If You Don’t See Hair in the Drain, You Aren’t Balding
You don’t go bald because your hair is falling out; you go bald because your normal, thick hair is gradually being replaced by finer, thinner hair in a process called miniaturization. Yet people who are sensitive to the prospect of going bald often obsessively scrutinize the shower drain and the hairbrush for evidence of impending baldness.
Most people lose about 100 hairs daily but grow another 100 hairs daily to replace what’s lost. Some of the lost hairs wind up in your shower drain or hairbrush, or they may just fall off as you go about your normal activity, responding to whatever your environment dishes out.
Massive hair loss appearing in the shower drain should alarm you (as should a trail that forms behind you as you walk down the hall!), but insidious, progressive loss may be far more subtle. If progressive loss persists over time, you may lose far more hair than you’ll ever see in the shower drain. This is particularly the case with female hair loss.
Risking it all to cover up
Many of Dr. Rassman’s patients have lived underneath baseball caps for years, never venturing outside without them. The best example is Sam, who was in the shower when the 1994 Northridge earthquake hit in California. Sam never went out without his baseball cap, but when his apartment started to shake, he put a towel around his waist and ran out of the apartment without his baseball hat on. When he reached the street half-naked, Sam realized his head was also naked and immediately ran into the shaking building to retrieve it. He returned to the street still wearing only his towel but he had his baseball cap!
Dr. Rassman’s office has many Open House events, and Sam comes to many of them to share this story with the audience of prospective hair transplant candidates and to show off his glorious hair. He never wears a baseball cap since finishing his transplant reconstruction.
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