April 22nd, 2014
A recent study by Su et. al. that was published in JAMA Dermatology revealed an important connection between pattered hair loss, cardiovascular disease and the risk of death in patients with heart disease. This study reviewed 7,252 patients aged 30 to 95 for five years. The patients were monitored and followed for their incidence of mortality related to heart disease and diabetes. Among the study participants, patients with male or female patterned hair loss had a significantly higher risk of death form either having a heart disease or diabetes.
The authors concluded that Androgenetic Alopecia or male patterned baldness in men and women is an independent predictor of the death rate from heart disease and diabetes in both sexes. It could also conclude that men and women with moderate to severe pattered baldness should be screened more closely for the identifications of risk factors for diabetes and heart disease.
The relationship between hair restoration and improvements of psychosocial negative impacts of hair loss were previously published. Could hair loss increase the risk of cardiovascular disease through its psychosocial manifestation? This question should be answered with future studies.
April 14th, 2014
Tomorrow will be 4 weeks after my hair transplant procedure. I just wanted to know if there are any restrictions at this point. Can I return back to yoga practice, I wasn’t sure because it requires a lot of keeping your head bent over?
Yoga and other exercises can increase the tension of the donor wound edges after receiving a strip hair transplant. I would recommend avoiding these activities in the first four weeks following a hair transplant. You can resume your regular exercise routine after the first month, with no limitations. Since, tomorrow will be 4 weeks after your procedure, you can start going back to yoga practice.
April 8th, 2014
Our Spring Special is available through our hair restoration offices in Beverly Hills, Encino and Orange County. The spring promotion for hair transplantation includes a 20% discount off the cost of hair restorations for a limited time. Our office also provides 0% interest financing for 18 months with approved credit. For more information on hair transplant costs and options such as group discounts and travel reimbursements, please visit our website.
We look forward to seeing you soon.
Dr. Parsa Mohebi
April 4th, 2014
Did you think since Dr. Mohebi ran the LA Marathon, he now has a new hobby? Fishing! That was what I thought when I first heard it. The reality is Dr. Mohebi has added one new title to his earned titles, FISHRS (Fellow of International Society of Hair Restoration Surgery). Dr. Mohebi along with only 60 hair transplant surgeons worldwide has made up the first class of fellows for ISHRS. Along with having the American Board of Hair Restoration (ABHRS) certificate, he had to serve in a leadership position, as well as write scientific papers and educate through different scientific programs in order to qualify for this title. Dr. Mohebi, the first chairman of the FUE Research Committee of ISHRS, has given various lectures in a variety of medical scientific meetings, presenting new techniques and innovative advanced devices in hair restoration. He has been an active member of ISHRS since 2006 and is honored to receive this title. Dr. Mohebi looks forward to working with his colleagues in order to further educate other professionals about the new advancements in the field of hair restoration.
April 3rd, 2014
I hope you are well.
Just a few notes on my progress (which I don’t see at this point). Please keep in mind I know I should be patient up to 4-6 months. However, I do not see any of the implanted hair, especially on my temples and frontal area. Basically, all of the transplanted hairs have disappeared without any trace. Maybe this is good as I don’t seem to have redness, bumps or any indication of HT. Maybe my healing or your excellent job???
I have also suffered tremendous shock loss in the crown area and the frontal corners after the hair transplant procedure. Even though I am taking the Propecia as instructed my crown has never been so bare. Before, I was able to cover it up, now I have succumbed to using Toppik in order to cover this area until the new hair hopefully grows in and covers it up again.
I was just hoping for your thoughts, although I think I know what you are going to say.
You guessed right and my answer is what you expect. All individuals react differently and approximately 10% of the individuals never completely lose hair after receiving a hair transplant. Most individuals lose every transplanted hair and don’t see any hair growth at all before 3 months.
As it comes to shock loss, some individuals will lose their native hair which is prone to baldness 2-6 months after receiving a hair transplant procedure. What you are experiencing in your crown area can be the beginning of shock loss. At this point, you are losing some of your pre-existing hair and your transplanted hair has not yet grown. Finasteride can minimize the extent of shock loss, which is why I recommend for you to continue taking it and to be patient.
You should start seeing early hair growth when you come in for your 6 month follow up appointment, and remember full results will be seen somewhere between 10-12 months after your hair transplant procedure.
April 2nd, 2014
The front of George Clooney’s hairline looks see through in this picture. Could it be the result of a hair transplant?
There are two possibilities why George Clooney’s hairline may have some see through effect:
1. A hair transplant with less than adequate number of grafts.
2. Early stages of male pattern hair loss.
Looking at George Clooney’s younger pictures, you can see that he always had a widow’s peak (George Clooney’s Hair Evolution). The more recent pictures show the gradual loss of that widow’s peak and the thinning of his more juvenile, solid hairline. George’s salt and pepper hair color has definitely helped him a lot to maintain the look of a full head of hair until now. If his hair color were darker, his thinning would be much more obvious.
I think Mr. Clooney is going to need a hair transplant soon if he wants to keep a solid hairline like the one he had before. He would be a great candidate for our Celebrity FUE Hair Transplant Procedure for hairline reinforcement.
March 25th, 2014
Prostaglandin D2 has been in the news within the last few months for its potential reverse effects on male patterned hair loss. A new article which was published in the Experimental Dermatology Journal in February of 2014 reviews the opportunity to develop novel treatments for Androgenetic Alopecia by manipulating Prostaglandin D2 through the enzymes that synthesize it.
The review article discusses current studies surrounding Prostaglandin D2 (PGD2). It also previews the outlook of similar studies that might lead to a new line of treatment for male patterned hair loss.
Prostaglandins are amongst lipids in the skin, which have many activities that are still unknown to us. Among the newest applications of the lipids in the human body, is the role of prostaglandin D2 in baldness. It has been shown that PGD2 is elevated, in the scalp of men, with Androgenetic Alopecia and can potentially decrease hair growth. The manipulation of the enzyme that synthesizes PGD2 or prostaglandin D2 synthase can affect the levels of PGD2. Manipulation of PGD2 can change the growth rate of hair which, could then be used as an alternative treatment for male patterned baldness in the future.
March 20th, 2014
This blog is about how we successfully treated a 40 year old female patient with near total hair loss resulting from the complications of a facial cosmetic surgery that lead to significant scarring and hair loss in the patient. This discussion will provide details about her evaluation, treatment, and long term results.
The story evolves below:
Immediately after a complicated facial surgery
The patient visited our office for evaluation of the significant hair loss in frontal areas of scalp after a complicated facial plastic surgery. It was necessary to delay the procedure for 6 months after the initial consultation so that whatever hair that had not been damaged or may have gone through the Telogen Eflluvioum could grow back.
The first Hair Transplant visit with Dr. Mohebi
After enough time had passed, we began our first experimental hair surgery using only a limited number of grafts.
Test Hair Transplant in Scar
The first transplantation, consisting of 786 grafts, was put into 8 boxes with approximately 100 grafts each. We then evaluated her results after 6 months, and found that there was nearly complete growth in the areas which we treated.
Hair Transplant for full coverage
We were encouraged by these results and decided to perform another hair transplant procedure that would target the front and corners of the patient’s head. We increased the number of grafts to 2,716 for the second procedure.
Final Result after Hair Transplant in Scalp Scar
Our patient experienced total hair growth 18 months after the last hair procedure. She was tremendously excited by the prospect of not having to cover her head. She was also able to style and fix her hair the way she had before her accident.
We are proud of the progress she made in her long recovery and hope her story will bring inspiration to others who have experienced something similar.
March 11th, 2014
There have been some studies that show the positive effects of valproic acid on male patterned hair loss in the past. The new study from Jo SJ et. al. reveals that even topical administration of the medication can help hair restoration.
Valproic acid (VPA), inhibits glycogen synthase kinase 3β and the common wound healing/hair growth pathway known as, “Wnt/β-catenin pathway” is associated with hair growth cycle and induction of growth phase (anagen).
In this study the valproic acid was used for the treatment of androgenetic alopecia (AGA). The investigators performed a randomized, double-blind, placebo-controlled clinical trial. Subjects who were male patients with moderate AGA underwent treatment with either VPA (sodium valproate, 8.3%) or placebo spray for a period of 24 weeks.
The final findings of this study were that the topical VPA could increase the total number of hair counts for patients with androgenetic alopecia. The authors concluded that valproic acid can be a potential treatment option for men with male patterned baldness.
March 4th, 2014
Dear Dr. Parsa,
I hope my letter finds you well. I have a couple of questions for you regarding two items. One is Tributestin. About four months ago I tried this natural herb testosterone booster that contained Tribulus. Needless to say I saw no results about a couple months later; I also noticed the crown thinning on the upper right; and my hairline by my right temple seemed to wilt. I panicked and stopped. Now about two months later after I discontinued the product my density has returned and my hair feels and looks a lot better. I am never trying anything like that again. At least that’s how I feel I’m not delusional, I hope?
The other product is Polysorbate 80. I read about it, as much as I could though I need some expert advice. I do worry about Finasteride and its effects on libido and how Polysorbate only works on the DHT in the scalp. I have not found any legitimate backing. Is this true? What do you think? I know that Finasteride has been FDA approved, I’ve been on it now steadily for about 21 months now.
Overall my hair continues to look better and better and I’m quite happy with the results of your work, 20 months later. As for the Toppik, I have rarely used it as I saw no need; a very slight comb over with some hairspray keeps the crown wonderfully thick. As for the hairline, I’m in awe. And now, when I get a haircut I feel more confident and don’t panic if it’s cut slightly too much. You’re work has helped change my life and my self confidence for the better. I cannot thank you enough.
Have a great rest of the day.
I am glad to hear from you and to know that you are enjoying your new hair. The market is full of products that claim to restore hair. Here is what I know about those two products you asked about:
Tribulus Terrestris is a plant extract which has been claimed to increase the body’s production of testosterone. I found some commercial sites promoting it and a few medical documents that show its positive effect on increasing the effect of male sex hormones. Since we know increasing the testosterone may elevate your DHT level, it might be harmful for your native hair since it is still prone to baldness. I would recommend discussing any product that may affect your normal hormone levels with your primary doctor.
I cannot find any solid medical evidence that shows Polysorbate could be used as a topical DHT blocker or if it has any effect on preventing hair loss. In fact, I am not aware of any product with this capability as of yet despite the claims made by them.