Looking Like You With Fewer Lines

Before and after botox treatment

Allergan, the Pharmaceutical company behind Botox®, has released a new advert. It has focussed its attention to patients between the ages of 22-37- the so called “Young Millennials”. Its tag line reads, “looking like you with fewer lines”. At The Treatment Rooms London we wanted to explain what this tag line might mean!

What is Botox®?

Botulinum toxin has been used safely in chemical forms to prevent and treat skin wrinkles. It comes in different formulations and Allergan’s version is called Botox®. More people undergo Botox® treatment than any other cosmetic treatment out there and its popularity is rising.

In particular, there has been a 22% increase in those between 22-37 years of age in the last 5 years (figures by the American Academy of Facial Plastic and Reconstructive Surgery). This trend has been mainly down to patients looking to treat before they start to develop the signs of ageing (skin wrinkles, sagging skin).

Despite the increasing number of millennials undergoing Botox® treatment, the average age of a patient having Botox® treatment is 46 years old.

As mentioned before, Botox® is primarily used to:

  1. Treat any existing static or dynamic (still or moving) skin wrinkles/lines
  2. Prevent any skin wrinkles

At 46 you may have already developed skin wrinkles. In these patients Botox® treatment will help in treating these lines, softening their appearance. However, by starting Botox® treatment earlier, before the appearance of these lines can be doubly beneficial. You will be able to prevent these lines from appearing in the first place. This will mean any wrinkles that appear when you age won’t be as deep and noticeable. As the old saying goes, prevention is the best cure!

What are patient’s main concerns about having Botox®?

At The Treatment Rooms London, we find that many patients worry about looking unnatural following Botox® treatment. This is a concern for those who have been having treatment for years as well as those who are just starting out. Allergan have also picked up this concern and have included an answer in their campaign.

“Look like you..” are 3 carefully chosen words. They help put at ease any concerns that you will look radically different after Botox® injections. However, ultimately the only way a patient is going to look natural after having treatment is by choosing the correct Medical professional.

Careful assessment and planning of Botox® treatment is the only way patients will be able to achieve natural results. This is best carried out in a dedicated Aesthetics clinic with experienced Doctors and Surgeons. At The Treatment Rooms London all our patients are welcomed into our purpose-built clinic by a Doctor or a Surgeon. This ensures they are in safe hands when it comes to their treatment. At our clinic we treat to achieve natural results that compliment the uniqueness of every patient.

So as a millennial or a middle aged patient, you can be rest assured you can Look Like You With Fewer Lines.

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Follicular Unit Excision (FUE)

hair transplant graft extraction

Follicular Unit Extraction has now been changed to Follicular Unit Excision. This reflects the importance and special surgical techniques required to make incisions and extractions in hair transplant surgery. In this blog we explain why this change has been made.

Follicular Unit Extraction now Follicular Unit Excision

Both Follicular Unit Extraction and Follicular Unit Excision refer to the same surgery. So what is the correct name we should be using?

What is FUE?

This is a type of hair transplant surgery where each hair follicle is taken out individually. FUE is carried out by using a small circular punch to cut around a hair follicle. Using specialised surgical tools these hair follicles are then removed and re-implanted into bald areas. Over time this will help recreate hair where it has been lost.

This technique differs from FUT (Follicular Unit Transplantation) where a strip of scalp is taken and hair follicles are isolated from this strip. Patients who have FUT have a visible scar line across the back of the head. In FUE this is avoided by having small dot scars at the back of the head. As these small dots are spread out they are not noticeable if someone grows their hair out.

Why the change from Follicular Unit Extraction to Follicular Unit Excision?

The change in name has been made to emphasise the highly skilled surgical nature of a hair transplant. The International Society of Hair Restoration Surgery (ISHRS)- the global leading authority on hair loss and prevention treatments implemented the change in 2018.

Dr Ricardo Mejia, ISHRS Board Member explained the main reasons:

When performed by qualified, properly trained hair restoration surgeons, hair transplantation is a safe and highly effective procedure to correct hair loss. However, it is a cosmetic surgical procedure and any attempt to downplay the significant surgical aspects of FUE to appear less invasive is misleading and potentially dangerous to patients

Dr Ricardo Mejia

Dr Meija explained that the term “extraction” in Follicular Unit Extraction, implied that the procedure only involves extracting or plucking out hairs without any need for surgery. And in some countries because the term “extraction” can have non-surgical implications, the surgery can be carried out by non-surgeons.

…over the past 15 years, the term “extraction” has been used to minimise the surgical nature of this surgery in order to imply a non-surgical procedure that only involves “extracting” hairs, as if they were being plucked out of the scalp without surgery. This misleading messaging has given rise to the worldwide expansion of follicular unit excision (FUE) surgery being performed by non-medical and unlicensed personnel- essentially spawning a black market for hair transplantation that has resulted in cases of serious cosmetic damage with scarring and hair loss, infections and even deaths

ISHRS website

Amending FUE terminology is one more way that we can inform patients about the true surgical nature of the procedure so they can make better decisions about their choice of physician and treatment

Dr Ricardo Mejia

Want to find out more about Follicular Unit Excision? Arrange an appointment with our Hair Loss Doctors and Surgeons. Simply click here to your book consultation!

Beware Of The Hair Transplant Black Market

black market hair transplant campaign

The International Society of Hair Restoration Surgery has officially launched its awareness campaign around Black Market Hair Transplant Clinics. In this short blog we explain what is going on.

As you may have read in our earlier blogs, (click here), we are seeing poor hair transplants being performed by unregulated clinics. Sadly, patients are seeking help from clinics to treat their hair loss and come away even worse than when they first visited.

There is a growing number of black market hair transplant clinics that are performing dangerous and poor transplants. As a result the International Society of Hair Restoration Surgery (ISHRS), the global leading authority of hair loss treatment and restoration, has released a worldwide campaign. It’s called “Beware Of The Hair Transplant Black Market”.

Why has the campaign been launched?

The black market of hair transplant clinics consists of clinics that are primarily run by technicians. Sometimes there might be 1 doctor and 10-60 technicians who operate in a “conveyor belt like” manner. The doctor present in the clinic is mainly there for show only. Sometimes they don’t have a valid medical license or a job permit. Ultimately, corners are cut in patient care and patients have no recourse to make a complaint.

Without proper clinical care, patients come away from these clinics with injuries such as:

  1. Scarring
  2. Over-harvested donor areas
  3. Poor, irreparable hair transplant results

The risk of technicians performing hair transplants is certainly daunting. It is illegal for technicians to make any cuts or incisions in the UK. Currently the main Black Market Hair Transplant Clinics are located in:

  1. Turkey (#1 Destination)
  2. Pakistan
  3. India
  4. Iran
  5. USA

These clinics normally try and attract patients with the following methods:

  • Paying large sums of money for marketing- using terms like “no pain” “no scars” “leading clinic” which are entirely misleading
  • Providing no clinical advice to patients on whether they are a good candidate for hair transplant surgery or not, i.e. they operate on anyone who pays
  • Technicians performing the surgery and anaesthesia with no Doctors. This means prices are cheaper for patients as the clinics they visit don’t have to employ a fully licensed hair transplant doctor
  • Offering large numbers of grafts at cheap prices e.g. 2000-4000 graft extractions per session with no regard for the patient’s degree of balding. Their mantra being quantity is better than quality but resulting in an over-harvested donor area
  • Attracting patients by advertising 4-5 star hotel accommodation, transportation and airfare
  • Offering a certification of quality (meaningless)
  • Guaranteeing results- knowing patients are coming abroad and will not return to complain about over-harvesting and poor implantation

What is the campaign?

The campaign has just started and is aiming to achieve a number of key objectives particularly around patient education.

Education and Awareness

Patients are being misled by false advertising. Adverts on Facebook, Google and Instagram with pictures and videos about hair transplant surgery being so easy that patients can be operated on in an “assembly line” is misleading.

Hair transplant surgery is essentially surgery. It requires a properly trained hair transplant surgeon (sometimes two surgeons) who are practising under a license and in a regulated clinic. Different patients have varying hair types and hair loss patterns so a “conveyor belt- like surgery” will not be applicable to all. It actually ignores the high attention to detail hair transplant surgeons must have in order to give patients safe, natural and long lasting results.

In the UK there are strict guidelines as to where you should go for hair transplantation. If you wanted to read more please click here. These guidelines include:

1) Choosing a Hair Transplant Surgeon who is GMC registered
2) Choosing a Hair Transplant Clinic that is CQC registered

The campaign is also collecting stories, photos and videos from Doctors and patients. If you have been affected by a poorly performed hair transplant then get in touch to share your experience (click here). Black Market Hair Transplant clinics threaten the integrity of hair transplant surgery including its Doctors and Surgeons who are dedicated to its practise.

What now?

The beware of the Black Market of Hair Transplant Clinics campaign has just started. Expect some new developments on the topic by the ISHRS and BAHRS. We want to make it clear, The Treatment Rooms London fully supports this awareness campaign.

We continue to see patients suffer at the hands of hair transplant technicians and unlicensed clinics. Hair transplant surgery is complex and the surgery is just the beginning of a long hair growth journey. Starting off on the wrong foot can be devastating. No patient should have skin necrosis as the result of poor surgery technique or suffer the effects of an over-harvested donor area.

We encourage any patients looking to have a hair transplant in London or the wider UK landscape to do their homework on the clinic and surgeon they are visiting. If you wanted to know more about this topic then please click here to read our blog.

References

  1. https://ishrs.org/wp-content/uploads/2019/01/BlackMarketAwareCampaignISHRS-ENGLISH_PPT_01-27-19.pdf
  2. https://ishrs.org/bewarehtblackmarket/
  3. http://www.digitaljournal.com/pr/4117646
  4. https://www.nhs.uk/conditions/cosmetic-treatments/hair-transplant/
  5. https://www.treatmentroomslondon.com/unregulated-hair-transplant-clinic/
  6. https://www.treatmentroomslondon.com/safe-hair-transplants/
  7. https://www.treatmentroomslondon.com/5-considerations-before-having-a-hair-transplant/

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What You Need To Know About Finasteride For Hair Loss

finasteride tablet

Propecia® is its brand name. Finasteride is the generic name and it is a medication widely used for the treatment and prevention of hair loss. But how do you, as a patient, decide whether to take it or not? This blog will help you in your decision making process.

Male Hair Loss

Finasteride is primarily a medication for male pattern hair loss. It is not a commonly used medication in females- mainly because there hasn’t been any consistent beneficial effects. The use of finasteride in females may only be limited to conditions like hirsuitism and polycystic ovary syndrome (1).

For the majority of males, the main cause of hair loss occurs in a predictable pattern called male pattern baldness. Male pattern baldness is a type of alopecia caused by dihydrotestosterone (DHT), (2). DHT is a hormone converted from testosterone and it works in your scalp to thin your hair and make it fall out. In most men it is the primary driver for hair thinning and hair loss.

By stopping the action of DHT at hair follicles, we can stop and reverse the hair loss process. This is how Finasteride works. But should you take it?

Taking Finasteride

Firstly- Finasteride is a medication that should be prescribed by your Doctor. Some patients buy it online- at The Treatment Rooms, London we recommend you see a hair loss specialist. The main reasons for this are:

  • Sometimes Finasteride is NOT the correct medication for you as you might be suffering another type of hair loss
  • You should therefore have a hair loss DIAGNOSIS by a specialist before deciding on the best treatment for you
  • Finasteride, like all medications, has SIDE EFFECTS that need to be monitored for
  • You need to check how EFFECTIVE finasteride is- so having an objective analysis of your hair growth whilst on the medication is important. This should be done by a hair loss specialist
  • If you are planning on having CHILDREN then Finasteride should be stopped before & during pregnancy as well as when your partner is breast feeding. This requires meticulous planning on behalf of you and your hair loss Doctor to make sure you limit hair loss during the time when you are not taking the medication

Does Finasteride Work?

At a dose of 1mg taken once a day, Finasteride has been shown to reduce the levels of DHT in the scalp by 60%. In clinical trials this has had the following effects:

  1. Stops hair loss in 86% of males
  2. 65% of men report a significant increase in hair growth

These positive effects can be see in the first year or two when starting treatment. Interestingly, for those who haven’t noticed a change after a year of taking the medication, you should still continue it. Hair growth in clincial trials have been shown to improve even in those with no or little change after 1 year, with great results in growth after 5 years (2).

crown hair transplant with finasteride before and after
Hair regrowth following 5 months of treatment

What are the side effects of Finasteride?

As with all medications there are of course some side effects of Finasteride (3). The two main side effects you ought to know about are:

  1. Low mood
  2. Sexual Dysfunction (2.1-3.8% of males)

For patients who do unfortunately suffer from these side effects- rest assured most patients recover well if they stop the medication. Interestingly, some patients recover despite continuing the medication- this suggests that the medication did not cause the side effect in the first place.

If you are worried about these side effects it is important you discuss them with your hair loss doctor as there are other treatment options available to you. This includes the option of taking the medication on alternate days.

When should you take finasteride?

Finasteride is a medication you usually take once a day. The decision to start finasteride really depends on you. If you are concerned about your hair loss and you have been diagnosed with androgenic alopecia (male pattern baldness) then finasteride is a medication that can prevent further hair loss and help you grow thicker hair.

If you are planning on having a family soon then Finasteride might not be the medication you choose to have. Other treatment options like Minoxidil could be your first line treatment. After you have finished having children you can then think about adding in or swapping to Finasteride.

Some patients may also benefit from having Finasteride to stabilise their existing hair loss before choosing to have a hair transplant. By stopping the progression of hair loss and helping to thicken hair in previously thin areas many patients are able to achieve a very good aesthetic outcome. If they then wanted to have a hair transplant the total number of grafts required for a desirable outcome is less. Overall, the combination of finasteride and a hair transplant to reverse and treat hair loss is the most effective treatment.

Want to know more?

If you would like to find out more about Finasteride then please don’t hesitate to contact our hair loss specialists at The Treatment Rooms London. Our Surgeons and Doctors are happy to take you through a full consultation around hair loss, including a discussion about Finasteride. Feel free to book your consultation today.

References

  1. https://onlinelibrary.wiley.com/doi/abs/10.1111/ijd.14370
  2. https://www.ncbi.nlm.nih.gov/books/NBK278957/
  3. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1529-8019.2011.01441.x
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481923/
  5. https://link.springer.com/article/10.2165%2F00003495-199957010-00014
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1622749/
  7. https://thriveglobal.com/stories/what-is-the-role-of-the-pharmacological-use-of-finasteride-in-male-patients/

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British Association of Hair Restoration Surgery

Dr Fernando Hair Restoration Surgeon British Association of Hair Restoration Surgery

Dr Fernando, lead hair transplant surgeon at The Treatment Rooms London, is now a full member of the British Association of Hair Restoration Surgery.

What is the British Association of Hair Restoration Surgery?

The British Association of Hair Restoration Surgery (BAHRS) is a UK non-profit organisation for individuals who have an interest in hair loss, hair transplant surgery and hair research. Its key objectives are to:

  1. Promote the understanding and reputation of hair restoration surgery in the UK and Ireland
  2. Foster the communication of information relating to hair restoration surgery amongst members, other practitioners and other professional bodies
  3. Advance all aspects of the professional practice of hair restoration surgery to high standards of competence, conduct and ethics and to promote education in appropriate skills
  4. Represent members, to assist members to protect their interests, and to offer members support in matters relating to hair restoration surgery practice

BAHRS has a strict code of conduct and standard when it comes to hair transplant surgery. Any member of BAHRS is required to uphold these principles. As a result, if you visit a surgeon who is a BAHRS member, you can expect them to provide you high quality hair transplant surgery as outlined by BAHRS’ professional standards.

Dr Dilan Fernando- Full Member of the British Association of Hair Restoration Surgery

As of January 2019- Dr Fernando is now a full member of the British Association of Hair Restoration Surgery. He continues to work tirelessly to give his patients the highest quality hair transplant surgery. This includes working to BAHRS’ professional standards. It means no corners are cut in delivering hair transplants to patients in London and the wider UK.

Being a full member of BAHRS, Dr Fernando will continue to uphold its code of conduct around the following standards of hair transplant surgery:

  • Consultation process
  • Consent process
  • Transparent transaction processes
  • Record keeping
  • Hair Transplant aftercare
  • Hair Transplant advertising

For more information, you can click the link (here).

References

  1. https://www.bahrs.co.uk/content/large/documents/bahrs_standards/psfhtsv3january19.pdf
  2. https://www.bahrs.co.uk/about-us/bahrs-standards/
  3. https://www.bahrs.co.uk/

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