Archive

Posts Tagged ‘hair loss’

The Top 10 Beauty Products Celebrities Canâ??t Live Without

Whether theyâ??re strutting their stuff on the red carpet or being hounded by the paparazzi, you would hardly see any Hollywood celebrity looking less than perfect when they are out in public.What do you think are their secrets when it comes to maintaining that glamorous look? Which beauty products can the celebrities not live without?If you think that a Hollywood superstarâ??s red carpet look is achieved almost effortlessly, think again. Sometimes, it takes an army of stylists â?? both for their makeup and clothes â?? to make the stars look their best.Now, all that glamour also requires day-to-day maintenance and routine skin care. Which beauty and cosmetic products do celebrities use to maintain an almost flawless complexion?How about the items that they use to maintain a dewy-looking skin on their faces and bodies? These and a lot more are the questions that â??mere mortalsâ?? are asking when it comes to how that Hollywood glamour and beauty is achieved.Modeling your look after a celebrity may sound like a next-to-impossible feat â?? but it is something that you can achieve yourself.All you need to do is discover the secret products used by celebrities to maintain that seemingly effortless Hollywood-quality beauty and glamour. Read on to find out exactly what these items are.The Top 10 Must-Have Beauty Products Used by the Most Fab Hollywood Celebs

So what exactly are the top 10 beauty products that most celebrities cannot live without? Learn a thing or two â?? or ten â?? about beauty by checking out the following list:1. Product: Moisturizing CreamRecommended Brand: Crème de la Mer (2-oz jar, $220.00)Celebrity Look to Achieve: A-List Celebs!Crème de la Mer has enjoyed an almost cult following among A-list celebrities and women from around the world.Some say that this is a moisturizing cream which defies the laws of nature â?? and the mere mention of the name is enough to make a woman feel young instantly.What this moisturizing cream does is to firm and soften the skin â?? leaving it virtually creaseless! As you may already know by now, part of the â??magicâ?? on how Crème de la Mer works is you warm up the cream in your hands before applying it to your face, neck or eye area and make sure to include this as part of your bedtime ritual.2. Product: Nude Lip GlossRecommended Brand: Maybelline Superstay Gloss 12-Hour Color Power Gloss (Satin Glow, $7.99) Celebrity Look to Achieve: Jennifer AnistonYou canâ??t read a tabloid or a gossip magazine and not see a picture of Jennifer Aniston. No matter what sheâ??s wearing, that gorgeous hair and her sun-kissed look, LA glow has become her signature look. Now, if this is something that you would like to imitate, check out Maybellineâ??s Superstay Gloss in Satin Glow.Whatâ??s unique about this beauty product is that it has two applicator sides: one with the color and one with the gloss.First, apply the colored end of the applicator and then apply the clear gloss to complete your Jennifer Aniston nude-lipped look.3. Product: Kohl EyelinerRecommended Brand: Lancôme Le Crayon Khol, Smoky Eyeliner (Black Coffee, $23.50)Celebrity Look to Achieve: Lily AllenIf you would like to achieve the in-your-face makeup that Lily Allen usually sports, make sure to go for the dramatic eye look. Start by using a product like the Lancôme Le Crayon Khol Smoky Eyeliner in black coffee.What the product does is easily define, color and give contour to your eyes so that you can instantly achieve that Hollywood celebrity look.4. Product: Volumizing MascaraRecommended Brand: Maybelline New York The Colossal Volumâ?? Express Mascara (Black)Celebrity Look to Achieve: Avril LavigneAnother celebrity look that you can imitate is Avril Lavigne, whose punk rock star attitude allows her to pull off the dramatic eye makeup.Aside from the kohl eyeliner, you should also try and add volume to your eyelashes.A brand in particular that is a must-try is Maybellineâ??s The Colossal Volumâ?? Express Mascara which offers nine times the volume, instantly.What sets this beauty product apart from the rest is the fact that you donâ??t have to allow the product to dry in between coats, and you can create dramatic volume with no clumps.5. Product: Eyebrow Shaping KitRecommended Brand: Too Faced Cosmetics Brow Envy Kit (34.50) Celebrity Look to Achieve: Freida PintoFreida Pinto is a beauty from the hit film â??Slumdog Millionaireâ?, and her brows couldnâ??t be more perfectly shaped. This is important if you want to achieve a Hollywood look because the shape of your brows frames the rest of your facial features.To get those perfectly shaped brows that Freida Pinto is sporting, make use of the Too Faced Cosmetics Brow Envy Kit. The eyebrow shaping kit includes every tool that you can possibly need to shape, fill, define and set your eyebrows perfectly.As indicated in the productâ??s packaging, the Too Faced Cosmetics Brow Envy Kit is suitable for both blondes and brunettes.6. Product: Night CreamRecommended Brand: Guerlain Issima Midnight Secret (30-ml, $98.00) Celebrity Look to Achieve: Liv TylerWhether youâ??ve partied or worked hard the previous night, you can still achieve the fresh-faced glow that celebrities like Liv Tyler has by using Guerlain Issima Midnight Secret.This nighttime miracle cream is also called â??Sleep in a jarâ? because of the many cosmetic benefits that it will bring to your face that mirrors the effect of having your beauty sleep.If you want to live like a celebrity, thereâ??s a price that you do have to pay because a bottle of Guerlain Issima Midnight Secret costs $98 for a small 30-ml bottle.7. Product: Mineral FoundationRecommended Brand: Bare Escentuals Bare Mineral Foundation, Medium Beige (9-grams, $18.49)Celebrity Look to Achieve: Catherine Zeta-JonesIf you would like to feel and look like the rare beauty that Catherine-Zeta Jones is, then use Bare Escentuals Bare Mineral Foundation.This makeup base is made only from pure, crushed minerals from the earth. It has SPF 15 and is basically â??looks like a powder, feels like a cream and buffs on like silkâ??.Itâ??s no wonder why the product gives you that natural luminosity that only the real treasures from the earth can bring [Mineral makeup]. Unlike other foundations which have to be â??caked onâ?? in your face, the rule of thumb to follow when applying mineral foundation is: less is more.8. Product: Blush OnRecommended Brand: Nars Blush ($25.00)Celebrity Look to Achieve: Michelle WilliamsWhen you look at celebrity mom Michelle Williams, it seems as if she has on that permanent healthy glow on her cheeks â?? and Nars Blush is the perfect product to imitate that effect.What makes this product unique is that you will not have an unnatural looking color on your cheeks.Nars Blush is as natural looking as you can get! And the best part of it all is that the product works wonders and makes you end up looking like a Hollywood celebrity even without the hefty price tag.9. Product: Anti-Frizz SerumRecommended Brand: John Frieda Frizz-Ease Serum (1.69 oz, $8.65)Celebrity Look to Achieve: Reese WitherspoonEnd up looking like gorgeous mom Reese Witherspoon by having tamed, great-looking locks. And the secret to having frizz-free hair is John Frieda Frizz-Ease Serum which works rate in taming your hair.Whether you have thick or fine hair, it works well right after blow drying â?? leaving your locks sleek, manageable and beautiful.10. Product: Natural Stretch Mark OilRecommended Brand: Earth Mama-Angel Baby Organic Stretch Oil Celebrity Look to Achieve: Gwyneth PaltrowHereâ??s letting you in on one of the real secrets of the celebrities. If you want to have a stretch-mark free frame right after your pregnancy, do as the stars do.Gwyneth Paltrow reportedly used the Earth Mama-Angel Baby Organic Stretch Oil on her belly. The product contains natural herbs and oils which you can apply on your expanding stomach, hips and breasts [Organic skin care].This magic product easily absorbs into the skin and it contains natural ingredients which rejuvenate, heal and help make the skin free of unsightly stretch marks which usually occur after birth.There you have it â?? the top 10 beauty products that celebrities canâ??t live without. Check them out the next time that you go shopping for the beauty items that you use and decide which one will best give you that Hollywood beauty and glamour.

The Top 10 Beauty Products Celebrities Canâ??t Live Without

Whether theyâ??re strutting their stuff on the red carpet or being hounded by the paparazzi, you would hardly see any Hollywood celebrity looking less than perfect when they are out in public.What do you think are their secrets when it comes to maintaining that glamorous look? Which beauty products can the celebrities not live without?If you think that a Hollywood superstarâ??s red carpet look is achieved almost effortlessly, think again. Sometimes, it takes an army of stylists â?? both for their makeup and clothes â?? to make the stars look their best.Now, all that glamour also requires day-to-day maintenance and routine skin care. Which beauty and cosmetic products do celebrities use to maintain an almost flawless complexion?How about the items that they use to maintain a dewy-looking skin on their faces and bodies? These and a lot more are the questions that â??mere mortalsâ?? are asking when it comes to how that Hollywood glamour and beauty is achieved.Modeling your look after a celebrity may sound like a next-to-impossible feat â?? but it is something that you can achieve yourself.All you need to do is discover the secret products used by celebrities to maintain that seemingly effortless Hollywood-quality beauty and glamour. Read on to find out exactly what these items are.The Top 10 Must-Have Beauty Products Used by the Most Fab Hollywood Celebs

So what exactly are the top 10 beauty products that most celebrities cannot live without? Learn a thing or two â?? or ten â?? about beauty by checking out the following list:1. Product: Moisturizing CreamRecommended Brand: Crème de la Mer (2-oz jar, $220.00)Celebrity Look to Achieve: A-List Celebs!Crème de la Mer has enjoyed an almost cult following among A-list celebrities and women from around the world.Some say that this is a moisturizing cream which defies the laws of nature â?? and the mere mention of the name is enough to make a woman feel young instantly.What this moisturizing cream does is to firm and soften the skin â?? leaving it virtually creaseless! As you may already know by now, part of the â??magicâ?? on how Crème de la Mer works is you warm up the cream in your hands before applying it to your face, neck or eye area and make sure to include this as part of your bedtime ritual.2. Product: Nude Lip GlossRecommended Brand: Maybelline Superstay Gloss 12-Hour Color Power Gloss (Satin Glow, $7.99) Celebrity Look to Achieve: Jennifer AnistonYou canâ??t read a tabloid or a gossip magazine and not see a picture of Jennifer Aniston. No matter what sheâ??s wearing, that gorgeous hair and her sun-kissed look, LA glow has become her signature look. Now, if this is something that you would like to imitate, check out Maybellineâ??s Superstay Gloss in Satin Glow.Whatâ??s unique about this beauty product is that it has two applicator sides: one with the color and one with the gloss.First, apply the colored end of the applicator and then apply the clear gloss to complete your Jennifer Aniston nude-lipped look.3. Product: Kohl EyelinerRecommended Brand: Lancôme Le Crayon Khol, Smoky Eyeliner (Black Coffee, $23.50)Celebrity Look to Achieve: Lily AllenIf you would like to achieve the in-your-face makeup that Lily Allen usually sports, make sure to go for the dramatic eye look. Start by using a product like the Lancôme Le Crayon Khol Smoky Eyeliner in black coffee.What the product does is easily define, color and give contour to your eyes so that you can instantly achieve that Hollywood celebrity look.4. Product: Volumizing MascaraRecommended Brand: Maybelline New York The Colossal Volumâ?? Express Mascara (Black)Celebrity Look to Achieve: Avril LavigneAnother celebrity look that you can imitate is Avril Lavigne, whose punk rock star attitude allows her to pull off the dramatic eye makeup.Aside from the kohl eyeliner, you should also try and add volume to your eyelashes.A brand in particular that is a must-try is Maybellineâ??s The Colossal Volumâ?? Express Mascara which offers nine times the volume, instantly.What sets this beauty product apart from the rest is the fact that you donâ??t have to allow the product to dry in between coats, and you can create dramatic volume with no clumps.5. Product: Eyebrow Shaping KitRecommended Brand: Too Faced Cosmetics Brow Envy Kit (34.50) Celebrity Look to Achieve: Freida PintoFreida Pinto is a beauty from the hit film â??Slumdog Millionaireâ?, and her brows couldnâ??t be more perfectly shaped. This is important if you want to achieve a Hollywood look because the shape of your brows frames the rest of your facial features.To get those perfectly shaped brows that Freida Pinto is sporting, make use of the Too Faced Cosmetics Brow Envy Kit. The eyebrow shaping kit includes every tool that you can possibly need to shape, fill, define and set your eyebrows perfectly.As indicated in the productâ??s packaging, the Too Faced Cosmetics Brow Envy Kit is suitable for both blondes and brunettes.6. Product: Night CreamRecommended Brand: Guerlain Issima Midnight Secret (30-ml, $98.00) Celebrity Look to Achieve: Liv TylerWhether youâ??ve partied or worked hard the previous night, you can still achieve the fresh-faced glow that celebrities like Liv Tyler has by using Guerlain Issima Midnight Secret.This nighttime miracle cream is also called â??Sleep in a jarâ? because of the many cosmetic benefits that it will bring to your face that mirrors the effect of having your beauty sleep.If you want to live like a celebrity, thereâ??s a price that you do have to pay because a bottle of Guerlain Issima Midnight Secret costs $98 for a small 30-ml bottle.7. Product: Mineral FoundationRecommended Brand: Bare Escentuals Bare Mineral Foundation, Medium Beige (9-grams, $18.49)Celebrity Look to Achieve: Catherine Zeta-JonesIf you would like to feel and look like the rare beauty that Catherine-Zeta Jones is, then use Bare Escentuals Bare Mineral Foundation.This makeup base is made only from pure, crushed minerals from the earth. It has SPF 15 and is basically â??looks like a powder, feels like a cream and buffs on like silkâ??.Itâ??s no wonder why the product gives you that natural luminosity that only the real treasures from the earth can bring [Mineral makeup]. Unlike other foundations which have to be â??caked onâ?? in your face, the rule of thumb to follow when applying mineral foundation is: less is more.8. Product: Blush OnRecommended Brand: Nars Blush ($25.00)Celebrity Look to Achieve: Michelle WilliamsWhen you look at celebrity mom Michelle Williams, it seems as if she has on that permanent healthy glow on her cheeks â?? and Nars Blush is the perfect product to imitate that effect.What makes this product unique is that you will not have an unnatural looking color on your cheeks.Nars Blush is as natural looking as you can get! And the best part of it all is that the product works wonders and makes you end up looking like a Hollywood celebrity even without the hefty price tag.9. Product: Anti-Frizz SerumRecommended Brand: John Frieda Frizz-Ease Serum (1.69 oz, $8.65)Celebrity Look to Achieve: Reese WitherspoonEnd up looking like gorgeous mom Reese Witherspoon by having tamed, great-looking locks. And the secret to having frizz-free hair is John Frieda Frizz-Ease Serum which works rate in taming your hair.Whether you have thick or fine hair, it works well right after blow drying â?? leaving your locks sleek, manageable and beautiful.10. Product: Natural Stretch Mark OilRecommended Brand: Earth Mama-Angel Baby Organic Stretch Oil Celebrity Look to Achieve: Gwyneth PaltrowHereâ??s letting you in on one of the real secrets of the celebrities. If you want to have a stretch-mark free frame right after your pregnancy, do as the stars do.Gwyneth Paltrow reportedly used the Earth Mama-Angel Baby Organic Stretch Oil on her belly. The product contains natural herbs and oils which you can apply on your expanding stomach, hips and breasts [Organic skin care].This magic product easily absorbs into the skin and it contains natural ingredients which rejuvenate, heal and help make the skin free of unsightly stretch marks which usually occur after birth.There you have it â?? the top 10 beauty products that celebrities canâ??t live without. Check them out the next time that you go shopping for the beauty items that you use and decide which one will best give you that Hollywood beauty and glamour.

FOLLICULAR UNIT EXTRACTION

December 17th, 2009 hair extensions pro No comments

IntroductionThe follicular unit (FU) was first defined by Headington and the conceptual framework for using FUs in hair transplantation was laid out by Bernstein and Rassman. It became clear to most surgical hair restoration practitioners that the single-strip harvesting and stereomicroscopic dissection techniques developed by Limmer in 1988 were the best way to both harvest and isolate FUs.Although single-strip harvesting is an extremely efficient means of obtaining tissue for subsequent dissection into FUs, it results in a linear scar. Careful technique with thin donor strips will produce very fine scars, but if the strips are taken too wide, the scar can widen to an unacceptable degree. Covering the donor area with longer hair was the only solution to widened scars, as surgical repairs of these wounds generally proved to be ineffective. As a result, a number of patients became hesitant to undergo a hair transplant procedure that had a potentially difficult-to-treat widened linear scar.In the mid-1990s, Rassman set out to find a way around this problem by directly extracting FUs from the donor area using a small punch. Early attempts were frustrated by high transection rates in a significant number of patients until Richard Shiell brought the work of Masumi Inaba to his attention.Inaba”s technique varied slighty, using a similar punch but only partially cutting down on the hair follicle and then removing the remainder with forceps. Inaba”s insight led to Rassman and Bernstein describing follicular unit extraction or the FOX procedure (FOllicular unit eXtraction), outlining an entire surgical hair restoration procedure without strip harvesting After performing the FOX procedure on patients of various nationalities it became obvious that extraction proved to be quite variable. Histologic analysis was used in an attempt to elucidate the cause of patient variability and the FOX Test was introduced, an important surgical recommendation tool to determine patient candidacy.Overall results showed that the FOX Test classified approximately 60% of all patients as candidates for the FUE procedure. However, even the good hair transplant candidates had a strong possibility of follicle transection.Two-Step TechniqueThis process is comprised of two main steps. In the first step, a sharp 1 mm punch is placed over the follicular unit and aligned to approximate the angle of the hair shafts below the skin surface. A rotational motion of the punch is then used by the hair restoration doctor to cut through the skin and isolate FUs in the epidermis and upper dermis.For a successful hair transplant procedure, the incident angle of the punch cannot vary much from the hair shaft direction or some, or all, of the hairs in the FU will be transected. Since the hair bulbs in each FU splay outward in the deep dermis and fat, it is also important to limit the depth of the punch to the upper dermis, which proves difficult.In step two, the extraction, fine rat-toothed forceps are used to apply gentle traction to the top of the FU until the unit is pulled loose from its deep dermal and subcutaneous connections. There is person-to-person variation with this procedure. To help limit variation effects, the technique was refined further, adding dissection when simple extraction proved difficult. If a graft cannot be removed with gentle traction, then the deeper part of the graft is separated from the surrounding tissue through dissection using a fine needle (with a U-shaped tip) while traction is applied with delicate forceps.With this additional dissection step, percentages of positive FOX patients increased. Despite a significant yield improvement, a large number of hair restoration patients still could not be shifted into “FUE candidacy.” In many cases transection rates were still unacceptably high and dissection times for significant cases unacceptably long; the additional step slowed the entire process.Three-Step TechniqueJames Harris presented a paper and a new solution at an ISHRS scientific meeting, in which he added an additional third step requiring new instrumentation. In this new three-step hair transplant procedure, a sharp punch is used to score the epidermis (rather than cut through the full thickness to the dermis) and then a dull punch is used (through a back-and-forth twisting motion) to bluntly dissect the FU graft from the surrounding epidermis and dermis .This variation has several advantages over the original two-step process. Using a dull punch avoids follicle transection and allows intact FUs to be extracted more easily. As the blunt-tipped punch is advanced into the dermis, splayed follicles are “gathered together,” avoiding transection. In effect, the dull-punch technique allows a full realization of the “extraction concept” with an easy-to-learn methodology. One untoward result of the three-step technique is a possible higher incidence of buried grafts, as discussed later. In addition, some of the FUs remain tethered to the subcutaneous tissue and require additional dissection.One great advantage of this addition was that it opens this surgical hair restoration technique to the inherent FOX-negative population: those with very fine hair and those with African kinky hair types. Because the procedure is performed blindly, visualization is no longer an issue, potentially increasing yield for those with hard-to-see gray hair. In addition, it appears that this FUE modification has applicability for corrective procedures, removing FUs inside old plugs.Indications for FUE have evolved considerably. Initially, FUE was limited to FOX-positive patients (that showed minimal transection) and in those in which the size of the balding area matched the surgical team”s ability to perform the procedure in an acceptable time frame – essentially small procedures in select patients. With improved techniques, Rassman reported his largest case yet in 2004: 1903 FUs performed exclusively with the original two-step technique. Harris” modification should allow these large sessions in a greater number of hair transplantation patients.Nuances of three-step techniqueAlthough the three-step technique is easier to master than the two-step technique, there are certain factors that will increase its efficiency and success.Because the subcutaneous course of follicles cannot be ascertained with great accuracy, “scoring” incisions should be limited to a depth of between 1.3 mm and 1.5 mm (approximately the level of the end of the bevel on a standard 1 mm Miltex punch) to decrease the risk of inadvertent transection. However, in hair transplant patients whose follicles are slightly longer, scoring incision depths may be increased by 0.1-0.2 mm. This increase should facilitate insertion of the “dissecting” punch and may decrease the incidence of “buried” grafts.Even though the use of a blunt punch provides protection for follicles and makes the angle of insertion less critical, follicles may be damaged if the angle is radically different from the follicle”s direction. To prevent damage, scoring incisions can be created, and their angles reassessed to obtain a more accurate estimate of the follicle”s direction and more accurately “aim” the dissecting punch.Follicle separation from the epidermis and upper dermis at the sebaceous gland may occur during extraction. This phenomenon, which has been called “capping,” can be handled in three ways. If the subcutaneous attachment is significant, a second pass with a dissecting punch can be attempted. A second option is to grasp the unit at the sebaceous gland region and pull, applying a slow, steady force. The final option, if standard dissection fails, is to leave the graft in situ and allow the skin to heal by secondary intention.Since a third step is required in this new hair restoration method, the need for efficiency has increased. Rather than performing each of the three steps for each FU in sequence, a preferred method is to identify an area to be extracted, score 25-50 FUs, dissect each one, and then extract. Assistants may help with dissection and extraction but care must be taken to identify any buried grafts for subsequent retrieval efforts.The need for tumescence varies from patient to patient, but for the most part, it has been found that tumescence may cause the dermis to become somewhat “mushy” and impede the extraction process. The hair transplant surgeon must make constant assessments of extraction success each step of the way with every patient. Ease of extraction also seems to vary with scalp location. The occipital area tends to be easier while temporal areas may require manual dissection due to a higher degree of tethering.Management of buried graftsAs previously mentioned, this hair transplantation technique has an inherent possibility of producing buried grafts. Incidence can vary from patient to patient depending on unidentified skin characteristics. It has been observed that in some patients and in some areas (the temples for example), slightly increasing scoring depths decreases the incidence of buried grafts.When a buried graft is identified, immediately apply pressure around it in an attempt to “force” the graft to the surface. If this maneuver fails, the hair restoration doctor should examine the circular incision to identify the follicle base, a key step in facilitating removal. If the follicle is not visible, use small, curved forceps with the tip directed towards the “superior” aspect of the incision in an attempt to grasp the FU. Owing to punch insertion angles, the incision depth is shallower at the superior aspect of the incision. Grafts often invert at this location by tethering to a nonscored attachment.If the graft still cannot be located, make a small incision towards the superior aspect to create a larger exploratory opening. If after these steps visualization still eludes the hair transplant surgeon, the graft should be left buried. Exact incidences of graft burial and graft recovery are not available; however, in a 40-patient and approximately 10,000-graft study, only two instances of buried grafts resulted in hair-bearing inflamed cysts requiring removal.Indications for FUEFUE is indicated in the following situations:1. When even a very thin linear scar is unacceptable (i.e. in those who shave their head or wear their hair very short)2. When a patient requests an FUE procedure and enough grafts can be harvested to meet his or her needs3. In patients with limited hair loss or those who require small sessions. This group would include patients with androgenetic alopecia in a Norwood Class 3 pattern or those with small vertex balding areas4. For limited cosmetic areas, such as widow”s peaks, eyebrows, eyelashes, mustaches5. For limited areas of alopecia secondary to dermatologic conditions6. In the treatment of widened scars resulting from traditional strip excisions7. In patients without adequate laxity for a strip excision8. For scarring from dermatologic conditions, trauma, or neurosurgical procedures9. For individuals with heavily scarred donor areas making a linear incision problematic10. In patients who tend to heal with wide or thickened linear scars11. In athletes who must resume full activity soon after the procedure12. For patients with an inordinate fear of pain or scars13. When the body or beard serves as a donor area.Contraindications for FUEContraindications for FUE include:1. Inexperience in performing FUE techniques2. Unavailability of proper instrumentation3. Inadequate and uninformed patient consent4. Unrealistic patient expectations5. Inadequate donor supply6. Scarring that makes both the two- and three-step procedures problematic.ConclusionFUE is an exciting advancement that propels the field of hair transplant surgery one step closer to the elite minimally invasive status. The promise of an almost scarless surgery is enticing to both patient and surgeon. For the hair restoration doctor who has to perform this tedious technique, there remain many vague issues ranging from ethical representations of patient results to practical realities of surgical indication. Training periods are extensive, risks of less than desirable results are high, and many technical problems have yet to be worked out.FUE clearly has a valuable place in a growing number of hair transplant candidates. Although the techniques have improved, issues of patient selection, donor area healing by secondary intention after large sessions, and imbedded grafts still remain. The reasons for selecting FUE rather than a strip harvest may be the avoidance of a linear scar, the desire for a virtually pain-free recovery period, or simply the idea of having a minimally invasive procedure.Further ReadingBernstein RM, Rassman WR, Seager D, et al 1998 Standardizing the classification and description of follicular unit transplantation and mini-micrografting techniques. Dermatologic Surgery 24:957-963Bernstein RM, Rassman WR, Szaniawski W, Halperin A 1995 Follicular transplantation. International Journal of Aesthetic Restorative Surgery 3:119-132Bernstein RM, Rassman WR 1997 Follicular transplantation: patient evaluation and surgical planning. Dermatologic Surgery 23:771-784Bernstein RM, Rassman WR 1997 The aesthetics of follicular transplantation.Dermatologic Surgery 23:785-799Bernstein RM 1998 A neighbor”s view of the “follicular family unit.” Hair Transplant Forum International 8:23-25Harris JA 2004 Follicular unit extraction: The SAFE System. Hair Transplant Forum International 14:157,163,164Inaba M 1996 Androgenetic alopecia: modern concepts of pathogenesis and treatment. Springer-Verlag, Tokyo pp 238-245Kim JC, Choi YC 1995 Regrowth of grafted human scalp hair after removal of the bulb. Dermatologic Surgery 21:312-313Limmer BL 1994 Elliptical donor stereoscopically assisted micrografting as an approach to further refinement in hair transplantation. Dermatologic Surgery 20:789-793Okuda S 1939 Clinical and experimental studies of transplantation of living hairs. Jon Journal of Dermatologic Urology 46:135-138 [in Japanese]Orentreich N 1959 Autografts in alopecias and other selected dermatological conditions. Annals of the New York Academy of Sciences 83:463-479Rassman WR, Bernstein RM 2002 Follicular unit extraction. Minimally invasive surgery for hair transplantation. Dermatologic Surgery 28:720-728Rassman WR, Carson S 1995 Micrografting in extensive quantities: the ideal hair restoration procedure. Dermatologic Surgery 21:306-311Rassman WR, Bernstein RM 2002 Follicular unit extraction: Minimally invasive surgery for hair transplantation. Dermatologic Surgery 28:720-728Sasagawa M 1930 Hair transplantation. Japanese Journal of Dermatology 30:493 [in Japanese]

Female Hair Loss Causes and Prevention

December 10th, 2009 hair extensions pro No comments

Almost all males will experience hair loss and baldness at some time or another. On the other hand, this condition isn’t typically associated with female. However, it can indeed happen to them. Up to 50 percent of female will experience a problem with hair loss at some point in their life.

This problem is particularly distressing for females. Their hair is such an integral part of the image they project. If it starts to fall out, the consequences are both physically and emotionally difficult to deal with.

It is important to note that female pattern hair loss can begin as early as the late teens to early 20s in women who have experienced early puberty. If left untreated, this hair loss associated with early puberty can progress to more advanced hair loss if it is left untreated

Female Hair loss Causes

Alopecia areata. A possibly autoimmune disorder that causes patchy hair loss that can range from diffuse thinning to extensive areas of baldness with islands of retained hair.

Trichotillomania. Hair loss due to trichotillomania is typically patchy, as compulsive hair pullers tend to concentrate the pulling in selected areas.

Triangular alopecia. Loss of hair in the temporal areas that sometimes begins in childhood. Hair loss may be complete, or a few fine, thin-diameter hairs may remain.

Scarring alopecia. Scarring alopecia typically involves the top of the scalp and occurs predominantly in women.  A form of scarring alopecia may occur in post-menopausal women, associated with inflammation of hair follicles and subsequent scarring.

Telogen effluvium . A common type of hair loss caused when a large percentage of scalp hairs are shifted into shedding phase. The causes of telogen effluvium may be hormonal, nutritional, drug-associated, or stress-associated.

Female Hair Loss Prevention

There are a number of research studies being undertaken to learn more about female hair loss prevention.

The best way of preventing female hair loss is by understanding the process of hair growth. Keep in mind that it isn’t always a permanent condition.

If you want to prevent female hair loss, it’s important that you understand the condition. You might have to try several approaches before you find something that works. And you should certainly consult with your doctor, who can rule out any medical causes. He or she will be able to advise you about the appropriate steps to take and prescribe medication if necessary.

All about Hair Loss?

December 10th, 2009 hair extensions pro No comments

First of all, there are certain treatments that you are on that can cause hair loss; in such cases you would be required to discontinue the treatments.Among the main causes of hair loss are a person’s hormones as well as his or her genetics; these work individually or together to bring about hair loss in most people. Experts have said that the main cause of hair loss in most men is DHT.Hormonal hair loss is not permanent in a female because after her pregnancy or puberty (which all trigger the condition in most females), the hormones mostly always return to normal.Telogen Effluvium is the name given to hair loss which is caused by the sudden outburst of stress in an individual’s life; so yes, stress plays a big role in hair loss.Aside from the possibility that your hair loss during pregnancy can be normal, it’s important to tell your doctor about it so that a thorough medical checkup can be done on you to fully ascertain that there’s no other likely problem that triggered the hair loss.Whichever hair loss product you decide to buy or treatment you decide to use, it’s very important to do your research and learn as much as you can about each, before going ahead; after all it’s your hair and the onus lies on you to make the right decision. Some people with hair loss problems say they have used and benefited from Biotin because it contains the necessary vitamins which support hair growth.I don’t recommend self-diagnosis when you are losing hair; this can lead to more problems than you are trying to solve; always seek the help and expert guide of a hair loss specialist.To close, note that as a female you will always lose hair, especially when taking your bath, applying oil or when combing, but when the hair which falls off is a lot more than normal, then there is a reason to be concerned.The truth about the matter is that baldness cannot be cured. There are several treatments for baldness that can provide come form of respite for the bald man or woman. Medication may not be effective for a person whose hair loss problem is extensive in scale. But what works wonders for bald people is hair transplant. It’s expensive, yes, but it works and can make your problem of bald head a thing of the past. An alternative to hair transplant surgery is to wear wigs. Wigs can be used to cover up the bald patches around your head. You can select a beautiful wig from the array of wigs that are available on the market to help cover up your baldness. Your hair loss condition may be a result of the medication you are taking. As a general rule, anticoagulant drugs tend to cause a lot of side effects including hair loss. Chemotherapy treatments have been known to cause hair loss.Pregnant women are bound to experience hair loss after they have been delivered of their babies because certain hormones that cause hair retention return back to their normal state. Hair loss after the birth of a child is usually regained after the normal cycle of hair growth begins again. Hair loss in women who have just given birth is usually noticeable after about three months.Here’s a great article about hair loss…

Alopecia (baldness or Hair Loss)

December 9th, 2009 hair extensions pro No comments

What is Alopecia?Alopecia (also known as baldness or hair loss) refers to loss or lack of hair on part of or the entire scalp and in some cases, other parts of the body. Hair loss can be temporary or permanent and can affect people of all ages. Although alopecia can occur anywhere on the body, it is most distressing when it affects the scalp. It can range from a small bare patch, which is easily masked by hairstyling to a more diffuse and obvious pattern [3, 4].Causes of AlopeciaCauses of alopecia include,1. Genetics2. Prolonged fever3. Hormonal changes, such as childbirth, use of birth control pills or thyroid disease4. Treatment for cancer, such as chemotherapy5. Continual hair pulling or scalp rubbing6. Burns or radiation therapy7. Emotional or physical stress8. Ringworm of the scalp (Tinea capitas)9. Some prescription medicine(To mention a few)Types of AlopeciaThe different types of alopecia associated with loss of hair on the scalp include,1. Androgenetic alopecia (Genetic hair loss)Androgenetic alopecia, also known as male pattern hair loss is a major problem affecting men and is such that by the age of 50, up to 50% of men who are genetically predisposed will be affected. It is characterised by progressive, patterned hair loss from the scalp and its prerequisites are a genetic predisposition and sufficient circulating androgens (steroid hormone such as testosterone or androsterone, which promotes male characteristics). According to Sinclair (1998) every Caucasian male possesses the autosomal inherited predisposition, and as such, 96% lose hair to some degree. Sinclair also mentions that Caucasian men are four times more likely to develop premature balding than Black men. Hair loss does not usually start until after puberty with an extremely variable rate of progression [1, 5]. The condition is also fairly common in women and is referred to as female pattern hair loss. In women, “it is characterised by a diffuse reduction in hair density over the crown and frontal scalp with retention of the frontal hairline” [6]. Birch et al (2002) make mention of the fact that in some women, the hair loss may affect a small area of the frontal scalp whilst in others the entire scalp is involved. In advanced female pattern hair loss, the hair becomes very sparse over the top of the scalp bit a rim of hair is retained along the frontal margin. The vertex (crown or top of the head) balding seen in men is rare in women; however, a female pattern of balding is not uncommon in men [6]. The androgen-dependent nature or the genetic basis of female pattern hair loss has not been clearly established, although a study carried out by Sinclair et al (2005) showed that androgens play an important role in the development of female pattern hair loss.2. Alopecia areata (AA)Alopecia areata (AA) is a common, immune-mediated, nonscarring form of hair loss, which occurs in all ethnic groups, ages (more common in children and young adults), and both sexes, and affects approximately 1.7% of the population [8, 9]. Alopecia areata is unpredictable and patients usually present with several episodes of hair loss and regrowth during their lifetime. Recovery from hair loss may be complete, partial, or nonexistent. It is thought that 34 to 50% of patients with AA will recover within a year whilst 15 to 25% will progress to total loss of scalp hair or loss of the entire scalp and body hair where full recovery is unusual [8, 11]. It usually presents as a single oval patch or multiple confluent patches of asymptomatic (without obvious signs or symptoms of disease), well circumscribed alopecia with severity ranging from a small bare patch to loss of hair on the entire scalp. Frequent features of AA patches are exclamation mark hairs, which may be present at its margin; the exclamation mark hairs are broken, short hairs, which taper proximally. The hair loss from AA may be the only obvious clinical abnormality or there may be associated nail abnormalities. Other less common associated diseases include thyroid disease and vitiligo [4, 10, 11]. Clinical presentation of AA is subcategorised based on the pattern and extent of the hair loss. If categorised according to pattern, the following are seen;a. patchy AA, which consists of round or oval patches of hair loss and is the most common,b. reticular AA, which is a reticulated (networked) pattern of patchy hair loss,c. ophiasis band-like AA, which is hair loss in parieto-temporo-occipital scalp (middle-side-back of scalp),d. ophiasis inversus, which is a rare band-like pattern of hair loss in fronto-parieto-temporal scalp (front-middle-side of scalp), ande. diffuse AA, which is a diffuse decrease in hair density.[Taken from Shapiro J and Madani S, 1999]If categorised according to the extent of involvement, the following are seen;a. alopecia areata, which is the partial loss of scalp hair,b. alopecia totalis, which is 100% loss of scalp hair, andc. alopecia universalis, which is 100% loss of body hair.[Taken from Shapiro J and Madani S, 1999]3. Telogen Effluvium (TE)Telogen effluvium is an abnormality of hair cycling, which results in excessive loss of telogen (resting phase of hair cycles) hairs and is most common in women. Women with this disorder would usually notice an increased amount of loose hairs on their hairbrush or shower floor. Daily loss of hair may range from 100 to 300 hairs. It is thought that TE may unmask previously unrecognised androgenetic alopecia. The most common underlying cause of TE is stress; other causes include certain diseases such as thyroid and pituitary diseases, some medication and child birth, to mention a few. In many cases however, no cause can be found. TE usually begins two to four months after the causative event and can last for several months [4, 12]. Unlike some other hair loss conditions, TE is temporary and hair regrowth is possible [4]. Telogen effluvium presents in about three forms;a. Acute telogen effluvium, where shedding of hair is expected to cease within 3 to 6 monthb. Chronic diffuse telogen hair loss, which is telogen hair shedding persisting longer than 6 months. Common causes include thyroid disorders, acrodermatitis, profound iron deficiency anaemia, and malnutrition.c. Chronic telogen effluvium (CTE) is the most common cause of hair loss in women, affecting 30% of females, between the ages of 30 and 60 years old, in the UK. CTE is such that there is a relative change in the proportion of growing to resting hair and in most cases, excessive shedding of hair has been present for at least 6 months. According to Rushton et al (2002) studies have shown that 95% of CTE cases arise from a nutritional imbalance involving the essential amino acid L-lysine and iron. Other common causes of CTE include drugs, thyroid disease and childbirth [1, 11].4. Cicatricial alopecia (scarring alopecia)Circatricial alopecia, also known as scarring alopecia, refers to a group of rare hair disorders resulting from a condition that damages the scalp and hair follicle. They present as areas of hair loss in which the underlying scalp is scarred, sclerosed, or atrophic. In other words, the disorders destroy the hair follicle and replace the follicles with a scar tissue consequently causing permanent hair loss. Conditions associated with circatricial alopecia include autoimmune diseases such as discoid lupus erythematosus, scalp trauma, infections such as tuberculosis and syphilis, and radiation therapy. Circatricial alopecia affects both adults and children, and may present as primary or secondary circatricial alopecia [4, 13].5. Chemotherapy-related alopeciaAlopecia caused by chemotherapy may vary from slight thinning of the hair to complete baldness. The extent of alopecia depends on the choice of drugs and its dose. Drugs which cause severe alopecia include methotrexate, vinblastine, adriamycin, ifosphamide, vincristine, and taxoids to mention a few. When drugs are used in combination, which is usually the case with many treatment regimes, the incidence and severity of alopecia can be greater than usual. According to Randall et al (2005) “chemotherapy-related alopecia has been rated by patients as one of the most severe, troublesome and traumatic chemotherapy-related side effects”. Hair loss due to chemotherapy is not permanent and as such, the hair will grow back once treatment has ended [14].6. Traumatic alopeciaThis is usually a very common cause of hair loss in women of some ethnic backgrounds (particularly women of African/Caribbean descent). It is caused as a result of hair grooming techniques by the use of hair reshaping products such as relaxers, straighteners, hot combs, foam rollers and permanent wave products, as well as hair braiding methods. These techniques damage hair follicles over time [15]. Traumatic alopecia is divided into three categories;a. Traction alopecia, which results from persistent pulling of the hair by tight rollers, tight braiding or ponytails. The use of blow-dryers, vigorous combing or brushing and bleaching of the hair can also contribute to hair breakage. Thinning begins above the ears and the forehand, and if the causative styling methods are not stopped, irreversible hair loss can result as the hair follicles are destroyed [15, 16].b. Chemical alopecia, which results from the use of commercial relaxer and styling products. These products contain chemicals such as thioglycolates, which create curls or straighten the hair by destroying the disulphide bonds of keratin. Apart from curling or straightening the hair, these chemicals may have irritant effects on the scalp, which can result in hair shaft damage, inflammation of the scalp and loss of hair roots. All these can lead to irreversible damage of the hair follicles [15, 16].c. Hot-comb alopecia, also known as follicular degeneration syndrome, results from the excessive use of pomades with a hot comb or iron, which leads to a gradual destruction of hair follicles. When pomade comes in contact with a hot comb or hot iron, it liquefies and drips down the hair shaft into the follicle. This results in chronic inflammatory folliculitis, which can lead to scarring alopecia and consequently permanent hair loss. Thinning usually begins at the crown and then spread evenly throughout the head. The condition is irreversible [15, 16]. Common baldness/hair loss mythsSeveral myths about hair loss exist, some serious, others not so serious. These myths include;1. Male pattern baldness (as well as female pattern baldness) is inherited from the mother’s side of the family: This is not true as studies have been conducted, which conclusively suggest that it can come from either side of the family.2. Cutting the hair can make it grow faster and stronger. When hair grows longer, it is worn down by normal wear and tear and as such gets slightly thinner around the diameter of the shaft. Cutting the hair cuts it back to where there is less wear and tear and subsequently the hair shaft is slightly thicker, giving the impression that cutting the hair makes it thicker. It would also not grow faster as hair grows almost exactly half an inch per month regardless of whether it is cut or not.3. Wearing a hat can cause hair loss. This can only happen if the hat is prohibitively tight as any form of pulling or tightening of the hair can have some effect on hair loss; however, wearing a hat on its own cannot cause hair loss.4. Towel drying your hair rigorously will make your hair fall out faster. This can only occur if the hair was due to fall out anyway; however you won’t be promoting additional hair loss by towelling rigorously5. Rubbing curry on the head will help hair loss. Not only will it not work, you’re likely to smell afterwards as well.6. Split ends can be repaired. This is not true as split ends cannot be repaired and should be cut off immediately to avoid them splitting higher and causing more damage to the hair.7. Having a cow lick the top of your head can help hair loss. This would not help your hair loss, but might be entertaining to watch.8. Standing on your head, or hanging upside down will increase the blood flow to the head and reduce hair loss. It is true that standing on your head or hanging upside down will increase the blood flow to the head; however, it won’t do anything to hair loss.Quality of life and psychological aspectsThe hair constitutes an integral part of our self and our identity and as such hair loss may cause a wide range of psychological problems related to our identity. Alopecia in itself has few physically harmful effects; however, it may lead to problems such as high levels of anxiety, social phobia, paranoid disorder and serious depressive episodes. The extent of alopecia is one of the predictors of the severity of psychological distress [12, 17].There is an important link between hair and identity, especially for women. Feminity, sexuality, attractiveness, and personality, as reiterated by Hunt et al (2005), are symbolically linked to a woman’s hair and as such hair loss can seriously affect self esteem and body image. Hunt et al (2005) also stated that about 40% of women with alopecia have had marital problems as a consequence whilst about 63% claim to have had career related problems [18]. Psychological problems can also be experienced by children affected by alopecia. Management of AlopeciaAlopecia can be managed in different ways, depending on type and severity. The various methods of management include;1. Medical treatment such as the use of topical minoxidil, oral finasteride, topical tretinoin, exogenous estrogen, spironolactone and anti-androgens for androgenetic alopecia. The type of treatment and dose may vary depending on gender and age (i.e. adult or children).2. Medical treatment such as the use of immunomodulatory agents (e.g corticosteroids, 5% minoxidil, and anthralin cream) and topical immunotherapeutic agents (e.g dinitrochlorobenzene and diphenylcyclopropene) for alopecia areata.3. For hair loss caused by telogen effluvium, the underlying cause is usually treated first.4. Cicatricial alopecia is sometimes managed using both systemic and topical therapy, this includes the use of hydroxychloroquine, topical immunomodulators (e.g tacrolimus and pimecrolimus), intralesional injections of triamcinolone, mycophenolate mofetil, cyclosporine, and isotretinoin, to mention a few.5. When hair loss is extensive, wigs may be worn; there is also the option of hair transplantation (using minigrafts).6. To reduce the risk of traumatic alopecia, techniques for hair grooming should be used with caution bearing in mind the sensitivity of the scalp and hair follicles. Discontinuance of styling practices may result in an abatement of hair loss and partial hair growth; this depends on the length of insult to the roots. Complete re-growth is possible if hair loss is managed early [15].7. The use of laser phototherapy, which offers a respite from drugs, chemicals, lotions, visits to hospitals, dermatologist centres and surgery, is non-toxic, safe and can be used at home (see our new Hairbeam Phototherapy product).Recommended Products for Hair lossReferences1. Rushton DH, Norris MJ, Busuttil N.Causes of hair loss and the developments in hair rejuvenation. Int J Cosmet Sci 2002; 24: 17-23.2. Biondo S, Goble D, Sinclair R. Women who present with female pattern hair loss tend to underestimate the severity of their hair loss. Br J Dermatol 2004; 150: 750-752.3. Anonymous. What should I know about hair loss? Am Fam Physician 2003; 68(1):107-108.4. Thiedke CC. Alopecia in Women. Am Fam Physician 2003; 67(5): 1007-1014.5. Sinclair R. Male pattern androgenetic alopecia. Br Med J 1998; 317: 865-869.6. Birch MP, Lalla SC, Messenger AG. Female pattern hair loss. Clin Dermatol 2002; 27: 383-388.7. Sinclair R, Wewerinke M, Jolley D. Treatment of female pattern hair loss with oral antiandrogen. Br J Dermatol 2005; 152: 466-473.8. Tosti A, Bellavista S, Iorizzo M. Alopecia areata: A long term follow-up study of 191 patients. J Am Acad Dermatol 2006; doi:10.1016/j.jaad.2006.05.008.9. Kaelin U, Hassan AS, Braathen LR. Treatment of alopecia areata partim universalis with efalizumab. J Am Acad Dermatol 2006; doi: 10.1016/j.jaad.2006.05.062.10. Olsen et al. Alopecia areata investigational assessment guidelines. J Am Acad Dermal 1999; 40: 242-246.11. Shapiro J, Madani S. Alopecia areata: diagnosis and management. Int J Dermatol 1999; 38 (Suppl. 1): 19-24.12. Harrison S, Sinclair R. Telogen effluvium. Clin Exp Dermatol 2002; 27: 389-395.13. Whiting DA. Cicatricial Alopecia: Clinico-Pathological Findings and Treatment. Clin Dermatol 2001; 19: 211-225.14. Randall J, Ream E. Hair loss with chemotherapy: at a loss over its management? Eur J Cancer Care 2005; 14: 223-23115. Goodheart HP. Hair and Scalp Disorders. Women’s health in primary care 1999; 2(5): 338, 343.16. Women’s Institute for Fine and Thinning Hair. Traumatic Alopecia. Rogaine 2003. Available via: http://www.womenshairinstitute.com/th_wcth_ta.asp [Accessed on 05/07/2007].17. Schmidt S, Fischer TW, Chren MM, Strauss BM, Elsner P. Strategies of coping and quality of life in women with alopecia. Br J Dermatol 2001; 144: 1038-1043.18. Hunt N, McHale S. The psychological impact of alopecia. BMJ 2005; 331:951-953.19. Understanding hair loss. Hair loss myths. Available via: http://www.understanding-hair-loss.net/hair-loss-myths.htm [Accessed on 05/07/2007].20. Hair Styles. Top 10 Hair Myths. Available via: http://www.hair-styles.org/top-10-hair-myths.html [Accessed on: 05/07/2007].DisclaimerThis article is only for informative purposes. It is not intended to be a medical advice and is not a substitute for professional medical advice. Please consult your doctor for all your medical concerns. Kindly follow any information given in this article only after consulting your doctor or qualified medical professional. The author is not liable for any outcome or damage resulting from any information obtained from this article.

Find out more information: http://www.allergymatters.com/acatalog/Alopecia_learning_Centre.html

Visit us on facebook:

Hair Loss: Patterns and Causes in Men and Women

December 9th, 2009 hair extensions pro No comments

Hair Loss: Patterns and Causes in Men and Women

Hair loss in adult male and female is not uncommon. Adults lose about 10,000 scalp hairs each and every day. Hair normally lives for around five years. Male and female baldness happen when these hairs do not always get replaced (which they normally would) and gradually bald areas appear. There are a lot of hair loss treatments as well as hair loss remedies in the market today. But how effective are they? Let’s have a post mortem of the causes of hair loss and the hair loss treatment available today and find out which products or treatments suit you the most.

The Normal Cycle of Hair Growth and Loss

The normal hair cycle growth lasts between 2 to 6 years. Each hair strand grows at the rate of approximately 1 centimeter per month during this phase. As a matter of fact, about 90 percent of the hair on your scalp is in the active growing phase while the rest 10% is in dormant phase. Once a hair strand enters a dormant phase (hair stop growing), it will stay on the scalp for 2 to 3 months, then fall out. It is normal to shed some hair each day (average of 100 strands) as part of this cycle. However, some people may experience excessive (more than normal) hair loss. Hair loss of this type can affect both men and women and even children. 

Causes of Hair Loss

Illness

A number of things can cause excessive hair loss. For example, about 3 or 4 months after an illness or a major surgery, you may suddenly lose a large amount of hair. This hair loss is related to the stress of the illness and is temporary. Hormonal problems may cause hair loss, which more often than not, caused by stress. If your thyroid gland is overactive or underactive, your hair may fall out. Certain infections can cause hair loss. Fungal infections of the scalp can cause hair loss in children. Finally, hair loss may occur as part of an underlying disease, such as lupus or diabetes. 

Scalp Cleanliness

If you have dandruff, you need to get rid of it. Dandruff can be a source of hair loss when it combines with dirt, shampoo chemicals, and excess sebum follicle oil. Over time this combination of chemicals can create a film on your scalp that hardens and start to plug up your hair follicles. Once plugged, your follicles can’t support hair growth. 

DHT (di-hydro-testosterone)

When excessive amounts of testosterone are converted to DHT by the enzyme 5-alpha reductase, this DHT accumulates at the hair root where it blocks blood circulation to that hair follicle. This decrease in blood to the hair root weakens it and it loses its health. 

Male Pattern Baldness

The male pattern baldness form of androgenetic alopecia  (inherited hair loss pattern) accounts for more than 95% of hair loss in men. By age 35, two-thirds of men will have some degree of appreciable hair loss and by age 50 approximately 85% of men have significantly thinning hair. About 25% of men who suffer from male pattern baldness begin the painful process before they reach 21. In male-pattern baldness, hair loss typically results in a receding hair line and baldness on the top of the head. Most men who suffer from male pattern baldness are extremely unhappy with their situation and would do anything to change it. Hair loss affects every aspect of their life. It affects interpersonal relationships as well as their professional life. It is not uncommon for men to change their career paths because of hair loss. 

The Causes of Male Pattern Baldness

Most men are genetically predisposed to male pattern baldness. It is the effect of hormones on the hair follicle that produces male pattern baldness. Testosterone, a hormone that is present in high levels in males after puberty, is converted to dihydrotestosterone (DHT) by an enzyme called 5-alpha reductase. DHT has an adverse affect on the hair follicles. Acting on a hormone receptor on the hair follicle it slows down hair production and produces weak, shorter hair, sometimes it stops hair growth from the follicle completely. This process gradually depletes your stock of hair and is normal hair loss. 

Female Pattern Baldness

The patterns of hair loss in women are not as easily recognizable as those in men. Unlike hair loss in men, female scalp hair loss may commonly begin at any age through 50 or later, may not have any obvious hereditary association, and may not occur in a recognizable “female-pattern alopecia” of diffuse thinning over the top of the scalp. A woman who notices the beginning of hair loss may not be sure if the loss is going to be temporary or permanent—for example, if there has been a recent event such as pregnancy or illness that may be associated with temporary hair thinning. 

Patterns that may occur include:

The Causes of Female Pattern Baldness

In women as in men, the most likely cause of scalp hair loss is androgenetic alopecia—an inherited sensitivity to the effects of androgens (male hormones) on scalp hair follicles. However, women with hair loss due to this cause usually do not develop true baldness in the patterns that occur in men—for example, women rarely develop the “cue-ball” appearance often seen in male-pattern androgenetic alopecia. Unlike the case for men, thinning scalp hair in women due to androgenetic alopecia does not uniformly grow smaller in diameter (miniaturize). 

Women with hair loss due to androgenetic alopecia tend to have miniaturizing hairs of variable diameter over all affected areas of the scalp. While miniaturizing hairs are a feature of androgenetic alopecia, miniaturization may also be associated with other causes and is not in itself a diagnostic feature of androgenetic alopecia. In post-menopausal women, for example, hair may begin to miniaturize and become difficult to style. The precise diagnosis should be made by a physician hair restoration specialist or suitable hair treatment products. 

It is important to note that female pattern hair loss can begin as early as the late teens to early 20s in women who have experienced early puberty. If left untreated, this hair loss associated with early puberty can progress to more advanced hair loss.

 

Non-Pattern Causes of Hair Loss in Women

In women more often than in men, hair loss may be due to conditions other than androgenetic alopecia. Some of the most common of these causes are: 

Trichotillomania— compulsive hair pulling. Hair loss due to trichotillomania is typically patchy, as compulsive hair pullers tend to concentrate the pulling in selected areas. Hair loss due to this cause cannot be treated effectively until the psychological or emotional reasons for trichotillomania are effectively addressed. 

Alopecia areata— a possibly autoimmune disorder that causes patchy hair loss that can range from diffuse thinning to extensive areas of baldness with “islands” of retained hair. Medical examination is necessary to establish a diagnosis. 

Triangular alopecia— loss of hair in the temporal areas that sometimes begins in childhood. Hair loss may be complete, or a few fine, thin-diameter hairs may remain. The cause of triangular alopecia is not known, but the condition can be treated medically or surgically. 

Scarring alopecia— hair loss due to scarring of the scalp area. Scarring alopecia typically involves the top of the scalp and occurs predominantly in women. The condition frequently occurs in African-American women and is believed to be associated with persistent tight braiding or “corn-rowing” of scalp hair. A form of scarring alopecia also may occur in post-menopausal women, associated with inflammation of hair follicles and subsequent scarring. 

Telogen effluvium— a common type of hair loss caused when a large percentage of scalp hairs are shifted into “shedding” phase. The causes of telogen effluvium may be hormonal, nutritional, drug-associated, or stress-associated. Loose-anagen syndrome—a condition occurring primarily in fair-haired persons in which scalp hair sits loosely in hair follicles and is easily extracted by combing or pulling. The condition may appear in childhood, and may improve as the person ages. 

There are various hair loss products as well as hair loss treatments available in the market. It is recommended that users should conduct due diligence to identify which product suit them most, in order to stop hair loss and hair thinning.

References:

Olsen EA (ed). Female Pattern Hair loss: Clinical Features and Potential Hormonal Factors. J Amer Acad Dermatol 2001; 45:S-70-S80.

Olsen EA. Hair disorders. In: Freedberg IM et al (eds.) Fitzpatrick’s Dermatology in General Medicine, 5th ed. New York: McGraw-Hill, 1999:729-751.

International Society of Hair Restoration Surgery

 

Get Healthy Hair Now – How To Grow Long, Healthy Hair

December 8th, 2009 hair extensions pro No comments

Get Healthy Hair Now – How to Grow Long, Healthy Hair

Growing long, beautiful and healthy hair is not an extremely difficult process. It does not require the upscale hair products hawked by salons, handfuls of expensive vitamins, or any sort of sacrifice to the long hair gods. What it does take is common sense, dedication, and a lot of patience. Indeed, growing long hair is actually more a question of what you shouldn’t do rather than what you should!

If you make the commitment to closely follow the twenty steps below, not only will you grow long hair but your hair will be in beautiful condition throughout the process.

This guide was written specifically for the person who wants to grow extremely long hair – waist, hip, knee-length or even longer, but it will benefit anyone who is seeking longer locks. Keeping your hair in excellent condition, at extreme lengths, takes more caution and conscious effort than it would if you intend to keep your hair shorter, at mid-back length for example. If your goal is to encourage healthy hair growth but not to the extreme, then certain modifications may be made to a few of the steps below and still maintain successful results. If you use common sense and don’t allow damage to occur, you know you’re doing the right thing to promote healthy hair at any length.

It is also important to keep in mind that just about everyone has a “terminal length” which is the longest your hair will grow based on the active growth period of your hair follicles (the growth cycle of individual hair follicles turns on and off as determined by your genetics). Nothing here can help you alter your genetically predetermined terminal length. That being said, you’d be surprised how incredibly often what was thought to be terminal length turns out to be nothing more than hair too damaged to continue to grow… an easily resolved issue!

Hair loss, extreme dryness or any sudden change in your hair’s condition may be due to a medical condition, often thyroid issues. If you are experiencing any of these symptoms, it is imperative that you seek advice from a qualified medical practitioner rather than from this guide. That being said, you might want to check out our disclaimer below.

Please feel free to experiment and tweak the below steps to best suit your own hair type and growth goals.

1.  The first step to growing long, beautiful hair is by far the most important. It is absolutely non-negotiable for anyone who wants healthy hair at any length, but it is also by far the hardest step you will have to follow. In order to have long healthy hair you absolutely have to start with healthy hair. You must cut off every inch that is considerably damaged. If you are going for extreme length, from that point on you will have to treat your hair like delicate, antique lace at all times. Remember, once your hair is at your waist the ends can be as many as six years old. Your hair will go through a lot of trauma in six years no matter how careful you are with it. Because there is absolutely no way to repair damaged hair, you must start out with healthy hair to have healthy hair when it’s long, there’s no way around it. If your hair is not very damaged up the entire shaft, you may start with a very healthy trim and then continue to trim monthly to maintain your length until all the damage is gone; however, keep in mind that if the amount of damage does not continue to decrease using this method, you didn’t remove enough of the damaged hair to begin with and another healthy trim is in order. You’ll save precious time by removing as much damage as possible from the very beginning and immediately implementing the steps that follow to your now beautifully healthy hair!  Remember, long damaged hair is never as pretty as shorter healthy hair, and because healthy hair needs to be trimmed less often and doesn’t break as easily, the result is much faster growth overall. I learned this step the hard way and wasted ten years trying to grow damaged hair I refused to cut… hair that started literally growing like a weed when I finally bit the bullet, did the dirty deed and stopped doing all the horrible nasties that initially resulted in the damage. Duh. Learn from my pain.2.  Always trim your hair often. Damage to your hair will move up from the ends and the only way to stop the damage in its tracks is to remove it as soon as it happens. Trim hair a half inch every month or so (the average rate of hair growth) if you are maintaining your length. If you are actively growing your hair, trim it a half inch every three or four months. In between trims it is beneficial to sit in bright light and snip any splits off the ends of individual hairs with a good pair of hair cutting scissors. If you are persistent with this method, regular trims may be able to be postponed even longer. If your hair begins to show damage, it is important to trim it more often! Damaged hair doesn’t grow, it breaks, and damage will only increase with time.3.  If you don’t have someone you trust implicitly to trim your hair for you, find a salon that caters to long hair, has a long hair specialist, or at least be sure to glare at your stylist as menacingly as you can while you clearly explain your hair-growth goals before letting her come at you with scissors. It also helps to ask the stylist to show you exactly their perception of the amount of hair you want trimmed by showing you what they think is the same distance from the end of their comb. It also helps to remember, it is not in the best interest of most salons or stylists if you rarely make visits to their salon, which is definitely a conflict of interest! If your hair is short and styled, you are always there spending money for maintenance. If your stylist tries to convince you that your long, healthy hair should be cut, run screaming from the salon immediately! Make sure that anyone whose advice you consider, be it a stylist, friend or family member, has only the best interest of YOUR acknowledged hair growth goals in mind. Otherwise smile politely and ignore every word they say. You absolutely are not too old, too thin, too short, too gray, too anything to have long hair.4.  Avoid using any heated appliances whenever possible. No blow drying, no curling irons, no hot rollers, and especially no flat irons or crimpers! If you absolutely must blow dry do so minimally, and contrary to popular belief, it is best to let your hair dry naturally for as long as possible and use the blow dryer just to finish it off at the end if you must. If you must use hot rollers, use flocked or soft rollers, not spiked plastic rollers. If you insist on using curling irons, flat irons or crimpers on a daily basis, really long healthy hair isn’t in your future. If you do use heat on your hair, be sure to use a product that will help protect your hair from it and keep in mind that every time you apply that heat you are likely to cause some damage.5.  Don’t use any harsh chemicals on your hair. Definitely no perms and no peroxide! If you must color, use non peroxide color, henna (but not if you have very dry hair… henna tends to be drying but does help to “plump up” fine hair), or even make your own natural hair color. Hair color with low peroxide is more tolerable, but using these products again and again will eventually affect the health of your hair, it is unavoidable. No perming or straightening ever for any reason. These chemicals actually break down the structure of your hair and completely rebuild it… no other chemicals meant to be applied to hair are more damaging. Don’t do it.6.  Avoid chlorine and saltwater. If you go swimming in either, shampoo your hair as soon as possible after exposure. If you are blonde, you may want to consider using a shampoo specially formulated to remove the green tinge that can come from exposing your hair to chlorine. If you swim very often, invest in a good bathing cap (and to be really kind to your hair, apply deep conditioner and take advantage of the body heat that will be generated while you’re wearing it). If you spend a lot of time in the sun, use a conditioner that provides SPF protection against the sun’s rays, or cover your hair with a tightly-woven hat or scarf.7.  Be extremely careful of what kind of hair jewelry you use. Never use metal barrettes (the “French” style) and absolutely NEVER use rubber bands, they will tear your hair when you try to remove them. Avoid anything that has sharp or rough edges, such as plastic combs with rough seams or hair claws with metal hinges. Never put anything in your hair that attaches with Velcro or springs. If you take anything out of your hair and a significant amount of hair comes out with it, don’t ever put it back in your hair. Scrunchies are very hair-safe, and several can be used if your hair is very long. 8.  Never put your hair in any kind of style that will put undue stress on the individual hairs… no tiny braids, no extremely tight coils. If you pull all or some of your hair into a braid or a ponytail to create your hairstyle, make sure it isn’t pulled tight enough to put stress on the roots of your hair. Pulling hair tight repeatedly commonly results in bald patches! If you go after the long hair “quick fix” and put extensions in your hair, be forewarned that your own hair will likely be significantly more damaged when they are removed than it was to begin with. Dreads almost always have to be cut off to be removed and are tremendously damaging to hair.9.  Avoid extreme diets. If your body isn’t getting enough nutrition, neither is your hair. Even if you try to avoid fat, it’s essential that you don’t completely eliminate all fat from your diet. Your hair (and body) will surely suffer for it. If you tend to restrict calories then be sure to take a multivitamin (any comprehensive one will do) to make sure both your body and your hair get the daily nourishment they need.10.  Be very gentle with your hair when it is wet. Don’t rub your hair vigorously with a towel; gently squeeze the towel down the length of your hair.  NEVER brush your hair when it’s wet, this is when your hair is at its most delicate. Use a very wide-tooth comb to smooth wet hair. In fact, it is best to avoid brushing your hair under most circumstances, a wide-tooth comb is almost always a better choice.11.  Be very careful with what you choose to style your hair. When you do use a brush, use only natural boar bristle brushes, which are useful in distributing sebum (your hair’s natural protective oils) to the ends of your hair and to remove loose hairs. If your hair is so thick that a boar bristle brush won’t penetrate, there are several smooth wood brushes on the market that will be kind to your hair. Using a wide-tooth comb is far less damaging but it is important to choose a comb that is molded or has smooth seams (use a bit of sand paper to smooth rough seams if necessary). Comb your hair often throughout the day to detangle it. Work in small sections, always starting close to the ends, combing down in long, smooth strokes until all tangles are removed, and then starting the next set of strokes higher on the same section of hair. Knots are very hard on your hair and it’s best to avoid them at all costs. Tiny knots that absolutely cannot be removed by any other means should be cut from your hair, not torn. Also, avoid back combing or “teasing” your hair with a fine-tooth comb. This lifts and tears the cuticle, destroying even the healthiest of hair in a very short period of time.12.  Comb your hair to ensure all knots have been removed before shampooing. After the knots have been removed, use a boar bristle brush to remove loose hairs, which will also cut down on knotting during shampooing.13.  Let your hair get dirty once in awhile. That’s right… permission to be lazy, what more could you ask for? Don’t shampoo, spend the entire weekend in bed drinking, eating chocolate covered strawberries, all while those wonderful natural conditioning oils work their magic. Don’t forget the boar bristle brush before shampooing to distribute those oils. 14.  Don’t pile your hair on your head when you wash it, that’s just asking for knots. I recommend using shampoos free of Sodium Lauryl Sulphate or Sodium Laureth Sulphate.  Sodium Lauryl Sulphate (SLS) is a harsh (caustic) detergent that can “actually damage the outer layer of the skin, the stratum corneum, causing dryness, roughness, scaliness, fissuring, loss of flexibility and reduction of the barrier functions of normal healthy skin.  The lipid dissolving action of some detergents, including SLS, cause damage to the moisture retaining ability of the cellular level resulting in water loss and loss of water-binding ability” (Cosmetic Science, C. Prottey, 1978).   Apply shampoo only to the roots and wash your scalp, then work the shampoo to the ends. You may find adding a bit of water to your shampoo or very quickly ducking under the shower spray after initially applying it to your hair will increase lathering significantly, making it easier to work the soap to the ends of your tresses. When you apply conditioner, work it through to the ends of your hair, smoothing and detangling gently with your fingers as you go. Continue smoothing your hair as you rinse. This will make combing your wet hair much easier and less likely to tear.15.  If you wash your hair often or have very dry hair, you may want to consider using only conditioner to wash it on occasion. If your hair isn’t very dirty the conditioner will easily rinse away surface contaminants16.  Rinse your hair in as cold water as you can stand. Not only will this make the cuticle lay flat and less likely to snag and break, but by the same token you’ll get the added benefit of very shiny hair that’s easier to comb wet. Yes, you will get used to doing this, even in the shower, and it is wonderfully invigorating for your whole body, not just your hair17.  If your hair is especially coarse, extremely curly, you didn’t heed my stern advice in Step 1 and your hair is damaged or if it is prone to damage easily, you may want to consider using a leave-in conditioner in addition to a regular rinse-out conditioner.  In some cases, leave-in conditioners may replace rinse-out conditioners altogether.18.  Become familiar with the ingredients in your styling products. Once you know what affects your hair positively or detrimentally, you will be able to effectively choose products that contain ingredients that are best for your hair type. For instance, some people find that their hair does not respond well to silicone products (found in most “smoothing” or “anti frizz” products and many conditioning shampoos), if used over a long period of time. Any ingredient that ends with the suffix “cone” in the ingredient list is usually a silicone derivative and should be avoided by those sensitive to it.  Products that nourish your hair with natural are excellent alternatives to the chemical laden, overpriced high-end lines sold in department stores and salons (I can personally recommend HerbalNature Alternative Hair Products). Either way, what matters most is to use whatever works best for your hair, not what is necessarily the hottest trendy product or for that matter, the most cost efficient product. By the same token, it helps to clarify your hair as often as needed by rinsing with a mixture of apple cider vinegar and water. to remove build-up of product in your hair and avoid the damage to the cuticle this can cause if left unchecked. As a whole, this is one step to growing long, healthy hair in which using common sense rather than falling victim to marketing ploys plays a huge role.19.  Deep condition your hair at least monthly, even if it’s in good shape this will help keep it that way. If your hair is dry or damaged, deep condition weekly. Hot oil treatments are a good alternative for very dry hair or for extra conditioning (but be forewarned, to some extent hot oil treatments will lift any non permanent color you’ve added). You might want to try washing and applying conditioner at night, wearing a shower cap to bed, and rinsing in the morning for a really intense conditioning treatment as well. A word to the wise… conditioning nights have been conclusively proven to be detrimental to romantic evenings with the significant other. Use this information to your own best advantage based on the current status of your relationship.20.  Lessen the friction on your hair whenever possible. Don’t sleep with your hair loose or if you must, use a satin pillowcase. If your hair is very long and prone to getting caught in car windows, seat belts, doors, or even under your butt when you sit down, it’s important to remember that all these things can cause damage to your precious locks. Wear your hair braided or in an updo hairstyle whenever possible to avoid daily wear and tear. And we all know, no matter what promises hair product manufacturers claim, the ONLY way to fix damaged hair is to CUT IT OFF… perish the thought!

http://www.gethealthyhairnow.com

Hair Loss Prevention – Five Main Methods

December 7th, 2009 hair extensions pro No comments

Hair loss can be of great concern to both men and women at some time in their lives. This concern mainly centers on fears of looking prematurely old, unattractive to the opposite sex, lack of self-esteem and, without any real justification, of being thought of as lacking virility and of even being regarded as impotent.

Here, we shall briefly outline three types of hair loss conditions of the Alopecia category. Then we shall outline five methods that are commonly used to address these conditions.

Alopecia Areata has clearly apparent bald patches, often round or oval in shape. Alopecia Areata can appear on the head, beard, and other hairy parts of the body. Even if the spots disappear within a year of treatment, it’s common for Alopecia Areata to reoccur again. Alopecia Totalis means total baldness, all the hair on the scalp has disappeared. Alopecia Universalis is the condition where there is a complete loss of hair from all sections of the body. It sometimes occurs as an extension of generalized Alopecia Areata. The whole head and body of an individual becomes bald. Hair disappears from all regions, i.e., pubic, armpits, eyelashes, eyebrows, chest, legs, beard, and other areas.

Here are five methods to treat hair loss, and these exclude hair transplanting which is outside the scope of this article.

1 Laser or low level light therapy has been shown to be beneficial to hair in several studies. Both clinical treatment and hand held laser therapy are available. Also, larger laser models can be bought for use in salons and hair replacement studios.

2 Di-hydro testosterone (DHT) is the major cause of hair loss for both men and women. DHT inhibitor products can either interfere with the conversion of testosterone to DHT or help to block DHT from binding to the hair follicle.

3 In relation to this, hair vitamin products help to aid in growth of hair; either by inhibiting DHT and/or providing the vitamins and minerals that optimizes good quality hair growth.

4 There are only two FDA-approved treatments for hair loss and one of these, Minoxidil, is the only anti-baldness drug approved for women. Originally introduced as a medicine to treat high blood pressure, it was noticed that users began to grow extra hair.

5 Hair and scalp cleansing products can be optimized to give hair and the scalp the nutrients that are needed without adding harmful chemicals like sodium laureth sulfate, cocamide diethanolamine, or alcohols that are present in most shampoos. These harmful chemicals cause these shampoo to strip hair of the essential oils that hair needs. Proper hair and scalp hygiene and nutrition is the first step to healthier, thicker and fuller hair.

In conclusion, early steps can be taken to address hair loss, however it is strongly recommended that plenty of research is done first to ascertain the real cause of the condition, that may be unique to and thus different from individual to individual, before deciding what action to take.

Hair Loss Caused By Biotin Deficiency

December 6th, 2009 hair extensions pro No comments

It is one hundred percent true that Biotin plays an important role in the prevention of hair loss. According to nutritionists biotin is an important vitamin for hair growth. It is also highly advisable to take biotin in addition to other medcial treatments such Minoxidil, Poscar or Propecia.
Most of the human population consider hair loss as a social embarrassment. Occurrence of hair loss in mid twenties of either sex will definitely affect one’s self-confidence. There are various therapies available to prevent hair loss. Most people are having this question in their mind- How to prevent hair loss?
Biotin and hair loss are inter related. Deficiency of biotin may cause unhealthy and breakage of hair, which might finally lead to hair loss. Biotin is an important component not only to new hair growth but also keeps the skin and nails in perfect health.
Try to avoid raw eggs in your diet since the high amount of protein contained in raw egg binds biotin and makes it non-available to the body which in turn causes deficiency of biotin and hair loss. Always use shampoo, which is enriched with biotin and silica for preventing hair loss.
Supplements are necessary to restore B12 levels, which will completely prevent hair loss. Since Biotin and hair loss are closely related, it is highly advisable to include biotin regularly in your food.
Food containing a lot of biotin are egg yolks and liver. You would have to consume thousands of calories daily to get what your hair needs. That’s why I suggest biotin supplements.
People with blood type A don’t have the ability to absorb B vitamins. As we already know Biotin, a family member of Vitamin B, is required for hair growth. Adding high doses of 58 grams to your food twice daily will prevent hair loss extensively. No side effects are known.
Biotin and hair loss are closely related. So good food full of biotin include brewer’s yeast, green peas, oats, soybeans, walnuts, sunflower seeds, green peas, bulgur and brown rice may definitely help to prevent hair loss.
You should be aware that persons with heartburn, acid reflux, or GERD that are taking antacids may absorb biotin less and hair loss may definitely occur.
So avoid over-the-counter medications of antacids for better assimilation of Biotin and hair loss prevention.
Biotin is hair food! If you suffer from hair loss I highly recommend taking a biotin supplement and using a biotin enriched shampoo.