The Specialized Hair Loss Care Treatments We Offer
Androgenic alopecia is the scientific name for the genetic predisposition in both men and women for pattern baldness. Genetic hair loss in men is often referred to as Male Pattern Baldness (MPB) and is the cause of thinning hair in over 95% of patients who seek treatment.
Male Pattern Baldness
By age 35, two-thirds of American men will have some degree of appreciable hair loss and by age 50, approximately 85% of men have significantly thinning hair. About 25% of men who suffer from male pattern baldness begin the painful process before they reach 21.
MPB occurs in predictable stages and is relentlessly progressive. Usually the earlier in life hair loss begins, the more advanced the pattern will ultimately become. In MPB the hairs on the top of the scalp have a genetic sensitivity to the male hormone testosterone (DHT).
The hairs on the sides and back of the scalp do not possess this sensitivity to DHT and therefore are not affected. For this reason, hairs removed from the sides and the back (Donor Hair) will maintain their genetic predisposition when transplanted and continue to grow when moved to the top of the scalp where hair loss has occurred.
Causes of MPB
Although researchers have long studied the factors that may contribute to this condition, many remain unknown.
Minimally, pattern hair loss is related to hormones called androgens, particularly dihydrotestosterone (DHT). Androgens are important for normal male sexual development before birth and during puberty.
Androgens also have other important functions in both males and females, such as regulating hair growth and sex drive.
Male pattern baldness is caused by a genetic sensitivity of hair follicles to DHT. This hormone causes follicles to shrink or “miniaturize.” In turn, this shortens their lifespan and prevents them from producing hair normally.
Recently, the existing theories have been challenged on the ground that while the androgens in question are responsible for hair growth on the face and all over the body of men, hair loss only occurs at the top of the scalp.
Recent research suggests that elevated levels of the enzyme prostaglandin D2 synthase and its product prostaglandin D2 (PGD2) in hair follicles causes androgenetic alopecia.
Female Pattern Baldness
Hair loss in females is less predictable. The hair loss tends to be more diffused creating a more generalized thinning effect throughout the entire scalp. Fewer medical and surgical options are available for these patients. A comprehensive consultation with a physician is required to determine whether you are a good candidate for hair restoration surgery.
Female Pattern Baldness: Unlike hair loss in men, female pattern baldness may commonly begin at any age through 50 or later and may not have any obvious hereditary association.
A woman who notices the beginning of hair loss may not be sure if the loss is going to be temporary or permanent—for example, if there has been a recent event such as pregnancy or illness that may be associated with temporary hair thinning.
How We Can Help
Dr. Gelman treats both men and women experiencing hair loss at his practice based out of Melbourne, FL. The hair transplant procedure hairs on the sides and the back of the head are not affected by MPB.
As a result, we are able to remove donor hair follicles from the sides and back of the head and relocate them on the balding area and the newly transplanted hair will continue to grow exactly as it had from the donor region.
Optimal hair growth may take 9-12 months because some of the transplanted hairs may go into a normal resting phase. Graft survival is usually over 95%.
Follicular Unit Grafting
Dr. Gelman performs Follicular Unit Grafting which is considered the “Gold Standard” in advanced hair restoration techniques.
The procedure involves removing a narrow strip of hair from the back of the scalp and then separating the hairs into one, two or at the most three hair groups which are called follicular units.
These follicular units are then precisely placed in a natural growth pattern on the top of the scalp. In the past, hair flaps, plugs, and scalp reduction were all utilized.