knudsen

Level 2 / 45a Bay Street, Double Bay 2028 nsw, AUSTRALIA
Phone: 02 9327 0300

Category: Hair Loss Treatment

Hair Loss Solutions

Posted on 10 Oct, 2017

Hair Loss Solutions

If you’re one of the many who see hair loss or thinning every time you look in the mirror, you may feel powerless. Most hair loss is caused by genetic factors, hormones or amedical condition. In some cases,the cause is unknown.

Read more about how surgical hair loss treatment is a precise medical procedure performed by a hair transplant surgeon.

What is Platelet Rich Plasma (PRP)?

Posted on 11 May, 2016

There has been a lot of publicity in recent times about a possible new treatment for hair loss (of any cause) that is called Platelet Rich Plasma (PRP). This is argued to be a “stimulation” therapy for hair loss. The theory is that the multiple skin growth factors that live inside platelets (the blood cells responsible for clotting) can be utilised to stimulate hair by “cracking open” the platelets after the patient’s own blood has been centrifuged (spun down). These growth factors are then re-injected into the scalp in areas of thinning hair.

The idea has been around for a while but the evidence for hair stimulation has not been strong. We do know that PRP is helpful with wound healing but it is less clear which thinning patients might benefit. One of the problems is that the technique has no stringent set of rules and different centrifuges produce different results. Current research is directed at assessing whether higher concentrations of growth factors produce a stronger stimulating effect on weakened hairs.

Another possible line of research involves combing PRP with an extracellular matrix product that acts as a scaffold to assist the effect of the growth factors. Further research is needed in this area.

At best, current evidence is inconclusive that PRP is as effective as other stimulatory products such as minoxidil or techniques such as low level laser therapy.

Hair Loss Treatment with Generics?

Posted on 03 Mar, 2015

Are generic prescription drugs as effective for the treatment of hair loss as the original ones?

 

In recent years generic versions of finasteride and minoxidil have come into the marketplace. Generics appear when the patent period (typically 15 years) expires for the original company that process/markets a new drug. They are often made in the same facility as the original drug but are generally made by a respected manufacturer in a certified facility. It is worth noting that purchasing generics from overseas manufacturers does not always offer this protection.

 

The attractive feature of generics is their price as it is usually significantly lower. This reflects the fact that they did not do the original research which is very expensive. Generally speaking, the generics are well produced with equivalent effectiveness compared to the original. Compounding chemists also make variations on original products but the addition of other ingredients is not necessarily helpful.

 

Many minoxidil hair loss treatment lotions add ingredients such as azelaic acid and retinoic acid. There is NO evidence this increases the effectiveness of minoxidil. Indeed, there is NO evidence that any strength of minoxidil greater than 5% adds to effectiveness.

Hair Loss Treatment Confusion

Posted on 10 Nov, 2014

Much confusion surrounds the difference between topical hair loss products (applied directly to the scalp) and internal products (taken by mouth). They both can be effective in managing hair loss but are NOT equivalent when trying to block the male hormone DHT.

 

DHT is produced in both hair follicle and the liver. If a topical product is aimed at the scalp hair follicle it will likely be less effective than oral blocking as the liver supplies DHT directly to the follicle via the blood. This is why finasteride needs to be taken orally to give the best effect.

 

In men with male pattern balding the oral use of blockers (e.g. finasteride) has proven to be far superior to the use of topical stimulants (e.g. minoxidil or laser). That said they can be successfully used together to produce even better results as they act in different areas.

 

For male pattern balding, effective therapy begins with a medical doctor

Treating Hair Loss with LaserCap™

Posted on 08 Sep, 2014

There are many causes of hair loss, everything from genetics to diet have been identified as contributors. For anyone who realises they are suffering, one of the first reactions can be to run out and grab as many over the counter shampoos and conditioners that are marketed to us these days. These however do not offer much help for male or female hair loss at all. When they don’t see any improvement, the next step is to investigate the more clinical kinds of treatment available, such as various chemical treatments, hair transplant surgery and Low-Level Laser Therapy, also known as LLLT. Laser hair treatment is becoming more popular due to being non-invasive and the lack of adverse side effects, which can be an issue with many of the chemical treatments available. It is also cost effective as an ongoing treatment.

 

Lasercap™ for Hair Loss Treatment

Lasercap™ for Hair Loss Treatment

However, many laser hair treatments require the user to comb the laser through their hair for a quarter of an hour or more per session, at least 3 times a week. The problem here is that it is a little too random in terms of application for continued success. It also tends to become a burden on the user as 15 minutes combing through their hair quickly becomes a tedious process, discouraging continued treatment.

 

An alternative to these kinds of laser treatment is the innovative LaserCap™, a portable device that can be worn under a hat, and is therefore better able to regulate the proper amount of laser treatment for a given condition. In the case of thinning hair, especially in its early stages where the LaserCap™ performs best, the amount of laser treatment applied is critical, with 30 minute sessions 3 times a week proving to be the most effective. The nature of the LaserCap™ makes this, unlike other kinds of applicators, easy for the user to accomplish. Because the cap itself means that the treatment can be better controlled, the LaserCap™ is the most powerful Laser treatment tool on the market, whilst being one of the easiest to use. With no side effects there is no need to worry when deciding to give LaserCap™ treatment a try.

 

LLLT in general and the LaserCap™ in particular are particularly beneficial to the end user as they are clean and painless. In addition, the LaserCap™ takes up relatively little time, with no adverse effects and can prove to be significantly more economical than other forms of hair loss treatment, and represents an avenue of hair loss treatment well worth investigating.

 

Myth: washing your hair creates hair loss.

Posted on 18 Aug, 2014

Not true. At the end of the hairs growing cycle, the follicle separates from the skin and waits for something to tug it out. Usually this is either washing or brushing the hair.

People suffering from thinning hair and hair shedding often assume it is linked to washing and brushing and reduce the frequency of washing /brushing. This reduction can paradoxically appear to increase shedding as you can actually save up to a few days of normal hair shedding (50 – 100 hairs per day on average). My advice is to continue washing and brushing 2 – 3 times a week.

Hair and Now

Posted on 10 Oct, 2013

There has been a lot of publicity in recent times about a possible new treatment for hair loss (of any cause) that is called Platelet Rich Plasma (PRP). This is argued to be a “stimulation” therapy for hair loss. The theory is that the multiple skin growth factors that live inside platelets (the blood cells responsible for clotting) can be utilised to stimulate hair by “cracking open” the platelets after the patient’s own blood has been centrifuged (spun down). These growth factors are then re-injected into the scalp in areas of thinning hair.

 

The idea has been around for a while but the evidence for hair stimulation has not been strong. We do know that PRP is helpful with wound healing but it is less clear which thinning patients might benefit. One of the problems is that the technique has no stringent set of rules and different centrifuges produce different results. Current research is directed at assessing whether higher concentrations of growth factors produce a stronger stimulating effect on weakened hairs.

 

Another possible line of research involves combing PRP with an extracellular matrix product that acts as a scaffold to assist the effect of the growth factors. Further research is needed in this area.

 

At best, current evidence is inconclusive that PRP is as effective as other stimulatory products such as minoxidil or techniques such as low level laser therapy.

Finasteride and Prostate Cancer

Posted on 09 Sep, 2013

A long-running study of men in the USA with enlarged non-cancerous prostates (benign prostatic hyperplasia – BPH) using finasteride previously reported a 25% reduction in overall numbers of patients developing prostate cancer. However, there was some debate about whether the prostate cancers detected in users of finasteride were of the more aggressive variety. A recent analysis of this study showed that finasteride users had lower levels of the prostate cancer screening test PSA (prostate specific antigen) which led to more accurate diagnosis of those patients actually suffering cancer rather than just an enlarged prostate. In addition, the smaller prostates made tumour detection easier by biopsy.

 

Overall, men taking finasteride were 30% less likely to be diagnosed with prostate cancer and 43% less likely to get a diagnosis of low-grade cancer (slow growing). In addition, survival rates were not changed in patients taking finasteride compared to those not on finasteride.This is very reassuring news to patients taking finasteride for hair loss as these prostate effects are beneficial rather than harmful and will likely result in less unnecessary surgical treatment of prostate enlargement in future. We can reassure patients talking finasteride that there are no harmful long-term effects on the prostate from treating their hair loss.

Natural Ingredients for Hair Loss

Posted on 21 Jul, 2013

I frequently get asked the question: Are there any “natural” products I can use for my hair loss? The answer is – it depends upon the cause of the hair loss.

 

For example, if the hair loss is related to iron deficiency anaemia, then foods with high iron content or iron tablets could help. Biotin (Vitamin H) deficiency has been correlated with hair loss but it is a very unusual cause in the general population. Vitamin H, Vitamin B6 and zinc are all essential nutrients for healthy hair but are not necessarily involved in a particular persons hair loss, so supplementing them may not be effective.

 

That said, products like Provillus that contain them, and saw palmetto, are not going to harm anyone suffering from hair loss. The unfortunate assumption is that these “natural” remedies, essential for healthy hair, are helpful in the commonest forms of hair loss in men and women: male pattern baldness and female pattern hair loss. There is NO evidence that these nutrients are involved in these conditions and therefore NO evidence they assist in balding or female pattern thinning.

Hair Loss myths

Posted on 05 Jul, 2013

Tight hats make your hair fall out.

 

Not true. Tight hats might restrict blood supply to the scalp but only by a minimal amount. Whatever the cause of hair loss, hats have no effect on the condition.

 

Too strong a shampoo causes hair loss.

 

Not true. Shampoo is merely a soap for cleaning the hair shaft and has no effect upon hair growth. The hair growth cells are 3-4 mm under the skin and cannot be affected by ordinary shampoos or conditioners.

Most common Hair loss consultation questions

Posted on 07 Jun, 2013

The six most common asked questions in a hair loss consultation

1. Do hair transplants work?
YES, YOU CANNOT REJECT YOUR OWN HAIR. THEY GROW NORMALLY AND REMAIN HEALTHY IF PROPERLY SELECTED.

2. What supplements do I need to take to stop my hair falling?
NONE. NONE ARE PROVEN TO WORK.

3. Are there any side-effects with the medication?
SIDE EFFFECTS ARE DOSE DEPENDENT SO, USUALLY, THERE ARE NOT ANY.

4. Will my hair completely regrow back from medication alone?
USUALLY NO BUT IT MAY IMPROVE.

5. How long do I have to take the medication for?
AS LONG AS YOU WANT TO KEEP YOUR HAIR.

6. Have you had anything done yourself?
NO BUT I DO NOT SUFFER FROM HAIR LOSS BUT I AM TRYING LOW POWER LASER THERAPY TO IMPROVE DENSITY

If you have more questions you would like answered about hair loss and how we could help with a solution to your hair loss, please book a hair loss consultation.

New Medication to treat pattern hair loss

Posted on 26 Nov, 2012

The recent Annual meeting of the International Society of Hair restoration Surgery saw discussion of upcoming medications to treat male pattern hair loss. In particular we were intrigued to understand that different versions of prostaglandins (chemicals involved in inflammation) have opposite effects on hair growth! Some prostaglandins have recently been shown to inhibit hair growth, whereas others are well known to stimulate hair growth. Perhaps the most exciting part of the research is that some medications currently being developed to treat asthma via inhibiting specific prostaglandins could have an unexpected benefit in stimulating hair regrowth in balding males. These new compounds are still a couple of years away but may turn out to be the next generation of medicines that positively affect balding.

Hairloss Treatment Medication

Posted on 16 Mar, 2012

A large amount of internet and media interest has recently focused on claims of persistent sexual side-effects long after discontinuing the use of Propecia (finasteride) hairloss medication. A study published by Irwig in 2011 suggested the occurrence a high incidence of long-term sexual side effects in some Propecia users. It should however be noted that this study was not a study of Propecia users in the general population, but a sample of men already claiming to have long-term side effects.

While not wishing to cast doubt on these patient claims, I do find them somewhat surprising. In over 14 years of prescribing Propecia/Proscar, to well over 4000 of my patients, I have no reported case of permanent sexual side-effects. Those few patients who reported these side-effects recovered fully after stopping taking the medication. In most cases recovery occurred within 4 weeks, in a couple of cases it was about 2-3 months until full recovery. A couple of recently published medical studies from Japan and Italy support the previously published lower incidence of side-effects and the long term effectiveness of Propecia. The Japanese study by Sato followed 3177 men for 3 years and the Italian study by Rossi followed 113 men for 10 years. In both studies, over 80% of patients show long-term growth and stability on the medication without any significant side-effects.

Another factor,  largely unknown, is that the frequency of sexual side-effects depends upon the dose used. In my hands, I have consistently recommended a dosing of a 1 mg tablet three times a week for the last fourteen years. This is because Propecia lasts much longer than 1 day in your system. In fact, the enzyme is blocked for up to 1 month! This means that you can maintain the effectiveness of Propecia without having to use it every day. The other great benefit is that, the frequency of sexual, or other, side effects drops dramatically if you only take the tablet every 2-3 days.

I believe that my frequency of patient sexual side effects is approximately 1 per 200 patients on 3 tablets per week and even less frequent on 2 tablets per week. All my patients have fully recovered after stopping therapy. Some who could not tolerate 3 tablets per week were able to be re-introduced to 2 tablets per week without any side effects.

With regards to altered mood (depression) whilst on Propecia, I have seen this in a handful of patients. It occurred quickly after starting the medication and resolved quickly on stopping the Propecia tablets. In summary, Propecia remains a very effective and also very safe treatment for male pattern hairloss. It has demonstrated clear superiority compared to other treatments for hairloss and side effects can be significantly reduced with adjusted or lower doses.

Finasteride Side Effects

Posted on 19 Jan, 2012

Recently an international conference heard an in-depth panel discussion about Finasteride and sexual side-effects. It was again emphasized that Finasteride is a safe medication, side-effects were largely dose-related and disappeared upon stopping the medication. It was felt that recently media reports about the incidence and severity of side-effects was significantly overstated and that it remained the medication of choice for treating male pattern hair loss. In my hands, side effects are quite uncommon and only a small intermittent dose of Finasteride is required to achieve long-term stability of the hair loss in most balding men.

Wearing short hair after hair transplant surgery

Posted on 15 Aug, 2011

A recent trend for male patients is the desire to wear short hair after surgery. With this we have received many enquiries at our Sydney Hair Loss Treatment Clinic about whether this is possible. The good news is that this can be achieved because the modern donor technique overlaps the donor area skin edges while stitching allows hair to grow back through the scar. This is called the trichophytic technique and almost always creates an excellent result that is almost undetectable, even with a very short number 2 cut!

Some patients request the ability to shave their head after the hair transplant surgery. This is a bit unrealistic however no matter which technique is used for the hair transplant. All surgery creates scarring to a certain degree but the modern techniques that we use minimise the visibility in both the recipient hair area (the balding area) and the donor hair area. Our website has more information about Hair Loss Treatments and Hair Transplant Surgery. If you have any questions about this or would like to chat to us, please feel free to visit our Sydney Hair Loss Clinic or call us on 02 9363 9308.

Combating Hair Loss for Men and Women with Low Powered Laser Devices

Posted on 20 May, 2011

There has been a lot of interest in low powered laser devices and their effect on hair loss. Recent research suggests that it has a stimulatory effect on hair follicles. This could be an effective secondary (i.e. additional) treatment for hair loss in patients who are balding or thinning. It certainly also may be effective in seasonal increased hair shedding (a moult).

However, the delivery system and amount of laser exposure is critical to the chances of success. A new device called the Lasercap,  applies 224 laser lights continuously to the scalp in the comfort of your own home. It uses rechargeable batteries, can be worn under a cap or hat and can be used at your convenience. Suggested dosage schedules is 15-30 minutes every second day.

The major advantage of this device, compared to hand held devices, is that the correct energy level is continuously applied to the scalp. Hand held laser devices only apply energy for a very short period of time if used to the manufacturer’s instructions.  If you would like to know more about this additional treatment for hair loss, please call our Sydney Hair Loss Clinic on 1800 685 399.  The Lasercap can also be ordered directly from our Sydney Clinic.

Follicular Unit Extraction (FUE) over Strip Harvesting

Posted on 10 Feb, 2011

Many patients are reading about the supposed superiority of Follicular Unit Extraction (FUE) over Strip Harvesting during hair transplant surgery. Please be aware that it is very important to separate the marketing from the science. Both techniques involve cutting the of the skin. There is no such thing as a scarless technique.

Both techniques produce the same size graft. Both techniques leave scars which may, or may not, be visible to the naked eye. The difference is that FUE produces circular, small, dot scars that may also have a white appearance. Strips produce linear scars that may have hair growing through them and be very difficult to see. Short haircuts are usually possible with either technique but shaving the head will probably demonstrate scars with either technique.