The January/February issue of Departures Magazine contains a feature called “The State of Plastic Surgery 2012″. The magazine covers topics such as how to find the best plastic surgeon, the use of cells in plastic surgery and the best hair loss therapies. The section on hair loss offers a timeline of the major advances in the treatment of hair loss since its inception over 75 years ago.
Synopsis: Densitometry and video-microscopy are techniques that analyze the scalp under high-power magnification to give information on hair density, follicular unit composition and degree of miniaturization. They can be used to help evaluate a patient’s candidacy for hair transplantation and help predict future hair loss. The measurements will enable the physician to better estimate the size of the donor strip and anticipate the aesthetic outcome of the hair restoration procedure. This paper describes the value of these techniques in the hair transplant evaluation.
Schedule a Consultation The term “cicatricial alopecia” or “scarring alopecia” refers to a diverse group of uncommon disorders that destroy hair follicles and associated sebaceous (oil) glands resulting in permanent hair loss. Although more commonly seen in women, scarring alopecia can occur in both sexes. This destructive process may or may not be symptomatic; for […]
Robert M. Bernstein, MD, William R. Rassman, MD, Wojciech Szaniawski, MD, Alan J. Halperin, MD SUMMARY of Follicular Transplantation. International Journal of Aesthetic and Restorative Surgery 1995; 3(2):119-132. Follicular Transplantation culminates more than 30 years of hair transplant evolution – from large plugs to the much smaller mini-micrografts. Its development, however, stems from a very […]
Synopsis: This publication, written when scalp reductions were at the height of their popularity, cautioned that scalp reductions caused unnecessary scarring, used up precious donor reserves and caused more cosmetic problems than they solved. It suggested that, with the advent of the more robust follicular unit hair transplantation, scalp reductions should not be used in the treatment of androgenetic hair loss. This publication, along with the 1993 paper of O’Tar Norwood, played a critical role causing the rapid decline in the use of scalp reductions in hair restoration surgery. Fortunately, this once common procedure for male pattern alopecia is now rarely used.
Here is one exchange from the interview: Moderator: How one can tell the difference between hair loss from hormonal imbalances and common baldness? Dr. Bernstein: Measuring hormone levels alone, although important for medical management, does not necessarily reveal whether the cause of the hair loss is actually hormone related or is genetic. The diagnosis is made by examining the scalp and looking at the hair under close magnification using an instrument called a "Densitometer."
Follicular Unit Transplantation is the technique that has revolutionized modern hair restoration surgery. It has given hair transplant surgeons the ability to restore a person’s hair in just one or two sessions and to produce results that, when done properly, can look completely natural. This procedure, first described by Bernstein and Rassman in their 1995 […]
Q: I have hair loss due to a treatment of Accutane. I have been off this medication for about a year and a half now, yet my hair has not recovered. The texture of my hair has completely changed. Given the fact that there is no family history linking me to male pattern baldness, I attribute my hair loss exclusively to Accutane. What should I do? -- H.F., Eastchester, NY A: If the texture alone has changed there is nothing you can do except to wait. The texture should improve over time even though it has already been 18 months. If there are signs of genetic hair loss (i.e. male pattern alopecia), then finasteride should be considered.
Dr. Angela Christiano of Columbia University in New York and a team of scientific researchers, have identified a new gene involved in hair growth. Their discovery may affect the direction of future research for hair loss and the diagnosis and ultimate prevention of male pattern baldness. The condition, which leads to thinning hair, is called hereditary hypotrichosis simplex. Through the study of families in Pakistan and Italy who suffer from this condition, the team was able to identify a mutation of the APCDD1 gene located in chromosome 18. This chromosome has been linked to other causes of hair loss.