Thinning Hair Treatment that Can Prevent Hair Loss and Replace a Hair Transplant

Описание: A 26-year old gentleman has diffuse hair loss. He wants to know if there is hope to restore his hair.

Dr. Amiya Prasad, a hair transplant specialist, explains that when someone with hair loss comes to his practice, he first asks the age of onset or how old was the patient when he started losing hair. He also asks how quickly this is progressing and if there are other male family members who have similar patterns or hair loss. In male pattern hair loss, there is progressive miniaturizing of hair. Hair normally grows in a cycle and at the end of every cycle, it sheds. When the new hairs come in, they come back thinner. Dr. Prasad would typically assess the top of the scalp with a microscope to identify the amount of hairs that are thinning relative to the amount of hairs that are still thick.

There are two medical options to treat hair loss. Finasteride is a drug that inhibits an enzyme called 5-alpha reductase that is responsible for the conversion of testosterone to dihydrotestosterone (DHT). Hairs that are sensitive to dihydrotestosterone will progressively thin and go away. When someone has that type of hair loss takes finasteride, it slows that progression and can allow them to have thicker hair for a long period of time. Unfortunately, medical studies have shown possible long-term sexual side effects of taking finasteride. In addition, literature does not provide enough information about all the factors that cause hair thinning because dihydrotestosterone is not the whole story. Many men will take finasteride and still progressively lose hair. The other drug is minoxidil. Minoxidil is applied topically and appears to keep hair around longer so that it appears that the scalp has more coverage. However, it does not reverse hair thinning.

For a patient like this gentleman, Dr. Prasad doesn’t go for hair transplant first. This is a significant change in the paradigm of how to treat hair loss. The standard approach before is to do a hair transplant, but the patient still continuously loses hair. Many patients will opt to do another hair transplant and another one every few years until they reach the end of the donor area. Unfortunately, there’s a mismatch between the amount of hair that they have in donor and the amount of scalp they need covered. Eventually, people will have plugs on their scalp which shows an obvious hair transplant.

In Dr. Prasad’s practice, he has developed a non-surgical treatment called Hair Regeneration. A material for wound healing called extracellular matrix that is used to help regenerate tissue and skin by recruiting adult stem cells can be used for hair restoration. When this material is injected in a formulation combined with platelet-rich plasma, it is remarkable in how effectively it can reverse hair thinning. Dr. Prasad had hundreds of patients who come from all over the world and every week, he sees more and more patients for this treatment as he continues to prove its benefit. It appears to have a minimum 3 to 5 years of benefit. The younger the patient is and the more coarse the hair is, it appears that they get remarkably more volume and correction, so early intervention is important. When someone notices hair loss, the earlier they come, the better it is. In most patients who have existing hair, it far exceeds the benefits of any hair transplant.

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