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.

How important is hair to men?

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

So, should you care about going bald?

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!

If you are worried about hair loss- what treatments are available?

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

 

Hair Transplant Success Story

Best hair transplant london

Another hair transplant success story! Here at The Treatment Rooms London we love sharing our patient’s success stories- especially after they have gone through a hair transplant.

A hair transplant doesn’t give you immediate results e.g. within days. As hairs have to be taken from one part of the scalp and re-implanted into another, the roots can take some time to grow. We tend to advise that the regrowth process takes at least 12- 18 months. So you can imagine our patients therefore have a huge amount of patience!

Read more about hair transplant surgery

The patient

Before Hairline Hair Transplant London

This friendly patient is often in the public eye. He takes part in body building competitions so he wanted his hair to fit his style. He was suffering from an early stage in male pattern baldness; receding in the temples and his frontal hairline.

In order to restore his hair to a hairline he wanted, the surgeons in our clinic agreed that he would benefit from a hair transplant.

However, the key to a successful hair transplant was discussing how the patient wanted to style in his hair in the future. Our surgeons are able to implant hairs to match natural hair direction. This patient wanted to style his hair up, giving his hair fullness at the front. With this in mind, our surgeons had to carefully plan how many hairs would be required to give density and volume for this hair style.

The surgery

Extraction of 637 grafts for implantation into the frontal hairline and temple region. This was carried out using the FUE (follicular unit excision) method in one session.

Before and after hair transplantation

This patient’s result is 7 months post surgery. His hair follicles have clearly grown at a fast rate!

Best hair transplant london

As you can see from the photo, instead of combing his hair to the side, our surgeons have implanted grafts so the patient can now style his hair up and back. This added volume and density has also rejuvenated his frontal hairline. You will notice that his hair appears more healthy and thick.

Treatment for hair loss

Some of you readers may also question what this patient will do if he loses more hair?

At The Treatment Rooms London we always think about the past, present and future of hair loss. The future of anybody’s hair loss is particularly important when it comes to choosing to have a hair transplant. If you don’t manage hair loss for the future you may end up with a hair transplant that looks odd in years to come. This is because you will continue to lose hair behind and around the transplant if you don’t take preventative measures against the ongoing hair loss process.

For this patient, taking medication like finasteride was undesirable. So he is currently on a regimen of Minoxidil which he is using to preserve his hair growth and thickness.

UK Hair Transplants

UK Hair Transplants

UK Hair Transplants– why is the UK one of the best places in the World to have your hair transplant? This blog helps to explain some of the reasons why.

Medical Tourism

Medical tourism is a term used to describe people going abroad to have a medical or surgical treatment. It has always existed and in many ways is a good thing. In some countries some treatments may simply be unavailable. Medical tourism therefore opens doors for patients to go and seek treatment from a Surgeon or Doctor who is practicing in a different country.

Modern Day Medical Tourism

However, with the rise of social media and posting of before and after pictures, medical tourism has showed an ugly side. Some clinics are now able to aggressively advertise treatments attracting people from abroad for low cost treatments. In many cases these treatments are cheap because the clinic is cutting corners in the quality of care. This may include not even having a qualified Doctor or Surgeon carry out the treatment, (1,2). This really does put patients at risk. The worldwide press was shocked to hear about Leah Cambridge who died from going to Turkey to have her cosmetic surgery. The lure of cheap treatment can be enticing but should not trump quality of care.

Medical Tourism and Hair Transplants

For hair transplants, clinics offering cheap hair transplants often combine the treatment with the following advertisements:

In the UK, hair transplant clinics are bound by the Advertising Standards Authority. The ASA puts a framework in place whereby clinics cannot advertise false claims or incentivise patients to undergo a medical treatment- including having a hair transplant. This means patients are given the time to reflect on whether a UK hair transplant clinic is suited to them. It also gives patients a chance to objectively assess a hair transplant clinic and surgeon on their expertise and experience in performing the surgery. There are no “add-ons” like those listed above to cloud a patient’s judgement.

Ultimately, a patient should judge a hair transplant clinic and surgeon on the following baseline criteria:

  • The licensing and regulation of the clinic and surgeon
  • Trust in the surgeon and their experience around managing hair loss not just hair transplantation

UK Hair Transplant Clinics

There are many UK hair transplant clinics like The Treatment Rooms London. These clinics, like ours, should be:

  1. Registered with the Care Quality Commission (CQC)
  2. Only employ licensed Doctors and Surgeons who are registered with the General Medical Council (GMC)

cqc thread liftThere are over 100 UK hair transplant clinics and some may not fulfil the two stipulations above. It is always important to double check the clinic. Feel free to go onto both the CQC and GMC websites to search for the clinic.

  1. CQC
  2. GMC

The Treatment Rooms, London is listed HERE on the CQC’s website.

The UK healthcare system has always put patients at the centre of care quality. The country has frameworks and legislation in place to ensure that safe and quality care is provided in any clinic. This means that as a patient you can expect your clinic and its surgeons to act professionally and provide objective advice to your concerns.

UK hair transplant clinics are considered the elite for a reason. They have been set up under a British medical system geared to ensure safe and quality care for patients. Doctors and Surgeons often lead their patient’s care, providing direct one to one care. This will ultimately benefit a patient in the following ways:

  • The patient can ask questions about his or her procedure at any time directly to the person in charge of their care
  • The Doctor or Surgeon can check the quality of grafts- making sure everything is being done to ensure the patient’s best outcome
  • Better aftercare management, as the Doctor or Surgeon have been directly present during the transplant- noting any difficulties or problems that may have occurred

Choosing a UK Hair Transplant Clinic

If you live in the UK, choosing a UK hair transplant clinic is an easier decision. As you may know already, hair transplant surgery is a long day and being able to go back home to rest afterwards is important.

Secondly, as a transplant involves surgery, there can be side effects and complications. You will want to see or touch base with your Surgeon at your convenience. Not only will this mean your mind is put at ease but also any treatment that is needed can be started immediately. This is obviously very difficult if you have had your transplant abroad.

The Treatment Rooms London, A UK Hair Transplant Clinic

The Treatment Rooms London is South London’s First Hair Transplant Clinic. We take pride in seeing our patients one to one. We cut no corners when developing holistic, personalised hair treatment plans. These plans should always take into account your current and predicted hair loss.

Without factoring in how you will continue to lose hair, a definitive treatment like a hair transplant can be futile. Hair transplant clinics abroad may advertise a one-stop-shop for all hair transplants. However, you need careful planning before undergoing the procedure. We have seen too many gentleman coming from abroad having had a bad hair transplant. Their experiences can be frightening with poor surgical technique, over-harvesting of hair and lack of hair loss planning for the future. What if you continue to lose hair behind your hair transplant? It will ultimately render your hair transplant useless and you may find yourself back to square one.

If you needed more advice about your hair loss or about hair transplants in general our Doctors and Surgeons would love to see you. Book yourself a free consultation at The Treatment Rooms London by clicking HERE.

Read more

 

References:

  1. https://abc13.com/health/arrested-medical-assistants-botox-not-fda-approved-police/5126525/
  2. https://abc7chicago.com/health/medical-assistant-gave-patients-illegal-botox-injections-police/5125331/
  3. https://www.itv.com/news/central/2019-02-12/lip-filler-disaster-prompts-parliament-debate-cosmetic-surgery-botox/
  4. https://www.bbc.co.uk/news/health-45731191
  5. https://www.bbc.co.uk/news/uk-england-45367980
  6. https://ishrs.org/bewarehtblackmarket/
  7. https://www.treatmentroomslondon.com/5-considerations-before-having-a-hair-transplant/
  8. https://www.treatmentroomslondon.com/are-hair-transplants-dangerous/
  9. https://www.webmd.com/skin-problems-and-treatments/hair-loss/what-look-surgeon#1
  10. https://www.bahrs.co.uk/

Hair Transplant Side Effects

hair transplant side effects

What are the main side effects after a hair transplant? This is a common question asked by our patients visiting The Treatment Rooms London. This blog will aim to inform you about the main side effects you need to be aware of such as:

  1. Pain in the scalp donor and recipient area
  2. Swelling around your hair transplant, forehead and eyes
  3. Itching
  4. Bleeding at the donor or recipient site
  5. Crusting of the implanted grafts or at the donor site
  6. Inflammation or infection of the hair grafts
  7. Temporary loss of hair (shock loss)

Hair Transplantation

Before undergoing a hair transplant you will need to meet with your surgeon beforehand. In these meetings you should address all your concerns including the process of the surgery, what to expect afterwards, side effects to look out for and how your hair will grow in the future.

The surgery itself involves taking hair at the back and sides of the head and moving them to areas you are balding in. These hairs are not affected by the hair loss and thinning process, so when they are moved they remain where they have been implanted.

The surgery sounds simple- so are there any side effects you need to worry about? In short- yes there are.

As hair transplant is surgery you will realise that the process involves pre-operation assessment, anaesthesia, blood pressure control, precise cutting around and accurate implantation of grafts. Your aftercare following surgery is therefore incredibly important. You should expect a detailed breakdown of side effects and how to manage them by your hair transplant surgeon.

The main side effects you will need to be aware of are the following:

  1. Pain
  2. Swelling
  3. Itching
  4. Bleeding
  5. Crusting
  6. Inflammation/ Infection

Pain

Your pain should typically be worst on the evening of your surgery. The pain can be felt in your donor area but also where hairs have just been implanted, (1). It is often described as a graze like pain but shouldn’t be severe.

What is happening? The hair transplant involves many small cuts to your head. After the local anaesthetic has worn off you may start to feel some of these small cuts. By the next day the worst of the feeling should have worn off and you should feel comfortable. In a small number of patients where the transplant has been a large one, you might feel mild pain that persists for 1- 2 weeks.

How can you treat the pain? Any pain you feel can be easily managed using Paracetamol with Ibuprofen (or Nurofen). If you needed something stronger it is worth going back to your hair transplant surgeon to discuss what can be given.

What is your pain isn’t going away? If your pain is persistent following a hair transplant you ought to go back and see your surgeon. The pain might go away with a bit more time but in some cases the pain can be because of another problem. For example, in patients who have been over-harvested with poor implantation of grafts and delayed scalp healing.

Swelling

Swelling can start to develop the next day after a hair transplant (3). This tends to be worse in the forehead and around the eyes. It can last for 7-10 days post-surgery. In most patients this is mild but can in some cases be severe.

What is happening? As you have undergone surgery there will be an element of inflammation from the surgery. This inflammation will cause the skin tissue in the scalp to swell and feel tight. This can sometimes move down the forehead and affect the eyes.

How can you treat swelling? At The Treatment Rooms London, we routinely provide anti-inflammatory medications such as dexamethasone (a steroid). This is a tablet that you take once a day in the morning and it helps to reduce the swelling. In most patients the swelling is kept completely at bay.

What if your swelling isn’t going away? Sometimes in large hair transplant cases your swelling may persist for a bit longer that 7-10 days or might start to affect your eyes. You should at this point make an appointment to see your hair transplant surgeon. They will be able to advise on how to best manage the side effect. Rest assured this side effect should disappear.

Itching

Itching is often the last side effect to develop. It often affects the back and sides of the head where donor was taken. It can also affect the area where grafts have been implanted. Itching may start as early as 4-5 days after the procedure and can last up to a month.

What is happening? Like swelling, itching is secondary to the inflammation and healing processes your scalp is going through after surgery. Itching can also be due to a dry scalp after hair transplantation. In both circumstances the side effect tends to go away with time

How can you treat itching? At The Treatment Rooms London, we have written an extensive blog on this topic. Feel free to read it by clicking HERE. In summary you can use the following treatments:

1. Do not scratch the itch!
2. Salt water spray
3. Taking an anti-histamine
4. Medicated shampoo
5. Steroid scalp solution

Bleeding

Bleeding can occur as a side effect straight after your transplant. The back of the head where your hair follicles have been taken out will bleed on the day of your surgery. This will stop after the procedure and you will develop scabs. The area will heal over the next few days- weeks.

Bleeding in the area where follicles have been implanted is normal on the day of the procedure. You should not be bleeding the day after the procedure. If you are, you may have dislodged or removed an implanted hair follicle.

How can you treat bleeding? If you find you are bleeding the day after the procedure don’t panic. Simply get a clean swab/ cotton bud or cloth and apply gentle pressure to the area. Don’t rub as it might dislodge any follicles. The bleeding should eventually stop. You should notify your surgeon that this has happened as it could mean you have lost a hair follicle.

What if the bleeding isn’t going away? If you bleed despite applying light pressure then you should contact your surgeon who should see you as soon as they can.

Crusting

You may notice some crusts that appear in the donor area-these are scabs and they are normal. Crusts may also appear where your grafts have been implanted- this is also normal.

What is happening? The crusts appear because of dried blood and fluid from your surgery settling around each of your implanted hairs. Crusting can be prevented during your surgery by careful washing and spraying by your surgeon. Crusts may appear after your surgery too.

How can you treat crusting? Firstly- DO NOT pick the crusts off. You risk pulling the grafts out and ruining your hair transplant. We recommend spraying your grafts regularly in the first 5 days after surgery. This helps to prevent hard crusts forming. Once you start washing on the 5th day, soak your crusts for 5-10 minutes and wash the area away. Do not spray the area directly with your shower head but instead let water trickle over and wash the foam away. After 1-2 weeks you should be crust free.

Inflammation or infection of the hair grafts

As with any surgery there is always a risk of infection. Your hair transplant should be carried out in a sterile (clean) surgical room so this risk should be minimal. Infection can start as soon as a day after your surgery. Infection normally causes your scalp to feel hot, painful and itchy. You might even notice small painful yellow bumps in the area you have your new grafts.

What is happening? As the grafts have been implanted into small cuts there is a risk of bacteria settling into these cuts too and causing an infection around the hair (folliculitis).

How can you treat infection? Normally this can be treated easily with an antibiotic tablet. The tablet should start working within 1-2 days and clear your infection in 7 days. There should not be any risk to your grafts if this is done quickly so make sure you visit your surgeon promptly if you notice signs of an infection. Sometimes your surgeon may also recommend a cream to apply on your head. This can also help fight the infection.

Still worried about hair transplantation side effects?

Send us an email or Whatsapp us by clicking the icon to ask for our advice. Our Hair Loss Doctors and Surgeons are happy to help!

Read more:

References:

  1. Nusbaum BP, Techniques to reduce pain associated with hair transplantation: optimizing anaesthesia and analgesia. 2004, Am J Clin Dermatol, 5(1):9-15
  2. Avram M, Rogers N and Watkins S, Side-effects from follicular unit extraction in hair transplantation. 2014, J Cutan Aesthet Surg, 7(3): 177-179
  3. Gholamali A, Sepideh P and Susan E, Hair Transplantation: Preventing Post-operative Oedema. 2010, J Cutan Aesthet Surg, 3(2): 87-89
  4. Loganathan et al, Complications of Hair Restoration Surgery: A Retrospective Analysis, 2014. Int J Trichology, 6(4): 168- 172

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