Tag Archives: MALE HAIR LOSS

Surgical Hair Restoration of the Frontal Hairline


Robert Barretto (FUE Surgery 2105 grafts-Actual Patient of Dr.Ken Williams)

Hair loss is inevitable, and many men in their 30’s and 40’s can expect to lose their frontal hair in the few years ahead. Men already experiencing a premature aging to their appearance because of the loss of the frontal hairline (FHL), readily recognize the deficit of this critical landmark as the hallmark of an older or less youthful appearance.  But help is here in the form of surgical hair restoration, where hair is taken from the back of your head and transplanted to the balding areas of the scalp.

Recreating the FHL is one of the most common surgical procedures performed. The design and restoration of the FHL is intended to reframe the face and restore a youthful appearance. The surgical goal for this part of the face is for the casual observer to view the frontal hairline ascend into the mid scalp with a cosmeticly appealing density. The FHL is considered the area of the scalp most looked at during casual conversations, or more importantly in pictures.

TWO PRIMARY RESTORATION TECHNIQUES-FUE AND STRIP

There are two techniques used by hair restoration surgeons to transplant hair from one denser region of the scalp to less dense area.  These two techniques are known as Follicular Unit Extraction (FUE) and the Strip. There are advantages and disadvantages to each of these procedures and patients need to be aware of the differences. After understanding the differences in the surgical techniques, patients then need to find a competent hair surgeon  who can assist in the final decision making process.

“Surgical frontal hair restoration using the FUE technique is the most desired type of hair surgery. FUE  surgery gives a natural look and is minimally invasive.” Dr. Ken Williams

BEWARE WHO PERFORMS YOUR SURGERY

Many plastic surgeons, cosmetic surgeons, med spa owners, and even non-physicians such as aestheticians who own skin clinics,  advertise they perform hair surgery. The reality is there are many charlatans in the hair surgical field who have no business being in hair restoration surgery.  There are hair surgeons in private practice who have not obtained regular continuing education and training to be competent hair surgeons. Or even worse, as is documented in medical literature, these physicians purchased a hair transplant device without having any training and hire hair technicians to perform the entire hair surgery. Patients need to ask the question who actually performs the hair restoration procedure as well as the training and expertise of the physician. 

FRONTAL HAIR DESIGN BASICS

After deciding on the best hair surgeon and the ideal surgical technique for you as a patient, the next hair design decision involves determining the FHL placement. This is typically the distance from the glabella (the region of the forhead between the eyes) to the FHL.  The priority should be to recreate this height so it is age appropriate, and that it takes into consideration the progressive nature of hair loss and natural aging process.

Many patients believe they need the same placement of the FHL they once possessed during high school or college.  Although the request may be sincere, a low placement of the FHL will look unnatural, and should be avoided at all costs. The problem with too youthful of a placement of the FHL is it fails to give a natural appearance, and it requires more hair grafts. Thus, more grafts used to create a low lying FHL will deplete the donor site of follicles potentially needed at subsequent surgeries.

The second surgical decision to make is what should be the shape of the FHL look like. Some patients have a natural bell shape to their FHL while other possess a more rounded appearance. The bell curved hairline is for patients with a narrower head and where temporal hair loss is prominent. The bell shape also conserves valuable grafts because of a smaller surface area.  A round design is typically used for patients with a wider head and more stable temporal hair.

fhl design

(Illustration from HairTransplant 360- Sam Lam, M.D.)

The good news is hope is available for balding men and women with hair restorative surgery.   But according to Irvine, California hair restoration surgeon,  Dr. Ken Williams,  “The most important decision once you recognize you need surgery, is stabilization of any future hair loss with a consistent medical treatment program.”  He adds, “Laser therapy, Rogaine, a DHT inhibitor like finasteride are key components to any future hair surgery.”

For men and women suffering from hair loss, or are interested in hair restoration surgery, call Dr. Ken Williams and his staff for a personal and professional consultation. The Orange County Hair Restoration center, is conveniently located in the beautiful city of Irvine, California, adjacent to the Newport and Laguna Beach coasts. Our office number is 949-333-2999

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Confidence Is Having the Look and Hair on Your Scalp-New Rogaine face Bill Rancic


rogain01MensHealth.com interviewed Bill Rancic about being the new ambassador for Rogaine, and how your appearance can make or break your career.

You’ve checked your resume six times. You know why you’re a good fit for the position. But are you armed with confidence? Bill Rancic, the very first candidate Donald Trump hired eight years ago on The Apprentice , has gone on as a successful entrepreneur, reality TV star, and motivational speaker. His main theme is making an impression goes beyond what you look like on paper. “Confidence is critical,” the 41-year old says. “When you’re confident enough to be yourself, that’s when you’ll get the job.”

Wear confidence—literally 
Is your interview outfit something you feel comfortable and powerful in? Or is it the same suit you wore when you were fresh out of school and about 70 trips to Wendy’s thinner? “Whether you want to admit it or not, people begin to judge you the minute you walk in the door,” says Rancic, who has a hands-on role in the hiring process of his various ventures. “When I’m interviewing someone, I want to make sure that he thought enough to take care of himself—to dress appropriately and to groom himself properly. If he wasn’t willing to do that for the interview, how will he act when he’s working for me?”

Make good grooming a habit
When you sit across from the boss at a table, he’ll be looking at you from the neck up, so make sure you’re feeling assured. Rancic’s secret weapon? Rogaine. “When you lose your hair, it has an impact on confidence and your overall self-esteem whether it affects your career or your love life,” he says. He’s been a Rogaine consumer for years and admits he was shocked with his hair loss comparing before and after photos.

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One in four men suffer from hereditary hair loss, so Rancic knows he’s not alone. In his latest role as Rogaine’s “Growth Coach,” he’ll offer advice to men through social media outlets on how to take control of hair loss. Whether you’re hitting the gym to keep your belly in check or loading up on anti-aging products to delay wrinkles, tackle the issue head on instead of running from it. “No one even needs to know what you’re doing,” he says, adding that he’s not the least bit embarrassed to use Men’s Rogaine Unscented Foam. “It’s like a styling mousse. You use it once in the morning and once at night, and it becomes a habit like brushing your teeth.”

Be open to change
In his transient life—he and his wife, Giuliana of E! News, live in Chicago and LA to suit both of their careers.  “Since getting married, it (life) has changed significantly,” he says, laughing. “Oh my God, I was not a good dresser. I’d wear flip-flops and jeans. I guess that’s not cool.” Giuliani helped him with the little things—like introducing him to pocket squares for a simple way to upgrade a smart outfit and wearing proper footwear. (She’s right—flip-flops away from the beach really aren’t cool.) And Giuliana isn’t the only one who thinks change is a good thing. She also has him hooked on after-shave balm (“It tightens up my skin.”), blow-drying his hair (“My hair used to be really flat. It takes like two extra minutes.”), and anti-aging serum. Rancic doesn’t look like a guy who spends too much time grooming—he just looks good.

“I shouldn’t be saying this,” he says. “My buddies in Chicago are going to read this and I’m going to lose my ‘Man Card.’” See that full head of hair, though? Man card is intact.

NFL Football Great Wes Welker Talks FUE Hair Surgery


Walker footballNFL great and wide receiver for the Denver Broncos, Wes Welker, went public today helping  his hair surgeon, Dr. Robert Leonard, promote public awareness of hair loss surgical restoration.

The story began almost a year ago when Walker underwent hair transplant surgery in New England with a procedure called Follicular Unit Extraction (FUE). FUE is a surgical hair procedure that is a relatively newer surgical technique compared to the traditional Strip method of hair transplantation that leaves a donor linear scar. Using this surgical technique, patients are able to use their own natural hair and transplant it to areas of baldness in men and women.

The surgical procedure is an advance surgical procedure that requires excellent hand-eye skills and much patience.

How FUE worksHOW DOES FUE WORK?

Using the FUE surgical technique, individual hair follicles are removed “one-by-one” from the back of the scalp, and relocated to balding areas of the scalp. The procedure is performed under local anesthetic with optional light sedation if requested. The entire procedure for a large 2000 graft case typically takes 12 hours to perform. Hair survival rates approach 90-95%, and after waiting nine to twelve months, patient experience their own hair follicles emerging on previous bald areas of the  scalp.

FUE Hair Surgeons-BUYER BEWARE!

There are only a handful of surgeons that actually perform FUE hair surgery. There is a growing concern among veteran hair transplant surgeons in the International Society of Hair Restoration Surgery (ISHRS), that new physicians entering the hair restoration field are hiring non-physicians to perform the entire hair transplant surgery. With little or no experience, physicians are allowing technicians to perform surgery.

Irvine hair restoration surgeon, Dr. Ken Williams, expresses his concerns, ” Technicians are not trained to monitor patients under sedation, give anesthesia, remove human tissue, or create the hair design.” Williams adds, “there are many surgeons who have purchased a FUE device, called NeoGraft, and are not following standard hair transplant practices. They allow technicians to perform the entire surgery and they are hurting patients.”

OC Hair Restoration Center is located in Irvine, California. The principle hair surgeon is Dr. Ken Williams, a leading FUE surgeon in the Western United States and whose hair surgical practice is primarily FUE based. He enthusiastically promotes FUE  “as a great procedure for younger men and athletes who want a shorter post-operative down time and who want to wear their hair short.  There is no donor linear scar with the procedure.”

For a consultation call (949) 333-2999 or visit our website at www.iimcs.org

Testosterone Replacement Therapy Linked to Hair Loss


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A recent study released in the May issue of The Journal of Sexual Medicine revealed the compliance rate for taking Testosterone Replacement therapy (TRT) is low in hypogonadal males. The study showed that by six (6) months of therapy only 35 % of male patients had continued on their medication. At twelve (12) months, the adherence rate had dropped to 15.4%. So what did we learn from this study ? Men are bad when it comes to taking medication.

Those numbers don’t surprise physicians who engage in hair loss and hair restoration procedures and treatments. Patients who fail to take physician prescribed medications, such as DHT blockers and TRT is a common problem.  Patients that have purchased and used illegal anabolic substances from nutrition sports stores are even more difficult to treat.  These patients often times present, unknowingly, with clinical findings of Anabolic Steroid abuse. Hair loss patients using anabolic steroids can also present with side effects including fatigued, erectile dysfunction,  poor libido, and low sex drive.

For the average medical doctor, the suspicion of underlying illegal anabolic steroid (AS) use as a cause for the patient’s subjective complaints often goes undetected. In patients who are no longer cycling on AS,  the development of  Anabolic Steroid Induced Hypogonadism (ASIH) is common unless the patient goes on another cycle of AS.

bald bb6Doctors often miss the correct diagnosis because they fail to ask the right questions, or patients are too embarrassed to offer this medical information during their office visit. The situation is only made worse because of inadequate training and knowledge of physicians in treating patients with ASIH from anabolic steroid use.

Most practicing physicians don’t understand  anabolic steroid use or the use of testosterone because physicians are taught early in medical school and residency to avoid these trouble causing and drug abusing patients. It is critical that patients be given direct instructions by healthcare providers about the serious side effects of steroid use.

Only a handful of physicians are engaged in evaluating the endocrine functions of their patients, and an even lesser amount of physicians have any idea of the side effects associated with steroid or non-physician prescribed testosterone. These side effects include hair loss, testicular atrophy, gynecomastia, lipid and liver abnormalities, and an increase in red blood cells called polycythemia.

Hair loss occurs for men and women who use testosterone or anabolic steroids because of the increase chemical conversion in the body of Testosterone to another hormone called, Dihydrotestosterone (DHT). During the metabolism or breakdown of  Testosterone, a equivalent increase in conversion to DHT occurs. This hormone has been known for over three(3) to four (4) decades to cause hair loss.

So what should a hair loss patient do when they have taken non-physician prescribed steroids?  Hair Restoration surgeon, Dr. Ken Williams of the Irvine Institute of Medicine and Cosmetic Surgery, states, “ Being honest with your doctor and obtaining medical care by a physician who is familiar with treating hair loss patients with hypogonadal symptoms is paramount.”

Williams adds,  “It is vital to have a comprehensive physical and endocrine evaluation. Baseline blood tests such as a PSA, Testosterone, CBC, and DHT are critical.  Routine office visits in time will eventually reestablish normal hormone levels, libido, and stabilize hair loss.

Patients with a history of steroid use and who suffer from hair loss can call Dr. Williams at his office at 949-333-2999 for a medical consultation and evaluation.

Using Fat Cells to Cure Hair Loss


Yale researchers have discovered the source of signals that trigger hair growth, an insight that may lead to new treatments for baldness. Researchers have identified stem cells within the skin’s fatty layer and showen that molecular signals from these cells were necessary to spur hair growth in mice, according to the data published in the Sept. 2 issue of the medical journal Cell.

“If we can get these fat cells in the skin to talk to the dormant stem cells at the base of hair follicles, we might be able to get hair to grow again,” said Valerie Horsley, assistant professor of molecular, cellular, and developmental biology and senior author of the paper.

Men with male pattern baldness still have stem cells in follicle roots but these stem cells have lost the ability to jump-start hair regeneration. Scientists have known that these follicle stem cells need signals from within the skin to grow hair, but the source of those signals has been unclear.

Horsley’s team observed that when hair dies, the layer of fat in the scalp which comprises most of the skin’s thickness shrinks. When hair growth begins, the fat layer expands in a process called adipogenesis. Researchers found that a type of stem cell involved in the creation of new fat cells, adipose precursor cells, was required for hair regeneration in mice. They also found these cells produce molecules called PDGF (platelet derived growth factors), which are necessary to produce hair growth.

Horsley’s lab is trying to find other signals produced by adipose precursor stem cells that may play a role in regulating hair growth. She also wants to know whether these same signals are required for human hair growth. Other authors from Yale are lead author Eric Festa, Jackie Fretz, Ryan Berry, Barbara Schmidt, Matthew Rodeheffer and Mark Horowitz.

The work was funded by the National Institutes of Health and the Connecticut Stem Cell Research Program.

New Finasteride and Dutasteride Medical Study


coverNewly released study on effects of DHT blockers

For over three decades, hair restoration surgeons have known that the Dihydortestosterone (DHT) molecule  has caused miniaturization of the hair follicle in both men and women. For over two decades we have known about specific blockers of these hormones, but only recently has the medical community come to understand the potential side effects of these powerful blockers.

A recent study  from Mayo Clinic and Tulane University School of Medicine physicians, was just released in the June 2013 issue of  Sexual Medicine Reviews. The article’s intended to review and summarize findings from all published medical and scientific literature detailing adverse events associated with Dihydrotestosterone blockers.

The results of the study validated current knowledge that DHT blockers are associated with a slightly increased rate of decreased libido, erectile dysfunction, ejaculatory dysfunction, gynecomastia, depression, and/or anxiety. This manuscript confirms previously known information and its findings do not change existing scientific and medical knowledge.

imagesThe controversy of DHT blocker use causing chronic sexual dysfunction began in 2012.  It was medical researcher, Dr. Michael S. Irwig, from George Washington University, who published a paper in the esteemed medical research periodical, Journal of Sexual Medicine, announcing certain chronic and long-term adverse sexual symptoms from DHT blockers.

The controversy surfaced because the study was not designed as a double blinded and traditional objective scientific study. Irwig’s study introduced researcher bias by recruiting patients from an internet forum site and a previous study he performed on the same subject material. Many medical doctors denounced this study citing inaccurate results because it could not be used to draw definite conclusions, and it lacked the high standards traditionally established in scientific publications.

Although, the majority of Irwig’s patients met the definition of sexual dysfunction by the Arizona Sexual Experience Scale, Irwig’s methodology in establishing a cause for his subjects sexual dysfunction has been scrutinized for simple issues such as a lack of baseline serum hormone levels of testosterone and DHT.

Irwig’s study today remains one of the very few studies defining possible long-term effects from DHT blockers. Dr. Ken Williams, an Irvine, California  hair restoration surgeon concludes, “This most newest research study reflects the need for ongoing and  further research, specifically aimed at finding prevalence rates and persistence of sexual side effects to establish a cause and effect relationships from DHT inhibitors.”