Brief Overview of Hair Restoration
Updated: May 4, 2019
Hair thinning or loss affects both men and women and there are many factors that may be attributed to the cause. Therefore, hair requires a #comprehensive approach, beginning with a thorough consultation and development of a custom treatment plan that is tailored to suit your individual needs.
It is necessary to evaluate for possible causes of hair thinning or loss prior to beginning any hair restoration therapy that would prompt referral to primary care or endocrinologist. An in-person consult is ideal, but, for remote initial consultation, photos of the front, sides, back and crown of the head, as well as completing a brief questionnaire, would be very helpful when determining the appropriate treatment plan.
In many cases, pharmacologic therapy, whether oral, topical or a combination of both, is a popular first-line selection for the treatment of hair loss. Recommendations differ for men and women, and the specific regimen is tailored based on the clinical presentation. Further discussion is needed following your initial hair loss evaluation to determine if this approach is right for you.
Also referred to as Low Level Laser Therapy (LLLT), light therapy can be used independently, as well in conjunction with other hair restoration therapies. Studies show that LLLT increases hair count and density in both men and women with no downtime or significant side effects. There are many light based devices that can be utilized – some indicated for home-use, others for professional, in-office use. The duration and frequency of treatment is dependent on the type of device used. If recommended as part of your treatment plan, your light protocol may include a combination of home and in-office treatments to maximize hair restoration benefits.
Microneedling with Platelet Rich Plasma (PRP)
Microneedling with PRP is a very commonly recognized treatment for skin rejuvenation, and is also an effective treatment for hair restoration. Microneedling involves use of an automated pen that pulses very small needles, penetrating to a depth up to 2.5mm while gliding across the desires treatment area. The goal of microneedling treatment is to activate dormant hair follicles by stimulating the scalp as well as to open up micro-channels to allow for better penetration of topical PRP. Frequency of treatment is determined by clinical presentation. There is minimal downtime following this procedure. Light therapy is often performed as an adjunct to treatment.
When used for hair restoration, PRP is injected directly into the scalp. This is a very commonly utilized treatment to support thinning hair. Microneedling can be performed of balding areas for additional stimulation of dormant hair follicles. PRP is rich in growth factors that support the skin and hair, as well as presumed to stimulate hair regrowth. For individuals seeking hair transplant, PRP can also optimize the environment for newly transplanted hair follicles to increase graft take. #PRP
If clinically indicated, Acell, an acellular collagen matrix, may be injected along with PRP to augment the benefits of the PRP and serve as a scaffolding for newly transplanted follicles.
Hair transplant by method of follicular unit extraction (FUE) is an excellent procedure to restore receding hairlines, pockets of balding, eyebrow restoration, as well as disguise the presence of scars in the body of the hair from trauma or previous strip-method hair transplant procedures. It involves focused suction extraction of individual hair follicles that contain 1-4 hairs. The follicles are then grafted to the desired area(s) in a natural pattern. The procedure duration is based on amount of grafts needed and offers minimal downtime. True results are observed approximately 3-6-months following treatment.
If you have any questions, or are interested in seeing if hair restoration is appropriate for you, please schedule a consultation.
What do you want to MAINTAIN? #mymaintenance