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...

We see these types of hairlines all of the time on various forums on the internet. The hairlines are straight and will look unnatural when it grows out.  Look carefully at the 'line' of frontal grafts. That will look like a line of hair once...

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...

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...

In the most recent issue of the Scientific American, the role of Aspirin has been shown to contribute to the prevention of many cancers. It even has value in people with some cancer in limiting the metastasis of malignant tumors. The mechanism was explained by the...

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...

I'm male, 23. It's been one month since I started to take finasteride (1/4th of a proscar pill) and my DHT levels are just as high as they were before I started. I still experience shedding, and it seems like it worsened. Scalp is itchy. I don't have any photos though...

FDA Warns Against Bogus Cancer Treatments Sold On Internet ABC World News Tonight (4/25, story 12, 0:25, Muir) reported the FDA has issued warnings to 14 companies that sell “more than 65 allegedly illegal cancer cures” without FDA approval. The AP (4/25) reports that...

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...

This is a picture of two patients with a hair transplant. Please note the alignment of the grafts, like soldiers in a field. It should look like a random pattern and not a series of circular lines as hair grows in random patterns.  In these patients, when the hair...

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...

I currently have been taking proscar for 9 months and have still been thinning out. Im confused as to wait a year, when it hasn't been working? Some people even say 2 years?. I guess what I am asking is how likely is it that I'm just a late responder ? The drug...

What if blocking the DHT does't work? The hair follicles in genetic balding have a limited number of hair cycles to their life span. Let's say, for example, that the hairs in the leading edge of your mature hairline have 8 hair cycles of life to them and each hair...

You need to see a doctor to scope out the problem and then discuss many of the solutions which could include FUE of the recipient area, laser hair removal or just excision of the part of the hairline you don't like. ?When I create a hairline with my patients, I always...

When you stop finasteride for as long as 8 months, you have given your genes control of your balding process.  The drug no longer has any impact on your balding. The drug, if you restart it, will probably be less effective and the hair that you lost, is lost.

If you find a connection between the drug finasteride and depression, maybe this is not the drug for you. Speak with your doctor.

The immediate possible side effects is one issue, but I'm curious about long-term effects down the line. I know that low DHT levels has been associated with poor cognitive skills as men get older. Aside from that, what are the long-term effects of having this chemical...

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...

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...

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...

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...

Speak with your doctor and look for alternative birth control approach as the hormones in the implant almost certainly will be causing hair loss in your situation.

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...

Shock loss risks go down as you get older. Men in the later 30s have less risk and men in their 40s and 50s even less risk. Finasteride substantially reduces the risk

If you have a hair transplant and you are under 30 and male, the risk of shock loss is high enough that the drug finasteride almost wipes out that risk. Shock loss causes an acceleration of your genetic hair loss problem.

This was my first post on the juvenile hairline:  https://baldingblog.com/2007/01/12/maturization-of-a-hairline-moving-from-juvenile-to-mature-with-photos/.  This defines the juvenile hairline and from my experience, this is more genetic 'apoptosis' (hair death) at...

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...

Finasteride has tissue fixation for 7 days, so if you forgot to take it for 5 days, this should not be a problem.

The frequency of Erectile Dysfunction in men in their 20s is about 20%. Also, it is not unusual nor abnormal not to have a good sex drive. If you are worried about it, see a doctor and get your testosterone level checked to see if it is hormonal. The impact of...

If you got sexual side effect after 3 month when you found out that they were a known side effect, then it is likely the power of suggestion, not the medication as sexual side effect, when they occur with finasteride, often happen in the first 2 weeks of so. The...

Hair loss is a progressive process, so when you have early crown loss in your early 20s, you can expect this to slowly get worse at a pace consistent with your genetic clock for hair loss. Everyone is different and many such men will develop a receding hairline as well.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346286/ I personally feel that it is my job to inform patients of risks associated with anything I do, so consistent with this believe, I have included this article for the readers consideration without further comment....

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.

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...

Finasteride (Propecia) shedding, when it happens, rarely lasts more than 2-3 months. To my knowledge, it is neither good nor bad. When it lasts more than 3 months, it usually is genetic balding not shedding from the finaasteride. I often prescribe finasteride to young...

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,...

"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...

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...

In a Denmark Study, people who "redeemed five or more antibiotic prescriptions over the course of a 15 year period were much more likely to develop type 2 diabetes compared with those who took antibiotics' only noe or two times. Other diseases were also appearing that...

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...

This patient had frontal grafts and is one day post-op. What amazes me is the awful appearance of the transplant. I can't imagine being the patient and having to hide under a hat.  This type of look is totally unacceptable to me.  Also, if you look closely at the top...

I have seen men reach a full Class 7 balding pattern by the age of 21. Most men with advanced balding patterns get them by the time they are 26 years old.

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...

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...

The ethics of plumbers, contractors, auto-mechanics, and many other have always been questioned. Because there are a few rotten apples in every bucket of apples, that does not mean that all apples in the bucket are rotten. This metaphor applies to plastic surgeons,...

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...

There are a variety of clinics, most non-doctor owned and operated, that offer treatment for hair loss on a monthly basis.  These clinics are in almost every country in the world. They 'sell' their 'hair treatments' as if it is magical and as PT Barnum said: "There is...

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...

This is an interesting question which required some reading on my part. I found an a scholarly article in the Journal of Urology which addresses this question and concludes: "Profound suppression of circulating serum dihydrotestosterone induced by 5?-reductase...

There are two forms of minoxidil available on the market, one is the topical which comes in many strengths, the second is the pills which was originally used for the treatment of high blood pressure. The pill, which is rarely used for hair loss in the US and can bring...

This woman reported hair loss in the frontal area (see pictures) about 2 months after she had a hairline lowering surgical procedure.  These procedures are common surgeries for women who can have their hairlines lowered about an inch directly by advancing the scalp...

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...

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...

I have seen some good results and some terrible results from Turkey. I have been told that there are almost 500 hair transplant clinics and only a few dozen that have actual doctors involved in the surgery which means that the vast majority of these clinics are...

I went to Turkey so what I am going to write about here is lengthy, I wanted to have the surgery performed by Dr. 'X' (I don't want to use his name for legal reasons). The doctor's team seems very well trained but clearly they were not well organized. They failed to...

"I've had more sexual stamina via slightly reduced sensitivity but the libido and erections are still very strong if not stronger (on the drug finasteride). For instance, I've never been a good performer after a few drinks, but now drinking has no impact on my ability...

Many young men want to accelerate their beard growth and ask about it. It takes age (genetic triggers which occur in family lines) so if you want to find out when your beard will grow out, you need to find out when your father or grandfather (either side of the...

You can generally expect that any benefit you get from finasteride will be lost when you stop the drug as well as any hair loss that may have happened during the time you started the drug to the time you stopped it. For people who have been on it for many years and...

If you have real benefit from minoxidil, the hair is usually dependent upon it. When it is withdrawn, these dependent hairs often fall out in about 2-3 months. Stopping this drug will not impact hair that is not-dependent upon minoxidil.

The data from the original studies on finasteride suggested that 1/4 strength (0.25 mgs) is effective at about 50% of the full 1mg dose.  So if you find that you can not tolerate the 1mg dose because of sexual side effects and that the 0.25mg solves the sexual side...

No. The real impact from finasteride comes not from blood levels (relatively short in hours) but from tissue fixation at the hair follicle level (at least a week of holding effectiveness). So actually the daily dose is not as important as the summary of a weeks dosage.

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...

"In a randomized trial of 138 older men with age-related low testosterone levels, those who received testosterone gel (AndroGel, AbbVie) for a year to attain youthful testosterone levels had a 20% greater buildup of noncalcified plaque in their coronary arteries than...

Most side effects go away when you stop finasteride, particularly the sexual side effects which might take a few weeks to go away. Rare patients report persistent sexual side effects but this seems very rare.  Sterility, is not a high priority on the list of side...

No, finasteride will not produce man-boobs, or in medical terms gynecomastia although the appearance of this problems does occur in about 1:1000 people taking the drug in the form of breast lumps

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...

It is important for people just starting with hair systems to know that hair systems, depending upon the mechanisms of attachments, often cause more hair loss.  Almost all forms of attachment cause hair loss, particularly glues which kill the hair in the area where...

Senile alopecia (a very bad name) is what you are talking about. I believe that every hair follicle on the body (scalp, beard and body hair in general) has  known life span. When it reaches this, a condition we doctors call Apoptosis (cell death), the hair may very...

I'm a 22 year old man with no hair loss now, but I am a weight lifter and want to know if I take dietary supplements, can it make me bald? The answer to this question is no, unless you have steroids in the dietary supplements which, if you have the genes for balding,...

I have seen such complaints from people on the hair forums, but the formal medical literature does not show that this is a side effect. Sorry I can't hep more

Finasteride at the 1mg does is actually a very low dose and does not block most of the body's activities that are DHT dependent.  For prostate treatment, the dose it 5mgs, as an example works on the prostate and few of these men (less than 4%) complain of sexual side...

Yes, the 0.5mg does is 80% effective and you can ease into the full dose it that makes you more comfortable.

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...

I found this graph on the blog site. I am not sure of the source nor the accuracy, but it does somewhat address your question and explains much of what I know about the drug fnasteride.  When Merck did the initial clinical trials, they were trying to determine what...

DHT levels have no value when you are considering taking finasteride for male genetic hair loss. Young men have good testosterone levels and therefore will have good DHT levels so measuring these levels does not change the treatment goals

Two patients one day after surgery. Neither patient has crusting and are clean as can be. They will not be detectable within a few days after the hair transplant. The first patient had 1800 grafts (FUE) in a completely bald area and the second patient has 2800 grafts...

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...

Body hair transplants don't have the staying power as you get older and drop your DHT levels as body hair is dependent upon DHT for growth. This also applies to beard hair as well. That is why some men who take DHT blockers like finasteride or dustasteride lose their...

Assuming that you are a male, short hair will bald at the same rate as long hair. Many men think that if they shave their head, the hair will come back stronger. That is a myth.

Loss of body hair occurs in patients on Propecia (finasteride) but not always. I suspect that the DHT block from the drug finaseride is not very effective on body hair in everyone and that is why different people see varying degrees of body hair loss.  It is not...

Humans lose hair asynchronously, which means we don't shed with the seasons but rather have a fairly constant rate of shedding at about 100-150 hairs per day for the typical Caucasian.  Asians shed less because they have less hair than Caucasians by 20%.

When a man with genetic hair loss develops hair loss due to stress, they often find that it does not come back after the stress reverses. For men on the drug finasteride, the stress effects on the hair loss can be offset by the drug. For women, it is another story as...

Many of my friends are asking me what I did to my head? Unfortunately, SMP is an art form that takes a long time to learn, I have seen many such examples of SMP done by people who should not be doing it at all (sake a look at our website to see what it should look...

Many such dietary supplements have steroids in them and these steroids can cause or accelerate the hair loss when a man has genetic propensity for balding.

Minoxidil is not effective to stimulate recipient area hair growth. I studied this on 50 patients with minoxidil on 1/3rd of the head and none on the other side. Both sides grew equally fast and well.  What is the best way to get good growth is to have an excellent...

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...

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...

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...

Don't kid yourself. 18 year old men with recession continue to bald over time with more recession and often hair loss elsewhere, like thinning and possible loss in the crown.  You can ignore it and that is fine, but the balding can not be reversed once it is set in....

I now have a few areas of white scalp which I can see coming from where the hair fell out.  Will it grow back? Dyes can be dangerous when they are improperly used and you most likely had a chemical burn from inappropriately used dyes which goes deep below the skin to...

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...

I have had multiple surgeries and my hair has thinned considerably.  I am 24 years old and am taking birth control pills.  My doctor told me to take Rogaine, but I continue to have a very see through hair. Female genetic loss can be accelerated and presented as...

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...

This is an interesting series of videos which discuss the balding process as well as the transplant growth process. The very bright young man is doing a great deal of good in communicating the problems and the solutions he embarked on, including a hair transplant...

I had a very famous celebrity who had a hair transplant with me which he loved. When he came back to see me, he asked if I would transplant his crown because he hated his flat crown. He envied people with a nice rounded head.  So at his suggestion, I transplanted his...

Nearly 99% of men with hair loss find that it is caused by genetic factors and your testosterone. Diet does not change this so diet will not solve your problem. For many men your age, finasteride taken daily, will reverse, slow or stop the hair loss. This requires a...

I have been taking finasteride once a day since January, 2016. The first 2 months I had no improvement. I also have had no side from finasteride. A few months ago I found that I started losing more hair again, just like before I started taking the finasteride 1 year...

My question is related to this shaved look. I understand that there is some type of tattoo that works to make it look normal and always hairy. Can you point me to this? If you find out that you like the shaved look and want to make it permanent, what you are talking...

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...

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....

As you may know, Dr. Pak and I are the patent holder inventor of two core technologies of the hair transplant robot, inventing it in 1998 and getting patents issued on them in 2006. We also hold a patent on the implanter used by Neograft so i am very familiar with...

For most hair transplant procedure, you can resume full exercises including running a marathon if you know how to do that. The only restrictions are:  With a strip surgery, no heavy lifting or body presses for 3 weeks. For all other hair transplants, no Scuba Diving...

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...

Diffuse thinning impacts the hair around the side and back of the head in males in a condition of diffuse thinning we call DUPA (Diffuse Unpatterned Alopecia) which impacts all of the hair on the head even the area normally spared by the genetic balding process....

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...

There are a series of articles about Donald Trump's hair. Here are two of them The Huffington post came up with the answer here: http://www.huffingtonpost.com/entry/trump-propecia-haiir-loss_us_58936376e4b06f344e4058a6?...

"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;...

The Huffington post came up with the answer here: http://www.huffingtonpost.com/entry/trump-propecia-haiir-loss_us_58936376e4b06f344e4058a6?  

This is one of the most amazing videos I have ever seen posted anywhere that shows a normal juvenile hairline evolving into a genetic pattern of hair loss. I can't help but wonder what it would look like if this young man went on the drug finasteride. See here:...

This young man saw me one year ago and I put him on the drug finasteride to slow down and possibly reverse the hair loss he had then. Usually, the drug often reverses hair loss in 18 year olds, but the degree of balding that he has now and the degree of balding he had...

We have become aware from the hair transplant community that the use of a specially designed tape, when placed at the mid-forehead, prevent swelling from going below the tape and given enough time, for those who wear the tape, to absorb the edema from the surgery...

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...

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...

The decision on how many surgeries you need and if you can do all of the transplant work in a single session is a matter of: (1) your needs for hair, (2) the size of your balding area, (3) the skill of your surgical team and their experience, (4) your donor density...

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...

Hairs in the frontal part of the hairline show slightly more vellus hairs which appear small and fine and this is what you may be looking at. Miniaturization throughout the head and scalp is less than 20% of the hair population, something I have published in medical...

Your family experience is just that, your family experience; however this has been well studied that inheritance is approximately 50/50 from the mothers and fathers side. This has been studied across a large population to determine this. It actually may favor the...

I don't know for sure but I suspect that you are correct. We know that females generally do not get the receded mature 'male hairlines' that men do. Could this be caused by genes related to our sex alone or is it that two X chromosomes with the high estrogen levels in...

"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...

This is a terrible question as it reflects a doctor who is not ethical and a patient who is naive. A 21 year old might have early crown hair loss and frontal hairline loss along the hairline (Called a Norwood Class 3 Vertex pattern) which is not uncommon in a young...

These are the problems that you may not be aware of. Please be cutious when asking your doctor for Testosterone replacement which many more men seem to be taking today. 1- Thromboembolisms from deep vein thrombosis can not only impact the circulation to your legs, but...

In Medscape today, there is an article with the warning of the above title. "There are a number of pitfalls for patients, noted study co-author Douglas Sipp of Keio University School of Medicine in Tokyo. "It is a problem for patients because there are inevitable...

This is my math: 6000 donor follicles available. Average head has 100000 hairs. Can lose 50% of hair density before it's visible. Say a norwood 6 loses 60% of their hair (40% left on sides) that's 60000 hairs. Need 30000 hairs replaced to reach 50% density and look...

?The law in most states forbid a surgeon from a guarantee for any surgery. Think about it, if you had cancer and your surgeon guaranteed that he would cure you, that is impossible and illegal. So a hair transplant is the same thing; however, any good doctor should...

The use of Scalp Micropigmentation with these conditions do not require that the disease is inactive as the depth of the SMP when done correctly in skilled hands, does not penetrate the skin more than .75mm, which is too shallow to impact these diseases. See here:...

A good surgeon can keep the recipient making instrument apart from the normal native hairs which he/she should be able to see when the recipient area sites are made.? Magnification and good lighting during the surgery allows the surgeon to see every existing hair...

Maybe you are one of the lucky 5% that start growing immediately and keep growing without going through the shedding phase. I see this and the patients who have this happen usually have a full head of hair by the 4th month, much earlier than normal.

If you are local to my office in California, visit me so that I can perform a miniaturization analysis of your hair throughout the front, top, crown, back and sides. IF you have miniaturization on the sides and back, then you may have Diffuse Unpatterned Alopecia,...

Going out of the country for an FUE is not a great idea. The results may not be predictable, there is no accountability for the doctor and the risks of anesthesia may be significant in the wrong hands. Deaths have even happened, even in the US. We have been doing FUE...

If the finasteride has not solved the problem by this time in your crown and you have some hair present you have three options. 1- Do nothing and live with it 2- Get a hair transplant which may solve the problem as that is what I did. My bald crown is now full looking...

If you have thinning along the sides and back of your head as well as elsewhere (thinning on front and top), there is a condition we published called Diffuse Unpatterned Alopecia (DUPA) which requires a doctor to make the diagnosis with a hand microscope showing...

This man lived under a hat and rarely went out for 14 years after he got the disease Alopecia Totalis. The Scalp Micropigmentation we did freed him up...

We have developed Scalp Micropigmentation and have been using it on men with alopecia areata (aa). Men with aa, can't have a hair transplant because the disease will reject the hair transplant and the treatments used are not always effective at curing the problem....

Having gynecomastia from puberty does not make you more susceptible to the rare side effects that impact breast tissue in men. Good question.

I have hesitation in prescribing finasteride in women who are pre-menopausal because of the risk of pregnancy which may be an unexpected or unplanned pregnancy. There is a direct relationship between this drug and sexual anatomies in the fetus

Male pattern balding with recession is often asymmetrical. The side that is behind will often catch up with the more receded side.

Your biggest enemy is the progressive thinning leading to a balding pattern that is not evident at this point in time. The degree of thinning that you are experiencing would suggest that you should see a doctor who most likely will get Bulk Measurements of your hair...

Breast pain and nipple pain has been reported with people using Propecia (finasteide). If this continues, you should see a doctor if that is why you are asking this question. Some people develop small painful breast lumps so an examination of a doctor is a good idea....

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...

As you get older your testosterone drops along with the DHT and then the finasteride is often less effective as you get older. What hair you have has stood the test of time which is an indication that much of it might stay; however without seeing you, I can't make...

In the 26 years since I practiced hair restoration surgery, I have never seen the drug finasteride make the hair worse. I have, however, seen the hair loss accelerate in what I believe is its normal loss process in some men with aggressive hair loss.

Almost all Caucasian males develop a maturing hairline. When recession occurs, it usually is associated with hair loss elsewhere on the head and scalp and that is why I perform a HAIRCHECK if I have any doubts on the distinction between a receded hairline and the...

The official number is 2-3% but the placebo number are almost 2%. In my practice I think that the numbers may be higher, 4-5% range. The reason that you see a lot of complaints on the internet is possibly because you are only hearing from those that have the negative...

Crushing finasteride is ok, but dissolving it in a solution will not guarantee that it will work and you may inactive it by doing so, especially if you don't drink it immediately.

I really do not know if finasteride can stop the maturing of a hair line in men. I have never had the opportunity to use it for this purpose, but I would expect that a maturing hair line will evolve even if you are on this drug. The reason I believe this, is that...

I don't like to invent new scrips when there is an excellent review of this condition here: http://www.dermnetnz.org/topics/lichen-planopilaris/. "Lichen planopilaris is a rare inflammatory condition that results in patchy progressive permanent hair loss mainly on the...

The Norwood patterns that were published by Dr. Otar Norwood were genetic patterns that were developed by people directly. Contrary to popular belief that one evolves from, let's say a Class 3 pattern into a Class 5 or Class 6 of Class 7 pattern, no such evolution...

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...

"The test is to wash your hair vigorously for three days and then in the morning when you wake up, comb the hair and count hairs." I don't like this test as it is not as accurate as looking for miniaturization and I spoke about in previous posts. Total cost about $20...

We do not have any heavy metals or any type of metals in our pigments. Our pigments are purely organic and as a result you don't have to worry about an MRI which can pull on the pigments and cause redness and pain or have your body react to substances it can not...

Yes, if you have hair in the areas you want transplanted, you can do it in stages, slowly changing the look. Most men get away with less surgeries not more by doing it all in one session and then ask yourself, do you really want to undergo many surgeries when you can...

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...

Any surgery can impact hair growth but usually hair transplants done previously are very stable and will not be impacted by any surgery. If however, you are balding at a rapid rate and have a hernia repair or any surgery, the stress of a surgery runs a small risk of...

Many young men want to accelerate their beard growth and ask about it. It takes age (genetic triggers which occur in family lines) so if you want to find out when your beard will grow out, you need to find out when your father or grandfather started to grow their...

For men, my concern is in the potential balding that may occur in your future as most balding starts in young men and is progressive so it advances with age until the mid-thirties or even later. If that happened to you (your risk) then you will have to get a hair...

Many homeless men seem to have long hair and rarely shampoo, but we do accumulate dirt and air pollutants on our hair from living in the city. Shampooing daily or every other day keeps the hair clean. For me, I like a clean hair and scalp and would personally feel bad...

The key to drying hair after a hair wash is to be gentle. Never rub it hard against the scalp because if there are miniaturized hairs, these will be easily pulled out. The use of a hair drier with long hair works if (1) you use a good conditioner to make the hair...

Finasteride attacks the cause of the hair loss by blocking the enzyme 5AR at the hair follicle level. Minoxidil produces hair in anyone who applies it topically, some time just fuzz, sometime some hair. The drug finasteride is a better and a more assured way to slow...

This is an interesting question. I have had the opportunity to try to count all of the grafts that I put in. Even with good photography, it is difficult. I had a patient a while ago who paid me to count the 6100 grafts that he had done. I took 3 hours, with grids...

The internet has spread a great deal of information and misinformation about Propecia (finasteride) which is much over-blown. You need to put the decision in perspective. The risk of these sexual side effects are between 2-4% depending upon the sources you read. My...

We are clearly more informed today that previous generations have been so today's young people think that balding should not happen today when in our father's time, it was just an accepted fact. In reality, Dr. Otar Norwood published his balding patterns in in early...

Dutasteride has been shown to be about 85% effective in blocking the enzyme 5-alpha reductase which is the active enzyme where DHT causes hair loss. Finasteride (Propecia) is about 70% effective. If you decide to take Dutasteride instead of Finasteride, don't take the...

I have published a post on baldingblog in the past which shows that Saw Palmetto has poor responses for people with BPH (Prostate problems) here: https://baldingblog.com/2012/01/26/2006-study-says-saw-palmetto-does not improve-bph-symptoms/

Body builders are at the same risk for sexual side effects as the general population from the drug finasteride (Propecia) which is between 2-3%. They are at more risk for hair loss if they take anabolic steroids regardless of the use of Propecia (Finasteride)

It is a known fact that hair has cycles between telogen (rest) and anagen (growth). The growth cycle of scalp hair is different than body hair. Scalp hair grows for between 2-4 years on average and rests about 6 months on average. Body hair grows 6 months on average...

If the hair grafts are taken exclusively from the donor area (permanent zone), they will ?have hair that is resistant to males hormones. The wreath of hair around the side and back of the head, is permanent on 99+% of men no matter what they have inherited from the...

African American's fall into two categories of hair types, somewhat related to where their ancestors came from. Those from East African (Ethiopia for example) have curly hair but not kinky hair while many from the Western part of African have a kinky hair. Kinky hair...

I have heard this from some patients that they feel that the generic drugs are not working as the original brand drugs worked. Generic finasteride drugs (Propecia or Proscar) are regulated by the FDA. Dr. Ready Pharmaceuticals, for example, is a major suppler of...

You have to deal with your mother and possibly bring her to a consultation with a doctor who has experience with this drug to discuss the difference of opinion between yourself and your mother. If I were your doctor, I would encourage her to join us in a consultation....

We are the doctors who first wrote about DUPA. About half of the men who have gone on either finasteride or dustasteride have had benefit of their DUPA (Diffuse Unpatterned Alopecia) so don't give up and find a doctor willing to follow you with this routine. William...

Depending upon your bone maturation, it may not be unreasonable to use the drug finasteride, but first where you are on YOUR growth curve (e.g. bony maturation) plus other factors relating to your hair loss are critical to understand. I belong to a group of 60 doctors...

I would suggest that you stay on the drug finasteride. If you stop it you will lose all that you gained and it may NEVER come back. Many of my patients who did just that, regretted it. You are one of the fortunate people who reversed on finasteride.

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...

This is a 33 year old male who I have been following for a year. His concern is that he is losing hair and he will consider a hair transplant once the hair loss is substantial enough. He is lucky because his hair is wavy, has salt and pepper color and it has a good...

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...

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...

Be honest and that shows you care. Men often deny early balding and by the time to stop denying it, the are past the point when they might have prevented or reversed it with medications. This goes to extremes and the denial can occur over a generation to the point...

"Long-term adverse symptoms of men who used oral finasteride against androgenic alopecia have been recently described as post-finasteride syndrome (PFS)." These men report that the sexual side effect after taking finasteride seem to hold for them for long periods of...

This is a momentary phenomenon and any hormones that are released in the male do not last long enough the impact the hair growth cycle. The following is interesting reading: https://www.ncbi.nlm.nih.gov/pubmed/16436468

Skipping a dose of finasteride (e.g. one pill every other day) is as effective as taking 1/2 of a pill every day because even though the blood half life is under 6 hours, the tissue fixation life is about 1 week. That means that it sticks to the hair follicle growth...

For years, mainly because of the 4$ risk of sexual side effects from finasteride. man have asked for a topical form of finasteride. Now we are seeing many more examples of topical finasteride (liposomal topical finasteride formulation) which suggests that this works....

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...

This is a highly unusual complication of a hair transplant which I have seen posted on the web. I have seen necrosis in the mid-scalp (between the ears) when the patient was a smoker or when the surgeon made wounds that were too large and possibly too close together...

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...

This young man (Joe) believed that he was starting the balding process that his dad had (a Class 7 pattern of balding). His father was with him today and he told me that he started balding when he was in his very late 30s. That was unusual for a man with a Class 7...

Say the only person in my family with hair loss is my grandpa, but he mostly receded at the front and temples. If I inherited it from him, would I have the same type of hair loss? Also, my hair is nothing like his, it was straight, black and very thick before balding,...

In medicine we call everything by its Latin name and it is on both of his knees. This is what it is called: Bilateral Hairy...

In a recent issue of the Hair Transplant Forum, Dr. Jeff Donovan reported a review of the literature which showed that "Levels of total cholesterol, triglycerides, LDL cholesterol, and HDL levels were compared between those with AGA (genetic hair loss) and controls....

Merck’s controversial hair loss drug Propecia (generic: finasteride) has been linked to penile fibrosis, a serious sexual disorder which is also known as Peyronie’s disease. This condition can cause severe genital malformation, as well as persistent urological...

Humans do not have seasonal shedding of their hair. People keep a constant amount of hair on their head except for their normal daily loss of about 100 hairs/day. Other mammals shed.

Follicular Unit Extraction (FUE) is promoted by many doctors as a scar-less surgery. This is never true. All FUE surgeries produce punctate (small) scars which appear at every site where a grafts is removed and can be seen only when the scalp is shaved very closely....

Minoxidil is commonly used world-wide a an inexpensive solution to hair loss and it seems to work for men and women. Minoxidil was originally used for the treatment of high blood pressure but it was not a reliable drug for this purpose. When used for the treatment of...

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...

You performed hair surgery on me in 2009. I thought you might be interested in something I’ve discovered. Since 2009, I have been taking Finasteride. It was very effective in stopping hair loss, and even regrowing some of the more recent hair losses. The problem was...

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...

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...

I recently heard from a patient who heavily documented his balding with 18 microscopic photos at different parts of his scalp, but mostly in the mid-scalp. I have attached ome of these photos below. His questions related to the miniaturization he saw on the photos and...

An Email sent by patient from Turkey who stated that he had a red, hot scalp 2 months after his hair transplant. The presentation he was discussing sounds like an infection but he said he cold not go back to who ever did it. I told him that "You must go to a skilled...

We have known for years that testosterone causes hair loss so people who take anabolic steroids with various types of dietary supplements put themselves at risk for hair loss if they are genetically prone to male pattern balding (present easily in half of the male...

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...

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...

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...

[bq]I have been on Finasteride for 4 years and my hair didn't really change much. I did, however stop the drug for the past two months, but am back on now. 1) could my hair have changed in those two months? 2) what pattern do I appear to be? 3) a reputable IAHRS...

[bq]I visited your office last year in august and I was told that I most likely did not have "balding" just that my I had low hair density. This is contrary to a what another office told me. Quite frankly I trusted your doctor more, and he advised that since I was...

Prenatal exposure to pot is associated with differences in the thickness of the brain, particularly in the frontal brain, in preadolescent children. This was a study done with MRIS. This was written by Hanan El Marroun, Department of Child and Adolescent Psychiatry,...

The New York Times "reported a study published in BJU International found that the sperm of male smokers was “damaged in ways that could reduce the chance of fertilization and might also lead to health problems in the baby.” The researchers found that the “DNA in...

It is clear that if you want to avoid a stroke or heart attack in your life time, there are some simple steps you can take which have proven statistically significant. These are simply: (1) treat high blood pressure if you have it, (2) stop smoking if you smoke, (3)...

This is an excerpt from the FDA website from 2010 on finasteride (https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020788s018lbl.pdf). Dr. Ed Epstein, from the Bosley Medical Group is a urologist by training and has kept up on the latest information on the...

I could't help but think about what we do in our practice vs what Stossel talked about in this article. "the hospital's customer service stinks. Doctors keep me waiting for hours, and no one bothers to call or email to say, "I'm running late." Few doctors give out...

It is common to have a patient visit me after seeing other doctors in the LA area. I like it when patients shop around because then they can judge the way the doctor practices his art. Many times the patients were told to get more grafts than they needed. For example,...

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...

We were explaining our hair transplant and Scalp Micropigmentation procedures to a group of patients today and we were shocked to find our pictures lifted off of our various websites and now appearing on the web sites of other doctors. This, of course, is a copyright...

When Dr. Rassman is not busy inventing hair transplant related devices and procedures, he runs a company called Mavenbiotech. He will summarize the label-free imaging technology for measuring biomolecular interactions in a microarray format by using a video with ping...

Transplantation of the bioengineered, 3D integumentary organ system using mouse iPS cells labeled with GFP© RIKEN, TAKASHI TSUJI   This is important because these stem cells were taken from the gums of mice and were able to grow a full thickness skin with hair...

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...

http://abc7.com/society/baby-born-with-perfect-hair-goes-viral/1263074/ This baby is NOT one of our patients, but I recognized the hairline as one I have created many...

Women's hair line lowering surgery has become popular in recent years.  There are two methods: (1) Surgical forehead reduction, where an incision is made along the hair line to "pull down" the hair line.  Think of it as a reverse face lift.  A great method for the...

This is a picture of a bald crown that is having SMP done. The left half has been done and the right half is about to be done. You can already see the value of the SMP in making the crown look hairy. Click on photo to enlarge...

The official publication date for this new patent titles "HAIR HARVESTING DEVICE AND METHOD WITH LOCALIZED SUBSURFACE DERMAL FLUID INSERTION" (Patent number #9,259,236 B1) was officially published by the U.S. Patent Office on February 16, 2016. It describes a method...

"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...

Hair growth has been reported with PRP (Platelet Rich Plasma) injections which utilize many injections into the scalp and doctors are now doing this wold wide to induce hair growth where there is great need for it. I have been hesitant to accept this treatment because...

CDC recommends young women avoid alcohol unless they are using contraception USA Today (2/2, Szabo) reports, “Women of childbearing age should avoid alcohol unless they’re using contraception, federal health officials said” yesterday. “‘Alcohol can permanently harm a...

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...

This type of complaint is not totally unheard of. Shrinking of the testicles after taking Propecia for one day is an impossibility, yet some people have reported this before. It is a reflection of a condition called Body Dysmorphic Syndrome (BDS) and we see similar...

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...

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...

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...

  Click on photo for LARGER SIZE Click on photo for LARGER SIZE This patient is not going bald. He may be classified as a Norwood 2 or as having a mature hair line.   He had the surgery because he did not like his raised corner hair line.  He wanted a lower,...

A German carpenter named Clemens Bimek has developed a vasectomy valve that he has tested on himself

[bq]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,...

[bq]I am a 20 year old boy I have been noticing hair fall eveyday.  I have read on the website progesterone cream for hair fall. Is this safe? What about PRP[/bq] While progesterone is generally considered a natural female hormone, biochemically it is an indirect...

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...

College-aged rugby players taking creatine monohydrate supplementation for three weeks had their Testosterone and DHT measured. The results of these tests indicated a rise in DHT levels when using this supplement in their diet. A rise in DHT levels can accelerate, at...

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...

http://www.foxnews.com/health/2015/12/08/fda-clears-cold-cap-to-save-hair-during-breast-cancer-chemo.html A number of times we wrote about the use of the Cold Cap for people who have cancer and did not want to lose their hair during chemotherapy. The stories I...

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...

The concept of a nocebo (a psychogenic effect of a drug) has been discussed in the various studies which focus on the sexual side effects of the drug Propecia (finasteride). The significant 'hype' on the internet, has driven many people to the conclusions that if they...

[bq]Hi, I am curious. I have been taking Finasteride (1mg) for about six months now. I am a female of 46 years old. I see that most of the comments are from men and that is why I am wondering if women can experience similar symptoms. I have already suffered from...

[bq] Hi Doc,  I read on a website that a doctor is offering FUE surgery at $0.50  that is 50 cents a graft in Pakistan.  What do you think?[/bq]   Your guess is as good as mine. I really can't validate this claim. There was a sarcastic remark made about the...

[bq]Had, what I feel was very successful strip surgery graft to frontal area at beginning of year. Full natural hairline . In light of this, pursued transplant to crown at different center (for geographical/practical reasons)  Was disappointed that  rather than 1,500...

[bq]Recently, I've been worrying about my hair as I'm seeing more hairs fall out in the shower. The issue is that at least have these hairs are short (1 inch or less), thin and tapered at the end, not the root. My hair on my head in general does not look or feel any...

[bq]I am an African American woman and have braided hair...is it safe to use Rogaine on my scalp???[/bq] 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...

[bq]Will Hair Grow Back When I Lose it From Stress and Diet Problems?[/bq] Sometimes yes and sometimes no is the answer.  For those individuals who have genetic hair loss, these stress factors tend to accelerate a normal hair loss process which does not reverse once...

This is a note I sent to a patient I saw today. You have had previous hair transplants done by a Los Angeles doctor who has since lost his license. You received 3400 grafts in the front of your head. You were very frightened about the prospect of being bald at that...

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...

[bq] 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...

This is a review of a patient who had a hair transplant surgery to address the thinning and a high forehead.  The hair transplant established a non-balding "frame" to his face, but the SMP gave him the look of fullness. **click on the photo for better...

[bq]Thank you for this blog. I have a question for you: is it worth getting a hair transplant without taking minoxidil or finasteride after? I've tried both, and react poorly. Minoxidil foam irritates my eyes, and I can't use it; while finasteride just kills my...

[bq]Dear doctors.  3 hair transplants. Last one 3 weeks ago. All was perfect till 2 days ago. I washed my home floor by hand. I put some pressure and head down. I was sure it was OK as I read every where it was safe to do some movements or exercise 10 days after the...

[bq]Just heard about platelet rich therapy for hair loss. When I "Googled" it, there was a lot of information. However, was wondering what you know of this treatment and if it does work for hair loss? They also say it's good for wrinkles.[/bq] Many doctors offer PRP...

[bq]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...

[bq]I 've been taking propecia for the past 4 years but now I really wish to donate blood at least once in my lifetime. As you know Finasteride users are not allowed to donate blood. According to one of your previous posts Finasteride is cleared from the blood stream...

Link supplied here:...

  [bq]"A photo of a patient with  Aplasia Cutis Congenita. No treatments are being explored, but the presentation was unique, and in our own peculiar way, quite beautiful. I've never seen this presentation before, with so many hairs visible through translucent...

[bq]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...

[bq]Is it possible to transplant my pubic hair to my scalp?[/bq] Yes. You can harvest donor hair from any part of your body, which include the pubic...

[bq]You talk about masterplans... it seems to me that the only way a surgeon can transplant a hairline without it looking terrible in future is if a surgeon checks and finds that the area behind the transplant is never likely to go bald.. My question is whether when...

Many young men want to accelerate their beard growth and ask about it. It takes age (genetic triggers which occur in family lines) so if you want to find out when your beard will grow out, you need to find out when your father or grandfather started to grow their...

This is taken from this most recent issue of the Scientific American, October 2015 Author Robert Stickgold discussed what happens if you do or don't get enough sleep. I will outline some important points that stood out from the article: 1- The immune system: works...

[bq]http://www.pressreleaserocket.net/the-aesthetic-surgery-journal-publishes-groundbreaking-study-on-nape-hair-for-fue-hair-transplantation/328237/   Use of Nape and Peri-Auricular Hair by Follicular Unit Extraction to Create Soft Hairlines and Temples: My...

[bq][/bq]   Sent by a reader.  This is only Batman's...

[bq]I am 25 years old. I had a couple of questions I wanted to ask and I would really appreciate if you could help me out since I'm really distressed these days cause of my excessive hair shedding. I started finasteride one month and 20 days ago after extensive...

[bq]hello dr rassman, pak, and co, I am a 33 yo male who may be travelling to the west coast in october and is considering trying to set an appointment for an honest opinion regarding options for my hair loss (if any). if one were deemed a good candidate for either...

[bq]Dear Dr Rassman I am a 31 year old male and around 5 years ago I realised that I had some hairline recession at the corners.  I spent 2-3 years obsessing about this and worrying about whether I would be bald before I was 30 and I also worried about my crown too...

[bq]I recently filled a prescription for finasteride at Costco and noticed the manufacturing date was from a year ago (9/2014). The expiration date is 8/2016. Even though it hasn't expired, should I be concerned that it might've been sitting around in a warehouse...

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....

[bq]I am curious to know the importance of DHT, post puberty. Is it only significant for men to sexually develop during puberty? Also, is it important for cognitive activity in any way? I ask this second question due to 'brain fog' being a reported (although rare I...

[bq]Doc, after years on propecia I reduced the dosage due to sides. Obviously you can't predict my situation, but what has been your clinical observations in patients who after years of use reduced Propecia dosage due to sides. I'd expect 1mg to .5mg to be the usual...

[bq]Part 1: I really enjoy the website and find it very informative. I have read on this website many times, that many individuals who are destined to be a norwood 6 or 7 and eventually do become either of those stages, are typically men under the age of 30. Moreover,...

[bq]Hello Dr.R. I am an 18 year old. I have been classified as a NW1 by a hairloss center online in London. I however observer minatuirzed thin hairs on the leading edge of the hairline and the leading edge of the hairline corners but the hairs beyond this very...

[bq]I get oily skin and increased libido while on zinc 50mg/day. As Zinc increases testosterone so I fear that it may increase the progression rate of my baldness. Considering that I'm also on Finasteride, will the use of zinc negatively affect my hair?[/bq] The short...

[bq]Does calcipotriene, or any of the D3 analogues, stimulate hair growth? The reason I ask is because I have been prescribed both Clobetasol Propionate and Calcipotriene to treat a chronic, non-psoriatic, scalp condition I have had for the past two decades. Severe...

Many men want a beard or a goatee. They want to know how to promote beard hair growth. Unfortunately beard hair is a separate genetic trait much like male pattern balding. If you were not born with the genes for beard hair growth, you can't grow a beard. Some try...

[bq]What are the best options for improving my hair transplant scars so that I can wear my hair shorter? I had strip done 10 years ago with DR .xxxx (for privacy name omitted) [/bq] There is no universal answer or solution to improving a hair transplant scar. Some try...

[bq]So my hair is thinning in the front and I would love to find a product that I can use everyday for styling that makes it look good? Right now I use dry shampoo and I style that way but it's drying out my hair... I wouldn't use gel or hairspray because it makes my...

[bq]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...

[bq]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...

[bq]I m thinking Smp for my strip scar.can it be done without shaving?[/bq] Yes we do this everyday at the New Hair Institute. See the video and the reviews for Scalp MicroPigmentation: RealSelf Patient Reviews of Jae Pak,...

[bq]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...

[bq]I have a question for you. I'm taking finasteride 1mg now for two years and my hair improved a lot. Now with exams and very busy schedule I forgot to make an appointment with my docor. I now have one in three weeks. But now i'm afraid i'll lose my hair again...

[bq]Dear Dr Rassman, I thoroughly enjoy reading your blog and you have become something of an inspiration to me. Not only due to your career success but it seems like to me you have a great aura! I am due to study graduate medicine at the age of 30, nervous. I am...

[bq]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...

[bq]I was wondering how long can you have a hair follicle outside the body before it dies? I had surgery that lasted 10 hours and I am worried because I saw my grafts sitting in a clear solution for over three hours. Is this normal?[/bq] A freshly extracted hair...

[bq]Source: NY Post: "Teenagers are fighting the “recession.” The battle against baldness is sprouting to new heights as boys as young as 16 flock to surgeons for hair transplants, doctors and patients told The Post.[/bq] These young men have a high return rate for...

[bq]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?[/bq]   Transplanted hair grafts usually shed and fall out within the first few weeks after surgery....

[bq]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...

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...

[bq][/bq] A young 20 some year old who lost most of his hair realized that no matter how many grafts with hair transplant surgery, he will never have a full head of hair (especially if he kept his hair short). So he just accepted the fact and kept his hair shaved. He...

[bq][/bq] The one on the left had SMP, the one on the right did NOT have SMP (it is just his normal hair...

[bq]How many grafts can you harvest with surgery?[/bq] 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...

[bq]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.[/bq] If you have...

[bq]Does low lever laser therapy work for hair growth. I see lots of positive reviews and videos. It's expensive and I'm not sure if I should try that before Propecia[/bq] Lasers in my opinion do not grow hair. I've offered it at my practice for FREE. I even gave it...

[bq]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...

[bq]Hello I am a 22-year-old male . I would like to know what type of Balding do I have . I notice little spot At first then started to get thin. Then My hair in the the Front started to shed But my hairline is not receiving and my hair is not thinning In the back...

[bq]Why is it that when I started taking Propecia, my hairs all of a sudden started to shed more rapidly? I've been seeing hair everywhere now and it isn't stopping. What can I do?[/bq] It takes over 6 months of taking Propecia (finasteride) daily to see results....

[bq]Can You Harvest 5000 Grafts At Once?  I Just Want One Surgery.  I don't want to come back for another surgery. [/bq] If you are familiar with New Hair Institute and Dr. Rassman's (founder) work, he is the doctor who started the "Mega-Session" 3000+ grafts hair...

[bq]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...

[bq]What is the difference between FUE and FUSS - strip surgery?  Which is better?  I am confused.  Doctor tells me that the strip surgery is not done anymore and it's an old fashion surgery.  That the future is the ARTAS.  How is the ARTAS different than the FUE?...

[bq]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...

[bq]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?[/bq] SMP is a form of...

[bq]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...

  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...

[bq]"Japanese cosmetic company Shiseido expects to have baldness cure on the market by 2018"[/bq] The use of this technique proposes the creation of stem cells and shows how it is...

"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...

[bq]I had a hair transplant 8 months ago, and my hairs are coming out like pubic hairs.  It looks horrible.  What is going on?[/bq] Sometimes transplanted hairs grow out kinky with a different texture.  This happens when the grafts were not handled well by skilled...

[bq] There are so many different options for hair transplants nowadays.  What are the difference in Artas and Neograft?  Why are they so popular?[/bq] Think of the ARTAS as using an electric wrench held by a robot to tighten a loose nut. The Neograft is like using an...

Any hair transplant should be treated the same with regard to the recipient area, but if the donor area has open wounds (FUE), it requires daily washing with soap and water. Within 3 days of surgery, you can resume full activities, heavy exercises if you wish. The...

[bq]What Is The Difference Between the ARTAS robot and the Neograft?[/bq] ARTAS is a robot that harvest the graft using computerized sighting and automation.  No surgical skill is needed for this.  Any doctor with a degree can buy the ARTAS and start harvesting...

[bq]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...

[bq]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...

[bq]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...

[bq]Is hair loss really that common a side effect of taking NSAIDs? If it is, how long does one need to take them before hair loss occurs?[/bq] Hair loss is not a common side effect of taking NSAIDS such as Motrin, Advil, etc. It is so rare, I have not personally met...

[bq]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...

[bq]Eating chocolate may stave off cardiovascular disease APAJun 18, 2015648 views British study finds that regular consumption of chocolate could reduce risk of heart disease and stroke.... Scientists at the University of Aberdeen analysed data of 21,000 participants...

[bq]Dear Dr. Rassman: Had the 2nd of my three procedures today. Almost like a sculpture, it really now has started to take shape. Sure, I've looked at photos and seen real live guys at your Open House shows who've had this process, but there's nothing like having SMP...

[bq] Does anyone have experience with AAPE from Prostemics? A patient asked if I do this. Dr. Brande Wolfe described AAPE as an abbreviation for "Advanced Adipose-derived stem cells Protein Extracts", is a mixture of refined growth factor proteins that is extracted...

A long time in coming, Costco announced the following prices for 1mg generic finasteride at $13.00 for a 30 day supply and $23.92 for a 90 day supply. This is really great news for patients and those of you who read our blog (who are taking Propecia).

It seems that there is some secret to actual exposure to sunlight that supplements of Vitamin D does not give you. "In a study of 30,000 Swedish women recruited in 1990 and questioned about their sun-seeking behavior found that the more they had sunbathed, the less...

[bq]Australian Times: Jack was 16 when he first noticed that his hairline was receding, as he checked photos his surfing friends had posted on Instagram. “I’d look at pictures of me when I was 14 or 15, see the hairline and then look at pictures from a year later and...

[bq]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...

I found this article of interest. It was in a woman who had extensive leg tattoos and known cervical cancer. A whole-body PET-CT scan revealed what appeared to be cancer spread in the left and right ileac lymph nodes, the team reports and this resulted in a surgical...

[bq] 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. [/bq] I believe we wrote about this subject many times over. The average person can...

[bq]Drug increases stiffness of infected erythrocytes, favouring their elimination from the blood circulation and reducing transmission to mosquitoes. "French and British researchers have found a potential further use for sildenafil citrate, the active agent in...

We continue to see patients who had SMP done elsewhere and found that they continue to be unhappy with the results. The work we have seen reflects an inadequate investment of time on the part of the people doing the process. The patients reported that they had it done...

This young man is enrolled in University of California in San Diego and has a career in Physics in front of him. He is very bright and he is balding already, now only in the crown, but he has early thinning evident in the frontal corners which may follow his father's...

[bq]Opening a new frontier in transplant surgery, Texas doctors have done the world's first partial skull and scalp transplant to help a man who suffered a large head wound from cancer treatment.[/bq] I would guess that he received radiation for a brain cancer and...

[bq] What are the statistics of FOX test negative patients ? Is any ethnicity ,age , hair color or hair character more prone to be more FOX negative ?[/bq] Follicular Unit Extraction (FUE) when it was popularized in 2002 at the ISHRS meeting (Follicular Unit...

[bq]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...

[bq]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,...

[bq]Hello Dr! First of all, english is not my native language so please bear with me. My question is about the genetics regarding male pattern baldness and if it's only a "guessing game" to determine the future outcome of my hair situation. I need some advice on my...

[bq]Dear Dr.i would Like to ask about finasteride,while taking finasteride can i have oral sex or not,my wife is feeding mother now for the past 3 months i am taking generic finasteride in my query is can i oral sex or not is it safe or unsafe please advise me...

Cell. 2015 Apr 9;161(2):277-90. doi: 10.1016/j.cell.2015.02.016. Organ-level quorum sensing directs regeneration in hair stem cell populations. Chen CC1, Wang L2, Plikus MV3, Jiang TX4, Murray PJ5, Ramos R3, Guerrero-Juarez CF3, Hughes MW6, Lee OK7, Shi S8, Widelitz...

[bq]I have been following your blog avidly and I see that you are very doubtful about LLLT therapy. I have two questions. First, somewhat recently two double-blind randomized control trials for LLLT have been published (http://www.ncbi.nlm.nih.gov/pubmed/24474647,...

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...

[bq] Hair transplants breed a new type of tourist in Turkey In Turkey, revenue from popular procedures adds to country's $7B medical tourism industry By Nil Köksal, CBC News "There is a new way to spot tourists in Turkey or in Iran, and it doesn't rely on catching a...

[bq]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![/bq] We have had these requests in the past. There has to be a good...

[bq]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...

[bq]I recently started taking proscar in addition to the doxazosine I've always taken for BPH. I soon noticed that my pulse goes quite high (95-100 bpm)and stays there if I have a glass or two of wine; even hours after I stopped having wine. None of the literature...

[bq]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...

[bq]Would it be reasonable to restore a hairline to look like the actor in the picture i've provided? would you say that the actor is balding? if so, what norwood pattern? assuming the texture is the same.[/bq] It would be reasonable to restore a hairline as in the...

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...

[bq]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...

[bq]I was reading about minoxidil and finasteride as I am wanting to start one or the other but am curious about something. According to the wikipedia article for minoxidil, the reason minoxidil gains are lost when treatment is stopped is that DHT is then able to...

[bq]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...

[bq]A new meta-study finds the following: "Of 34 clinical trials, none had adequate safety reporting, 19 were partially adequate, 12 were inadequate, and 3 reported no adverse events. Funnel plots were asymmetric with a bias toward lower odds ratio for sexual adverse...

[bq]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...

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...

[bq]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...

[bq]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...

[bq]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...

[bq]I was reading about minoxidil and finasteride as I am wanting to start one or the other but am curious about something. According to the wikipedia article for minoxidil, the reason minoxidil gains are lost when treatment is stopped is that DHT is then able to...

Men who use muscle-building supplements (MBSs) that contain creatine or androstenedione may have up to 65% increased risk of developing testicular cancer, according to a case-control study published online March 31 in the British Journal of Cancer. So many of our...

[bq]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..[/bq] First, what is Piloscopy. A presentation of an endoscopic approach to...

[bq]Hi Doctor, your blog is extremely useful. I am an 18 year old Indian who has a hairline like Taylor Lautner when he was 18 years old... You said in that post that he lost immature hairline rounded corners but otherwise had a juvenile hairline. My question doc is...

[bq]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...

[bq]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...

[bq]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...

[bq]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...

[bq]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...

[bq]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...

[bq]I've noticed recently in the shower that short hairs are falling out that are tapered at the end of my hair, not the root. I've noticed more of these recently. Some are thinner and some are thick. All my uncles are balding on my mothers side. Are these hairs a...

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

[bq]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...

[bq]I'm 32 and have been taking Propecia for 1.5 years. I've also been having problems with erections and possibly libido. They've gotten worse and are causing real problems in my life. I'm not 100% sure it's because of the Propecia because for a few yearsbefore I...

[bq]"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...

[bq]"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."[/bq] This comment reflected the...

[bq]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...

This questions was actually asked of a patient. Would I Put Hair On My Tattoo Of A Horse So That IT Has a Real Hairy Tail? This came in through an email as many of our patients do to get access to us. After considerable thought, I thought through the process and I...

[bq]So I started Proscar (1.25mg for AGA) in a hope to prevent/slow down any possible hair loss (25 years old male with NW2, only a receded hairline and I have mid-back length of thin curly hair). After my very first dose, I (after like 17 hours) felt some discomfort...

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...

[bq]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...

[bq]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...

[bq]I have a question about the relationship between oily scalp and genetic hair loss, as I read a lot of your posts, it seems that the main reason of men hair loss is genetic factor, but I also heard that most balding men have a oily scalp, so my question is what the...

[bq]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...

[bq]What question do you get tired of being asked the most on this forum? I'm guessing it's about propecia. I think you should have a Q&A page on the drug on this site.[/bq] When I first started BladingBlog, I thought the same thing. You'd be surprised how many...

Prince William (Not a patient) Guess if you know this famous celebrity on the left. Our patient has a hair loss pattern similar to Prince William, Duke of Cambridge shown on the right above. They both had the same original pattern of balding but our patient did...

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,...

[bq]I have been following your blog for quite a few years now and it is an excellent source of information on balding. I am 24 years old (male) and will begin my medical studies in California (or Alberta, Canada if I receive an acceptance there as well). I have been...

[bq]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...

[bq]First of all, many thanks for this great blog. I'm a regular reader. My question is about mild shampoos. I often read contradictory comments about whether or not washing your hair on a daily basis could cause hair loss particularly when these extra mild shampoos...

Doctors generally want to help people and doctors use what tools are available to do just that. Unfortunately, the hair transplant technology that was available prior to 1992, was a very limited technology. It was used by hundreds of doctors over decades and consisted...

Can you imagine that you go see a doctor because you are losing your hair. You are young and you believe in modern medicine and in doctors. You take the courageous step to improve your look and get your hair back to look younger. You have already lost too much hair...