Why Hair Transplants Are Usually Not Advised For Women, And Why Shedding Isn'T Pattern Hair Los
- Posted on 12 January, 2018
- Hair Knowledge
- By Anonymous
More on female hair loss: https://nyhairloss.com/hair-loss-info/...
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A lady is experiencing hair thinning that started 3 years ago, which intensified 6 months ago. Though she has never had thick hair, she wants to know if she should undergo a hair transplant now, or wait for more hair loss to show. She also asks if she is a good candidate for a hair transplant, how many grafts she’ll need, and if transplanted hair can be bleached.
New York hair restoration specialist Amiya Prasad, M.D. reviews her concerns in this video, and explains how a hair transplant is not advised for someone who has hair thinning but still has a fair amount of existing hair on their scalp, and how Hair Regeneration can help manage hair loss progression by thickening thinning hair, stimulating growth of dormant hair follicles, and prolong the growth phase of hair:
1:24 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a hair loss specialist and founder of TrichoStem™ Hair Regeneration Centers
2:17 — The goal of a hair transplant; and how a hair transplant is not a treatment for hair loss progression
2:44 — Why surgeons are uncomfortable with performing a hair transplant on a scalp with a lot of existing hair
3:32 — How hair loss in women could also be caused by hormonal imbalances
4:18 — How hair shedding is not a characteristic of genetic pattern hair loss, but more of telogen effluvium
4:49 — Dr. Prasad discusses telogen effluvium
5:29 — The difference between a chronic telogen effluvium and androgenetic alopecia; and the challenges of treating chronic hair shedding.
6:25 — The development of Hair Regeneration as a treatment for pattern hair loss for both men and women
7:09 — The development of subgroups in order to customize Hair Regeneration treatment for each individual
8:01 — How androgenetic alopecia that exhibits no other symptoms means the condition is hardwired in your DNA, and progression is inevitable
8:15 — How hair loss treatment is essentially hair loss management for genetic hair loss sufferers
8:55 — How Hair Regeneration treatments are timed in Dr. Prasad’s practice
9:20 — How Hair Regeneration has been a successful treatment for women with androgenetic alopecia
10:06 — Dr. Prasad’s recommendation
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Thank you for your question.. You submitted your question with several photos, mostly focused in the area of your hair part., And you are asking. Are you a good candidate for a hair transplant, followed by you’re asking the number of grafts. You state? Also in your question that you started having hair thinning about 3 years prior, but you never had thick hair and that you had a more intense hair loss 6 months ago.. Well, I can certainly share with you how I discuss the options for treating hair loss patients like yourself in my practice., A little bit of background, I’m a Board-certified, cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon.. I have been in practice in Manhattan and Long Island for over 20 years.. I am also the founder of TrichoStem™ Hair Regeneration Centers.. This is a system we developed as a non-surgical treatment for male and female pattern, hair loss. And it has turned out to be a significant way to help manage particularly female pattern, hair loss where there was only essentially minoxidil as the only method to treat progression before Someone would be a candidate for hair transplant., So, to begin with, it is important to have a proper diagnosis before you undergo any intervention.. The point of that is understanding that simply transplant is not a treatment for hair progression or hair loss. Progression., Hair transplant is a way to put hair where there isn't hair., And I think that just to get to your main question, if you look at your scalp, you will notice that the density of your hair is still significant enough. That I think that it is unlikely that any hair transplant surgeon will feel comfortable about doing a transplant where there is so much existing hair.. There are several reasons for that, but one of which is something basically called collateral: hair loss.. If you have existing hairs, when the placement of hair is done, it can potentially cause trauma to the existing hair, resulting in significant loss, which will not be very productive. But, more importantly, it comes down to what is the diagnosis.. Now, statistically speaking, 95 % of hair loss is a genetic pattern, hair loss known as androgenetic alopecia.. However, when it comes to the practical workup of hair loss in women, I generally defer first to having my patients having hormone levels checked, either by their gynecologist or dermatologist or endocrinologist, just to get a certain sense of any issues related to hormonal levels as being a Source. Further, I would say that the way you phrased your question where you stated that you’ve been losing hair for 3 years and it became more intense 6 months ago. My follow-up question would be: does that mean you’ve been experiencing a lot of hair shedding Hair? Shedding? Is generally not quite a characteristic of genetic pattern: hair loss., It’s more a characteristic of telogen effluvium., Telogen effluvium. It can be defined as either hair shedding related to a stressor event, such as something significant, whether a life event or family crisis, medical condition, general anesthesia. That is preceded like 2-5 months prior before there is a significant amount of hair shedding.. There is also a subgroup of patients who have something called chronic, telogen effluvium. And very typically they are women who will state that they are constantly shedding hair.. The distinction between a chronic telogen effluvium and an androgenetic alopecia patient is that, even though the patient is shedding a lot of hair, generally speaking, they don’t appear to be progressively thinner.. The challenge we often have is we sometimes have to deal with a mixed picture where, by microscopy we can see that there is miniaturization or thinning of a lot of hair.. The patient is also challenged by chronic hair shedding., And there is very little that is really understood about this condition, and there have been some theories presented about variable fluctuations of hormone levels that might be relevant in a situation like yours if you’ve had hair shedding.. Now, speaking about the management of female pattern, hair loss, let’s say you’re not dealing with telogen effluvium well in our practice, we typically treat our patients with a treatment called Hair Regeneration. And what Hair Regeneration evolved from was an accidental discovery that thinning hairs became thicker. When we were doing hair transplant and we were using a wound healing material to help improve the survivability of hair grafts, as well as the donor area, where the hairs are harvested from. From that evolved, a challenge to see if we can get that effect to be Consistent. Well much has been learned over the course of 7 plus years since we initiated this and I developed a system that also characterizes specific subgroups. And these subgroups are defined essentially by age, gender, age of onset of hair loss, degree of hair loss rate of progression Of hair loss and other medical conditions so that we have essentially categories to assign patients and not just put everybody under the broad category of androgenetic alopecia.. The reason for this is that the treatments that we do are customized to those particular categories., And so the goal is essentially managing hair loss.. I always tell my patients that this condition, if it’s androgenetic alopecia and there are no other contributing variables, then you are dealing with something that is hardwired in your DNA. And so hair loss treatment is really hair loss management.. Essentially, even though there’s going to be progression. What we try to do medically is to maximize the quality of the hair through these injection treatments, which reactivates hair growth of hair that isn't currently growing, which is essentially a prolonged resting phase, thickening of thinning hairs and prolonging the lifespan of the hair growth cycle and Timing, our treatments in a way to maximize the length of benefit of each of these injections. And, generally speaking, our injections are timed for many of our female patients from one injection followed by 18-24 months later, another injection., And so we developed treatment strategies depending on those Variables and the evaluation. This may be something that is worthwhile considering before you decide to have hair transplant.. I think first it’s important to be confident about your diagnosis.. I tell our patients that, although we can help the quality and longevity of the hair growth and really do well with androgenetic alopecia and, as I said earlier, it has made a very big impact in the treatment of female pattern. Hair loss such that many people are embracing this strategy that further, if someone has at the same time, telogen effluvium well, that can get pretty frustrating. And nonetheless it is still management, and all of this has to be hopefully clearly understood before you undergo any kind of Treatment options., So I think it’s important that you learn more about the non-surgical options that you have a proper work-up necessary for any woman dealing with hair loss and then choose what you think is most appropriate for you.. So I hope that was helpful. I wish you the best of luck and thank you for your question.
Comments
Biz888: Dr. Prasad, thank you so much for a well-explained video and other ways to treat hair loss. I love your thick hair. I had a hair transplant 12 years ago and I did get my hair back. But in the last seven years, I stopped using minoxidil and now I am losing my hair again. My dermatologist told me it's Alopecia. NO hormone problem. My mom lost some hair but it wasn't bad. I noticed that my hair falls off every time I am stressed out. I went through really bad stress with my son seven years ago and have not recovered since. My hair is back to the way it was before I had hair transplant. Three questions, 1) Am I a good candidate for Hair Regeneration? 2) How many injections? 3) What is the price to do this?
Jiophone 2: Hello Dr.Prasad. I've been losing a lot of hair since the past 3 years and my dandruff is terrible and no shampoos or medicines are working. I was also diagnosed with insulin excess 2 yrs ago and that was when my hair fall aggravated,but now my insulin levels are normal but my hair loss is still the same. Any suggestions what I should do.
Haru Sun: Hello ! I have a question. I was diagnosed with very mild hypothyroidism and heard it can cause hair loss. I've lost a lot of hair on the top front of my hair. Is it related ? And since then I've been taking thyroid medication (it's been 2 years now) but still no hair growth there. Should I do hair transplant or wait longer ? Thank you for your time.
Shama Perween: Thank you very much sir , my all doubts have been cleared .
Aleksandra Rosenova: Thank you very much for this video! I have exactly the same hairloss as the hairloss shown in 0:40 sek. Very long years my hair was sparse and thin, but these days it falls a lot... really a lot. A am afraid that I will lose it all. Make hormone tests - ОК, vitamins - OK. I wash it realy rare, no more than 2 times a week. I stop the heat treatment but... it falls down as my hope. I am realy restless, I was in general anestesia before 1 month (kidney problem) so.. As it was noted in the video, maybe it is telogen effluvium? How can I help myself in this case (can not stop the stress, i am PhD in engineering :D). Are there any medications that can help?
Skylynn Pollard: I was thinking about getting a hairline transplant because I have a bigger forehead and a M shaped hairline. I always hated my hairline and the way it made my hair look. What are you thoughts on giveing hairline transplants to women to reshape their hairline that have no hair loss?
fasha w.hampton: Hi doctor. I had a very thick and healthy hair. My hair started to thinning from last six years and now my hair is same like first image. During these 6 years i gave birth to 2 children . Recently i had a blood test and everything is ok except very low vitamin D. I am taking vitamin D tablets according to doctor’s (Gp) prescription. I loss 40 - 55 hairs daily and 100- 120 when shower. Do i need to see a specialist doctor for a hair loss treatment?
April Wootten: Very informative video. Thank you!
Shama Perween: Thanks for your reply as I was not expecting bt I m glad by seeing that.. Please make me clear that hair Regeneration is also a treatment?And in India (Delhi) what it is cost ?
Shama Perween: Hello sir. Kindly advised me what to do with hair if I am suffering from sever hair fall and hair lose .It can be seen visibly gap ony scalp although I have already taken prp sessions
Diamond: Female 20 yrs old, I know my hair loss is due to putting constant tension on my hairline (traction alopecia) which has caused the thinning would I be a good candidate?
KRJ N/A: Hello Dr. Prasad, I have had a problem for over a year with losing hair around my frontal hairline, forehead and side's, I would like to know what procedure would be best for me!
vanshika reddy: Hi, is there any good skin and hair doctors in Hyderabad that you know? I’ve been to some dermatologists but even after maintaining a good food habits! Acne and hair fall is my problem!
sami ochoa: I was diagnosed with hormonal alopecia which is androgenic alopecia. So I’ve been losing my hair for the past 4 years I use to Have thick long hair and now it’s half of the amount and longest it had been is to my shoulders. What should I do ? I am currently taking some pills I was prescribed but I feel it doesn’t do much for me.
Breadand Butter: My bf made a comment after 4 years being together if I’m losing my hair.. made me cry. He said he will help to pay for whatever I decide to have to help with my hair.
Poonam Gupta: So according to you if I have a history of hairloss in my family, even then I shouldn't go for hair transplant but try hair regeneration technique or can even minoxidil work?? I am 20 years old and currently experiencing a lot of hairloss and a gap in center of my head
Karamjit Kaur: Hii sir I am only 15 but my hair fall is now uncontrolled. I was suffering from hair fall when I was 13 . I had tried everything conditioners. Oils. Alovera . Etc but nothing is effective sir I requests u plz help me out and suggest something plz sir plz
Eva Moni: I am diagnosed with FPHL. Doctor prescribed me minoxidile 2%. But it causes hair loss drastically. I am thinking of hair transplant. Should I do it? Is it permanent?
Divya Singh: Hi. I am 29 years old woman with problem of mild pcod since 1 year. However i have been noticing my hairline receding slowly since last many years in a way my forehead is getting bigger from sides and now front. More on left than on right side. Hair is thinning too. Could you please suggest me some corrective surgery or any restoration method?
Ananya patel: Hello Dr. I need your help I am 20 facing severe thinning of hair ...This runs in my family even my mom has thinning hair and I don’t know what to do I used to have thick hair but now its just thinning so badly Can you suggest anything also I was once diagnosed with hormonal imbalance and have pimples and all pls help me out
Jemma J: I have imbalanced hormones, the male testosterone is a little higher, so i have acne and thinning hair... My dr didnt give me anything saying the hormone is still within a female range! But then what do i do about my thinning hair :(
Ayesha Aslam: Hello sir I m suffering from the severe hairfall for the 5 months.......my estrogen thyroid and testosterone levels are normal ......so is it Androgentic Alopecia And in my family no one is bald....nor my dad and nor my mum so what is the reason.........Plz ans my question
suresh raghul: Dr, am a 23 yr old male my hair loss pattern slightly resembles female pattern hair loss, where like in the pic shown in this video, my scalp is showing while i part my hair. My hair looked good on mid of oct 2018, and now the part is wide as the hair strands near the parting area have become like thread. I have no history of baldness in my family. Though in the month of dec 2018 i was diagnosed to have telogen effluvium. I think its been almost 7 months and still am shedding 50-60 on my bed sheets, 30 hairs in the shower, my hair loss is progressing so fast. How do i confirm that am actually suffering from TE and not AGA. I dont want to stay calm beleiving that i have TE and lose all my hair to realize that its androgenetic alopecia. Please let me know how i can diagnose this. Should i start taking finasteride ?
Abhishek Singh : An Entrepreneur .: I'm from India. How can I take tricho stem?
Risha Dewangan: Hello doctor i don't have severe hair fall but over the years my hair density has reduced to half. I am just 20. Can you please suggest what should i do?
alexandra Alexan: hi doc your the cutest doctor on you tube. Nice full hair you have
GirlCami: As far as diagnosis, does a biopsy actually tell you for sure that this is either genetic or telogen effluvium. What is actually involved in a biopsy, and who is the proper professional to do this and read the results?
s Ghani: Nice video ... But it is still not obvious whether it is the microneedling or actual plasma that cause regeneration of hair...!
Shaunella Welch: Hello, i am turning 30yrs old this yr, i have always had a thick long head of hair up until 3 or 4 yrs during this time i lost my Mother and had a miscarriage, i have chronic hair lost on my mother's side of the family (90% of females and 70% of the males have thinning or completely bald) including my mother who was almost completely bold when she passed, everytime i run a comb tru my hair it comes out i now have a large potato size i hair i started to keep from 2018 January the front of my hair patch bald and very thing but from the crown back is great. I was diagnosed and treated for hormonal imbalance 10yrs and is treated with oral birth control to assist my cycle, the reason why im telling u is is because im very self conscious about hair and depressed sometimes wen i think about i need help to get it treated pls. I havr 3 major areas *the middle of the crown *the left side of the frontal crown *the right side of the the frontal crown...
T devi Tangaveloo: Dr i hv same problem n need yr help, if u hv recommend in india i can do treatment ter...coz u was in oversea pls help doctor
Ayah Azzam: can i do this for cosmetic reasons? i have natural thin hair on my crown but alt of hair overall
Jyoti Sah: Hello Dr. I am just 22 years old.. i have extensive hair loss problem..and its not all of the sudden.. it was from very beginning.. mat be my genetic problem..my mom is 42 and she has lost almost all of her hair.. i am really worried because my few area of scalp is already bald and scalp can be seen very clearly.. so my question is hair transplant is permanent?? Will transplanted hair can be lost too in future?? Is there any side effects of hair transplant for woman??
Jennie Crystal: I had thin hair in the top and crown area since birth but now I am 18 and it is even worse than before experiencing lot of hairfall and scalp is visible in the crown area and also my hair is thinning in the top... What should I do is hair transplant suitable option for me ?
19MS14 Dhivya ranjani M: Hello sir, I have a long forehead. I feel so bad of that becoz I am crazy about short foreheads.My forehead makes me feel so down.No hairstyle suits for it.Can I do hair transplant? . Please suggest me any solution.....I am searching for it for a long time
jayara jayara: Hello sir my hair is by birth vary thin can u advice howThik hair growth
Shraddha Iyer: Which injection are you talking about as I would like to take that one
Rwana: doyou offer hairline advancment with a little forehead contouring
Molly: Do you visit India?
jayara jayara: And I m leave in banglore plz advice me best Darmalogist dr clinic
sh eslami: Hi doctor all my head have sheding hair and my over head get very bald all my head not have much hair and my hair kind so break break i am25 years old i can have transplant surgery?i cant live enymore i lose my confident