Maximum Medical Therapy For Hair Loss

What is Maximum Medical therapy for hair loss?

People with hair loss, and certainly anyone even CONSIDERING hair transplant, may want to use a regimen of maximum medical therapy. This just means using a number of different medications that have different mechanisms of action to try to “cover all the bases”, so to speak. Attacking hair loss by targeting different aspects of the process is a way of using the synergy between various agents to maximize the effects.

Finasteride (Propecia and Proscar) is an agent that blocks the formation of dihydrotestosterone (DHT), a hormone that has been implicated in male pattern baldness (androgenic alopecia). This is a first line drug for men with thinning hair or balding. It is not beneficial for women; in fact, it can cause birth defects if a woman is exposed to the drug and gets pregnant. It has few side effects in men and has been used for about 25 years with a good safety record. Explore hair Loss solutions

Minoxidil (Rogaine and many generic versions) is topical, or placed directly on the scalp. Side effects are few, and it has a synergy when used with finasteride. This may be used in men and women, and is considered by many to be the drug of choice in women with hair loss.

There is some evidence that an anti-fungal shampoo containing ketoconozol (Nizoral) may help slow hair loss. It can be used twice a week and has the added effect of decreasing dandruff and itching of the scalp. There are also a variety of over the counter preparations (Hair Cycle products) and internet-marketed preparations that are available. Many of these contain minoxidil and other ingredients. Some of these are topical androgen (male hormone) blockers; there is little scientific proof of their effectiveness, but many men swear by them, and they may work for some.

The most important thing one can do with these latter agents is read and read some more. Information from sources other than the manufacturers is likely to be more objective and may help one with informed decisions.

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Dr. Cole Reveals C2G Video Demonstration

This video demonstration was taken during live hair transplant surgery with one of Dr. Cole’s patients.  With strip harvesting or traditional FUE, the patients are very limited in their personal appearance and have difficulties getting back to normal daily activities because they are asked to shave their head.
Shaving the head allows the physician to have high visibility of the donor area which is necessary for donor hair extraction. With the new C2G technique, the patients are able to keep their normal hair style before and after the CIT technique!
Now patients can have the best of both worlds. They no longer have to put up with the pain associated with strip scars and they can still maintain their normal hair style.

 
icon for podpress  Online Video [2:00m]: Play Now | Play in Popup | Download (301)

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What Causes Shock Loss?

It is really unknown what causes shock loss.  Shock loss is hair loss resulting from a hair transplant procedure.  There are many theories, however.  Shock loss most likely is due to an inflammatory response as a result of physical trauma.  It is really quite uncommon in the donor area.  It is more common in the recipient area.  The density of incision sites may play a role as high density incision sites tend to produce shock loss more commshock loss Causesonly.  Shock loss will occur only in the area where the incisions are made.  It will not occur in adjacent regions.

Shock loss begins about 2 to 3 weeks after a procedure and it will continue over a period of a few weeks.  If you experience hair loss months after a procedure, it is not due to shock loss, but rather due to progression of hair loss or some other factor unrelated to the hair transplant procedure.

Some feel it is due to the injection of epinephrine, which is commonly added to the anesthetic.  This is most likely untrue as you will not see shock loss in areas where anesthesia is given, but rather only in areas where the incision sites were made.  You also more commonly see it in the recipient area while epinephrine is also given in the anesthetic given in the donor area during a hair transplant surgery.  Even though the same anesthetic with epinephrine is given in the donor area, you do not see shock loss in the donor area when it occurs in the recipient area.

The inflammation might result from physical trauma, but it also might be due to the free radicals that accumulate in tissue that continues to metabolize outside the body in an anaerobic state.  Free radical scavengers in the storage fluid along with cooling of the tissue outside the body might help reduce the amount of free radicals produced by the grafts.  One might also limit the free radical load by limiting the recipient area density during a hair transplant.

Shock loss is uncommon in the donor area with both strip harvesting and with FUE or FIT.

When shock loss occurs, the hair will generally begin to grow back after a hiatus of 3 months.  It is only the fine wispy baby like hair that seems most prone to remain dormant following shock loss.  This sort of baby fine, short, lightly pigmented hair produces the least amount of coverage, however, so it will not be missed as coarser, darker, longer terminal hairs will take their place when the hair transplantation produces new hair growth beginning three months after the hair transplant.

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Strip Scars Grafting and Camouflaging

What are the ways to camouflage strip hair restoration scars?

Camouflaging Strip Scars

Scars in the donor area from strip harvests may be problematic for many men. They may be short or run from ear to ear. Sometimes they widen over time, occasionally to more than two centimeters, which is deforming. This is usually due to an overly tight scalp, too low a placement, or poor surgical technique. They also change the direction of hair growth below the scar, relative to above the scar, which may cause a “shadow” of the linear scar to be evident even with the hair grown out somewhat.

IN order to minimize the appearance of scars, several strategies are available. There are cosmetics such as Dermatch, which may help disguise the scar. The hair may also be grown out fairly long to attempt coverage. This, of course, may not be an option for those with an over harvested donor region.

Surgical scar revision may be attempted, often without success. This consists of excising the scar and them suturing up the wound, hoping that the resultant scar will look better than the original one. This can work in some instances; however, if the condition that led to the scarring is not remedied, then even the best revision may fail.

Grafting into the scar is another option. Because yields tend to be lower in scars, this may take more than one surgical procedure over many months to have a significant cosmetic effect. Either body or scalp hair may be used; scalp hair is generally a better choice if it is available.

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Zinc For Hair Loss

Do you recommend Zinc to treat hair loss

is a Zinc whitish metal that acts as an essential nutrient in humans. Its deficiency leads to a number of biochemical and physiological problems; it is required for hundreds of different biochemical reactions, so not having enough can affect many different systems in the body. Zinc helps the immune system stay strong so we can fight infection; it helps with growth and healing, and keeps our senses of smell and taste intact!

Some of the causes of zinc deficiency include chromic alcoholism, malnutrition, malabsorption (problems absorbing nutrients from the gut), vegetarianism (because plants provide much less zinc than animal products like meats), high intake of iron, and diarrhea. Dietary sources of zinc include meats, some seafood, dairy products, and nuts; people with meat/seafood in their diets absorb more zinc than people with largely plant proteins. Oysters have the highest zinc content of any food. Since zinc is known to have an effect on sexual function and fertility, perhaps this is where the age-old reputation oysters have as an aphrodisiac!

Supplementation of zinc may be necessary in some people prone to low zinc levels. Some people believe that in modern times our foods are so low in nutrients, that supplementing is always needed (although this is not the opinion of the scientific community as a whole). The recommended daily allowance (RDA) of zinc is around 10 mg per day for healthy adults. The upper limit considered safe is 40 mg per day for healthy adults. High intake of zinc (150 to 450 mg per day or more) may cause a number of health problems. Among these are low levels of copper, depressed immune system function with increased susceptibility to infection, retarded growth in children, loss of appetite, sexual dysfunction with erectile dysfunction in males, hair loss, diarrhea, delayed wound healing, slowed mental function, and altered taste and smell.

What scientific evidence is there for treating problems with zinc? There is strong evidence for using it to treat children in developing countries that have severe diarrhea, for treatment of stomach ulcers, and in the blood disease sickle cell anemia. There is good, but less strong evidence for the following:

  • Acne
  • ADHD (attention-deficit hyperactivity disorder)
  • Down’s syndrome associated problems
  • Fungus infections of the scalp
  • Herpes virus infections
  • High cholesterol
  • Immune system boosting
  • Plaque on teeth and gingivitis of the gums

Wilson’s disease, which causes abnormally high copper levels (remember how we said that too much zinc lowered copper levels in the body?)

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