Hair loss questions and answers
Alopecia areata is not medically disabling. Those persons with alopecia areata are usually in excellent health otherwise. When it comes to emotions though, this disease can be challenging, especially for those with massive hair loss. Across the world, there are thousands of successful, well-adjusted, contented people living with this disease. It is possible to overcome the emotional pain of alopecia areata with one’s own inner resources, sound medical facts, and the support of others. Sometimes professional counselling from a psychiatrist, psychologist, or social worker is needed to develop one’s self-confidence and positive self-image. There are also several treatment options available that should be able to assist in regrowing hair or masking hair loss.
Alopecia areata (AA) affects around 2.1% of the population and does not discriminate based on sex, age or ethnicity. Anyone can be affected by alopecia areata. It commonly starts during childhood. If you have a close family member with the disease, then your risk of developing it is slightly increased. If your family member lost his or her first patch of hair before age 30, the risk to other family members is greater. Overall, one in five people with the disease has a family member who has alopecia areata as well.
It is possible for alopecia areata to be inherited but most children with alopecia areata do not have a parent with the disease. The vast majority of parents with alopecia areata also do not pass it along to their children. Alopecia areata is not like some genetic diseases where the child will have a 50–50 chance of developing the disease if one parent has it. Though there may be a number of genes that predispose certain people to the disease, it is highly unlikely that a child would inherit all of the genes needed to predispose him or her to the disease.
Yes, we perform FUE (Follicular Unit Extraction). A personal consultation is required to determine your suitability for this type of procedure. The FUE technique is proving extremely popular with the advantage of no scarring and no stitches required.
We have two clinics in Sydney. Our Sydney CBD clinic is located with our cosmetic surgery rooms, ICCM – international centre for cosmetic medicine. We are in the heart of Sydney’s specialist medical area at Level 14, Park House, 187 Macquarie Street Sydney – this is next to Martin Place train station and directly opposite Parliament House. Our Campbelltown clinic is located at Level 1, 251 Queen Street, Campbelltown.
Yes – we offer a free hair health check at your initial consultation. We go through a medical history and look at your scalp and hair under magnification to determine the best treatment option for you. In cases where more in-depth diagnosis is required, a full Trichology appointment may be necessary.
We offer a complete range of hair loss treatments – both surgical and non-surgical. A consultation is required so that we can offer you the best possible treatment advice.
The most common cause of hair loss is inherited. Men and women inherit the gene for hair loss from either or both parents. Men are most commonly affected by the inherited gene as the hormone, testosterone, activates the genetic program causing loss of hair follicles. The age of onset, extent, and rate of hair loss vary from person to person. Severe illness, malnutrition, or vitamin deficiency can accelerate this process. Hair loss is NOT caused by wearing a hat, excessive shampooing or clogged pores.
YES – hair transplant surgery does work! The transplanted hair is removed from one area of the body (donor site) and transferred to another (recipient site). The transferred tissue is not “rejected” as it is not foreign tissue. Once transplanted and the hair starts to regrow, it retains its own characteristics, colour, texture, growth rate and curl. The vitality of the grafted follicle is maintained by the rich blood supply to the scalp. Over recent years, techniques and instruments have been developed that allow us to achieve truly natural results.
Most men in good general health are candidates for hair transplantation. It is important to understand the limitations to your own hair characteristics, such as colour and type and your pattern of thinning or balding.
For women, it is essential to diagnose the hair loss with our Trichologist before considering hair transplantation. We educate our clients on all treatment alternatives – the procedure you want may not be the most appropriate solution for you.
Essentially, the procedure should be painless as it is performed under a local anaesthetic. Most people are surprised at how little pain there is during the procedure. Some discomfort is to be expected as the anaesthetic is injected into the scalp, but once the skin is anesthetized, there is no pain.
Most of our hair transplant patients say it is a lot less painful than going to the dentist and most say the hair transplant surgery was much easier than they thought.
Immediately following surgery, your grafts are held in place by the body’s natural glue (fibrin) produced by a chemical reaction in serum when the graft sites are made. The hairs that are present in your new grafts usually fall out during the first 2-6 weeks after the procedure. At this time, you will usually look just like you did before the transplant. Hair transplant surgery is a relatively minor surgical procedure; most people recover in several days, and many return to work right away.
The Nido® synthetic implantation system is not suitable for everyone and depends on your pattern of thinning or balding. It also requires on-going maintenance of the hair to ensure the best possible results. A private consultation with one of our staff will determine whether this procedure will suit you.
No, it will not necessarily stop you from losing your hair, but it will help promote the hair you do have to stay on your head for longer. It simply removes a common friction point from day to day living that can increase the risk of hair loss.
Smoking can be a factor in hair loss, but this does not mean it is the only cause. Smoking definitely reduces the effectiveness of hair loss treatments and should be stopped if you want to achieve great results.
The life of your newly implanted hair can vary significantly and will be determined by the number of hairs implanted, your lifestyle and the on-going maintenance of the hair. Our consultant will be able to provide more details specific to your individual requirements.
For the best results, these medications should be used when in the early stages of hair loss. Minoxidil is a topical lotion used on the scalp twice a day and has shown to be successful in stimulating hair growth in both men and women. Finasteride is a prescription medication and can prevent and eventually reverse hair loss in the right candidates, however it may have side effects and should not be used by women.
The synthetic NIDO® hairs are so realistic that no one will be able to tell the difference between your own hair and the implanted hairs.
Your success with Minoxidil depends on you and your commitment to a twice a day, every day routine. Results may be seen between two and 12 months. In clinical studies 26% of men with moderate degrees of hair loss reported moderate to dense hair re-growth after using Minoxidil for 4 months.
Clinical trials of men with moderate degrees of hair loss show that Finasteride stopped hair loss in over 80% of cases and re-growth was noticed in over 64% – an excellent success rate, unbeaten by any other treatment.
Female hair loss is completely normal. On average, you lose between 100 – 200 strands of hair per day. However, if you feel as if you are losing more than this, there could be a more serious issue. In most cases, hair loss is temporary and will grow back but make sure you get to the root of your hair loss. This will help you determine how to fix it or if it is permanent.
Supplements can assist in improving the health of your hair and follicles but won’t necessarily stop the hair loss – it is important to get further advice about your personal situation and cause of your hair loss.
Depending on the type of alopecia you have it can be managed with medication. However, some types of alopecia cannot be reversed. Many women benefit from treatments such as PRP or Factor 4. Topical concealers can also be helpful.
While some concealing sprays have been known to run, look unnatural and leave embarrassing stains and marks, technology advances have now past that type of concealer. Keratein sprays create the appearance of natural hair in seconds and are guaranteed not run or stain your clothing. They can be removed with warm soapy water and are safe to apply daily.
Hair Loss Facts
The Crown Clinic is always happy to answer any questions regarding hair loss and treatment solutions offered at our Sydney practice. For more information or to request a personalised consultation, please contact us today.