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Hair Transplant Q&A

May 12, 2008  | By admin

If you have questions about hair transplants, then you’ve come to the right place. Here are some common questions and answers about the hair transplant procedure. Remember that you should discuss all your questions and concerns with a qualified AHLA recommended hair transplant surgeon before you decide to have a hair transplant.

Whose hair will be transplanted onto my head?

Many hair transplant patients believe that a hair transplant works like an organ transplant, complete with donor. In actuality, the hair for a transplant comes from the patient’s own head. This is because your body would reject hair follicles and tissues from another individual.

Where are my donor sites?

In most cases, especially when male and female pattern baldness are the cause of hair loss, the donor site will be the sides and back of the head. In these areas, hair is less affected by Dihydrotestosterone, the hormone that causes male or female pattern baldness. Once moved to the balding areas of the scalp, the hair will continue to grow as though it were still growing from the donor area in the back of the head.

Does the color of my hair or skin affect my hair transplant?

Hair and skin color do not affect a transplant from a technical perspective. However, hair and skin that are closer in shade coloring have better visual results because there is less contrast. This has everything to do with appearance and less to do with the medical procedure itself.

Which part of my head will receive the transplanted hair?

This all depends on your pattern of hair loss . Loss of hair in the hair line is what really affects a persons appearance, so the logical place to begin to transplant hair would be into the hairline in order to frame the face. Since their is a finite amount of DHT resistant donor hair that can be utilized for a hair transplant most skilled and ethical har transplant surgeons will leave the crown for last just in case the patient needs to have more hair placed behind the hairline if the patient’s hair loss progresses

Will I need more than one procedure?

Several factors come into play when determining how many procedures you will need:

• Extent of hair loss
• Projected hair loss
• Amount of donor hair available
• Artistic considerations

With today’s state of the art hair transplant techniques fewer sessions are usually needed since thousands of hair follicles can be moved in a single session. Many men will be satisfied with a single procedure but some men will require two or more to be satisfied.

Remember that hair transplant surgery is not for everyone and there are only a handful of truly skilled and ethical hair transplant surgeons in the field today.
Check with The International Alliance of Hair Restoration Surgeons before choosing a hair transplant surgeon.

You can also ask accepted IAHRS hair transplant surgeons questions about the hair transplant procedure through the IAHRS Info Center.

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Balding Teacher Claims Hair Loss Discrimination

May 7, 2008  | By admin

In a recent story, the BBC reported that a teacher in Stirlingshire took his employer to tribunal over claims that he was a victim of disability discrimination due to his hair loss.

Sixty-one-year-old James Campbell, who was formerly an art teacher at Denny High School was mocked and teased by the school’s students, who called him “baldy.”

Campbell asked, “How can I stand in front of a class with confidence to get on with my job when I am getting teased and bullied about baldness, when I think they are laughing at me all the time?”

He also stated that if the students were brave enough to call him “baldy” to his face, they might be so bold as to physically assault him.

The court did not rule in Campbell’s favor and found that baldness is not a physical or mental impairment and therefore is not covered under the Disability Discrimination Act (DDA).

Tribunal judge Robert Gall said:

“If baldness was to be regarded as an impairment then perhaps a physical feature such as a big nose, big ears or being smaller than average height might of themselves be regarded as an impairment under the DDA.”

While hair loss is a serious problem that affects sufferers physically, mentally, and emotionally, it did not directly impede Mr. Campbell from performing his work duties. Therefore, hair loss did not render him unable to perform his duties.

In fact, Mr. Campbell was not refused work, did not lose his job, and did not experience discrimination from his peers or superiors. He was being taunted by the children that were in his charge. While the students’ behavior is not acceptable, a greater concern is that a teacher would have so little control over his classroom that he feels justified in claiming disability or discrimination for their taunts.

Schoolchildren are notorious for their taunts and bullying. However, it is teachers and school officials who are responsible for making sure that students do not overstep boundaries in how they treat others.

If Campbell hadn’t been suffering hair loss, the students most likely would have chosen some other weakness to exploit. He missed an opportunity to teach those kids a valuable lesson about hair loss and how to treat others.

Read the full story here.

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The History of Hair Transplant Surgery

May 2, 2008  | By admin

Hair transplant surgery originated in Japan. In 1939, Dr. Okuda, a Japanese dermatologist developed a breakthrough process to restore hair to those who suffered with scalp injuries and for burn victims. He used a punch technique, which involved extracting small sections of hair-bearing skin and implanting these into small holes in the areas where skin had been damaged. Once these grafts healed, they produced hair in areas that were previously bald.

Just a few years later another Japanese dermatologist, Dr. Tamura, improved upon Okuda’s method by minimizing the size of the grafts down to one to three hairs each. He was working with women to restore hair in the pubic area lost to either genetics or trauma. The surgery that Dr. Tamura developed is quite similar to surgeries that are still performed to this day.

Because these innovative developments in hair transplant surgery occurred around the time of World War II, they did not become accessible in the U.S. until many years later.

During the early 1950s, New York dermatologist Dr. Norman Orentreich completed the first hair transplant in the United States for a man who had male pattern baldness. Orentreich faced much criticism for the procedure that he’d developed. His technique was similar to Dr. Okuda’s, and did not render attractive or natural looking results. He did, however, establish that hair on the back and sides of a man’s scalp was not prone to the ravages of DHT and male pattern baldness.

Hair transplant procedures became more common by the 1960s, but because of the less than pleasing results of the early punch graft procedures developed and marketed my doctors like Norman Orentiech, hair transplant surgery developed a negative reputation. It took almost three decades for hair transplant surgeons to develop significant improvements to these early methods.

In the 1990s, follicular unit micro grafting was introduced and changed the field of hair transplants forever. Finally, the old stigmas could be dismissed and hair transplantation could become a viable option for hair loss sufferers who were appopraite candidates.

Today, surgeons continue to improve upon methods for performing hair transplant surgery. Today’s state of the art techniques can produce stunning results and are increasingly embraced by hair loss sufferers.

To learn more about what to look for when considering hair transplant surgery, visit the surgical hair restoration section of the American Hair Loss Association’s website.

Also, to find a qualified hair transplant surgeon check with The International Alliance of Hair Restoration Surgeons.

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Genetic Test for Women’s Hair Loss

April 28, 2008  | By admin

On April 23, 2008, HairDX, LLC issued a press release announcing the launch of commercial testing for female hair loss. Their breakthrough test uses genetic markers associated with Female Androgenetic Alopecia (AGA) to determine the chances of whether a woman is likely to suffer with future hair loss.

According to HairDX, AGA (female baldness) “has been difficult to diagnose because women don’t develop a pattern like men do, they tend to thin diffusely, and there are many causes for thinning.”

By age 50, approximately 50% of women will experience thinning that can lead to hair loss and baldness. JAAPA, a peer-reviewed clinical journal for the American Academy of Physician Assistants states that this estimate is conservative at best. According to The American Hair Loss Association, Androgenetic Alopecia in women is a neglected epidemic that is nearly as common as male pattern hair loss.

The HairDX test is simple and painless. It involves swabbing the inside of the mouth, then sending the swab to the HairDX lab. Results are confidential, anonymous, and sent via a secure web site.

Each woman who participates in testing will be provided with results in the form of a score. Higher scores indicate a lower chance for succumbing to significant hair loss due to heredity. A lower score indicates greater likelihood for future hair loss.

According to Spencer Kobren, Founder of The American Hair Loss Association,
early diagnosis is one of the most critical factors in preventing further hair loss, which is why this test is revolutionary. Preventing hair loss is far more attainable than reversing its effects. While effective treatments to combat female pattern hair loss are available, early intervention is critical successful treatment.

Dr. Sharon Keene, who is the Chief Medical Officer for HairDX says, “Helping women assess their risk for Female Hair Loss early in the course of their hair loss enables them to learn about potential treatment options and how they may prevent further hair loss.”

Visit the HairDX website at www.hairdx.com to learn more about the test and to order a swab kit. The test costs $149.

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Considering a Hair Transplant? Avoid Linear (Line) and Round or Square Grafts

April 23, 2008  | By admin

Surgical hair restoration is a serious matter. If you’re considering surgery as an option to treat your hair loss, first get up to speed on the many different types of  procedures being promoted as legitimate options. The hair loss industry can be difficult to navigate. Most products are little more than snake oils and many advertised procedures lead to increased problems rather than true solutions.

Linear or Line Grafts

Linear or line grafts should be avoided. If a doctor recommends the use of these type of grafts, you would be well advised to seek another professional immediately.

The process of creating a linear or line graft starts with the hair transplant surgeon removing a strip of hair from the side or back of your head. Ideally, the strip would then be divided into follicular unit grafts, but in cases  where the hair transplant surgeon utilizes  linear or line grafts, larger portions of  the  strip are used. In order to use these “cut to size” grafts , the hair transplant surgeon must surgically create large trench-like recipient sites in the balding areas where hair  and tissue is to be replaced.

This almost always  results in an unnatural and manufactured appearance. Cosmetically, the final outcome can look unacceptably fake.

Round or Square Grafts

Originally, round or square grafts were the  standard in hair transplantation . Now with the advent of much more refined techniques, these large cut to size hair grafts are considered obsolete and will always result in the dreaded “dolls head” appearance that screams hair transplant.

The procedure involves the use of a hole-punch device, which is used to remove 3-5 mm areas (about the size of a pencil eraser) of hair bearing  scalp and to create the recipient sites in the balding areas of the head . The shape of the grafts may be either round or square. Either way, they are far too large and do not resemble natural hair growth at all once they are moved  and transplanted to the balding area. In addition, these grafts can impede  blood supply. This often results in further hair loss in the middle area of each graft.

Many of today’s lazier or less than ethical hair transplant surgeons are doing a slightly refined but still unacceptable procedure utilizing cut to size mini grafts which still give the appearance of a man made and unnatural hairline.

Avoid any hair transplant surgeon or large chain clinic that does not employ the use of microscopes to dissect donor tissue into naturally occurring follicular units.
To learn more about state of the art hair transplantation check out the surgical hair restoration section of The American Hair Loss Association site.

To find qualified hair transplant surgeons  in your area contact The International Alliance of Hair Restoration Surgeons.

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Women’s Hair Loss: From Stress to Placebo Treatment

April 21, 2008  | By admin

In a recent article, the Kalamazoo Gazette reported the story of Sheree Kleinhuizen, who was experiencing significant hair loss and growing concerned over the amount of hair that she was losing on a daily basis.

Sheree collected the hair in plastic baggies and brought them to her doctor, but she was told that her hair loss was caused by stress and would cease in a few months’ time. When her hair loss did not abate, Sheree went to see a hair care professional, who sold her a “medicated” hair loss product called Therapro.

Although the lost hair did not grow back, Sheree did stop experiencing any further hair loss. However, it is unclear whether her use of Therapro truly affected Sheree’s hair loss in any way.

Spencer Kobren, founder of the American Hair Loss Association, doubts that Therapro is a valid treatment:

“There is nothing in those products that can stop hair loss or will regrow hair,” said Kobren, whose own hair-loss concerns led him to start the organization. “There is definitely a placebo effect, and it can be coincidental.”

Jennifer Williford, who works as a physician’s assistant at Southwest Michigan Dermatology, supports the notion that Therapro may have had a placebo effect for Sheree. Although Williford wasn’t familiar with Therapro, she explained that patients often mention products that supposedly stop or reverse hair loss. Many such products are based on herbal remedies.
There is a good chance that Sheree Kleinhuizen’s hair loss ceased due to a placebo effect of the product she was sold. It’s also possible that her hair loss was truly stress related and when her stress eased, so did her hair loss.
The only FDA-approved hair loss products for treating hereditary hair loss are Rogaine and Propecia. Rogaine is an external treatment used by both men and women. Propecia, which is a pill, is only approved for use by men.

Spencer Kobren also noted that hair loss is a $3.5 billion industry and that “Ninety-nine percent of products and services that claim to help with hair loss (or) prevention are bogus, questionable at best.”
Read the full article

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Three Types of Alopecia: Areata, Totalis, Universalis

April 19, 2008  | By admin

What is Alopecia?

Alopecia simply means “hair loss.” It is the medical term for hair loss and there are numerous forms of alopecia. Today, we’ll look at three different terms that include the word alopecia:

• Alopecia Totalis
• Alopecia Universalis
• Androgenetic Alopecia

Alopecia Totalis

Alopecia Totalis is thought to be an autoimmune disorder that causes loss of all head hair. Unlike androgenetic alopecia (male or female pattern baldness), there are no remaining patches or areas with hair on the scalp once alopecia totalis has run its course. It is still questonbly believed that stress is a major contributing factor in causing alopecia totalis, despite the fact that many people who suffer from it report low stress levels.

Alopecia Universalis

Also sometimes called alopecia areata universalis, alopecia universalis is the term used to describe rapid loss of hair all over the body. It includes head hair, eyebrows, and even eyelashes. It is the most severe form of hair loss and is believed to be an autoimmune disorder. While many treatments have been explored, no standard treatments exist for this condition.

Androgenetic Alopecia

Androgenetic alopecia
is the most common type of hair loss. It is also referred to as male or female pattern hair loss and is abbreviated as AGA. Heredity and hormones are the two major factors that can cause this type of hair loss. Androgenetic alopecia causes more than 95% of hair loss in men. Women are greatly affected by it as well, in part due to the same gentetic factors found in me as well as other contributing facters like ovarian cysts, high androgen index birth control pills, pregnancy, and menopause.

To learn more about alopecia, please visit the home page for The American Hair Loss Association. You can learn about additional types of alopecia, including alopecia areata and scarring alopecia, and find out more about causes, diagnoses, and treatments for hair loss.

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The Truth About Non-Surgical Hair Replacement Techniques: Tips and Facts

April 16, 2008  | By admin

We’ve all heard horror stories about bad hairpieces and worse toupees. In comedy, these have been the butt of many jokes, but hair loss sufferers are not laughing. Non-surgical hair replacement is a serious matter, especially for people who are considering it. People who are dealing with alopecia must be careful because the hair loss industry is fraught with cheap gimmicky products as well as companies and so-called professionals who are more than happy to take advantage of vulnerable hair loss sufferers. Whenever you are looking at a solution for hair loss, you must move forward with care and caution. Non-surgical hair replacement, such as hairpieces, are no exception.

Non-surgical hair replacement can be a wonderful alternative for people who want to have a fuller head of hair without surgery. However, most consumers don’t know what to look for or what to watch out for when shopping for a hairpiece. The vast majority of consumers who purchase non-surgical hair replacement are unhappy with the products they’re stuck with. Plus, there’s a lot that the hair clubs won’t tell you.

Tips

•    Try the mom and pop salons. They have compassion for their customers and great customer service.
•    Be prepared to buy two units so that you can wear one while the other is being maintained.
•    Do not let a hair replacement company keep your second hairpiece. It’s yours, you get to take it home.
•    Avoid anyone who tries to sell you a maintenance contract. You should be able to take your hairpiece anywhere you want for maintenance.

Facts

•    The stylist will probably shave off a good portion of your hair in order to affix the hairpiece.
•    Bonded systems will not stay firmly attached for 4-6 weeks.
•    These systems need constant maintenance and you will have to learn to do some of the maintenance yourself.
•    Cost of maintenance ranges from $60 to $300 per month.

Get more tips, facts, and information about non-surgical hair replacement systems by visiting the following link:
http://www.americanhairloss.org/hair_replacement/introduction.asp

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Heart Disease Tied to Hair Loss?

April 13, 2008  | By admin

Is it possible that there is a direct link between hair loss and heart disease? Could one of these diseases be causing the other or is there one source causing both?

These and other questions have been brought to light in several recent studies.

At the University of Tucson, little difference was found in heart attack risk for men who were balding and men who were not. It has, however, been suggested that hair loss is related to an increase in androgens. These hormones may also affect the development of coronary atherosclerosis (hardening of the arteries).

Another, previous study, did find that vertex baldness (hair loss at the crown) was indeed strongly linked to the risk for heart attack. That study found that greater hair loss directly correlated with a greater risk for heart attack.

Researchers at Tucson decided to look further into the matter. They looked at 5056 men between the ages of 52 and 75 years old. Of those men, 767 had already suffered a heart attack.

The results:

• One third of the men had little or no hair loss.
• Thirteen percent had frontal baldness.
• Fifty-four percent had vertex baldness

The study showed that men who were experiencing hair loss at the front of their heads were 28% more likely to have had a heart attack. Mild vertex baldness only indicated a 2% greater risk. According to a Reuters Health article at Yahoo News, “men with moderate vertex baldness were 40 percent more likely to have had a heart attack, while risk was increased by 18 percent for men with severe vertex baldness.”

The study conducted by the University of Tucson concluded that male pattern baldness does not provide a means to determine risk of heart attacks.

In the end, many questions are still unanswered. While there does appear to be some link between hair loss and heart disease, that link remains unclear. The Tucson researchers noted that “If the types of baldness seen in the current study are indeed due to high androgen levels, it’s likely that the hormone does not increase heart attack or atherosclerosis risk.”

You can read the full Reuters Health article on Yahoo News at the following link:
http://news.yahoo.com/s/nm/20080409/hl_nm/heart_attack_baldness_dc_1

You can find detailed information about the hormonal causes of hair loss and related conditons at the American Hair Loss Association.

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Women’s Hair Loss Support Chat Thursday April 10th 6:30 - 7:30pm PST

April 10, 2008  | By admin

The Women’s Hair Loss Project, is conducting the first ever live chat for female hair loss sufferers on the worldwide web tonight, Thursday April 10th at 6:30-7:30pm PST.

Emerging as the first social networking site specifically for women suffering with hair loss, womenshairlossproject.com set new ground when they launched their site in August 2007. Now with scheduled live chats, women have a safe place to congregate each week to discuss their issues, and to share their knowledge, hope and strength with others from around the world.

The Women’s Hair Loss Project remains the only non-commercial site of its kind, and is at the forefront of the field, providing women in need with an inspirational, uplifting environment to learn about their conditions and to meet others who understand.

Learn how to participate here: http://www.womenshairlossproject.com/hair-loss/womens-hair-loss-support-chat/

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