What causes hair loss in women?

Hair thinning in women which affects nearly 40 million American women is mainly due to heredity and can start any time after puberty. However, we also know that female pattern hair loss can be strongly influenced by age, nutrition, stress, surgery, medications, illness, social/lifestyle factors, hair care and more. As hair follicles weaken and stop producing hair, hair loss occurs.

What causes hair loss in men?

In men we know that hair loss follows a very specific, progressive pattern that is passed on through heredity and is triggered by hormone–specifically dihydrotestosterone or DHT. An estimated 60 million American men are suffering with male pattern hair loss. As hair follicles miniaturize and weaken, coverage of the scalp diminishes leaving thinning or balding areas.

How is a hair loss diagnosis obtained?

The first step for anyone with a hair or scalp problem is to visit a full-time, credentialed hair restoration physician with experience and expertise in accurate diagnosis, successful treatment and long-term follow-up required in the medical management of hair loss patients. A medical hair loss “work up” starts with a detailed medical history, including family history, history of medical illness, poor nutrition, current medications, hair care regimen, recent surgeries and a detailed history of the hair loss situation. A scalp biopsy, blood work or other testing (like a HairDX genetic test) may be performed if indicated by the history and physical symptoms. Physical exam would include evaluation of the scalp for signs and symptoms of hair loss and any concurrent problems, such as inflammation. HairCheck cross sectional trichometry is used to measure Hair Mass in the relatively permanent areas of the scalp compared to the non-permanent or at-risk areas. Video dermoscopy with a HairCam device is used to determine if there is decreased numbers of follicles in the affected
areas, a decreased caliber of follicles in the affected areas, or a combination of both.

What are PRP hair regrowth treatments and how do they work?

PRP or Platelet Rich Plasma for hair regrowth is an in-office, non-surgical, autologous treatment derived from the patient’s own blood that can be performed in about an hour. After the area of concern is identified, evaluated and measured, standardized medical photos are taken in the photo suite. Special gentle and sterile techniques and equipment are used to separate and concentrate the platelets and plasma from a small sample of peripheral blood. A small sample of the blood and PRP is tested in a hematology analyzer to measure and document the improved platelet concentration. PRP contains growth factors and cytokines that have been shown to be responsible for stimulating and enhancing hair follicle function. The scalp is prepared with antiseptic solution and anesthetic spray is used to completely numb the scalp for a 100% painless procedure. Small injections of the PRP deliver the powerful platelet-derived growth factors into the skin at the level of the weak follicles. Electronic, mechanical microneedling is performed.

Who is the ideal candidate for PRP treatments for hair loss?

we focus on two types of hair loss patients when it comes to PRP treatments: patients with areas of “weak quality” hair growth on the scalp, where functioning hair follicles can still be observed, and patients with small areas of alopecia areata. In our experience, these are the patients who appear to have the greatest success with PRP hair regrowth treatments.

When can you expect results from PRP and how long do they last?

Typically, we can measure improvements in Hair Mass Index using HairCheck months before the results are visible to the naked eye. Increases in Hair Mass Index using the HairCheck device predict how much visual improvement the patient is likely to see in the months to come. It takes six to twelve months to judge the results of PRP “visually” in the mirror or with standardized photos. Measurements are taken every three months, so the plateau phase of improvement can be tracked. When Hair Mass Index starts to decline, the patient’s next PRP is planned.

What is Hair Mass Index or HMI?

Hair Mass Index, HMI or HairScore is the unit of measure obtained from the HairCheck tool. It is a numerical representation of the cross sectional area of a bundle of hair that grows from a 2cm x 2cm area of scalp. Consider for a moment the thickness of a ponytail of hair. This thickness is a product of the amount of hair fibers within the bundle as well as the thickness of each individual hair fiber. Therefore, Hair Mass Index or HMI is a highly accurate and sensitive measurement of the amount and quality of hair growing from the scalp in any given area. Doctors and others can learn how to accurately perform HMI measurements with HairCheck through the HairCoach training and certification program.

What are the risks and benefits of PRP treatments?

PRP is a comfortable, in-office, non-surgical procedure that takes about an hour start-to-finish, and most of that time is spent in the preparation phase… meaning you, the patient, is just relaxing! Most patients notice a brief period of inflammation during which their scalp remains somewhat pink and numb for a few hours. Swelling is rare (about 15% of the time) and if it occurs is noticeable in the forehead or around the eye area on the next day. Any swelling takes about a day or two to resolve. Hair growth improvements can typically be measured in about three months, but it takes six to twelve months to visually “see” the difference in photos and in the mirror.
The main risk of PRP is that your doctor or technicians are using careless or outdated preparation and application equipment or techniques… resulting in a poor or less than optimal outcome.
Patients with certain blood disorders or on certain medications are not candidates for PRP treatments. PRP is immunologically neutral and poses little risk of allergy, hypersensitivity or foreign-body reactions.

How long do the benefits of PRP treatments last?

According to published reports, A PRP tends to improve hair caliber and hair growth for about four to six weeks, requiring multiple repeated treatments as often as every other month. On average, however, most patients will require their repeat PRP treatment after an average of one year in order to maintain the hair growth effects.

Are there any contraindications or other factors that would make someone ineligible for PRP?

Patients should be educated by their Hair Restoration Physician as to what results they could expect from PRP in various areas of the scalp. Different areas of the scalp may respond differently to PRP depending on the amount of weak hair follicles present in each zone. Generally, with the exception of small round areas of alopecia areata, locations where severe depletion of follicles has occurred should not be treated. The vast majority of healthy individuals can easily undergo PRP treatments. Certain conditions like blood and platelet disorders, chronic liver disease, presence of an active severe infection, cardiovascular or hemodynamic instability and/or the presence of anti-coagulation therapy (e.g. warfarin) would make PRP contraindicated. Recent steroid treatments and smoking are relative contraindications and should be discussed with your Hair Restoration Physician.

What are the things to be avoided after the PRP session?

Avoid fatty foods, coffee and alcohol. Avoid anti-inflammatory drugs (e.g. Steroid, NSAIDs) 2-3 days before and after the treatment.

CONCLUSION

If you prefer not to have surgery or are not a candidate for surgery, then PRP therapy with Dr. RAJINIKANTH is an excellent option.