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Platelet Rich Plasma to Treat Hair Loss?

i have a question recently i have come in contact with this dr and i would like to know what you think about this new advance treatment.. https://doctorgreco.blogspot.com/

Aside from contributing to advertising the aforementioned site, my opinion are as follows…

The use of platelet rich plasma treatment, to my knowledge, is not FDA approved. Just making claims of hair growth would be a medical claim violation with the FDA. Publishing his results in the Hair Transplant Forum (which is not a peer reviewed journal) is not an endorsement of reputable editors in the academic community, so although it is a sharing forum format, it does not bring any credibility to his research. I would suspect that the claims in the website would be subject to actions by both the FDA (a few isolated cases are not an approved study) and the medical board in the state where the doctors who tried the treatment would be regulated. I am among the first to embrace new technologies, but I want to see science which shows safety and effectiveness… not hype. Human experimentation requires that special approvals be obtained through a hospital type facility under an institutional review board (IRB). What we are seeing on Dr. Greco’s site is not that!


2009-04-02 11:24:30Platelet Rich Plasma to Treat Hair Loss?

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Dandruff and Hair Loss in 16 Year Old

My son is 16yrs old. I noticed when cutting his hair he had a thick piece of what seemed like caked dandruff it was there for the longest time. Then one day when cutting his hair the thick piece of dandruff was gone and ther was a bald spot. As I looked at his head I noticed there was a thin straight line of baldness then off to the right was another little spot. I took him to the dr. who did a blood test for his throid and that came back good. His spot is getting bigger and it doesn’t look like any hair is growing back from where I orig. saw the spot. There is not balding in either of the families. I checked his head tonight it looks like there is flakey dandruff all over his scalp and even some broken skin like he had been scratching. I have made an appointment with a dermotoligst but what should I expect. Do you have any idea what this is?

What you are describing may be a localized area of psoriasis or seborrheic dermatitis which crusted and then with the crust ‘ripped’ off, the hair came out with it. The loss of local hair from an acute traction episode, could be responsible for what you are observing, and if this is the case, the hair will return if your son leaves it alone. What appears like dandruff may turn out to be seborrheic dermatitis, eczema, psoriasis, alopecia areata, or some other dermatological inflammatory disease of the skin. Your planned visit to a dermatologist for further evaluation is a good next step.

On a separate, interesting note, doctors have recently pinpointed the Psoriasis gene: Forbes.com


2006-03-23 12:49:24Dandruff and Hair Loss in 16 Year Old

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Densely Packed Hair Transplant? (with Photos)

hi dr,
i’m curious to know how dense you can make a head of hair if you have plenty of donor hair to work with? i like to keep my hair short is why i’m asking & just wondering what kind of density you are able to create.

here is a link to a famous actor christian bale. my hair resembles his in color & density so i’m wondering if you would be able to re-create that kind of density. heres the link [Google Image Search].

i appreciate your time…

Packing the recipient area with transplants can be done, however, you would want to discuss the general supply/demand ratio with your doctor when it comes to evaluating the donor area.

Here’s an example patient that had work in the hairline and crown. There was a total of 5756 total grafts moved over two procedures at NHI. I realize the side view photos aren’t the exact same angle in the before and after shots (sorry), but it should still give you a good idea of what was done. Click the photos to enlarge.

After (5756 grafts):

 

Before:

 

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Post finasteride syndrome on a single dose of finasteride, I’m 17

17M Hey yall, I took 1mg of proscar 2 weeks ago, I think I still have brain fog. Haven’t been able to sleep more than 5 hours this past week no matter what I did. Also haven’t been able to enjoy or laugh at the things I could just before taking fin. All of that might be completely unrelated to taking fin. Have there ever been cases of PFS or persistent side effects after just a single dose, and how does being as young as 17 affect the chances? It could be just in my head, I hope that’s the case, but I really just want to know how likely it is that taking a single pill of a hair loss drug could be divine retribution for my vanity.

Not possible. It has to be in your head, a Nocebo effect


2019-07-17 14:54:37Post finasteride syndrome on a single dose of finasteride, I’m 17

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Depleted donor area from too many FUE grafts

I went to Turkey and had about 4,500 grafts. Now I can see that my donor area is see-through. I am now one month since my surgery and I want to know if it is going to get better?

You should wait a period of 6 months from the time of your surgery. If it is not better, you can assume that the surgery removed too many grafts that cause thinning in your donor area. If it does not recover, then the only solution for you is Scalp MicroPigmentation which works well to address this problem. See the link below.

https://scalpmicropigmentation.com/scar-covering/

donor site depletion can be fixed with S

Scalp MicroPigmentation can fix donor area depletion.

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Predicting a Class 5A pattern before it happens

This is an easy pattern for an expert’s eye to predict as outlined (in the right photo I marked up the left photo). The Norwood Class 5A pattern has a narrow crown component and when this man completes his balding pattern he will be bald back to the top of his crown (indicated on the photo). What is significant is the persistent forelock which has hair that is stronger than the surrounding hair. These forelocks tend to run in families and if this man keeps his forelock until he is 35, it is likely he could maintain it in the long term. Looking back at his family patterns, he should see if his father or grandfathers had this persistent juvenile hairline into older ages. From a transplant perpective, when this man’s balding becomes significant enough to require a hair transplant, having an “A” pattern is good news because almost everyone with the ‘A’ type patterns always have enough hair to get a full head of hair restored.

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I Developed a Large Scar After My Strip Hair Transplant, Why?

Scars like this are usually the result of an overly aggressive surgeon who removed a strip too wide, and the tension may have been too high when he closed the wound. Alternatively, a very elastic collagen is present in some people which can produce stretching of the wound. In this case, the wound reflects your genetic make-up with regard to the way you heal. The best treatment for this is Scalp Micropigmentation (see here:https://scalpmicropigmentation.com/scar-covering/). Sometimes, with scalp exercises, you can loosen up the scalp enough to try to get the scar removed. During that time, the surgeon would perform a trichophytic closure which will help obtain a better scar. If your scalp is not loose enough, a surgery will not work.


2018-07-18 13:09:06I Developed a Large Scar After My Strip Hair Transplant, Why?

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Press Release — ISHRS on Sexual Side Effects of Propecia

Press release from ISHRS:

International Society Of Hair Restoration Surgery Maintains Safety And Efficacy Of Propecia (Finasteride 1mg) For Male Hair Loss Is Backed By Proven Scientific Data

According to the International Society of Hair Restoration Surgery (ISHRS) – the world’s leading medical authority on hair loss and hair restoration – recent anecdotal reports of persistent sexual dysfunction by some men who have used finasteride 1mg (Propecia) to treat hair loss should not define the safety and effectiveness of this drug. Propecia is the only oral medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of hair loss in men.

From a scientific standpoint, there are no evidence-based data substantiating the link between finasteride and persistent sexual side effects after discontinued use of the drug in numerous, double blinded, placebo controlled studies conducted evaluating the use of Propecia 1mg for hair loss.

“As one of the 900 physician members of the ISHRS, the health and well being of our patients is our utmost concern – whether prescribing medications like Propecia or performing hair restoration surgery,we have treated hundreds of men suffering from hair loss with finasteride 1mg with virtually no side effects.”

Since receiving FDA approval in December of 1997, 20.5 million and 6.7 million patient-years of exposure using Proscar and Propecia respectively are recorded with a low adverse event profile. The ISHRS believes that these are the most current and reliable data available until further studies are conducted.

Sexual dysfunction is a very complex disorder, and its incidence in the general population is known to be quite high – as high as 49% in middle-aged and older men according to one study published in 2006 in the Archives of Internal Medicine. That being said, we owe it to our patients to address valid concerns in a scientific manner and to clarify any misleading reports so that men can make informed choices regarding the use of this medication.

The ISHRS has called on the medical communities of dermatologists, hair loss physicians, urologists, endocrinologists and sexual medicine specialists to join in a colloquium to share all data and experiences with finasteride in a fact-based manner.

The above text is a press release sent to ISHRS member physicians to send out with individual doctors names attached. We’re posting it without the personalization, but we agree with what they’re saying about the lack of evidence-based data when it comes to persistent sexual side effects from Propecia.

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DHT and Testosterone Blood Levels and Effectiveness of Finasteride

I’m male, 23. It’s been one month since I started to take finasteride (1/4th of a proscar pill) and my DHT levels are just as high as they were before I started. I still experience shedding, and it seems like it worsened. Scalp is itchy. I don’t have any photos though (it’s not that bad yet)

January 2017: (before fin)

Testosterone 10.000 ng/ml (reference values: 1.420 – 9.230) HIGH

Dihydrotestosterone 832.18 pg/ml (reference values: 250.00 – 990.00)

April 2017: (1 month after taking fin)

Testosterone 9.580 ng/ml (reference values: 1.420 – 9.230) HIGH

Dihydrotestosterone 824.78 pg/ml (reference values: 250.00 – 990.00)

What do you think this might be? A fake fin (proscar)? I will buy a generic produced in Hungary to test this theory.

If new generic fin won’t help me as well, I guess I will try Avodart.

I think that you are on the wrong track. The effect of finasteride is to compete with the effects of DHT at the 5-Alpha Reductase enzyme level in the hair follicles. This competition is generally only 70% effective. Your gene activities is what is propelling your hair loss. Think of it as a ‘tug-of-war’ with one side being the genes + hormones + hair follicles, and the other side being the drug finasteride blocking the hormones through its action on the 5-Alpha Reductase enzyme at the hair follicle level. If the ‘action of the drug’ is stronger than the effects of the genes + hormones + hair follicles, the you can slow down the hair loss or even reverse it. But if your genes are more powerful in this tug-of-war’ you keep losing hair.