Finasteride is a prescription oral medication that is now generic (in the 5mg dose). This formulation is just as effective as the brand name Propecia and is about 1/3 the cost.
When choosing a hair transplant surgeon, there are 3 main criteria of which you should be aware: the doctor's background and training, the surgical technique that is right for you, and the surgeon's bedside manner and approach to surgery. Read this article by Dr. Robert M. Bernstein for the inside scoop.
The Capillus82â„¢ is the newest in a line of portable hair restoration devices manufactured by Capillus, LLC. Like the Capillus272, its predecessor, the Capillus82 uses the principle of low-level laser therapy (LLLT) to treat androgenetic hair loss. In LLLT, the scalp is irradiated with low-intensity laser light. This is thought to increase cellular energy production […]
Christine M. Shaver MD is a board-certified and Mohs micrographic surgery fellowship-trained dermatologic surgeon who specializes in the diagnosis and treatment of hair loss. Dr. Shaver graduated from M.I.T. in 2009 with a Bachelor of Science degree in Biology. She then went on to pursue medicine at New York Medical College where she graduated at the top of her class with distinguished Alpha Omega Alpha honors. She did her Internal Medicine internship at Yale University and then completed dermatology residency at Drexel – Hahnemann hospital in Philadelphia where she served as Chief Resident.
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 section, published in a textbook for professional estheticians, explains basic concepts of follicular unit hair transplantation in easy-to-understand terms.
Synopsis: This paper introduces a new synthetic suture for surgical hair restoration called Poliglecaprone 25 or Monocryl. It is a strong, absorbable, suture with low tissue reactivity that can be used in hair transplantation to close the donor wound with a single, running stitch. This suture can provide a donor closure that ensures hemostasis, has little risk of infection and is comfortable for the patient, and generally results in a fine surgical scar.
A review of research on the efficacy of Viviscal, published in the September 2015 issue of the Journal of Drugs in Dermatology, suggests that the oral supplement may increase hair volume as well as the thickness of healthy, terminal hairs. The article presented more than two decades of research on the hair regrowth product and also included a discussion with a roundtable of dermatology and plastic surgery experts. Both the research review and roundtable discussion point to the benefits of Viviscal, however the article’s conclusions can be questioned due to the appearance of a conflict of interest between the researchers and Lifes2good, Inc., the company that produces Viviscal. Additional independent research needs to determine if Viviscal is a viable and effective hair loss treatment.
Q: I have a bald patch on my scalp diagnosed as DLE, can this be corrected with a hair transplant? – V.Q., Scarsdale, N.Y. A: DLE or discoid lupus erythematosus is a type of autoimmune disease where the body produces an inflammatory reaction to components of the skin, causing it to scar and lose hair. The skin in the area of hair loss generally has a smooth appearance with tiny empty hair follicles, redness, and altered pigmentation. These skin changes help to differentiate it from the more common condition alopecia areata where the underlying skin appears normal. The diagnosis of DLE can be confirmed by biopsy. Because DLE may exhibit a property called Koebnerization, where direct trauma can make the lesions enlarge, surgical hair restoration risks making the condition worse and is, therefore, not indicated.
Q: I have heard that you should take Propecia for 6 to 12 months following a hair transplant. Is this correct? -- P.E., Dallas, TX A: I would only use Propecia if you plan to continue the medication long-term. That said, Propecia -- the brand name of the hair loss drug finasteride -- is very helpful in preventing further hair loss. I do recommend that patients who have hair loss stay on the medicine for an extended period, regardless of whether or not they decide to have a hair transplant procedure. Read about Propecia (finasteride)