Hair Loss

Dr. Navi Dhaliwal

Male or Female Pattern Hair Loss

By: Dr. Navi Dhaliwal

What Causes this and how does it happen?

The main reason is genetics. Men and Women do not simply lose hair suddenly, instead of thick, long, “terminal” hairs gradually transform into wispy, short, “vellus” hairs, which in turn fall out and are lost, this process is known as “miniaturization.”

Medical issues such as hypothyroidism, iron deficiency, hormonal imbalance can also be at play, which should be thoroughly evaluated by a physician to optimize treatment.

What are your options?

Minoxidil (Rogaine) – This is a topical application that works secondary to local vasodilation, increased blood flow locally and inducing or prolonging the anagen (growth) phase, thereby cycling hairs out of the telogen (resting phase) allowing you to have a more thickened, full head of hair. Finasteride (Propecia) – This is an oral medication that works by inhibiting the type II 5-alpha reductase enzyme, which blocks testosterone from forming into DHT (dihydrotestosterone). The presence of circulating DHT in the blood impacts hair follicles, which are susceptible to hair loss. By blocking this enzyme, a lower level of serum DHT means we can slow the progression of hair loss and reconvert the thin short hairs back to long thick hairs.

Other medications - Spironolactone, flutamide and more. After a thorough discussion with one of our physicians, we can go into further depth to decide which medications may be optimal for you.

Low-level laser therapy (Hair cap) - Works by photostimulation of the hair follicle by cold laser light. This laser sends signals throughout the cells of the hair follicle to stimulate enhanced activity, decreased apoptosis (cell death) and other changes that enhance cell activity and survival. We’ve got an array of hair caps, so let us see if this treatment would be ideal for you.

PRP (Platelet Rich Plasma) - Although this is a newer approach, there is scientific evidence to suggest that it can promote hair growth. Platelets are a component of the blood that is deemed “the first responders” that arrive to stop bleeding and promote healing. Researchers theorized that if they could extract platelets and inject them into the damaged area of the body, they could accelerate healing. PRP contains a range of growth factors and proteins that speed tissue repair, and as some types of hair loss results from damage to hair follicles, researchers initially hypothesized that PRP could help regrow hair by reversing the process that occurs in male and female pattern hair loss

Scalp Micropigmentation - Essentially is the medical terminology for scalp tattooing in which tiny dots of coloured ink are durably (or temporarily) stained on the skin to simulate absent hair follicles. The tattoo does not penetrate the skin as deep as traditional tattooing. It is a form of camouflaging baldness, repairing a prior poor surgical hair transplant, or if you’re going for the “stubble” look.

Hair Transplant

FUE – Follicular unit extraction. It is the most common surgical technique these days. Single follicular units are removed from predominantly the back of the head and transplanted to the balding areas to give that balding area a full, young look.

FUT – Follicular unit transfer (Strip Surgery). It is far less common these days, precisely due to the linear scar at the site of extraction. This is where a surgical strip is removed, and each follicle is then taken from this strip to implant back onto the balding area. Still a viable option for some, but far less common.

Here at Rejuvenation Dermatology, we specialize in offering the above procedures and treatments, come see us and let’s talk about what is the best option for you!

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