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Hair Loss Causes & Hair Transplantation

40% of men have noticeable hair loss by age 35 and 65% by age 60. First you need to understand why hair loss occurs. Your hair loss has little or nothing to do with shampooing, hats, or any other practices. Hair loss is largely genetic.

Main Causes Of Hair Loss

There are many causes of hair loss in men and women, including disease, nutritional deficiency, hormone imbalance and stress. By far the most common cause, however, is what is called androgenetic alopecia. Alopecia is simply the medical term for hair loss. Androgenetic refers to the fact that both genetic predispositions to balding and the influence of androgens, or male hormones, play a part in this type of hair loss.

There is a third factor, which is the passage of time, or aging.

So, in order for androgenetic alopecia to occur, there must be:

genetic propensity for balding

presence of androgens or male hormones

aging time to allow the first two factors to exert their influence on the hair follicles

Both men and women produce “male” hormones. The most common of these are testosterone androsteinedione and dihydrotestosterone (DHT). Androgens are produced by the testicles and adrenals in men and by the ovaries and adrenal glands in women. These hormones are important in both sexes, but occur in different concentrations, being much more predominant in males than in females. This, in part, is responsible for the typical differences between the genders.

The exposure of hair follicles to DHT over a period of time can lead to androgenetic alopecia, male and female pattern baldness, in people who are genetically susceptible to balding. The balding process can occur at any age and move at any rate. It can start in the teen years or late in life, develop rapidly, slowly or even tabilize.

Other Hair Loss Causes Alopecia Areata

Alopecia areata (AA) is a recurrent disease, which can cause hair loss in any hair-bearing area. The most common type of alopecia areata presents as round or oval patches of hair loss most noticeably on the scalp or in the eyebrows. The hair usually grows back within six months to one year. Most patients will suffer episodes of hair loss in the same area in the future. Those who develop round or oval areas of hair loss can progress to loss of all scalp hair (alopecia totalis). The cause of alopecia areata is unknown but commonly thought to be an autoimmune disorder in which the body does not recognize the hair follicles and attacks them. Stress and anxiety are frequently blamed by patients as the cause of their hair loss.

The most common treatment is with steroids (for example, cortisone) either topically or by injection. The steroid treatment is considered effective if results are seen during the first twelve months of the process. Results can be poor in adults who have seen the effects of the disease for longer periods of time. Minoxidil can help to slow down or stop hair loss, but rarely, if ever, is able to regrow hair. In some cases, it can help to grow some hair in the crown, but it will not develop a hairline or fill in an area of recession. Surgical treatment of this disorder is not recommended.

Traction Alopecia

Traction alopecia is caused by chronic traction (pulling) on the hair follicle and is seen most commonly in African-American females associated with tight braiding or cornrow hairstyles. It is generally present along the hairline. Men who attach hairpieces to their existing hair can experience this type of permanent hair loss if the hairpiece is attached in the same location over a long period of time. Trichotillomania is a traction alopecia related to a compulsive disorder caused when patients pull on and pluck hairs, often creating bizarre patterns of hair loss. In long term case of trichotillomania, permanent hair loss can occur.

Scarring Alopecia

Hair loss due to scarring of the scalp is called scarring alopecia. Scarring can be due to a variety of causes. Traction alopecia over a period of time may lead to scarring and permanent hair loss. Trichotillomania (compulsive hair-plucking) can cause permanent scalp scarring over time. Injury to the scalp caused by physical trauma or burns may leave permanent scars and permanent hair loss. Diseases that may cause permanent hair loss due to scalp scarring include (1) the autoimmune conditions - lupus erythematosus, scleroderma and (2) bacterial infections such as folliculitis, fungal infections and viral infections such as shingles (herpes zoster).

Trichotillomania

Trichotillomania is the name given to habitual, compulsive plucking of hair from the scalp or other hair-bearing areas of the body. Over time, continual plucking of scalp hair will result in a hairless area - a bald spot. Long term trichotillomania can result in permanent damage to scalp skin and to scarring alopecia. It is not known whether trichotillomania should be classified as a habit or as obsessive-compulsive behavior. In its mildest form, trichotillomania is a habitual plucking of hair while a person reads or watches television. In its more severe forms, trichotillomania has a ritualistic pattern and the hair-plucking may be conducted in front of a mirror. The person with trichotillomania often has guilt feelings about his or her “odd” behavior and will attempt to conceal it.

Triangular Alopecia

The cause of triangular alopecia is not known, but the condition can often be treated medically or surgically. The characteristic pattern of hair loss in triangular alopecia is thinning or complete loss of hair in the scalp area around the temples. If hair loss is not complete, the remaining hairs are often “miniaturized”-fine-textured hairs of thin diameter. Triangular alopecia sometimes begins in childhood with unexplained hair loss in the temporal areas of the scalp.

Telogen Effluvium

Telogen effluvium is the name given to hair loss that is caused when a large percentage of scalp hair follicles are shifted into the telogen or “shedding phase” of hair growth. The cause of this abnormally timed telogen phase may be hormonal, nutritional, drug-related or associated with stress.

Loose-Anagen Syndrome

Loose-anagen syndrome occurs most frequently in fair-haired persons. During the anagen (growth) cycle of hair, scalp hairs sit so loosely in the follicles from which they grow that they can be easily extracted by combing or brushing. The condition may appear in childhood and gradually improve or disappear over time.

Hair Loss in Men

Some men gradually lose their hair over the front, top and crown of their head, but most men still do not understand the root cause of hair loss. This is a natural phenomenon called “male pattern baldness” or androgenetic alopecia. “Andro” refers to the androgens (testosterone, dihydrotestosterone) necessary to produce male-pattern hair loss (MPHL). “Genetic” refers to the inherited gene necessary for MPHL to occur.” The hair follicles in these areas react negatively to the hormone testosterone, resulting in gradual hair loss. The hair on the sides and lower back of the head is genetically programmed not to be affected and does not fall out. Because of this genetic programming, this hair can be permanently transplanted to the thinning and balding areas. This donor hair will not fall out and can be cut, combed and styled just as the hair it has replaced. It will continue to grow for the rest of your life and will not be affected by any hormone changes.

Scale of Male Pattern Baldness

represents a normal head of hair with no visible hair loss is characterized by the beginning of a receding hairline and a “widow’s peak” on the forehead.

patients exhibit a more significant decline in hair above the temples as well as receding from the forehead. In Class 3 Vertex, hair loss is starting to become significant on the crown.

hair loss may become more noticeable on the crown or patients may have significant hair loss above the temples and or front anterior areas.

hair loss approaches significant levels with most hair loss occurring on the top of the vertex and crown. Hair transplantation for this Class and higher Class levels may require more grafts to provide coverage and density.

patients show major hair loss, but still have areas with donor hair available. Transplanting this hair can still have excellent results.

patients show the most significant loss of hair. There may still be sufficient donor hair for transplantation; however, results may be limited.

In men who develop male pattern baldness the hair loss may begin any time after puberty when blood levels of androgens rise. The first change is usually recession in the temporal areas, which is seen in 96 percent of mature Caucasian males, including those men not destined to progress to further hair loss.

Hair loss in men is likely to occur primarily between late teen-age years and age 40-50, in a generally recognizable “male-pattern” baldness known as androgenetic alopecia. Men with male-pattern hair loss may have an expectation of hair loss if they have male relatives who lost hair in a recognizably male pattern. Although the density of hair in a given pattern of loss tends to diminish with age, there is no way to predict what pattern of hair loss a young man with early male pattern baldness will eventually assume. In general, those who begin losing hair in the second decade are those in whom the hair loss will be the most severe. In some men, initial male-pattern hair loss may be delayed until the late third to fourth decade. It is generally recognized that men in their 20s have a 20 percent incidence of male pattern baldness, in their 30s a 30 percent incidence of male pattern baldness, in their 40s a 40 percent incidence of male pattern baldness etc. Using these numbers one can see that a male in his 90s has a 90 percent chance of having some degree of male pattern baldness. The onset, rate and severity of hair loss are unpredictable. The severity increases with age and if the condition is present it will be progressive and relentless.

The amount of androgens present does not need to be greater than normal for male pattern baldness to occur. If androgens are present in normal amounts and the gene for hair loss is present, male pattern hair loss will occur. Axillary (under arm) and pubic hair are dependent on testosterone for growth. Beard growth and male pattern hair loss are dependent on dihydrotestosterone (DHT). Testosterone is converted to DHT by the enzyme, 5 Alpha reductase. Finasteride acts by blocking this enzyme and decreasing the amount of DHT. Receptors exist on cells that bind androgens. These receptors have the greatest affinity for DHT followed by testosterone, estrogen and progesterone. After binding to the receptor, DHT goes into the cell and interacts with the nucleus of the cell altering the production of protein by the DNA in the nucleus of the cell. Ultimately growth of the hair follicle ceases.

The hair growth cycle is affected in that the percentage of hairs in the growth phase (anagen) and the duration of the growth phase diminish resulting in shorter hairs. More hairs are in the resting state (telogen) and these hairs are much more subject to loss with the daily trauma of combing and washing.

The hair shafts in male pattern baldness become progressively miniaturized, smaller in diameter and length, with time. In men with male pattern baldness all the hairs in an affected area may eventually

(but not necessarily) become involved in the process and may with time cover the region with fine (vellus) hair.

Pigment (color) production is also terminated with miniaturization so the fine hair becomes lighter in color. The lighter color, miniaturized hairs cause the area to first appear thin. Involved areas in men can completely lose all follicles over time. Male pattern baldness is an inherited condition and the gene can be inherited from either the mother or father’s side. There is a common myth that inheritance is only from the mother’s side. This is not true.

In summary, male pattern hair loss (Androgenetic Alopecia) is an inherited condition manifested when androgens are present in normal amounts. The gene can be inherited from the mother or father’s side. Medical science has come to learn that baldness genes are actually passed down from both sides of the family and they affect hair loss in women as well as men. Baldness genes may also skip generations and are utterly random in terms of which siblings (male or female) they will affect. They may even have very different effects on siblings in the same family.

Hair Loss in Women

Female pattern baldness is very common. Studies show that incidence of hair loss in women increases from 3% in their twenties to 30% of women in their eighties. Approximately one quarter of all women are affected by some hair loss by the time they are in their fifties.

Women go to great lengths to hide it cosmetically with various hair styles and treatments but the hair loss is common and can be emotionally traumatic.

Female Baldness

Grade 1 female baldness is the least severe with thinning on the top of the head.

Grade 2 hair loss in women is more significant with areas of the scalp showing through thinning hair.

Grade 3 patients may completely lose hair on the crown of the head. In this case, more donor hair will be required to obtain full coverage.

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.

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.

Patterns of female androgenetic alopecia can vary considerably in appearance. Patterns that may occur include:

Diffuse thinning of hair over the entire scalp, often with more noticeable thinning toward the back of the scalp.

Diffuse thinning over the entire scalp, with more noticeable thinning toward the front of the scalp but not involving the frontal hairline.

Diffuse thinning over the entire scalp, with more noticeable thinning toward the front of the scalp, involving and sometimes breaching the frontal hairline.

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.

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.

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 in women due to this cause cannot be treated effectively until the psychological or emotional reasons for trichotillomania are effectively addressed. Therefore, hair transplantation would not be an appropriate treatment option.

Alopecia areata

A possibly autoimmune disorder that causes patchy hair loss in women 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 for a woman 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 of scalp hair. A form of scarring alopecia also may occur in post-menopausal women, associated with inflammation of hair follicles and subsequent scarring. We also refer to this as traction alopecia, a slow chronic pull on the hair root that eventually kills the root system causing balding.

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 in a woman 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.

Postpartum AlopeciaAnother common form of hair loss, postpartum alopecia is caused by hormonal changes during the course of a pregnancy. The changes cause an alteration in the growth pattern of the hair follicles. There is usually very little sign of these changes during the pregnancy itself, but rather a sudden and very excessive loss of hair from three to nine months after the birth of the child. While this is often very traumatic for the new mother suffering from the hair loss, the hair’s growth cycle typically returns to normal within a year after the end of the pregnancy. Therefore, hair transplantation is not a necessary treatment option.

Hypopituitarism and Thyroid DisordersFemale hair loss can be the result of a hormonal change or imbalance. There has been a report describing a young women with hypopituitarism who presented with clinical and histological features of female pattern baldness in the absence of detectable levels of circulating androgens (testosterone and other male hormones) showing this pattern of hair loss is not androgen dependent. Hair transplantation is usually not an initial treatment option in these instances.

Accident or Surgery Related

Women who have had facelifts or other procedures in the scalp that have left scars or, as in the case of brow lifts, has left the hairline too high. In general, these types of hair loss respond well to transplants.

Other Hair Loss Problems Eyebrow Loss

Unlike the loss of scalp hair, the loss of one’s eyebrows is not viewed as a natural process and is, therefore, not cosmetically acceptable. Eyebrows may be lost for a variety of reasons including thyroid and other systemic diseases, alopecia areata, burns, tattoos, infections, repeated plucking, congenital inability to grow eyebrows and a genetic tendency for eyebrows to thin, or disappear, over time.

Eyebrow restoration is similar to other hair transplant procedures performed on the scalp, in that, for appropriate candidates, the transplanted hair is permanent. However, because eyebrows have their own unique attributes, eyebrow transplants differ from hair transplants in a number of important ways.

Gaps in Facial Hair

Alopecia areata is a fairly common form of hair loss in which the hair falls out in small coin-sized spots anywhere on the scalp. Severe forms rarely progress to complete hair loss. This is a medical, not a surgical problem and it should not be treated with transplants unless it has remained stable for many years. Even then, the transplanted hair will likely fall out if the disease is reactivated.

Scars

Various primary dermatologic diseases can affect the scalp, leading to hair loss due to scar formation. Treatment is aimed at medical control of the disease. If the disease remains under control for years, transplants can be considered for the scarred areas, but just like with alopecia areata, if the disease returns, that transplanted hair could be lost.

Hair Pulling

Rarely, patients will actually pull out their own hair. This condition is known as trichotillomania. In adults, it is usually seen in the setting of psychological problems such as anxiety, depression, or frank psychosis. Again, this can be treated with transplants, but it is not uncommon for patients to relapse and begin pulling out the hair again.

Treatment Options Hair Transplantation

Hair transplantation is the simple in-office procedure of removing hair from the donor area (the back or sides of the head) and inserting this hair into the thinning and balding area. Hair from the donor area is genetically programmed to grow for the rest of one’s life. As a hair restoration option, hair transplantation is the only natural and permanent solution that restores a hairline and adds density to the thinning area. For these reasons, it’s the ultimate solution to the main cause of hair loss.

Laser Hair Therapy

Based on the scientific principal of photo-biotherapy, Laser Hair Therapy is a process whereby stimulation of the scalp through Low Level or “cold” lasers, increases blood flow and blocks the harmful hair loss effects of Dihydrotestoterone, also known as DHT. This photo-biotherapy occurs when laser light is absorbed by cells, which causes stimulation of cell metabolism and improved blood flow. Low Level Laser Therapy is an effective, non-surgical, drug-free solution for hair loss and thinning hair. It is also extremely helpful in aiding hair growth after a transplant procedure. Laser Hair Therapy will make your hair look healthier and fuller, reducing the appearance of thinning hair. It works extremely well on its own and will also speed up the process of hair growth after a hair transplant procedure. Many users of Laser Hair Therapy feel they experience an improvement in hair thickness and texture, as well as a deceleration in hair loss and/or miniaturization of hair follicles. There are no known side effects of Laser Hair Therapy and it is recommended for both men and women.

Hair Systems

Hair systems have become more sophisticated in design with the integration of more natural looking hair into almost undetectable base material. They are now more comfortable and durable for use by active and athletic people. This is the perfect solution for people who cannot have hair transplants due to medical or other restrictions.

Minoxidil

Minoxidil is the first medication approved by the United States Food and Drug Administration (FDA) that has been proven to grow hair. It is also available in a stronger 5% solution for men who found the 2%

solution not to be effective. Most men with male pattern baldness are concerned with their frontal hairline. Minoxidil 5% has little or no effect in this critical area. The greater benefit of Minoxidil and Finasteride 1 mg is the slowing down of hair loss.

Finasteride

The FDA gave approval in 1998 to the T. Finasteride 1mg. It has demonstrated some ability to slow hair thinning and promotes hair growth in some men. It cannot completely restore hairlines and is more effective in the crown and vortex areas.

Vitamin and Herbal Hair Restoration Options

There are a number of products available to the consumer that claim to promote healthy hair, reduce or stop hair loss, or speed up the recovery time following a hair transplant procedure. These products does not appear to offer any clinical advantage nor do anything positive for the hair loss client.

Nutritionalists know how important biotin is in skin, nail and hair health. Biotin is an essential water-soluble B vitamin.You can simply make sure that that biotin is in your daily diet or take a supplement.

Zinc is an essential vitamin for healthy hair. However, zinc supplementation should be undertaken only under medical supervision; zinc overdose is associated with a number of adverse physical effects.

A Natural And Permanent Solution

In most cases, the cause of hair loss can be traced to the hormone DHT. As men grow and mature, some are more prone than others to have their hair fall out, while others resist the effect of male hormones and keep their hair usually for their entire life.

Hair that is genetically programmed not to fall out is generally located in a horseshoe shaped area in the back of the head. Hair transplantation is the simple in-office procedure of removing these DHT-resistant follicles from the donor area (the back or sides of the head) and inserting this hair into the thinning and balding areas on the top and front of the head. Hair from the donor area is genetically programmed to grow for the rest of one’s life.

Unlike hairpieces or hair systems, which may not exactly match your hair color and type, hair transplantation looks completely natural because it is your own hair—just moved to the thinning and balding areas. As a hair restoration option, hair transplantation is the only natural and permanent solution that restores a hairline and adds density to the thinning area. For these reasons, it’s the ultimate solution to the main cause of hair loss.

Finding the Right Hair Transplant Surgeon

It is extremely important to find a Surgeon qualified and skilled to artistically transplant hair follicles in a natural-looking way. We specialize in the proven methods, which are always technologically advanced, safe, permanent and affordable, ensuring a smooth, comfortable and simple in-office procedure.

Before Your Hair Transplant

The first step in hair restoration is a full evaluation and consultation with a hair transplant expert. During the consultation, you’ll discuss items such as your expectations, your family history of hair loss, your current hair loss stage and your previous hair restoration experience. After everything is considered, your consultant Surgeon will recommend the best solution, medical or non-medical, for your individual situation. If Hair Transplantation is the best solution for you, a full review of the procedure is next, including:

Which procedure is best suited for you: FUT or FUE

Number of follicular units needed to reach your goal

Fees

Scheduling your appointment

Pre–operative information

During Your Hair Transplant Anesthesia and Donor Hair Removal

On the day of your hair transplant session, you will meet our medical team, complete information forms and have pre-operative photos taken in order to monitor your progress. Please note that all photos are 100% private and only available to you and your Consultant Surgeon. Then we will reconfirm your specific goals and review all artistic considerations.

After confirming your hair restoration plan, you will receive local anesthetic and we will remove the donor hair from the back or sides of your head.

In this FUT session, a ribbon of tissue is extracted. The donor area is then sutured; this will usually leave a thin linear scar that is easily concealed by the remaining hair.

In FUE session, individual follicular units are removed and no stitches are needed.

Preparation, Inspection, or Separation of Follicular Units

During FUT session, our skilled surgical staff divides the donor strip into its follicular groupings, or units, each containing one, two, or three hairs. During FUE session, the medical assistants simply inspect the

follicular units and they are immediately inserted in the recipient area.

Preparing the recipient sites

After anesthesia is used in the recipient area, tiny incisions are made for each graft. Great detailed attention is made to the location, depth and angle. This ensures a completely natural-looking hair transplant.

Placement of grafts

We put great emphasis on restoring your hairline. This zone of hair needs to transition from fine, thin, solitary hairs at the front to thicker, denser hair in the back of your head. This is typically accomplished by placing one and two-hair follicular units in front, while sometimes placing two to three-hair follicular units at the top and back for maximum coverage and density. Densely packing random hairs with follicular units restores hair in the most natural and undetectable manner. We also follow your natural growth patterns to produce the most natural-looking results.

After Your Hair Transplant

After your hair transplant session, you will feel fine and leave the clinic wearing a ball cap. We can provide one for you or you may bring your own if you wish.

For the first few nights following your session, we encourage you to sleep with your head elevated on pillows. Medications are given to make you comfortable. You should follow your Surgeon's instructions on medications.

We often use a new technique called “trichophytic closure” that involves trimming off the upper edge of the incision and then closing the donor area in such a way that the hair near the edge can grow through the scar. The trichophytic closure has the potential to produce a scar that is virtually undetectable.

This state of the art procedure harvests follicular units for the hair transplant surgery using a traditional linear incision. Using a micro surgical technique, natural follicular units are densely packed as grafts into the thinning and balding area. This creates a natural front hairline and a great looking head of hair.

With a FUT session, you can expect:

A full evaluation with the Surgeon

A customized plan designed to treat your individual situation and reach your expectations.

More follicular units than ever before, all in one convenient session.

The entire process to be completed in less time with fewer sessions.

A natural appearance in every stage of the process.

Smaller incisions, a faster healing process – one that is virtually undetectable shortly after the procedure.

Great results in as little as six months.

FUE / Follicular Unit Extraction

A special technique, Follicular Unit Extraction, or FUE, is where individual follicular units are strategically harvested directly from the donor area by scoring the skin and then the units are gently and individually extracted from within the scored circle. The follicular units are then immediately transplanted into the thinning and balding area.

The FUE hair transplant process offers a procedure with no linear scar, no stitches, no bandages and faster healing time.

Plus, if multiple sessions are needed, they can be done within weeks of each other. (The time between traditional linear sessions is usually 6 months.) The result in FUE is a faster healing time and less disruption to your busy schedule.

FUE will give you the latest techniques in hair transplantation and the most natural head of hair. Each client needs a full consultation to determine if they are a perfect candidate for this type of hair transplant surgery.

Best Candidates for FUE

Patients who does not want a linear scar.

Patients with a limited donor supply.

Patients with limited scalp elasticity.

Patients who want to wear their hair exceptionally short.

Patients who don’t mind closely clipping the donor area hair at the time of the procedure.

Benefits of FUE

Allows medical team to select each follicular unit and maximize donor harvesting.

Very low rate of transection.

Small sessions can be done without shaving the donor area.

Quicker, more comfortable recovery because there are no stitches.

Virtually undetectable since there is no linear scar.

Facial Hair Transplantation

Facial Hair Transplantation is designed to restore or increase hair to the beard, goatee, sideburn and mustache areas. Commonly, the absence of hair in these areas is due to genetics, prior electrolysis, laser hair removal, surgery, burns, scarring, or other types of accidents.

The donor hairs come from the scalp or other body hair, which is identical in texture and growth to that of the beard and mustache hairs. Once transplanted, these hairs are permanent and need to be shaved (if desired) just like the other hairs.

To provide a completely natural appearance, the hairs are transplanted in natural follicular units and inserted in the direction of facial hair growth. We understand the critical importance of using the smallest possible incisions in the recipient site. They are also mindful of the careful, aesthetic distribution of any existing gray hairs into the treatment area.

Filling in the blank areas or spaces in a beard helps to connect the beard and mustache, giving the face the balance and symmetry necessary for an attractive appearance.

Eyebrow Transplantation

NEyebrow Hair Transplantation has become very popular because one’s eyebrows generally determine the balance and general appearance of the face. Missing, asymmetric, or shapeless eyebrows often convey a disjointed or jarring facial appearance. People who have completely lost all of their eyebrows from some type of trauma (disease, alopecia areata, burns, tattoos, infections, repeated plucking, or congenital inability) can receive a full eyebrow restoration. Partial eyebrow treatments are generally for cosmetic reasons to create thicker or enhanced brows, cover a scar in the brow, or correct uneven eyebrows.

People who lose their eyebrows from medical treatments like chemotherapy are often not good candidates for eyebrow transplants. When the patient is finished with his or her chemotherapy treatments, the hair often grows back.

Nu/Hart’s Eyebrow Hair Transplantation is a process that takes a single hair follicle from a donor area and inserts it in the direction and shape of the desired eyebrow. A local anesthetic is used so that the client remains awake and alert, yet unable to experience any discomfort.

A well balanced eyebrow often requires the transplanting of about 400 hair follicles. Partial eyebrow implants will usually require less. The targeted amount of follicles can be determined during your free consultation.

Eyebrow Restoration is similar to other hair transplant procedures performed on the scalp, in that, for appropriate candidates, the transplanted hair is permanent. Results of Eyebrow Hair Transplants are

very natural and their growth can transform the balance of the face, yielding a much more symmetrical and attractive appearance

FAQ’s

What causes hair loss?

What are my hair restoration options?

What is a hair transplant?

What is the difference between the Strip Method and Follicular Unit Extraction?

What is a follicular unit?

What is the donor area?

What are the factors that affect a hair transplant?

How many follicular units can be done in one session?

How many sessions will I need?

Is it painful?

What is the recovery like and when can I resume my regular activities?

What are the costs?

What is my next step in getting this done?

What causes hair loss?

The most common cause of hair loss is inheritance. Men and women inherit the gene for hair loss from either or both parents. Men are most commonly affected by the inherited gene as the hormone, testosterone, activates the genetic program causing loss of hair follicles. Currently there is no known method of stopping this type of hair loss. The age of onset, extent and rate of hair loss vary from person to person. Severe illness, malnutrition, or vitamin deficiency can accelerate this process. When applied incorrectly, permanent hair color and chemical relaxers damage the hair and follicle to the extent that hair loss can be permanent. Causes of hair loss do not include wearing a hat, excessive shampooing, lack of blood flow, or clogged pores.

What are my hair restoration options?

The most common types of hair loss treatment options include hair transplantation, hair systems (toupees), topical solutions such as Monoxidil, medications such as T. Finasteride 1mg and laser hair therapy, which relies on the use of low level lasers on the scalp. Other than hair transplantation, all other methods can only, at best, stop hair loss from continuing. None has been known to significantly regrow hair or create a new hairline. Hair transplantation is the only permanent solution to hair loss.

What is a hair transplant?

With hair transplantation, hair is moved from one area of the body (usually referred to as the “donor area”) and transferred to the thinning or balding area (recipient site). The transferred tissue is not “rejected” as it is not foreign tissue. The transplanted hair maintains its own characteristics; color, texture, growth rate, curl, etc. after transplantation and growth. Originally, large circular hair grafts containing 15-20 hairs were transplanted resulting in noticeable and unnatural results. This is sometimes referred to as the “corn row” method or the “doll look.” Techniques have since been developed that achieve natural results by transplanting small follicular units very close together. Typically, hair grows from the scalp in groups of one, two and three hair follicles. These natural follicular units can be placed closer together, resulting in a denser and more natural look. Single follicular units are often used to create a wispy and natural front hairline, whereas multiple follicular units are used to provide greater density in the center of the scalp.

What is the difference between the traditional Strip Method and Follicular Unit Extraction (FUE)?

The FUT method of grafting (the more traditional method) involves the removal of a thin strip of tissue from which follicular units can be taken and transplanted into the thinning and balding area. The extracted follicular units may be used intact, or may be divided into smaller units for transplantation.

In FUE the individual follicular units are harvested directly from the donor area by scoring the skin and mid-dermis to a level of about two millimeters around a follicular unit, then gently extracting the unit from within the scored circle. This is achieved without the need for a linear incision. In this hair restoration procedure, there are no stitches, no linear scar and immediate healing.

What is a follicular unit?

A follicular unit is identified anatomically as a small bundle consisting of one to four hair follicles (typically 2.2 to 2.8 hairs), full- thickness as well as fine hairs and the oil glands, muscles and connecting tissue that accompany and support hair follicles. If you look carefully at a closely-clipped scalp from above (just as you would, for example, at a wheat field from an airplane), you can see that scalp hair does not grow in even distribution like wheat in a field, but rather in little groups of hairs that seem to be clumped together. These little groupings of hairs are called follicular units (FUs). When the scalp is examined under a magnifying glass or microscope, these follicular units look like islands. The islands are rooted at a level beneath the skin surface, called the mid-dermis. Identifying an individual follicular unit can be difficult when follicles grow at angles under the skin and surface in the midst of neighboring follicular units. The identification, harvesting and transplanting of follicular units require the training and skill of a hair restoration Surgeon.

What is the donor area?

The permanent hair at the back of the head is referred to as donor hair. The donor area is genetically resistant to Male Pattern Hair Loss (MPHL). Hair transplantation is the relocation of hair follicles from the donor area to the balding areas on the front and top of the head. Because these hairs originally came from the donor area and are resistant to typical MPHL, they are genetically programmed to grow for the rest of one’s lifetime.

What are the factors that affect a hair transplant?

These almost always include the following:

current stage of thinning and balding

the number and size of follicular units used

the density which the patient desires

the individual characteristics of the patient, e.g. hair wave, hair texture, hair color and skin to hair contrast

client’s expectations

How many follicular units can be transplanted in one session?

Depending on the session and the client, we can often place up to 3000 follicular units in one session using either the traditional strip method or FUE method (follicular unit extraction).

How many sessions will I need?

Our goal is to have each session look completely natural, create a dramatic improvement and satisfy the client. We assume that you may never want or need additional hair transplant sessions. Dependent upon your current stage of balding, the factors the affect hair transplantation, and future hair loss, you may or may not want future sessions. Some clients return for future sessions simply because they desire an even fuller-looking head of hair.

Is it painful?

Most clients have said that going to the dentist was more traumatic than having a hair transplant procedure. Local anesthetics are administered before the session. After this initial application, most clients are completely comfortable and often enjoy watching movies or chatting with the staff during their procedure. Post-operative pain medications are available if needed.

What is the recovery like and when can I resume my regular activities?

Depending on the type of procedure you have done and the type of work you do, it is often possible to go back to work the next day, as is the case with the majority of our clients. We always suggest that you take it easy for the first 24 to 48 hours and avoid strenuous activity, such as heavy lifting, for ten days.

What are the costs?

The cost of your actual hair transplant session depends on a number of factors, including: your stage of thinning of balding, the amount of existing donor area hair and your expectations for the end result. During your free, private, no-obligation consultation, we can discuss all of these variables with you. At this time, you will have a clear picture on the cost of your customized procedure.

Our mission statement has always been: to provide the world’s finest service and quality care; to produce the ultimate most natural results; to meet or exceed the expectations of our clients; and to deliver the best results at an affordable price.

Our clients enjoy a natural and permanent solution to thinning and balding with the latest techniques in micro hair grafting.

Our easy and affordable process, clients look years younger and feel more confident after this simple in-office procedure, enabling them to advance their careers and lifestyles.

Visit- http://www.curlsncurves.com/hair-transplant.html for more information and solution