Why a Hair Transplant Won't Stop Male Pattern Baldness, and a Non-Surgical Hair Loss Treatment

Описание: A gentleman in his mid-twenties always had high, broad forehead. He wants to know if he is a good candidate for a hair transplant.

Dr. Amiya Prasad, a hair restoration specialist, explains that in hair restoration there is the Rule of Decades: if a person is in their 20s, only 20% of his contemporaries will have hair loss, while 80% will have a lot of hair. It’s natural for someone to be concerned about a receding hairline. Hair loss is related to family history.

In the United States, there are two drugs that are used for male pattern hair loss: finasteride which is a 1 milligram tablet that is taken daily by prescription, and minoxidil which is a topical solution or foam that is applied nightly. Finasteride is used based on the concept and understanding that a substance in the blood called dihydrotestosterone (DHT) can cause hair follicles to thin and to disappear. Finasteride blocks the enzyme 5-alpha reductase which converts testosterone to dihydrotestosterone.

Unfortunately, in Dr. Prasad’s clinical experience, a lot of younger males who have frontal receding hair loss tend to not respond well to finasteride. It may slow hair loss to a small degree but some people who were taking finasteride religiously still lost hair. On the other hand, minoxidil is not likely to make a significant difference either.

In the past several years, Dr. Prasad has been committed in helping his patients with a material derived from pig bladder called extracellular matrix (ECM) made by ACell. Extracellular matrix was discovered serendipitously when it was applied for the wound healing process for a hair transplant. Hair transplantation is the movement of hair follicles from the back of the scalp called permanent zone or the donor area. Hair follicles are taken by a strip method or follicular unit extraction and planted them in areas where there’s lacking hair. When extracellular matrix was used, it actually resulted not only in wound healing in that area, but the thinning hair also became thicker.

In Dr. Prasad’s practice, he has developed a formulation, method and delivery technique that has helped people from all over the world. He combines extracellular matrix with platelet-rich plasma (PRP). Platelet-rich plasma is derived from the patient’s own blood. It is a concentration of their platelets into a serum that has growth factors which help in the wound healing process. Thinning hair becomes thicker, progression of hair loss appears to be stopped, and has helped a lot of his patients particularly younger people in their 20s and 30s. Dr. Prasad used to do a lot of hair transplantations, but now he changed the approach. Presently, he will treat with Hair Regeneration and restore the hair that was thinning. He can’t bring back hair that was gone. But if it’s thinning, he can reverse that thinning and get the hair to be thicker.

When a patient undergoes microscopic examination of the scalp, they’ll find a lot hair that is thinning. Hair doesn’t just fall off, it actually goes into a growth cycle. There’s a normal amount of 50-100 hairs that’s shed per day. When those hairs grow back after the catagen and telogen phases of hair growth which is about 3-5 months, those hairs come back looking thinner. With Dr. Prasad’s treatment, he has observed that the hair that is shed comes back thicker. Over 5 years of data, a handful of patients consider this injection. It seems to be a real tremendous benefit for people, men and women with thinning hair.

Dr. Prasad discourages doing a transplantation because the patient could still lose hair after the procedure. An example is someone who had bad transplants. Their hair was fine with the existing hair with the transplants. But once the hair thinned and disappeared, all that was left was the transplants and that created the pluggy look that everyone recognizes.

Dr. Prasad’s suggestion is to get a proper diagnosis. This may mean visiting a dermatologist, getting some microscopy done in the top of the scalp to learn if they are having significant miniaturization of the hairs and learn about the options. They may want to try taking finasteride first or using minoxidil. They must understand and investigate their options such as medical and Hair Regeneration and pursue whatever they think is right for them after consultation with qualified physicians.

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