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Hair Loss 101

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Welcome to Bauman Medical, a uniquely different type of hair restoration practice.

Since 1997, Bauman Medical has been dedicated to providing every hair loss patient the highest quality results and personalized patient-care in the field of hair restoration. We measure our success by helping you, our patients, successfully achieve and maintain your goals. Dr. Bauman and his staff take pride in providing advanced treatments and procedures, accurate information and, most importantly, a professional yet personalized approach.

Having a Bad Hair Day?

Hair loss and other changes affect different people in different ways. If you are suffering from hair loss or hair thinning and want to do something about it, I urge you to do your research, ask us questions, and then take action. When you are ready, we are here to help you restore and maintain a great looking head of hair. Find out why nearly half of our patients travel in from out-of-town for Dr. Alan J. Bauman’s treatments and procedures.

At Bauman Medical Group, we specialize in treating men and women who are looking to enhance, maintain or restore their hair.

In general, the vast majority of patients we treat are experiencing mild, moderate or severe hereditary hair loss–also known as male or female pattern hair loss–which is the most common type of hair loss. We also have medical solutions for other types of alopecia (hair loss). If you are experiencing thinning or receding hair, we encourage you to browse our website and learn about what you can do to address your hair loss concerns. Dr. Bauman is available to help you by designing a results-oriented treatment program.

Some Types of Hair Loss We Treat at Bauman Medical:

• Male Pattern Hair Loss (Hereditary Androgenetic Alopecia)
• Female Pattern Hair Loss
• Plastic Surgery-Related Hair Loss (browlift/facelift scars)
• Traumatic Scars from Injury or Burns
• Eyebrow Loss
• Eyelash Loss / Weak Eyelashes (eyelash hypotrichosis)
• Hereditary High Hairline
• Hair Loss due to Medications, Nutritional Deficiencies, Stress, Hormone Imbalances
• Hair Loss due to Hair Breakage
• Hair Loss due to Scalp Inflammation

Other Types of Hair Loss We Treat:

• Scarring or Cicatricial Alopecias
• Central Centrifugal Cicatricial Alopecia (CCCA)
• Alopecia Areata, Alopecia Totalis, Alopecia Universalis
• Traction Alopecia from hair extensions, braids, weaves or wigs
• Chemotherapy-Related Hair Loss
• Frontal Fibrosing Alopecia (FFA)
• Lichen Planus (LP) or Lichen Planopilaris (LPP)

 

STARTING TO LOSE YOUR HAIR…?

“Lately, I am noticing more scalp shining through…”
“I’m finding a lot of hair on my pillow…”
“I’m seeing my hairline recede slightly…”
“I’m seeing more hair than usual in the drain…”

For many of our patients—and, tens of millions of men and women—these signs are typically the first indicators of hair loss. It may surprise you to learn how frequently we also hear patients tell us, “I woke up one day with less hair,” “It just happened suddenly,” or “I saw myself with hair loss in a photo or video and I was shocked!”

In other cases, patients may observe a slow, but progressive thinning or receding of the hairline. Initially, they want to believe that the loss is not significant. Then, seemingly “overnight,” the amount of hair lost is too obvious to deny anymore. For others, initial changes in their hair volume and density are actually so gradual, that they may only be detectable with the help of a microscope or scientific tool like a HairCheck trichometer. For these patients, their hair loss appears to be quite sudden because it does not become noticeable to the eye until the hair density dips below a definite threshold. For other patients, it might have been a photo, video or a mirror that showed the results of a progressive hair loss that they didn’t realize was occurring.

Understanding Your Hair Loss

Before we elaborate on the types and causes of hair loss, it is beneficial to review basic information about how hair grows. The hair follicle, which appears as a tiny opening in the skin, is the base from which each hair grows. Each hair’s root resides within the follicle where it receives nourishment from the body’s blood supply. The hair follicle which produces the hair is an incredibly tiny, yet complicated micro-organ in the skin. It is connected to our blood circulation and nerves as well as oil (sebaceous) glands. Each follicle is also connected to a small muscle (that causes your hair to stand up on the back of your neck or your arm!)  Hair follicles communicate within themselves and with other nearby follicles with small protein molecules and are also responsive to changes in your body’s hormones, stress level, medications you may take, food you may eat and many other influences.

Hair Growth Cycles

Every hair follicle produces hair in a three-stage cycle that repeats over time. The first stage of this cycle is active growth, known as the ANAGEN phase. The intermediate stage is the CATAGEN phase. And, the third stage is the resting TELOGEN phase. Each hair follicle continually undergoes and repeats the cycle of hair growth, independently. And, at any given point in time, most of the hair on your head, is in the active growing Anagen phase, which lasts on average from two to six years. While the active stage of hair growth is the longest in duration, the Catagen intermediate phase is the shortest, lasting approximately two to three weeks. Finally, it is during the resting third of the cycle, the Telogen phase when a new Anagen hair pushes out the hair currently in the follicle. This phase typically has a duration of three to four months. It is the Telogen hairs that you see when they come off into your brush or comb.

 

 

The Impact of Changing Hair Growth Cycles

When an average, healthy individual reaches physical maturity, at or around the end of adolescence, he or she will have between 100,000 to 150,000 hairs on the head. Under normal conditions, the average person will “lose” or shed approximately 100 Telogen hairs per day and grow 100 Anagen hairs per day. Baldness or hair thinning occurs as the normal growth stage slows. As most individuals get older, the percentage of hairs in the resting stage (Telogen phase) increases, while less hair remains in the active growth Anagen phase. Hair follicles may also produce a thinner, less pigmented hair over time.

A Crash Course in the Role of Genetics and Hormones in Hair Loss

For many years, researchers told us that hair loss resulted from the genetics inherited from the mother’s side of the family. Now, advances in medical science offer proof that “baldness” genes do not discriminate by the sex of the parent. In fact, the related genes can be passed down from both sides of the family tree. We also know that this inherited trait can appear to skip generations and even affect siblings differently. There are over 200 genes that regulate hair characteristics, including the onset and speed of hair thinning and baldness.

Male Pattern Hair Loss

For men, male pattern baldness is the most common form of hair loss. It is characterized by thinning hair beginning at the temples and the crown of the head. Over time, the hair at the temples continues to recede, leaving a central patch of hair at the front of the hairline and a growing bald spot at the crown. Eventually, as the hair loss in these areas widens, the baldness at the front and crown meet to form one large bald spot. Depending on the rate of progression of the hair loss, all that remains is a ‘border’ of hair around the side and back of the head. Male pattern hair loss is a concern for many men because as the hairline recedes, the face takes on a more aged appearance. Hair loss is seen by many as an unwanted sign of ‘premature’ aging.

Male Pattern Hair Loss is “Chronic” and “Progressive:” It is well documented that men who are prone to male pattern hair loss will continue to lose more hair if the condition is not treated.

Norwood Classification Chart – Male Pattern Hair Loss

norwood hamilton baldness scale bauman medical 300x217 Hair Loss 101

In men, it has been determined that Dihydrotestosterone (DHT), a breakdown product of the male hormone Testosterone, is the ‘trigger’ that causes the progressive miniaturization of hair follicles.   If you are genetically susceptible to male pattern hair loss, DHT works to progressively miniaturize follicles (which then grow a shorter, thinner, less pigmented hair) until they finally die.   Certain prescription medications, like Propecia/finasteride, work to prevent and reverse the miniaturization of hair follicles by blocking the conversion of Testosterone into DHT.  Finasteride often is considered the ‘cornerstone’ of medical therapy because it is safe and effective for the treatment of male pattern hair loss. Rigorous scientific data reveals that if a man takes finasteride for five years, he has a 90% chance of looking the same or better than he did when he started the medication. The same studies showed that 75% of men with untreated male pattern hair loss looked “much worse” at the end of the same five years. Treatment of male pattern hair loss should always include a long term ‘hair loss prevention’ therapy, like Finasteride. Other therapies may include prescription topical minoxidil, laser therapy, PRP, nutritional supplementation and/or hair transplantation.

Female Pattern Hair Loss

If you are a woman experiencing shedding or thinning hair, you are in the company of an estimated 20 million American women who also suffer from hair loss. Unfortunately, many women mistakenly believe they are the only female with this condition because it is a common misconception that hair loss is something that only happens to men.

Ludwig Scale

Bauman Medical Female Hair Loss 101 Ludwig image Hair Loss 101

Ludwig Scale for Hair Loss in Women

Savin Scale

Bauman Medical Female Hair Loss 101 Savin Scale image 263x300 Hair Loss 101

Savin Scale for Hair Loss in Women

While women typically experience a somewhat different hair loss pattern than men, the onset of hair loss in both sexes can occur anytime after the teenage years.  Because of the effect of hormones, for some women, hair loss can become more evident:

  • When starting birth control
  • After the birth of a child
  • Around menopause
  • When starting hormone replacement therapy
  • After a total hysterectomy

While female hair loss can present in many ways, the most common types of  hair loss in women are:

  • Diffuse hair loss, in which hair loss is evident all over the top or crown of the scalp, resulting in decreased hair density, coverage and volume
  • A slight recession of the hairline, and/or
  • Loss of density and coverage at the frontal half of the scalp–starting just behind the hairline and extending toward the crown.

In most cases, unlike male pattern baldness, hereditary hair loss in females does not typically result in a total balding of the affected area.

Treatment of Female Pattern Hair Loss: Overview

Because medical research has yet to identify the specific trigger for female pattern hair loss, there is no one particular treatment option that is the ‘magic bullet.’   While most women are looking for the ‘miracle cure,’ unfortunately the answer for the vast majority of hair loss sufferers will be a multi-therapy approach.  A “multi-therapy” approach, like the one advocated by Dr. Bauman, uses a combination of available technologies that have been shown to have positive results for patients. Just like the classic combination of ‘diet and exercise’ for weight control and general health, most often it is a combination of various treatments that yield the best results.

A complete medical history, hair loss history, scalp exam (with and without a microscope), laboratory tests, etc. may be required to ‘get to the root’ of your hair loss problem. Dr. Bauman may then recommend one, two or more various therapies designed to maintain and enhance the hair you have as well as restore hair you may have lost.  A multi-therapy regimen may include nutritional supplementation, medications, laser therapy, PRP, specific haircare products or regimens, and/or hair transplantation.  For some, a non-invasive approach will be worthwhile and for others invasive treatments may need to be added to the regimen.  Note:  Without exception, all non-invasive treatments will need to be continued in order to maintain the results you achieve.  Discontinuing a non-invasive hair restoration treatment will likely lead to a regression (loss) of results*.  How quickly the ‘results’ are lost varies depending on a variety of factors including the severity of the hair loss process and the specific treatments being discontinued.  For more information on what combination of treatments may be right for you, contact Dr. Bauman for an online or in-person consultation.

If you or someone you know has hair loss or eyebrow or eyelash concerns, click to start either a long-distance phone consultation OR an in-person, in-office consultation with Dr. Bauman. You can also Ask Dr. Bauman a Question or simply call Bauman Medical Group toll-free 844-GET-HAIR or +1-561-394-0024

 

Hair Restoration Options

Once you understand the cause of your hair loss, you need to determine the best way to stop losing more hair, enhance the hair you have and restore the hair you’ve lost. For the most patients, this means using a combination, or ‘multi-therapy,’ approach: non-invasive treatments to protect the hair you have and hair transplantation to restore the hair you’ve lost. Some patients might accomplish their goals using ONLY non-invasive treatments.

Getting Started: What You Can Do Now

The sooner we treat your hair thinning and loss, the more hair we can save. When you are ready to put an end to your hair loss—and get back what’s been lost—be sure to consult with Dr. Alan Bauman. Getting started with you hair restoration regimen is simple. A preliminary evaluation of your hair loss status and factors that are affecting your hair loss can be done easily. Click below to start your consultation with Dr. Bauman.

If you or someone you know has hair loss or eyebrow or eyelash concerns, click to start either a long-distance phone consultation OR an in-person, in-office consultation with Dr. Bauman. You can also Ask Dr. Bauman a Question or simply call Bauman Medical Group toll-free 844-GET-HAIR or +1-561-394-0024

*Each individual's treatment and/or results may vary

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Disclaimer: *All patient or client images, videos and testimonials are based on the personal experiences of our patients and represent individual diagnoses, medical conditions, goals and results. Every individual case is unique therefore, results may vary from person to person. All testimonials are provided voluntarily by our patients and clients without monetary compensation and all photos and videos have been consented to for public release and have not been altered in any way. The content contained herein is for education only and should not be considered medical advice. Medical advice may only be given through a one-on-one, private consultation with a physician.

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You can also Ask Dr. Bauman a Question or call toll-free 844-GET-HAIR or +1-561-394-0024