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Dr. Rassman’s Web Sites and Blogs

Dr. Rassman’s Web Sites and Blogs

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Other Web Sites Devoted
to Hair Loss
A number of Web sites provide information, discussion forums,
and question-and-answer formats. Here are some places to start.
ߜ Alopecia Areata Support Group (www.mdjunction.com):
This site is a meeting place for people who want to connect
with others dealing with the same hair disease challenges as
they are.
ߜ National Alopecia Areata Foundation (www.naaf.org): This
resource is a thorough collection of articles, pictures, and
comprehensive material related to Alopecia Areata.
ߜ The Bald Truth (www.thebaldtruth.com): This hair loss consumer resource includes recommended hair loss products,
discussion forums, chat, news, and much more.
ߜ Hair Loss Help (hairlosshelp.com): A good source of information on hair loss treatments. The site has forums and chats
on hair loss therapies and information on the drugs Rogaine
and Propecia as well as other medications, hair loss research,
natural treatments, and cosmetic cover-ups.
ߜ Hair Transplant Network (www.hairtransplantnetwork.com):
This site helps hair loss sufferers share ideas and experiences
about treatments and hair restoration physicians. This popular
online community includes hundreds of patient photos, recommendations for over 50 of the world’s leading hair restoration
physicians, and a popular hair loss discussion forum.
ߜ Hair Doctor Guide (www.hairdoctorguide.com): This site
contains a list of doctors who have solid reputations in the
hair field as well as those who have a particular interest in
either medical and/or surgical treatment for hair loss and hair
diseases. It also lists a variety of bulletin boards, hair transplant communities, and discussion groups that may not have
been available when this book was first printed and where
patients or patient advocates can share their experiences and
knowledge. This site will be regularly updated and dynamic,
so at the time of the printing of this book, this site will be
under construction.
ߜ Hair Loss Advisor (www.hairlossadvisor.com): An online
source of information about hair loss prevention and treatment delivering streaming-media-based events with healthcare professionals.

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General Medical Web Sites
These Web sites are devoted to a number of health issues but do
contain articles related to hair loss.
ߜ Castle Connolly (www.castleconnolly.com): Castle
Connolly Medical Ltd. is a research and information company
founded in 1992 to help consumers find top doctors and top
hospitals. Find detailed information about education, training,
and special expertise of America’s best doctors.
ߜ CNN Health (www.cnn.com/health): This site is among the
world’s leaders in online medical news and information, providing live video and audio streaming and searchable archives
of health features and background information.
ߜ Derm Atlas (www.dermatlas.org): Dermatology image atlas
with over 7,000 dermatologic images collected and edited by
Johns Hopkins dermatologists. It was originally created for
health care professionals, including dermatology residents
and dermatologists.
ߜ Discovery Health (health.discovery.com): Created by the
Discovery Channel, this site provides resources and stories
on important health issues including baldness.
ߜ eMedicine (www.emedicine.com): Includes more than 5,500
pages of health content, written by physicians for patients
and consumers. Each article is reviewed by a panel of physicians. Current medical information includes good overviews
of causes and treatments for hair loss.
ߜ Health On the Net Foundation (www.hon.ch/): This site is a
non-governmental organization whose mission is to guide lay
persons or non-medical users and medical practitioners to
useful and reliable online medical and health information.
ߜ The National Library of Medicine (www.nlm.nih.gov/): This
resource is the world’s largest medical library. The library collects materials in all areas of biomedicine and health care, as
well as works on biomedical aspects of technology; the
humanities; and the physical, life, and social sciences. The
collections stand at more than 7 million items — books, journals, technical reports, manuscripts, microfilms, photographs,
and images.
ߜ Web MD (www.webmd.com): Provides expertise in medicine,
journalism, health communication, and content creation to
bring health information, tools for managing health, and
support to those who seek information.

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Sites that Contain
Specific Drug Info
The following sites contain information aimed at professionals and
laymen on drugs related to hair loss.
ߜ Follicle (www.follicle.com): This site provides detailed
information on alopecia specifically as related to the drug
Propecia.
ߜ Propecia (www.propecia.com): This is the official site for
Propecia, the first and only FDA-approved pill demonstrated
to treat male pattern hair loss on the vertex and anterior midscalp area in men only.
ߜ Rogaine (www.rogaine.com): This site is your official source
for info on Rogaine, the brand name for minoxidil. The solution
is applied to the scalp daily to stimulate hair growth and help
prevent hair loss. It’s available over-the-counter in the U.S.

Sites with Specific Product Info
The following sites provide information of products used to cover
hair loss.
ߜ Hair Outlet Store (www.hairoutletstore.com): A listing of
various hair products researched by Dr. Rassman as well as a
listing of ingredients found in those products. This site will be
regularly updated and dynamic so at the time of the printing
of this book, this site will be under construction.
ߜ Couvre (www.toppik.com/couvre.asp): A cream that darkens the scalp to match the hair; you dab it on with your fingers. It’s made of a sesame seed emulsion that isn’t greasy or
sticky and doesn’t rub off or stain. It doesn’t come off when
you’re exercising, perspiring, or even swimming, but you can
easily remove it with shampooing.
Contact Spencer Forest Labs, 64 Post Road West, Westport,
CT 06880.
ߜ DermMatch (www.dermatch.com): DermMatch is a hardpacked powdered cosmetic you apply with a wet sponge
applicator. It coats thin hairs to make them thicker and helps
them stand up and spread out for increased fullness. Plus, it
conditions your hair and moisturizes your skin. DermMatch

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also colors your skin to match your hair color, causing the
scalp to disappear, and it’s the only product you can fade to
mimic a hairline. You’re able to brush your hair and swim with
it. You apply it with a wet sponge applicator.
Contact DermMatch, Inc., 777 Shamrock Blvd., Venice, FL
34293; Phone: 800-826-2824.
ߜ Fullmore (www.toppik.com/fullmore.asp): Fullmore is a
colored hair-thickening spray that makes your hair look naturally thicker and fuller in seconds by covering thinning areas
and adding texture and volume to thinning hair. It has an easy
spray-on applicator.
Contact Spencer Forest Labs, 64 Post Road West, Westport,
CT 06880Phone: 800-416-3325.
ߜ ProTHIK (www.prothik.com/index.htm): ProTHIK is an
aerosol hair thickening spray-on system that cosmetically
eliminates bald spots in the vertex (crown) or other localized
thinning areas. It contains a thickening resin that is rub- and
water-resistant.
Contact ProTHIK at 800-710-8445.
ߜ Toppik (www.toppik.com/toppik.asp): Toppik is a complex
of tiny, microfiber hairs that blend with your own hair. Toppik
fibers, derived from the keratin in wool, are made of the same
organic keratin protein as your own hair. The fibers change
thin, fine hair into hair that appears thicker and fuller. You
apply Toppik by gently shaking the custom container over
thinning area. In this process, thousands of tiny colormatched hair fibers intertwine with your own hair. Charged
with static electricity, they bond so that they stay in place for
hours. Toppik comes in eight different colors.
Contact Spencer Forest Labs, 64 Post Road West, Westport,
CT 06880; Phone: 800-416-3325.

Professional Web Sites
and Journals
These sources of information for professionals can keep you up to
date on the latest in hair replacement, if you can manage to wade
through the medical terminology.
ߜ Archives of Dermatology (www.archderm.ama-assn.org):
This site publishes information concerning the skin, its

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diseases, and their treatment. Its mission is to fully explain
the structure and function of the skin and its diseases and the
art of using this information to deliver optimal medical and
surgical care to the patient.
ߜ Cutis (www.cutis.com): This publication is a 40-year-old,
peer-reviewed clinical journal for the dermatologist, allergist,
and general practitioner. The journal comes out monthly and
focuses on concise clinical articles that present the practical
side of dermatology.
ߜ Dermatologic Surgery (mc.manuscriptcentral.com/ds):
This journal publishes peer-reviewed articles on all aspects of
dermatologic surgery and oncology, including clinical studies,
surgical procedures, review articles, and experimental studies.
ߜ National Library of Medicine (www.nlm.nih.org): On the
campus of the National Institutes of Health in Bethesda,
Maryland, is the world’s largest medical library. The library
collects materials and provides information and research
services in all areas of biomedicine and health care.
ߜ New England Journal of Medicine (www.content.nejm.org):
This publication is a weekly general medical journal that publishes new medical research findings, review articles, and editorial opinion on a wide variety of topics of importance to
biomedical science and clinical practice.

Professional Organizations
These sources can help you find a doctor you can trust.
ߜ The American Academy of Cosmetic Surgery (AACS) (www.
cosmeticsurgery.org): This group is the largest affiliation of
doctors who have training in cosmetic surgery. It’s a not-forprofit organization providing information on cosmetic surgery
for patients, physicians, and the media. The site includes a
physician search and procedural information.
ߜ The American Academy of Dermatology (AAD) (www.
aad.org): This group is the largest, most influential and most
representative of all dermatologic associations. With a membership of over 13,700, it represents virtually all practicing
dermatologists in the United States.
ߜ American Board of Dermatology (ABD) (www.abderm.org):
The ABD acts as the certifying agency for the specialty of dermatology. It exists for the primary purpose of protecting the
public interest by establishing and maintaining high standards

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of training, education, and qualifications of physicians rendering care in dermatology.
ߜ American Board of Hair Restoration Surgery (ABHRS) (www.
abhrs.com): ABHRS acts for the benefit of the public to establish specialty standards and to examine surgeons’ skill, knowledge, and aesthetic judgment in the field of hair restoration
surgery.
ߜ American Medical Association (AMA) (www.ama-assn.org):
This association is the nation’s largest physicians group advocating vital national health issues.
ߜ American Society for Dermatologic Surgery (ASDS)
(www.asds.net): ASDS was founded in 1970 to promote excellence in the subspecialty of dermatologic surgery and foster
the highest standards of patient care.
ߜ American Society of Plastic Surgeons (ASPS) (www.plastic
surgery.org): This group is the largest plastic surgery specialty organization in the world. Founded in l93l, the society is
composed of board-certified plastic surgeons that perform
cosmetic and reconstructive surgery.

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Appendix B

A Psychological Study
of Hair Loss

C

linicians who work in the field of hair loss, as we do, know full
well that hair loss has a psychological impact on many
aspects of a person’s life. We see patients every day whose lives
have changed for the better after transplant, and it’s well established that men and women with depression are more likely to be
bald than not.
We decided to send out a questionnaire asking about the psychological impact of hair loss and hair transplantation to 200 hair transplant clients. A study looking at the benefits of hair transplantation
on psychological issues such as stress levels and self-esteem had
never been done before. This appendix explains what we learned.
The research was conducted at the New Hair Institute by Parsa
Mohebi, M.D., and William R. Rassman, M.D.

What the Survey Asked
Our survey focused on the following seven variables:
ߜ General level of happiness
ߜ Energy level
ߜ Feeling of youthfulness
ߜ Anxiety level
ߜ Self-confidence
ߜ Outlook on the future
ߜ Impact on sex life
The survey asked patients to rate their psychological states before
and after hair transplant surgery.

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Who Was Surveyed
We mailed our survey to patients who fit the following categories:
ߜ Male patients with male pattern baldness
ߜ Patients whose surgeries had been done in the past 1 to 3
years, so that the memory of their lives before transplant
were still fresh in their minds
ߜ Patients who had had only one transplant
ߜ Patients who had the follicular unit transplant
We sent the survey with a brief explanation of what we hoped to
accomplish (and a self-addressed stamped envelope). The questionnaire was blind, meaning it contained no client identifiers of
any kind. Individuals didn’t have cause to worry that we would
know who they were. Participation was completely voluntary, and
no incentives of any kind were given for participating.

What the Survey Showed
We received 37 questionnaires back from our survey, for an 18.5
percent return rate. The most immediate and striking result was
that all patients showed significant improvements in all eight
areas. The results are shown in Figure B-1.

Figure B-1: Comparison of psychological variables before and after hair
transplant.

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Comparing older and younger
patients
We broke the results down by age, dividing patients into under and
over age 40 groups to see if there were any differences between the
two groups. The results are shown in Figure B-2.
Younger patients, perhaps not unexpectedly, felt that their transplant had a larger impact on their future than older patients did.
Patients who experienced hair loss at an earlier age, while involved
in an active social life, experienced more negative effects from
balding and benefited the most from hair transplantation.

Figure B-2: Comparison of younger patients to older patients.

Comparing different
balding patterns
We took the resulting data a step further to see if the type of balding pattern a patient had made any difference in his final results.
We broke the group into two: one group with Norwood pattern IIIIV (low hair loss), and the other group with Norwood pattern V-VII
(high class of hair loss). (See Chapter 4 for more on the Norwood
classifications in hair loss.) See Figure B-3.

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Figure B-3: Comparison of patients with low Norwood classification to those
with higher classification.

Analyzing the Results
This study confirmed what we already knew from talking to
patients: Hair loss causes or worsens psychological problems such
as anxiety, fear in social situations, and even difficulties in career
advancement.
The good news is that reversing hair loss, particularly in younger
men who have less balding at the time of transplant, can reverse
its negative psychological effects and increase psychological satisfaction in many life situations.
Although this study was valuable, our goal is to do a much larger
study. It’s admittedly difficult to get people to respond to a blind
survey without some type of incentive, so a larger, funded study
may result in more data.
Many people continue to feel that hair loss is nothing more than a
vanity issue and that concern about it is unwarranted. This study,
however, shows very clearly that hair loss is more than a vanity
issue; it has a profound effect on every aspect of a person’s life.
The research was conducted by Parsa Mohebi, M.D. and William
Rassman, M.D.