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Posts Tagged ‘Hair Loss evaluation’

Female Pattern Baldness Treatments

February 21st, 2012

Clin­i­cal fea­tures of pat­tern bald­ness in women usu­ally occur dur­ing early teens and late mid­dle age. This is shown by the grad­ual thin­ning of hair over the frontal area. Usu­ally, pat­tern bald­ness in women is not accom­pa­nied by increased shed­ding of hair, but unlike tel­o­gen efflu­vium, hair loss may be seen from the start. The scalp becomes more and more vis­i­ble as the dis­ease progresses.

 
Most of the time, the cen­tral part of the head widens due to dif­fused reduc­tion of the hair’s den­sity, which involves the frontal scalp and crown. Some women may expe­ri­ence hair loss on some small areas of the frontal scalp while oth­ers may expe­ri­ence the effect on the entire scalp includ­ing the areas of pari­etal and occip­i­tal. Dur­ing hair loss, women usu­ally retain a rim of hair along the frontal hairline.
 
Lab­o­ra­tory Evaluation
Most women with pat­tern bald­ness have nor­mal men­stru­a­tion, nor­mal fer­til­ity, and nor­mal endocrine func­tion, includ­ing cor­rect lev­els of cir­cu­lat­ing andro­gens. There­fore, they would only need exten­sive hor­monal test­ing when symp­toms and signs of andro­gen excess become really vis­i­ble. Lab­o­ra­tory mea­sure­ment of serum total or free testos­terone, dehy­droepiandros­terone sul­fate and pro­lactin are appro­pri­ate when hir­sutism, severe unre­spon­sive cys­tic acne, vir­il­iza­tion, or galac­t­or­rhoea are present. Mea­sure­ment of serum thy­rotropin, serum iron and fer­ritin, and com­plete blood count may elim­i­nate com­mon causes of hair loss.
 
Dif­fer­en­tial Diag­no­sis of Andro­ge­netic Alopecia
Andro­ge­netic alope­cia in women (exter­nal link) can be con­fused with the for­mer con­di­tion. This is in spite of the fact that fea­tures of chronic tel­o­gen efflu­vium are dis­tinct. Any­way, hor­i­zon­tal sec­tions of a scalp biopsy help to dis­tin­guish the two con­di­tions once the ratio of ter­mi­nal hairs shrinks.
 
Mor­phol­ogy
As time goes by, the hairs in pat­tern bald­ness become pro­gres­sively minia­tur­ized. These hairs include the papil­lae and matri­ces, as well as the hair shafts. How­ever, the degree of hair loss in women is not as extreme as it is with some men. Women with pat­tern hair loss have a mosaic of variable-diameter hairs in the affected region of the top of the scalp. Increased spac­ing between hairs makes the cen­tral part appear wider over the frontal scalp com­pared to the occip­i­tal scalp.
 
In some cases, hair vol­ume may still appear nor­mal but the hair would stop grow­ing to its pre­vi­ous length and nor­mally results to thin dis­tal ends. Female pat­tern hair loss is seen on women by visual decrease in hair den­sity while in men, it is by bald­ness on the affected areas.
 
Treat­ment of Andro­ge­netic Alopecia
Hair loss is a result of abnor­mal hair cycle. Because of this, it is the­o­ret­i­cally reversible. How­ever, the cur­rent treat­ment options have lim­its in their per­for­mance and in some cases, only small improve­ments in hair den­sity can be seen. Advanced pat­tern bald­ness may already be dif­fi­cult to treat because irrepara­ble dam­ages may have already taken place on the fol­lic­u­lar stem cell when inflam­ma­tion sur­rounded the bulge area of the fol­li­cle. Some sys­tem­atic treat­ment plans for this case include:
 
 
The cur­rent treat­ment for pat­tern bald­ness is Minox­i­dil. The exact mech­a­nism by which Minox­i­dil works is not known but the treat­ment appears to affect the hair fol­li­cle in three ways: it increases the span of time fol­li­cles spend in ana­gen, it rouses fol­li­cles that are in cata­gen and it enlarges the actual follicles.
 
Hair Loss In Women
 
 
In effect, vel­lus hairs enlarge and are con­verted to ter­mi­nal hairs, and shed­ding is reduced.Exoge­nous estro­gen can be used to treat pat­tern bald­ness, but this reg­i­men is no longer much in use because of Minoxidil’s efficacy.

Finas­teride has been effec­tive on men with pat­tern bald­ness but def­i­nitely it was risky on women. This reg­i­men is not advis­able for women who are still in their child­bear­ing age because of the pres­ence of 5a-reductase inhibitors that may cause exter­nal gen­i­talia abnor­mal­i­ties in male fetuses.

Hair­styling, teas­ing, col­or­ing, per­ma­nents, and the use of hair spray are means of cop­ing with the cos­metic effects of pat­tern bald­ness. How­ever, when the hair loss is grave, the affected per­son may opt to use wigs.

Hair trans­plan­ta­tion is another option since it has already been accepted in treat­ing pat­tern bald­ness on men. Now, it is also being used to treat female hair loss although only a very few women go for this type of treat­ment because of the cost and the pos­si­ble trauma that may go with it.

For those women who have encoun­tered inef­fec­tive and unsuc­cess­ful treat­ments for hair loss, surgery may be another option and thus, the most suited method for them.

Causes of Hair Loss in Women Over 50

September 14th, 2010

There are basi­cally three phases of hair life­cy­cle — ana­gen, cata­gen and tel­o­gen. Ana­gen is the growth phase of the hair. Cata­gen is the rest­ing phase of hair life cycle, while tel­o­gen is the phase in which the hair com­pletes its life cycle and falls off. It is nor­mal for women to lose about 50–100 hair every­day. This num­ber is insignif­i­cant and barely notice­able. Hair loss becomes an issue of con­cern only when you start los­ing sub­stan­tial num­ber of hair every­day. This is because, due to some rea­son, hair fall takes place in the growth phase itself. Here are a few fac­tors which lead to hair loss in women over 50.

Andro­ge­netic Alopecia

This is a genetic con­di­tion which affects about 85% women who com­plain of hair loss in their 50s. These women are genet­i­cally pre­dis­posed for hair loss. The genetic com­po­si­tion from both sides of their fam­ily is respon­si­ble for this. In this con­di­tion, the growth phase of affected hair fol­li­cles shrinks, which cause them to fall pre­ma­turely. More­over, the tex­ture of hair begins to degrade as it grows and it also loses its pigment.

Tel­o­gen Effluvium

This is a non-genetic con­di­tion in which hair falls at the end of their life cycle. How­ever, the cause of hair fall is not nat­ural, but derived. Acute stress, med­ica­tions for heart dis­eases, dia­betes, liver dis­eases etc. are respon­si­ble for tel­o­gen efflu­vium. As you must have noticed, these are the med­ica­tions, which most women over 50 con­sume, hence, tel­o­gen efflu­vium is also a pretty com­mon cause of hair loss in women over 50.

Alope­cia Areata

This is basi­cally an auto-immune dis­or­der, in which the cells of body fail to rec­og­nize its own hair fol­li­cles. The immune sys­tem sends inflam­ma­tory cells to attack these fol­li­cles, caus­ing them to fall off. Apart from this, the immune sys­tem of these women do not show any major prob­lem. A dis­tinct hair loss can be seen, which includes cir­cu­lar bald patches with dense hair growth around.

Trac­tion Alopecia

If you have been abus­ing your hair with dif­fer­ent hair treat­ments, tight bands, vari­ety of hair serums, all your life, then trac­tion alope­cia is what you get at the age of 50. Tight hair bands lit­er­ally pull your hair out of the scalp, while hair treat­ments dete­ri­o­rate the qual­ity of hair, both of which lead to hair loss in later life.

Hair Loss Treatment

Your hair expert may rec­om­mend you an appro­pri­ate treat­ment for cur­ing your prob­lem. Hor­mone ther­apy, drugs, top­i­cal solu­tions can be pre­scribed accord­ing to the cause of hair loss. In some cases, hair loss laser treat­ments can prove ben­e­fi­cial. How­ever, if the cause is genetic, then you have lim­ited scope of grow­ing your hair back. In this case, hair trans­plant is the only option avail­able. How­ever, if you start tak­ing proper care of your hair in your young age itself, you will have lit­tle rea­son to worry about hair loss in your later life. Sim­i­larly, avoid expos­ing your hair to harsh chem­i­cal treat­ments, as far as possible.

Causes of losing body hair

June 3rd, 2010

While the loss of hair from the scalp- hair thin­ning, male pat­tern bald­ness, a reced­ing hair­line, and alope­cia– is a very com­mon and frus­trat­ing prob­lem among both men and women, some indi­vid­u­als suf­fer from loss of over­all body hair. There are five main causes of body hair loss– skin con­di­tions, hor­monal dis­or­ders, med­ica­tions and other med­ical ill­nesses, stress, and diet. Cer­tain skin con­di­tions, such as eczema, pso­ri­a­sis, der­mati­tis, skin injury, and burns, cause dam­age to the hair fol­li­cles and sur­round­ing cells mak­ing hair growth impos­si­ble. In some of these instances, espe­cially in the case of severe skin burns, the cell dam­age can be irre­versible so the body hair loss is also permanent.

Aside from hor­monal dis­or­ders and skin injury, cer­tain other med­ical ill­ness can lead to loss of body hair. Can­cer, dis­eases that affect the immune sys­tem, and con­di­tions that dis­rupt organ func­tion can all cause tem­po­rary lapses in the nat­ural hair growth process. In most cases the body hair loss is restricted to one or two areas most affected by the dis­ease or ill­ness, but in some cases the hair loss can be seen all over the body.

Because there are so many dif­fer­ent rea­sons that you may be los­ing the hair all over your body it is imper­a­tive that you see a doc­tor at the first sign of this hair loss. If the hair loss is a result of an under­ly­ing med­ical con­di­tion it is impor­tant that you receive treat­ment for the dis­ease not just the hair loss.

Orange County hair restoration center reveals hair transplant facts

March 22nd, 2010

When con­sid­er­ing under­go­ing any type of cos­metic surgery, being con­cerned that there will be prob­lems or side — effects is very nat­ural. Learn­ing the facts is vital for relief of any emo­tions that may be caus­ing hes­i­tance to go for­ward with a pro­ce­dure. Hair restora­tion is a sur­gi­cal pro­ce­dure that both men and women are embark­ing to per­ma­nently cor­rect their hair loss.

Hair restora­tion is not a major surgery in fact it is com­monly thought to be eas­ier than vis­it­ing your den­tist. It is an out­pa­tient pro­ce­dure and per­formed with a local anes­thetic. Your scalp is numbed and you are relaxed in a reclined posi­tion while the pro­ce­dure is being per­formed. After your hair trans­plant pro­ce­dure is com­plete you return home that same day and can carry on with the major­ity of your nor­mal activ­i­ties. Patients have even reported no pain and return to work the next day because there are no clear signs of hav­ing a hair trans­plant pro­ce­dure. Anti– inflam­ma­tory med­ica­tion is com­monly pre­scribed to con­trol and reduce any pos­si­ble swelling.

A com­mon ques­tion asked by indi­vid­u­als con­sid­er­ing hair restora­tion is, will there be any scar­ring Scar­ring in the area where the hair fol­li­cles were implanted is extremely rare. In the area where the donor hair was removed, a trchophytic closer tech­nique is used to elim­i­nate any scar­ring; even under close scrutiny scar­ing is unde­tectable. With all of the mod­ern devel­op­ment in hair replace­ment ther­apy, hair restora­tion is a sur­gi­cal pro­ce­dure that has been suc­cess­fully sat­is­fy­ing hair loss patients. In the com­ing post-operative months their hair will begin to grow and thicken, and pos­i­tively impact­ing the rest of their lives.

Hair Loss: Infectious Agents

February 23rd, 2010

Causes of hair loss induced by scalp infections.

Fol­li­culi­tis

Fol­li­culi­tis is a term for inflam­ma­tion of hair fol­li­cles. It looks like acne with lit­tle rings of inflam­ma­tion sur­round­ing the open­ing of a hair fol­li­cle. In the early stages of a fol­li­culi­tis, the hair fiber may still be present, but as the fol­li­culi­tis pro­gresses the hair often falls out. There are non-infectious forms of fol­li­culi­tis, such as those caused by oils and greases applied to the skin that clog up the hair fol­li­cles, but fol­li­culi­tis is usu­ally due to a bac­te­r­ial infec­tion. Non­pre­scrip­tion top­i­cal antibi­otics such as bac­i­tracin, myc­i­tracin, or neomycin can be used to treat minor folliculitis

Piedra

Piedra (tri­chomy­co­sis nodu­laris) hap­pens when the hair fibers are infected by a fun­gus. The vis­i­ble indi­ca­tor of a piedra infec­tion is devel­op­ment of hard nod­ules on hair fibers. Indeed, “piedra” is Span­ish for stone. Piedra infec­tion may affect hairs of the scalp, body, and gen­i­tal areas. Usu­ally the infec­tion is rel­a­tively benign. In parts of Malaysia, the nod­ules of black piedra are con­sid­ered attrac­tive and tra­di­tion­ally women encour­aged its growth by sleep­ing with their hair buried in the soil. Treat­ment gen­er­ally involves shav­ing off affected areas. Anti-fungals such as keto­cona­zole or terbinafine are also used.

Demodex fol­licu­lo­rum

Demodex is a lit­tle worm-like crea­ture that likes to live on skin and in hair fol­li­cles. It feeds on dead skin and oils, so it par­tic­u­larly likes to live in hair fol­li­cles where there are lots of both.

Humans are born free of Demodex, but dur­ing child­hood, through con­tact with oth­ers, the skin can become infected with it. For the most part, we never know they are there. They are benign, if repul­sive, lit­tle crea­tures. The most com­mon prob­lem with Demodex is that they may cause irri­ta­tion, par­tic­u­larly in the eye­lashes. If you have itchy eye­lashes, Demodex may be the problem.

Hair Loss Myths

February 1st, 2010

Hair loss occu­pies all of us. If we are not expe­ri­enc­ing hair loss, we have a close friend or rel­a­tive who does. In fact, mil­lions suf­fer from hair loss. It is only nat­ural that there are many mis­con­cep­tions about hair loss, and could be why so many have a dif­fi­cult time dis­tin­guish­ing fact from fic­tion. When deal­ing with hair loss con­cerns it is best to search out the more com­mon bald­ing myths and gain aware­ness of the facts. When becom­ing more aware of the facts you can then decide which hair loss treat­ment will be most effec­tive for your per­sonal require­ments. The fol­low­ing myths are 5 of the most com­mon hair loss misconceptions.

  1. The myth — Wear­ing a hat may stim­u­late hair loss

The Truth — Unless your hat is so tight that it puts exces­sive ten­sion on the hair, it doesn’t mat­ter if you wear a hat every day.

  1. The myth– Cut­ting  your hair will make it grow back thicker

The truth– Hair feels thicker after a hair cut because hair is thicker at the base but cut­ting your hair will not help pre­vent male or female-pattern baldness

  1. The myth — Stress may cause per­ma­nents hair loss

The truth — In some cases, stress may only cause tem­po­rary hair loss

  1. The myth– Only men expe­ri­ence hair loss

The truth– male pat­tern bald­ness is more com­mon but, a lot of women suf­fer from hair loss and thinning.

  1. The myth– Peo­ple who do not suf­fer from hair loss have no shed­ding of hair at all

The truth– Every­one loses hair. Aver­age hair loss is about 50 per day.

What causes poor hair growth after a hair transplant?

January 8th, 2010

Grafts need to be prop­erly cared for imme­di­ately after being taken from the donor strip, if not they could which will cause the grafts not to grow.

There are numer­ous rea­sons that can con­tribute to poor hair growth after a hair trans­plant how­ever it is very unpre­dictable and has been reported with every tech­nique uti­lized in hair trans­plant surgery. One belief is the grafts planted are dying before they are placed into the recip­i­ent site. The rea­son is, dur­ing the hair restora­tion process the grafts that are left out of the hold­ing solu­tion for a long period, or kept under the micro­scope for an extended period of time and dry out. It is also thought that grafts can be injured in the dis­sec­tion processes or can be trau­ma­tized while they are being placed. If the grafts are grasped too tightly or manip­u­lated too much, the injury maybe to server and the graft will die, which in this cause the hair does not grow. Prop­erly hydrated, grafts will sur­vive out­side the body for many hours.

Normal side effects after a hair transplant

January 3rd, 2010

The side effects a patient expe­ri­ences after hav­ing a hair trans­plant are very nor­mal and should not be of any con­cern. Nor­mal side effects are as fol­lowed. One very nor­mal side effect after hair restora­tion is shed­ding. The hair fol­li­cles go through the “Tel­o­gen phase” which is the phase where the hair falls out. After a few months the hair goes through the “Ana­gen phase” this is the time where the trans­planted hair begins to grow. Itch­ing of the wounds is nor­mal in every sur­gi­cal pro­ce­dure as well as numb­ness but is gen­er­ally tem­po­rary and will return back to how it has been prior to the pro­ce­dure. Cyst are also a very com­mon side effect after a hair trans­plant pro­ce­dure, they appear like small pim­ples on the scalp and gen­er­ally go away in a few weeks. Our patients com­monly recover very quickly when fol­low­ing the post-op instruc­tions and never expe­ri­ence complications.

Balding: The early signs and prevention

December 23rd, 2009

Hair loss affects both men and women, but bald­ing remains a fate reserved mostly for men. If addressed early Bev­erly Hills Hair Restora­tion can help find the right treat­ment, we have made it entirely pos­si­ble for men to pre­vent bald­ness and even re –grow lost hair. Early signs of hair loss symp­toms include thin­ning hair on top of the scalp and the grad­u­ally appear­ance of a bold spot (devel­op­ing a widow’s peak, or diffuse-spread hair loss over the entire scalp). If there’s a fam­ily his­tory of male or female pat­tern bald­ness, it is likely to increase the chance of devel­op­ing this con­di­tion. Pre­ven­tion treat­ments are avail­able at Bev­erly Hills Hair Restora­tion. Male pat­tern bald­ness is by far the most com­mon con­di­tion that Bev­erly Hills Hair Restora­tion deals with. Depend­ing on the stage of hair loss, var­i­ous com­bi­na­tion of clin­i­cally proven hair loss treat­ments are pro­vided to our patients. Hair growth booster prod­ucts and sup­ple­ments may be pre­scribed by Dr. Kahen if he feels his patient will achieve the best pos­si­ble results with this type of pre­ven­tion option.

Hypothyroidism Can Cause Hair Loss

December 11th, 2009

There are a lot of health issues that start to occur when you have Hypothy­roidism. The prob­lem that causes the most con­cern is hair loss.

Hypothy­roidism can cause many prob­lems; one of the most com­mon prob­lems is hair loss. The sever­ity of hair loss varies, it may be as small as the hair thin­ning, to large chunks of hair falling out, or it could be just a change of tex­ture mak­ing it become dry, brit­tle and coarse. Hav­ing hypothy­roidism under con­trol is the first step towards pre­vent­ing hair loss. Luck­ily it is very easy to treat; there are many med­ica­tions that restore the thy­roid gland func­tion. How­ever, treat­ment of the hypothy­roidism may not always result in re-growth of the hair. Here are a few ways to stop hair loss with hypothy­roidism before it hap­pens. Make sure it’s not your thy­roid drug. If your are tak­ing lavothy­roxin (i.e., Syn­throis) as your thy­roid hor­mone replace­ment, and still los­ing hair you should talk to your Doc­tor about alter­na­tive med­i­cines if in fact the med­ica­tion is the cause of your hair loss. Exces­sive hair loss may be a side effect of Syn­throid. Not being at the right TSH or not tak­ing the right drugs can cause hair loss so it is very impor­tant to be prop­erly treated. Nat­ural herbs are an alter­na­tive to med­ica­tion that aids in hair loss pre­ven­tion, the fol­low­ing vit­a­mins are an exam­ple of a few.

Argi­nine

Cys­teine

Green Tea

Polysor­bate 80

Prog­es­terone

Saw pal­metto

Tri­chosac­caride

Vit­a­min b6

Zinc

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