Hair Restoration Treatment for Men & Women
Have you noticed that your hair has started thinning in places or has been falling out without explanation? If so, there is no need to despair because there are several medical and surgical solutions available these days that can assist with hair restoration, some of which will be discussed below. 35 million men and 21 million women in the United States experience hair loss. Specifically the percentage of men suffering this condition increases from 40% at age 35 up to 80% at the age of 60.
FDA Approved Medical Treatments
- Finasteride (Propecia)
- Minoxidil (Rogaine)
- Low level laser therapy (LLLT)
- Platelet-Rich Plasma (PRP)
At our practice every patient is carefully evaluated in order to elaborate the best and safest possible plan for work-up and treatment. Further diagnostic testing such as workup for anemia, thyroid function and autoimmune disease may be deemed necessary prior to embarking into a treatment plan.
The medical treatments can revert hairs from the resting phase into an active growth phase. Medical treatments produce an increase in hair density, hair volume and reduction of hair loss. They cannot revive a hair follicle that has already been lost. Cessation of the medical treatment will generally revert its e ects. We usually recommend a combination of all medical treatments to yield the best possible result.
There are only two FDA-approved medications currently for male hair loss – Finasteride (an oral medication) and Minoxidil (a topical cream to apply to the scalp), while only Minoxidil is approved for female hair loss.
Finasteride (Propecia R) is used only in men and has the benefit of increasing the density of hair in the hairline, forelock, temporal and crown region. It takes about 6 months to build up a visible effect and it takes the same time for hair to reverse to its starting point once it is stopped. About 2% of men experience decreased libido with this medication, which resolves in half of the cases while continuing to take the medication.
Minoxidil (Rogaine R) was originally used as a systemic drug for the treatment of high blood pressure. The medication was discovered to lead to a more prolonged active growth phase for hairs. Early on during the treatment some patients may experience temporarily increased hair shedding. New hair growth can be expected 3-4 months after beginning the treatment.
Low level laser therapy works by photostimulation of the hair follicle by cold red laser light. It is available in the form of hats, combs or helmets. Usually it is recommended three times weekly for about 30 minutes. An improvement in hair count is noticed over 6 months of regular use.
Platelet-Rich Plasma (PRP) is used as an injectable in the scalp to stimulate hair growth. PRP derives from the patient’s own blood after a centrifugation and extraction process that takes about 15 minutes. This treatment can be combined with hair restoration surgery or can be used alone. We usually recommend 3 or 4 treatments, one month apart.
Hair cannot be created but only rearranged. With some techniques results may be visible earlier than with others. During the process of evaluation Dr. Mardirossian will determine which technique will be the most appropriate for you, what to expect and how to take care of the donor and recipient site. Also, the placement and the shape of the hairline and the strategy for hair restoration in other areas will be discussed along with the size and the position of the donor site.
Hair Grafting FU (follicular unit) – strip technique involves taking a full thickness ellipse of skin and hair, and the small grafts are individually dissected using a microscope. The wound is closed with stitches, and this leaves a linear scar, continued to one area rather then diffusely distributed like the FUE. This technique has been successfully used by hair transplant surgeons for decades.
Follicular Unit Extraction (FUE), is one of two donor harvesting methods used to harvest the small follicular units. With the FUE technique follicular units are individually extracted from the patient’s donor area using a small round micro punch. It has gained popularity in recent years, and is often described as a “minimally invasive” procedure because it does not involve stitches with a linear scar, while the tiny round excisions are left open to heal without sutures.
The actual transplantation occurs the same for both donor harvesting techniques, as the grafts are inserted using micro instruments into recipient sites, in the areas of hair loss.
During the Hairline Advancement Procedure a fine incision is made at the hairline from temple to temple in order to allow a harmonious re-positioning of the hairline. During the consultation with Dr. Mardirossian, he will determine if you are a good candidate for the procedure and which areas of the hairline would benefit from advancement. During the actual procedure Dr. Mardirossian will advance the hairline and can also lift the eyebrows and temples to a natural, more youthful position. The hairline can be reshaped and advanced in different areas to create a harmonious and natural result. The overall finished look of a scalp advancement will immediately help you recognize how much more balanced your face looks. During the recovery, new hair will grow through the incision to further camouflage it.
If you have been feeling embarrassed or overwhelmed because of hair loss, speak with us to discuss your options regarding hair restoration today. If you are having a problem with hair loss call us at 561-642-0900 for a consultation.