Before and after treatment with Venus Concept NeoGraft
Before and after treatment with Venus Concept NeoGraft
Before and three months after using Nutrafol
Hair restoration treatment before and after procedure manual FUE
According to Jeffrey A. Rapaport, dermatologist, the causes of hair loss different. “For women, it’s multifactorial; for men, it is almost always a conversion of testosterone to dihydrotestosterone (DHT), which leads to a genetic excess of DHT in the scalp. “
John Kahen, MD, a hair transplant surgeon, said: “The men enter the office after losing a lot of hair. Women come in when they start to lose weight. It’s more dramatic and noticeable for them, so they require early intervention more often. “
The advent of grafting of follicular units, follicle plugs extracted by manual perforation or automatic extraction, replaced the band graft method, which had limitations; you could only take a lot, and the scars were important. Improving the follicular unit extraction (FUE) process has advanced the overall procedure, said Dr. Bassin. “Instead of this linear scar on the scalp that prevails with band grafting, we lighten the harvesting area by percentages almost undetectable with the naked eye and transplant it elsewhere.”
Among the options available for early intervention, “there are drugs like minoxidil or finasteride, but their effectiveness is limited and finasteride has sexual side effects that keep men away”, a explained Dr. Kahen. “Patients are coming now and want to go straight to platelet rich plasma (PRP).”
PRP
With the rapid proliferation of the market for PRP, there are too many products to distinguish one in particular. Most important is how the PRP is used and may be used in the future. “PRP is a great tool for women,” started Dr. Bassin, “because it is better for thinning hair. It will not regrow lost hair, but it can revitalize “minimized” follicles (faded, but not dead) to give you thicker, thicker hair and help prevent further hair loss. “
According to Dr. Bassin, PRP is almost the norm for any transplant. “The application of PRP promotes healing, helps transplants to grow and prevents hair loss.”
Dr. Kahen’s technique is completely dependent on the PRP; he injects PRP during the implantation process, before inserting follicular units. “This helps encourage blood supply and quick healing for maximum hair growth and thickness at the implant site,” he said.
The most exciting is prevention based on PRP, regardless of gender. “By promoting prevention with PRP, we have patients arriving as young as 18 – those with early baldness,” said Dr. Kahen. “It opened the door to a new preventative approach for both genders, because every age group can use it. It is safe and very effective for preventive care or in addition to other treatments. Remember that for women, the treatment consists mainly of Minoxidil, hair vitamins and PRP. For men, in my practice, it is PRP or FUE with PRP, depending on the level of hair loss. If you receive treatment early enough, PRP should stop maintenance hair loss about every eight months. ”
“Patients like PRP because it comes from their own body and has no side effects,” said Dr. Rapaport.
Capillary restoration based on the device
NeoGraft ® from Venus Concept claims the title of first automated FUE and implantation technology. It does not leave a linear scar and is minimally invasive, with rapid patient recovery, offering superior clinical efficacy and great patient satisfaction, as evidenced by its high “Worth It” index on RealSelf.com. With NeoGraft, Venus Concept provides a complete turnkey professional solution, such as in-depth preceptoring programs, one year mentoring in business development, highly qualified on-demand catering technicians (NeoGraftersTM), continuous account, marketing support and patient follow-up. generation via the advertising agency 2two5TM, and more.
SmartGraft from Vision Medical. Performs automatic FUE by incorporating additional technology to protect follicular units before transplant. It isolates and extracts micrografts of three to four follicles each to transplant them to target regions to produce the best, natural-looking result.
FUE with SmartGraft is quick and easy, said Dr. Bassin. “We are finished in a few hours and in a few days, the patients can wash their hair carefully. After the procedure and a natural cycle of shedding and regrowth, we get an excellent natural-looking result 9 to 12 months after treatment. This is the next generation of FUE-based transplants. “
ARTAS iX from Restoration Robotics performs precise automatic harvesting with the simultaneous creation and establishment of destination sites. This system uses robotic technology incorporating an advanced, high-resolution three-camera stereoscopic vision system as well as a seven-axis robotic arm to eliminate the human element as much as possible, making the procedure more consistent and less physically demanding. The harvest site is analyzed for the best follicular units, which can be quickly collected. Computer-assisted planning precedes robotic or manual implantation, and results can be seen after about six months with continued growth.
Atera FUE-100 from INFUEZ uses manual FUE with an ergonomic and comfortable handpiece as well as sterile irrigation, which optimizes graft viability, as well as depth control and of the diameter. The system also includes a collection system that humidifies and cools the grafts, as well as their counting.
The Harris SAFE system from Harris FUE Instruments offers the traditional manual FUE. It is FDA approved and designed to keep healthy and complete grafts during manual excision, with follicular damage rates as low as 2.8%, according to the manufacturer. The reusable punches measure 0.8mm, 0.9mm, 1.0mm and 1.2mm in diameter for 800 to 1,200 extractions per hour, which cuts harvest time in half.
Follicular stimulation based on energy and home treatments
Low-level laser therapy (LLLT), light therapy and approximations are becoming more and more popular as research suggests its effectiveness. “There is evidence of effectiveness, but patients need to understand that it does not regrow hair, but rather helps to slow the progression of hair loss,” said Dr. Kahen. “Home appliances use these methods.”
Doctors around the world use laser and light-based devices, generally used for skin rejuvenation, skin tightening or other applications, for stimulation of follicles in the office. However, although they may advertise laser hair restoration, these applications are non-compliant.
Authorized by the FDA to treat androgenic alopecia in men (with the Norwood-Hamilton classifications from IIa to V) and in women (with the Ludwig-Savin classifications from I to II), and in men or women with Fitzpatrick skin types from I to IV, iRestore by Freedom Laser Therapy (Los Angeles, California) is essentially a helmet combining a light emitting diode (LED) LLLT specially adapted for stimulate cell metabolism in the hair follicles. About three to six months of 25-minute sessions every other day, the manufacturer reports that users will see slower hair loss and reduced miniaturization of the hair follicle, followed by a return to thicker, longer hair dense with continuous support. The Essential version includes 51 medical grade laser and LED transmitters, while the professional version includes 28 transmitters.
Theradome’s LH80 PRO and LH40 EVO laser helmets. include 40 focused VL680 (680nm) lasers that penetrate the scalp up to 5mm and stimulate mitochondrial activity to slow and stop hair loss in the manufacturer. Four weekly 20-minute sessions per day will produce visible improvement after a few months of regular use, with better results over time.
The Lexington INT HairMax laser comb uses LLLT to increase hair density / density, revitalize follicles and improve hair thinning. It is currently the only device of this type approved by the FDA. It includes patented locks of hair and densely packed laser diodes for maximum and uniform diffusion of collimated laser light. Products include combs, bands and a baseball style cap with maximum coverage.
Topical therapies and professional and home nutraceuticals
As the only authorized drug on the market for male pattern baldness on the market, finasteride and minoxidil are relatively well known. Topical minoxidil has been shown to be successful in both men and women, with around 40% of men seeing regrowth within three to six months1,2 while the drug is in use. “In my experience, many patients are not completely satisfied with Minoxidil and may not be keeping it,” said Dr. Rapoport.
Finasteride has been shown [Varothai 2014] to slow and even improve hair loss in men after approximately six months of continuous and persistent use. However, the warning about sexual side effects has reduced its popularity.
However, there are home therapies that can provide help alone or in combination with in-office therapies. Nutraceuticals and vitamins are among those that have been used for a long time.
The LockRx Growth Factor 3X professional serum from Vision Medical is a topical solution containing three specific growth factors derived from human cells (EGF, FGF and KGF), recognized for their paramount importance in the stages of hair follicle and scalp health.
This serum can be used in conjunction with all the methods promoting stimulation of the hair follicle, in particular surgical restoration of hair SmartGraft FUE, PRP, microneedling, LED and LLLT, in order to increase the specific growth factors most necessary for the best outcome of the procedures.
With products for men and women, Viviscal Advanced Hair Health supplements from Viviscal Ltd. (Ewing, NJ) have been in continuous development for 25 years and do not contain medication. The products (including oral supplements and a topical shampoo, with an additional conditioner for women) are designed to nourish and strengthen existing hair at various stages of growth, promote the revitalization of hair follicles to minimize their loss and promote the hair health. Clinical studies have shown an 18.3% reduction in excretion compared to placebo and a 125% increase in the number of terminal hairs compared to placebo, with a significant improvement in overall hair volume, thickness and scalp coverage reported by patients after six months of continuous use.
AQ Advanced Hair Complex + from AQ Skin Solutions is designed to reduce hair loss, rejuvenate damaged hair follicles, improve hair quality and increase circulation to improve overall condition scalp. Using growth factor technology and other active ingredients, the solution is applied to the areas to be treated, then massaged, and left for at least five minutes every two days. The current subject is intended for use at home or in addition to professional treatments.
Nutraceutical multi-targeted nutraceutical hair restoration treatments are designed for women who enter, during and after menopause and who undergo hair-related changes. Nutrafol Core for Women contains standardized ingredients that act on the triggers of poor hair health, including stress, DHT, free radicals, micro-inflammation and compromised nutrition. Core for Women has been shown to improve the strength, shine, texture, density, flexibility and smoothness of hair. In a clinical study, 81% of women saw improvement in hair growth.
Nutrafol Women’s Balance also attacks the hormonal changes associated with menopause. The ingredients are clinically proven to increase hair growth, provide thicker hair, maintain existing hair growth and improve strength, shine, texture, appearance, density and nourish hair from the inside .
Intended to be associated with in-office treatments, the complete Votese hair control system from Eclipse MedCorp. is a combination of oral “folliceutical” pill and topical foam to promote health and well-being for optimal hair health. The easy-to-use Amino DL-30 Topical Hair Foam is directly absorbed by the scalp to hydrate it and promote moisture retention.
The oral formulations are personalized for men and women. The oral formulation for women includes ashwagandha root extract, flax seed hulls, L-tyrosine and velvet bean extract, designed to manage cortisol levels and prevent hair breakage . The men’s version includes saw palmetto berries, pine-derived phytosterols, green tea leaf extract, nettle leaf extract and pumpkin seed concentrate to manage DHT, stimulate collagen production and improve overall hair health. “This is the first oral pill combined with a topical botanical foam available to us, working indoors and outdoors,” said Dr. Rapaport.
“Many people want something like this, but don’t want drugs like minoxidil or finasteride. They like topical non-drug topical formulations and gender-specific formulations. The pill replaces the vitamins they probably already take, which many find attractive, “he continued. “With competing products, I’ve seen gastrointestinal upset, which we don’t see with Votesse because it contains probiotics.”
By examining the evolving arsenal for the treatment of thinning and thinning hair, Dr. Kahen summed it up well. “As with everything, prevention is generally the best option compared to reactive treatments. With the alternatives we have today, as we raise awareness, we should see a significant reduction in the number of people suffering from hair loss. ”
