There are two methods of harvesting hair grafts during hair transplant surgery, which are Follicular Unit Excision formerly known as Follicular Unit Extraction (FUE) and Follicular Unit Strip Surgery (FUSS).
FUE harvests one hair graft at a time with a tiny punch that ranges from .7mm to 1mm in size. These punches leave circular scars in the donor area. On the other hand FUSS harvests the hair grafts by cutting a strip of donor tissue which is dissected in to 1, 2, 3 and 4 hair “follicular unit groupings”. This method results in a linear scar in the donor site. Which technique is best for you? How do you decide which method to pick? It is difficult choice for many prospective patients. However, after going over the pros and cons of both methods in depth, you will be in a better position to make a well informed decision for yourself. There are many pros and cons for both FUE and FUSS harvesting methods.
The Pros for FUE:
The Cons for FUE:
Since the beginning of time, whenever there have been vital facts, there have also been great myths. Does stress cause hair fall? What is male pattern baldness? What is DHT? Are there any home solutions for baldness?
According to the NHS, 8 million women in the UK experience hair loss, which is medically known as alopecia. It can lead to a number of psychological problems including poor self-esteem and heightened self-consciousness.
Male pattern baldness generally results in a receding hairline, followed by thinning of the hair on the crown and temples. In some cases, it progresses to complete baldness. According to the International Society of Hair Restoration Surgery, 40% of men will experience noticeable hair loss by the age of thirty-five.
Let’s bust some of the most popular Hair Loss myths:
Fact: This is completely untrue as hair density is a polygenic trait, in a lay man’s language it means it is determined by more than one ancestor’s gene.
Fact: Most of the leading health expert say that masturbation is a healthy way to release stress and experience pleasure. In this case masturbation, could actually be a solution for it.
Fact: It is normal to lose some hair while washing, it is part of the natural growth cycle.
Fact: Unless you are wearing a really tight hat or a cap that cuts off the blood circulation you can wear it as much as you want to.
Fact: Testosterone is the main hormone considered for hair loss.
Fact: For men, hair loss can begin in teenage years. In such cases, it is necessary to consult a hair restoration specialist.
What is Lichen Planopilaris?
Lichen planopilaris is a rare inflammatory condition that results in patchy progressive permanent hair loss mainly on the scalp.
Three forms are recognised:
Who gets Lichen Planopilaris and why?
Clinical features of Lichen Planopilaris
Symptoms may include:
Lichen planopilaris is usually slowly progressive.
How is Lichen Planopilaris diagnosed?
Lichen planopilaris is suspected on the clinical presentation and careful examination of the mouth, nails and skin for evidence of lichen planus elsewhere.
Trichoscopy reveals absent follicles, white dots, tubular perifollicular scale and perifollicular erythema.
The diagnosis may be confirmed on a scalp biopsy that includes hairs with surrounding redness and scale at the edge of an area of hair loss. Lichen planopilaris is an example of a primary lymphocytic folliculitis.
However, it is not always possible to make a diagnosis on biopsy. Biopsy from an already scarred area of hair loss is unhelpful. Where there is only patchy scarring hair loss and no evidence of inflammation the diagnosis may not be able to be confirmed.
(Dr Delwyn Dyall-Smith FACD, Dermatologist)
Treatment of Lichen Planopilaris
Treatment should be sought and provided early as no treatment recovers hairs that have been lost and replaced by scarring. The aim of treatment is to slow progression of the disease and relieve symptoms. Hair loss may continue, although at a slower rate.
Response to treatment is variable and some published studies contradict others as to the efficacy. The best patients can expect is to stop progression of hair loss and to minimize scalp discomfort.
Lichen planopilaris (LPP) tends to be progressive, and the most effective treatments have response rates of only 10%.
Recently Low laser light therapy (LLLT) has shown potential effectiveness in scarring alopecia.
Platelet-Rich Plasma (PRP) is a promising new therapeutic treatment for people who have lichen planopilaris and may improve hair thickening in affected areas. Additional studies are warranted to elucidate the clinical benefit and optimal dosing strategies.
In conclusion, apart from LLLT, PRP is also effective in at least improving hair thickening which is a real cosmetic concern for patients.
(Jeffrey F. Scott)
No matter where you tend to go in the world, people suffer from hair loss. Some of these individuals are the celebrities we see in our favourite movies or TV programmes.
There are a number of female celebrities that suffer from a variety of female hair loss issues and are able to overcome it. While they may be some of the most beautiful actresses, they all have shared the challenges they had to overcome.
Dealing with any amount of hair loss can be overwhelming, and damaging to a person’s self-image. If we take a look at some of these well-known celebrities that not only have to deal with hair loss, but still remained positive and continued to pursue their work, not letting hair loss get the best of them.
The famous, Jennifer Aniston created the iconic haircut that she sported on her hit TV show Friends. It was even given a name called “The Rachel” and woman all over the planet copied that layered look. This same hairstyle also caused damage to Jennifer Aniston’s hair. The extensions the popular actress wore on set eventually took their toll.
She has said on several occasions that extensions could contribute to bald patches and stunt her hair growth.
For her to deal with the daily challenges of hair loss, Aniston relies on the strong foundation of trusted moral support. And just like her TV character, she has good friends that she can call upon when things get rough.
There is nobody on the planet that doesn’t know Oprah Winfrey. When she opened up about her hair loss, her fans were not surprised. She has had many hairstyle changes, and she doesn’t hide the lessons she learned from past mistakes, even though those mistakes were made by others.
How does Oprah deal with her hair loss? She has learned to face it with a sense of humour and always moving on to the next great style.
Former Hollyoaks starlet Stephanie has been on a rollercoaster since stepping into the Celebrity Big Brother house last year. While she eventually won second place, people were shocked when she very publicly cheated on her then boyfriend with fellow housemate Jeremy McConnell – now the father of her baby.
Unsurprisingly, the tension started to get to her, as Stephanie told OK magazine last year.
“My hair went really thin and I went in total shock which was really upsetting,” she said.
“Everyone always said one of my best features was my long dark hair that was all natural and here it was falling out.”
“If I touched it, it would just come out in my hands and I was told it was all the pressure I was under. I had a cry about it quite often because I didn't feel like myself. It makes you feel womanly in a sense.”
What we can take from these three celebrity females is that they did not allow their hair loss to bring them down. They managed to overcome gracefully and perhaps that is the lesson we all can learn from them.
For many men starting to face the reality of hair loss, a receding hairline is the first, most apparent sign that a problem exists. You may not easily see an expanding bald spot on the top of your head, but that ever-growing forehead stares back at you every time you look in the mirror.
If you want to diminish the appearance of your receding hairline, you can talk to your barber or hairstylist about looks that can do so, much in the same way that dark clothes or vertical stripes can hide an expanding midsection. But changing your wardrobe doesn’t make those extra pounds go away, and a new hairstyle won’t stop your hairline from creeping further back on your head.
Follicular Unit Extraction (FUE)
Follicular Unit Extraction (FUE) is a minimally invasive method of transplanting individual hair follicles into the hairline area.
The FUE procedure uses advanced ARTAS system, which restores your hair by transplanting permanent hair from the back or side of the head into thinning areas, including the hairline.
How Does It Work?
The ARTAS system digitally scans areas of the scalp, identifying hair in its natural groupings. Selected follicles are then precisely removed, using the ARTAS system’s image-guided robotics. Most of your hair is left untouched so that the area retains its natural appearance. Then the hair is transplanted to cover any bold areas. The transplanted hair will then grow naturally on the hairline just as it did before, during your younger days.
“Its well established that hair loss can be related to emotional stress or anxiety. There’s usually about a 3-month delay between the stressful event or time period and your hair falling out”
(Dr Louisa Draper)
So, what is stress related hair loss?
Everybody loses a few hairs from their head every single day. However, if you’re losing more than usual, or losing lots of hairs from one patch on your scalp, there could be an underlying cause.
The medical term for hair loss is ‘alopecia’. Hair loss is very common in men and women of all ages. It happens to some degree to most people at some point during their lives.
There are different reasons why you might be losing your hair. These can include:
If you’ve lost lots more hair than usual or you’re worried that your hair is thinning, visit your local nurse or doctor for a consultation. The hair loss expert would strongly advise taking a blood test to see if you may have any deficiencies in your blood that may be related to your hair loss.
Can stress cause hair loss?
It’s well established that hair loss can be related to emotional stress or anxiety.
There’s usually about a 3-month delay between the stressful event or time period and your hair falling out. Unless there’s another underlying medical reason for your hair loss, it should only last for as long as you’re going through that particular period of stress or anxiety.
During this time, more hairs on your head are in what’s known as the ‘resting stage’.
This doesn’t mean your hair follicles are dead or that your hair will stop growing permanently. According to the NHS, usual hair growth and regrowth pattern should return to normal a few months after your stress levels go back down to normal.
Why can stress make your hair fall out?
When you’re stressed or anxious, your body produces what’s known as the ‘fight or flight response’. This is when your body is making extra hormones to prepare itself to deal with whatever it thinks of as being a potential threat.
This change in your hormone levels can have effects all around your body. When these extra hormones are made, they can affect the growth patterns of the hair follicles on your scalp.
Different types of stress-related hair loss
Stress can lead to a number of different conditions that cause hair loss on their own, including:
Worrying about hair loss can also be a vicious cycle. It’s easy for people to get anxious about losing their hair, which then in turn raises stress levels, and can cause even more hair to fall out.
The most important thing to try to do is to reduce your stress levels. This will help keep your body and scalp as healthy as possible.
Will my hair grow back?
Hair loss caused by stress is usually only temporary. If you’ve lost hair as a result of stress or anxiety, there’s every chance it will start to grow back once your stress levels are back to normal.
Try working on reducing your stress levels as well as improving your general health and wellbeing. Any hair lost due to stress should grow back on its own in a few months.
How do you treat stress related hair loss?
If you’re losing hair because you’re stressed or anxious, then the first thing to do is to get your stress levels under control. Try to have patience, your hair should grow back in a few months.
Some tips for dealing with stress:
Above all, try not to panic. This is always a lot easier said than done, but hair loss due to stress is only short-term and can be completely reversible.
Talk to your nurse or doctor if you’re worried things aren’t returning back to normal after you’ve tried dealing with stress on your own. They’ll be able to give you some more advice and carry out further tests to diagnose your condition.
Coffee is probably the most widely consumed beverage worldwide. It has been shown to improve attentiveness, concentration, and athletic performance. Now, the cosmetic and beauty industries are going wild over a new way to use caffeine – for hair growth.
Proven benefits of caffeine products for hair:
Caffeine is considered a stimulant for hair follicles. The length and quality of your hair depends on the health of your hair follicles and hair growth cycle. Caffeine stimulates not only your body and mind, but also your hair roots. It is often used as an ingredient in shampoos and other hair care products to improve hair growth and structure.
Men often experience hair loss due to the effects of the male hormone dihydrotestosterone (DHT) which affects susceptible hair follicles. Consequently, these follicles become smaller and finally disappear, causing baldness. This process is known as miniaturization of the hair follicles.
Caffeine, when applied topically, penetrates into the hair roots and stimulates them. However, for caffeine to be effective, studies have suggested that you should allow the caffeine-containing shampoo to stay on your scalp for two minutes so that it can penetrate the hair roots.
Research by the International Journal of Dermatology indicated that topical treatment with caffeine resulted in the increase in average growth of hair follicles by around 46%. It also extended its life cycle by 33%. This is because caffeine can block the effect of DHT, which damages the hair follicles and is responsible for causing male pattern baldness.
Unfortunately, caffeine will not stop or prevent the further progression of any genetic hair loss. However, there have been studies to suggest that caffeine could stimulate hair growth. Additionally, according to researchers drinking a few more cups of coffee a day will have little or no impact on continued hair fall as scientists estimate 60 cups a day would be needed to potentially promote hair growth.
There may be some beneficial effects to applying caffeine topically according to researchers.
Additionally, researchers have noted that very little clinical data exists and further studies are needed to confirm and establish the role of caffeine in managing genetic hair loss.
Currently, there are two medications approved by the FDA to treat hair loss. Minoxidil liquid solution (5% for men, 3% for women) and Finasteride 1mg tablets (for men only). Both these medications have proven results and extensive clinical data. While the studies sound promising for topical caffeine, there isn’t enough data to prove its effectiveness. But hair loss sufferers may add caffeine shampoos to their hair loss prevention plan as it can in some cases lead to hair growth while used with other treatments nor does it give any negative side effects.
* Amazing Benefits of Caffeine for Skin, Hair and Health, Style Craze
*Hair Transplant Network
In the UK, Alopecia Areata is estimated to affect about 15 in 10,000 people. Most family doctors will have seen at least one case, and you probably know of a friend or family member who has had it.
Hollywood star, Neve Campbell started losing her hair when she was 23 years old. The alopecia areata was caused due to stress caused during the "Scream" actress's career as well as other troubles in her personal life.
Campbell, during an interview told The Daily Mail." I was horribly overworked and going through a divorce. Also, I had stalkers and started receiving threatening mail. I was so distressed by it all that my hair started falling out. Life hasn’t always been a bowl of cherries."
So what helps treat Alopecia?
According to the NHS alopecia areata can in most causes reverse on its own, without any treatment if the persons stress levels are restored. However, this can take over a couple of years to fully recover.
I had a friend, who a few years ago suffered from this condition, due to which he had a rather large bold patch in the middle of his head. He was worried, but was going through a lot of stress at the time.
He asked me for advice, and I told him about the treatment options, but the most important aspect he needed to understand was that he needed to bring down his stress levels before any treatment could help him.
After 6 months, thanks to exercise and Platelet-Rich Plasma he regrew his hair.
He was HAPPY!
Clinically Proven Treatment
This is rubbed into the bald patches and has been shown to promote hair regrowth in most cases. This is the same treatment that is used for the common male pattern baldness.
The solution comes in two concentrations: 3 percent and 5 percent. Minoxidil 3% is designed for women, while minoxidil 5% is designed for men.
How to use:
Apply 1ml with syringe to affected areas twice a day (morning and night). For best results, apply solution to a dry scalp.
Side effects are rare with Minoxidl 5%. However if you feel any of the symptoms listed below then stop use of the solution immediately, rinse hair and inform your doctor/treatment specialist.
Platelet-Rich Plasma (PRP)
The success rate of PRP treatment is respectably very high. Over the past few years, the PRP treatment has become extremely popular as an effective hair loss treatment. One of the major reasons for this is that it is a non-surgical and therapeutic stimulating treatment. The high success rate of this treatment has further increased its popularity and has made it one of the most sought-after hair loss treatments.
Over the years numerous studies have been conducted by Scientists and Dermatologists alike that have indicated that a PRP procedure is one of the most successful non-surgical treatments for hair loss. In most cases, the treatment has shown visible results in 3-4 months.
In an October 2017 research study published in the European journal of medical research, doctors confirmed earlier research that suggests one of the ways PRP promotes hair growth and increase the number of hair follicles is by inducing angiogenesis. The formation of new blood vessels that brings growth factors to the scalp.
Useful tips for PRP professionals and users alike.
Instead of slapping you should gently palpate a vein, here's how:
Gravity is your friend, blood like everything else is affected by gravity (one of the reasons injecting in your feet is higher risk). Try lying on a bed or sofa with the arm you want to inject with hanging down over the side. This should increase the amount of blood in that arm, and as a result the veins will appear bigger.
Another way of using gravity is using centrifugal force. The easiest way to do that is to spin your arm around like a windmill. The force on your arm will mean blood still enters but has problems getting back out.
With these techniques, and any other ways of raising a vein, it’s important to be confident they’ll work. So try them out when you don’t need to inject, it’s a great way to practice so that when you NEED to use them, you’ll know exactly what you’re doing.