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 Are Hair Transplants?

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 stop 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

Are Hair Transplants Dangerous?

dangerous hair transplants

A recent question was asked in the newspaper- is having a hair transplant dangerous or invasive? This blog will help answer the question for those of you who are interested!

Is a hair transplant dangerous?

In short the answer is- it can be. If you are operated in a clinic or by a surgeon that is inexperienced, unregulated and unlicensed it is certainly dangerous.

Choose a clinic that is regulated, established and a surgeon who is licensed and you should expect your hair transplant to be safe with good results. But what does it mean to have a procedure that is “invasive”.

The word invasive essentially means how much the surgery involves cutting into your skin. Like any other surgery, hair transplantation obviously involves undergoing some cutting into the skin and is considered “minimally invasive“. This is because the depth of each cut is normally not more than half a centimetre and is very small.

At The Treatment Rooms London we have sometimes seen patients come from clinics that are unregulated and unlicensed who have deeper cuts than this. It can result in terrible complications including permanent scarring like skin necrosis. We strongly advise you to do your research. Any clinic you go to in the UK should fit the following conditions:

  1. Have a Care Quality Commission License
  2. The surgeon should hold a GMC license

You can check both these conditions by clicking the following links:

  1. Care Quality Commission (CQC)
  2. GMC

What is a safe hair transplant?

A hair transplant can be a safe treatment. It relies on a few different factors which you should be aware of.

  1. Having a full consultation with your hair transplant surgeon
  2. Finding out how the operation will be carried out
  3. Having clear goals on what you expect from your surgery and see if this matches your surgeon’s expectations too

Have a full consultation with your hair transplant surgeon

It is important you get to know your surgeon and their clinic. Trust is an important part of any patient journey. Having a hair transplant is just the beginning and you will need to trust your surgeon to understand your wishes.

Secondly, you will need to meet with your hair transplant surgeon to vet their experiences and their qualifications (e.g. GMC licence). They should be able to give you a full consultation around your hair loss, the likely diagnosis and counsel you around the pros and cons of every treatment (not just a transplant). Sometimes, it might be in your best interests to delay a hair transplant rather than jumping straight into it.

Find out how the operation will be carried out

It is important you know where and how your surgery will be carried out. Having the operation in a CQC- registered clinic is the first step. Ask about how your surgeon and their team keeps a clean sterile environment so there is minimal risk of infection when you have surgery.

Have you thought about what type of surgery you will be having? There a two main hair transplant procedures (FUE and FUT). You should ask your surgeon which procedure you would benefit most from.

Have clear goals on what you expect from your surgery and see if this matches your surgeon’s expectations too

What is your current pattern of hair loss and what do you want to achieve by having hair loss treatment? Having a hair transplant might be an option for you but there is a limited amount of hair your surgeon can transplant. If you are young you might want to plan your transplant to account for further hair loss in the future. 

A transplant will never match your original hair density. However, by strategically placing hairs your surgeon can give you the illusion of having dense hair. You will need to have an honest conversation with your surgeon about what you would like from a hair transplant. Be prepared for your surgeon to guide you on what they think is also best for you- accounting for the following factors:

  1. How much hair you have lost so far
  2. How much hair you can have transplanted
  3. Whether you will lose more hair
  4. How much density your surgeon can safely achieve
  5. Whether you might require 2 sessions for a safe procedure 

Finally, the next concern you should then have is what you should expect when it comes to your hair transplant recovery. You surgeon should be able to inform you on your recovery and provide clear instructions about how you should care for your transplanted hairs in the days following the operation. For more information on common FAQs our patients ask us click on the following links:

  1. Common FAQs
  2. Patient recovery and aftercare
  3. What you can expect after a hair transplant

Hair Transplantation at The Treatment Rooms London

The above guidance is a basic requirement all hair transplant clinics should be providing their patients. At The Treatment Rooms London we are happy to answer questions or concerns our patients have about a hair transplant. Understandably, it is a large undertaking and choosing to have the procedure is a considered decision. Our 3 top tips are to take your time, be comfortable with your clinic and make sure you trust your surgeon.

References

  1. https://www.independent.ie/life/health-wellbeing/dear-doctor-should-i-encourage-my-husband-to-get-a-hair-transplant-37839766.html
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4507484/
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840892/
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4271303/
  5. https://www.ncbi.nlm.nih.gov/pubmed/12174065
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2825128/
  7. https://www.webmd.com/skin-problems-and-treatments/hair-loss/men-hair-loss-17/hair-transplants
  8. https://en.wikipedia.org/wiki/Minimally_invasive_procedure
  9. https://www.treatmentroomslondon.com/beware-of-the-hair-transplant-black-market/
  10. https://www.treatmentroomslondon.com/unregulated-hair-transplant-clinic/
  11. https://www.nhs.uk/conditions/gangrene/
  12. https://www.treatmentroomslondon.com/safe-hair-transplants/
  13. https://www.gmc-uk.org/
  14. https://www.cqc.org.uk/
  15. https://timesofindia.indiatimes.com/city/mumbai/hair-transplant-death-man-wanted-more-grafts-in-1-go/articleshow/68366127.cms
  16. https://www.timesnownews.com/health/article/mumbai-man-dies-hours-after-hair-transplant-what-are-the-side-effects-and-health-risks-associated-with-hair-replacement-surgery/380340
  17. https://www.khaleejtimes.com/international/india/man-dies-within-50-hours-ofundergoing-hair-transplant

Prince Harry and Hair Loss

prince harry hair loss

There has been a lot of clamour around Prince Harry and his accelerated hair loss since marrying Megan Markle. Many magazines and papers have commented on the Duke of Sussex‘s balding pattern and commented on whether he would be interested in having it treated. We thought we could provide some helpful advice to Prince Harry if he was reading this blog.

Whats happening?

Prince Harry is likely suffering what most men suffer from- male pattern baldness. Male pattern baldness or androgenic alopecia, is the most common cause for hair thinning and recession in men. It is primarily drive by testosterone (dihydrotestosterone) acting at the scalp hair.

Because Prince Harry is in the public eye it means more people are noticing his hair loss. There is nothing wrong with his current pattern of baldness if Prince Harry doesn’t mind his thinning!

How bad is Prince Harry’s hair loss?

There is a scale to qualify how bad any male’s hair loss is. This scale is called the Norwood scale and you can quite easily see where you yourself would fit in. Prince Harry is currently a Norwood 4 or 5 pattern of hair loss with particular focus on his crown or vertex thinning. As he has ginger hair and lighter skin his hair thinning can appear less pronounced than it really is. This is because there is less difference in the darkness of both colours so the contrast is less striking. For example, if you have light skin and dark brown hair- any thinning you may notice is more pronounced because of the drastic contrast between the two colours.

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

So Prince Harry’s hair loss is Norwood 4 or 5. It is only bad if he is worried about it. If he doesn’t mind then his hair loss isn’t bad at all- it is a natural process after-all!

What can Prince Harry to do treat his hair loss?

He can choose a number of treatments. Assuming he is diagnosed with male pattern hair loss he can pick between Finasteride or Minoxidil or choose both. These medications will help to prevent any further hair loss and thicken his existing hairs.

In areas where has lost all his hair or receded to form bald patches he would require a hair transplant. Prince Harry’s choice of treatment will ultimately depend on his preference and lifestyle choices. He will obviously benefit from a full hair loss consultation before making any decision.

If Prince Harry chooses a hair transplant- how much will it cost?

A hair transplant‘s price takes into account what Prince Harry would like in terms of his results. This includes:

A recent study by Appalachian State University shed some interesting light onto how much a bald man would pay to restore their hair (4). Their study found that gentlemen would be willing to pay £4000-£5000 to go up each Norwood category. That means if Prince Harry wanted to achieve a Norwood level of 3, he may expect to pay around £4000-£8000.

Prince Harry wouldn’t be the first or last famous person to undergo hair transplant surgery or hair loss treatment. A recent paper has found a number of football managers undergoing the procedure or treatment, including:

  1. Antonia Conte
  2. Jurgen Klopp
  3. Slaven Bilic

References

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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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