to beat
hair loss third edition
ISBN 0-9683898-1-3
About the Author
b. propecia. ............................................................................44
i
ii table of contents
Glossary .........................................XX
Index ...............................................XX
KNOWING YOUR TYPE OF HAIR LOSS 5
1
knowing your type
of hair loss
Alternative male
1
patterns
2A
2
3A
3v
4
5A
6
6A
7
KNOWING YOUR TYPE OF HAIR LOSS 11
1 2
3 3 Vertex
4 5
6 7
12 KNOWING YOUR TYPE OF HAIR LOSS
3A
4A
5A
6A
7A
KNOWING YOUR TYPE OF HAIR LOSS 13
Pattern
1
Pattern
2
Pattern
3
Pattern
4
Pattern
5
KNOWING YOUR TYPE OF HAIR LOSS 15
Hair loss progresses only from the front hairline and recedes
backwards while maintaining the crown area.
Hair loss occurs mainly in the crown area and moves forward.
18 KNOWING YOUR TYPE OF HAIR LOSS
Tom K.:
Male Pattern Baldness
Age: 38
Occupation: Construction Worker
Medications: None
Medical History: No significant illness
Family History: Father and two brothers all have
significant hair loss
It was one year ago that Tom went to see a surgeon concerning
his hair loss. He had tried a number of herbal products with
no change in hair growth. Based on his family history and
on detailed examination of his scalp, it was clear that Tom
had male pattern baldness. His surgeon discussed his options
with him, including medications like Rogaine and Propecia
and hair grafting surgery. Tom and his surgeon decided that
hair grafting surgery was his best option to replace his lost
hair. In addition, after surgery his surgeon suggested that he
employ medications to slow further hair loss and help retain
his new full head of hair. The hair grafting surgery went well,
and Tom feels rejuvenated with his restored hair.
KNOWING YOUR TYPE OF HAIR LOSS 23
Mary L:
Female Pattern Baldness
Age: 42
Occupation: Marketing Consultant
Medications: None
Medical History: No significant illness
telogen phase, and ending with the hair falling out. When
only the hairs that belong in a particular phase fall out, we call
this either anagenic alopecia or telogenic alopecia. Dozens
of factors can cause either of these alopecias, including
stress, chronic diseases and nutritional deficiencies. Many of
these different factors send anagen hairs prematurely into
the resting stage and result in excessive shedding months
after. This is called telogenic alopecia. In this section we will
discuss some of the more common telogenic and anagenic
syndromes.
Alopecia areata
scalp and body. In some extreme and rare cases, the hair
loss may lead to a complete loss of hair all over the head and
body. Alopecia areata that causes complete hair loss of the
scalp is called ‘alopecia totalis’ and when it causes hair loss
over the whole body it is called ‘alopecia universalis’.
It is believed that alopecia areata is caused by the
immune system unexpectedly, and usually temporarily,
attacking the hair follicles, causing them to fall out and
preventing re-growth in some cases. However, it is not known
why this occurs.
Cases of alopecia areata usually disappear on their
own and never occur again. If this type of hair loss persists,
however, medical treatment is a possibility. Various steroids,
Propecia, Rogaine, and various immunogens (drugs that
interfere with the immune system) have been found to be
effective in combating alopecia areata.
Although alopecia areata is not life threatening, it is
so dramatic in its effects that it often damages the mental
and emotional states of its victims. For this reason, many
support groups have been established to help people cope
with alopecia areata. You can find a local support group in
most countries around the world by contacting the National
Alopecia Areata Foundation via their website at www.
alopeciaareata.com.
Thyroid diseases
SAHA syndrome
Cicatricial alopecias
Trichotillomania
39
40 DRUG TREATMENTS FOR HAIR LOSS
Over 90 per cent of all hair loss cases fall under the category
of genetic hair loss. For this reason, all the treatment options
discussed in this section, with the exception of hair replacement
therapy, are meant only for the treatment of genetic hair loss. For
all other types of hair loss, you should contact a qualified medical
doctor to discuss treatment options. And while this section is meant
to guide you in treating your hair loss, you should always contact
a medical doctor before beginning any treatment program.
DRUG TREATMENTS FOR HAIR LOSS 41
chapter one:
medical treatment
Rogaine (minoxidil)
Propecia (finasteride)
Dutasteride
Antiandrogens
Tricomin
Cyclosporine
Cyoctol
Diazoxide
hair loss by trying to control and direct the hair growth to the
scalp.
chapter two:
surgical treatment
55
remember that surgical treatments for hair cannot prevent
further balding. When deciding to employ any surgical
treatment you must consider the possible progression of your
hair loss as well as what you have already lost.
57
58 SURGICAL TREATMENTS FOR HAIR LOSS
Alex:
Male Pattern Hair Loss
Candidate for Surgical Treatment
Age: 52
Occupation: engineer
Medications: none
Family history: brother has similar hair loss
Alex had been losing hair for 10 years. He was losing his
hair slowly but progressively over that time. Each year
seemed to get worse and worse. It began to effect his self-
image. Since his brother had also displayed signs of male
pattern hair loss it was clear that Alex had genetically-
related male pattern baldness. His surgeon outlined for
Alex all his treatment options. He could start on hair
growth medications like Rogaine or Propecia to decrease
further hair loss or he could undergo surgery with follicular
unit micrografting to replace his lost hair. He thought
about if for several days and discussed this with his wife
and friends. In the end he felt that he needed to restore his
hair to its former glory. He opted for surgery. Alex and his
surgeon decided together that he needed about 1500 grafts
SURGICAL TREATMENTS FOR HAIR LOSS 59
Crownal
hair loss:
top view
60 SURGICAL TREATMENTS FOR HAIR LOSS
Frontal and
central hair loss:
Front view
Frontal and
central hair loss:
front view
SURGICAL TREATMENTS FOR HAIR LOSS 61
Frontal and
central hair loss:
Front view
62 SURGICAL TREATMENTS FOR HAIR LOSS
Temporal
hair loss:
front view
Temporal
hair loss:
Side view
SURGICAL TREATMENTS FOR HAIR LOSS 63
Temporal
hair loss:
front view
Temporal
hair loss:
side view
64 SURGICAL TREATMENTS FOR HAIR LOSS
Central
hair loss:
Front view
Central
hair loss:
Side view
SURGICAL TREATMENTS FOR HAIR LOSS 65
Frontal and
central hair loss:
Top view
Frontal and
central hair loss:
Side view
66 SURGICAL TREATMENTS FOR HAIR LOSS
The strips of skin taken from the scalp are cut into small
grafts. Each of the small units is called a graft because it is
intended to be placed in the bald portion of your head where
it is supposed to literally ‘graft’ or meld into the existing skin.
Then the skin with the hair follicles was removed and cut into
smaller hair grafts.
* Pictures of AA and FA
* Chart of results
Follicular Unit
Follicular Unit
Strip Surgery
Extraction
(classic method)
Generally limited to
This method allows 750 to 1500 grafts per
up to 3500 to 4000 day, though sessions
Number can be repeated
grafts to be trans-
of grafts over 2 to 3 days in a
planted in one
session row for more grafts,
up to 2500 to 3000
grafts
Major surgical
component, large Minor surgical com-
excision and ponent with no major
bleeding. Staples excision. Skin closes
Surgical
or sutures are very quickly requiring
compo-
required for 1 to 2 no staples or sutures,
weeks to close the meaning minimal
opening, meaning surgical risks
surgical risks
Natural appearance
hairlines
92 SURGICAL TREATMENTS FOR HAIR LOSS
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 93
Before After
94 SURGICAL TREATMENTS FOR HAIR LOSS
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 95
Maximum density
natural density
98 SURGICAL TREATMENTS FOR HAIR LOSS
distribution of density
before
before
102 SURGICAL TREATMENTS FOR HAIR LOSS
after
before
after
104 SURGICAL TREATMENTS FOR HAIR LOSS
before
after
SURGICAL TREATMENTS FOR HAIR LOSS 105
before after
106 SURGICAL TREATMENTS FOR HAIR LOSS
after
after
SURGICAL TREATMENTS FOR HAIR LOSS 107
Mega-sessions
6, 298 grafts
Before After
108 SURGICAL TREATMENTS FOR HAIR LOSS
Age: 33
Profession: Import/Export
One Session: 6298 grafts
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 109
Age: 41
Profession: Upholstery
One Session: 4624 grafts
Before After
110 SURGICAL TREATMENTS FOR HAIR LOSS
Permanence
Infection
Dizziness or fainting
Repair cases
Before After
114 SURGICAL TREATMENTS FOR HAIR LOSS
Case Summary
· Pictures were taken 5 months post surgery
· Young Afghan Canadian
· Scalp burnt with oil in childhood
· Plugs transplanted by another surgeon
· Diffuse scarring secondary to burn and
secondary fibrosis
· Fibrosis and scarring also due to plugs
· Tremendous scarring covered with follicular
units
· Advised smaller surgeries for repairing area to
maximize blood supply
· Very good results
· Next surgery planned for two months later
Age: 19
Profession: Machine operator
One Session: 1, 281 grafts
SURGICAL TREATMENTS FOR HAIR LOSS 115
Before After
Case Summary
· Plugs repaired on sides and temples where
there was considerable scarring and fibrosis.
· Covered nicely with follicular unit micrografts.
Age: 30
Profession: Pharmacist
One Session: 2, 490 grafts
116 SURGICAL TREATMENTS FOR HAIR LOSS
The consultation
The clinic: Look at the clinic when you are visiting your surgeon
for the consultation. Is it clean? Is it organized?
Small coverage
- Front hair line OR 4, 000 - 6, 000 -
1, 000 10 x 1
- Crown OR 8, 000 17, 000
- Temples
Medium coverage
- 1/4 top bald OR
6, 000 - 9, 000 -
1, 500 - Front hair line OR 15 x 1
- Crown OR 12, 000 25, 500
- Temples OR
Med-Large coverage
- 1/2 top bald OR 8, 000 - 12, 000 -
2, 000 20 x 1
- Front 1/2 OR 16, 000 34, 000
- Back 1/2
Large coverage
- 1/2-3/4 top bald OR 10, 000- 15, 500 -
2, 500 25 x 1
- Front 1/2-3/4 OR 20, 000 42, 500
- Back 1/2-3/4
Large coverage
- 3/4 top bald OR 12, 000 - 18, 000 -
3, 000 30 x 1
- Front 3/4 OR 24, 000 51, 000
- Back 3/4
Large coverage
- 3/4 top bald OR 2 strips 16, 000 - 24, 000 -
4, 000 10 x 1 68, 000
- Front 3/4 OR 68, 000
- Back 3/4 30 x 1
120 SURGICAL TREATMENTS FOR HAIR LOSS
schedules vary.
The procedure: As a patient, you have a right to have the
surgeon go over the entire procedure in detail, step by
step.
How you will feel: You will feel little to no pain during
the procedure. Only the initial freezing will be felt. Most
patients find it better than going to the dentist.
Follicular unit extraction (FUE):
SURGICAL TREATMENTS FOR HAIR LOSS 123
How you will feel: You will feel little to no pain during
the procedure. Only the initial freezing will be felt. Most
patients find it better than going to the dentist.
acceptable.
Later post-surgery
The day after: Most hair transplant centers look at the suture
line the day after the surgery. FUE patients are also examined
the next day. The patient should lightly wash his or her head
for the first one or two weeks after surgery without touching
the transplanted area. It is also very important that the
patient avoid itching or scratching this area.
During the first month: Most of the transplanted hair will fall out
in the first month after the roots take hold due to the shock
of transplantation. The result will be that the patient will look
like he or she did before the surgery. While this may be a
time of much worrying, the roots will grow new hair. The loss
of hair may be less with the FUE procedure.
During the first six months: The first growth of hair usually
starts to appear sometime in the second or third month after
surgery. By the six month mark there is growth of about 50 to
60 per cent of the transplanted follicles. Patients at this stage
are fairly happy and can see an appreciable difference. A
second session can be held at this time to increase density
in the transplanted area. Hair growth will continue for the
next six months.
Patient Surgeon
case studies
Case study 1
Before After
128 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 1
case summary
• Pictures are one year post surgery
• Younger patient with thick black hair and olive skin
• Spanish background, American
• Needed higher density
• Hairline already lower.
• Focused on completing the hairline and mid section
• Grafts placed artistically to give an overall impression
of far greater number of grafts and maximum density.
Age: 32
Profession: Business Manager
One Session: 2, 527 grafts
SURGICAL TREATMENTS FOR HAIR LOSS 129
Case study 2
Before After
case summary
· Pictures 6 months post surgery.
· Young Canadian of British descent.
· Curly hair, light skin.
· Lower hairline, temples closed.
· Very high density in the front hairline.
· On preventative medication for future hair loss.
130 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 2
Before After
Age: 24
Profession: Marketing
One Session: 1, 990 grafts
SURGICAL TREATMENTS FOR HAIR LOSS 131
Case study 3
Before After
case summary
· Pictures are 9 months post surgery
· Younger patient
· French background, blond thin hair, Canadian with light skin
· New lower hairline.
· Temple angles closed
· Hair distribution crucial to cover front 1/2 scalp in a natural
dense look.
SURGICAL TREATMENTS FOR HAIR LOSS 133
Case study 3
Before After
Age: 36
Profession: Construction
One Session: 2, 383 grafts
134 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 4
Before After
case summary
· Pictures are from one year post surgery.
· Middle-aged American.
· Medium brown hair, light skin.
· Wide area coverage.
· Higher hairline suitable for his age.
· Temple angles slightly closed.
· Very good density over a large area.
SURGICAL TREATMENTS FOR HAIR LOSS 135
Case study 4
Before After
Age: 53
Profession: Analyst
One Session: 3, 052
136 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 5
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 137
case summary
· Pictures from one year post surgery.
· Canadian with an Iranian background
· Dark thick hair, olive skin.
· Wanted very high density.
· Achieved a very normal looking, super dense hairline and
midscalp
Age: 37
Profession: Restaurant Business
Two Sessions: 27, 732, 258 grafts
Total: 5, 031
138 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 6
Before After
case summary
· Pictures 6 months post surgery.
· Young Canadian of Polish descent.
· Needed a lower hairline and temple angles closed.
· Needed to look his age or younger.
· On preventative therapy for future hair loss.
SURGICAL TREATMENTS FOR HAIR LOSS 139
Case study 6
Before After
Age: 26
Profession: Business administrator
One session: 2, 041
140 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 7
Before After
case summary
· Canadian - British descent.
· Brown hair, light skin.
· Dense front hairline.
· Temples closed.
· Overall, artistically done hairline and high density gives
the patient a more youthful look.
Age: 50
Profession: Oral Surgeon
Two Sessions: 25, 102, 209
Total grafts 4, 719
SURGICAL TREATMENTS FOR HAIR LOSS 141
Case study 8
Before After
case summary
• Pictures from 6 months post surgery.
• Young patient, Italian/ Canadian.
• Thick black hair, olive Skin
• Hairline restored to original position
• Temple angles closed
• Creates a more youthful appearance suitable for his
age and for the future
• Taking prophylactic medications to prevent future
hair loss.
SURGICAL TREATMENTS FOR HAIR LOSS 143
Case study 8
Before After
Age: 24
Profession: Mechanic
One session: 1, 852 grafts
144 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 9
Before After
Age: 29
Profession: Student
One Session: 1, 171
SURGICAL TREATMENTS FOR HAIR LOSS 145
case summary
· Pictures from one year post surgery.
· Young African patient.
· Curly, thick, black hair.
· Dark brown skin.
· Front hairline restored with good density.
· Temple angles closed
146 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 10
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 147
Case study 10
case summary
· Pictures from one year post surgery.
· Young American of British descent.
· Dark medium thick hair.
· Light skin.
· Wanted lower hairline and temple angles closed.
· Achieved very high density and a very natural looking
hairline.
Age: 35
Profession: Driver
Two Sessions: 18, 491, 440
Total grafts 3, 289
148 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 11
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 149
Case study 11
case summary
• Pictures one year post surgery.
• Middle Eastern background, Canadian.
• Dark curly hair.
• Medium brown skin.
• Lower hairline and temple angles closed.
• High density look overall.
Age: 33
Profession: Security
Two Sessions: 20, 071, 474
Total grafts: 3, 481
150 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 12
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 151
Case study 12
case summary
· Pictures one year post surgery.
· Young Canadian of Irish descent.
· New hairline lower with temples closed to create a more
youthful look for his age
· On preventative medication for future hair loss
Age: 26
Profession Student
One Session: 1, 587
152 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 13
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 153
Case study 13
case summary
· Pictures 6 months post surgery.
· Middle aged, Italian Canadian.
· Curly silver pepper hair.
· Olive skin.
· Wide area coverage.
· Medium density front hairline.
· Low density back.
· Overall, one session covered very large area very well.
Age: 46
Profession: Construction
One Session: 3, 170
154 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 14
Before After
case summary
· Picture one year post surgery.
· Canadian of British descent.
· Thin brown hair.
· Light skin.
· Mid-scalp hair loss.
· Goal to increase density.
· Typical female transplant.
SURGICAL TREATMENTS FOR HAIR LOSS 155
Case study 14
Before After
Age: 43
Profession: Business owner
One session: 2, 000
156 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 15
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 157
Case study 15
case summary
· Pictures 9 months post surgery.
· Canadian of British descent.
· Thin blond hair.
· Light skin.
· Goal was to repair the hairline and close the temple angles.
Age: 40
Profession: Multimedia developer
One Session: 2, 217
158 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 16
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 159
Case study 16
Before After
case summary
Age: 52
Profession: Businessman
One Session: 3, 533
160 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 17
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 161
Case study 18
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 163
Case study 18
case summary
· Dark hair, brown skin.
· Largest session ever done in one day.
· Front to back, full scalp surgery.
· Front hairline: moderate to high density.
· Remaining area: fair to moderate density.
· Overall: good result in wide area coverage in one
session
Age: 41
One Session: 4, 624
164 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 19
Before After
case summary
· Indian American.
· Dark hair, olive skin.
· Middle area of head was bald.
· High density was achieved with repair of the hairline
SURGICAL TREATMENTS FOR HAIR LOSS 165
Case study 19
Before After
Age: 47
Profession: Engineer
One Session: 1, 603
166 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 20
Before After
case summary
· European background - Canadian.
· Brown thin hair, light skin.
· Had a transplant prior to this surgery, as seen in the before
pictures - with almost no results.
· High density session seen in the after pictures with a
lower hairline and temple angles closed.
· Overall, a much more youthful look.
SURGICAL TREATMENTS FOR HAIR LOSS 167
Case study 20
Before After
Age: 35
Profession: Neurosurgeon
One Session: 2, 793
168 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 21
Before After
case summary
· Pictures 5 months post surgery.
· Young Iranian Canadian.
· Dark thin hair, olive skin.
· Lower hairline, temples closed
· Density will increase over the next 7 months.
SURGICAL TREATMENTS FOR HAIR LOSS 169
Case study 21
Before After
Age: 22
Profession: Sales Manager
One Session: 2, 094
170 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 22
Before After
SURGICAL TREATMENTS FOR HAIR LOSS 171
case summary
Age: 47
Profession: Showroom Manager
Two Sessions: 23, 031, 922
Total Grafts: 4, 225
172 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 23
Before After
case summary
· European - Canadian background.
· Brown thin hair, light skin.
· Class 7 baldness on the hair loss scale
· Natural, high hairline with temple angles left open.
· Medium density.
SURGICAL TREATMENTS FOR HAIR LOSS 173
Case study 23
Before After
Age: 54
One Session: 2, 552 grafts
174 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 24
Before After
case summary
· European Canadian.
· Blond hair, light skin.
· Front half of head covered.
· Low hairline, temple angles closed.
· Excellent results with a more youthful look for the patient.
SURGICAL TREATMENTS FOR HAIR LOSS 175
Case study 24
Before After
Age: 26
Profession: Network Administrator
One Session: 1, 718 grafts
176 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 25
Before After
case summary
Age: 44
Profession: Construction
One Session: 1, 098 grafts
SURGICAL TREATMENTS FOR HAIR LOSS 177
Case study 25
Before After
178 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 26
Before After
case summary
· Pictures one year after surgery.
· Young American of British descent.
· Brown thin hair.
· Light skin.
· New lower hairline.
· Temples closed.
· More youthful look.
SURGICAL TREATMENTS FOR HAIR LOSS 179
Case study 26
Before After
Age: 28
Profession: Airline Pilot
One Session: 1, 508 grafts
180 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 27
Before After
case summary
Age: 29
Profession: Warehousing
Two Sessions: 1, 707 and 1, 310
SURGICAL TREATMENTS FOR HAIR LOSS 181
Case study 27
Before After
182 SURGICAL TREATMENTS FOR HAIR LOSS
Case study 28
Before After
case summary
· Italian Canadian.
· Dark curly hair.
· Crown area with large density.
· On preventative medications for future hair loss.
Age: 46
Profession: Restaurant Owner
One Session: 3, 032 grafts
SURGICAL TREATMENTS FOR HAIR LOSS 183
Cloning
Gene therapy
Two male
donors AA
Donor Recipient
& FA
586
micrografts
obtained
from AA and
transplanted
on FA
594
micrografts
obtained
from FA and
transplanted
on AA
Pre surgery
188 SURGICAL TREATMENTS FOR HAIR LOSS
Pre surgery
SURGICAL TREATMENTS FOR HAIR LOSS 189
Immediately after
surgery
190 SURGICAL TREATMENTS FOR HAIR LOSS
Immediately after
surgery
SURGICAL TREATMENTS FOR HAIR LOSS 191
Number of Number
graft s of graft s
Subject
count ed count ed
at 9 at 14
mont hs mont hs
45 0
N/A N/A
alternative treatments
192
ALTERNATIVE TREATMENTS FOR HAIR LOSS
for hair loss try to correct the inner imbalances that are
understood to be the underlying causes of hair loss.
Modern medical research has acknowledged an
astonishing phenomenon that suggests how alternative
medicine’s approach may work. This phenomenon is referred
to as the ‘placebo effect’. A placebo is a dummy drug that
has no actual medical effect but works because the patient
believes that it is helping them. The improvement in health
that results is called the placebo effect. Studies consistently
show that between 30 per cent and 40 per cent of people
will show improvement with all sorts of health problems as
long as they believe they are taking a medication that will
help. There has even been evidence of hair growth due to
the placebo effect in patients with hair loss.
The placebo effect suggests that it is possible to correct
health problems by mobilizing the emotional, psychological
and spiritual forces within each of us, and this is precisely what
alternative medicines try to do by using various outside keys
to trigger inward changes.
Saw palmetto
Vitamin E
Vitamin C
Multivitamins
example, if you are active or have a stressful life, you will likely
need a higher dose multivitamin. If you have some contra-
indication to high dose multivitamins, you should take a lighter
one. This can be discussed with your healthcare and dietary
guide. A general rule is to try a time-release multivitamin
that slowly releases the vitamin ingredients over time. This
will improve the absorption of all the vitamins.
Acupuncture
medicalaccupuncture.org).
Aromatherapy
Ayurvedic Medicine
Homeopathy
Naturopathic medicine
Advantages Disadvantages
treatment
Final recommendations
200
HAIR REPLACEMENT TREATMENT 201
Hair pieces
and patience. The following rules will help you find someone
that will help you sort through your options and guide you
in choosing the right hair replacement solution. These rules
require more work in finding a hair replacement specialist
and a hair replacement plan but they are essential if you
want to protect yourself.
Final recommendations
Advantages Disadvantages
277
278
appendix
In this appendix I provide sample drafts of three
important documents that are commonly provided by
hair transplantation centres. The samples are actual
documents I use in my own practice. The drafts provided
include:
279
280 appendix
Appendix A : sample consent form for surgical hair transplantation
PAGE 1 OF 6 INITIAL:
appendix 281
Appendix A : sample consent form for surgical hair transplantation
5) A transplant may not look natural on those with dark hair and
light skin.
PAGE 2 OF 6 INITIAL:
282 appendix
14) This consent was read and signed while I was not under
the influence of medications that cause drowsiness.
PAGE 3 OF 6 INITIAL:
appendix A : sample consent form for surgical hair transplantation
appendix 283
15) I certify that this form has been fully explained to me that I
have read it, or have had it read to me, that the blank spaces
have been filled in, and that I understand all of it’s contents.
17) Dr. Antonio A. Armani and Cosmetic Surgery Spa does offer
procedures that will obtain the best results for the patient, ir-
respective of any profit motive.
PAGE 4 OF 6 INITIAL:
(Initial)
I have read and understood this consent form and fully agree to
all its points.
_____________________ ____________________
PATIENT’S NAME (PRINT) PATIENT’S SIGNATURE
_____________________
DATE: PATIENT’S INITIALS:
___________________________________________________
ADDRESS / CITY / PROV. / STATE / POSTAL / ZIP CODE
______________ ____________________
WITNESS NAME WITNESS SIGNATURE
PAGE 5 OF 6 INITIAL:
Appendix A : sample consent form for surgical hair transplantation
appendix 285
MORE COMMON COMPLICATIONS
1) Keloid formation
2) Complete failure of growth of transplanted hair
3) Persistent scalp pain
4) Total loss of donor hair
5) Permanent numbness of scalp
6) Noticeable scarring of donor area
7) Loss of transplanted hair
8) Allergic reaction or medication-related problems
INITIAL:
I have read and understand all of the possible complications listed
above.
DATE:__________ TIME:______ A.M / P.M.
WITNESS NAME WITNESS SIGNATURE
PAGE 6 of 6 INITIAL:
*Consent-taken and modified from consent used by
Dr. Dowling B. Stough Jr.
286 appendix
Appendix B: sample preoperative instructions for surgical
hair transplantation surgery
FOR:
PATIENT’S NAME
Date / Time of Surgery:
IMPORTANT: YOU MUST STRICTLY FOLLOW THESE INSTRUCTIONS
TO AVOID COMPLICATIONS (i.e. excess, bleeding and/or longer
healing process) AND ENSURE THE BEST POSSIBLE RESULTS.
ON DAY OF SURGERY:
1. A gown will be provided during the surgery. For your
own comfort you may wish to wear sweatpants for
longer surgeries.
Phone numbers:
Office:(416) 363-6655 / 1-800-365-6220
Dr. Antonio A. Armani’s cell phone: (416) 543-2716
Home: (416) 944-3805
appendix 289
Appendix C: sample postoperative instructions for surgical
hair transplantation surgery
3. Do not wash the transplanted area for one week until the
stitches have been removed.
4. You can only wash the back (donor) area, do this gently the
next day after surgery.
5. The bandage will be removed the next day after surgery and
the donor and recipient areas inspected.
6. You may have swelling: use ice packs or ice on the area of
swelling.
290 appendix
General:
2. CRUSTS – Do not pick at the crusts. They will fall off in 2-3
weeks. You may use Vitamin E oil on them if they are not fall-
ing off.
4. VITAMINS: You may take Vitamin E, 400 I.U. to 800 I.U. daily.
Also you may take vitamin C 1g to 2g daily. Drink plenty of
fluids. You may also take a multivitamin with these.
-Shampoos
-Hair conditioners
-Hair gels and mousses
-Hair coloring and perms
appendix 291
293
glossary
Accupuncture: An ancient Chinese system of medicine
that treats ailments by manipulating key points located
on the body. It offers some treatments for dealing with
hair loss.
Alopecia: The medical term for all types of hair loss.
Alopecia Areata: A type of hair loss caused by unknown
factors. It results in sudden loss of hair, not only on the
head but also on other parts of the body.
Alternative Medicines: Types of medicine which are based
on holistic medical principles, and which are gaining
increasing popularity and acceptance. They include
medical practices like acupuncture, traditional Chinese
and Indian medicines, homeopathy, cell therapy, and
magnetic field therapy.
Androgens: Male hormones that are known to relate in
some way to hair loss.
Antiandrogens: A family of drugs which combat the effects
of androgens or male hormones, and which have shown
the ability to combat hair loss. Some antiandrogens that
are being tested to treat hair loss include: Cimetidine,
spironoclactone, and progesterone.
Aromatherapy: A branch of herbal medicine which uses
essential oils of various plants to create medically benefi-
cial effects on the body. It offers several prescriptions for
dealing with hair loss.
Ayurvedic Medicine: The ancient herbal medicine of India,
which offers several different treatments for dealing with
hair loss.
Bonding: A popular method of attaching a replacement
piece to existing hair, which uses an adhesive.
Canned Hair: A method for camouflaging hair loss that
sprays or applies colored substances to the thinning por-
tion of the scalp to simulate hair.
Cloning: The process of making copies of living cells. At-
tempts are now being made to clone hair, thus making
it possible to create an indefinite supply of natural hair
strands for hair grafting.
Conventional Scalp Reduction: A form of scalp reduction
that aims to remove only restricted sections of balding
294
glossary
B
Balding 159
C
California College of Ayurveda 254
299
300 index
Camouflaging hair loss
defined 258
thickening hair 259
Cancer 24
Colitis 25
Conventional scalp reduction. See Scalp reduction.
See scalp reduction
Crohn’s disease 25
Cyclosporine 240
Cyoctol 241
D
Dehydrotestosterone (DHT) 228, 238, 241
Diazoxide 241
Dr. Kieth Kaufman 228
Drug treatment advances in 2
Dutasteride 238
E
Experimental drugs 237
F
Female conditions. See Hair Loss, disease-related
Female pattern baldness. See Hair loss, hereditary
Finasteride. See Propecia
Food and Drug Administration, 2, 21, 222, 223, 227, 237,
239, 241
Fusion 268
index 301
H
Hair care
chemical treatments 274
drying 275
exposing hair 275
pulling hair 275
rules for 274 - 276
shampoos 274
using a conditioner 274
Hair extensions 260
Hair follicle cloning. See Hair grafting
Hair grafting
advertising 116
consultation stage 116
costs of 115
defined 65, 115
expectations for 117
finding a specialist 116
hair follicle cloning 208
risks of 114
steps in 65
when appropriate 88
Hair loss 1
abnormal 6
diet-related 22
drug-related 23
hereditary
causes of 7
incidence of 1
prevalence 12
symptoms 12
302 index
normal 5
poor hair care 33
stress-related 24
sudden unexplained ( Alopecia Areata ) 32
Hair piece
attaching to hair 262
attaching to scalp 264
base type 260, 262
cost of 267
custom building 260
defined 260
finding a good specialist for 269
natural hair fibre 261
synthetic hair fibre 261
types 260
Hair replacement
advantages and disadvantages of 271
popularity of 258
Hair units 260
Hair weaves 260
How to find a good hair surgeon 136
I
International Society of Hair Restoration Surgery 137
L
Lupus 24
M
Male pattern baldness. See Hair loss, hereditary
Manual scalp expansion 200
Merck & Co. 21
Micro-graft and Mini-graft
uses for 88
Micro-grafts and mini-grafts
index 303
defined 88
Minoxidil . See Rogaine
N
National Alopecia Areata Foundation 33
National association of Holistic Aromatherapy 255
National center for Homeopathy 256
National Institute of Ayurvedic Medcine 255
Neutrogena T/Gel 229
New England Journal of Medicine 248
P
Parathyroid disease 24
Placebo effect 249
Promising drugs
Cyclosporine 240
Cyoctol 241
Diazoxide 241
Tricomin 240
Propecia
advantages and disadvantages of 243
compared to Rogaine 244
costs of 237
effectiveness of 228
general background 227
how it works 228
people not safe for 229
side effects of 230
Proscar 227, 250
Prostate-specific antigen (PSA) 236
304 index
R
Ringworm 23
Rogaine
advantages and disadvantages of 242
compared to Propecia 244
costs of Rogaine 223
discovery of 223
drug profile 223
effectiveness of 21, 223
future of 226
people not safe for 226
recommendations about 242
side effects of 225
S
Scalp expansion. See Scalp reduction
Scalp lifting. See scalp reduction
Scalp reduction
Conventional
defined 196
limitations of 198
risks of 198
Scalp lifting
defined 202
risks of 205
steps in 202
who suitable for 204
With scalp expansion
defined 199
methods of 199
risks of 201
with scalp flaps 199
Surgical treatment
index 305
Surgical treatment
advances in 2
advantages and disadvantages of 135
future of 207
nature of 54
types 55
who appropriate for 55
T
Thyroid disease 24
Tissue expansion 200
Tissue extension 200
Toupees 260
Tricomin 242
W
Weaving 264
Wigs 260