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.
He had never been prescribed medication. I told him that his transplant(s) hadn’t failed but that a number of things had happened: he probably got shock loss after each surgery, he continued to thin in the forelock and crown and he wasn’t advised properly. I asked if he had returned to the clinics. No to the FUE as it was overseas, yes to the second clinic where they offered a “redo”. The patient refused as “the first operation didn’t work.” So my question is should we be actively doing something to discourage the use of terms such as “the redo” that seem to me to not only admit to liability for a bad result but to make it an expected rather than an uncommon outcome?
Q: What does the hair transplantation process do to your existing hair? -- R.V., London, UK A: When we perform hair transplant surgery, we transplant into an area that is either bald or has some existing hair. The hair that is existing is undergoing a process called miniaturization. What this means is that the hairs are continuing to decrease in size – both in diameter and in length. When we perform a hair transplant, we don’t transplant around the existing miniaturized hair on your scalp, we transplant through it. And the reason why we do that is because the miniaturized hair, the fine hair that is being affected by DHT, is eventually going to disappear, so you don’t want there to be any gaps.
Descriptions of over-the-counter hair products, for general interest only. The information was obtained through unsubstantiated sources and the claims made by the marketers of these products are also unsubstantiated. Bernstein Medical - Center for Hair Restoration does not endorse any of these products.
The hair follicle growth cycle consists of three phases: a growth phase (“anagen”), a transitional phase (“catagen”), and a resting phase (“telogen”). In susceptible hair follicles, the hormone dihydrotestosterone (DHT) can, over time, cause the growth phase of the hair cycle to become progressively shorter. As a result, the individual hairs produced by these follicles decrease in size (diameter and length) until they eventually disappear. This process is called “miniaturization.” It is the main mechanism in androgenetic alopecia (genetic balding). Miniaturization: The Mechanismin Genetic BaldingNormal scalp hair grows in follicular units made up of one to four terminal (full thickness) hairs. The terminal hairs in any single DHT-susceptible follicular unit might be in varying stages of miniaturization, and thus be of varying diameters. When enough terminal hairs are in a state of miniaturization, there appears to be a visible thinning of the hair in the affected areas. As more hairs in each follicular unit become miniaturized, the process may lead to complete baldness in that area of the scalp.
This page discusses the causes and effects of shedding after hair transplant surgery, as well as strategies to minimize or control the amount of shedding after a procedure. It is important to differentiate between post-operative shedding of normal, non-transplanted hair and shedding of hair from grafts that were transplanted.
Physician Consult The diagnosis of androgenetic alopecia in men is generally straightforward. It is made by observing a “patterned” distribution of hair loss and confirmed by observing the presence of miniaturized hair in the areas of thinning. Miniaturization is the progressive decrease of the hair shaft’s diameter and length that occurs in response to androgens. […]
Hair loss affects millions of men and women and can be a difficult and emotional problem for many. Fortunately, there are effective preventive measures that one can take if the condition is diagnosed early and there are successful treatments if your hair loss has progressed. The purpose of The Guide to Hair Restoration is to […]
The following is a press release from Lexington Intl, LLC, the company that produces the HairMax LaserComb. For the first time in twenty three years, a new home-use treatment for female hair loss is available. Lexington Intl, LLC, is excited to announce they have received groundbreaking FDA Marketing Clearance for the HairMax LaserComb Lux 9 to treat female hair loss and promote hair growth. Included as a key part of the submission was a multi-center clinical study proving the efficacy and safety of the medical device. View the page to read more.
Physician Consult Hair loss can be treated both medically and surgically. Surgical techniques include Follicular Unit Hair Transplantation (FUT), performed though the microscopic dissection of a donor strip, and Follicular Unit Extraction (FUE), where follicular unit grafts are removed directly from the donor area through tiny round incisions. The latter procedure is now performed robotically […]