Articles Tagged with: hair loss diagnosis
New Hair Loss Gene Discovered- APCDD1

New Research Reveals Over 250 Genetic Signals for Hair Loss

New Hair Loss Gene Discovered- APCDD1While male pattern baldness affects most older men, research on genetic predisposition to baldness has been minimal – until now. In a recent study published in the journal PLOS Genetics, a Scottish research team from the University of Edinburgh found nearly 300 genetic ties to hair loss, helping identify potential chromosomal markers of male pattern baldness.

The study analyzed over 52,000 male participants between the ages of 40 and 69-years-old. This is the largest genetic report on male pattern baldness to date.

“We identified hundreds of new genetic signals,” said Saskia Hagenaars, co-lead author of the study, in a news release. “It was interesting to find that many of the genetics signals for male pattern baldness came from the X chromosome, which men inherit from their mothers.”

Based on the genetic variants between a discovery sample (40,000 subjects) and a target sample (12,000 subjects) that distinguished patients with no hair loss and severe hair loss, the team developed an algorithm to forecast who may develop male pattern baldness. The higher the patients genetic (polygenic) score, the more likely they were to suffer from male pattern baldness. Among participants with a sub-median score, 14 percent showed severe hair loss while 39 percent had no hair loss. Meanwhile, 58 percent of patients who scored within the top 10 percent showed moderate-to-severe hair loss.

genetic hair loss

Fig 3. Distribution of hair loss by male pattern baldness polygenic score decile in the independent sample. Source: PLOS Genetics

For the most part, the genes identified are associated with hair structure and development. These findings could support early diagnosis and better treatment of male pattern baldness in the future.

 “We are still a long way from making an accurate prediction for an individual’s hair loss pattern,” said principal investigator Dr. Riccardo Marioni. “However, these results take us one step closer.”

As noted in the report, male pattern baldness affects approximately 80 percent of men by age 80. Balding can lead to substantial emotional issues, including diminished self-confidence, social isolation and depression. Past research has also linked baldness to an increased risk of prostate cancer and cardiovascular disease.

Download and read the full study here.

Dr. Rose and Spencer Kobren Discuss Optimizing the Patient Experience

Dr. Rose and Spencer Kobren Discuss Optimizing the Patient ExperienceIn an industry where too many surgeons are preoccupied with quickly booking surgeries, Dr. Paul Rose and Spencer Kobren see things differently. In this interview for Spencer Kobren’s The Bald Truth, Dr. Rose discusses ways that the Hair Transplant Institute of Miami personalizes patient experience to ensure the highest level of care and best possible outcome. Comprehensive evaluations, honest recommendations, and straight-talk about fringe hair loss treatments are just a few of the fundamental differences that set Hair Transplant Institute of Miami apart from other clinics in South Florida.

Be sure to visit The Bald Truth for the original interview post here. Readers may also follow Spencer Kobren on Twitter.

The Patient’s Perspective: The Real Doctors Are Listening

 

Video Transcript

Dr. Rose: You gave a great talk. I thought it was a great lecture, and it points to the fact that we often miss how to take care of patients. The fact that you had that survey that talked about what patients perceive. And I will tell you– and I’m not blowing smoke here. When I had gotten back from that meeting, and I had written down some of the things that you had said, some of the comments that patients had about how they were treated. I immediately got back and said to my staff, [and] asked them to put in to print the questions that patients felt they were not being asked. And if we did ask those questions, to make sure that not only the people who consult for me, but we as physicians, Dr. Nusbaum and I, speak to that patient particularly about those issues. In particular, I think you had mentioned asking the question, ‘How is your hair loss affecting you emotionally, in your social situation, in your lifestyle?’ And I think for the most part, patients are very welcoming to get that question and have an opportunity not so much to vent, but to just say, ‘This is what’s bothering me about my hair.’ There are some people who don’t really want to talk about it, we learned. But there were questions you brought up that we immediately put into place.

Spencer Kobren: Well, I appreciate that. And my whole thing is really about creating the best possible patient experience. When patients come to me, and they say, ‘You know what, it doesn’t even seem like the doctor cared. All they wanted to do was make that sale, get me in the chair, and get me out.’ And when I hear [about] guys, even from well known practices, who aren’t following up personally. Unless you’re doing 30 cases a day, and I don’t think that’s happening in most practices, it’s so easy to make a 2 minute phone call and say, ‘Hey, how are you doing? I just wanted to make sure everything is okay. I’m going to have so-and-so from my staff check-in on you tomorrow.’ All of the sudden, they realize, this doctor really cares. And I know you guys do that in your practice.

Dr. Rose: We try. Every patient has my cell phone number. We try to be very forthright with patients. If I think they are a good candidate, I tell them. If I don’t think they’re a good candidate, I’ll tell them, ‘Have you ever looked at yourself with your head shaved? You might be a Michael Jordan, you might be a Sean Connery. It could work really well for you.’ There’s a lot of stuff out there now about PRP, patients asking us about that. And there’s a lot of– to me– pseudo science related to some of these things. I try to be very careful about what I say to patients and what I think is accurate science about some of these things, which we do use. But, in any case, I thought that your lecture was very beneficial for all of us at the meeting. I did have some takeaways there that I put into place right away.

Schedule a Hair Loss Evaluation Today

For more information on our clinic, physicians, and hair loss treatment options, readers are invited to contact us online or call our clinic directly at 305-925-0222.

Do Hair Transplants Work?

do-hair-transplants-workDo hair transplants really work? Increasingly, men and women are seeking treatment for thinning or balding hair. Hair restoration, both surgical and non-surgical, is becoming more widely recognized as a safe and effective way to develop a full, natural, and beautiful head of hair.

But do they work? Are patients satisfied? And if so, which hair transplant procedures are best?

How Do Hair Transplants Work?

How it works. Before anything, the patient must realize they are losing hair. For men, hair loss usually follows a pattern. Using the Norwood Classification, men can learn more about their stage of pattern baldness while also seeing how things might progress.

For women, detecting hair loss is a bit more complicated. Hair loss occurs in a more diffuse manner, making it difficult to see. Moreover, women are predisposed to experiencing temporary hair loss due to stress, hormonal fluctuations, and even pregnancy.

Learn More: Visit our free Infographic on female hair loss prevention.

Hair Transplant Evaluation. Once the patient recognizes hair loss, he or she must consult a licensed doctor for a professional diagnosis and treatment recommendation. Since hair loss is first and foremost a condition of the skin, it is wise for patients to consult a dermatologist. Dermatology is the only medical specialty with specific field of study in hair transplant surgery. This makes hair transplant surgeons the only professionals who specialize in skin/ hair conditions as well as corrective surgical procedures.

Choosing Transplant. If surgical hair transplant is recommended, your surgeon will plan the procedure and explain how everything works, including detailed instructions for pre-procedure and post-procedure follow up and care.

There are a few different types of hair transplant procedures that work. First is traditional strip donor procedure. Next is follicular unit extraction, or FUE. The newest procedure available is robotic FUE, during which the surgeon uses advanced robotics equipment to identify and extract ideal donor hair for transplant.

To learn more, visit this patient guide titled The Hair Transplant Procedure: What to Expect.

Is Hair Transplant Effective?

In many cases, hair transplant surgery works. It is a highly effective means of producing a full head of natural hair in both men and women—assuming, of course, your physician feels you are a candidate for transplant. For individuals who are not candidates for hair transplant, additional hair restoration options that work include:

  • Minoxidil topical foam
  • Finasteride prescription hair loss medication
  • Low level laser therapy (LLLT) for hair

Additionally, men and women who suffer with thinning or shedding often see results by making simple lifestyle changes. Proactively adjusting to a healthy hair diet to include more vitamins, minerals, and other important macronutrients is a vital first step. In addition to dietary changes, daily stress management can help to keep the hair, skin, and total body at peak physical health.

Schedule Your Hair Transplant Evaluation

If you suffer with thinning, shedding, or balding, rest assured you are not alone. Hair loss affects nearly 2/3rds of all adult men and more than 20 million adult women. For many, hair loss profoundly impairs personal, social, and professional life. But it does not have to be that way.

To see if you are a candidate for hair transplant or other non-surgical hair loss treatment, contact our Institute at 305-925-0222.

What Kind of Doctor Treats Hair Loss?

What Kind of Doctor Treats Hair Loss?When you notice signs of hair loss, what type of doctor should you see? It’s a common first question for nearly every man or woman who first notices signs of thinning, balding, or shedding. Hair loss treatment is a multi-million dollar business, and it seems there’s no end to the number of different specialists, shampoos, and pills that promise to restore areas of balding scalp. Selecting the right physician will make it easier to get an accurate hair loss diagnosis from the start, which will provide the framework for an efficient treatment regimen.

Before taking a closer look at the different types of doctors who are capable of telling you more about your hair loss, it helps to explore a few of the most common reasons why men and women lose their hair. With the following causes in mind, it becomes easier to see why certain specialists are more capable of providing an expert diagnosis than others.

A few reasons for hair loss include:

  • Genetics
  • Lifestyle stress
  • A stressful event (triggering telogen effluvium)
  • Poor diet
  • A skin condition
  • Prescription medications

At our Institute, we assess each of these factors with comprehensive methodology. Our surgeons implement the most advanced technologies available to get to the root of your hair loss and develop a personalized treatment plan.

The results speak for themselves. Click the following link to view images of real patients, before and after hair transplant procedures.

What Types of Physicians Can Treat Alopecia?

In truth, there are a few different types of physicians who might be able to provide a basic alopecia, or hair loss, diagnosis. The following professionals typically encounter patients who suffer with thinning, shedding, or balding hair.

Hair Stylists are among the first professionals to notice signs of hair loss. While these individuals are not licensed medical professionals, they can help you determine whether or not certain hard-to-see areas are receding, losing volume, or becoming thinner. It is recommended that you see a licensed medical professional if a stylist or hairdresser notices such signs.

Trichologists are professionals who have studied trichology, or the health of the hair and scalp. Not all trichologists are licensed medical professionals, however. For effective hair loss treatment, we recommend patients choose a hair loss clinic and/or licensed medical professional to ensure accurate diagnosis and treatment.

Endocrinologists are licensed medical professionals who specialize in the endocrine system, hormones, and the diseases that result from hormonal imbalance. Hormonal imbalance can often cause hair loss, so it is common for this type of physician to see patients who suffer with thinning, shedding, or balding. They do not specialize in hair restoration, however.

Dermatologists are licensed medical professionals who provide specialized care for the skin, nails, and hair. Physicians who are Board Certified in Dermatology are the most qualified to diagnose the root cause of hair loss and provide an effective treatment recommendation.

Why See a Hair Transplant Surgeon?

A hair transplant surgeon is a medically licensed dermatologist who has completed both medical school and a minimum 5-year residency, during which rigorous surgical training is completed. Here are a few reasons why patients should see a hair transplant surgeon for a hair loss diagnosis:

  1. Hair transplant surgeons are Board Certified in Dermatology, the only medical specialty with certified residency training in hair loss and scalp diseases.
  2. In addition to surgical hair restoration, hair transplant surgeons offer non-surgical methods of hair loss treatment that include medications (Rogaine®, Propecia®) and FDA-approved Low Level Laser Therapy (LLLT) devices.
  3. As a specialist, they keep up with new techniques and transplant technologies that continually improve patient experience and results.
  4. Surgeons can also be members of the International Society of Hair Restoration Surgery, an internationally-recognized organization of more than 1,000 elite surgeons in over 60 countries worldwide. ISHRS is committed to advancing the highest standards of medical treatment and ethics, ensuring hair loss sufferers always receive professional hair loss treatment and an unparalleled patient experience.

Finding a Miami Specialist and Hair Loss Clinic

At the Hair Transplant Institute of Miami, we represent South Florida’s finest transplant surgeons, registered nurses, microscopists, and staff. We hold your pursuit of a full head of natural, healthy hair in the highest regard. To learn more about our Institute:

Readers are also invited to call our front desk directly at 305-925-0222.

Temporary Hair Loss: Is It Normal?

Temporary Hair Loss- Is It NormalIs there such a thing as temporary hair loss? The question itself seems counter-intuitive. Thanks largely to the myths and half-truths of American pop culture, hair loss is something we typically associate with old men, and it’s a condition that seems to be permanent and irreversible. This is only partly true, however. Thinning, shedding, and balding affect both men and women of various different ages. Moreover, not all hair loss is permanent. In some cases, hair might begin to re-grow naturally.

Still, it is imperative that men and women learn the difference between temporary hair loss and permanent pattern baldness, or androgenetic alopecia. On the one hand, research indicates that individuals who suffer with pattern baldness might also be genetically predisposed to other serious health conditions, like coronary heart disease. On the other hand, those who experience temporary hair loss are smart to diagnose it as such to avoid unnecessary stress and anxiety.

Join Dr. Bernard Nusbaum is the video below for a brief overview of the four main causes of temporary hair loss. Then, scroll to the temporary hair loss FAQ section to review these concepts in greater detail.

Frequently Asked Questions (FAQ) About Temporary Hair Loss

Below are a few of the most common questions regarding temporary hair loss and shedding. After taking a moment to review each, we invite you to leave additional questions or comments in the Comments section of this post.

What is seasonal hair loss?

If think you’ve experienced “seasonal hair loss,” you are not alone. Women in particular report experiencing symptoms of thinning or shedding hair in late September and October. To better understand this phenomenon, it helps to take a moment to review the hair growth cycle.

Hair grows in 3 distinct phases: Anagen, Catagen, and Telogen. Each phase lasts about 2-6 years, 2-3 weeks, and 2-3 months, respectively. Hair actively grows during the Anagen phase, and the Catagen phase is a separate and distinct growth phase that transitions hair into the Telogen phase. Once in the Telogen phase, hair experiences a period of rest. It is during this resting period, however, that hair can fall out.

According to Swedish researchers, the reason for seasonal hair loss that occurs in the fall might be attributed to the fact that the hair and scalp experience a great deal of stress during summer months. As a consequence, the extra stress might “shock” hairs that are naturally in the Telogen phase, causing them to fall out 2-3 months later. And although the hair loss is perceived in the autumn, it might actually begin to occur in the summer.

Can hair loss occur after pregnancy?

Hair loss is a common occurrence after pregnancy. Many women experience this type of temporary hair loss due to 2 underlying causes: Hormones, and stress. New moms experience a rapid decline in estrogen following childbirth, which might trigger thinning or shedding. New moms are also predisposed to stress-related hair loss after pregnancy, which is referred to as telogen effluvium. One need not go through pregnancy and childbirth to experience telogen effluvium, however (see below).

For more information, visit this article on hair loss and pregnancy.

Can stress cause temporary hair loss?

Stress-related hair loss, or telogen effluvium, can also occur after certain events that “shock” the body. These events might include:

  • Surgery
  • Severe illness
  • Medications
  • Sever emotional stress

For more information, visit this article on female pattern hair loss and telogen effluvium.

Consult a Medical Professional About Hair Loss

If you or a loved one is experiencing symptoms of thinning, shedding, or balding, contact the Hair Transplant Institute of Miami to schedule a comprehensive hair loss evaluation. Our team proudly represents South Florida’s top surgeons, registered nurses, technicians, and technologies. We understand the agony and frustration that accompanies hair loss, and we are committed to helping you develop a customized plan that will create natural results.

Contact us online or call our Institute directly at 1.877.443.9070.

Norwood Classification: Understanding Male Pattern Baldness

Norwood Classification- Understanding Male Pattern BaldnessNo Hair to the Throne, the headline read, commenting on Britain’s most eligible bachelor (i). POOR Prince William is losing his crowning glory it continued, mocking the 28 year old for displaying early signs of male pattern baldness. Of course, Prince William is not alone. An estimated 65% or more males suffer with signs of hair loss.

Most times, male pattern baldness is the result of hormonal changes that significantly impair the ability of the hair follicle to sustain natural hair growth. Termed androgenetic alopecia, this condition causes hair miniaturization, a phenomenon in which hair becomes thinner and finer each time it progresses through the growth cycle. Eventually, the hair falls out and ceases to grow entirely.

Psychological Distress. Studies indicate that hair loss may have a profoundly negative affect on not just self image, but on interpersonal interactions and professional life as well. The color, volume, and thickness of hair are major characteristics that affect how others perceive an individual. When compared to individuals with a full head of hair, those with thin or balding areas are often perceived as weaker, older, and less physically attractive. Now, that’s not to say that bald men are not confident. Our culture is filled with icons like Vin Diesel, Dwayne “The Rock” Johnson, and others who enjoy a “bald” look and wear it with confidence.

However, if hair loss is negatively impacting your personal, social, or professional life, there’s a problem. Fortunately, male pattern baldness tends to progress in a predictable pattern over time, allowing hair transplant surgeons to provide expert evaluations and treatment recommendations that will produce natural, long-lasting hair where once was only balding scalp.

Norwood Classification: Stages, Signs, and Symptoms

The Norwood Classification is a system that professionals use to characterize male pattern baldness. Depending on the location and the severity, pattern baldness is classified according to 1 of 7 stages. This helps hair surgeons understand both the extent of the current condition as well as the pattern in which balding is most likely to follow. These two variables play a critical role in determining which hair loss treatment options are capable of restoring areas of the scalp that are thin or completely bald.

The Norwood Classification also provides a framework for understanding how the patient’s baldness may progress. This becomes a very important variable when the patient chooses a hair transplant procedure. Understanding how baldness may progress enables the surgeon to deliver a beautifully natural-looking end result by strategically restoring areas that are thin, balding, or susceptible to future hair loss.

The 7 stages of the Norwood Classification are shown below. Each stage depicts a unique circumstance in which hair is thinning, shedding, or balding in specific areas:

Norwood Classification for Male Hair Loss

Female Hair Loss: For women, pattern baldness progresses in a very different manner. A unique classification system is used to characterize the stages of female hair loss, called the Ludwig Classification. Click the following link to learn more about the Ludwig Classification.

Hair Loss Evaluation, Diagnosis, and Treatment

At the Hair Transplant Institute of Miami, we hold our patients’ desire for a full and natural head of hair in the highest regard. We are home of South Florida’s most talented surgeons, microscopists, nurses, and staff. Our team works diligently to ensure each patient feels comfortable and confident during each visit, from evaluation to procedure and post-procedure follow-up.

Home of the ARTAS® System

In an effort to provide only the newest, safest, and most advanced procedures to our patients, the Hair Transplant Institute is proud to announce the arrival of the ARTAS System for hair transplant. Learn more about the ARTAS System, a physician-guided robotics technology that enables our team to deliver beautiful restoration results with unmatched precision, accuracy, and consistency.

Sources:

(i) No Hair to the Thrown. The Sun. Accessed 18 February 2013.

Hair Reconstruction

Hair ReconstructionHair reconstruction generally involves one of two approaches to rebuilding the natural appearance of hair.  The first approach is surgical and involves transplanting individual hairs from a donor area to the restoration area (the area experiencing thinning or balding).  A second type of hair reconstruction is non-surgical.  Non-surgical hair reconstruction may involve utilizing prescription hair loss medications, low level laser therapy devices, or general lifestyle changes to naturally spur the growth of hair.  It is important to note that not all individuals are candidates for surgical hair reconstruction procedures.  This cannot be determined, however, until the individual seeks the professional consultation of a hair transplant surgeon.

Hair Reconstruction: Am I a Candidate?

At this point, you may be wondering if you are a candidate for hair reconstruction.  The simple answer is “yes,” because there are a variety of both surgical and non-surgical treatment options available.  On a more complex level, however, you may find that the unique condition of your hair may limit treatment options in some way.  You may find that you are not a candidate for a surgical hair transplant procedure, for example.  Or, you may prefer to avoid prescription hair loss medications and instead focus on making lifestyle changes that may promote natural hair growth.

Most often, hair loss is unique in the way it affects the individual.  To better understand your hair loss and the treatment options that are available to you, follow the 4 steps below:

Step 1: Discovering Hair Loss

If you found this article online, you are most likely in the Discovering Hair Loss phase.  Perhaps you have noticed visible signs of thinning, balding, or shedding.  Or, maybe your are simply educating yourself so you may take proactive preventative measures to keep your hair looking its absolute best for long into the future.  In either case, we welcome you to our website and invite you to visit the Hair Transplant Blog homepage for additional information on hair loss, hair reconstruction procedures, images from before and after procedures, and much more.

Step 2: Consult a Professional for an Evaluation

Now that you know more about the prevalence of hair loss, you are ready for the Consultation Phase.  At this point, there is no substitute for the professional opinion of a licensed and experienced surgeon.  We welcome you to schedule an appointment for a hair loss evaluation with the Hair Transplant Institute.  Our clinic proudly represents South Florida’s top hair transplant surgeons, and our facility is staffed with caring individuals who provide an unparalleled level of service.

Step 3: Obtain a Hair Loss Diagnosis

During your evaluation, our Institute’s lead surgeons, Dr. Nusbaum and , will work towards providing a full and accurate diagnosis of the cause for your hair loss.  To learn more about the advanced hair loss diagnosis methods performed by the Hair Transplant Institute, please visit our Hair Loss Evaluation page.

Step 4:  Choose a Hair Reconstruction Method

After scheduling an appointment and receiving a diagnosis, Dr. Nusbaum and Dr. Rose will help you choose a safe and effective means of treating your hair loss in a way that will deliver the results you desire.  The Hair Transplant Institute provides a diverse array of leading treatment options ranging from surgical transplants to non-surgical low level laser treatments.  We understand the profound ways in which hair loss may affect both personal and social life, and we are committed to helping you find a hair reconstruction method that will have you looking and feeling great, as quickly and efficiently as possible.

For more information, please call the Hair Transplant Institute of Miami toll free at 1-877-443-9070.

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