The Permanent Hair Loss Solutionsurgical hair restoration transplants, like all other plastic surgeries, is an art. It requires an expert surgeon like Dr. Nick Agnesi, w/ over 12 years of experience & a trained hand to create the most natural appearing results that are undetectable to even the most critical eye.
Surgical Hair Transplant PhilosophyOur basic philosophic approach begins w/ a time-honored idea: “Do one thing & do it well.” At hairline clinic, we don’t do face lifts, tummy tucks, breast implants, etc. Our clinic concentrates our energies on performing the best hair transplantation procedures possible. We move four to six times as much hair as the standard approach, using follicular unit grafts throughout producing a completely natural result.
Skill, Artistry, Technique & TeamworkThe decision to take action against hair loss can be, for some individuals, a difficult one. By choosing the most qualified hair restoration expert, the decision becomes an easier one to make. However, no surgeon can achieve this goal alone. Hair transplantation, perhaps more that any other surgical procedure, depends on the assistance of skilled medical personnel in a ‘team’ framework.
Surgical Hair Transplantation for WomenThe transformation in the appearance of a woman who has been transplanted can be quite dramatic, even after only two sessions. For most women, two or three sessions are required to achieve optimal results. It is generally a well accepted fact that women are usually much more devastated by their hair loss than men, because it is not socially accepted for a woman to have less than a “full head of hair.” It is very gratifying to restore the “fullness” to the hair of such patients.
The Facts About Surgical Hair Transplants
Knowledge & ExperienceDr. Nick Agnesi’s outstanding medical & surgical staff is thoroughly trained in all hair transplant techniques.
Exceptional Patient CareWe place the highest priority on technical quality & personalized patient services. We extend every courtesy & accommodation to our clients & patients to ensure a pleasant, comfortable, & safe hair restoration procedure that will give them the hair they want & expect. With hair restoration, there are lots of options to consider but only one phone call you need to make.
Women and Hair Loss
Topical LotionsThere are many topical lotions sold by beauty salons across the country, specifically for women w/ thinning hair. For many women, this is the first attempt at correcting their excessive hair loss. However, for women w/ androgenic hair loss (female pattern baldness), lotions & creams simply will not work.
Drug TherapyMinoxidil has now been approved for use by women in formulations containing 2% of the drug. Now sold as an over-the-counter product, minoxidil has been approved by the FDA as a hair loss cessation/hair growing drug. However, minoxidil has only been shown to grow hair on the crown, not in the frontal hairline. The hair that minoxidil can grow, even in the crown is usually hair that is not considered “cosmetically acceptable”, meaning hair that will not grow long & healthy enough to cover the scalp. As for minoxidil’s ability to stop hair loss, the success rate varies widely from individual to individual. In most cases, the hair loss still continues but will sometimes do so at a lesser rate. In all cases, once minoxidil use is stopped, hair loss returns to its original levels; any hair growth achieved will also cease.
TransplantsTransplants are now being preformed by doctors on women patients. Hair transplants have been vastly improved in the past ten years, & no longer produced the “row of corn” appearance that was the case in the days of “hair plugs”.
WigsStandard machine-made wigs offer a number of advantages. They provide full coverage of the thinning areas, for one. And unlike many so-called women’s hair loss solutions, they’re guaranteed to work.
Hair AugmentationThere are many different methods of women’s hair restoration that fall under the general heading “hair augmentation”. Some of these methods rival wigs, for the most part. Other are far different. By definition, hair augmentation refers to the process of adding to a women’s existing hair, rather than covering it up as a wig would. If this is done in such a manner that is results in the hair becoming “permanently” part of the scalp, it offers women a plethora of advantages over other solutions.
Encore SystemA method of adding hair to thinning areas & replacing hair in areas where there may be no hair at all.
Women’s pattern baldness is different.Men’s pattern baldness generally ends up w/ a “horse shoe” of hair around the sides & back of the head, w/ the top of the head totally denude of hair. Not only is the end result fairly common, the path to get there is shared by most men, as well. It usually begins w/ a gradual recession in the temples. Then the frontal hairline begins to recede. At the same time, the most forward part of the anterior scalp (mid-scalp) begins to loose hair. This creates the typical “island” of hair that exists between the receding frontal hairline & the middle of the scalp. Somewhere along the way, usually when the anterior scalp begins to lose hair, so too does the crown. The confluence of the many receding areas leads to a contiguous patch of bald scalp, from the front of the forehead to below the crown. But this is hardly the case w/ women. In actuality the term “female pattern baldness” is largely a misnomer, because there is no pattern to female hair loss.
Women’s hair loss different patterns, different progressions.Very few women w/ hair loss end up w/ the horse shoe pattern that is the inevitable result of male pattern baldness. Rather, women tend to lose their hair in various combination’s of patterns & progressions. Why this is so largely unknown; it is simply a fact that is verifiable by both anecdotal & clinical evidence. How can one solution that helps establish a frontal hairline also work for a woman who is suffering diffused hair loss all over the top of her scalp?”
Follicular Unit GraftingFollicular unit grafting is the most widely used method of transplanting hair. It involves moving small groups of one to three hairs from the donor area (back, side, & temples) to the recipient area or the area where hair has been lost. Follicular unit grafting accomplishes several goal essential to the successful out come of the surgery.
Maximizes hair growthFollicular units are distinct anatomic & physiologic entity. Therefore preserving the unit intact during the dissection process is thought to maximize growth. In FUT, after the single strip of hair is removed from the donor area the tissue is dissected under magnification allowing the follicular units to be separated w/ minimum damage. In older techniques like micro grafting & mini grafting the hair was harvested in multiple strips. Each time an incision is made there is the potential for the FUTs to be damaged. When doing micro grafting or mini grafting the follicular units were sometimes separated creating the potential for more damage & less growth.
Natural lookingSince your hair grows in follicular units it only makes sense to transplant it that way. It also allows natural distribution of the hair in the grafted area creating the most aesthetically pleasing look. By using follicular unit grafts instead of larger grafts (some call these multi hair grafts) the larger number of grafts allows the surgeon to distribute the grafts more evenly over the scalp resulting in the most natural look.
PlanningThe density of naturally occurring follicular units is constant. This helps in the planning of your transplant in two ways.
Minimizing trauma to the scalp.The key to a good-looking transplant is to have the hair grow from perfectly normal skin. So the less trauma to the scalp is an important aspect of follicular unit transplantation. Trimming away excess tissue from around the unit reduces the size of the wound needed to place the graft. These small trimmed grafts can be placed into tiny incisions in the scalp minimizing damage to the scalp’s connective tissue & blood supply. Larger grafts such as micro-mini grafts or multi-hair grafts need larger wound resulting in problems that included dimpling & pigment changes in the scalp, depression or elevation of grafts & a thinned shiny look to the scalp. These problems can be avoided by the use of tiny grafts in the scalp. Small recipient sites create a tight fit for the grafts. These grafts fit into small needle made sites that don’t require the doctor to remove tissue from the scalp thus preserving the elasticity of the scalp & holds the graft tightly in place facilitating would healing & supplying oxygen from the surrounding tissue in order to maximize their survival.
Large Graft Sessions possibleThere are four reasons why the follicular unit transplantation allows your doctor to transplant large numbers of grafts.
Follicular unit ExtractionFollicular unit extraction is a newer method of harvesting the follicular unit. In this procedure the doctor removes one follicular unit at a time thereby eliminating the thin scar in the donor area. It doesn’t require sutures in the donor site & is reported create less discomfort after the surgery. The downside to this method is that it takes much longer to do especially larger sessions & can cost over twice as much as the conventional strip harvesting.
Considerations for WomenWomen seeking a transplant should be aware that their pattern of hair loss may exclude them from this procedure. While men lose their hair on the top of their head leaving genetically proven hair on the side & back of their head, female pattern loss is indicated by an over all thinning of the scalp. So I you are thinning on top & in the temples beware. Once thinning begins in the temples it can continue around the back of the head. This means that some of the hair in the donor area has been pre-programed by nature to be lost in the future. If this is the case then some of the transplanted hair has already been destined to be lost. Transplanting this hair doesn’t change that. If the hair was going to be lost in the back in say 5 years then it will be lost in the front in 5 years. With this in mind we have to be very careful to make sure that you can get the result you want, or we need to explore other options.
Laser TherapyLow level laser therapy, a dramatic new technology for the treatment of hair loss & diseases of the scalp. Laser light hair therapy is based on established scientific principle that light, even ordinary light, has an effect on cell function. Scientist have been aware of this fact for quite some time. We witness this during the summer months when we are exposed to longer days of natural sunlight. During these months our hair grows faster & often appears thicker. Light, or lack of light influences our moods & light deprivation can trigger serious depression. Known as cold lasers, these devices have been used & are used in a variety of therapies to treat physical tress injuries, tendonitis, arthritis, & soft tissue healing.
Non Surgical Replacement
Techniques for Women
Techniques for Men
Techniques for Men
Lotions, Potions, and Shampoos
Vitamin and Mineral Products
Hair - ZX
Procyanidin B - 2
Devices / Other
NioxinNioxin is a cleanser scalp therapy & scalp serum. The product contains niocidin, which inhibits demodex produced lipase. However, according Dr. Ken Washenik “there has never been any study, that I am aware, that implicates demodex lipase in hair loss” or “that shows that hair will benefit from getting rid of mites or their lipase.” Nioxin is based on bionutrient actives & protectives. Their primary methodology is to clean the scalp of DHT & to provide chemically enhanced hair w/ moisture/vitamin nourishment. Primarily available in salons, the product can now be found in other retail outlets.
DutasterideDutasteride, from Glaxo smith kline, is the most promising of the products or medications outside of rogaine & finesturide. Approved by the FDA only for use w/ prostate therapy, it was not submitted for male pattern baldness. It is a DHT blocker that blocks both forms of 2-alpha reductase enzymes (type 1and 2). Early studies show promising results, that is, slightly better than finasteride; however, the potential side effects require further trials & testing for overall efficacy & safety. Other early indications show that it has a longer half-life than finasteride & that the safety data is consistent w/ DHT reduction. It is still awaiting phase III trials. Dutasteride has been marketed w/ the brand name Avodart
Saw PalmettoSaw palmetto is available from multiple sources. It is an over-the-counter herb that has been claimed as effective as a supplement for thinning hair. It has been shown to be beneficial in men w/ benign prostatic hyperplasia, but does not affect testosterone, DHT, or PSA levels. General usage recommends taking 400mgof standardized extract w/ 100 mg of beta sitosterol, daily. It is claimed that results will appear in five months.
Lotions, Potions, and Shampoos
Herbals, Minoxidel - Based, Oils, and Vitamins
Folliguard ExtraFolliguard extra, from jungle MD, is very similar to avacor both in terms of usage & formulation. Specifically, it uses a system of DHT blocker & scalp detoxifying shampoo. Its active ingredients are minoxidil 2% & saw palmetto. It costs approximately 200 for a 3 month supply.
Hair AdvantageHair advantage, from daniel rogers laboratory, is extremely similar to both avacor & folliguard. It uses a DHT blocker, nutrient serum, & scalp detoxifying shampoo. Its ingredients are composed of loniten (better identified as minoxidil), saw palmetto, tarakaci, notoptcryl, maidenhair tree, vaccinium murtillus, & euisetum. The estimated cost is 180 for a 3 month supply.
XandroxXandrox also claims to contain a DHT blocker as well as a topical solution. Its active ingredients are minoxidil (12.5% micronized), azeliec acid 5%, & betamethasone valerate. The company reports that the 12.5% micronized minoxidil works on the temple & hairlines (non-responsive areas), while they say the azeleic acid can act as a DHT inhibitor .
Hair GenesisHair genesis, from sunset marketing. It uses a system of a special shampoo, conditioner, supplements, & a serum. It also uses “botanicals” to inhibit type I & II 5-alpha reductase & decrease DHT. Results are claimed to appear in 6 months & it is described as being safe for both men & women. Hair Genesis is comprisedof Saw Pametto & Beta Sestoserone. The women’s serum is 2% minoxidil w/ Beta Sestosterone, while the men’s formula is 5% minoxidil w/ Beta Sestosterone. The studies that claim to render this product effective have been questioned by the medical profession for legitimacy.
Nu HairNu hair, from bioteck corp. It claims to be a “supplement” for thinning hair. Its active ingredients are he shou wou, saw palmetto, horsetail, henna, rosemary, progesterone, & nettle.
Hair PrimeHair prime, from Universal biologics. It requires a regimen of shampoo, lotion, & primer to deliver “nutrients,” It has two herbal & vitamin supplement tablets containing pantothenic acid, biotin, & zinc. It claims to be a natural herbal treatment & that 9 out of 10 have healthier hair growth.
Emu OilEmu oil, studied by boston university medical center, is a topic product that sells for 9.50 an ounce. Its “credentials” cite a Dr. Michael Holick, who reported a clinical study showing that Emu Oil accelerated skin regeneration & stimulated hair growth. They claim that 80% of hair follicles began to grow hair in non-clinical studies.
ThymuskinThymuskin, from bioteckne complex Inc. It is a topical solution that must be massaged directly into the scalp. It contains the extract of calf thymus glands & claims to boost immune function. The company admits it is not effective for male pattern baldness or androgenetic alopecia, the most common types of hair loss.
FnsFNS, follicle nutrient serum, from osmotics. It is a topical solution that claims to contain a unique delivery system of nutrients. It is marketed as a cosmetic product & will not be submitted for FDA approval. No trials have been performed to date .
Vitamin and Mineral Products
Hair - ZXHair-ZX, from bitafree, sells for 250 for a 3-month supply. It is a three-part system including a shampoo, a topical, & a DHT blocker. It is available through the Internet & direct sales. It claims to regrow lost hair as well as to produce larger, healthier follicles.
FolligenFolligen is available in three formulations: a cream for hairlines, a lotion for denser areas of hair, & a solution therapy spray for misting over the hair. It is available through the Internet & direct sales. It is a copper peptide-based product. Its functionality is based on the theory of increasing blood supply to the scalp to combat hair loss.
TriaxonTriaxon is a topical treatment. It is available through the Internet & direct sales. It is comprised of a combination of vital nutrients & vitamins & reports it has a higher level of active ingredients designed to promote new growth. It claims to help reduce DHT levels by 90% & to give users immediate results.
EpmEPM, from sumitomo electronics, is an over-the-counter topical treatment comprised of 10 amino acids. Its active ingredient is epimorphin. No clinical trial data is available & it is not available in the United States .
KevisKevis, by Farmaka, depending on the package you choose. It is available through the Internet & direct sales. It includes a topical “accelerator” that must be applied w/ applicator & massaged. It claims to block DHT or the androgen receptor. The company indicates clinical testing done in Europe.
Procyanidin B-2Procyanidin B-2 is a combination shampoo, lotion, & primer as a regimen to deliver nutrients. It is a polyphenyl compound, found in apples, which is said to act on hair epithelial cells as a growth-promoting factor. Their own study indicated “an increase in the number of hairs & the diameter of hairs in the designated scalp area compared to placebo.” No statistics or data were provided.
RevivogenRevivogen, from advanced skin & hair, costs 99 for a 3-month supply. It is available over-the-counter & includes a scalp therapy formula & bio-cleansing shampoo. It says it is an anti-DHT product, & claims there are no systemic side effects & is safe for men & women. It does not have FDA approval. On their own Website, it states that it is “not a drug, medication, treatment, or cure for hair loss.” It also claims internal studies performed showed significant decrease in hair loss in 3 months .
NizoralNizoral, by janssen pharmaceuticals, is a shampoo containing ketoconazole 2% (an anti-fungal agent). Ketoconazole, taken in tablet form, has been shown to lower serum testoterone. The effect has been compared to that of monoxidil 2%. It is available in 1% form over-the-counter or in 2% form as a prescription.
SpironolactoneSpironolactone is a potassium sparing diuretic, used in treatment for blood pressure, & has been found to have anti-androgen activity. It is a DHT blocker in topical form & must be applied daily followed by the application of a monocidil solution. It is available by prescription in tablet or foam.
Devices / Other
Non - Medical, Non - Camoflage
Laser CombLasercomb, by Lexington International, claims to use photobiostimulation w/ low-level, cold beam laser therapy. It claims to show improvements or activation of hair in the first 5-10 weeks. It requires usage twice a day for 10 minutes per session. It has had some mixed reactions. Some of the positive responses are from respondents using other forms of hair loss remedies. It has begun FDA clinical trials. It sells for 695.
HairogenicsHairogenics is a hair storage service in a temperature-controlled vault. The principle involves storing hair until cloning or other reproduction methods are viable. Concerns revolve around the extraction of hair & that DNA taken from existing hair would be sufficient for any cloning or reproducing possibilities. Based in Oregon, cost is an initial 50 plus 10 per annum for storage.
Dermal FusionDermal Fusion, by ryan Livingston, claims to be a hair “multiplication” technique in which microscopic biopsies of hair or scalp tissue are removed without scarring or blood. Follicles are multiplied in a type of incubation chamber & a pipette then inserts surviving cells. The procedure claims immediate hair growth without any trauma or resting phase. It is generally believed to be a hoax .