Hair loss can happen for a variety of reasons, and can range from
being mild to severe. A Hair Regrowth Treatment Program from
The Hair Clinic has been developed.
being mild to severe. A Hair Regrowth Treatment Program from
The Hair Clinic has been developed.
MALE PATTERN HAIRLOSS
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Male pattern hair loss (also known as androgenetic alopecia) is a progressive hair thinning condition and is the most common type of hair loss in men. Male pattern hair loss typically begins at the forehead, with the hairline gradually receding along the sides to form an ‘M’ shape. The remaining hair may become finer and shorter, with hair at the crown (back) of the head also beginning to thin.
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The amount of hair loss can vary amongst men and is usually influenced by an individual’s genetic make-up. In severe cases, the receding forehead hairline may eventually extend to the thinned crown, leaving a horseshoe pattern of hair around the sides of the head.
What Causes Hair Loss?
There are many different causes of hair loss including certain illnesses involving liver or kidney disease, disorders of the immune system, stress, major surgery or trauma, cancer, chemotherapy, radiotherapy, hormonal problems, fungal infections, smoking and as a side-effect of some medications or supplements.
Dietary considerations such as nutritional deficiencies or conversely high complex carbohydrate diets which may have an endocrine effect inducing rapid release of insulin from the pancreas. The release of insulin then stimulates an increase in testosterone levels and concomitantly increases DHT (see below) resulting in hair loss. Scarring from burns can also cause permanent hair loss. Hair loss in patches, sudden hair loss, breaking of hair shafts or hair loss associated with redness, scaling or pain are likely to be caused by specific health conditions.
What Causes Male Pattern Hair Loss?
While it is not completely understood why the hair follicles on men’s heads stop producing new hairs, the male hormone DHT (dihydrotestosterone) is thought to play a part. Testosterone, the most important male sex hormone (androgen) in men, is responsible for the growth of bone and muscles, sexual function and for producing physical characteristics in men including facial and body hair. In the body, testosterone is converted to DHT by an enzyme (5-alpha reductase). DHT acts on different organs in the body including the hair follicles and cells in the prostate. For reasons we don’t understand, hair follicles sometimes become more sensitive to DHT, slowing down hair production and producing weaker, shorter hair. Sometimes hair growth stops completely. It is not clear why different hair follicles are affected at different times, making the balding process gradual or why only scalp hairs are affected.
How Common Is Male Pattern Hair Loss?
The majority of men will experience some form of hair loss in their lifetime. For men between the ages of 20 and 45 who start to lose scalp hair, there is a 95 per cent chance they are experiencing male pattern hair loss. Male pattern hair loss varies from population to population due to genetic background.
What Causes Female Pattern Hair Loss?
Female Pattern Hair Loss (FPHL) is thought to usually occur as a result of damage to hair follicles caused by inflammation triggered by exposure to the hormone Dihydrotestosterone (DHT). The mechanism for hair loss is the same as in men. For reasons we don’t understand, hair follicles sometimes become more sensitive to DHT, slowing down hair production and producing weaker, shorter hair. Sometimes hair growth stops completely. The causes driving increasing levels of DHT or increasing scalp sensitivity to DHT are varied and there is considerable overlap with many of the causes of Male Pattern Hair Loss (MPHL). Importantly in women the hormonal balance of estrogen vs testosterone, the possible impact of oral contraceptive medication on hair loss or growth, adds another layer of challenge in resolving hair loss issues in women.
What Is The Emotional Impact Of Experiencing Hair Loss?
While some hair loss is a normal part of the ageing process, it can be distressing for many particularly if it is excessive or happens at an early age. For both men and women experiencing hair loss can make them feel less confident, less attractive and many think it makes them look older.
There are many different causes of hair loss including certain illnesses involving liver or kidney disease, disorders of the immune system, stress, major surgery or trauma, cancer, chemotherapy, radiotherapy, hormonal problems, fungal infections, smoking and as a side-effect of some medications or supplements.
Dietary considerations such as nutritional deficiencies or conversely high complex carbohydrate diets which may have an endocrine effect inducing rapid release of insulin from the pancreas. The release of insulin then stimulates an increase in testosterone levels and concomitantly increases DHT (see below) resulting in hair loss. Scarring from burns can also cause permanent hair loss. Hair loss in patches, sudden hair loss, breaking of hair shafts or hair loss associated with redness, scaling or pain are likely to be caused by specific health conditions.
What Causes Male Pattern Hair Loss?
While it is not completely understood why the hair follicles on men’s heads stop producing new hairs, the male hormone DHT (dihydrotestosterone) is thought to play a part. Testosterone, the most important male sex hormone (androgen) in men, is responsible for the growth of bone and muscles, sexual function and for producing physical characteristics in men including facial and body hair. In the body, testosterone is converted to DHT by an enzyme (5-alpha reductase). DHT acts on different organs in the body including the hair follicles and cells in the prostate. For reasons we don’t understand, hair follicles sometimes become more sensitive to DHT, slowing down hair production and producing weaker, shorter hair. Sometimes hair growth stops completely. It is not clear why different hair follicles are affected at different times, making the balding process gradual or why only scalp hairs are affected.
How Common Is Male Pattern Hair Loss?
The majority of men will experience some form of hair loss in their lifetime. For men between the ages of 20 and 45 who start to lose scalp hair, there is a 95 per cent chance they are experiencing male pattern hair loss. Male pattern hair loss varies from population to population due to genetic background.
What Causes Female Pattern Hair Loss?
Female Pattern Hair Loss (FPHL) is thought to usually occur as a result of damage to hair follicles caused by inflammation triggered by exposure to the hormone Dihydrotestosterone (DHT). The mechanism for hair loss is the same as in men. For reasons we don’t understand, hair follicles sometimes become more sensitive to DHT, slowing down hair production and producing weaker, shorter hair. Sometimes hair growth stops completely. The causes driving increasing levels of DHT or increasing scalp sensitivity to DHT are varied and there is considerable overlap with many of the causes of Male Pattern Hair Loss (MPHL). Importantly in women the hormonal balance of estrogen vs testosterone, the possible impact of oral contraceptive medication on hair loss or growth, adds another layer of challenge in resolving hair loss issues in women.
What Is The Emotional Impact Of Experiencing Hair Loss?
While some hair loss is a normal part of the ageing process, it can be distressing for many particularly if it is excessive or happens at an early age. For both men and women experiencing hair loss can make them feel less confident, less attractive and many think it makes them look older.
AVAILABLE TREATMENTS
Topical Hair Loss Solution
Minoxidil, applied topically, is widely used for the treatment of hair loss. It is effective in helping promote hair growth in people with androgenic alopecia regardless of sex. About 40% of men experience hair regrowth after 3–6 months. Minoxidil must be used indefinitely for continued support of existing hair follicles and the maintenance of any experienced hair regrowth. The Hair Clinic has formulated its own
Topical Hair Loss Solution inclusive of Minoxidil.
Oral Hair Stimulating Medication
Finesteride is an oral medication that works by blocking the conversion of testosterone to DHT. The hair follicles are then not affected by DHT and can enlarge back to normal. About two in three men who take Finasteride every day experience some hair re-growth. Finesteride must be used indefinitely for continued support of existing hair follicles and the maintenance of any experienced hair regrowth.
Minoxidil, applied topically, is widely used for the treatment of hair loss. It is effective in helping promote hair growth in people with androgenic alopecia regardless of sex. About 40% of men experience hair regrowth after 3–6 months. Minoxidil must be used indefinitely for continued support of existing hair follicles and the maintenance of any experienced hair regrowth. The Hair Clinic has formulated its own
Topical Hair Loss Solution inclusive of Minoxidil.
Oral Hair Stimulating Medication
Finesteride is an oral medication that works by blocking the conversion of testosterone to DHT. The hair follicles are then not affected by DHT and can enlarge back to normal. About two in three men who take Finasteride every day experience some hair re-growth. Finesteride must be used indefinitely for continued support of existing hair follicles and the maintenance of any experienced hair regrowth.
Lifestyle Changes
Many peer review studies and papers have been written underpinning the importance of positive Lifestyle Changes to improve hair condition, growth and conversely diminish hair loss. below is a summary of the most important.
1. Eat a well balanced diet and in particular avoid highly processed carbohydrate diets which induces release of insulin from the pancreas. The release of insulin stimulates an increase in free testosterone levels and concomitantly increases DHT levels resulting in hair loss.
2. Get your body fit and active. The middle age spread can lead to insulin resistance as sugar uptake becomes impaired, consequentially output of insulin is increased to deal with poor sugar control, this becomes a downward spiral cascading into increasing levels insulin, free testosterone, DHT and ultimately hair loss.
3. Get your mind fit and active. Reduce stress levels as increased cortisol levels, a stress hormone, has been identified as a modulator of hair loss, and in conjunction with other substances can cause depigmentation of hair follicles (turning grey).
4. Smoking, avoid or stop! Smoking accelerates hair loss.
5. Consider further dietary supplementation.
6. Manage reversible causes such as hair loss due to dandruff or fungal scalp irritations, with topical antifungal shampoos.
Many peer review studies and papers have been written underpinning the importance of positive Lifestyle Changes to improve hair condition, growth and conversely diminish hair loss. below is a summary of the most important.
1. Eat a well balanced diet and in particular avoid highly processed carbohydrate diets which induces release of insulin from the pancreas. The release of insulin stimulates an increase in free testosterone levels and concomitantly increases DHT levels resulting in hair loss.
2. Get your body fit and active. The middle age spread can lead to insulin resistance as sugar uptake becomes impaired, consequentially output of insulin is increased to deal with poor sugar control, this becomes a downward spiral cascading into increasing levels insulin, free testosterone, DHT and ultimately hair loss.
3. Get your mind fit and active. Reduce stress levels as increased cortisol levels, a stress hormone, has been identified as a modulator of hair loss, and in conjunction with other substances can cause depigmentation of hair follicles (turning grey).
4. Smoking, avoid or stop! Smoking accelerates hair loss.
5. Consider further dietary supplementation.
6. Manage reversible causes such as hair loss due to dandruff or fungal scalp irritations, with topical antifungal shampoos.
Red Light Therapy
The hair growth cycle consists of three phases: growth (anagen phase), resting (telogen phase) and shedding (catagen phase). Hair loss in androgenetic alopecia depends on a testosterone derivative in the skin, dihydrotestosterone (DHT). Low level laser therapy increases blood flow in the scalp and stimulate metabolism in catagen or telogen follicles, resulting in the production of anagen hair.
In theory: The photons of light act on cytochrome C oxidase leading to the production of adenosine triphosphate (ATP). This is converted to cyclic AMP in the hair follicle cells, releasing energy and stimulating metabolic processes necessary for hair growth. Release of nitric oxide from cells leads to increased vascularisation to the scalp distributing nutrients and oxygen to the hair roots.
Excessive build-up of DHT is prevented.
In theory: The photons of light act on cytochrome C oxidase leading to the production of adenosine triphosphate (ATP). This is converted to cyclic AMP in the hair follicle cells, releasing energy and stimulating metabolic processes necessary for hair growth. Release of nitric oxide from cells leads to increased vascularisation to the scalp distributing nutrients and oxygen to the hair roots.
Excessive build-up of DHT is prevented.
PRP Platelet Rich Plasma & Needling
The use of Platelet Rich Plasma (PRP) is not new; it has long been recognized for it’s accelerated wound healing properties in such applications as surgery and sports injuries. This technology is now being used for cosmetic enhancement. PRP is a bio active stimulator using cells derived from your own blood, these are then re-injected or needled into the scalp to stimulate cells.
In keeping with TAPS and Medical Councils statement on advertising, PRP treatment outcomes are exempt from being advertised.
For full disclosure please arrange a consultation where PRP treatment outcomes can be discussed.
Please refer to PRP Hair Growth® Data Information supplied for evidence based studies of PRP Hair Growth® Outcomes.
The use of Platelet Rich Plasma (PRP) is not new; it has long been recognized for it’s accelerated wound healing properties in such applications as surgery and sports injuries. This technology is now being used for cosmetic enhancement. PRP is a bio active stimulator using cells derived from your own blood, these are then re-injected or needled into the scalp to stimulate cells.
In keeping with TAPS and Medical Councils statement on advertising, PRP treatment outcomes are exempt from being advertised.
For full disclosure please arrange a consultation where PRP treatment outcomes can be discussed.
Please refer to PRP Hair Growth® Data Information supplied for evidence based studies of PRP Hair Growth® Outcomes.
HOW WE DO IT
Before and after photos, 44 year old male client following recommended treatments
and positive lifestyle changes.
and positive lifestyle changes.
WHO CAN OFFER THESE TREATMENTS?
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Dr Mark Morunga
Medical Director BHB, MBCHB, Dip Paeds, Dip CEM, F.RNZCUC, MNZSCM Member New Zealand Society Cosmetic Medicine Fellow Royal New Zealand College Urgent Care |
In keeping with TAPS and Medical Councils statement on advertising, PRP treatment outcomes are exempt from being advertised.
For full disclosure please arrange a consultation where PRP treatment outcomes can be discussed.
Please refer to PRP Hair Growth® Data Information supplied for evidence based studies of PRP Hair Growth® Outcomes.
Contact Us
If you have any questions or would like to book a consultation with our highly qualified Doctors to
discuss what we can do for you.
Talk To Us
Central Phone Number (09) 523 5999
OR (021) 23 777 11 Mobile
Please Advise Which Clinic
COOPERS BEACH BOTANY HOWICK REMUERA WELLINGTON
If you have any questions or would like to book a consultation with our highly qualified Doctors to
discuss what we can do for you.
Talk To Us
Central Phone Number (09) 523 5999
OR (021) 23 777 11 Mobile
Please Advise Which Clinic
COOPERS BEACH BOTANY HOWICK REMUERA WELLINGTON
PRP Hair Growth® Data Information
1. Maria-Angeliki G, Alexandros-Efstratios K, Dimitris R2, Konstantinos K. Platelet-rich Plasma as a Potential Treatment for Noncicatricial Alopecias. Int J Trichology. 2015 Apr-Jun;7(2):54-63. doi: 10.4103/0974-7753.160098.
2. Singhal P, Agarwal S, Dhot PS, Sayal SK. Efficacy of platelet-rich plasma in treatment of androgenic alopecia. Asian J Transfus Sci. 2015 Jul-Dec;9(2):159-62. doi: 10.4103/0973-6247.162713.
3. Gkini MA, Kouskoukis AE, Tripsianis G, Rigopoulos D, Kouskoukis K. Study of platelet-rich plasma injections in the treatment of androgenetic alopecia through an one-year period. J Cutan Aesthet Surg. 2014 Oct-Dec;7(4):213-9. doi: 10.4103/0974-2077.150743.
4 Cheng H, Zhang J, Li J, Jia M, Wang Y, Shen H. Platelet-rich plasma stimulates angiogenesis in mice which may promote hair growth. European Journal of Medical Research. 2017 Oct 11;22(1):39.
5 Gupta AK, Carviel J. A Mechanistic Model of Platelet-Rich Plasma Treatment for Androgenetic Alopecia. Dermatol Surg. 2016 Dec;42(12):1335-1339.
6 Elghblawi E. Plasma‐rich plasma, the ultimate secret for youthful skin elixir and hair growth triggering. Journal of Cosmetic Dermatology. 2017 Sep 8.
7 Jha AK, Udayan UK, Roy PK, Amar AK, Chaudhary RK. Platelet‐rich plasma with microneedling in androgenetic alopecia along with dermoscopic pre‐and post‐treatment evaluation. Journal of Cosmetic Dermatology. 2017 Aug 3.
8 Ferrando J, García-García SC, González-de-Cossío AC, Bou L, Navarra E. A proposal of an effective platelet-rich plasma protocol for the treatment of androgenetic alopecia. International journal of trichology. 2017 Oct;9(4):165.
9 Anitua E, Pino A, Martinez N, Orive G, Berridi D. The Effect of Plasma Rich in Growth Factors on Pattern Hair Loss: A Pilot Study. Dermatol Surg. 2017 May;43(5):658-670. Dermatol Surg. 2017 May;43(5):658-670.
10 Ferneini EM, Beauvais D, Castiglione C, Ferneini MV. Platelet-Rich Plasma in Androgenic Alopecia: Indications, Technique, and Potential Benefits. J Oral Maxillofac Surg. 2017 Apr;75(4):788-795. doi: 10.1016/j.joms.2016.10.040. Epub 2016 Nov 15.
11 Tawfik AA, Osman MAR.Tawfik AA, Osman MA. The effect of autologous activated platelet‐rich plasma injection on female pattern hair loss: A randomized placebo‐controlled study. Journal of cosmetic dermatology. 2018 Feb 1;17(1):47-53.
12 El Taieb MA, Ibrahim H, Nada EA, Seif Al-Din M. Platelets rich plasma versus minoxidil 5% in treatment of alopecia areata: A trichoscopic evaluation. Dermatol Ther. 2017 Jan;30(1). doi: 10.1111/dth.12437. Epub 2016 Oct 28.
13 Gentile P1, Garcovich S2, Bielli A3, Scioli MG3, Orlandi A3, Cervelli V4. The Effect of Platelet-Rich Plasma in Hair Regrowth: A Randomized Placebo-Controlled Trial. Stem Cells Transl Med. 2015 Nov;4(11):1317-23. doi: 10.5966/sctm.2015-0107. Epub 2015 Sep 23