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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Planning Your Hairline Hair Transplant

new hair line for hair transplant

Receding hairline? With rumours surrounding footballers like David Beckham and David Silva having a hairline hair transplant, the procedure is becoming popular (1,2).  Planning your hair transplant is a tricky process. You need to think carefully about how you will continue to bald in the future so any new hairline doesn’t look unnatural. In this blog we take you through what you need to think about when planning a hairline hair transplant. 

patient hairline before and after hair transplant surgery
Before and after 2000 graft hair transplant for the frontal hairline

Key Points

  1. Where is your hairline at the moment?
  2.  How much hair do you have that you can transplant?
  3. How old are you and will your hairline recede further?
  4. Will you be able to prevent any further hairline recession?

 

Where is your hairline at the moment?

You may notice that you fall into the following categories: 

  1. You hairline has receded so much that you have no hairline
  2. Your hairline has receded in the temples so you have an “M” shaped hairline pattern or a “widow’s peak”
  3. Your hairline has receded to the middle of your scalp (between your crown and forehead)
  4. Your hairline has thinned but has a general outline

In most types of hairline recession, the main cause is male pattern baldness (3). This process is caused by DHT (dihydrotestosterone) which causes the hair follicles to become weak and fall out. It is called a “pattern baldness” as the same pattern of hair thinning and balding appears in most men affected. The different types of pattern depend on how severely you have been affected by hair loss. They are summarised in the Norwood Scale as you can see in the picture below. 

norwood scale for hair loss
Norwood scale of balding showing the different stages of hair loss

By looking at the Norwood Scale you will be able to classify where your hairline is at the moment. If you hairline is at Norwood 2/3 then you should be able to bring your hairline forward to restore it your preferred position. If you are at stage 4a/5/5a/6 you need to think about how much hair you can use to create a hairline that you are happy with. You might better off with a hair transplant that gives you hair you can style over areas of balding. Your plan should be to restore your hairline to a position of Norwood 2 or 3.

How much hair do you have that you can transplant?

The amount of hair you have left at the back of your head is crucial. If you have dense hair at the back then it is likely you will have enough hair to achieve a hairline you would like. For those who don’t have enough hair then carefully plan how you can achieve a hairline you want- especially if you are Norwood Scale 4a/5/5a/6. If you don’t have much hair you may decide to have a hair transplant that gives you coverage of hair. This allows you to style your hair the way you want over areas of hair recession. 

How old are you and will your hairline recede further?

If you are young (<26 years old) then you might want to wait until you’re 26 years old. This means your surgeon can assess the full pattern of your hair loss. It is important to know how you have receded so far, so your hair transplant surgeon can plan future hair loss and plan a hairline that would suit you as you age. 

Will you be able to prevent any further hairline recession?

It is likely that everyone will recede further, so you need to make sure you plan for future hair transplants or stabilise you hair loss with medications like Finasteride. Taking Finasteride is an important decision and as with all medications there are side effects. 

However, particularly if you are planning to have children, taking finasteride can be tricky. You will need to plan when to stop taking finasteride (when you are trying to conceive) and when to restart (when your partner stops breast feeding). Planning this in advance with your hair transplant surgeon is important- make sure you discuss this with them! Whether or not you are taking finasteride, planning a hair transplant around your family plans is certainly achievable.

So what hairline should I go for? 

Seeing a hair transplant surgeon is the first step to answering this question. At The Treatment Rooms London our surgeons make sure to take you through all the considerations you need to make before deciding on a hair transplant. We prefer to plan a hairline that is mature which will suit you for the rest of your life.

A lot of patients request for their hairline to be brought down to match the hairline they had when they were in their teens. It is our opinion that this is not a good idea. Not only will this require many hair grafts that thin your donor zone but also your ongoing balding process will mean a hairline that is too low will look odd. As you age, your temples will recede and a hairline that is low will look like a strip of hair separated from the hair behind it. It will look unnatural and it won’t suit you in your middle- late age. 

mature frontal hairline hair transplant
Bringing your hairline too low won’t suit you as your recede in your temples. Choose a mature hairline that will look good for the rest of your life. It also helps to save more hair in your donor area if you choose to have a second procedure down the line.

Our advice is to plan for a mature hairline. Going for a mature hairline will mean your hair grafts can be used for dense, natural results without thinning your donor zone. The hairline will also be fashionable throughout the rest of your life. Another benefit from choosing a mature hairline is that you have saved more grafts at the back of your head incase you need a second hair transplant. 

Further information about hair transplants can be found by clicking: 

  1. Hair Transplant Surgery
  2. Patient Results
  3. Surgery Recovery
  4. Hair Transplant Side Effects
  5. Hair Transplant FAQs

References

  1. https://www.thesun.co.uk/tvandshowbiz/7893362/david-beckham-new-hair-victoria-brooklyn/
  2. https://deadspin.com/thank-god-david-silvas-hair-transplant-is-finally-takin-1830940593
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812885/
  4. https://www.nhs.uk/conditions/hair-loss

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Transgender Hair Transplants

transgender hair transplant

As a FTM or MTF patient you may consider a transgender hair transplant. With an increasing number of people identifying themselves as transgender, part of undergoing a transition may require treatment for readjusting a hair line. At The Treatment Rooms, one of London’s premier clinics for hair transplantation, our Surgeons are happy to guide you through your journey.

Do you need a Transgender Hair Transplant?

We often see 2 main problems depending on if you are transitioning from male to female or female to male.

  1. Hair loss or thinning (when transitioning from Female to Male, FTM)
  2. An undesirable hair line (when transitioning from Male to Female, MTF)

Hair Loss or Thinning (FTM)

If you are undergoing FTM transition, your male hormones change your appearance- including your hair. Your scalp may start to undergo a degree of male pattern baldness. This occurs when dihydrotestosterone (DHT) acts at the base of your hair follicles. The effect causes them to become weaker and eventually fall out.

To treat this, often a DHT-blocker like finasteride can be used. It helps to “freeze-frame” your existing hair pattern and prevent any further hair loss. If you are a male patient having completed your transition you may then decide to undergo a hair transplant. The procedure can help to reverse any signs of male balding pattern that may have occurred during your change.

As part of the transition from FTM, beard and eyebrow hair will grow and also change. A hair transplant can also help to create desirable  beard hair and eyebrows following a completed transition.

An Undesirable Hair Line

Interestingly, by starting your transition from a male to a female you actually help to treat the signs of male pattern hair loss. This occurs as the levels of oestrogen rise  and counteract the effect of DHT on hair. However, if you already have some balding as a male before undergoing an MTF transition, then you may be stuck with a hairline that reminds you of a receding male. Once you have completed your transition, you may want to correct your hair to a more feminine hairline. This is done by converting an “M” like hair line seen in a male to a curved hair line seen in a youthful female.

male to female hairline transgender hair transplant

With patients who have an “M” shaped hairline, a hair transplant is the best way to achieve a feminine curved hairline. Previously, having a scalp lowering procedure would simply readjust where the hairline would be. This would be a problem as it would not correct the original hairline shape. Also, a scalp lowering procedure will not help you if you already have a degree of hair loss at the front as an “M” shaped hairline for a female does not look natural. Filling in the areas of loss to create a youthful curved female hair line is a procedure we can perform at The Treatment Rooms in London.

References

  1. Scalp hair regrowth in a hormone treated transgender woman
  2. Understanding and addressing hair disorders in transgender individuals
  3. London’s Hair Transplant Clinic for the LGBT community
  4. https://gic.nhs.uk/
  5. https://www.ons.gov.uk/methodology/classificationsandstandards/measuringequality/genderidentity/genderidentityupdate

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Will The Next James Bond Have A Beard?

james bond beard

More and more gentleman are growing their facial hair. Since 2011 there has been a huge upsurge in the number of gents sporting a beard. The fashion is a sign of changing times, and with previous James Bonds having been clean shaven, can we expect the next Bond to have a Beard? With Ladbrokes now taking bets on whether the next James Bond has a beard clearly the idea is becoming popular (1).

A YouGov poll showed the number of people growing a beard has risen by 44% in the last 7 years, (2,3). Most gents are going for a beard and moustache or stubbled look. With the rise in popularity of Movember, we at The Treatment Rooms in London are enjoying seeing more people grow out their facial hair and often for a good cause (4)!

Dr Fernando, Lead Hair Transplant Surgeon at The Treatment Rooms explained,

“There is certainly an increase in the number of gentleman, particularly in their 20s-30s who are enquiring about beard transplants. This goes hand in hand with the fashion of growing out stubble in the last 5 years”.

A James Bond Beard

Normally James Bond is associated with setting trends for suits, cars, watches, gadgets and other lifestyle choices, (5,6,7). If the next James Bond sports a beard or moustache will this then set off another craze? Interestingly, because of the stirring interest, Ladbrokes has recently set higher odds of a James Bond Beard.

The prospect of a bearded James Bond is interesting. At The Treatment Rooms in London we speculated the look that he might go for!


james bond bead types

Image adapted from YouGov Poll

For those men who want to grow and style a beard to attract the opposite sex, the same YouGov poll also showed that 3X more females were finding facial hair more attractive (from 7% to 21%) since 2011.

Can you get a beard transplant?

If you don’t have facial hair by the time you are in your mid-20s, there is a low likelihood of you being able to grow a full set of facial hair. There a few treatment options you could choose to have however the best would be a beard hair transplant.

Remember, if you are thinking about having a beard hair transplant, consider your decision carefully and make sure you ask all the necessary questions of your hair transplant surgeon. If you wanted to know more about what questions you should ask, click here to read our blog on 5 considerations you should make before you have a hair transplant (or create a James Bond Beard!)

james bond suit and beard

References

(1) https://news.ladbrokes.com/betting/james-bond-odds

(2) https://www.coventrytelegraph.net/whats-on/film-news/james-bond-beard-15477325

(3) https://yougov.co.uk/topics/health/articles-reports/2017/03/10/beards-are-growing-british-public

(4) https://uk.movember.com/

(5) http://www.007.com/

(6) https://www.theguardian.com/film/jamesbond

(7) https://www.dailymail.co.uk/tvshowbiz/article-6441459/Richard-Madden-reveals-really-wants-brilliant-James-Bond-role.html

If you are suffering from Male Pattern Baldness or wanted to know more about hair loss treatment, please contact our Surgeons and Hair Loss Specialists by clicking here.

 

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FUE Hair Transplant Recovery: What You Need To Know

permanent Hair Transplant Before and After

“What is the recovery like after an FUE hair transplant?”

This is a question asked by all of our patients at The Treatment Rooms London! As it is such an important topic, we decided to write a blog explaining what you need to know about the recovery after your hair transplant procedure.

We will cover five main points:

  1. What will I look like after the FUE hair transplant?

  2. How long will I need to rest for and when can I go back to work after an FUE hair transplant?
  3. When can I start to wash and style my hair like I normally do following an FUE hair transplant?
  4. How long will it take for my FUE hair transplant to grow?
  5. What happens if I start to lose more hair after an FUE hair transplant?

 

If you wanted to see a series of blogs by a patient recovering after their FUE hair transplant at The Treatment Rooms London- Click Here!

What will I look like after the FUE hair transplant?

During your FUE hair transplant you will have your hair cut to a grade zero on the back and sides with lots of small “red dots” where hairs have been extracted (donor site). You will see implanted hairs sitting freely at the top of the scalp (recipient site), these will embed into their new position. Any bandages you have are usually removed the very next day after operation. So essentially you are left with a very short hair cut, with “red dots” on the back and scabby hairs on top.

Our patients often worry how long they will look like this. Of course it varies from person to person. If you’re someone with thick hair that grows quickly, the donor site can be covered in as quick as three days. For most people it is well healed and covered in five days.

The implanted hairs in the recipient site can be more obvious. At The Treatment Rooms London we can perform our FUE hair transplants without having to shave the top of your head. So your existing hairs can be used to cover the implanted hairs immediately. We also take care to clean and hydrate the transplanted hairs to reduce any scab formation. Scabs that do form should disappear by seven days after the hair transplant. You can help by gently soaking the scabs with the salt water spray provided for you. It is very important not to pick the scabs, as this may pull the new hair roots out with it, let the scabs fall out naturally!

Most people have no visible signs of surgery by seven days apart from your newly implanted hairs.

It takes 14 days for the implanted hair grafts to fully embed within your scalp after a hair transplant. For that reason we advise all our patients to take care for the first two weeks.

How long will I need to rest for after FUE hair transplant surgery and when can I go back to work?

At The Treatment Rooms London we advise at least four days rest even though most people are technically fit to go back to work the very next day. It is important to remember your new hairs are very delicate and need more attention in the first few days as they start to embed into the scalp. Our busiest patients often have their procedure on a Friday; allowing them to rest fully on the weekend; then work from home on Monday and Tuesday; finally returning to the office on Wednesday. You may prefer to take a few more days off as your transplant will disguise better with time. Some people may need to take off up to two weeks if their work involves strenuous activity.

When can I start to wash and style my hair like I normally do following FUE hair transplant surgery?

It takes 14 days for the implanted hair grafts to fully embed within your scalp after a hair transplant. For that reason we advise all our patients to take care for the first two weeks. By day five you are able to wash your hair. By day ten you should be able to style your hair whichever way you prefer and apply hair products you normally use. After 14 days following your hair transplant, you are free to do whatever you like to your hair including going to the gym and having a hair cut as your new grafts are now “rooted in”.

How long will it take for my FUE hair transplant to grow?

At The Treatment Rooms London we have seen our patients grow their transplant as quick as 5 months. This is very quick and rare! We advise that full results are seen at 12-18 months post-transplant.

Patience following a hair transplant is key as you will need to wait for the hairs to initially shed and then regrow over 1 year. After the first 8 months approximately 80% of your implanted grafts should have started to grow. By 12 months 100% of your grafts should have grown. However, over the next 6 months these hairs will become thicker giving your hair a fuller appearance.

What happens if I start to lose more hair after FUE hair transplant surgery?

At The Treatment Rooms London we make sure we create a master plan for your hair loss. Although transplanted hairs are lifelong you may continue to lose surrounding hair throughout your lifetime so it is important to plan for it. This may include a combination of medications and hair transplantation, but by doing so we help you tackle hair loss now and for the future, reducing the chances of you undergoing another hair transplant.

If you would like to find out more then book in for a free consultation with one of our surgeons – simply click here to contact us now.

 

  1. https://www.nhs.uk/conditions/cosmetic-treatments/hair-transplant/
  2. https://www.nhs.uk/conditions/hair-loss/
  3. https://patient.info/health/male-pattern-baldness
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2956961/

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