Cosmetic
Procedures for Hair Loss
The most common cause of hair loss in both men and women is genetics. In fact, heredity accounts
for 95% of all the cases of alopecia (baldness) in this country. The remaining 5% of the cases can be
due to a number of things, including diet, stress, illness, andmedications.
·
Medications, vitamins, or minerals. Drugs used to treathigh blood pressure, heart problems, depression, orgout; chemotherapy or radiation treatment for cancerpatients; unusually high levels of vitamin A or low levels of iron or protein; for women, birth control pills can cause hair loss.
·
Illness. Thyroid disease, severe infection, or flu; fungus infections such as ringworm of the scalp.
For women, childbirth may cause temporary hair loss due to the changes that take place
in the body. In some cases, adults or children may have a condition known as trichotillomania, in which there is a
compulsion to pull out scalp hair, eyebrow hair, or eyelashes.
What Are the Treatment Options for Hair Loss?
Rogaine (topical minoxidil) and Propecia (finasteride) are the only drugs approved by
the FDA to treat pattern baldness (hair loss resulting from hereditary causes).
Rogaine is a topical solution that is
applied by directly rubbing it onto the scalp where hair growth is desired.
Only about 10% to 14% of the people who try this lotion experience hair growth.
However, Rogaine lotion can help to slow hair loss.
Propecia is the first pill that can treat
male pattern hair loss. Like all prescription products, it should be given
under a doctor's care. While it is effective, if treatment is discontinued,
results may not be maintained.
Permanent hair loss can also be treated by
hair replacement procedures, such as hair transplantationmethods (such as
micro-grafting, slit grafting, punch grafting), and by scalp reduction. The
type of hair loss as well as the patient's circumstances and desires determine
which hair replacement procedures are most suitable.
Who Is a Candidate for Hair Replacement?
Candidates for hair replacement procedures include:
Men with male-pattern
baldness
Some women with
female-pattern (genetic) hair loss
A person who has lost
some hair as a result of burns or other scalp injuries
Who Is Not a Candidate for Hair Replacement?
Hair replacement is not recommended for the following
people:
Women with a diffuse, or
wide-spread, pattern of hair loss
Those who do not have
sufficient "donor" sites (hair-bearing portions of the head from
which hair-bearingskin is taken)
Common Hair Replacement Procedures
Hair Grafting or Hair Transplant
Hair grafting -- also called a hair transplant
-- is an outpatient hair replacement procedure performed in the dermatological
surgeon's office. Micro grafts contain only one to two hairs per graft, while
slit grafts contain between four and ten, and punch grafts hold 10-15 hairs.
Also available are mini-grafts (containing two to four hairs) and strip grafts
(long thin grafts containing 30 to 40 hairs). Local anesthetic is injected into
the scalp and sedation is available if needed for relaxation and comfort.
What Happens During and After Hair Grafting?
In hair grafting, the dermatological
surgeon first removes a portion of the hair-bearing scalp from the back of the
head. Then, the surgeon cuts the removed scalp into small segments with varying
amounts of hair in each graft, which, when transplanted into the balding area,
produce a very subtle thickening and "natural" look.
With each session, 50 or more hair-bearing
segments are usually transplanted. "Donor" sites are closed withstitches, which usually are then
concealed by the surrounding hair. After the grafting session is complete, the
scalp will be cleaned then covered with gauze and, if necessary, a bandage.
Stitches will come out approximately 10 days later.
How Long Does Hair Grafting Take?
Several sessions may be needed to achieve
satisfactory "fullness." After each session, a healing process of two
to four months is usually recommended.
Will There Be Any Discomfort or Side Effects With Hair
Grafting?
Most side effects that come with hair
grafting usually go away within one to three weeks. Among the most common side
effects are:
Swelling
Crusting on the
"donor" and "recipient" sites of the scalp
A lack of feeling or
sensation around the "donor" and "recipient" sites of the
scalp

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