Dr Dilan Fernando- Hair Loss Blogger For Consulting Rooms

hair transplant surgeons at the treatment rooms london

Dr Dilan Fernando, Lead Hair Transplant Surgeon at The Treatment Rooms in London is now the author of Consulting Rooms’ Blog on Hair Loss.

Dr Fernando will be blogging all about hair and hair care. From hair loss, its prevention and treatment all the way through to hair transplant surgery and the future of potential treatments.

Blog 1- Hair: What is it and how does it grow?

Hair is an organ, just like your heart and brain

In his first blog he describes in detail the properties of healthy hair and how it grows, laying the foundation of what it means to have hair loss.

To read this blog, click HERE.

Blog 2- Hair loss: how to identify it and the initial considerations to make

“Suffering from hair loss … with up to 50% of both men and women being affected by the age of 50, the issue is a common one”

In his latest hair loss blog Dr Fernando shares his opinion on how to identify hair loss and what a suffer should do in the first instance.

To read this latest blog, click HERE.

Blog 3- Diagnosing Male Hair Loss

You might have noticed you are losing hair but what steps do you need to take to diagnose your condition? Find out more and read Dr Fernando’s blog on Consulting Rooms.

To read this latest blog, click HERE.

Blog 4- Diagnosing Female Hair Loss

Hair loss in females can be very distressing. You may notice your hair is thinning but what diagnosis do you have? Read Dr Fernando’s latest blog on Consulting Rooms to find out more.

To read the latest blog, click HERE.

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JAK Inhibitors- The Latest on New Treatments for Alopecia

JAK inhibitors alopecia

A man suffering from alopecia universalis has recently had a dramatic turnaround after starting a medication. By taking a JAK inhibitor he was able to grow his hair back! In this blog we discuss what a JAK inhibitor is and what the current research around hair loss and JAK inhibition is.

Alopecia areata affects 0.1%-0.2% of people worldwide. Unlike hormone related hair loss, Alopecia areata is caused by your immune system incorrectly targeting your hair and making it fall out. JAK (janus kinase) inhibitors, are medications used to suppress the immune system and are sometimes given to patients who are suffering from autoimmune conditions like Psoriasis. For a while they have been known to help regrow hair for those who are sufferers of alopecia areata.

Alopecia areata

Alopecia areata is a type of hair loss caused by the immune system. The hair on your head is typically protected from your immune system. This means your natural immune cells wouldn’t normally attack your hair. However, in some people this process can be altered and your immune system can incorrectly start to target your hair, making it fall out over a short period of time. The hair loss can happen in small circular patches often seen in alopecia areata.

Alopecia totalis

This is similar to alopecia areata, where hair is targeted by the immune system, but hair loss occurs all over the face (scalp and facial hair).

Alopecia universalis

This is again similar to alopecia areata but hair loss happens all over the face and body.

You might notice you suffer from alopecia areata/ totalis or universalis if you have a family member who suffers from the condition or if you have the following conditions:

  • Autoimmune thyroid disease
  • Systemic lupus erythematosus
  • Vitiligo

This is because there is overlap between the immune response in these conditions and the immune system targeting hair in alopecia areata/ totalis and universalis.

What is the link between JAK and alopecia areata?

JAK is a protein in your body that helps signal a response to your immune cells. By overstimulating this signal your immune cells can start to target your hair follicles and cause them to fall out. Research has shown that preventing JAK signalling can have following effects in mice hair (2,3,4):

  1. Prolonging the hair growth phase (anagen)
  2. Promoting hair regrowth
  3. Increasing blood supply to hair follicles

This essentially suggests that if you have an overactive JAK signal then you seem to suffer from alopecia areata, alopecia totalis and alopecia universalis.

What is the evidence for medications so far?

There are a few JAK inhibiting medications that have been used to treat alopecia areata.

Tofacitinib and ruxolitinib have both been seen to be effective in treating severe alopecia areata. Their side effects weren’t major and could be treated in most cases. However, the medications haven’t been put through trials and the evidence is mainly from a few cases. Secondly, the medications weren’t taken long term so there is no evidence around how effective JAK inhibiting treatments could be when someone stops taking them. So, although these medications have been shown to be effective more research needs to be carried out. More trials need to be carried out on people to gather further evidence on their effectiveness and safety. Also, JAK inhibiting medications can dangerously suppress your immune system, making you at risk of severe infections. Juggling this risk against hair loss needs to be a considered decision.

In conclusion, JAK inhibiting medications do provide an exciting prospect for the future development of new treatments for alopecia areata/ totalis and universalis. The evidence for them so far as been their use in the short term for a few number of patients. More evidence needs to be collected around how effective they are in the long term and in many more patients.

What treatments are currently available?

Currently the only licensed and proven medications for hair loss include Finasteride and Minoxidil. Both these medications wouldn’t work in alopecia areata/ totalis and universalis as they don’t target the immune system. If you are suffering from autoimmune alopecia it is important you seek advice from a hair loss specialist or a hair transplant surgeon who can advise you what your best course of treatment is. A course of steroid medications may be the best option for you.

References

  1. https://abcnews.go.com/GMA/Wellness/drug-alopecia-shows-promise/story?id=60128818
  2. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1600-0625.2007.00643.x
  3. https://www.jidonline.org/article/S0022-202X(15)35442-7/fulltext
  4. https://link.springer.com/article/10.1007/s00403-017-1777-5
  5. https://www.jaad.org/article/S0190-9622(16)31188-4/fulltext

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Is There A Hair Loss Virus?

hair loss virus

A recent paper published in the Journal for Cosmetic Dermatology suggested that sleeping viruses in your body can trigger hair loss. So is there a hair loss virus? In this blog we summarise the paper’s findings and explain what it could mean to male and female hair loss sufferers worldwide.

Hair Loss

Hair loss, in most people, is driven by dihydrotestosterone (DHT) acting at the hair root to make it thin and fall out. This process only occurs at the top and crown of the scalp. Hairs on the side and the back are not affected.

DHT is produced in the skin by an enzyme called 5-alpha reductase, and if you have an increased activity of this enzyme, you have more DHT and therefore more hair loss. Like any other enzyme, your body regulates how much of it is produced and you can have high or low levels of the enzyme.

Is there a link between a virus and hair loss?

Research by Polansky and Kestenbaum found that common sleeping viruses can activate signals in your skin to increase the amount of 5-alpha reductase. This means there is increased enzymes producing more DHT causing more hair loss.

They suggested that this could be a mechanism for hair loss in certain individuals and treatments should also look to tackle these types of viruses. For now there could be a hair loss virus and a theory has been put forward. It will be interesting to see what the researches find out in the future.

What treatments are available to me if I have hair loss?

There is no treatment for tackling these viruses that cause hair loss yet. More research needs to go into this exciting area of science. However, there are many treatments still available to you.

Finasteride stops the activity of 5-alpha reductase and therefore lessens the amount of DHT. This reduces any further hair loss and helps to thicken your hair.

Minoxidil is a solution or shampoo you can apply on your hair. It helps to increase the blood supply to your hair root, thereby providing more nutrients for hair growth. It works to thicken existing hair and prevent any further hair loss.

PRP injections are a new way of thickening hairs too. PRP uses your own blood, taking the main growth cells and nutrients from it and injecting them back into your scalp. An initial round of 3 treatments should help to thicken you hair.

If you have developed completely bald areas in your scalp then your only option to regrow hair there is to have a hair transplant. A hair transplant involves taking hairs from the back and sides of your scalp and implanting them into areas where you have no hair. These hair roots that are implanted will grow over the course of 12-18 months- creating hair in areas where you had none previously.

Don’t delay- contact us today

At The Treatment Rooms London, our hair loss specialists and surgeons are happy to hold a consultation to explore you hair loss and advise you on the treatments best suited to you. If you are worried about your hair loss please contact us today. Delaying treatment may mean it becomes even more difficult to regain your hair to a style and density you like. Feel free to enquire now and book your free consultation by clicking (here).

References

  1. https://www.ncbi.nlm.nih.gov/pubmed/?term=30019525
  2. http://cbcd.net/wp-content/uploads/2017/03/Book-by-Hanan-Polansky-Purple-Book.pdf
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4803748/

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End of Year 2018 Message from The Treatment Rooms London

Happy New Year The Treatment Rooms London

From all of us at The Treatment Rooms in London we wanted to say a big thank you to every patient that has seen us in 2018 and a Happy New Year 2019! In this short blog we wanted to share some highlights at The Treatment Rooms.

What a year…

2018 saw The Treatment Rooms open up a second clinic location in Harley Street giving patients access to our specialists. We have seen patients far and wide, one patient even travelling from Los Angeles to have their hair transplant carried out by The Treatment Rooms London. We are extremely privileged to meet patients from diverse backgrounds. Our surgeons often spend a whole day with their patients which means they get to know them well- truly an added perk of the vocation!

With the growing success of The Treatment Rooms London, Managing Director Dr Vara was invited to speak at 2 of the leading aesthetic conferences, sharing his experiences in starting and growing a clinic. At both CCR Expo 2018 and Aesthetic Medicine Live 2018 he was delighted to have an engaging audience, guiding them as they start up their own clinic.

With more and more patients choosing to see the Doctors at The Treatment Rooms, in 2018 we welcomed two new Doctors to the team- Dr Umaira Ashraf and Dr Masooma Rizvi. Both have brought new expertise and skills to the table and we have enjoyed welcoming them into The Treatment Rooms’ Family!

As The Treatment Rooms bids farewell to 2018 we wanted to reiterate how much we love seeing new and old patients coming into our clinic. We are proud to be part of your treatment journey and look forward to seeing you all in 2019.

What we are looking forward to in 2019…

As we welcome 2019 all of us at The Treatment Rooms London are excited to bring in some new changes! For our patients who visit us in Putney you will see a renovated clinic reception area where you will be able to check-in. We have designed it to be warm in winter and temperate in summer- shielding you from the haphazard London weather!

We are also welcoming many new hair transplant, thread lift and advanced aesthetics treatment bookings for early 2019. For this reason, we have recruited extra nurses, doctors and surgeons to ensure high quality and safe treatments continue every single day.

New Clinics in 2019

Because there are many patients in the UK and Internationally who are asking for our services, we are now expanding to 2 international locations. This means Hair Transplants, PDO thread lifts and advanced treatments by The Treatment Rooms London are going to be accessible for those patients further afield. We look forward to sharing more about these clinics with you over the coming months!

And with that we bid farewell to 2018 and wish you a Happy New Year. We are excited to share 2019 with you all!

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Female Pattern Hair Loss- What You Need To Know

female hair

Female hair loss can be caused by different factors. Female pattern hair loss is the most common cause with over 50% of females suffering from hair loss by the time they reach 50 years old. In this blog we explain this common condition and what can be done to treat it. 

Female Pattern Hair Loss

Similar to male pattern hair loss, females can suffer hair loss as a result of dihydrotestosterone (DHT). However the pattern of hair loss in females differs from males. Unlike males, females suffer generalised thinning of their hair at the top of the head or crown. This is best summarised in the Ludwig scale of female patterned hair loss (picture below). 

Ludwig Patterns of Female Hair Loss

What causes female pattern hair loss?

Both males and females seem to be affected by dihydrotestosterone when it comes to hair loss. However, the way in which hair loss happens is different. In females you will find your hairs become progressively thinner over time with not much hair actually falling out. This mainly affects the top of the head as you can see from the picture above. As the hair thins out you can start to see more of the scalp giving the appearance of baldness.

Dihydrotestosterone works by acting at the hair follicles, making the hairs weaker and causing the follicles to shrink. In some cases, the lifecycle of these hair follicles can also change and the follicles die earlier causing baldness. 

In most cases hair thinning (female pattern baldness) is a natural ageing process, however in some women thinning may start in their 20s with thinning becoming noticeable in their 40s. Some female hair loss sufferers may also have hair recession at the front of their head too. 

Importantly, hair thinning does not affect the back of the head in female pattern baldness. If it does then it is likely you are suffering from acute telogen effluvium or chronic telogen effluvium (more on these topics in our next blog).

ariana grande hair loss

Sufferers of the condition Polycystic Ovary Syndrome (PCOS) will also notice they may have female pattern hair loss. This is because in PCOS you get an increased amount of DHT (dihydrotestosterone) in your body. This therefore contributes to a faster hair thinning process. If you are wondering whether you suffer from PCOS or not, you can check if you have the following common PCOS symptoms too: 

  • Acne
  • Facial hair
  • Irregular periods
  • Difficulty in becoming pregnant

If you are worried about PCOS then please go and see your GP who can carry out further blood tests to find out more. To find your nearest GP then click here

What treatments are available to me?

There are some good treatment options for female pattern baldness. One of the first-line treatments available to you is Minoxidil (Rogaine®). This medication helps to increase blood supply (nutrients and oxygen) to the hair follicles. As a result you should start to see your hair becoming thicker. 

Unlike male pattern baldness, females can’t take medications such as finasteride to prevent DHT (dihydrotestosterone) from acting at the hair follicle. This is because finasteride, in trials so far, hasn’t shown safe clinical evidence to prevent hair thinning and promote hair thickening.

Other treatment options that you can consider include Laser Therapy and PRP injections

If you have developed significant female pattern baldness and have completely bald patches then you will likely benefit from a hair transplant. This involves taking hair from the back of your head and placing it in areas that you have become bald. At The Treatment Rooms London we are able to provide this as an unshaven procedure meaning you have little signs that you have undergone surgery. 

If you are a female suffering from hair loss then please don’t delay. Contact us at The Treatment Rooms London and we can book you in for a free consultation. Click here to fill out an enquiry form! 

References

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