Articles Tagged with: hair transplant surgeons

The Big Picture: What’s Really Causing Hair Loss?

The Big Picture- What’s Really Causing Hair LossWhen treating hair loss, understanding the root cause of the issue is the first step towards finding treatment. Getting to the root of the problem enables physicians to offer treatments that are both safe and effective. Sometimes, hair loss can be caused by environmental stress or other behavioral problems that the patient can learn to proactively manage. For this reason, understanding why hair loss occurs is empowering for the patient as well.

If you are experiencing hair loss symptoms, we invite you to explore the following resources on the Miami Hair Blog to learn more about your condition. Please note: These resources are not meant to provide specific medical diagnoses or treatment recommendations. All readers are urged to schedule an appointment with a licensed and experienced medical professional to properly diagnose their condition and find effective treatment.

Understanding Pattern Baldness

Sometimes, hair loss occurs in a somewhat recognizable and predictable pattern. Two common examples are receding hairlines and thin or bald areas at the rear of the scalp, at the crown.

Men who recognize these symptoms may learn more about the progression of their condition by referring to the Norwood Classification for male pattern baldness.

Women who recognize these symptoms may learn more by referring to the Ludwig Classification for female pattern baldness.

Stress Related Hair Loss

Stress may cause a change in the biochemistry of the hair follicle, according to reports from the American Hair Loss Association (i). This change can prematurely send hair into a resting phase, or Telogen phase. Hair may cease to grow entirely, depending on the severity and duration of the experienced stress, as well as the way in which the individual recovers from the incident. This type of hair loss is particularly common among women and may be heightened, in part, by hormonal fluctuations.

To learn more, visit our guide on Telogen Effluvium.

Prescription Medications and Hair Loss

Prescription medications may effectively treat a number of serious health conditions. Medicines can have side effects, however. Hair loss is a common issue for individuals who take a variety of medications, including oral contraceptives, thyroid prescriptions, and more.

To learn more, readers are invited to visit our guide, Can Prescription Medications Cause Hair Loss?.

Hair Loss and Teenagers

Though pattern baldness is typically associated with older gentleman, hair loss is also a common condition for many boys and girls in their teenage years of development. Teenagers are perhaps most susceptible to the cruel way in which hair loss can negatively affect self-esteem, confidence, and social life, making it vital for parents and teens to understand more about the most common reasons hair loss may occur.

Read more about the Top 7 Causes of Hair Loss in Teenagers.

Evaluations at the Hair Transplant Institute of Miami

Early detection, diagnosis, and treatment provide the best chance of restoring hair to its naturally full, resilient, and beautiful state. To learn more about a hair loss evaluation, schedule an appointment with the Hair Transplant Institute of Miami. Our team represents South Florida’s finest hair transplant surgeons, registered nurses, and technicians, each of whom hold your pursuit of a fuller head of hair in the highest regard.

Readers may also call our Institute at 305.925.0222 to speak directly with a member of our team.

Sources:

(i) “Effluviums.” American Hair Loss Association..

Hereditary Hair Loss, Demystified

Hereditary Hair Loss, DemystifiedAsapSCIENCE is making a big splash on YouTube. With over 500,000 subscribers, the science-based YouTube channel promises to deliver a weekly dose of science and fun through a series of animated videos that attack and demystify some of life’s most thought provoking questions. From describing the science of aging to learning why the chicken really crossed the road, the producers at AsapSCIENCE seem committed to helping Internet users better understand life, one 2 minute video at a time.

Earlier this month, AsapSCIENCE produced an excellent video on the science behind the most common instance of hereditary hair loss. We’re excited to share this video with our readers and encourage everyone to take a look:

An Important Note: As mentioned at the conclusion of the video, the presence (or absence) of a hair loss gene on the X chromosome is just one of the contributors to hair loss. And while it is the most common, it is important to remember that researchers are continually finding new hair loss genes. The hair loss gene APCDD1, for example, was just recently identified by collaborative research conducted at Columbia, Rockefeller, and Stanford Universities.

Hair Loss: A Polygenic Trait

The myth that “hair loss is inherited from the mother’s side” is derived from hair loss research of the early 1900s. Though well intentioned and progressive at the time, researchers were limited in their ability to analyze all possible contributing factors exhibited by their subjects. In the past, researchers have taken a single gene approach to hair loss research, choosing only 1 gene to track, analyze, and compare across different groups of subjects (i). This eventually led to the belief that hair loss was caused by a single gene on the X chromosome (as described in the video above).

While it’s true that certain genes on the X chromosome may cause hereditary hair loss, we now know that there’s a much bigger picture to consider. Modern medical research has identified hair loss is a very complex condition that is actually polygenic, meaning that a number of genes can play a causal role in its development and progression. Moreover, such genes can be inherited from either parent.

Genes and Appearance: What Determines Expression?

To complicate matters further, genetics are not the only thing to impact the way in which hair loss becomes visible, or expressed. A number of other factors may contribute as well, including:

Age. As a man or women continues to age, the likelihood that a hair loss gene may begin to express itself may increase.

Hormones. The relative balance of certain hormones like estrogen, testosterone, and DHT may have a profound impact on the health of hair follicles. DHT, in particular, is known to cause hair miniaturization by impairing healthy follicular function. For women, birth control pills may cause hair loss by similarly disrupting the relative balance of estrogen to testosterone.

Stress. According to the American Hair Loss Association, there is an apparent link between stress and hair loss (ii). Stress seems to affect hair follicle biochemistry, which may cause the hair to enter into a “resting” phase prematurely. This can lead to Telogen Effluvium, specific type of stress-induced hair loss.

Seek a Professional Hair Loss Evaluation, Today

When it comes to reversing the signs of hair loss, early detection is ctritical. Patients trust the Hair Transplant Institute of Miami because we are home to South Florida’s most talented transplant surgeons and clinical team. We are proud to offer the most comprehensive approach for evaluating and treating hair loss—an approach that has produced countless success stories.

Hair Loss Evaluation & Treatment. Readers are invited to learn more by visiting our hair loss evaluation page online. For direct assistance, readers are invited to contact our clinic directly at (305) 925-0222.

Sources:

(i) “Hair Loss Genes.” Bernstein Medical. Accessed 25 March 2013.

(ii) “Effluviums.” American Hair Loss Association. Accessed 25 March 2013.

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.

Dr. Rose Presents ARTAS® to CBS Miami

Dr. Rose Presents ARTAS® to CBS MiamiAs our Institute became 1 of just 15 clinics in the nation to offer the revolutionary new ARTAS® System for hair restoration, South Florida residents have become increasingly curious as to how the system works, and why it is more proficient than traditional FUE hair transplant procedures. Last month, Dr. Rose reached out to these individuals, presenting an exclusive interview with CBS Miami about the futuristic hair loss solution.

To learn more about the ARTAS System, readers are invited to schedule an appointment online or contact the Hair Transplant Institute of Miami directly at 1-877-443-9070. Our Institute represents South Florida’s finest hair transplant surgeons, and we hold your pursuit of a fuller, natural-looking head of hair in the highest regard.

CBS Exclusive: ARTAS® System at the Hair Transplant Institute

In the video above, one of our patients explains his experience with the ARTAS System. Our patient began experiencing hair loss at a very early age, which is not entirely uncommon among young men. By age 35, it is estimated that roughly two-thirds of all American men experience some degree of hair loss. Androgenetic alopecia, a genetic condition that causes the phenomenon of hair miniaturization, is one of the leading causes. For many of these individuals, a hair transplant procedure is the most effective means of restoring areas of baldness with real hair that is vibrant, lasting, and all-natural.

Our patient chose the ARTAS System for its advanced ability to produce a transplant with greater accuracy, precision, and consistency compared to traditional methods. Moreover, the ARTAS System extracts donor hair via follicular unit extraction (FUE), a refined process that does not leave a linear scar through the donor area. This was another major reason the procedure was chosen, our patient tells CBS. Following the procedure, our patient can wear his hair very short without exhibiting any signs that a transplant has been performed, like linear scars.

Best of all, our patient explains that during the procedure he felt no pain at all. Although a traditional FUE hair transplant does not cause much discomfort at all, the ARTAS System reduces feelings of discomfort to a nearly undetectable level.

Because the technology uses digital imaging to continuously locate the best hair follicles for transplant, Dr. Rose is able to extract follicular units with unparalleled precision, causing very little scarring or trauma to the scalp. Turnaround time is reduced, meaning that patients may return to their normal day-to-day activities more quickly.

Getting to Know ARTAS®

Would you like to get better acquainted with the ARTAS System? Below are a few of the most common questions our patients have about this revolutionary new piece of technology. For a more in-depth Q&A, readers are invited to visit our guide, Frequently Asked Questions About ARTAS Hair Transplant.

How does ARTAS differ from traditional transplant procedures?

ARTAS combines high resolution digital imaging with advanced robotics technology to enable our physicians to locate and extract follicular units with greater accuracy and precision compared to traditional transplant methods. Of course, each ARTAS procedure is always conducted under the control of an experienced hair transplant surgeon to ensure patient safety and individual results are held in the highest regard.

Is the end-result natural in appearance?

One of the greatest advantages of the ARTAS System is the way in which it targets follicular units for transplantation. Not only does the technology identify prime candidates (follicular units) for transplant, but it also selects them in a randomized fashion. As a result, there is virtually know sign of extraction in the donor area, preserving its natural appearance.

Is the transplant permanent?

ARTAS System procedures are almost always permanent. Transplanted hair has great potential to last a lifetime, as it is harvested from the rear of the head in a minimally-invasive manner that causes very little trauma to the scalp.

Learn More About the ARTAS® System

If you experience hair loss, you are not alone. More than 60% of adult males experience symptoms of baldness by age 35, and millions more females experience shedding, thinning, or loss over the course of their life. Today, hair loss is more easily detected and treated than ever before. And with technologies like the ARTAS System by Restoration Robotics, men and women may choose a procedure that produces beautiful, natural-looking results with minimal disturbance to personal life.

To learn more about the ARTAS System, readers are invited to schedule an appointment online or contact the Hair Transplant Institute of Miami directly at 1-877-443-9070.

Sources for this article include:

(i) High-tech Transplant Procedures for Hair Loss. CBS News, Miami. Accessed January 29, 2013.

Dr. Rose Receives Appointment to Cosmetic Surgery Foundation

The Hair Transplant Institute of Miami would like to take a moment to congratulate Dr. Rose on his recent appointment to the Cosmetic Surgery Foundation! The Foundation is the first and only organization of its kind, serving as the official research and education arm of the American Academy of Cosmetic Surgery. It is a prestigious honor to receive such an appointment, and we share Dr. Rose’s excitement and sense of accomplishment at this very special time.

Meet Dr. Rose


[Video Transcript] It was actually during my residency in dermatology that I first became aware of some of the things that could be done with hair replacement, and hair diagnosis. And, upon graduating that residency program in 1988, I became very much involved in cosmetic procedures, including hair restoration. As it turns out, I’ve been doing hair restoration procedures since approximately 1988, so well over 20 years experience.

A PHYSICIAN. AN ARTIST. PERFECT BALANCE.

I think that one of the most interesting aspects of this kind of cosmetic surgery is that it should really be undetectable. It’s not like doing a Rhinoplasty, where someone sees an abrupt change; it’s not like doing a breast augmentation, where there’s clearly an obvious change. In this case, you’re trying to be as natural as possible. And, a component of it that I think people sometimes will miss, is that it is far beyond the technical aspect for hair restoration. One also should endeavor to have an artistic approach to doing this, and be aware of what makes for the way that an artist would look at the face, and try to take those components, those parameters, and bring them in to the surgery that we do. And I think we are very successful at doing that. In the end, it provides an appearance that is undetectable.

More on the Cosmetic Surgery Foundation

Founded in 2000, the Cosmetic Surgery Foundation is committed to the advancement of the science and safety of cosmetic surgery. Specifically, the Foundation focuses on 3 core objectives that help to drive the advancement of the field of cosmetic surgery. First, the Foundation provides funding for specific educational programs and training initiatives aimed at improving surgical technologies, surgeon skill sets, and more. Next, the Foundation actively funds research initiatives aimed at building and refining cosmetic surgical knowledge. Finally, the Foundation seeks to improve awareness for the art, safety, and general advancement of the field of cosmetic surgery, both within the medical community as well as among the general public.

More on the American Academy of Cosmetic Surgery

The American Academy of Cosmetic Surgery was founded in 1985 as a means of advancing cosmetic surgery, as a specialty, and to provide a means of continual improvement to patient care. Most AACS members specialize in a specific field of cosmetic surgery, including but not limited to dermatological surgeons, otolaryngologists, oral and maxillofacial surgeons, general surgeons, plastic surgeons, ophthalmic surgeons, or obstetricians and gynecologists. In the American Medical Association (AMA), the AACS acts as the representative for cosmetic surgeons through its official seat in the AMA House of Delegates.

To aid in its mission to advance the specialty of cosmetic surgery, as well as patient care, the AACS adopts a Code of Ethics to promote and maintain fair dealing and professional conduct by all Academy members. All AACS are charged with duties that include: Encouraging the highest level of ethical judgement and operation in the industry, forwarding the research and development of procedures, improving education, and building awareness for the art of cosmetic surgery.

Seek An Evaluation with a Team You Can Trust

At the Hair Transplant Institute of Miami, our team is comprised of South Florida’s finest hair transplant surgeons, nurses, microscopists, and technicians. We understand the challenges that hair loss presents to personal, social, and professional life, and we are here to help.

Learn more about hair loss evaluations online, or call our Institute directly at 1-877-443-9070.

Can Rogaine® Cause Sexual Side Effects?

Can Rogaine® Cause Sexual Side Effects?In the fall of 2012, researchers at Johns Hopkins University made a startling discovery: Finasteride, known most commonly by the brand name Propecia®, appeared to cause long term sexual side effects for a number of males who were using the prescription medication to treat hair loss.

Prior to the study, it was well-documented that Finasteride could cause a number of sexual side effects during use. After the study, however, a small body of research indicated that males who take the popular hair loss medication could suffer with sexual side effects long after use was discontinued. The study analyzed only a small number of patients, and many hair loss professionals believe rigorous follow-up studies are needed to better understand the long term side effects of Finasteride. Nevertheless, the study sparked concern among men and women who suffer with hair loss, particularly those who currently use a non-surgical method of restoration.

Most recently, patients have begun to wonder if Minoxidil may cause sexual side effects. A topical solution, Minoxidil is most commonly known by the brand name Rogaine®. As explained by Hairlosslearningcenter.org, there is no data to support such concerns:

While there are a number of cases of men reporting sexual dysfunction from Rogaine (minoxidil), there has been no scientific data gathered to support this as a side effect and it is not listed by the manufacturer as a known side effect.

Things to Know About Rogaine®

Rogaine is a brand name version of Minoxidil, an anti-hypertensive drug that is used to treat pattern baldness (androgenetic alopecia). With daily topical application, Minoxidil has demonstrated effectiveness in converting short, fine hairs into fully developed “regular” hair. Though it is unclear exactly how Minoxidil achieves this feat, the drug demonstrates a general ability to increase the “growth phase” of hair, normalizing the hair follicle while promoting wholesome growth. Unlike Propecia, Rogaine can be used by both men and women who suffer with pattern baldness.

Shortcomings of Rogaine

Hair loss is a gradual process for those who suffer with pattern baldness. For these individuals, hair becomes thinner and finer each time it progresses through its natural growth phase– a cycle that dermatologists estimate happens about 10-20 times over a person’s lifetime. Eventually, hair may cease to grow. Because Rogaine may effectively “normalize” the growth process, individuals may slow the progression of pattern baldness and, in many cases, stop it entirely.

For a small percentage of patients, Rogaine may help to grow new hair. Most people who use Rogaine, however, will not be able to achieve this goal. In fact, Rogaine is known best for preventing additional hair loss while nurturing thinning hair.

Advanced Hair Loss Solutions: Alternatives to Rogaine®

For many individuals, it may not be practical to achieve hair restoration goals with Rogaine only. For example, it would be very difficult for an individual to combat hair loss along the hairline and/or crown of the head through topical Rogaine applications. For these individuals, there are a number of other effective treatment options available:

Follicular Unit Extraction (FUE). FUE hair transplants harvest healthy hair from the patient’s scalp and transplant it to the area that is thinning, shedding, or balding.

Follicular Isolation Technique (FIT). Co-created by Dr. Rose, the FIT procedure implements a small punch instrument to remove individual follicular units without ever creating a linear scar.

ARTAS® Hair Restoration. The ARTAS System is a physician-guided robotic system that enables surgeons at the Hair Transplant Institute to perform Follicullar Unit Extraction (FUE) procedures with unparalleled precision, consistency, and accuracy.

To learn more about these techniques, readers are invited to visit our article on the Evolution of Hair Loss Treatment.

Seek An Evaluation with a Team You Can Trust

At the Hair Transplant Institute of Miami, our team is comprised of South Florida’s finest hair transplant surgeons, nurses, microscopists, and technicians. We understand the challenges that hair loss presents to personal, social, and professional life, and we are here to help.

Learn more about hair loss evaluations online, or call our Institute directly at 1-877-443-9070.

New Hair Loss Gene Discovered: APCDD1

New Hair Loss Gene Discovered- APCDD1Scientists have identified a new gene that may help future hair transplant surgeons provide non-hormonal treatments for hair loss. The discovery is a culmination of efforts from research teams across America, including those from Columbia University, Rockefeller University, and Stanford. Researchers have named the gene adenomatosis polyposis down-regulated 1, or APCDD1.

The discovery of the APCDD1 gene is important to researchers, surgeons, and individuals who suffer with a variety of hair loss conditions. The gene seems to play a role in the progressive hair loss experienced by individuals with hereditary hypotrichosis simplex, a rare condition that may manifest itself in the early years of childhood.

Commenting on the study, lead author Angela M. Christiano, Ph.D. explains:

Through their analysis the research team found a common mutation in the APCDD1 gene that is located on a specific region of chromosome 18. Previous studies have shown chromosome 18 to be involved in other forms of hair loss including alopecia areata and androgenetic alopecia. (i)

Dr. Christiano is a professor of dermatology, as well as genetics and development, at the Columbia University Medical Center. For additional information, readers may visit Dr. Christiano’s faculty page on Columbia.edu.

Although the gene seems to play a causal role in a very different type of hair loss, researchers believe studying the APCDD1 gene may eventually aid in the treatment of male and female pattern baldness, as well as other types of hair loss. This is due to the fact that APCDD1 causes hair loss through a process called hair miniaturization, which is the same process through which male pattern baldness progresses.

APCDD1, Hair Miniaturization, and Hair Loss Treatment

To understand the concept of hair miniaturization, it is helpful to first understand how hair grows. Throughout our lifetime, hair grows from follicles located just below the skin. Follicles are the foundation through which hair receives the support, oxygen, and nutrients to grow. Hair grows in three distinct cycles: The growth phase, the shedding phase, and the resting phase. Hair loss professionals may refer to each of these stages as the anagen phase, catagen phase, and telogen phase, respectively. It is estimated that each strand of hair goes through a full cycle of growing, shedding, resting, and re-growing about 10-20 times over the course of a person’s lifetime.

Hair miniaturization is a phenomenon in which hair becomes thinner and finer each time it progresses through the growth cycle described above. Eventually, the hair follicle may even become dormant, in which case new hair growth will cease entirely.

In this study, researchers found that the gene APCDD1 inhibits a specific signaling pathway through which hair growth is directed. Researchers refer to the pathway as Wnt, and it is believed that inhibiting this signaling process may prevent hair miniaturization and pattern baldness from developing. Moreover, Dr. Christiano believes the discovery could make advanced hair loss treatment a reality for a much broader number of individuals:

Unlike commonly available treatments for hair loss that involve blocking hormonal pathways, treatments involving the Wnt pathway would be non-hormonal, which may enable many more people suffering from hair loss to receive such therapies. (ii)

Connect with the Hair Transplant Institute

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Sources for this report include:

(i) Scientists Identify New Hair Loss Gene – APCDD1. Blog.americanhairloss.org. Accessed January 8, 2013.

(ii) See above.

Treatment for Individuals with Alopecia Areata is Promising

Treatment for Individuals with Alopecia Areata is PromisingResearchers in Tokyo have just recently reported that patients who suffer with alopecia areata (AA), a specific type of hair loss, show a “favorable prognosis” when it comes to hair regeneration. The new study was conducted at Tokyo Medical University and was recently published online via the Journal of the American Academy of Dermatology in late September of this year.

Dr. Masaki Uchiyama, M.D., led the Japanese research team at Tokyo Medical University as they surveyed 1,030 alopecia areata patients over the course of 3 years. During that time, researchers evaluated the improvement or cure rate of the participants as they engaged in different hair loss treatments for alopecia areata symptoms. Specifically, researchers noted the following:

1. Severity: The degree to which hair loss affected the body was measured, including the number of affected areas as well as their size and proximal location on the body.

2. Treatment: The method of treatment was noted for each patient, giving researchers a cross-section of different treatment modalities to analyze.

3. Improvement: During the 3-year period, researchers assessed the regrowth of body hair for each participant, specifically by noting the regeneration of vellus hairs.

4. Cure Rate: Instances in which symptoms of alopecia areata were “cured” were also recorded.

As the study drew to a close, Dr. Uchiyama’s team found that patients who exhibited regeneration of vellus hairs also showed a significantly higher improvement in the reversal of alopecia areata symptoms. In general, these improvements meant hair regeneration. In some cases, however, improvements translated to the complete reversely of hair loss.

Most noteworthy, however, is the following: The rate of improvement (or cure) was affected by neither the chosen treatment method nor the severity of the patient’s unique condition.

“Our study suggested that there was no statistically significant influence of the initial treatment modalities on the prognosis of AA patients with severe hair loss, including both RPAA and chronic persistent AA,” Dr. Uchiyama and his research team concluded (i).

Understanding Alopecia Areata

To learn more about alopecia areata, readers are invited to review the Frequently Asked Questions (FAQ) guide below:

1. What is alopecia areata?

Alopecia areata is a unique type of hair loss characterized by rounded patches of concentrated baldness. These patches may occur on the scalp as well as other parts of the body. Concentrated areas of hair loss may occur simultaneously, affecting different parts of the body at the same time.

2. What are the symptoms of alopecia areata?

Symptoms for alopecia areata may differ from patient to patient, however they generally include:

  • Small, rounded bald patches on the scalp or other areas of the body.
  • Exposed skin is typically ‘normal’ in appearance, exhibiting no sign of scarring, discoloration, agitation, or irritation.
  • Hair loss may occur at different areas, at different times.
  • Hair regrowth may occur at different areas, at different times.
  • Hairs exhibit an “exclamation” shape, meaning they get narrower towards the base (scalp).
  • Tingling/ pain may be experienced at the affected area.
  • Condition may go into ‘remission’ for a period of time, during which symptoms are not noticeable.

3. What are the causes of alopecia areata?

Researchers are still studying alopecia areate to better understand the root causes of the condition. Though research is still ongoing, it appears that the condition may be caused by two main factors:

  • Heredity: Often times, alopecia areata is more common for individuals whose family members experience symptoms as well. This has led researchers to suggest the condition may be inherited genetically.
  • Autoimmune disease: Researchers also believe that the underlying cause of alopecia areata may be an autoimmune disease. In this scenario, the individual’s own immune system, specifically the T cells, attack the hair follicles and suppress growth.

4. How is alopecia areata diagnosed?

Alopecia areata is best diagnosed by a licensed dermatologist or skilled hair transplant surgeon. Typically, a simple and painless hair loss evaluation will diagnose the condition while also mapping the proper course of treatment.

Sources for this report include:

(i) “Rapidly Progressive Alopecia Shows Favorable Prognosis.” Published on Medicalxpress.com. Accessed November 26th, 2012.

Exclusive: Researchers Find Vitamin D May Stimulate Hair Growth

Exclusive- Researchers Find Vitamin D May Stimulate Hair GrowthIn an effort to find a cure for baldness, research teams from around the world are investigating ways to reawaken dormant hair follicles. These tiny bulb-shaped structures are located just beneath the surface of the skin (pictured left), and they supply growing hair with blood, oxygen, and other life-sustaining nutrients. When hair follicles become traumatized, damaged, or otherwise inactive, the growth of new hair stops and pattern baldness begins. In this way, an individual’s head of hair (quite literally) lives and dies by the health of the follicles beneath the skin. New research suggests that vitamin D, along with the receptors in the skin that bind to the nutrient, may play a significant role in promoting healthy follicles and hair growth.

Got Milk? Researchers Say Vitamin D is “Crucial for the regeneration of hair”

Thanks in part to wildly successful 1995 “Got Milk?” advertising campaign by Goodby Silverstein & Partners, we all know that the calcium and vitamin D in milk help develop strong bones and prevent osteoporosis. The health benefits of vitamin D were studied long before that campaign, but traditional research focused primarily on vitamin D and bone development.

Now, however, new research shows vitamin D may be “crucial for the regeneration of hair,” (i). Hair transplant surgeons have also credited the receptors for vitamin D—the tiny “keyholes” in which the vitamin “keys” fit when being utilized by the body—as critical in promoting healthy hair follicle function.

Researchers report that creating a vitamin D supplement to prevent hair loss is tricky, however. For one, too much vitamin D may cause calcium accumulation in the blood. In turn, calcium accumulation may cause weakness or problems with the kidneys. For this reason, researchers are “really aiming to manipulate vitamin D or vitamin D receptors only in the skin,” explains Dr. Oda of the VA Medical Center in San Francisco. This would help individuals better utilize the vitamin D in their system, rather than introduce more vitamin D at the risk of developing other health issues.

And while a vitamin D supplement that cures baldness may seem futuristic and fanciful, there are technologies available today that are designed to promote natural hair growth by stimulating hair follicles.

Enter: Low level laser therapy (LLLT) for hair.

Promoting Follicle Health and Hair Growth with LLLT

LLLT stands for low level laser treatment, and it is a relatively new and exciting technology for the medical world. LLLT uses safe, FDA certified lasers to stimulate cellular respiration by way of phototherapy. In turn, this increases the cell’s ability to produce energy. But how do laser-light exposure, enhanced cellular respiration, and increased energy production help to reverse hair loss?

According to new research, an improvement in cellular respiration leads a series of biochemical reactions that stimulate the delivery of oxygen and nutrients directly to the hair follicle (vi). Most important is the ability of the patient to receive comprehensive LLLT exposure on a regular basis—usually 3 times per week for about 20 minutes per session.

The Hair Transplant Institute of Miami is pleased to offer the LaserCap™ LLLT device for thinning hair. To learn more about LLLT for thinning hair, please join Dr. Nusbaum as he explains the effectiveness of the treatment and the LaserCap™ device in the video below:

Learn More About the LaserCap™

To learn more about hair restoration or low level laser hair therapy with the LaserCap™, please schedule an appointment with the Hair Transplant Institute of Miami.  Readers are also invited to call our front desk at 305.925.0222 to speak directly with a friendly member of our office.

At the Hair Transplant Institute of Miami, we understand that hair loss can impact your personal, social, and professional life.  We’re committed to making a difference in the lives and well-being of our patients, and we look forward to exceeding your expectations with only the best technologies and most effective procedures.

 

Sources for this article include:

(i) Wang, Shirley S. “The Search for a Baldness Cure.” 12 September 2012.

(ii) Brosseau, L.; Welch, V.; Wells, G. A.; De Bie, R.; Gam, A.; Harman, K.; Morin, M.; Shea, B. et al. (2005). Brosseau, Lucie. ed. “Low level laser therapy (Classes I, II and III) for treating rheumatoid arthritis”. Cochrane Database of Systematic Reviews (4): CD002049. doi:10.1002/14651858.CD002049.pub2. PMID 16235295.

(iii) Jamtvedt, G.; Dahm, K. T.; Christie, A.; Moe, R. H.; Haavardsholm, E.; Holm, I.; Hagen, K. B. (2007). “Physical Therapy Interventions for Patients with Osteoarthritis of the Knee: an Overview of Systematic Reviews”. Physical Therapy 88 (1): 123–136. doi:10.2522/ptj.20070043. PMID 17986496.

(iv) Chow, R.; Johnson, M.; Lopes-Martins, R.; Bjordal, J. (Nov 2009). “Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials.”. Lancet 374 (9705): 1897–1908. doi:10.1016/S0140-6736(09)61522-1. PMID 19913903.

(v) Hamblin, Michael R. “Mechanisms of Low Level Light Therapy.” (2008): n. pag. Web. 17 Sept. 2012.

(vi) Hamblin, Michael R. “Low Level Laser Light Therapy.” (2012). n. pag. Web. 17 Sep. 2012. Click Here to Read This Article.

5 Characteristics of a Natural Hairline

5 Characteristics of Natural Looking HairlineDr. Paul Rose, M.D., is one of the Hair Transplant Institute’s foremost hair transplant surgeons.  Dr. Rose has more than 20 years of experience and is the recipient of numerous prestigious awards, including the ISHRS Golden Follicle Award in 2008 and the Society of Hair Restoration Michelangelo Award in 2002.  When it comes to hair restoration procedures, Dr. Rose believes that striving to mimic nature is the most effective way to generate authentic results.  Surgeons at the Hair Transplant Institute of Miami use this approach to perform procedures that naturally reconstruct hair to a thicker, fuller, and more youthful state.  Procedures at HTI Miami deliver exceptional results to patients with frontal alopecia and other forms of pattern baldness as well, focusing on the restoration of the 5 key characteristics of a natural looking hairline:

  1. Hairline Undulation
  2. Irregular Irregularity
  3. Variable Thickness
  4. Graduation of Density
  5. Random Dispersion of “Island Hairs”

The Secret to Creating a Natural Looking Hairline

1. Hairline Undulation

*“The hairline in men without frontal alopecia has an undulating contour.  […]The pattern is similar to the geographic border of a land mass.  To achieve a natural-appearing hairline, we should try to duplicate this formation.”

The first key to constructing a natural looking hairline is to ensure the hairline itself is undulating.  This means that the hairline gently flows inward and outward along a curved shape that extends across the forehead.  Despite undulating, individual hairs diverge from the hairline by only a few millimeters in either direction.  This creates the perception of randomly occurring indentations and projections along the hairline, which is a telltale characteristic of natural hair growth.

2. Irregular Irregularity

*“Although there may be an appearance of overall uniformity at a superficial glance, there is in fact randomness [in the distribution of individual hairs.] 

Along with undulation, the creation of a natural looking hairline requires irregular irregularity among the hairs themselves.  When observing a natural head of hair, the hairline appears at first glance to be even and uniform.  However, take a closer look and you will find that the hairs along the hairline and scalp are indeed random.  Natural hair growth does not create a series of evenly spaced hair.  Rather, hairs grow at a variable distance from one another.  Hairs also grow in groups of 1, 2, or 3, and such groups are likewise random formations.  To produce the most natural looking results, the hairline must be reconstructed with individual hairs that are both spaced and grouped at random.

3. Variable Thickness

*“At the hairline there are hairs of varying thickness.”

In addition to implementing techniques of undulation and irregular irregularity, the hairline must also be reconstructed using hairs of variable thickness.  Coarse, thick hairs may be used in the center area, however the hairs of the anterior and temporal regions must be fine.  Correctly varying hair density will recreate the natural texture of the hairline.  However, failing to do so may create subtle aesthetic aberrations that are distinctly noticeable by the naked eye.

4. Graduation of Density

*“The appearance of density actually appears behind the first rows of hairs.”

Graduation of density is a measure of the rate at which hair becomes denser as it gets farther from the forehead.  As Dr. Rose states, the density that we perceive actually exists behind the very first rows of hair.  Initial rows of hair contain individual hairs that are spaced far from one another and look thin compared to each subsequent row. As one moves across the scalp towards the posterior, individual hairs begin to grow closer to one another and density gradually increases.  Recreating this subtle and gradual increase in density is a critical in achieving a natural looking hairline that appears to be “in sync” with the rest of the scalp.

5. Random Dispersion of “Island Hairs”

“Island hairs” are individual units of hair that are randomly scattered in ways often unrelated to the hairline.  Sometimes, island hairs are simply remnants of where the hairline used to exist.  In any case, island hairs are the final touch to reconstructing a precise and authentic front hairline.  These hairs are sparsely scattered along the new hairline to contribute to the appearance of the natural hair growth.

Overcoming Frontal Alopecia (Hair Loss)

Androgenic alopecia, also known as pattern baldness, is the leading cause of hair loss among men and women.  The term frontal alopecia simply refers to hair loss that occurs across the front portion of the hair, or hairline.  Hair loss is a common occurrence in both men and women in the U.S.; about 2 in 3 men experience some form of hair loss by age 50 while about 20 million women experience symptoms of thinning hair over their lifetime.

If you are experiencing hair loss, you are not alone.

We understand that hair loss may have a profoundly negative impact on social and professional life.  Our Institute is committed to making a difference in the lives and well-being of our patients through effective procedures that produce beautiful, natural, and lasting results.  Schedule your hair loss evaluation to learn more about diagnosis and available treatment options.  You may also call directly at 1.877.443.9070.

 

*Rose, Paul M.D. “Considerations in Establishing a Natural Hairline.” International Journal of Cosmetic Surgery 1 Nov. 19998: 24-26. Web.

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