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Hair is made of a tough protein called keratin. A hair follicle anchors each hair into the skin. The hair bulb forms the base of the hair follicle. In the hair bulb, living cells divide and grow to build the hair shaft. Blood vessels nourish the cells in the hair bulb, and deliver hormones that modify hair growth and structure at different times of life.

DHT (an end product of testosterone and estrogen metabolism) causes shrinkage and miniaturization of hairs

When blood vessels supplying blood to hair follicle are dilated, DHT is flushed out thus preventing miniaturization.

Whenever body is undergoing stress or disease , there is decreased blood supply to HAIR ,SKIN AND NAILS causing increased vascular shrinkage , increased effect of DHT on hair follicles thereby increase in hair shedding .

How much DHT we have and how sensitive our cells are to the DHT is determined by our genes. Actual amount is less significant issue then the sensitivity of cells to the available DHT

Hair growth occurs in cycles consisting of three phases:

  • Anagen (growth phase): Most hair is growing at any given time. Each hair spends several years in this phase.
  • Catagen (transitional phase): Over a few weeks, hair growth slows and the hair follicle shrinks.
  • Telogen (resting phase): Over months, hair growth stops and the old hair detaches from the hair follicle. A new hair begins the growth phase, pushing the old hair out.

Hair grows at different rates in different people; the average rate is around one-half inch per month. Hair color is created by pigment cells producing melanin in the hair follicle. With aging, pigment cells die, and hair turns gray.

BY THE TIME YOU HAVE NOTICED HAIR LOSS: YOU HAVE ALREADY LOST 50% HAIR

Some Common Alopecia Types

1. Androgenic alopecia : This is common for women and men. It’s also known as male- or female-pattern hair loss. 

  • Male pattern baldness: The most common type of hair loss in men. Male pattern baldness usually includes either a receding hairline, hair loss at the crown, or both.
  • Female pattern baldness (Christmas tree pattern): In women, hair loss usually includes uniform thinning across the scalp, with a preserved hairline. The crown may be affected, but hair loss rarely proceeds to baldness as in men

2. Alopecia areata : This is also known as patchy baldness. The bald patches can show up anywhere on your body, but many people get a round or oval patch on the scalp. It is a type of autoimmune disease—your immune system attacks your hair follicles by mistake, causing non scarring hair loss.The condition most commonly presents with discrete, smooth patches of alopecia on the scalp but may also occur in other hair-bearing areas, such as the eyebrows, eyelashes, beard, and extremities

3. Alopecia totalis : Alopecia totalis affects both men and women. It is a more advanced form of alopecia areata that causes hair loss on the face and entire scalp. The chances of alopecia areata resolving itself after reaching the alopecia totalis stage are small, although in some isolated cases hair follicles can start to grow again

4. Alopecia Universalis : The most advanced form of alopecia areata, alopecia universalis usually presents itself later on in life and occurs in both men and women. This condition results in total hair loss all over the entire body and is caused by a chromosome mutation at birth.

5. Traction alopecia : This is caused by putting stress on hair through repeated pulling or stretching. You can develop this condition if you often wear your hair in a tight ponytail, buns, dreadlocks, hair extensions, weaves, or braids,” says Armani. “In time, the continuous pulling can damage hair follicles. If the damage due to pulling persists, it can cause permanent hair loss.”

6. Cicatricial alopecia : This is a “scarring” type of alopecia. It involves inflammation that destroys hair follicles. The destroyed follicles get replaced by scar tissue, resulting in permanent hair loss in the area. Sometimes the condition brings on symptoms like itching, pain, and a sensation of heat. 

PRESENTS AS A WAXY APPEARING SCALP

DIFFICULT TO TREAT

TT – ? Antifungal , steroid inj

7. Telogen Effluvium : This condition is generally triggered by stages of stress or trauma (such as childbirth, bereavement and serious illness) and results in an excessive amount of hair loss, with 30% or more of scalp hair shifting to the telogen (shedding) phase – three times the normal amount4.

This is a temporary condition and hair regrowth is therefore to be expected. Adopting a balanced and nutritious diet helps to support healthy regrowth; a poor diet lacking in essential vitamins for the hair can prevent it from obtaining the nutrients it needs to thrive.

8. Anagen Effluvium

Normally caused by cancer treatment drugs, anagen effluvium results in patchy hair loss and eventually a total loss of hair (it usually grows back after treatment ceases).

9. Frontal Fibrosing Alopecia

This condition is characterized by hair loss and scarring on the scalp near the forehead. Around half of all people affected by frontal fibrosing alopecia also experience a loss of eyebrows too and, in some cases, eyelashes10.

MOST COMMON CAUSE OF HAIR LOSS IN BOTH MEN AND WOMEN IS GENETIC

TREATMENT OF ANDROGENETIC ALOPECIA FOR MEN  :

Dutasteride — Dutasteride, an inhibitor of both type 1 and type 2 5-alpha-reductase, is utilized for the treatment of benign prostatic hyperplasia at a dose of 0.5 mg/day ). It is prescribed as an off-label treatment for androgenetic alopecia.

Compared with finasteridedutasteride is three times more potent of an inhibitor of 5-alpha-reductase type 2 and 100 times more potent of an inhibitor of 5-alpha-reductase type 1. Serum DHT concentrations are reduced by 93 to 94 percent with 0.5 mg/day of dutasteride compared with around 70 percent with 5 mg/day of finasteride

Light therapy — Low level laser light therapy (LLLT- red light with wavelength 650 nm , non-ablative laser ) may benefit men with androgenetic alopecia as well psoriasis  

Proposed mechanisms include increase blood supply to hair follicle, acceleration of cellular mitosis, stimulation of hair follicle stem cells or follicular keratinocytes, effects on cell metabolism leading to increased adenosine triphosphate production and cellular activity, and anti-inflammatory effects 

WE RECOMMEND CAPILLUS LASER HAIR CAPS : AVAILABLE FOR PURCHASE THROUGH US , 5 YEAR WARRANTY AND 50% MONEY BACK GUARANTEE IF RETURNED WITHIN 6 MONTHS

How long should I use laser hair caps :Lifelong as hair loss is a lifelong process  .  Affect start in 3-6months , results within 6-12 months

How often to wear ?

6 minutes each day. Continuous wave technology allows for even distribution of laser energy throughout the treatment session

Are Capillus Hair caps safe ?

Yes. Capillus technology uses a special type of low level laser light that operates at 650nm. This wavelength of light is visible red light. Red laser energy is restorative in nature and does not damage skin cells. Rather, light is absorbed by the skin without causing any pain or discomfort. The US FDA gave clearance to Capillus devices as safe treatment for androgenetic alopecia.

Are capillus laser hair caps hot ?

No. Capillus lasers are cool to the touch, meaning your LLLT treatment will be comfortable. In fact, LLLT (low-level laser therapy) is also known as cold laser therapy. Some users have reported a slight increase in temperature to the treatment area, but this is safe during treatment, and is most likely a result of heat naturally emitting from the covered scalp.

HAIR BOOSTERS

  • MICRONEEDLING
  • Platelet-rich plasma (PRP) – double spin, every 3 months
  • Super PRP – body’s own exosomes mixed with PRP
  • EXOSOMES :external growth factors , stem cells derived from placental tissue , FDA approved only for topical application
  • MINOXIDIL – efficacy 10%

BOOSTERS FOR AN AVERAGE HEALTHY PERSON

  • Nutrafol
  • Viviscal
  • Biotin
  • Rogaine
  • Private branded topicals

Shampoos and Conditioners : HAIR LOSS  SHAMPOO

WE RECOMMEND ONTOGENY C  : IT HAS ADIPOSE STEM CELLS

HAIR BOOSTERS :

MICRONEEDLING

Micro-needling is the process of creating tiny holes across the skin with a handheld device called microneedling fine .

These holes – each the size of a needle point – penetrate into the dermal layer at a depth that’s deep enough to stimulate cell growth and increase circulation but not to cause damage.

As the holes are minuscule, there is little to no pain involved.

Micro-needling  causes collagen regeneration and encourages the body to produce more cells and increases blood flow to the treated area. Both of these responses are integral to regrowth.

Micro-needling mirrors the process of wound recovery which  involves three distinct stages:

  • (a) Inflammation
  • (b) Proliferation
  • (c) Re-modeling

When dealing with a genuine wound, the body’s defense systems activate. 

They accelerate cell production to ensure the injury heals quickly.

The new cells are fresh, damage free and appear smoother and younger.

Micro-needling manipulates this natural process to improve the appearance of scars, wrinkles and dermatological conditions.

All it does is trick the body into thinking there’s a wound by creating pin prick holes across the surface of the skin.  

We use FDA approved micro needling pen called REJUVAPEN NXT which has 12 stainless steel needles rotating at 12000rpm = 144000 microchannels per minute = 3 million microchannels per treatment .

 PRP

PRP hair loss treatments use a concentrated amount of your own plasma to regenerate cells and promote healthy hair growth.

WE DO BOTH PRP MICRONEEDLING AND PRP SCALP INJECTIONS

EXOSOMES

Cutting edge boosters with optimum effectiveness for all age ranges, and has been clinically shown to help regenerate and regrow hair as a treatment for both men and women. These are stem cells derived from placenta . They are not autologous therefore only approved for topical use.

SUPER PRP

These are exosomes derived from your own cells . Since they are autologous , wecan inject them in the scalp

When injected in the scalp, the result is thicker, healthier hair by the delivery of over 1-10 billion growth factors to affected areas.

We combine PRP with supershots (autologous exosomes) to prepare a SUPER PRP which is highly potent and effective in boosting hair growth .

Should I Add Topicals When Micro-Needling?

Allow for 24 hours either side of the needling when applying topical treatments ( increased risk of sude effects due to enhanced systemic absorption)

What to expect ?

  1. After micro-needling for the first time, it’s normal for the scalp to feel slightly tender and inflamed immediately after the procedure. It may appear red and feel a little tingling. It’s rare but these sensations can continue for up to 24 hours after micro-needling.
  2. Can it damage existing follicles?  Yes, but it’s almost always a consequence of awkward handling

Attempting to microneedle in an area that is healthy and already has good hair coverage is not recommended.  

Side effects of microneedling on the head

Microneedling itself may cause :

  • Bruising
  • Oozing from the wounds
  • Redness
  • Swelling
  • Pain
  • Microneedling also isn’t recommended for women who are pregnant.
  • Using minoxidil immediately after microneedling can potentially increase the absorption of the medication and cause more burning, itching, and irritation on the scalp. It’s important talk to your healthcare provider about when you should resume your topical minoxidil after treatment.
  • Your scalp may be more sensitive to the sun after treatment. Wearing sunscreen every day is recommended. A hat can also help protect your scalp when outdoors.
  • Another risk of microneedling on your head is the possibility of infection. While the needles are small, they’re still inflicting wounds.
  • You’ll need to follow your aftercare instructions carefully to prevent infection. Your aftercare often involves keeping the area clean for a few days

LASER HAIR CAPS :