actually is hereditary, the scientist...

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I Am Balding And My Hair Looks Like Pubic Hair

I started to lose my hair at 19 due to MPB. After a year or so, my hair texture started to change rapidly and my hair changed from normal hair which you can style to pubic-like hair. It looks horrible. My question therefore is: what can you do about acquired...

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My Heart Pounds When I Use Minoxidil

I started using Minoxidil 5% twice a day. I didn't experience any side effects, so a year later, I substituted the 5% Minoxidil with 12.5% at night. I still didn't feel any side effects. I switched to Xandrox 5% (minoxidil with azaelic acid) last December since I have...

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Avodart Vs Finasteride

just to share something and also post an enquiry. January this year, after seeking advice from a dermatologist, I decided to take the plunge and switch from propecia to avodart. It has got to be the worst mistake I ever committed. since the time I stopped propecia,...

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Why Doesn't FDA Do Something About Hairmax?

If that's the case then why doesn't FDA do something about hairmax openly claiming that their device was tested by FDA for EFFICACY and safety? FDA did mind when hairmax stated that their device was APPROVED instead of cleared. So why dont they mind now? Such devices...

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Does Propecia Stop Hair Loss in 90% of Men?

Dear NHI Team - your blog is one of the most informative and professional online resources. In the past you have written that of a belief that Propecia works for all men. Dr Bernstein in NYC, Dr. McAndrews in LA have made similar statements. The Merck claim is that it...

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How Does Tattoo Removal Work?

The FDA regulates laser devices and the inks used to remove tattoos. Some Lasers have been cleared for use in tattoo removal. The FDA has cleared several types of lasers as light-based, prescription devices for tattoo removal. A Massachusetts company recently received...

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Hair Loss And Chemotherapy – The Cold Cap

I am about to undergo Chemotherapy for breast cancer and I have been told that I will lose my hair. Is there anything I can do to prevent this? We have written about a device called the Cold Cap before HERE Many patients over the years have written to us about the...

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How Does Finasteride Work?

I am a medical student and was wondering how finasteride works to give people a fuller appearance of hair. In the Journal of the American Academy of Dermatology July 2006, Volume 55, Dr. Vera Price summarized the action of finasteride as follows: "Long-term...

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17 Year Old Wants Hair Transplant

I am a 17 year old male. When i turned 13 I dyed my hair about 5 times, and bleached it once. The following year I began to lose my hair. You can see my scalp on the back of my head, not greatly, but very noticablly. The hair on top of my head is very thin now, and u...

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I Am Losing My Hair And Am 8 Months Pregnant

QUESTION FROM THE PAST Please help me - I've been suffering from hair shedding since Aug 2007. I was on the pill for 12 years and came off in august just after my wedding to conceive. I concieved straight away and am now 7 months pregnant. In Dec 2006, I was in...

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I Am Taking Hormones And Losing Hair

I started to lose your hair this July. About that time I also went on hormones, DHEA, and antibiotics. Could these medications have caused my hair loss. I recently stopped taking these medications and think that the loss may have slowed and some reversal may be going...

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I Had Hair Loss After A Hysterectomy

In 2006 I had a hysterectomy (uterus only). This past July my doctor put me on 1 mg. of Divigel. I've noticed the past couple of months that my hair is falling out. I don't know if it is the hormone replacement therapy or not. I should note that when I've had surgery...

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Am I Balding?

Repeat From Archive We have been getting a great number of questions about hairline hair loss. Basically the questions relate to the slow appearance of the mature male hairline. The pictures in this post show a young man in transition between his juvenile hairline and...

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Another Laser Hair Device Gets FDA Go Ahead

Hey doc, there is a new hair laser on the market. What do you think? This space age design and the small case "i" in-front of the name does not add value. The FDA clearance means that it is safe. I really do not understand the FDA as effectiveness has not been proven...

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What Is The Best Way To Diagnose Hair Loss?

What Is The Best Way To Diagnose Hair Loss? We addressed this question before HERE I personally believe that the HAIRCHECK instrument is a great instrument to put numbers (an objective measurement) to the balding process. When repeated yearly, you will know how your...

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How Does A Man Hide A Hair Transplant

I am scared to death that I would have a hair transplant and everyone would know because it would be so obvious. What do people do to hide it? Do they live in a hat? I could write a book about this subject. Many years ago when larger grafts were used, it was...

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Receding Hairline At 16 Years Old

About a year ago, I noticed a receding hairline. Hair would fall out during a shower, or even I would see some strands on my pillow. My dad and his dad started balding at my age, so it is most likely genetics. It is really embarrassing. I told my parents about it and...

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Can I Swim After I Have SMP?

Can I Swim After I Have SMP? You have to wait about 3 days before you go swimming (ocean, lake); however, if there is chlorine in the water (typical swimming pool) you should wait at least 30 days to be sure there is no connection between the pigment and the water....

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Is There A Typical Mature Female Hairline

I am 21 years old and my hair is everything to me. I don't want to lose it, even when I grow older. Is there a mature female hairline like the mature male hairlines you write about that I should worry about? Unlike the male's mature hairline which is V shaped, the...

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Not Hair Loss News – A Supercentenarian Talks

The body of a supercentenarian expands science’s appreciation for the physiological limits of aging. This article was Published in The Scientist: Two interviewers chatted with the now 113-year-old van Andel-Schipper back in 2003. The interview was also repeated at age...

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How Dense Can Hair Really Be Transplanted?

In a very recent question, asked about hair cloning, you mentioned that "theoretically you will have an endless supply of hair and your hair density can be as high or higher than what you started with". In another entry of yours, Dr. Rassman, we read that "Hair can be...

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Is It Possible To Stop My Maturing Hairline?

I am 18 years old and I am seeing my hairline rising. Can we stop this change with Propecia? The mature hairline is present in about 90%+ of men as they mature. I don't have any experience with stopping the hair loss in the very front of the hairline that is typical...

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Anti-Depressant Medication and Balding

Thank you for providing this opportunity to ask questions. In many related posts, you sort of make the make the blanket statement "anti-depressants cause hair loss". Many manufacturers indicate 1-2% or even less risk of this occurring. 1. Do you feel that, perhaps...

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Flax Seed and Fish Oil Cause Hair Loss?

It took me 4 months to figure out that flax seed and fish oil can cause the most severe shedding I've ever experienced in my life. I lost so much long beautiful hair that it hurts. I will work on restoring it now with onion and ginger juice rub and other supplements....

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My Daughter Has Extodermal Dysplasia

My daughter has ectodermal dysplasia. When she was young, she had a bald crown which was covered with a good combing style. Her hair is brittle and she still has some bald areas. Can she have a hair transplant to deal with the bald areas? This condition is congenital...

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Possible Cure For Ebola

The drug Ouabain, used to treat heart diseases, appear to be able to prevent prevent virus replication. Julian Hiscox from the University of Liverpool, reported in the Journal of Proteome Research. I am sure we will hear more about this drug very...

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Lasers and Hair Growth

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. The following is just my personal opinion. In my practice I have offered lasers and have carried out limited trials on...

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