How Important Is Your Hair To You?

male Hair Loss clinic london

Hair is one of the best ways to express identity. You often cut, colour and style it in ways that will improve your appearance, but on a deeper level you might even change your hair to reflect mood, personality and even career. Suffering from hair loss can therefore be devastating and with up to 50% of both men and women being affected by the age of 50, the issue is a common one.

The start of a hair loss journey is usually a very personal experience. You may notice hairs falling out in the shower or stuck to your comb. Some people start to notice when they are unable to style their hair in the way they used to. Whichever way it happens, starting that hair loss journey can have many ramifications, both professional and personal.

For women it can be incredibly disheartening to start losing your hair. The reasons behind hair loss in females is still very misunderstood and a huge amount of research still needs to be done. For men, the diagnosis can often be male pattern baldness (present in 50% of males > 50 years of age). However, like females there can be other diagnoses. In all cases of hair loss- please visit your doctor or hair loss specialist to get an expert analysis on what is going on.

Do I need hair loss treatment?

The importance of hair and hair loss to each individual is very personal. If you don’t mind losing your hair and are completely content then there is no need for you to actively seek treatment.

Although some men may be able to embrace their hair loss, others are often left with a feeling of dread and a lack of control. Being unable to stop or reverse hair loss can instil a feeling of anxiety and depression in anyone. In extreme cases this may establish itself as a body dysmorphic disorder. This is where a person has an obsessive anxiety about their looks. It can result in self-imposed social isolation, especially if they experience humiliation when being compared to peers of a similar age.

In a social context, our brains are wired to make unconscious associations with hair loss and the end of youth. Some men feel that this turning of age is associated with less vitality, desirability and sexual potency. Consequently, this reduction in self-esteem can have a huge impact on being able to form new relationships.

There are some interesting facts and figures that a study has concluded about men who are suffering from hair loss. In a survey of 1000 men, the study showed:

  • 60% of men aged between 25-44 cover up a receding hairline to impress people at work
  • 53% of men aged between 25-44 feel they lost out on a date due to their lack of hair

Is male baldness attractive?

The psychology of hair and hair loss is fascinating. Hair loss has long been associated with attractiveness in the past but attitudes are changing in modern times. With well known celebrities like Dwayne “The Rock” Johnson and Jason Statham sporting the bald look, many men are happy to follow suit.

This is backed up by studies showing that “men with shaved heads are sexier”. There has been research into the perceived confidence, attractiveness and dominance of bald men. All 3 characteristics were perceived to be higher in groups of bald men compared to those who had hair. The 3 characteristics were linked to these men being rated as more attractive.

Interestingly, bald men have also been perceived as not only attractive and dominant but also friendly. This is thought to be the case as male pattern baldness may have evolved over centuries to act as an “appeasement signal and signal benign, non-threatening dominance“.

So, if you are losing your hair and are comfortable with it then there is no need to have treatment. Embrace baldness!

What treatments are available for hair loss?

Your hair loss can occur slowly as part of your natural ageing process. In some individuals it can be accelerated with the balding process being noticeable in their 20s.

Starting treatment will really depend on the “root cause” for your hair loss and the rate of loss too. In most men who suffer from male pattern baldness, starting finasteride is the first treatment option. Minoxidil can also be used as additional therapy.

To read more about Finasteride or Minoxidil click the following links:

However, in order to replenish hair in areas that have now become bald, a hair transplant can be considered.

To find out more about a hair transplant- feel free to navigate the following links:

References

 

Why Do People Have Hair Transplants?

why do people have hair transplants

Why do people have hair transplants? It is a common question especially asked by those who have just found out about the treatment. This blog helps bridge the gap in understanding.

Firstly- What Is A Hair Transplant?

Hair transplant surgery involves taking hair from one part of the body and moving it (transplanting it) to another part.

Commonly the procedure is used to restore hair to bald areas of the head. In people who have undergone a particular type of hair loss, hair transplantation may be the only treatment that can give them hair again.

As you might see in elderly gentleman, hair is often lost on the top and crown but is thick on the back and sides. The hair on the back and sides can be taken out and re-implanted into bald areas of the scalp. These hairs will eventually grow and provide a set of hair you can style again.

The procedure can even be used to transplant hairs to the eyebrows, beard and other areas of the body. The hairs on the back and sides of the scalp are usually permanent hairs so once they are transplanted- the effect should be permanent.

Why Can’t I Take A Tablet Or Spray?

The tablet and spray you may be referring to are called Finasteride (Propecia®) and Minoxidil (Regaine®). Both treatments work really well in people who have thinning hair or are actively losing hair. However, in people who have lost hair and have completely bald areas of the scalp- these hairs will simply NOT grow back. A hair transplant is the only treatment that can restore hair to these areas.

So, Why Do People Have Hair Transplants?

Ultimately, it boils down to the following points:

  1. Are you bothered by your hair loss?
  2. Do you want to prevent any further hair loss?
  3. Do you want to restore hair to areas you have lost it?

If you answer to 1 is yes then go onto question 2. If question 2 is yes then great- there are many options for treatment (click HERE). Should you want to restore your hair style then by answering yes to question 3 you may benefit from a hair transplant.

But why do people say yes to wanting hair in areas that are now bald? It is not uncommon for patients visiting The Treatment Rooms London to come in and say, “I would like a hair transplant”. It seems they have already answered yes to all the 3 questions above and already made the mental leap.

“I Would Like A Hair Transplant”

Wanting to have a hair transplant because you desire to have hair where it once was is often sparked from an underlying core reason.  At The Treatment Rooms London we often find our patients share common reasons such as:

  1. Wanting to feel young again- missing out on having hair previously whilst friends or family may still have theirs
  2. Having hair again will help boost perceived masculinity and professionalism

Sometimes, patients even cite that a footballer’s hairstyle has inspired them to address their own hair loss.

Wanting to feel young again

If you have lost your hair you can feel particularly annoyed when everyone else around you still has theirs. We understand the feeling of you don’t understand the “importance of something until you’ve lost it”. Hair loss fits perfectly in this concept.

We already know that balding is association with the perception of being older. Undergoing a hair transplant and restoring hair to the head can therefore reverse this discrimination.

Boosting masculinity and professionalism

Healthy strong hair can really boost your confidence. In a survey conducted by Dove, 8/10 men admitted to a person’s hair being tied to how professional they looked. Together with a suit, briefcase and clean shoes a professional, healthy looking set of hair is now a modern addition.

Gone are the days where baldness was a lifelong sentence. With the advancement of follicular unit excision, men can sport thicker hair-dos that can be styled.

At The Treatment Rooms London we are seeing more and more businessmen and those alike turning to our Surgeons for help in restoring their hair. Not only are we a UK hair transplant clinic we are regulated and licensed to operate. That means, businessmen can trust our clinic with their hair and the eventual cosmetic outcome. Having been established as South London’s first hair transplant clinic we have developed a premier service that complements the modern day working professional. No corners are cut in working to achieve a hair you and we are proud of.

So if you are interested in finding out more and have looked in detail about what a hair transplant is- contact us today. We can guide the next steps on your hair regrowth journey. Simply book your free consultation today.

References

  1. https://ifpnews.com/coverage/a-hair-transplant-could-mean-great-things-for-your-career/
  2. https://www.prnewswire.com/news-releases/men-from-all-50-states-agree—hair-is-an-integral-part-of-guys-identities-300504997.html

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Telogen Effluvium- What You Need To Know

female hair

Telogen effluvium is a form of hair loss. It is commonly associated with hair loss in a female but actually the diagnosis can affect males too. In most cases the condition self-resolves. However, it can be concerning to lose so much hair quickly. This blog helps to explain what Telogen Effluvium is and what treatments are available to you.

What does “Telogen Effluvium” mean?

Your hair goes through different stages of growth. Telogen effluvium is caused by a disturbance in the normal hair lifecycle. Hair initially grows from the hair root (anagen phase, lasting 2-6 years), then it stops growing and rests (catagen phase, lasting 2-3 weeks). Eventually this resting hair shortens and falls out (telogen phase, lasting 3 months). In the scalp 85% of your hairs are in the active growth phase (anagen) and about 15% of your hairs are being shed (telogen phase).

Telogen– this is the shedding phase of a hair follicle and it comes after two other phases (Anagen- growth phase, Catagen- end of growth phase)

Effluvium- the active shedding of hair

So in a nutshell, telogen effluvium, means you are suffering from hair loss and you are primarily shedding hair that is at the end of its lifecycle. If more of your hair switches into the telogen phase you will notice more hair being shed than is actually grown (less anagen hairs and more telogen hairs). This imbalance and hair loss is called telogen effluvium.

What does telogen effluvium look like?

Telogen effluvium causes hair loss and thinning all over the scalp and differs from Female Pattern Hair Loss where hair is only lost on the top of the scalp. There are two main types of Telogen Effluvium- Acute Telogen Effluvium and Chronic Telogen Effluvium.

Acute- lasting for a short period of time (up to 6 months)

Chronic– lasting for more than 6 months

Acute Telogen Effluvium

In Acute Telogen Effluvium, you will notice you lose hair all over your head. A particularly sudden stressful event normally triggers acute telogen effluvium and it causes more of your hairs to switch from a growing (anagen) phase to a resting (telogen) phase. These hairs will remain in this phase for 3 months and will eventually shed. The process usually resolves after 6 months and you should recover well.

Many different triggers have been found and you may realise you have experienced the following events that are now triggering your hair loss:

  • Going through a severe illness
  • Giving birth or going through an abortion
  • Psychological stress (e.g. death of a loved one)
  • Drastic changes in diet
  • Large blood loss
  • Surgical operation including hair transplant surgery
  • Traumatic accident (e.g. car crash)
  • Medications like Birth Control Pills

Chronic Telogen Effluvium

Although in most cases acute telogen effluvium self resolves after the initial stress event has passed, in some cases hair loss can persist past 6 months. This is called Chronic Telogen Effluvium- a condition where hair thinning and loss continues after 6 months.

How Do You Know If You Are Suffering From Telogen Effluvium?

If you are worried about a diagnosis of telogen effluvium then you should seek immediate advice from a hair loss specialist. If you wanted to book a consultation with the hair loss doctors at The Treatment Rooms London, then please click (here).

For both diagnoses it is important you are seen in person so you hair loss can be examined in detail. In most cases of acute telogen effluvium you should notice your hair grows back as the hair loss is temporary.

For those who may be suffering from chronic telogen effluvium it is important to exclude any common long term causes of hair thinning and hair loss such as:

  • Iron deficiency
  • Zinc deficiency
  • Thyroid disease
  • Kidney or Liver disease
  • Stomach or pancreatic disease
  • Systemic lupus erythematosus
  • Long term viral infections
  • Medications that can cause hair loss

In some cases of chronic telogen effluvium there are no specific triggers and this is called primary chronic telogen effluvium whereby there is diffuse (all over the scalp) hair loss. Mostly women are affected by telogen effluvium (both acute and chronic) as they go through childbirth and can often have iron deficiency.

Can You Treat Telogen Effluvium?

In most cases of acute telogen effluvium you will notice your hair starts to grow back after 3-6 months. However, you can take the licensed medication, Minoxidil, to help treat your hair loss.

In chronic telogen effluvium, you will first need to exclude other causes of hair loss before undergoing treatment. If you are found to have primary chronic telogen effluvium (no specific trigger) then you may notice you benefit from Minoxidil too.

Unlicensed treatments for Telogen Effluvium include PRP injections to help stimulate hair growth and increase hair thickness.

References

Dr Dilan Fernando- Advisory Board Member at The London Aesthetics Show

london aesthetics show

The Treatment Rooms London lead hair transplant surgeon, Dr Dilan Fernando has been elected advisory board member at The London Aesthetics Show.

The London Aesthetics Show is launching Spring 2020 and seeks to champion patient safety and awareness in the aesthetics industry. With an increasing number of patients opting for aesthetics treatments; safety and regulation within the UK landscape is a priority. The London Aesthetics Show is the first conference to bridge the gap between cosmetic clinics and patients. It gives the chance for patients to meet with Doctors, Surgeons and practitioners alike. In this forum, patients will have the opportunity to ask them questions relating to treatments they are interested in.

What will Dr Fernando’s role be at The London Aesthetics Show?

On the board, Dr Fernando will represent hair transplant surgery and the patient safety issues that surround treatment. He is excited to represent a treatment that is growing in popularity over the last few years.

I am excited to be elected onto The London Aesthetics Show board. Hair transplant surgery is a complex treatment and patient safety is a priority. In lieu of the ISHRS’ recent Black Market Hair Transplant campaign launched in 2019, I look forward to highlighting both the BAHRS and ISHRS’ professional codes of conduct around patient safety to those attending and exhibiting at The London Aesthetics Show

Dr Dilan Fernando, Lead Hair Transplant Surgeon at The Treatment Rooms London and Member of the British Association of Hair Restoration Surgery

What will Dr Fernando speak about?

Dr Fernando will highlight the issue of unregulated, black market hair transplant clinics that put patient safety at risk. Any patient that seeks hair loss treatment needs to have a proper consultation. This requires a full assessment of hair loss to date and then a plan for the future.

In today’s global market of hair transplant surgery, we are finding patients are quickly ushered into choosing a hair transplant. This is without any regard to their outcome and their expectations for results. Patients require a holistic plan to account for hair loss and the future. This may mean delaying a transplant in a patient’s best interests until their hair loss stabilises.

Dr Dilan Fernando, Lead Hair Transplant Surgeon at The Treatment Rooms London and Member of the British Association of Hair Restoration Surgery

At The Treatment Rooms London we are also seeing an increasing number of patients having their hair ruined following a transplant. Their complications range from poor hair growth results through to disastrous skin necrosis.

Skin necrosis is a never event in hair transplant surgery. This means that a patient should never suffer from this complication. A surgeon who has carried out the transplant which has resulted in skin necrosis has clearly shown some degree of poor technique. I will be looking to highlight and address this issue at The London Aesthetics Show.

 

Dr Dilan Fernando, Lead Hair Transplant Surgeon at The Treatment Rooms London and Member of the British Association of Hair Restoration Surgery

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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