Thank you for your question. you are 24 years old and you have been taking finasteride and using minoxidil for several years to treat your male pattern hair loss and you are expressing concern that there is an impact on your general sense of health and wellbeing from using finasteride and you are asking can you sustain your hair with minoxidil and plateletrich plasma (PRP). Well, I can certainly give you some guidance with this question. Im a board certified cosmetic surgeon and fellowship trained oculofacial plastic and reconstructive surgeon. I am also.
The founder of trichostem hair regeneration centers which is a treatment that we developed in our practice which uses plateletrich plasma(PRP) and in addition with other elements and methods to help people with male and female pattern hair loss. So to understand a little bit further the benefits and limits of different medical therapies, I think that if you have responded to finasteride then being off with finasteride, essentially you are going to affect the DHT sensitive hair follicles but certainly you are in good.
Company because a lot of people are either stopping taking finasteride or will not take finasteride at all. In terms of using minoxidil alone, I think that minoxidil may be a value for thinning hairs but it doesnt stop the progression and people can religiously use minoxidil and still progress to continuation of hair loss. Now that brings us to plateletrich plasma (PRP). Plateletrich plasma (PRP), we have lots of experience with plateletrich plasma (PRP). We use it in all of our surgeries,.
Skin rejuvenation, for acne scars, for scar revision, for general skin health, for rehabilitation for injured skin from thermal energy devices and its very effective in many things. And really we even use it for dark under eye circles. However, for hair loss alone, in my experience, plateletrich plasma (PRP) is not enough. And from the feedback I get from patients who come to us, they go for plateletrich plasma (PRP) injection for hair loss and they will do it monthly but unfortunately by the time they get into the 4th month, they.
Start wondering if they need to get scalp injections for the rest of their lives and then they find our treatment called Hair Regeneration. Hair Regeneration is a treatment we developed from the use of plateletrich plasma (PRP) derived from your own blood, concentration of wound healing and growth factors and Acellular matrix which is an advanced wound healing material that really does a remarkable effect on wound healing in areas in the body where cells dont normally would heal. What it.
Is called is mitosis but rather they would heal by scaring. now this is an incidental finding. This technology, this material for example ,if you were to place Acellular matrix on muscle where there is an injury instead of scar tissue, you will actually induce the healing with muscle. So from a biological point, it is remarkable through the activation of your adult stem cells wound healing response. When it originally was used to help people heal from transplants and improve graft survivability, it was observed that thinning hairs become.
Thicker. so in our practice, we do this treatment called hair regeneration or patients who come from around the world and essentially it is a onetime treatment. For most people with some people who have moderate so severe hair loss, I will do a second treatment as a way to boost the benefits of the first treatment. It doesnt mean you need the second treatment and because we have so much experience with this material and this process that we found that a second treatment somewhere around 12 to 18 months has been a benefit and after.
That, people continue to grow hair and they do 99% for both male and female see a response. We follow or patients for years and we have seen that 5 years after, people are not regressing, So there is an opportunity for you to have an alternative to finasteride the way the majority of male patients who come to us, more than 99% will not take finasteride. In fact, closer to 99% and therefore, we know the treatment works independent of pharmacological support.
Thinning Hair Treatment that Can Prevent Hair Loss and Replace a Hair Transplant
26 years old, male, diffuse hair loss. no hope to restore hair? is ht possible? Is there any possibility to restore my hair? I lost 90% density. Really stressful shedding hairs due to stress too. Thank you for your question! Youre asking a very straightforward question of whether or not you are a candidate for hair transplant. Youre 26 years old and you described more than 90% of hair loss and.
That youre also shedding because of stress. well, i think that you will find my answer interesting because you are being very honest about the degree of your hair loss. And you are asking a very good question. Instead of asking how many grafts do you need, youre asking are you a candidate? Now looking at a candidate such as yourself, lets just walk through the steps that we use in our practice, assess someone like you, 26yearold male with this type of hair loss.
First we look at the age of onset, how old were you when you started losing hair. how quickly is this progressing, are there other male family members who have similar patterns or hair loss. Assuming that you have male pattern hair loss, what you are experiencing is progressive miniaturizing of hair. Hair grows in the cycle and at the end of every cycle, it sheds and when the new hairs come in, they come back thinner. So, what we would typically do is assess the top of your scalp with a microscope to identify the amount of.
Hairs that are thinning relative to the amount of hairs that are still thick. and although in years past we would have a discussion about considering about a hair transplant based on the idea of the limitations of what a hair transplant can do, what Im going to discuss with you is really alternative that we have developed in our practice which we call Hair Regeneration. As I discussed earlier, hair thinning is a progression and is a genetically based progression.
When you talk about male pattern hair loss. now, when you think about management, there are medical options: one is a drug finasteride. Finasteride is a drug that inhibits an enzyme called 5alpha reductase that is responsible for the conversion of testosterone to dihydrotestosterone. Hairs that are sensitive to dihydrotestosterone will progressively thin and go away. When someone has that type of hair loss takes finasteride it slows that progression and can allow them to have thicker hair for a long period of time. The challenge at our current time is.
That many people are concerned due to medical studies that have showed long term sexual side effects of taking finasteride. The other drug is minoxidil. Minoxidil is applied topically and appears to keep hair around longer so that it appears the scalp has more coverage. It is does not reverse hair thinning. What we have developed in our practice is a concept and treatment called Hair Regeneration. Serendipitously, a material for wound healing called extracellular matrix that is used to.
Help regenerate tissue, placed on skin, it helps regenerate skin by recruiting the adult stem cells to make this woundhealing mechanism. Placed on muscle, it repairs muscle. Although, the literature does not provide enough information all the factors that cause hair thinning because dihydrotestosterone is not the whole story. Many men will take finasteride and still progressively lose hair. What we have seen is that when this material is used in a specific way that we have developed in a formulation combined with plateletrich plasma, it is remarkable.
In how effectively it can reverse hair thinning. we have hundreds of patients who come from all over the world and we have 5 years of data and every week, we see more and more patients for this treatment as we continue to prove its benefit. There are a lot of people who dont believe it, a lot of people who dont believe in it but we have the patients and the proof to show that as long as you have hair, you have hope. When you look at yourself and you see that you have 90% loss, you would be surprised.