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Hair Loss Treatment, Thinning Hair Treatment, Baldness Treatment that is Now Available in the UK
and the Rest of Europe
The following terms all refer
to the same subject: Hair loss treatment, male pattern baldness
treatment, hair loss cure, hair loss remedy, stop hair loss, hair
loss solution, thinning hair cure, thinning hair treatment, thinning
hair solution, baldness treatment, stop baldness, baldness cure,
etc.
With at least forty treatments
for thinning hair patented last year and 100 million pounds budgeted
for clinical trials in the near future, there is no mystery why
there is so much confusion regarding the treatment of hair loss.
However, of all the hundreds of shampoos, ointments, herbal
supplements, gimmicks, etc. there is only one medication, Propecia
that doctors routinely prescribe their patients for hair loss.
There is only one hair
loss treatment medication that may state in their advertising and/or
labeling that their product promotes hair growth or prevents the
loss of hair. All the rest of the products many of whose
effectiveness are exposed to minimal, if any, during clinical trials
should be purchased judicially.
Propecia
Remains The Most Recommended Hair Loss Treatment by Doctors.
The most prescribed medication for hair loss
treatment remains Propecia . Propecia has
proven to be the most effective hair loss treatment medication in
numerous studies concerning male pattern hair loss.
Researchers have recently discovered that men who
suffer from male pattern hair loss have increased levels of dihydrotestosterone
(DHT). DHT is produced from testosterone through the activity of
5-alpha-reductase enzyme. Propecia hair loss medication inhibits 5-alpha-reductase,
thus blocking the formation of DHT. This appears to interrupt a
key element in the development of male pattern hair loss.
Clinical studies were conducted
in men aged 18 to 41 with mild to moderate degrees of hair loss.
Clinical trials with Propecia, have shown the following
positive effects:
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Some 95% of men with hair loss had
visible hair re growth and/or no further hair loss following
the use of Propecia (according to an independent
hair loss panel of dermatologists).
-
Some
96% of the men
taking Propecia for hair loss treatment were rated as
vastly improved by a panel of doctors.
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Most of the men in the Propecia hair re
growth clinical trials reported their bald spot regressing, a
stopping of their hair loss and excitingly the appearance of
hair re growth.
-
Propecia hair loss treatment has
demonstrated an excellent safety profile with very few side
effects.
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Propecia reduces the level of
dihydrotestosterone (DHT), a known
cause of hair loss.
Doctors will tell you for the best results, even with
Propecia the most prescribed hair loss treatment that men
should start hair loss treatment early.
Additional Hair Loss
Treatments
The follow represent
alternative hair loss treatments that have not proved to be nearly
as effective as Propecia. However, in order to give you a
complete reference of the different hair loss treatment we have
included these treatments in the article.
Rogaine, Minoxidil Hair Loss
Treatment
There is one topically applied medication, Rogaine (minoxidil), that physicians
will sometimes prescribe for hair loss. The mechanism of action
of this medication is basically unknown. The medication is known
to be vasodilator, however, other medications that dilate the blood
vessels do not stimulate hair growth. The hair loss medication is
believed to work in part by partially enlarging miniaturized follicles
and reversing the miniaturization process. This supposedly prolongs
the growth phase of the hair cycle, allowing the hair to become
thicker and longer.
Clinical trials have shown with the 2% solution that
26 percent of men ages 18-49 reported moderate to dense hair re-growth
following four months of treatment. An additional 33 percent had
minimal hair re-growth. Approximately 20 percent of women between
the ages of 18-45 had moderate re-growth, while an additional 40
percent minimal re-growth. The new extra strength 5% topical hair
loss solution has demonstrated slightly improved results as compared
to the 2% solution in men. Currently, the extra strength 5% solution
is not recommended for women.
There are some other topical treatment options that
warrant some discussion at this time. Please keep in mind before
you rush out to purchase any of the following products that there
has been limited clinical testing concerning hair loss on these
treatments.
Acelaic Acid Hair Loss
Treatment
Azelaic acid is a naturally occurring dicarboxylic
acid found in whole grain cereals and animal products. The medication
has been approved as a topical preparation to treat acne vulgaris.
It is also used by dermatologist to lighten hyperpigmented skin.
However, there is some scientific evidence that azelaic acid is
a competitive inhibitor of Alpha-5 Reductase. Inhibiting Alpha-5
Reductase decreases the levels of DHT (dihydrotestosterone) in the
scalp. Side effects associated with azelaic acid include: itchiness,
tingling, or stinging sensation occurring in 1-5% of patients, redness,
dryness and peeling of the skin seen in less than 1% of patients,
some patients have noted a lightening of the skin.
Potassium Sparing Diuretics
A "Potassium Sparing Diuretic" that has
been used for decades to treat high blood pressure and fluid retention.
However, there is also some scientific data suggesting a beneficial
effect of the "Potassium Sparing Diuretic" on hair loss.
The "Potassium Sparing Diuretic" has been noted to have
anti-androgen activity. Androgenetic alopecia (male and female patterned
baldness) is heavily influenced by androgens (most specifically-
DHT). "Potassium Sparing Diuretic"binds to the receptor
sites on the hair follicles which blocks DHT from having its deleterious
affect on the hair follicle. Side effects associated with spironolactone
are minimal now that "Potassium Sparing Diuretic" has
been made into a topical solution, instead of a pill. Rarely, a
patient will develop a rash from the "Potassium Sparing Diuretic"
solution, which resolves upon dicontinuation of the lotion. The
product also has a malodorous scent which is increased if "Potassium
Sparing Diuretic" is combined in the same container with other
chemicals (i.e.- minoxidil, retinoic acid). "Potassium Sparing
Diuretic" solution is be applied to the balding scalp twice
a day. It should be applied and allowed to dry (few minutes) before
placing on the minoxidil solution.
Hairpieces
For individuals who have not benefited from the pharmaceutical
approach there are hairpieces. Interestingly, over a million men
in the U.S. sport a hairpiece, spending some 350 million annually
on the purchases and maintenance of these products. "You would
think with all his money he would have a decent hair piece,"
is the quite frequently stated remark concerning men with ill-fitting
hairpieces. However, cost has less to do with a good-looking hairpiece
than does the selection of the manufacturer combined with the grooming
and care given it by the wearer. An attractive hairpiece requires
careful color matching, fitting, as well as subsequent styling and
replacement. Unfortunately, many individuals fail to properly care
for their hairpieces as time progresses. Hairpieces can be made
from synthetic materials such as nylon or actual real human hair.
Prices can vary considerably, small filler pieces may cost from
£250.00 up, full wig £1000.00 up. The average hairpiece
of good quality, synthetic or real will usually cost between £1000.00-£3,500.00.
The debate goes on, human hair verses synthetic hair.
Human hair tends to react more to the sun and other elements such
as chlorine. The most significant problem is the color of the hair
fades with time. Human hair also requires more maintenance including
monthly visits to the hair stylist for styling and cleaning, at
a cost of £40-£60; periodic dyeing can cost another
£75-£100. Additionally, hairpieces made from human hair
rarely look appropriate longer one year. Manufacturers of synthetic
hair claim their products look more natural, are water resistant,
hold their shape better and last longer than human hair. However,
individuals must still bring their hairpiece in for maintenance
every four to six weeks, at a cost of £35-£50. Synthetic
hair generally looks natural for up to two years. The decision human
verses synthetic is primarily one of preference. Reputable hairpiece
companies will encourage individuals to research both types of hair
prior to purchasing.
Hair Transplants
The popularity of hair transplants combined with frustration
of managed care has pushed all types of physicians into the field,
which has historically consisted of dermatologist and plastic surgeons.
The influx of new hair-transplant physicians has subsequently brought
transplant prices down significantly from as high as £30.00 to as
low as £4.00 per graft. This reduction in price is not necessarily
favorable news for all patients. Some of the more reputable hair
transplant centers have suggested that a third or more of their
clientele result from patients looking for someone to repair the
inadequacies of previous transplants.
During recent years, physicians have developed and
refined new transplant techniques that represent the way hair grows
naturally. Physicians now transplant hair using the mini/micro-graft
procedure. Rather than creating rows or clumps of conspicuous hair
the mini-graft transplant consist of much smaller grafts containing
3-6 hairs, approximately the size of a pinhead. Micro-grafts contain
only 1-2 hairs and are used on the periphery to create a soft and
natural hairline.
Donor sites are usually obtained from the posterior
aspect of an individual's head. Usually a 1/2 to 1 x 3 to 5 inch
donor strip of hair is surgically removed. The scalp is very elastic
so the incision is simply pulled together and closed with sutures.
The small suture line remains concealed by the existing hair.
The surgery team then delicately divides the donor
graft into mini/micro grafts for transplant. The grafts are then
implanted into the appropriate donor sites. The correct selection,
placement and angle of the grafts remain the critical element in
obtaining a positive result. Physicians must posses a unique artistic
flare combined with surgical skill to create a natural appearance
of the hair. Hair transplants have evolved to the point where they
are done on an outpatient basis. Most surgeries last 3-4 hours and
patients may return home a couple of hours following the procedure.
A bandage is usually applied to keep the area clean and free from
infection, patients are usually asked to return the next day for
a follow-up appointment. Many patients return to work within 24
hours although strenuous activity is discouraged.
Fortunately the scalp is very vascular, so the healing
process is relatively short. However, as with any surgery there
is always risk of infection. Individuals may also experience some
swelling of the forehead in the week following the surgery, some
areas may also scab over. Patients should also realize that transplanted
hair shaft often go into a resting phase shedding the existing hair.
Usually within 3-6 months the transplanted hair follicles will begin
to produce noticeable hair.
The number of procedures required is dependent on
the surface area that needs to be covered and the expectations of
the patient. The human scalp averages one follicular unit per 1mm
and each unit represents approximately 2.2 hairs. So a section of
healthy scalp measuring 1cm by 10 cm would represent some 1000 follicular
units or around 2,200 hairs. Normally two or three sessions are
sufficient to get a natural appearance. Natural appearance does
not necessarily dictate natural density. Hair loss remains a dynamic
process and donor sites are limited, therefore, individuals are
encouraged to be realistic about the density of their transplants.
Surgical Procedures for Hair Loss
For those individuals who desire more expedient or
dramatic results there are several other surgical procedures:

Scalp reductions - involve surgically
excising a section of bald scalp from the vertex of the head. Then
the adjacent skin is extensively undermined so the surgeon can close
the incision. Following a recover period, mini/micro grafts are
later transplanted into the appropriate regions. Scalp reductions
can cost between £2,000-£3,500 depending on the extent
of the surgery.
Transpositional flaps - involve a
series of procedures were a surgeon partially dissects a horseshoe
section of skin containing healthy hair from the donor area. The
free end is positioned over the follicular challenged area where
a section of skin has been excised. The surgeon then closes the
donor and recipient sites with sutures. Transplanted micro-grafts
are then inserted to promote a natural look. Transpositional flaps
can cost between £3,000-£9,000 depending upon the extent
of the surgery.
Tissue expanders - are procedures
involving two surgical sessions spaced approximately 8-12 weeks
apart. Expanders are balloon-like devices, which are surgically
inserted under the scalp during the first surgery. The expanders
are then gradually filled with saline solution over a period of
weeks. As the balloons expand, the skin supporting the healthy follicles
is stretched. During the second surgery the expanders are removed,
all or a portion of the bald area is excised and then the adjacent
sections of healthy scalp are sutured together. The major disadvantage
to this procedure is that individuals have to tolerate the strange
appearance of balloons underneath their scalp for several weeks.
Though men can find ways to camouflage this, most find it embarrassing.
Average cost between $4,000-$6,000.
Free flaps - represent an extensive
surgery, first all or a portion of the bald area is excised. A section
of micro vascular surgery, the blood vessels that supply nourishment
to the donor flap are connected to the vessels in the new area.
Sutures are then used to close both donor and recipient areas and
transplanted micro-grafts are inserted to promote a natural look.
There are some disadvantages to the flap procedures. Sometimes the
resulting frontal hair does not appear natural and a scar along
the hairline can be detected. Additionally, the hair of the flap
may grow in a direction different from the natural hairs, giving
an artificial look. Free flaps also cost between £3,000-£9,000
depending on the extent of the surgery.
The above mentioned procedures may be performed using
local or general anesthesia depending upon the extent of the surgery.
Surgical risk is similar to the mini/micro transplant procedures,
there is always a risk of infection. Any licensed physician may
perform hair surgery, many individuals end up with unsatisfactory
results i.e. excessive scarring, patches of thin transplanted hair
partially covering areas that continue to lose hair, loss of hair
leaves the scars from previous surgeries visible, etc. Carefully
and cautiously select a surgeon, beware of seductive marketing brochures
showing after photos of men thick, full heads of hair. Ask for referrals,
actually talk with individuals who the surgeon has treated.
Hair Loss Products
What about all the other products that are so cleverly
marketed including mousses, volumizers , hair sprays, shampoos,
conditioners, hot oils, etc? The first thing to remember is that
many unethical companies are going to play on the emotions of individuals
with hair loss. Companies will claim that their products have "secret
constituents" that make an individual's hair "thicker
and fuller" in hopes that sub-consciously the individual will
believe that the product does actually grow hair. One thing is for
certain, there will never be a "secret constituent" that
actually works for hair loss. When the cure is discovered it is
going to be huge. The news will be the first thing Peter Jennings
mumbles on the evening news. An individual is not going to need
an expert to explain to them the name of the medication, it will
be common knowledge.
Myths Concerning Hair Loss
The following is a list of some common hair loss myths that
companies exploit to sell their concoctions:
- Decreased electrical stimulation
- in the scalp as a cause for hair loss. Some companies will try
to sell individuals "sessions" were they massage and
electrically stimulate the scalp. Sorry, no clinical studies have
ever shown electrical stimulation increases hair growth.
- Poor circulation - in the scalp
produces hair loss. This is false, clinical studies have shown
repeatedly that the blood supply to an individual's scalp with
hair loss is not compromised.
- Vitamin deficiencies - are a cause
of hair loss. Hair loss secondary to vitamin deficiencies is very
rare in the US. In fact, vitamin toxicity (vitamin A) is responsible
for more cases of hair loss than deficiencies in vitamins.
- Blocked follicles - contributing
to hair loss. Although individuals with hair loss may have an
increase in the amount of sebum associated with their scalp. No
study has ever indicated that the sebum could block a hair follicle
from actually growing.
- Parasites - such as ringworm is
responsible for hair loss. Ringworm is actually a fungus. Although
it does cause hair loss, it usually effects children. In addition,
the hair loss associated with the fungus does not have the characteristic
male pattern.
- Toweling off - your head lightly
rather than vigorously. This technique will postpone the inevitable
around two or three days.
There are reputable products on the market that do
not promote hair growth but they can help give the illusion that
an individual has more hair. Regular shampooing is an important
concept for individuals experiencing hair loss. The sebaceous glands
continue to produce the same quantity of sebum even has hair follicles
shrink. Therefore, the thinning hair shaft is subjected to more
oil, which results in flat and/or dull looking hair. DHT is also
found in high concentration sebum and is secreted with the oil onto
the scalp. Regular shampooing prevents the scalp from reabsorbing
the DHT so it cannot be recycled into the follicle, thus, preventing
further damage. As a physician, patients commonly ask for a recommendation
when it comes to shampoo. There are literally hundreds of shampoos
currently on the market with a new product being introduced every
day. The problem is each one of these products has a different marketing
ploy that can be very confusing to consumers.
The most inexpensive shampoo at neighborhood department
store is probably the best, however, none of us would actually use
that shampoo! The next choice would be the Neutrogena T/Gel shampoo.
Neutrogena is a name that has become synonymous with quality products
in the hospital. Merk Pharmaceuticals must also have some confidence
in the Neutrogena products because that is the brand of shampoo
they used in their clinical trials while testing the effectiveness
of Propecia.
Men spend an estimated 60 million dollars
per year on coloring their hair. Melanocytes, the cells containing
the pigment, become dormant as individuals grow older. Usually Caucasian
men begin to show signs of graying around age thirty-five, black
individuals follow around ten years later. By age fifty, approximately
50 percent of all hairs on men are white.
Many men resolve this condition by coloring their
hair. Unlike women, hair coloring is not generally the primary topic
of lunch for most men, they secretly color their hair. Home coloring
techniques have improved significantly over the last several years.
Men now have the option to accurately color their hair at home.
Clairol's product, Men's Choice, provides five shades of color ranging
from light brown to jet-black. The coloring process is simple, men
just lather the lotion in their hair and then shampoo it out in
two-five minutes depending how subtle or dramatic a change they
prefer. The coloring process exhibits added benefits for those individuals
with thinning hair. First, the dyes will color the thin blonde vellus
hairs giving the illusion of more hair. Next, the coloring agents
actually bind to the hair follicles making the follicles thicker
which further contributes to the illusion.
Hair
Loss Treatment, Final Comments:
Doctors agree that the best way to treat hair loss
is to take the offensive, that is begin treatment with Propecia, the
most commonly prescribed medication by physicians for hair loss. Clinical tests have shown that Propecia significantly reduces hair loss, as well as, promotes
new hair growth. Studies have also shown that thinning hair shaft
is subjected to more oil, which results in flat and/or dull looking
hair. DHT is also found in high concentration sebum and is secreted
with the oil onto the scalp. Regular shampooing prevents the scalp
from reabsorbing the DHT so it cannot be recycled into the follicle,
thus, preventing further damage.
Stop Hair Loss
With Propecia
90 percent of men treated with Propecia report the growth of
new hair, making Propecia the most prescribed hair loss treatment by
doctors, worldwide. Propecia has quickly become the number one
prescription drug for hair loss treatment.
Propecia, an oral drug
that is more effective than topical prescription ointments.
Countless independent Propecia hair loss clinical trials have
confirmed that Propecia is most effective drug in promoting hair
re-growth while stopping hair loss.
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