Platelet-Rich Plasma for Treating Hair Loss- By Charela Lee (Marketing Director for Arocha Hair Restoration)

At Arocha Hair Restoration we are here to help you conquer your hair loss concerns. One way we can help you achieve your hair loss goals is through a revolutionary procedure gaining popularity that utilizes a patient’s own blood to rejuvenate thinning hair. It applies the patient’s own platelet-rich plasma (PRP) to the scalp. Plasma contains platelets that are rich in growth factors that stimulate stem cells to promote a natural process of wound healing, resulting in repair and regeneration of cells. Often thinning can be reversed, yielding a restoration of the patient ‘s hair fullness.

In the past, treatment options for hair loss only included magical topical treatments, prescription medications and surgical procedures. With PRP, the patient’s blood is drawn directly into a special blood collection tube similar to that used for laboratory tests. The tube of blood is then placed into a centrifuge to allow separation of the red blood cells from the platelet rich plasma. A topical anesthetic is applied and multiple channels are created into the scalp during a process called micro-needling. Immediately after the micro-needling, the patient’s plasma is injected into the scalp. The created micro-channels allow the absorption of the PRP into the scalp.

PRP to the scalp for hair loss has show to be well tolerated in patients. A mild “sunburn” feel can be expected following the procedure. There may also be minor pinpoint bleeding during the procedure, prior to the PRP application. It is recommended that patients not take any Anti-inflammatory medication since they may interfere with the natural healing process stimulated by the PRP.

PRP can generate new hair growth and enhance hair transplant results for thicker, healthier hair growth. Unfortunately, for patients with absence of hair follicles, PRP will not likely stimulate new hair growth. Healthy hair follicles need to be present. Multiple treatments may be needed before results are seen.

There are various genetic and environmental factors that can cause hair loss. Environmental factors may include chemotherapy, diet, nutrition, stress, hormonal shifts, autoimmune disorders and various illnesses due to imbalances. The best way to determine what is causing your hair loss is to meet with a medical professional that specializes in hair loss evaluation and treatment.

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The Facts About Shock Loss Following Hair Restoration Surgery- By Dan Keeney

We have posted a new video in which Dr. Bernard Arocha, founder of Arocha Hair Restoration, discusses the incidence of accelerated loss of existing hair immediately following hair transplant surgery. This is also known as “shock loss.” Although rare, post-surgical hair loss can arise from two etiologies:Accelerated hair loss; and Post-surgical effluvium.

This type of post-surgery hair loss can result after the procedure and arises from trauma to the miniaturized hair. It usually manifests about three months post procedure. This trauma to the weakened hair in the recipient area occurs when the angling of the sites is off. It is imperative that the angle and direction of hair growth be fallowed accurately.

Significant post-surgical hair loss in the post-surgical period is a rare event; in fact, Dr. Arocha says he has not seen it for the last several years. The reasons are related to advances in surgical techniques and pharmacologic therapies.

First and foremost is the creation of precise angles of the recipient sites, while fallowing the exact direction of hair growth.

Secondly, the use of very small needles and cut to size blades, that minimize the size of the sites created, hence the extent of tissue and possible follicular injury if there is native hair remaining.

Lastly, the use of finesteride diminishes the DHT by 70 percent hence protecting the native and transplanted hair from any post-surgical increase in circulating DHT. The use of minoxidil five percent acts synergistically to further protect the native miniaturized hair and possibly stimulate the growth of the transplanted hair.

Additionally, the growth of the transplanted hair with its increased caliber is of greater contribution to the hair mass and volume than the native thinner caliber miniaturized hairs. I do recall one patient about six years ago that had some shock loss post-surgically. He was managed with finesteride, minoxidil five percent, reassurance and time. He of course not only recovered but also had an outstanding hair restoration outcome. The patient got his smile back in about four months post-procedure as his hair transplant commenced to grow in.

Aside from shock loss, it is logical that attendant with surgery there may be an increased incidence of hair loss after surgery. After all, there is an increase in blood flow to the surgical site following a procedure. That is why the recipient area is red or erythematous after surgery. This bathes the area with DHT along with the necessary oxygen and nutrients required for healing and life of the tissue. Although it often is confused with shock loss, this is not post-surgical shock loss. It is simply accelerated hair loss — follicles that would have been lost eventually regardless of the surgery.

The risk of this occurring is dependent on the genetic predisposition of the hair in the recipient area and the extend of miniaturization of these hairs.

In this latest video, Dr. Arocha also offers tips for what patients can do to prevent shock loss and to help their surgeon on transplant day.

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Benefits of Tricomin Copper Peptide Spray – By Charela Lee (Marketing/PR Director at Arocha Hair Restoration)

Here at Arocha Hair Restoration we believe in using several different methods to fight the war against hair loss. One of the product lines we recommend for our patients and sell for purchase is a copper peptide product called Tricomin. Tricomin is a hair loss prevention line of products produced by ProCyte Corporation. The products in the line include: a Conditioning Shampoo, a Deep Conditioning Treatment, a Restructuring Conditioner, a Revitalizing Shampoo and Solution Follicle Therapy Spray.

Tricomin products are unique because they use the Copper Peptide technology as a hair growth stimulant. The copper peptide ingredient is believed to help stop or reverse hair loss. Copper peptides have been proven to inhibit the enzyme 5 alpha reductase (5AR), which is responsible for the creation of DHT (Dihydrotestosterone) that causes hair loss.

At any given time, the hair follicles on the scalp are in one of two phases: Resting or Growth. During the Growth phase, substances at the base of the follicle such as collagen and various Proteins are actively in production; during the Resting phase, they are virtually inactive.

If hair remains the Resting phase for an extended period, it can result in the development of bald spots or thinning hair. It is believed that the copper peptides in Tricomin can help shorten the Resting phase in the hair cycle, therefore, aiding in the stimulation and the development of the hair follicles.

Scientific background for Copper Peptide and Amino Acids to treat hair growth

Copper is an important part of the biological makeup of our bodies and aids in melanin production, crosslinking of free radicals and hair is relatively rich in copper. Conversely, as we age the copper levels often decrease in our bodies when needed most.

For more information, contact Arocha Hair Restoration regarding Tricomin or other Hair Loss treatment options and more information on Tricomin Copper Peptide Spray.  For a free consultation call us at 713-526-4247.

We sale both Tricomin Follicle Spray and Tricomin Conditioning Shampoo in our office.

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Corrective Hair Restoration

Hair loss is usually never a welcomed condition. To some of us, it is very disturbing and it undermines our self confidence by falling short of our self-image. It is understandable that no one wants to appear older than they are before they have to. What can be worse? Well, a bad hair transplant is without a doubt much worse. A properly executed hair transplant should be undetectable and completely natural looking. A poor hair transplant calls more attention to the already confidence compromised individual. The looks and reactions of the viewing public serve to further exacerbate the patient’s level of confidence, self-image, and happiness. It gives us great pleasure to help these individuals with less then optimal hair restoration outcomes. The problems range from the “pluggy”-look, doll’s head linearity, abrupt density issues, improper angling and mis-directed grafts. As if this is not enough, these individuals, with so much need of suitable donor, are almost universally left with little available donor. Often times, the donor area is replete with scars rendering the patient with the most need with the least available donor tissue and with greatly diminished tissue elasticity.

For the entire set of before and after photos from these two cases, please visit the Before and After photos on our website.

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Donor Scars

Below are some examples of donor scars at Arocha Hair Restoration from strip procedures. Dr. Arocha employs two layer closures on all cases to minimize tension. When appropriate he employs trichophytic closure technique to allow hair to grow through the scar, making an already hard to see scar, even less visible. Employing these refined techniques ensures the best possible scars for our patients.


Post-op scar

Immediately after surgery, two layer closure.


Scar

Rapid healing of wound, sutures still in place, with one week hair growth enough to make wound not visible.


Scar

Completely invisible scar a few months after the procedure.


Scar

Well healed scar which is nearly invisible, note the slightly increased scar at the site of greatest tension the junction between the horizontal (coronal) and the vertical (sagital).


donor scar arocha hair transplant dallas

One year after surgery, fine well heal scar is nearly invisible.

For more examples, visit the FUT Donor Scars Gallery on our website.

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Premature Hair Loss Treatment Q&A

Recently, we’ve had a number of interested clients in their early 20s wondering if there is such thing as a minimum age to hair loss and/or hair restoration. The truth is hair loss can happen at any age in a person’s life. Here’s a relevant Q&A session that Dr. Arocha participated in for IAHRS Hair Transplant and Hair Loss Info Center. A young man describes how he has experienced hair loss since the age of 14-15 years old and wants to know if he is following the correct treatment plan.

Q: Since I was around 14-15  years old I have experienced hair loss, I’m now 17 and still losing hair. I have attempted minor treatments through a clinic, which determined I had male pattern baldness. When I was younger (15-16), the clinic suggested a hair loss treatment, I believe it contained minoxidil, and involved rubbing it on the scalp. After a year and little change except for irritation on the scalp, I quit.  The clinic suggested a Propecia pill when I was 18, and then a hair transplant at 21. After the scalp treatment I feel I have been tricked and should not trust them. Please help answer the questions, is this the right course of treatment or is there a better alternative, and is it possible to lose hair at such a young age from male pattern baldness? – George

A: Thank you for your question. Male pattern hair loss is a condition in which a pattern of hair is inherited, in which the hair is sensitive to DHT. Once puberty starts, testosterone production increases and it is metabolized into this DHT. The DHT will start the miniaturization process, that is, hair in this inherited pattern will start to become progressively thinner caliber and with decreasing pigment. It is a bit confusing, you stated that the hair loss started at age 14-15, which it can, then you said that you are presently 17 and still losing hair. Later, you stated that a clinic treated you for male pattern hair loss with minoxidil at age 15-16 for 1 year. Then at age 18, they put you on propecia, then a transplant at age 21. The treatment course is acceptable, except that I would have combined the minoxidil 5% twice per day and the propecia 1 mg per day, if indeed your condition is male pattern hair loss. There are other conditions that can cause hair loss that may be confused with male pattern hair loss. The hallmark of male pattern is miniaturization and the pattern distribution. If there is any uncertainly, a scalp biopsy should be contemplated. Hope this helps, George.

For more information, please visit the original IAHRS article here.

If you have a question for Dr. Arocha you would like answered on our blog, please email us.

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Donor Harvest Q&A

Here’s our latest Q&A with Dr. Arocha regarding donor harvest. If you have a question for Doctor Arocha you would like answered on our blog, please email us with your question.

Q. Hi, Doc. I’ve been researching hair-transplantation, and I have a question concerning F.U.T. (strip-harvesting): I understand, in this method, a strip is excised from the back of the scalp, the wound then closed. I wonder, then, is not the overall surface of the scalp reduced in this procedure? After two or three procedures, especially, (or even after one large session) — when, totally, a reasonably wide portion of the scalp has been removed, will not a patient’s hairline, in accordance, also be shifted?

That is, the front hairline would move back by the amount of scalp excised, or, more likely, the “rear hairline” (which ends at the back of the neck) must certainly be “moved upward.” At least, this is how I imagine it would be. Is my logic flawed? I’ve been trying to understand this in researching the procedure, but the point still evades me.

I understand a physician will take into consideration laxity of the scalp, so what I’m talking about might not be immediately noticed — I also hear doctors will try to cut out strips that are longer rather than wider, to reduce tension — but, ultimately (again, especially when a large number of grafts must be harvested), will not the hairlines (front and certainly rear) be affected?

If not, why not?

A. Initially, there is a temporary shortening of the donor zone. Note the change in the width of the posterior fringe, the after photo is taken immediately post-harvest after a 2 cm wide strip was removed.

The effect is short-lived as the tissue stretching back to it’s original dimensions, this is the aptly named stretch back.


Q. If so, is this effect permanent? The piece of scalp taken out can’t “regenerate,” can it (and, if it could, would it regenerate hair follicles, too)?

A. No,the removed follicles will grow in the transplanted location, but they will not regenerate.


Q. Can hair that’s already been transplanted to a new location be removed and successfully retransplanted in another area (e.g., back to front, then, later, if need be, north of that region)?

A. Yes, absolutely. I have transplanted chest hair to scalp, where it grew happily for months. Then later these transplanted chest hairs were removed and could have been transplanted anywhere on this patient.

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