Hair Restoration Blog

I found another interesting case report on a very unusual location for hair growth recently published in the Journal of Oral Surgery and Oral Medicine the other week.  The case study was reported by Femiano et al. at the Second University of Naples, in Naples, Italy.

He reported a woman who was found to have hair growing inside her mouth due to a medical condition.  Nasal-like hair.  Scientists said it had to do with the the high level of testosterone in her system. They called it “oral hirsutism”, which I guess should be considered a new term in medical terminology.

Numerous conditions and serious diseases can result in high levels of circulating testosterone, although the most common cause of hirsutism is polycystic ovary syndrome (PCOS).  In the future, maybe someday scientists specializing in hair follicle growth may utilize hormonal manipulations to grow hair on the scalps of men and women who qualify for  hair loss treatment.

One time, a friend told me he was at a diversity conference and there was a man who came up to the podium to speak. He asked the audience, “what is the first thing you notice about me?” Someone yelled out, “BALDIE!” And subsequent laughter ensued (being an African American, it turned out he was hoping someone would say, “you’re black”).

Although the remark was taken as a joke, it’s unfortunate many people in our society notice physical appearances before anything else. There’s no shame whatsoever in losing one’s hair. The reality is that it’s not that person’s fault. It’s their genetic coding.

For those losing hair, there’s a socially acceptable solution: A hair transplant. Hair transplants have done wonders for all types of people, from big-name actors to prominent television sports anchors. It boosts self-confidence, makes a person feel less conspicuous in social settings, and may even increase the chance of a person landing a first date or better someone’s job prospects.

Hair transplants at US Hair Restoration are all-natural. Take a look at our hair transplant before and after photo gallery.  In a way, a hair restoration can restore your youth and help you feel at ease around people you’re meeting for the first time, making the experience of life better and more rewarding.

Much like narrowing a gap between teeth by getting braces, or correcting one’s near-sightedness by lasik eye surgery, a hair restoration can be a wonderful option for those who believe they may benefit from it.

Recently, the Senate proposed a health legislation which includes a 5% tax on cosmetic procedures. The cosmetic surgeries include hair restoration procedures and many other surgeries for men and women.

The potential 5% tax on cosmetic surgeries is a no-win situation for American citizens and potential hair transplant patients. By levying a tax on cosmetic procedures throughout the United States, it may further cripple our stumbling economy and reduce the much-needed funding states receive from cosmetic surgeons in order to build, for example, a high-speed train in California, create more innovative after-school programs for teenagers, poverty intervention programs for inner-city residents, more efficient forms of public transportation (e.g. metro rails).

But, at the heart of the issue, I believe, is the obstruction of an American citizen’s right to the pursuit of happiness. Through an orthodontist, people have the right to get their teeth straightened out; by undergoing a vasectomy, a married couple no longer has to deal with an unwanted pregnancy; through the purchase of an electric hybrid Honda Civic, a motorist can fight sky-rocketing gas prices.

The government doesn’t tax citizens for making these types of decisions. People do them because they believe these things will improve their lives. But why impose a tax only on cosmetic surgeries? Where do we draw the line? Who can be the judge of whether a hair transplant is a luxury for a 25-year-old man who started to lose hair and looked less attractive, which led him to struggle with social anxiety and feel depressed a lot of the time?

I believe this young person ought to be given the same opportunities as the other non-bald peers in his life, especially when we are talking about dating, relationships, and employment prospects in this increasingly-competitive time. Who knows, if this legislation passes, maybe in the near future, people who wear contacts will be taxed an additional 5%.

At US Hair Restoration, we perform hair transplants for lots of patients who travel from other countries, such as Canada, Europe, and the Middle East. Many of these patients visit the United States because they want, for their cosmetic surgeries, to be exposed to the most modern techniques; but many of them may consider the cost of cosmetic procedures, too. Increasing costs for these surgeries may deprive us from a potential source of income and deprive them of potential patients.

Currently, some states impose a tax on cosmetic procedures. According to doctors who work in these states, the results haven’t been pretty. The plan has fallen 59% short of its projected revenue; it’s proven to be an administrative pain-in-the-behind, and it was forcing many prospective clients to obtain cosmetic surgery services in surrounding states, resulting in reduced tax revenue collected from plastic surgeons from cosmetic-tax-imposing states.

For myself, as the medical director of US Hair Restoration, I’m against this legislation for the simple fact that people ought to have the freedom to do what they think will make them happy–without imposing additional costs on them. Our motto at US Hair Restoration has always been: “quality hair transplants for everyone.” Some of my patients have told me that they have lost a lot of life opportunities because of their baldness. Why not allow these wonderful people to get back what they deserve: their hair.

Let’s be fair to all people. After all, we live in the land of liberty.

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Parsa Mohebi, MD
US Hair Restoration

Q:

Dear Dr. Mohebi,

Thank you for taking the time to see me on Saturday! Your correspondence providing a summary of our discussion was very comprehensive and is much appreciated!

Since our meeting on Saturday, I have done some research and would like to trouble you with a few more questions:

1) Is Alopecia the correct term to describe my hair loss pattern?

2) Would you consider cortizon shot treatment for me?

3) Would you consider laser therapy?

4) If I were to use monoxidil, does it have to be 2% or a higher percentage would yield more and faster hair growth?

5) you recommended a complete medical evaluation, could you please recommend someone that you trust?

I wish to thank you again for all your time and patience!

Best regards,

A:

Hi,

Here are your answers in the order you asked:

1) Is Alopecia the correct term to describe my hair loss pattern?

Alopecia is a general term that means hair loss. We have many different patterns of hair loss or alopecia, like male pattern or female patterned alopecia or alopecia cicatricial. Your pattern is similar to a male pattern because you lost your hair on the frontal area while you kept your hair on the donor area intact, which is why you might be a good candidate for a hair transplant procedure considering that your medical evaluation is negative for any medically treatable cause of hair loss.

2) Would you consider cortizon shot treatment for me?

No, steroid shots are sometimes used for Alopecia Areata (AA), which is an autoimmune disorder. Alopeica Areata is a hair loss condition with patchy hair loss spots. Your condition does not seem to be Alopecia Areata.

3) Would you consider laser therapy?

I do not recommend laser therapy for hair loss in the form of laser comb or laser machines because of the lack of solid medical evidence that support their effectiveness at this time.

4) If I were to use Monoxidil, does it have to be 2% or a higher percentage would yield more and faster hair growth?

You can start with 2% and then you need to be re-evaluated in six to 12 months and a treatment plan might need to be adjusted at that time.

5) you recommended a complete medical evaluation, could you please recommend someone that you trust?

Any good internist or endocrinologist could follow through with the lab works that you need.  Our letter includes the list of medical conditions that should be considered and lab works to rule out those women like you who have hair loss. You can share my letter with any good internist or endocrinologist and he or she should be able to follow through with your lab result and treat any treatable conditions that could possibly be found.

Have a great day,

Hair Transplant picture gallery of US Hair Restoration is now being updated on a regular basis.   This is in response to the people who asked for a source that posts hair transplant before and after pictures with high resolution without shying away from revealing the pictures from different angles with paying special attention to the hairline and close up pictures that can show the density, orientation and distribution of the transplanted hair.

We will be posting pictures on regular basis to increase the awareness of our website viewers to the quality of our exclusive follicular unit transplant procedures.

Earlier this year, in an L.A. Times story, business columnist David Lazarus said he had visited a hair transplant center’s open house and noticed a lot of men in attendance. A lot more than he expected. He spoke to the director of the business and found out that, these days, a lot of the men looking for hair transplants are hoping to increase their job prospects by having a full head of hair.

Some studies have shown that people who are more attractive, or are not overweight, or are younger, tend to have an edge on the job market. They get paid more, are more likely to get promoted, and are likely to be treated better. Although this finding may be saddening, it unfortunately may be somewhat of a reality.

Considering this finding, there are balding men in our society who believe they can increase their job prospects by having a full head of hair. It may simply turn out to be a psychological edge, or a self-image booster, for these men to perform well during their interviews.

Nevertheless, what seems more important is the manner in which a job seeker presents himself to his prospective employer. The answers he gives, his attitude, eye contact, and overall vibe. But, it seems, to some people, it wouldn’t hurt to have a full head of hair.  Plus, due to the current state of the economy, hair transplant costs are at an all-time low for high-quality hair restorations.

Over the last few decades, different therapies which effect wound repair have been proposed. The connection between wound healing and hair growth was already proposed by Dr. Catsarelis at the University of Pennsylvania through the WNT pathway (some molecular process that controls would healing and hair growth). Now, we review the emerging fields of gene and stem cell therapy in hair restoration and wound healing.

Gene therapy, initially developed for treatment of congenital defects, is a new option for enhancing wound repair. In order to accelerate wound closure, genes encoded for growth factors or cytokines showed the greatest potential.

The majority of gene delivery systems are based on viral transfection (intentionally contaminating the host cells with a particular virus that insert the desired gene to the target cells), naked DNA application, high pressure injection, or liposomal vectors, etc. Embryonic and adult stem cells have a prolonged self-renewal capacity with the ability to differentiate into various tissue types. A variety of sources, such as bone marrow, peripheral blood, umbilical cord blood, adipose tissue, skin and hair follicles, have been utilized to isolate stem cells to accelerate the healing response of acute and chronic wounds.

Recently, the combination of gene and stem cell therapy has emerged as a promising approach for treatment of chronic and acute wounds. This is good news for prospective hair loss patients: the idea that similar gene therapy techniques can be used to affect the baldness gene by switching the hair loss gene off and on.

This new study was done by Branski et al. at the Department of Surgery, The University of Texas Medical Branch and Shriners Hospitals for Children.

The effectiveness of medical hair restoration alone with hair restoration medical options that are currently available such as finasteride or Rogaine has always been questioned.  Medical hair restoration without the surgical option (hair transplant), might work for some people, but should not be recommended to all as a cure-all solution, as you may find in some advertisements.

The available FDA-approved medications for hair loss prevention are finasteride and minoxidil.  Although both are effective, they may have different indications for male and female patterned baldness. They might not be considered a complete treatment for male patterned baldness, as pharmaceuticals may try to show.

Medical hair restoration should be seen as a preventative measure which should be considered, along with the surgical options, as part of a master plan. Most people are prone to shock loss that may happen after a hair transplant surgery and they need to be on preventative measures such as finasteride at least a few months around the time of surgery. Shock loss after a hair transplant used to be one of the biggest problems that hair transplant patients had up until the last few years. Now, most hair transplant patients go on finasteride after a hair transplant surgery.

What is Saw Palmetto?

Saw Palmetto is an extract of the fruit of Serenoa Repens. It is rich in fatty acids and phytosterols. It has been used in alternative medicine for a variety of indications, most notably benign prostatic hyperplasia (BPH).

Indications:

Prostate treatment

Saw Palmetto has also been used in treatment of benign prostatic hyperplasia (BPH), a condition known by enlarged prostate size to the degree that it makes urinating difficult.

Hair loss prevention

The role of Saw Palmetto in hair loss prevention has also been documented. Saw Palmetto is one of the few effective herbal treatments that can reverse hair loss process in some people to some degree and slow down the process of  balding in men. Saw Palmetto bio active ingredients prevent conversion of testosterone into dihydrotestosterone (DHT).

That is how Saw Palmetto helps to stop the process of balding on the hair follicle level. It can help increase the thickness of miniaturized hair and make them grow longer. The Saw Palmetto effect is comparable to finasteride or other DHT blockers by mechanism. Saw Palmetto is available in oil extract for topical use on scalp or as pills used for prostate enlargement treatment.

Hair restoration cost is one of the main questions that is on the mind of most people who want to go through the process of hair transplantation. There is a wide range when it comes to the cost for hair restoration surgery nationwide.

The cost of hair restoration has never been better considering the quality of hair restoration surgery that could be offered these days. When you shop around for hair transplant surgery, you have to be aware that it’s not like shopping for a car or a shampoo that could be found with the same quality in different location. There is also a wide range for the quality of service that you receive.

Hair transplant has been evolving the last 10 years. Some hair restoration centers kept on with the new techniques and technology, but many stopped at some point in between.  I still see patients who received micrograft surgery one to two years ago in a hair transplant clinic in Beverly Hills. That is not all and you may see procedures done without proper attention to the patient’s facial aesthetics. Missing some of the details in the process may make the results disastrous. Little changes in direction and distribution of transplanted hair may be the difference between a happy camper and an unsatisfied client.

Aside from the artistic aspects of a hair transplant, preparation and maintenance of the grafts are very crucial and are not to be taken lightly, which is another cause of poor growth.

Having said that, getting a hair transplant by an artistic hair restoration surgeon could be done affordably these days. Medical hair restoration cost has been at the lowest since the birth of hair transplant surgery. Due to the current economy, many hair restoration centers have special packages and promotions that wouldn’t be available in a more stable economy. We at US Hair Restoration have our special promotion: 20% discount on standby rate and we also give 0% financing for two years or low interest financing for five to six years.

Cost of hair restoration being so little is a good excuse for many people to take advantage of the situation and get their hair restoration surgery done with significant discount. There is a big warning, though. When it comes to hair restoration cost, you have to understand that this is a customer beware market.

We are giving 20% off our high quality state-of-the-art hair transplant surgery costs. That brings the rate down to $3.2/grafts from our original cost ($4/graft). Still you can find hair restoration centers that offer cheap hair transplant surgery at $2/graft, but you are not comparing apples to apples.

You are getting a procedure with permanent effect on your face and your life. You do not want to take this lightly. If a center used the best standard in their surgeries and the most qualified personnel, they still cannot go lower than a certain price or it won’t be profitable for them. So beware of huge discounts and unreasonably low rates. Go meet the doctor or several of them. Educate yourself and ask proper questions about the technique and services being provided.

Never do cost shopping when it comes to cosmetic surgery. There are many hair restoration centers that offer cheap hair restoration. Remember, there is one thing about hair restoration surgery that can be both good and bad: the result is permanent, good or bad!