Hair Transplantation – Hair Loss Causes Curls & Curves, Bangaore

Hair Transplantation – Hair Loss Causes

40% of men have noticeable hair loss by age 35 and 65% by age 60. Why does hair loss occur?

Your hair loss has little or nothing to do with shampooing, hats, or any other practices. Hair loss is largely genetic.

Main Causes Of Hair Loss

There are many causes of hair loss in men and women, including disease, nutritional deficiency, hormone imbalance and stress. By far the most common cause, however, is what is called androgenetic alopecia. Alopecia is simply the medical term for hair loss. Androgenetic refers to the fact that both genetic predispositions to balding and the influence of androgens, or male hormones, play a part in this type of hair loss.

There is a third factor, which is the passage of time, or aging.

So, in order for androgenetic alopecia to occur, there must be:

• 1. Genetic propensity for balding.
• 2. Presence of androgens or male hormones.
• 3. Aging time to allow the first two factors to exert their influence on the hair follicles.

Both men and women produce “male” hormones. The most common of these are testosterone, androsteinedione and dihydrotestosterone (DHT). Androgens are produced by the testicles and adrenals in men and by the ovaries and adrenal glands in women. These hormones are important in both sexes, but occur in different concentrations, being much more predominant in males than in females. This, in part, is responsible for the typical differences between the genders.

The exposure of hair follicles to DHT over a period of time can lead to androgenetic alopecia, male and female pattern baldness, in people who are genetically susceptible to balding. The balding process can occur at any age and move at any rate. It can start in the teen years or late in life, develop rapidly, slowly or even tabilize.

Hair Loss in Men

Some men gradually lose their hair over the front, top and crown of their head, but most men still do not understand the root cause of hair loss. This is a natural phenomenon called “male pattern baldness” or androgenetic alopecia. “Andro” refers to the androgens (testosterone, dihydrotestosterone) necessary to produce male-pattern hair loss (MPHL). “Genetic” refers to the inherited gene necessary for MPHL to occur.” The hair follicles in these areas react negatively to the hormone testosterone, resulting in gradual hair loss. The hair on the sides and lower back of the head is genetically programmed not to be affected and does not fall out. Because of this genetic programming, this hair can be permanently transplanted to the thinning and balding areas. This donor hair will not fall out and can be cut, combed and styled just as the hair it has replaced. It will continue to grow for the rest of your life and will not be affected by any hormone changes.

• represents a normal head of hair with no visible hair loss.
• is characterized by the beginning of a receding hairline and a “widow’s peak” on the forehead.
• patients exhibit a more significant decline in hair above the temples as well as receding from the forehead. In Class 3 Vertex, hair loss is starting to become significant on the crown.
• hair loss may become more noticeable on the crown or patients may have significant hair loss above the temples and or front anterior areas.
• hair loss approaches significant levels with most hair loss occurring on the top of the vertex and crown. Hair transplantation for this Class and higher Class levels may require more grafts to provide coverage and density.
• patients show major hair loss, but still have areas with donor hair available. Transplanting this hair can still have excellent results.
• patients show the most significant loss of hair. There may still be sufficient donor hair for transplantation; however, results may be limited.

• In men who develop male pattern baldness the hair loss may begin any time after puberty when blood levels of androgens rise. The first change is usually recession in the temporal areas, which is seen in 96 percent of mature Caucasian males, including those men not destined to progress to further hair loss.

• Hair loss in men is likely to occur primarily between late teen-age years and age 40-50, in a generally recognizable “male-pattern” baldness known as androgenetic alopecia. Men with male-pattern hair loss may have an expectation of hair loss if they have male relatives who lost hair in a recognizably male pattern. Although the density of hair in a given pattern of loss tends to diminish with age, there is no way to predict what pattern of hair loss a young man with early male pattern baldness will eventually assume. In general, those who begin losing hair in the second decade are those in whom the hair loss will be the most severe. In some men, initial male-pattern hair loss may be delayed until the late third to fourth decade. It is generally recognized that men in their 20s have a 20 percent incidence of male pattern baldness, in their 30s a 30 percent incidence of male pattern baldness, in their 40s a 40 percent incidence of male pattern baldness etc. Using these numbers one can see that a male in his 90s has a 90 percent chance of having some degree of male pattern baldness. The onset, rate and severity of hair loss are unpredictable. The severity increases with age and if the condition is present it will be progressive and relentless.

Things to Know If You’re Considering a Beard Transplant

Restoring Hair to the Goatee, Mustache, Beard and Sideburns

Facial Hair / Beard Transplantation is a procedure which restores hair to areas where facial hair growth is thin or missing. While this procedure is most commonly performed on the goatee and mustache areas, it can also be performed on beards, sideburns and cheeks. Facial hair transplants can also be used to conceal acne scars and other types of scars. Commonly, the absence of hair in these areas is due to genetics, prior electrolysis, laser hair removal, surgery, burns, scarring, or other types of accidents. The procedure can be performed on areas where there is no hair or on areas where hair growth is thin and more fullness is desired.

The number of grafts required can vary but averages are as follows: 350-500 grafts for the mustache, 600-700 grafts for a full goatee, 200-250 grafts for each sideburn, and 300-700 grafts for a cheek beard. While not very common, some patients may require a second procedure to transplant additional grafts if they desire a very thick density.

The donor hairs come from the scalp or other body hair, which is identical in texture and growth to that of the beard and mustache hairs. Once transplanted, these hairs are permanent and need to be shaved (if desired) just like the other hairs. Dr. Girish often uses grafts containing one and sometimes two hairs in order to achieve the most natural appearance. He is also careful to place the grafts at the exact correct angle and direction and, in the case of gray hair, he will even go so far as to aesthetically distribute any existing gray hairs into the restored areas. To minimize scarring, Dr. Girish uses all-microscopically dissected grafts that can be placed in the smallest possible incisions. For patients concerned about future hair loss of the scalp, it’s important to note that hairs transplanted to the face are no longer available for hair transplantation. Thus, if future hair restoration is desired to address male pattern hair loss of the scalp, the facial hair transplant patient will have fewer hairs available in the donor area to work with.

Dr. Girish is truly a leader in the field of hair restoration and facial hair transplantation in particular. Many surgeons have little to no experience with facial hair transplantation but Dr. Girish performs lots of these procedures each week. In fact, many patients travel to him from across the country and the world due to his reputation and unique experience.

To provide a completely natural appearance, the hairs are transplanted in natural follicular units and inserted in the direction of beard growth. We understand the critical importance of using the smallest possible incisions in the recipient site. They are also mindful of the careful, aesthetic distribution of any existing gray hairs into the treatment area.

Filling in the blank areas or spaces in a beard helps to connect the beard and mustache, giving the face the balance and symmetry necessary for an attractive appearance.

Donor Hairs for Beard Transplant

The donor hairs come from the scalp, which typically grow like normal facial hair in their texture and other characteristics, and can be shaved like other facial hair. Sometimes the closest match is with hairs from the side of the scalp, other times with hair from the back of the scalp. Once transplanted, the hairs are permanent. To provide a natural appearance, the hairs are transplanted as one and sometimes two hair grafts, depending on how the natural facial hair grows. Other steps taken to assure naturalness include the careful placement of the grafts at the exact correct angle and direction, the use of all-microscopically dissected grafts that can be placed in the smallest possible incisions so as to minimize scarring, and even the aesthetic distribution of any existing gray hairs into the restored areas. Note that these hairs transplanted into the face are no longer available for transplanting into the scalp if the patient desires to undergo restoration of any male pattern hair loss that may develop in the future, thus meaning that there will be fewer hairs available for this area.

Procedure & Recovery

The procedure is usually performed under local anesthesia with an oral sedative, depending on the patient’s choice. Lasting 2 to 5 hours, it is essentially painless, as is the recovery period. For the first 5 days after the procedure, tiny crusts are around each transplanted hair, and the transplanted area must be kept absolutely dry.

By the second day, patients are able to travel home and resume non strenuous activities, however the face will look like something was done for at least the first 3 to 4 days. Sutures that are placed in the donor area are dissolvable so there is no need to return to the office for removal.

The transplanted hairs fall out at around 2 weeks, then start to regrow at 3 months, where they will continue to grow for a lifetime.

Risks & Results

There are few risks with the procedure, and most are those associated with standard hair transplants. The donor site incision typically heals as a 2 mm or narrower incision, easily concealable with hair that is cut with anything longer than a razor with a #2 or #3 guard. Some patients choose to avoid a linear donor site incision altogether, preferring to have the grafts obtained by the follicular unit extraction technique.

As this is a procedure in which Dr. Girish specializes, most patients travel from out of town to have it performed.

Eyebrow Transplant

Unlike the loss of scalp hair, the loss of one’s eyebrows is not viewed as a natural process and is, therefore, not cosmetically acceptable. Eyebrows may be lost for a variety of reasons including thyroid and other systemic diseases, alopecia areata, burns, tattoos, infections, repeated plucking, congenital inability to grow eyebrows and a genetic tendency for eyebrows to thin, or disappear, over time.

Eyebrow Transplant is similar to other hair transplant procedures performed on the scalp, in that, for appropriate candidates, the transplanted hair is permanent. However, because eyebrows have their own unique attributes, eyebrow transplant differs from hair transplants in a number of important ways.

Eyebrow Transplantation

Eyebrow Transplantation has become very popular because one’s eyebrows generally determine the balance and general appearance of the face. Missing, asymmetric, or shapeless eyebrows often convey a disjointed or jarring facial appearance. People who have completely lost all of their eyebrows from some type of trauma (disease, alopecia areata, burns, tattoos, infections, repeated plucking, or congenital inability) can receive a full eyebrow restoration. Partial eyebrow treatments are generally for cosmetic reasons to create thicker or enhanced brows, cover a scar in the brow, or correct uneven eyebrows.

People who lose their eyebrows from medical treatments like chemotherapy are often not good candidates for eyebrow transplants. When the patient is finished with his or her chemotherapy treatments, the hair often grows back.

Nu/Hart’s Eyebrow Transplantation is a process that takes a single hair follicle from a donor area and inserts it in the direction and shape of the desired eyebrow. A local anesthetic is used so that the client remains awake and alert, yet unable to experience any discomfort.

A well balanced eyebrow often requires the transplanting of about 400 hair follicles. Partial eyebrow implants will usually require less. The targeted amount of follicles can be determined during your free consultation.

Eyebrow Transplant or Restoration is similar to other hair transplant procedures performed on the scalp, in that, for appropriate candidates, the transplanted hair is permanent. Results of Eyebrow Hair Transplants are very natural and their growth can transform the balance of the face, yielding a much more symmetrical and attractive appearance.