f="https://www.bernsteinmedical.com/hair-transplant-photos/norwood-class/5a/" title="Hair Transplant Photos of Norwood Class 5A">Norwood Class 5A male pattern baldness -- had 2,540 follicular units harvested with the ARTAS robot, generating a total of 2,768 grafts. Some of the tools and techniques that Dr. Bernstein employed include:
This is the most common type of hair loss experienced by men. The medical term for it is androgenetic alopecia (AGA), also referred to as “male pattern baldness.” It is due to the hormone dihydrotestosterone (DHT) which acts on genetically sensitive hair follicles causing them to miniaturize over each growth cycle. This results in shorter, smaller, finer hairs. Over time, this “miniaturization” process leads to the appearance of thinning or balding. This type of hair loss can be treated with medication and/or surgery depending upon the age of the patient and the extent of the hair loss. The most effective medication for AGA is oral Finasteride which blocks the formation of DHT and prevents the cycle of miniaturization. Surgical hair restoration can be performed by one of two methods – either Follicular Unit Transplantation (FUT) using a strip or Follicular Unit Excision (FUE) where follicles are removed one-by-one from the back of the scalp.
Evaluation for Hair Transplant Surgery: Density and Miniaturization Robert M. Bernstein, M.D. (New York, NY) Evaluating a person with clear-cut androgenetic alopecia for a hair transplant generally consists of the physician determining which Norwood Classification a person fits into, designing a hair line, examining the donor area, and then deciding upon the appropriate number of […]
as prospective, randomized, and bilaterally controlled. All patients in the study were undergoing their first elective hair restoration procedure for male pattern baldness. Follicular unit transplantation
. SUMMARY The progressive decrease in hair shaft diameter that causes thinning (also called miniaturization) characteristic of male pattern baldness, can be decreased by the use of the DHT blocker Propecia (chemical name finasteride). Most men undergoing hair restoration surgery have some existing hair in the area that is to be transplanted that will thin over time and, in fact, may thin a bit more quickly as a result of the surgery. For men undergoing surgical hair restoration, the thinning of the surrounding hair can diminish the overall impact of the hair transplant. Even though Propecia has no effect on the transplanted hair, it can help to maintain the patient’s surrounding hair and is, therefore, useful as an adjunct to hair transplant surgery, to enable the patient to obtain a better overall result. The present study looks to see if Propecia given from one month before surgical hair restoration until eleven months after, can increase hair growth in the area surrounding the hair transplant. In the study, consisting of almost eighty men divided into two groups in a double-blind fashion were either given Propecia or a placebo. Growth was recorded by hair counts and by photos. The study showed that…
A new 4-year study, published in the journal European Urology, found that men who take dutasteride (part of a class of medications called 5-alpha reductase inhibitors) and who also drink heavily (more than seven alcoholic drinks per week) have a greater risk of developing high-grade prostate cancer than men who take dutasteride and do not drink.
Hair restoration physicians William R. Rassman, Jae P. Pak, and Jino Kim have outlined a practical, permanent cosmetic treatment for hair loss, called scalp micro-pigmentation (SMP) in a paper published in the journal Hair Transplant Forum International. The paper discussed case studies of six hair loss patients of varying age and hair loss condition who used SMP to camouflage scalp scars or areas of hair loss: A man in his mid-30s, who was diagnosed with scarring alopecia in his teens, used SMP to camouflage his scarring. A 30-year-old male, who had worn a hat continually since being diagnosed with alopecia totalis in his teens, used SMP to frame his face and re-build his self-esteem. A 55-year-old man, who had large-graft (“hair plug”) hair transplants and several scalp reductions, used SMP to fill in plug scars and re-define his hairline. A 32-year-old man used SMP to cover donor area scars from previous FUT procedures, fill in his thinning crown, and create a smooth hairline. A 22-year-old man filled in scars from a previous FUE hair transplant using scalp micro-pigmentation. A 45-year-old man, who had always shaved his head and refused hair transplantation, used SMP to create a hairline with an overall…
sychological correlates of hair loss in males. Br J Psychol. 1995; 86(pt3):337-344.)), ((Cash TF. Losing hair, losing points? the effects of male pattern baldness on social impression formation.