Why Hair Transplants are Not Advised When Hair is Still Dense, and How to Thicken Thinning Hair


Thank you for your question. You’ve submitted
several very good photos from the top of the scalp and different views of your hair, describing
you’ve been losing hair since 2008 to 2009. You are concerned about hair thinning and
hair loss progression, and ask about the better option between PRP or hair transplant I can share with you my approach to situations
like yours, which we see every day in our practice. A little background: I’m Board-certified
cosmetic surgeon, and Fellowship-trained oculofacial plastic and reconstructive surgeon. I’ve
been in practice in Manhattan Long Island for over 20 years, I am also the founder of
TrichoStem™ Hair Regeneration Centers, which uses a technology we developed over several
years, as a non-surgical alternative to hair transplant that uses PRP. I will share with
you our approach to situations like yours. It’s very important to understand what your
options are and certainly you cover two significant ones: PRP and hair transplant. We should also
cover the option of medical therapies such as minoxidil and finasteride. Minoxidil is
a topical drug with some potential benefit in prolonging the growth cycle of thinning
hairs, and stimulate short-term growth of finer hairs to help improve coverage. Minoxidil
requires daily use, and does not stop the hair loss progression so you can still have
continued thinning, but it does have a role. The other drug to consider is finasteride,
better known by trade name Propecia. This is drug has been around since the late 90s
which blocks an enzyme that converts testosterone to dihydrotestosterone (DHT). This drug is
very popular, and prescribed for many years. Unfortunately people have become afraid of
using this drug, which started several years ago because of reports of long-term sexual
side effect after stopping the drug. PRP (platelet-rich plasma) does have some
benefit in hair loss as it does stimulate hair growth, but, in my experience, the results
of PRP are relatively short-term. The injection is done so you get a little growth, but you
have to come back typically every month to keep pushing the hair to continue to grow.
PRP also doesn’t stop hair loss progression. Hair transplant, which we have been doing
for many years, is probably not the best choice for you because you have decent hair density.
If you actually place hair grafts in areas of thinning, you will actually lose a lot
of your existing hairs. I’ll discuss the option we developed in
our practice called Hair Regeneration. Hair Regeneration evolved out of treating hair
transplant patients with the goal of improving outcomes in terms of the grafts, as well the
healing of the donor area with Acellular matrix, a material for advanced wound healing. The
material serendipitously caused thinning hairs to actually get thicker in some cases, and
hair got thicker in areas where we weren’t transplanting. This became very interesting thing for me,
so I decided to work on developing a process as a standalone treatment without hair transplant.
I worked on this for several years, and developed an algorithm and a system. People like yourself
come to us around the world for Hair Regeneration, which is a combination of Acellular matrix
and platelet-rich plasma, in a single episode injection. In some patients, we do a booster injection
to improve the growth of very fine hairs that were revived and reactivated when the first
treatment was done, usually around 15 months later. Basically with Hair Regeneration, we’re
able to stop progression, regrow hair that’s not growing where hair follicles are present.
There’s a certain percentage of hair follicles not growing because because of a prolonged
resting stage called a prolonged telogen phase. The treatment stops hair loss progression
induces the shed of thinning hairs to allow for the regrowth of thicker hairs. What we have observed from 5 to 7 years of
experience is that 5 years out, 99 percent of men and women have had improvement and
have been stable. We follow our patients very closely, so we see them every 3 months. We
are able to document this for the duration of 5 years. It’s been extremely successful
for us, and I think someone like yourself will probably a very good candidate for our
technologies such as Hair Regeneration. Distinguish PRP alone from the Hair Regeneration
technology and learn about this method. I think it is important to not completely discount
the possibility of using hair loss drugs, but unfortunately lot of people are afraid
of taking finasteride. Refusing to take it means you have no option other than allowing
hair to fall and disappear, then undergo hair transplantation. We’ve been able to stop
that cycle and help people with Hair Regeneration to get a sustainable result for at least 5
years. I hope that was helpful, I wish you the best of luck, and thank you for your question.

🦋Escucha a tu corazón, no te rindas, ese dolor que hoy sientes en tu interior, se irá

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