Prasad Cosmetic Surgery

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Manhattan (212) 265-8877
Garden City, Long Island (516) 742-4636

Prasad Hair Restoration

Acell Hair Restoration Before and After

“Hair Regeneration technology developed at Prasad Cosmetic Surgery has helped people who come from around the world ”

Hair is an important part of an individual’s appearance in our image-oriented society.  It is one of the first things people notice about a person and therefore, the psychological impact hair loss can have on men and women can be very damaging to self-confidence and a healthy image.

http://prasadcosmeticsurgery.com

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PRASAD Cosmetic Surgery Center’s Hair Restoration features the Dr. Prasad’s Hair Regeneration System using a wound healing material called “extracellular matrix’ (or ECM). Currently, we are using the FDA-approved (for wound healing) ACell MicroMatrix.  Dr. Prasad ‘s customized application of Acell technology with his surgical and non surgical techniques has helped his patients experience significant hair growth. “It’s the best of both worlds” comments Dr. Prasad. “We improve the healing of the grafts (higher survival rate) and restore the thickness of the actively thinning hair”. The combination has resulted in our patient having a higher level of satisfaction and being more confident about their appearance. An additional benefit is that the donor area, where the hair has been taken from has had a significant improvement in the healing with the scar being barely detectable in many people.

Hair transplantation is a cosmetic procedure performed on men and women who have significant hair loss, thinning hair, or bald spots where hair no longer grows as a result of the natural aging process, hormonal changes (women), or severe burns.

PRASAD Hair Restoration  and Regeneration helps patients restore confidence and self esteem through medically proven innovative procedures preformed by expert doctors and specialists.

Hair Restoration Before and After Portfolio
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Prasad Cosmetic Surgery
61 E 66th St. New York CityNY10021 USA 
 • 212-265-8877

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Fox 5 News New York Features Hair Regeneration Non-Surgical Hair Loss Treatment
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Kerry Drew of Fox News shows us one treatment let's a person use their own blood to regrow thinned hair. Paul noticed that every time he looks at the mirror, and especially looking at old photos that his hair was thinning and receding. He felt self-conscious about a section of thinning hair on the back of his head. Looking at his family, there are some people who don't have any hair and realized it might happen to him slowly. Paul did some research and came across cosmetic surgeon Dr. Amiya Prasad who specializes in a procedure called Hair Regeneration. Dr. Prasad says that he can't bring back hairs that are gone, but he can take hairs that are thinning and make them thicker. The treatment is unique: through the use of the patient's own blood and a material called extracellular matrix it generates growth and thickening of hair. Platelet-rich plasma is derived from the patient's own blood. He customizes the formulation and injects it into the scalp. And what seems to occur is a wound-healing mechanism that results in reversal of hair thinning. To begin, Dr. Prasad examines Paul's head under a microscope, to figure out where the injections will go. Dr. Prasad chooses the area that will respond nicely to the treatment. Then Paul gets his blood drawn, and that same blood will be used for about 100 injections all over his scalp. Dr. Prasad said he has perfected this procedure over the past few years, and the results have been amazing. Dr. Prasad says that if there is one solution for male pattern hair loss that's almost close to 100 percent in his clinical experience over the past few years. The one-time treatment costs about $5,000. It is not as effective for men and women with significant hair loss or those who are totally bald. As for Paul, he should start to see results in about a month. In a year, it will be even better. Paul says that Dr. Prasad was very thorough and clear and made him feel very optimistic about this. So he's looking forward to a few months from now.
http://youtu.be/o0WLFlfPkuo
Fox%205%20News%20New%20York%20Features%20Hair%20Regeneration%20Non-Surgical%20Hair%20Loss%20Treatment%20
How to Reverse Thinning Hair and Prevent Further Hair Loss Without Surgery
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This informational presentation is about hair regeneration. Are you of someone you know is suffering from Hair loss or thinning hair? The search for curing hair loss has challenged physicians and research scientists for decades. In this presentation, you will learn about the pioneering application of a remarkable wound healing technology to help people suffering from hair loss. This presentation is for informational purposes and is not a substitute for proper medical examination. Did you know that men can start losing their hair as early as their teen years? And that it’s been estimated that 30% of women suffer from hair loss under the age of 50 and that percentage rises up to 50% over the age of 50. For men, traditional medical therapy has included Minoxidil and finasteride. For women, the medical treatment has been limited to minoxidil. Although medical therapy has helped many people, there has been a need for more options to help people suffering from thinning hair. Dr. Amiya Prasad, a highly respected cosmetic and reconstructive surgeon, has worked for several years developing a medical treatment for thinning hair using a material called extracellular matrix. As a multispecialty surgeon, Dr. Amiya Prasad has applied extracellular matrix technology in surgical procedures for eyes, ears, facelifts, reconstructive surgeries, body procedures and hair transplant surgery. Focused in helping men and women with thinning hair, Dr. Prasad developed his own combination of extracellular matrix, platelet-rich plasma, Vitamin D and other materials to help people with thinning hair. How does it work? In the past few years, advancements in wound healing technology such extracellular matrix or ECM has helped surgeon like Dr. Prasad help patients with complex problems. When this material was used in hair transplant surgery, it was observed that thinning hair actually became thicker. Dr. Prasad combined his surgical knowledge using ECM from top u niversities such as the University of Pennsylvania, Yale University and the University of Tokyo to create his own formulation and delivery methods to help men and women with thinning hair. Based on recent scientific studies, the cells and signals between the cells that produce the hair, stop working resulting in hair thinning and eventually hair loss. The clinical evidence indicates that this advanced wound healing technology combined with Dr. Prasad’s techniques restarts the cells and necessary signals to restore the hair growth cycle. Dr. Prasad has helped people who have come from all over the world. The work I’ve done has helped people think differently about hair thinning. For decade after decade, the hair transplanters seem committed to sell surgical procedures and not managing patients. These so-called hair specialists focus on patients to come back for more surgery knowing that the patients will continue to lose hair and need more procedures to keep up with their appearance. We now have an opportunity to change the conversation about hair thinning and apply hair regeneration as a way to restore your hair without surgery. This doesn’t mean that hair transplantation is obsolete but a significant percentage of people with thinning hair can benefit from hair regeneration. So what is the treatment? For you will meet our staff and have detailed medical examination including medical photography and microscopic examination. Your treatment options and suggested plan will be explained and discussed thoroughly. Once it has been determined that you are a suitable candidate, the clinical team will begin the process. You will have a simple blood draw like when you have a routine laboratory test. As your platelet-rich plasma is being prepared and mixed with the extracellular matrix and other materials customized for you, a topical anesthetic cream is applied to your scalp. The area to be treated is made numb and then you have your treatment. Most clients go back to their work and normal activities the next day. After your treatment, you will receive instructions. The staff, including your doctor, is always available to you 24 hours a day. You will be scheduled for follow-up examinations but you will be welcomed to come back as often as you like if you have any concerns. To learn if hair regeneration can help you, contact the offices at (212) 265-8877 24 hours a day or visit www.nyhairloss.com and complete a contact form.
http://youtu.be/1M6652gIvbE
How%20to%20Reverse%20Thinning%20Hair%20and%20Prevent%20Further%20Hair%20Loss%20Without%20Surgery%20
How Under Eye Wrinkles Can be Treated Non-Surgically, with Treatment Differing with Doctor's Style
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A 45-year-old woman has deep hollow eyes that have wrinkles when she smiles. She is confused on what treatment to choose and if she should see an oculoplastic surgeon for her case. Dr. Amiya Prasad explains that there are many ways to enhance the appearance of the under eye area which relates to the vision the doctor and patient share. Certainly, there is no refuting that oculoplastic surgeons are more experienced with eyes because that is the focus of oculoplastic surgery. However, even among oculoplastic surgeons, there's going to be some variability. As an oculoplastic surgeon, Dr. Prasad's practice is focused more on cosmetic procedures which give him a different perspective in terms of aesthetics and style in doing surgery. In addition, he also performs facial and body procedures like breast, body and extremity surgery. Dr. Prasad wrote a book called "The Fine Art of Looking Younger" where he explained that facial aging is a combination of volume loss and descent. For some people, the solution for facial volume loss and hollowing is cheek enhancement whether it is the use of fillers such as Radiesse or Sculptra as well as the use of facial implants such as sub-malar or combined implants. In Dr. Prasad's practice, he approaches the facial area in a different way. He evaluates the face and assesses the wrinkles in the relaxed state known as static wrinkles and the expressive state known as dynamic wrinkles. He often recommends a combination procedure to improve the appearance of wrinkles. For dynamic wrinkles he uses Botox or Dysport to lessen muscle activity and reduce wrinkles. For static wrinkles, he uses a material called platelet-rich plasma which is drawn from the patient's own blood to improve the skin quality. He would also use fractional CO2 laser or the use of medical micro needling for people who have pigmentation because a thermal device may not be ideal for them. And lastly, to address hollowing in the under eye, he would typically use a filler such as Restylane.
http://youtu.be/zx4UzJoc52c
How%20Under%20Eye%20Wrinkles%20Can%20be%20Treated%20Non-Surgically%2C%20with%20Treatment%20Differing%20with%20Doctor%27s%20Style%20
Patient Review of the Hair Regeneration Non-Surgical Hair Loss Treatment using ACell ECM + PRP
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This man is seen undergoing a Hair Regeneration injection treatment developed by renowned New York hair restoration specialist/reconstructive/ cosmetic plastic surgeon Dr. Amiya Prasad. Shown is the preparation and application of the customized formulation of ACell extracellular matrix combined with platelet-rich plasma and Vitamin D. No surgery or hair transplant was performed. A single application of our Hair Regeneration non-surgical treatment has been effective in thickening hair in 99% of our male patients and about 70% of our female patients. The results of hair thickening and regrowth took place two weeks after single session of the Hair Regeneration injection. Each Hair Regeneration procedure is customized to the individual, using their own spun down blood to concentrate the platelets (the body's own healing and growth factors), and ACell extracellular matrix, a material originally used in wound healing that has been proven to stimulate the body's production of progenitor cells - adult stem cells that are proven to protect hair follicles from dihydratestosterone (DHT) that cause hair loss. While this patient did not undergo a surgical hair transplant, the Hair Regeneration injection treatment can also be used in conjunction with surgical hair transplantation to ensure survival of transplanted hair follicles. While some hair transplant practices may have up to 10% of the transplanted hair follicles surviving, using Hair Regeneration can help with the survival of almost all the transplanted follicles, even exceeding 100% since it heals through duplication and simultaneously thickens existing thinned hair. Prasad Cosmetic Surgery and Hair Regeneration has taken a leadership and innovation role in using ACell extracellular matrix and refining the formulation for hair loss treatment over the past three years. Dr. Prasad was the first to introduce micro-needling in applying ACell extracellular matrix for hair restoration. In addition to being among the pioneers of using ACell extracellular matrix for hair loss treatment, Dr. Prasad has been using ACell extracellular matrix for cosmetic and reconstructive surgeries for several years prior to using it for Hair Regeneration. Unlike many hair restoration and transplant practices often offered by doctors with little surgical experience, Dr. Amiya Prasad one of the few oculofacial plastic surgeons and also super-specialist with cosmetic and reconstructive surgeries of the eyes and face. Dr. Prasad brings this expertise and precision in surgical closure to surgical hair restoration. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/FVaHTUbS7MQ
Patient%20Review%20of%20the%20Hair%20Regeneration%20Non-Surgical%20Hair%20Loss%20Treatment%20using%20ACell%20ECM%20%2B%20PRP%20
Why a Hair Transplant Isn't Advised in the 20s, and a Non-Surgical Hair Restoration Treatment
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A 24-year-old gentleman has been receding for the last 5 years. His hair is thick everywhere but his hairline keeps on rising. Dr. Amiya Prasad, a hair restoration specialist, explains that most transplant surgeons choose not to operate on patients in their 20s because of significant limitations of hair transplant surgery. The problem is the patient is losing hair far greater than the amount of hair available to restore what is lost. These hairs are taken from the donor area which has a limited amount of hairs. Today, it’s popular to perform procedures called FUEs (follicular unit extractions) and there are also common "mega sessions" of thousands of hairs being transferred. Unfortunately, the donor area is very limited. If someone gets a transplant, they continue to recede and get another transplant, and another until they run out of donor hairs. In Dr. Prasad’s practice, he developed a method called Hair Regeneration which is not surgery but an injection. This method was developed using a material called extracellular matrix (ECM) derived from pig bladder and combining it with platelet-rich plasma(PRP). Extracellular matrix is a material that was originally designed for wound healing. It allows the duplication of cells native to a particular area, for example if it is applied to a muscle, it regenerates muscle, or if applied to skin, it regenerates skin. While ECM does not duplicate or clone hair, it was noted that when used to assist in the healing of a donor area for a strip method for hair transplant, the thinning hairs became thicker. In the past several years, Dr. Prasad has been developing a formulation and delivery technique of Hair Regeneration. It appears to restore the cells and signals necessary to reverse the thinning process- instead of hairs becoming thinner, they become thicker. He always advises prospective patients to get this done sooner because he can save the hairs that are thinning, but he can’t save the hairs that are gone. Dr. Prasad also says that he has an option for the two FDA approved medications: minoxidil and finasteride. Minoxidil does not help reverse hair thinning but appears to prolong the presence of hair that’s thinning on the scalp which makes the hair look a bit thicker. On the other hand, Finasteride blocks an enzyme called 5-alpha reductase which reduces testosterone conversion to dihydrotestosterone (DHT). DHT can cause hair follicles that are susceptible to the effects of DHT to thin. Finasteride can reduce DHT with certain people with male pattern hair loss, so they can get improvement. Unfortunately, people who are younger and have progression of frontal recession tend to not respond well to finasteride. In addition, there is a lot of concern about finasteride's long-term sexual side-effects. Dr. Prasad suggests that he should learn more about Hair Regeneration. Unfortunately, he doesn’t have specifics of the exact reason why this works. It appears that the basic science of hair growth has yet to discover all of the critical stem cells and signals necessary for hair growth, which is why hair cloning remain elusive, and all of the biotechnology companies who have tried to corner the market of hair loss have not done very well. Fortunately, Dr. Prasad has been successful in trying to use this material which is already FDA approved and using it in an off-label way to treat hair loss.
http://youtu.be/y2R5NyEbpAU
Why%20a%20Hair%20Transplant%20Isn%27t%20Advised%20in%20the%2020s%2C%20and%20a%20Non-Surgical%20Hair%20Restoration%20Treatment%20
Why a Hair Transplant May Damage Thinning Hair at the Crown,
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A gentleman was told by a hair transplant surgeon that he’s not a candidate for transplantation. He is currently taking finasteride. He wants to know if a hair transplant is a good option for him. Dr. Amiya Prasad, a hair restoration specialist, explains that a hair transplant is the strategic movement of hairs from the area at the back of the scalp which are genetically resistant to hair loss. This area is called the donor area. An example is a male who has advanced hair loss where they have a horseshoe pattern. That horseshoe pattern is permanent and it’s not going to fall out. Since it's permanent, those hairs can be cut out and then placed in another area strategically. Dr. Prasad added that the surface area of this gentleman’s crown is fairly large and it is very common for men to think they can cover that space easily with hairs. Unfortunately, it requires a large number of grafts to cover and the donor area is fairly limited. In addition, if the hair is thinning, there are existing hairs and not entirely bald areas. Placing grafts might destroy those existing viable hair follicles. His doctor may have suggested finasteride to see if it can reverse the hair thinning. Finasteride is a 1mg tablet taken once a day. It is used to inhibit an enzyme called 5-alpha reductase which converts testosterone to dihydrotestosterone (DHT). Dihydrotestosterone can cause susceptible hair follicles to eventually disappear. Many men with crown hair loss will respond to it. Unfortunately a lot of men, especially in their 20s and 30s, don’t want to take finasteride because of concerns about long-term sexual side effects. Dr. Prasad’s practice has been in a leadership position with a treatment called Hair Regeneration. It was discovered several years ago after the introduction of a material called extracellular matrix derived from pig bladder that helps wound healing. It uses the body’s adult stem cells to heal by duplication of tissue that is native to a given area where the extracellular matrix is applied - when it’s applied to muscle, it regenerates muscle. Since hair is an organ, it is not possible to regenerate or duplicate hairs or clone hairs but through this procedure, it is able to restore the cells and signals necessary for hair growth. Through this treatment, the hair that’s thinning will come back thicker. The results are first noticed from a months to 18 months. With ,ale pattern hair loss, Dr. Prasad is approaching a 100% success rate defined by significant improvement that people can see and appreciate with before and after pictures. He also routinely does microscopy to follow and assess his patients very closely. Dr. Prasad says that it is actually hard to find this particular treatment especially with all the fake solutions being publicized. Now that he has learned about this, he can investigate this method as an option for him and find a provider who can perform this. Dr. Prasad thinks that the trial of finasteride is worth considering. He should see how he does with it and learn more about Hair Regeneration to help him stop his hair loss and restore hairs that may or may not to be responding to finasteride.
http://youtu.be/DIeQQpLacEE
Why%20a%20Hair%20Transplant%20May%20Damage%20Thinning%20Hair%20at%20the%20Crown%2C%20
Why a Hair Transplant Won't Stop Male Pattern Baldness, and a Non-Surgical Hair Loss Treatment
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A gentleman in his mid-twenties always had high, broad forehead. He wants to know if he is a good candidate for a hair transplant. Dr. Amiya Prasad, a hair restoration specialist, explains that in hair restoration there is the Rule of Decades: if a person is in their 20s, only 20% of his contemporaries will have hair loss, while 80% will have a lot of hair. It’s natural for someone to be concerned about a receding hairline. Hair loss is related to family history. In the United States, there are two drugs that are used for male pattern hair loss: finasteride which is a 1 milligram tablet that is taken daily by prescription, and minoxidil which is a topical solution or foam that is applied nightly. Finasteride is used based on the concept and understanding that a substance in the blood called dihydrotestosterone (DHT) can cause hair follicles to thin and to disappear. Finasteride blocks the enzyme 5-alpha reductase which converts testosterone to dihydrotestosterone. Unfortunately, in Dr. Prasad’s clinical experience, a lot of younger males who have frontal receding hair loss tend to not respond well to finasteride. It may slow hair loss to a small degree but some people who were taking finasteride religiously still lost hair. On the other hand, minoxidil is not likely to make a significant difference either. In the past several years, Dr. Prasad has been committed in helping his patients with a material derived from pig bladder called extracellular matrix (ECM) made by ACell. Extracellular matrix was discovered serendipitously when it was applied for the wound healing process for a hair transplant. Hair transplantation is the movement of hair follicles from the back of the scalp called permanent zone or the donor area. Hair follicles are taken by a strip method or follicular unit extraction and planted them in areas where there’s lacking hair. When extracellular matrix was used, it actually resulted not only in wound healing in that area, but the thinning hair also became thicker. In Dr. Prasad’s practice, he has developed a formulation, method and delivery technique that has helped people from all over the world. He combines extracellular matrix with platelet-rich plasma (PRP). Platelet-rich plasma is derived from the patient’s own blood. It is a concentration of their platelets into a serum that has growth factors which help in the wound healing process. Thinning hair becomes thicker, progression of hair loss appears to be stopped, and has helped a lot of his patients particularly younger people in their 20s and 30s. Dr. Prasad used to do a lot of hair transplantations, but now he changed the approach. Presently, he will treat with Hair Regeneration and restore the hair that was thinning. He can’t bring back hair that was gone. But if it’s thinning, he can reverse that thinning and get the hair to be thicker. When a patient undergoes microscopic examination of the scalp, they’ll find a lot hair that is thinning. Hair doesn’t just fall off, it actually goes into a growth cycle. There’s a normal amount of 50-100 hairs that’s shed per day. When those hairs grow back after the catagen and telogen phases of hair growth which is about 3-5 months, those hairs come back looking thinner. With Dr. Prasad’s treatment, he has observed that the hair that is shed comes back thicker. Over 5 years of data, a handful of patients consider this injection. It seems to be a real tremendous benefit for people, men and women with thinning hair. Dr. Prasad discourages doing a transplantation because the patient could still lose hair after the procedure. An example is someone who had bad transplants. Their hair was fine with the existing hair with the transplants. But once the hair thinned and disappeared, all that was left was the transplants and that created the pluggy look that everyone recognizes. Dr. Prasad’s suggestion is to get a proper diagnosis. This may mean visiting a dermatologist, getting some microscopy done in the top of the scalp to learn if they are having significant miniaturization of the hairs and learn about the options. They may want to try taking finasteride first or using minoxidil. They must understand and investigate their options such as medical and Hair Regeneration and pursue whatever they think is right for them after consultation with qualified physicians.
http://youtu.be/DqSWkV3__HA
Why%20a%20Hair%20Transplant%20Won%27t%20Stop%20Male%20Pattern%20Baldness%2C%20and%20a%20Non-Surgical%20Hair%20Loss%20Treatment
Why Hair Transplants Don't Stop Male Pattern Baldness and a Hair Regrowth Treatment that Does
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A 25-year-old male is having continued hair loss despite using minoxidil and Deutomix. He wants to know another alternative from taking these medications. Dr. Amiya Prasad, a hair restoration specialist, explains that male patter hair loss or male pattern baldness is a genetic trait which runs in families and has variable expressions. It's not a direct dominant or recessive trait and can affect only certain siblings - one can have lots of hair while another can have tremendous hair loss. In the United States, the drugs that are approved for hair loss are finasteride and minoxidil. Finasteride is a 1 mg tablet that is taken daily and is used to inhibit an enzyme called 5-alpha reductase. 5-alpha reductase converts testosterone to dihydrotestosterone (DHT). Dihydrotestosterone will affect susceptive hair follicles which will then thin and eventually disappear. Minoxidil is a topical that is available over the counter. However, minoxidil does not stop the progression of hair loss. Finasteride can slow down the progression because it's working systemically from the inside in a specific way. Unfortunately, a significant percentage of men do not respond to finasteride. At this time, many men in their 20s and 30s are concerned about reports of long-term sexual side effects, so they refuse to take it altogether. The traditional alternative is to do a hair transplant. A hair transplant is a surgical relocation of hairs that are resistant to hair loss which are located at the back of the scalp called the donor area. Genetically resistant hair means hair from this area will never fall out - no matter how long one lives, the hair will remain in place. Unfortunately, the donor area is limited and there are just a few hairs that a surgeon can move. In general, it is more acceptable to have hair loss in men in their 30s, 40s or 50s. In Dr. Prasad's experience in 20 years of practice, men in their 20s expect to have a lot more hair volume. The Rule of Decades, a rule of thumb in hair restoration, states for men in their 20s, 20% will have hair loss while 80% will have a lot of hair. Even with transplant, a person won't get the volume they desire and will only have a limited amount of hair. In addition, nothing is stopping the progression of hair loss, therefore a person will continue to lose hair and eventually, their transplant area or donor area will be tapped out. In Dr. Prasad's practice, he has had tremendous success with a method of restoring thinning hair called Hair Regeneration. This concept is something that he developed over several years and has been very successful in treating male and female pattern hair loss using a material called extracellular matrix. He developed a process of protocol and a method that combines platelet-rich plasma and extracellular matrix. Platelet-rich plasma is the patient's own blood that is spun down to concentrate the platelets and growth factors when separated from red blood cells. Extracellular matrix is derived from pig bladder which is used traditionally for would healing. It happened to be a remarkable serendipitous observation that when used for the benefit of a hair transplant incision, the area of hair that was not transplanted which was thinning actually became thicker. For the past 3-5 years of data, Dr. Prasad has had limited need for reinjection. He has close to a 100% success rate for male pattern hair loss. Dr. Prasad does not negate the potential of hair transplants which he does perform, but in his practice he has shifted philosophy. He has been helping a lot of his patients by not having a hair transplant but rather to do injections and see how much volume of hair is restored through this method. If they still want to transplant, then he can be more strategic. One should remember that they are dealing with a limited donor area, so by strategically restoring hair which is limited in terms of the coverage, they can actually get significant coverage by doing a non-surgical treatment through this injection. Unfortunately, hair loss is an area where a lot of predatory behaviors occur where people are offering supplements and miracle treatments and all kinds of gimmicks and gadgets that don't work. Hair Regeneration is something that has tremendous data about and Dr. Prasad thinks this person will benefit from learning more about it.
http://youtu.be/_JIbMfvw6yw
Why%20Hair%20Transplants%20Don%27t%20Stop%20Male%20Pattern%20Baldness%20and%20a%20Hair%20Regrowth%20Treatment%20that%20Does
How to Treat Male Pattern Baldness Without a Hair Transplant
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A 29-year-old gentleman started losing his hair when he was 21 years old. He wants to know the procedures appropriate for him Dr. Amiya Prasad, a hair specialist, explains that male pattern loss appears to have a family history or has a tendency to run in families. From the level of progression that this gentleman has, he can predict that within a few years, he'll will have much less hair. Dr. Prasad enumerates two drugs that are used for hair loss: finasteride and the other is minoxidil. Finasteride is a pill that is taken daily. It inhibits an enzyme called 5-alpha reductase which is responsible for the conversion of testosterone to dihydrotestosterone (DHT). It's been shown that specific men have hair follicles sensitive to the effects of dihydrotestosterone. When finasteride was introduced, a lot of men benefited. Unfortunately, there is a lot of concern about long-term sexual side-effects of finasteride. In Dr. Prasad's practice, it is more typical for men in their 20s and 30s to refuse or consider taking finasteride. The other drug is minoxidil, a topical treatment that helps prolong the presence of hair that's thinning. It is something that is applied once at night. Traditionally, the only other alternative to these medical options is a hair transplant. Unfortunately, the reality is that a lot of younger men who have this rapid progression of hair loss, after one transplant, they need another transplant. To make matters worse, the donor area which is the area at the back of the scalp is very limited and a surgeon cannot cover the space once covered with tens of thousands of hairs with only a few thousand hairs. In Dr. Prasad's practice, he developed a treatment called Hair Regeneration using a material called extracellular matrix by Acell combined with platelet-rich plasma and injected under the skin of the scalp. This is a onetime treatment session that has effectively stopped the progression of hair loss, reverse the thinning process and thickens thinning hair. He has approximately 3-5 years of data and close to a 100% response rate with male pattern hair loss. He is developing more protocols for more advanced hair loss in terms of later stages of procedures. This material that was originally used for wound healing is derived from pig bladder to help heal by duplication of cells. It's not by duplicating hair follicles but restoring the cells and signals necessary for the hair growth process to continue. Dr. Prasad suggests that this gentleman consider the Hair Regeneration treatment. It has been very successful as a single treatment. Dr. Prasad follows his patients very closely by seeing them at 1 month, 3 months, 6 months and all the way to 18 months to the present time to see improvement.
http://youtu.be/1N1RpNtVczU
How%20to%20Treat%20Male%20Pattern%20Baldness%20Without%20a%20Hair%20Transplant
How Eyebrow Transplants Differ from Scalp Hair Transplants,
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A lady had a follicular unit extraction (FUE) eyebrow transplant 12 days ago. She explains that her doctor missed an area she wanted. She wants to know if there is a risk if she will have another transplant. Dr. Amiya Prasad, a hair restoration specialist, explains that hair transplants to specialized areas of the eyebrow are more complex than doing a transplant from the scalp. People desire hair density to make the eyebrows look natural. Eyebrow hair has a certain angularity to the placement of the hairs to make it look natural. At the same time, it is very important that each graft has a proper blood supply. Even if the patient wanted to add more hair, sometimes the doctor has to stop because if they place too many, the survival of the transplanted hair is compromised. In Dr. Prasad's practice, he uses a method that he derived from his Hair Regeneration treatment using something called extracellular matrix. This helps in accelerating healing so that the patient gets this maximum yield from the transplants. In terms of the physiology of the growth of the hairs, this lady's doctor is certainly consistent with the standard in the field. Hair grows in cycles. There is a shock phase where existing hairs as well as transplanted hairs can fall out temporarily. It can take months for new hairs to grow in. In Dr. Prasad's practice, he sees his patients fairly regularly to ensure that he has this communication so they don't worry about second guessing if something doesn't look right. This lady has to realize that it is not likely that her doctor missed a spot. She may also be noticing a spot looks empty because the hair has shed or it's just from normal tissue swelling. 12 days after her hair transplant, she will still have some swelling. Dr. Prasad advises that this lady should continue to communicate with her doctor's office and expect that there will be progression. He tells his eyebrow transplant patients that although he will place as many grafts as he can, they should be prepared to do additional surgery if they want a certain result and density. She should also understand the goal of the surgery. She'll be surprised how quickly a year goes by and she'll have a different perception. By then, she can see if she wants to do additional grafting at that time.
http://youtu.be/o7FBdudi0O4
How%20Eyebrow%20Transplants%20Differ%20from%20Scalp%20Hair%20Transplants%2C%20
The Non-Surgical, Non-Hair Transplant Options for Treating Hair Loss
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A 27-year-old male was told he is not a candidate for hair transplant. He wants to know other options that might help his hair loss. Dr. Amiya Prasad, a hair restoration specialist, says based on the photo he submitted, that he appears to have male pattern hair loss. Male pattern hair loss is commonly a hereditary issue and the choices that people have in addition to hair transplant also include medical therapy. The medical therapy that is currently approved by the FDA of the United States includes two drugs. One is finasteride and it is a tablet that's taken daily. It inhibits a particular enzyme called 5-alpha reductase and prevents the conversion of testosterone to dihydrotestosterone. It's very well established that a certain subset of male pattern hair loss is associated with hair follicles that are sensitive to dihydrotestosterone. So when people take finasteride, they are diminishing the amount of dihydrotestosterone and reversing the thinning process. The other drug is minoxidil and it is a topical over-the-counter drug under several brand names. Minoxidil does not stop the progression of hair thinning but appears to prolong the time that thinning hairs stay on the scalp making the hair look thicker. At this time, there has been a concern about the long term sexual side effects of finasteride. Many younger males in their 20s and 30s are not even considering finasteride because of this. Paradoxically, Dr. Prasad has had many patients in their 40s and 50s and even older who have been taking finasteride for years since the late 1990s without any side effects. In Dr. Prasad's practice, he does a treatment called Hair Regeneration. Many years ago, it was noticed that a material called extracellular matrix derived from pig bladder when used to heal a donor area for hair transplant, the thinning hairs near the donor area actually became thicker. Over the past couple of years, he has been developing a method combined with a formulation for male and female pattern hair loss as well as some unusual types of hair loss such as alopecia areata and lupus. He does a single injection and has about 3-5 years of data supporting this. This injection appears to reverse the thinning process. He's using a wound healing technology that is combined with platelet-rich plasma which is derived from the patient's own blood and has helped hundreds of patients who have come to him from all over the world to treat their thinning hair. Hair Regeneration can be used on both men and women. Dr. Prasad says that this man consider this type of option and learn a little bit more about it and find a provider that performs this procedure. This is also exactly how Dr. Prasad offers treatment to his patients - he doesn't go straight to the injection, he first educates his patients about the medical therapies and then they make an informed decision of whether or not to do the injection.
http://youtu.be/H7jUuzKVbX4
The%20Non-Surgical%2C%20Non-Hair%20Transplant%20Options%20for%20Treating%20Hair%20Loss
PRP injection | Anti Aging Serum to look younger NY
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Platelet-rich plasma (PRP), the healing factors from your own blood for a patient who traveled a great distance to Dr. Amiya Prasad to help improve her skin. Originally used in orthopedics and sports medicine for injury healing, Dr. Prasad has become one of the leading experts in the regenerative properties of PRP for anti-aging and cosmetic procedures. Platelet-rich plasma when used as an anti aging serum has several properties: ● Improve blood supply ● Increase collagen ● Improve the fat layer of the skin When used on the face such as the area under the eyes, PRP injection can help improve the pigmentation and dull skin quality that causes dark circles under the eyes. New collagen and increased blood supply also benefits common aging issues like fine lines and wrinkles. PRP injection increases blood supply, collagen, and growth factors which can improve volume in the eyelid-cheek area for a fuller, younger appearance. PRP can also be combined with cosmetic fillers such as Restylane, Juvederm and Radiesse for even better results. For aging changes around the mouth, PRP can improve the appearance of vertical lines around the lips, the marionette lines, and the downward turn of the outer corners of the mouth. PRP injection can also be used to improve the appearance of forehead lines and horizontal neck lines. PRP injection has been effective in improving the skin quality of acne scars and other types of scars. The platelet-rich plasma treatment is almost painless. A customized topical anesthetic is applied to the skin before the PRP injection treatment so the patient feels little discomfort. Dr. Prasad uses platelet-rich plasma (PRP injection) in other aspects of his practice. PRP can be used together with lower eyelid surgery where eye bags are reduced - the PRP helps the appearance of the accompanying dark circles. PRP together with dermal filler can help improve facial lines and creases. Dr. Prasad's Hair Regeneration treatment uses PRP and ACell's extracellular matrix (ECM) to thicken thinning hair and stop future hair loss.
http://youtu.be/YH8l14mHwQU
PRP%20injection%20%7C%20Anti%20Aging%20Serum%20to%20look%20younger%20NY
How Platelet-Rich Plasma Helps Hair Transplants, and its Combination with ECM Reverses Hair Thinning
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A gentleman had just undergone a hair transplant. After the transplant, he received platelet-rich plasma (PRP) treatment. He wants to know if there are any benefits with the PRP treatment. Dr. Amiya Prasad, a hair restoration specialist, explains that platelet-rich plasma is used in several fields such as orthopedic surgery, oral surgery as well as in wound care medicine. It is very well established to help wound healing. In the hair restoration field, many people have used platelet-rich plasma very effectively to treat hair loss as a single type of treatment as well as to facilitate healing whether it's in the donor area or the areas of the grafts. In Dr. Prasad's practice, he uses platelet-rich plasma routinely combined with a material called extracellular matrix. Extracellular matrix is a material that's derived from pig bladder that is originally designed for wound healing. He uses it when he closes the donor area and finds that the healing is exceptional. Many people are concerned about the scars from the strip method. By combining good surgical technique, right patient and the use of extracellular matrix and platelet-rich plasma, he has had very nice healing in the donor areas. In addition, he has been using platelet-rich plasma with extracellular matrix to actually treat hair loss in a treatment called Hair Regeneration. So, for his patients, whether they have a transplant or not, he is able to help them with the progression of hair thinning. From Dr. Prasad's clinical experience, platelet-rich plasma does help in healing. As far as soreness is concerned, there is going to be soreness for some time. It is normal for an area where there was surgical trauma, which is controlled trauma, to normally have inflammation and some tenderness. If there is severe pain or fever, that is a different story but that is something that the patient has been very well instructed by their doctor. At this point, this gentleman should continue communicating with his doctor.
http://youtu.be/7nmtZTc_X3A
How%20Platelet-Rich%20Plasma%20Helps%20Hair%20Transplants%2C%20and%20its%20Combination%20with%20ECM%20Reverses%20Hair%20Thinning
Why Dislodged Scabs Containing Hair After a Hair Transplant Doesn't Mean That Hair Grafts are Lost
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A gentleman is one week post hair transplantation. He noticed a lot of scabs and crust while washing his scalp. He is worried if the grafts are coming out. Dr. Amiya Prasad, a hair restoration specialist says that this gentleman's concern is very common. Everyone who had a transplant is afraid that they will dislodge the graft and think that the grafts are very delicate. In Dr. Prasad's practice, he does a fair number of hair transplants and the routine is fairly straightforward. He does hundreds or thousands of grafts in a session and within the first 24-48 hours, the grafts are so well in place that it would take a surgical instrument to physically remove the graft from the scalp. He also uses a material called extracellular matrix which further facilitates the healing process and treats the thinning hair concurrently. The scabs that one sees are the combination of some old blood, some very dry skin and are a part of a normal healing process. In the first week, Dr. Prasad lets his patients wash their hair with a bowl of water and pour it gently to let this superficial scabbing dislodge. He also lets them spray the hair with some saline to keep it a little moist. By the second week, he encourages his patients to scrub a little bit. Of course, he examines his patients before he gives them this advice to make sure that they are not doing anything that can be traumatic. Seeing a hair in the scab doesn't mean they lost the graft. The base of that graft is called the dermal papilla and is the root of the hair which does the growing. Sometimes, the hair will break or shed and that is normal. Dr. Prasad suggests thinks that communicating with the doctor is critically important. Every experienced hair restoration surgeon will be able to give a patient an advice from their experience. With a little bit of guidance, one can anticipate what will happen beyond this initial early point in the healing process.
http://youtu.be/_jXx4PoUi6Q
Why%20Dislodged%20Scabs%20Containing%20Hair%20After%20a%20Hair%20Transplant%20Doesn%27t%20Mean%20That%20Hair%20Grafts%20are%20Lost
Factors to Consider for a Female Hair Transplant to Lower a Hairline
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A woman's hairline has receded and caused her to be unhappy with her appearance. She wants to know what to expect with hair transplantation. Dr. Amiya Prasad, a hair restoration specialist, explains that it is estimated that 30% of women under the age of 50 and 50% of women over the age of 50 have hair loss. When a woman comes to his practice with hair loss, he doesn't discuss surgery to create their desired look, but first looks at the cause of the hair loss. It may be caused by genetic or traction alopecia from wearing tight ponytails and tight braids. In addition, he also systemically assesses the patient for hormonal and nutritional factors. Prior to a transplant, a proper workup must be done to establish the medical basis of hair loss. Any experienced hair transplant surgeon can give an estimate as to how many hairs it will take to fill an area. However, the patient has to think about the future and where their hair loss may be progressing. For example, males who've had hair transplants and have continued hair loss have these hair plugs on their scalp that represent the transplanted hair, but the native hair once around them were lost. In a hair transplant procedure, the patient shouldn't consider only the density or number of hairs. The diameter or the caliper of the hair is an important factor. People with thick hair have thicker hair because of the diameter of each hair strand and this covers more of the scalp. A person with fine blonde hair needs more grafts to cover an area compared to someone who has dark and thick hair. In addition, it is typical to need more than just one transplant in order to get the maximal density to mimic what nature creates. When a male has a transplant, it is acceptable to have less density. But for women, they need a lot of density or otherwise, the hairs look too far apart and create an artificial look. Placing a hair graft is literally placing an organ. It is a combination of the hair shaft, the follicle and the tissue around that area. A graft needs proper blood supply and in order for the blood supply to reach the graft, there has to be coverage around the area. Covering 4 sides of the graft is important to have good circulation for it to take. When there are many grafts in an area, a certain amount of those grafts are not going to survive because they don't have enough nutrition. In Dr. Prasad's practice, when he does a transplant, he uses a material called or extracellular matrix that helps aid in the healing as well as in treating the thinning process. The only currently approved FDA drug for female hair loss is minoxidil. So a lot of women have been coming to him to have Hair Regeneration treatment. His Hair Regeneration treatment is the combination of extracellular matrix with platelet-rich plasma to maximize the benefit of a transplant. This is by maximizing the longevity of the existing hair. If there's a thinning process going in, the thinning process is stabilized, reversed and the hairs are thickened. So if someone is getting a transplant, they would want to get the maximal yield of the transplant in terms of survival of the grafts as well as the stability of their thinning process.
http://youtu.be/3Cp06gztZyE
Factors%20to%20Consider%20for%20a%20Female%20Hair%20Transplant%20to%20Lower%20a%20Hairline
The Non-Surgical, Non-Hair Transplant Options for Treating Hair Loss
read more




A 27-year-old male was told he is not a candidate for hair transplant. He wants to know other options that might help his hair loss. Dr. Amiya Prasad, a hair restoration specialist, says based on the photo he submitted, that he appears to have male pattern hair loss. Male pattern hair loss is commonly a hereditary issue and the choices that people have in addition to hair transplant also include medical therapy. The medical therapy that is currently approved by the FDA of the United States includes two drugs. One is finasteride and it is a tablet that's taken daily. It inhibits a particular enzyme called 5-alpha reductase and prevents the conversion of testosterone to dihydrotestosterone. It's very well established that a certain subset of male pattern hair loss is associated with hair follicles that are sensitive to dihydrotestosterone. So when people take finasteride, they are diminishing the amount of dihydrotestosterone and reversing the thinning process. The other drug is minoxidil and it is a topical over-the-counter drug under several brand names. Minoxidil does not stop the progression of hair thinning but appears to prolong the time that thinning hairs stay on the scalp making the hair look thicker. At this time, there has been a concern about the long term sexual side effects of finasteride. Many younger males in their 20s and 30s are not even considering finasteride because of this. Paradoxically, Dr. Prasad has had many patients in their 40s and 50s and even older who have been taking finasteride for years since the late 1990s without any side effects. In Dr. Prasad's practice, he does a treatment called Hair Regeneration. Many years ago, it was noticed that a material called extracellular matrix derived from pig bladder when used to heal a donor area for hair transplant, the thinning hairs near the donor area actually became thicker. Over the past couple of years, he has been developing a method combined with a formulation for male and female pattern hair loss as well as some unusual types of hair loss such as alopecia areata and lupus. He does a single injection and has about 3-5 years of data supporting this. This injection appears to reverse the thinning process. He's using a wound healing technology that is combined with platelet-rich plasma which is derived from the patient's own blood and has helped hundreds of patients who have come to him from all over the world to treat their thinning hair. Hair Regeneration can be used on both men and women. Dr. Prasad says that this man consider this type of option and learn a little bit more about it and find a provider that performs this procedure. This is also exactly how Dr. Prasad offers treatment to his patients - he doesn't go straight to the injection, he first educates his patients about the medical therapies and then they make an informed decision of whether or not to do the injection.
http://youtu.be/H7jUuzKVbX4
The%20Non-Surgical%2C%20Non-Hair%20Transplant%20Options%20for%20Treating%20Hair%20Loss%20
How Platelet-Rich Plasma Helps Hair Transplants, and its Combination with ECM Reverses Hair Thinning
read more




A gentleman had just undergone a hair transplant. After the transplant, he received platelet-rich plasma (PRP) treatment. He wants to know if there are any benefits with the PRP treatment. Dr. Amiya Prasad, a hair restoration specialist, explains that platelet-rich plasma is used in several fields such as orthopedic surgery, oral surgery as well as in wound care medicine. It is very well established to help wound healing. In the hair restoration field, many people have used platelet-rich plasma very effectively to treat hair loss as a single type of treatment as well as to facilitate healing whether it's in the donor area or the areas of the grafts. In Dr. Prasad's practice, he uses platelet-rich plasma routinely combined with a material called extracellular matrix. Extracellular matrix is a material that's derived from pig bladder that is originally designed for wound healing. He uses it when he closes the donor area and finds that the healing is exceptional. Many people are concerned about the scars from the strip method. By combining good surgical technique, right patient and the use of extracellular matrix and platelet-rich plasma, he has had very nice healing in the donor areas. In addition, he has been using platelet-rich plasma with extracellular matrix to actually treat hair loss in a treatment called Hair Regeneration. So, for his patients, whether they have a transplant or not, he is able to help them with the progression of hair thinning. From Dr. Prasad's clinical experience, platelet-rich plasma does help in healing. As far as soreness is concerned, there is going to be soreness for some time. It is normal for an area where there was surgical trauma, which is controlled trauma, to normally have inflammation and some tenderness. If there is severe pain or fever, that is a different story but that is something that the patient has been very well instructed by their doctor. At this point, this gentleman should continue communicating with his doctor.
http://youtu.be/7nmtZTc_X3A
How%20Platelet-Rich%20Plasma%20Helps%20Hair%20Transplants%2C%20and%20its%20Combination%20with%20ECM%20Reverses%20Hair%20Thinning%20
Why Dislodged Scabs Containing Hair After a Hair Transplant Doesn't Mean That Hair Grafts are Lost
read more




A gentleman is one week post hair transplantation. He noticed a lot of scabs and crust while washing his scalp. He is worried if the grafts are coming out. Dr. Amiya Prasad, a hair restoration specialist says that this gentleman's concern is very common. Everyone who had a transplant is afraid that they will dislodge the graft and think that the grafts are very delicate. In Dr. Prasad's practice, he does a fair number of hair transplants and the routine is fairly straightforward. He does hundreds or thousands of grafts in a session and within the first 24-48 hours, the grafts are so well in place that it would take a surgical instrument to physically remove the graft from the scalp. He also uses a material called extracellular matrix which further facilitates the healing process and treats the thinning hair concurrently. The scabs that one sees are the combination of some old blood, some very dry skin and are a part of a normal healing process. In the first week, Dr. Prasad lets his patients wash their hair with a bowl of water and pour it gently to let this superficial scabbing dislodge. He also lets them spray the hair with some saline to keep it a little moist. By the second week, he encourages his patients to scrub a little bit. Of course, he examines his patients before he gives them this advice to make sure that they are not doing anything that can be traumatic. Seeing a hair in the scab doesn't mean they lost the graft. The base of that graft is called the dermal papilla and is the root of the hair which does the growing. Sometimes, the hair will break or shed and that is normal. Dr. Prasad suggests thinks that communicating with the doctor is critically important. Every experienced hair restoration surgeon will be able to give a patient an advice from their experience. With a little bit of guidance, one can anticipate what will happen beyond this initial early point in the healing process.
http://youtu.be/_jXx4PoUi6Q
Why%20Dislodged%20Scabs%20Containing%20Hair%20After%20a%20Hair%20Transplant%20Doesn%27t%20Mean%20That%20Hair%20Grafts%20are%20Lost%20
Factors to Consider for a Female Hair Transplant to Lower a Hairline
read more




A woman's hairline has receded and caused her to be unhappy with her appearance. She wants to know what to expect with hair transplantation. Dr. Amiya Prasad, a hair restoration specialist, explains that it is estimated that 30% of women under the age of 50 and 50% of women over the age of 50 have hair loss. When a woman comes to his practice with hair loss, he doesn't discuss surgery to create their desired look, but first looks at the cause of the hair loss. It may be caused by genetic or traction alopecia from wearing tight ponytails and tight braids. In addition, he also systemically assesses the patient for hormonal and nutritional factors. Prior to a transplant, a proper workup must be done to establish the medical basis of hair loss. Any experienced hair transplant surgeon can give an estimate as to how many hairs it will take to fill an area. However, the patient has to think about the future and where their hair loss may be progressing. For example, males who've had hair transplants and have continued hair loss have these hair plugs on their scalp that represent the transplanted hair, but the native hair once around them were lost. In a hair transplant procedure, the patient shouldn't consider only the density or number of hairs. The diameter or the caliper of the hair is an important factor. People with thick hair have thicker hair because of the diameter of each hair strand and this covers more of the scalp. A person with fine blonde hair needs more grafts to cover an area compared to someone who has dark and thick hair. In addition, it is typical to need more than just one transplant in order to get the maximal density to mimic what nature creates. When a male has a transplant, it is acceptable to have less density. But for women, they need a lot of density or otherwise, the hairs look too far apart and create an artificial look. Placing a hair graft is literally placing an organ. It is a combination of the hair shaft, the follicle and the tissue around that area. A graft needs proper blood supply and in order for the blood supply to reach the graft, there has to be coverage around the area. Covering 4 sides of the graft is important to have good circulation for it to take. When there are many grafts in an area, a certain amount of those grafts are not going to survive because they don't have enough nutrition. In Dr. Prasad's practice, when he does a transplant, he uses a material called or extracellular matrix that helps aid in the healing as well as in treating the thinning process. The only currently approved FDA drug for female hair loss is minoxidil. So a lot of women have been coming to him to have Hair Regeneration treatment. His Hair Regeneration treatment is the combination of extracellular matrix with platelet-rich plasma to maximize the benefit of a transplant. This is by maximizing the longevity of the existing hair. If there's a thinning process going in, the thinning process is stabilized, reversed and the hairs are thickened. So if someone is getting a transplant, they would want to get the maximal yield of the transplant in terms of survival of the grafts as well as the stability of their thinning process.
http://youtu.be/3Cp06gztZyE
Factors%20to%20Consider%20for%20a%20Female%20Hair%20Transplant%20to%20Lower%20a%20Hairline%20
Why Hair Transplants are Not Advised for Men in their early 20s,
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A 22-year-old gentleman has been losing hair since he was 18. He wants to know if he is an eligible candidate for a hair transplant. Dr. Amiya Prasad, a hair restoration specialist, explains that there are only two drugs that are used and approved for male pattern hair loss: minoxidil (Rogaine)and finasteride (Propecia). Finasteride is a drug that is used to block an enzyme called 5-alpha reductase which converts testosterone to dihydrotestosterone. Dihydrotestosterone has been identified as a factor to cause susceptible hair follicles to become thinner. Hair thinning doesn't mean that existing hair goes from thick to thin. Rather, during the normal growth cycle as the hair is shed, the hair that comes back is thinner. Finasteride has been shown to help people with male pattern hair loss reverse the thinning process, but there are some limitations to the use of finasteride that you should also be aware of. From Dr. Prasad's clinical experience, he has been prescribing finasteride since 1997 and 1998 when it was first approved. Younger males who have aggressive hair loss typically don't respond as well as males who are in their mid to late 30s who are starting to have a slow and progressive expansion of the bald spot area. Even on these medications, people still have progressive hair loss. There has also been a concern about the long-term sexual side effects of finasteride. Interestingly in Dr. Prasad's practice, he has patients who have been taking finasteride for 20 years and they are fine and even patients in their 50s who are coming in for prescription renewals. At the same time, he has patients who are coming in their 20s and 30s who won't take finasteride because of its side effects. When someone first notices hair loss, they've already lost 50% of their hair. The rule of thumb for hair loss is referred to as the Rule of Decades - when someone is in their 20s, about 20% of their contemporaries have hair loss, and 80% of their contemporaries have lots of hair. As someone gets to their 40s and 50s, 40 to 50% of men have significant hair loss. Dr. Prasad has seen so many patients who got hair transplants in their 20s who continue to lose hair because they were not able to take medical treatment like Propecia. What are left in their scalp are the transplanted hair. When Dr. Prasad first trained in hair transplant surgery over 20 years ago, he learned from his teachers to avoid doing transplants on younger males. Men in their 20s who are losing hair with a rapid rate of loss, combined with the unexpected results added up to too many unfavorable variables. Unfortunately in the modern world, with aggressive internet advertising and television commercials, medical procedures are sold and overhyped. People are only shown the benefits and given very compelling testimonials that make someone want their products. However, the reality is that the area where the transplants are taken from called the permanent zone or the donor area is very limited. In Dr. Prasad's practice, he developed Hair Regeneration which is a method and a procedure that combines a material called extracellular matrix which is derived from pig bladder and originally designed for wound healing, with platelet-rich plasma - a byproduct of a person's own blood that has growth factors. Platelet-rich plasma is commonly used to help hair loss but on its own, it doesn't reverse hair thinning. Dr. Prasad reverses hair thinning with his Hair Regeneration treatment. This is something that he has developed for several years and he can boast close to a 100% success rate for male pattern hair loss. This is a onetime injection and literally reverses the thinning of hair and thickens the hair. Dr. Prasad recommends Hair Regeneration as a treatment for this. He follows up on his patients very closely and sees people at one month, 3 months and even up to 2-3 years. Once a patient is in his practice, the door is always open. Dr. Prasad further explains that one should be mindful of the limitations and expectations of a hair transplant procedure and learn about this extracellular matrix technology and Hair Regeneration and see if they could find a provider that would be right for them.
http://youtu.be/a9FKgPs4e7c
Why%20Hair%20Transplants%20are%20Not%20Advised%20for%20Men%20in%20their%20early%2020s%2C%20
The Stressors that can Cause Hair Loss in Women and the Importance of Diagnosis
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A 35-year-old female has been losing her hair slowly for the past 6 years. She wants to know if a hair transplant would help her hair stay or will it just continue to fall out after the transplantation. Dr. Amiya Prasad, a hair specialist, explains that when a woman loses hair, it is important to get a proper medical workup which includes hormonal and iron levels. Women are very sensitive to a lot of stressors that manifests in diffuse hair loss like telogen effluvium AKA shock loss. In addition, 30% of women under the age of 50 have some kind of hair loss which can be androgenetic alopecia and female pattern hair loss. It is also advisable to be evaluated for something called a scarring alopecia. These are also things which someone first does before they even consider transplantation. Dr. Prasad is in a unique position where he has had patients who come to him from all over the world for a procedure he developed called Hair Regeneration. Hair Regeneration is a treatment where he combines platelet-rich plasma with a material called extracellular matrix. By doing this injection and this method of delivery, he has been able to help patients with male pattern hair loss, female pattern hair loss and even rare conditions such as alopecia areata and lupus related hair loss. When a patient comes to him with a history of unusual hair loss, it is first critical that before he does any type of treatment, the patient first gets a proper diagnosis. Before moving for any type of medical or surgical procedure, Dr. Prasad advises that the patient sees their own physician and get the workup necessary to be sure what type of hair loss situation they have. A lot of times, people come to him after they already eliminated hormonal and autoimmune issues. They may even get a biopsy or see a dermatologist and learn that what they have is more of a female pattern hair loss or may even be a variant of an alopecia spectrum. A proper diagnosis is absolutely critical. As advanced and remarkable Hair Regeneration is, there are still going to be limits. One of the limits happens to be scarring alopecia and if the hormonal situation is not under good control. It becomes very difficult if these are not diagnosed because again, women are very sensitive to a lot of different stressors in the body and it is often manifested as hair loss. The lady should meet with doctors who would first evaluate her medical status, and also see a dermatologist to evaluate the scalp, the skin quality and what may be going on. She may even need to undergo biopsies. A proper diagnosis is important before she pursues any kind of non-surgical or surgical modalities.
http://youtu.be/_H65P150vFs
The%20Stressors%20that%20can%20Cause%20Hair%20Loss%20in%20Women%20and%20the%20Importance%20of%20Diagnosis%20
How Thickening Hair Non-Surgically Can Reduce or Replace a Hair Transplant
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A 37-year-old male is approximately stage 3 to 4 on the Norwood scale. He was told he would require 2000 to 2500 grafts. He was also told that robotic and Neograph methods would not work due to the type of hair he has and that strip method is his only option. However, he wears his hair low and would prefer not to bear the resulting scars from this type of procedure. Dr. Amiya Prasad, a hair restoration specialist, explains that a hair transplant improves the overall framing of the face by transplanting hair from a narrow area behind the scalp that are genetically resistant hairs, described as the permanent zone, to the front of the scalp. There are two different techniques: the follicular unit extraction method (FUE) that includes the robotic method, the hand-held vacuum method, and manually making little punches to take out the individual hairs; the other method is follicular unit transplantation or FUT, also called the strip method. FUT has been the traditional method for many years where a thin strip of skin is removed with hairs and individual hairs are cut. At 37-years-old, this man has advanced hair loss and it's clear that the bridge, or the middle, of his scalp is thinning. One can assume reasonably that within a few years, that area is going to be too thin or probably gone and he would need additional transplantation. So Dr. Prasad advises an alternative method that he would offer with a similar issue to this man. Dr. Prasad has developed a method called Hair Regeneration based on a wound healing mechanism. Hair Regeneration is extracellular matrix combined with platelet-rich plasma derived from the patient's own blood. This is an injection and not a transplant. By doing this, he has been able to reverse the hair thinning process, thicken up the existing hairs, and literally wake-up a lot of the dormant hairs which are the hairs on the skin that was relatively smooth and have remarkable growth. This is something different from traditional methods of medical treatments which include finasteride and minoxidil. Hair Regeneration uses the body's natural stem cells that we believe is based on clinical response that is restoring and protecting the hairs from being thinned. Dr. Prasad is always ready to repeat the treatment on anyone, but he has 3-5 years of data showing that people didn't need additional treatment. This would be his choice given the limitations - a transplant is a single procedure, but it doesn't stop the ongoing progression of thinning. With an FUE, people are getting hairs outside of the zone of permanence, so the transplanted hair will eventually thin. These hairs are being moved but they're not going to grow after a certain period because they will naturally thin. This is an unfortunate reality for a lot of FUEs, especially in African-Americans where the curliness of the hair is great for coverage, but the density of hair in the donor area is usually significantly less than Caucasians or Asians, so the surgeon has to go wider to get more grafts. In a strip method, there can be some stretch on the skin, so when someone wears their hair so thin, that scar can be seen. Dr. Prasad's strategy for him is to do Hair Regeneration first to save the hairs, thicken what he has got, and then maybe if he wants some more, do a limited transplant approximately a year to 18 months later to help him get what he wants, but with as little surgery as possible. With, someone like him, Dr. Prasad would talk him out surgery altogether because he wants to invest his resources and get the results in a very intelligent way. Dr. Prasad would recommend Hair Regeneration and to look for a provider in an area that's convenient for him.
http://youtu.be/iAhdh64l2Ks
How%20Thickening%20Hair%20Non-Surgically%20Can%20Reduce%20or%20Replace%20a%20Hair%20Transplant%20
Why Stopping Further Hair Loss in Young People is Advised Before Limited Hair Transplants
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A 31-year-old male has been using Rogaine foam for 5 years. He wants his hair line fully restored and the tip of his scalp not to be visible. He wants to know the kind of hair harvesting approach would be appropriate. Dr. Amiya Prasad, a hair restoration specialist, has observed that this man has a relatively advanced stage of hair loss. Hair transplantation is getting hairs from a relatively limited donor area - it's a narrow band where the hairs can be transplanted from. In fact, there's a very disturbing trend with a popular procedure called follicular unit extractions or FUEs where hairs are being extracted outside of the well-established donor area that is known to be permanent. This trend has become popular because people are concerned about the undesirable scars related to strip surgery. Ironically, it's called strip surgery even though prior to the strip, the grafts are larger than follicular unit extractions. If a person wants to wear their hair so short, it makes a challenge because whether a strip method or an FUE method, it is likely their scar will be visible. Dr. Prasad has been in a leadership position with a procedure called Hair Regeneration. This is combining a material called platelet-rich plasma with another material called extracellular matrix originally intended for wound healing. Hair Regeneration has been Dr. Prasad's solution for reversing the thinning hair. He does a microscopic examination to identify that although an area may look smooth or without hair, there are a lot of miniaturized hairs. Hair just doesn't disappear - it goes through a process called miniaturization. Dr. Prasad has developed a way of doing this injection treatment which he does only once. He has 3-5 years of data to support the long-term benefit of the injection. He has created a wound healing mechanism that restores this stem cell activity necessary for hair growth. What he ends up doing for most of his patients these days, especially in the same age range as this man, is he recommends first doing the Hair Regeneration treatment to restore as much as the thinning hair and to reduce or halt the progression of the hair loss. If he wants to improve the areas that are too far gone from the advancement of the hair loss process, then he can do conservative strategic transplant. This is a different approach from the traditional model for transplantation. Even if a person decides to do follicular extractions once, if they do it again, the scars from the procedure are going to start to coalescence and they'll have a lot more. Dr. Prasad has patients that come from all over the world who are exactly in that situation. Some patients would be taking a drug called finasteride. Unfortunately, in recent years, a lot of younger males will not take finasteride because of its sexual side-effects. In addition, a lot of younger males who are losing hair tend to not respond as well as men who are in their 40s who have a crown thinning pattern. Someone like this man would have been committed having to go back every few years until he has run out of donor area to transplant the hairs. And a lot of people, particularly those who wear their hair short, eventually shave their hair and now they now have to deal with the marks left from transplantation. Dr. Prasad would advise that he does his research before he moves forward with the transplantation and learn about Hair Regeneration. Unfortunately, hair transplants are sold very aggressively and a lot of people realize what kind of commitment it is until it is too late. So the best option for him is to learn more and meet with doctors to learn about his options, what the future will be if he were to move forward with the transplantation, and be strategic with what he decides to do.
http://youtu.be/KY87resSeGA
Why%20Stopping%20Further%20Hair%20Loss%20in%20Young%20People%20is%20Advised%20Before%20Limited%20Hair%20Transplants%20
Time needed for Hair Transplant Results, and How to Limit Shock Loss and Stop Future Hair Loss
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A gentleman had 2000-3500 hairs transplanted. However, they started to fall out 5-10 days post surgery. He wants to know if it is normal that the hairs are falling out this early. Dr. Amiya Prasad, a hair specialist, explains that a hair transplant is the movement of an entire hair follicle into a small slit. The skin and tissue heals well enough the majority of the time, and the dermal papilla, the part of the hair necessary for growth, can remain intact even if the grafts continues to fall-out. The general term used for grafts falling out during the early post-operative period is shock loss. Shock loss happens to both the grafts as well as the adjacent hairs that are subjected to the swelling and trauma of the actual procedure. As a specialist in hair loss treatment, he has been in a remarkable leadership position with a technology he developed called Hair Regeneration. He has been doing transplants with materials extracellular matrix and platelet-rich plasma that show significant improvement in the rate of shock loss to make the difficult transition period a little easier. Even with advanced healing technology, the patient can still have a certain period where the existing hairs can look a little thinner, the grafts are not growing and aren't seen anymore. Somewhere in the early 4-6 month period, one wonders if they lost all the grafts. Fortunately, the hair is remarkably resilient. This is clearly demonstrated from the field of laser hair removal where people come for multiple laser hair treatments to suppress hair growth for a long period of time. Also, several studies have demonstrated that the hairs that are transplanted, even if the dermal papilla or the base is not intact, the middle part of the hairs or the hair shaft can still grow. Dr. Prasad noticed in his photos the level of his receding frontal hairline. He may want to discuss with his doctor the use of some type of oral medications such as finasteride. In Dr. Prasad's practice, many people come to him for Hair Regeneration treatment which is a non-surgical injection that helps reverse the thinning process of hair. This is through a method that restores critical stem cells as part of a wound healing mechanism that stops the thinning process. Many people who had a transplant and would try to avoid a second transplant actually benefit from this because it keeps the hairs. In other hair transplants, a surgeon restores hair to keep the appearance of hairs in areas which are actively healing. So a person who wants to get one transplant will need a second transplant, a third or even a fourth depending on how much donor area they have. Unfortunately, there's a limit of how much donor area a person has. Fortunately, the Hair Regeneration has been able to balance out hair transplant very well so that it improves the transplant procedure and also prevents the progression of hair loss, thicken hair and reverse thinning hair. At this point, this gentleman just has to wait this out. He has to follow-up with his doctor and the final results are somewhere in a year to 15 months. There is a lot of variability between the hair growth cycles of individuals. Some people's hair grows faster while others slower. Ultimately, at the one year point, a person is close to a 90% zone of recovery. There are also people in 15 months, a combination of shock loss where there are grafts or the native hairs eventually synchronizes to the point where the growth and density match to give the person a better sense of the final result.
http://youtu.be/yPgVNFFthbY
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Why Unusually Severe Female Hair Loss Should Be Diagnosed Before Any Restoration Procedure
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A 26-year-old female has tried everything for her hair loss such as hair transplant, PRP, mesotherapy and taking multivitamins, but with no positive results. She wants to know if stem cell therapy is the right treatment for her. Dr. Amiya Prasad, an oculofacial cosmetic surgeon and hair specialist, explains 95% of hair loss is either male pattern or female pattern hair loss. 30% of women under the age of 50 have female pattern hair loss, while 50% of women over the age of 50 have it. Female pattern hair loss is not widely publicized and is a reason for limited solutions for the problem. One of the things Dr. Prasad would do first for someone like this woman, if not done so already, is take several biopsy points in the scalp. He then sends the sample to a respected university pathology department who is familiar with hair to ensure a correct diagnosis. Once the diagnosis has been confirmed, he would proceed to options for treatment. The most common diagnosis in hair loss is androgenetic alopecia which is manifested with patients having thick hair progressing to thinner hair. Dr. Prasad's practice has developed a method of hair loss treatment called Hair Regeneration which he uses for male and female pattern hair loss as well more complex issues like androgenic alopecia, alopecia areata, systemic lupus erythematosus and other immune diagnoses. Hair Regeneration treatment is composed of extracellular matrix designed originally for wound healing, derived from pig bladder, combined with platelet-rich plasma taken from the patient's blood. When used in male pattern hair loss, there is about 99.9% success rate. In female pattern hair loss, success rate is 70%-80%, while in alopecia areata and lupus, there's about 50% success rate. Unfortunately, there are certain conditions that cannot be treated with this stem cell-based therapy which includes the scarring type of alopecia and conditions like lichen planopilaris. The term stem cell therapy has been overused and abused. A lot of people who offer this are basically offering a questionable treatment for very desperate people. It's very important that patients do their research and understand what it means to have stem cell therapy. There are stem cells derived from plants that are being injected and other people are deriving stem cells after doing liposuction. There is some legitimacy to that - there was a study where placing fat under the scalp derived from liposuction actually helped hair growth. It has to do with the stem cells and growth factors that initiate hair growth, but that's a discussion outside the scope of this question. Dr. Prasad suggests that she gets a right diagnosis then consider proper treatment. Hair Regeneration is something that she can learn about and then she can decide if this something worth pursuing. She should find a provider that can offer her that that in an area that may be convenient for her.
http://youtu.be/2rPeUbZhniw
Why%20Unusually%20Severe%20Female%20Hair%20Loss%20Should%20Be%20Diagnosed%20Before%20Any%20Restoration%20Procedure
How Scars from a Previous Hair Transplant (FUT) Can be Improved with Regenerative Medicine
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A gentleman had a hair transplant which left him with a scar. He wants to get rid of the scars but doesn't know the best option. Dr. Amiya Prasad, a hair transplant surgeon explains that hair transplantation, whether it's the strip method or the follicular unit extraction, will both result in scars. As a full body cosmetic surgeon as well, he has discussions about scars is something he does all day long whether it's for tummy tuck, facelift or breast surgery. Wound healing is a process that takes six months to a year. Even with the best closure and with the most advanced technology in terms of biomaterials, the patient could still get a scar that's undesirable. The scar can be a widened, thickened or irregular. If the patient doesn't have the best healing, the surgeon can potentially revise the scar but it's about how the body heals and that's something we can't always predict. For hair transplant scars, Dr. Prasad explains to his patients that he uses cosmetic surgery techniques to make the incisions as close as possible, and also uses a material called extracellular matrix and platelet-rich plasma. These two natural regenerative materials are used to enhance the healing process and reduce scar formation, and is also used in a treatment called Hair Regeneration to thicken existing hair and stop further hair loss. There are some options like tattooing or a new technology that is being used for wound healing for burns. However, Dr. Prasad cautions patients about medical tattooing. Although it can look good in pictures, three dimensionally, it might not look right for them. The reality is that the scar is at a deeper level and what's responsible for the thickening is more about the type of scars sometimes people refer to as a hypertrophic or keloid scar. In Dr. Prasad's practice, if someone has a thickened scar, he employs injections of material such as 5-Fluorouracil (5-FU)and Kenolog. He also had very nice results with injections of platelet-rich plasma. Platelet-rich plasma is from the patient's own blood wherein the healing factors are taken and injected to the area. It has been very successful for areas of hypertrophic or thickened scars to soften them and ideally allow some hair growth to occur through those scars. If someone had a transplant, they are somehow committed to have their hair length a little bit longer to make sure the scars are covered. If they are aware that the scars are obvious when their hair is wet or if someone is noticing it, then they may want to consider a surgical scar revision or treatment with injections, but Dr. Prasad doesn't think any topical treatment will do that much. He suggests doing some consultations with cosmetic surgeons who have a lot of experience with scars and understand what their options are. Someone can't erase a scar, but they can make a bad scar look better.
http://youtu.be/T1qec2v7MuM
How%20Scars%20from%20a%20Previous%20Hair%20Transplant%20%28FUT%29%20Can%20be%20Improved%20with%20Regenerative%20Medicine
Why a Hair Transplant is Not Recommended for People Who Prefer a Short Hairstyle like Military Cuts
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A 25-year-old gentleman is tired of shaving his hair. He wants to be able to comb his hair and be able to get a proper military haircut. He wants to know what are the options for him. Dr. Amiya Prasad explains that when someone first notices they are losing hair, it is established that more than 50% of their hair has already been lost. When someone has their most hair in their early teens, they have about a hundred thousand hairs. This means that when the first notice their hair loss, they are already down to fifty thousand or less hairs. A surgeon needs tens of thousands of hairs to replace the lost hair and get the density they want. Unfortunately, the realities of hair restoration surgery limit the actual number of hair one would get to meet their objective. The problem is that the donor area is limited to only several thousand hairs. A lot of surgeons offer all kinds of numerical manipulations that they can deliver the maximum number of grafts, but the end point or desired result is not likely to be achieved based on the degree of the advanced nature of their hair loss. According to the Norwood classification of hair loss, the more hairs lost the higher their number on the scale. This gentleman would fall in the late numbers like the Norwood 6 or even 7 classifications. There is a lot of bald scalp that he needs to cover. If someone would decide to keep their hair longer, then Dr. Prasad could strategically place hairs in a way where the patient can be able to comb their hair and allow some length of hair to cover the scalp. However, the specific desire for a military haircut which is very short may not be realistic in this gentleman's case. This is because he has to consider where the hair is being harvested from. The hair is harvested from the back so whether the surgeon does a strip method or follicular hair extraction, when the hair is cut very short, it will always show scars. It's a running myth right now that follicular unit hair extractions are scar-less. Unfortunately, this is not true. Follicular unit hair extractions actually create more scars and potentially create a wide area of diffuse dots within just one session. That can be very apparent when you wear your hair short. Unfortunately, Dr. Prasad explains that this gentleman is too far advanced for a technology that he developed called Hair Regeneration. This technology has been successful to treat people who are younger and are losing hair at younger age. He is able to help them with that injection to thicken hair. Ironically, Dr. Prasad would say that this gentleman is probably better off not pursing any type of surgical procedure if he desires to have the appropriate haircut while in the military. If he decides to go back to civilian life, then he can make decisions at that point for transplantation and how long his hair has to be in order to make enough grafts placements in a way that looks natural. As one gets older, society basically accepts a certain amount of hair loss is normal for men. It's a rule of decades that in their 20s only 20% have hair loss. Dr. Prasad thinks that this is clearly one of the factors this gentleman is dealing with. He is surrounded by people with his age and 80% of them have thick hair. But as he gets to his 30s, 40s and 50s, that number of men suffering from hair loss gets higher. So at that point, he may decide if he wants to do a shaved look and certainly many men are able to pull it off and live with it. Dr. Prasad suggests that he hold off from considering any transplantation and just stay tuned to developments in the next several years.
http://youtu.be/fQlx5-16tZ4
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Why Hair Transplants are Not Done on Teenagers, and How to Stop Loss and Thicken Hair
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An 18-year-old gentleman has hair loss which has left him with low self-confidence. He wants to know if hair transplantation is the right option for him Dr. Amiya Prasad explains that hair transplantation is the use of a limited number of genetically resistant hairs to strategically fill areas in the scalp where there is hair loss. Unfortunately, it is generally ill-advised for someone young with an aggressive hair loss pattern. When someone is losing hair rapidly, most ethical hair transplant doctors would not perform a hair transplant. However, some doctors would do a series of aggressive transplantations which would not look very natural in your age. If somebody is in their 30s, 40s or 50s then the conversation would be very different because the expectation in the degree of hair loss allows the surgeon to transplant hair in a way to frame the face. There is a general rule of decades - in their 20s, 20% has hair loss. That means 80% of men have good hair that time. Transplantation can't give that full volume that so many of their contemporaries have right now and will have in their 20s. The medical options he can consider are two drugs: minoxidil and finasteride. Minoxidil is a topical application. In Dr. Prasad's clinical experience, minoxidil doesn't make much of a difference for younger men who are losing hair so quickly. Another drug is finasteride which is a one mg tablet taken once a day. It is based on the understanding that a certain group of men have male pattern hair loss because of the androgen sensitivity of hair follicles to dihydrotestosterone or DHT. Finasteride inhibits an enzyme called 5 alpha reductase which converts testosterone to dihydrotestosterone. Unfortunately, people who are losing hair at this young age tend to not respond very well with finasteride. In addition, there are concerns about the sexual side-effects of finasteride so most of Dr. Prasad's younger patients do not want to take it. Dr. Prasad suggests a technology that he developed for the past couple of years called Hair Regeneration. This is based on the serendipitous discovery of a wound healing material called extracellular matrix and its remarkable ability to thicken thinning hair. He developed a combination of extracellular matrix and platelet-rich plasma taken from the patient's own blood. The blood is spun down to concentrate the plasma with platelets that have growth and healing factors. This is different from a transplant - it's a series of injections that are done one time. He has observed a significant improvement in the regression of thinning. In fact, there is a reversal of thinning and thickening of those thinning hairs. The more recently thinning hairs respond very well and the older thinning hairs respond not as well so timing is important when doing these injections. In Dr. Prasad's clinical experience, this injection has helped a lot of people. For 3-5 years, he has not any significant trends of needing to repeat injections. He periodically repeated injections as he developed the formulation and he has worked in enhancing results that he has already gotten. He thinks that this is a great opportunity for someone young to at least to save and thicken their existing hair.
http://youtu.be/FFY4Mx43lAg
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How Hair Loss Affects People Differently at Specific Age Ranges and How to Stop Further Hair Loss
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A 33-year-old male has a high hairline and has thinning in the crown area. He wants to know if he is a candidate for a hair transplant. Dr. Amiya Prasad says that it is relatively clear in the photo that the crown in the central area of the man's scalp appears to be thin. It is possible that hair products like gel can make hair look a bit thinner because of the clumping, but it's also not unusual for someone in their early 30s to start losing hair. There is a general rule of thumb that people use in the hair restoration world called the rule of decades for male pattern hair loss: in the 20s, only 20% of men are losing hair; in their 30s, 30% and it increases every decade. Something that someone cannot predict is the rate of the progression. Male pattern hair loss is bewildering and there are rumors about how to predict one's own future like the "rule" of the maternal uncle as being the person to determine someone's hair loss (untrue). It's actually a set of genes that are variably expressed that determine hair loss. Within the same siblings, they can have different patterns of hair loss. There are a lot that people don't know about the behavior of the hair follicle and that is what makes the hair loss treatment process so limited. For several decades, universities and private companies have been working in identifying the keys and signals responsible for hair growth. There's a lot of research going on and every two years or so, you hear something new that is found. Unfortunately, the dream of hair cloning and transplanting it is not yet possible. There are many options for male pattern hair loss. Specifically in the United States, there are two drugs which are FDA approved. Minoxidil with the trade name Rogaine is a topical that can improve hair that is thinning. It doesn't reverse the hair loss but appears to thicken some hairs as well as prolong the growth cycle of the hairs. The other drug is finasteride (trade name Propecia). It is a drug that inhibits an enzyme called 5-alpha reductase which is responsible for the conversion of testosterone to dihydrotestosterone. This is based on the understanding that hair follicles have androgen receptors and are sensitive to dihydrotestosterone. Currently, there are a lot of concerns about the sexual side effects of finasteride so a lot of younger men who are coming to Dr. Prasad in their 20s and 30s don't want to take it. Ironically, he has seen some men in their 50s and 60s who have been taking finasteride since it first came out and they have had no side effects. In Dr. Prasad's practice, he has had a great opportunity to develop a process called Hair Regeneration. This happens to be a serendipitous discovery where a material called extracellular matrix was used to help improve the healing of a transplant area and improve the growth of the transplant follicles. At the same time, it appeared to thicken thin hair. He developed an injection method where he is able to treat hair loss or thinning using this extracellular matrix and platelet-rich plasma. Platelet-rich plasma is from the patient's own blood which is spun and concentrating the areas called platelets and plasma to maximize the effects of extracellular matrix. Many of Dr. Prasad's patients who are in their 30s who don't want to take finasteride and are balancing the options of choosing transplant ultimately choose Hair Regeneration as their preferred option. One reason is that it's an injection and it's not a transplant surgery. There's also an understanding that hair transplantation does not stop progression of hair thinning. Dr. Prasad has seen men who have had multiple hair transplants and they've lost their existing hairs. They are left with only their transplant and they have this pluggy look. It keeps a lot of people from even considering a hair transplantation. With 2-3 years of data, Dr. Prasad has generally not needed to repeat the Hair Regeneration injection. There are occasional patients that he must repeat the injection but he evaluates them very carefully. He follows them with microscopy as well as with the digital photography to watch their progression after he does the injection. By saving the hairs, one is able to thicken those thin hairs that will fill a lot more effectively that any hair transplant can.
http://youtu.be/2pt1ktypZww
How%20Hair%20Loss%20Affects%20People%20Differently%20at%20Specific%20Age%20Ranges%20and%20How%20to%20Stop%20Further%20Hair%20Loss
The Causes of Temporary Shedding after a Hair Transplant,
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A gentleman had hair transplant surgery. However, he is very concerned after seeing some hairs that fell off. He wants to know if this is a normal process of hair growth. Dr. Amiya Prasad say that there are a lot of factors that affects the amount of growth a patient will have after hair transplant surgery. This gentleman's condition is still very early in the course of his hair growth after the transplant. In his practice, even with a lot of advanced methods and hair regenerative technology that he employs, he still says that the full result is seen approximately one year after the transplant. When hair is grafted, whether it's a follicular unit extraction or strip method, it takes the whole hair including its root and places it in another place - when this happens, shock loss occurs. Shock loss can be due to the impact of the swelling, or trauma of actual surgery resulting in shedding of the part of the hair. The shedding of the hair can apply to the grafts and also the existing hair adjacent to the transplanted area, which can result in an area looking barer than it was prior to the transplant. Fortunately, the root of the hair or the dermal papillae and the complex around it is intact. In Dr. Prasad's practice, one of his standard approaches of helping minimize that transition phase has been the use of Hair Regeneration technology which he developed. Hair Regeneration is a combination of a wound healing material called extracellular matrix (ECM) and platelet-rich plasma (PRP). Extracellular matrix is derived from the pig's bladder and is combined with platelet-rich plasma drawn from the patient's own blood. With this advanced regeneration technology, the hair grafts tend to heal a little bit faster and the growth starts a little bit sooner. In addition, not only it is protecting the existing hairs from the shock loss (telogen effluvium), it is also helping these thinning hairs become thicker. Hair transplant surgery is ultimately limited by the donor area in terms of the number of hairs one can place. It is also limited to the area that is being treated in terms of how fast the existing hair is going to thin out. Dr. Prasad takes all these in consideration when performing a hair transplant and using Hair Regeneration to help the surgery. As far as this gentleman's question is concerned, Dr. Prasad thinks it's very important that he speak with his doctor or speak with the staff at his doctor's office. In Dr. Prasad's practice, he sees his patients very frequently. Understanding that even though full hair growth will not occur to its fullest extend until about a year, it's important that he sees his patients every 3 months minimum and the door is very much open for them to come in within that time frame. He will also do microscopic examinations and see how things are progressing so that the patient understands that this is a natural process. Ultimately, the success of the surgery will be determined after approximately one year. For now, Dr. Prasad thinks it's fine that he is using the minoxidil. There are some evidences that minoxidil topical will help synchronize the hair growth cycles. But he should understanding that throughout the process, there are hairs that will shed and hairs that will start to grow in until he reaches that equilibrium somewhere at the 1 year point.
http://youtu.be/_ynO19xz5a4
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The Causes and Research about Hair Loss,
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A man has androgenic alopecia, commonly known as male pattern hair loss or baldness. He is planning to have hair transplantation but wants to know what is the right procedure for him. Dr. Amiya Prasad explains that male pattern hair loss is one of the most common issues for men. The rule of decades for men in their 30s is that 30% have male pattern hair loss while for men in their 50s, it's 50%. When one is younger, even if they're in the minority of the 20%, they can be affected. This can certainly have a tremendous devastating effect on one's perception about themselves. Male pattern hair loss has two FDA approved options: Rogaine (minoxidil) which is a topical treatment, and finasteride. Minoxidil appears to improve the scalp in patients who have diffuse hair loss in the crown which happens in the later ages as opposed to younger men who lose hair from the front or frontal recession. Minoxidil will not reverse male pattern hair loss as it only prolongs the growth cycle of the hair follicle so more hair is on your scalp at any given time. Finasteride, on the other hand, is a remarkable drug that inhibits an enzyme called 5-alpha reductase. This is the enzyme that converts testosterone to dihydrotestosterone (DHT). There are hair follicles that are susceptible to the effects of dihydrotestosterone and they eventually become thin. If patients take finasteride, they will reduce the dihydrotestosterone and allow those thinning hairs to become thicker. Unfortunately, finasteride has long-term sexual side-effects. Interestingly, in Dr. Prasad's practice, he has been prescribing finasteride for men for many years and he has had men in their 50s and 60s who are continuously taking finasteride who are all fine. However, younger men are coming to him in their 20s and 30s and are scared to death about taking finasteride so he won't prescribe it. The hair follicle is very complex. It's been described as the mini organ or as a zoo of stem cells. This has unfortunately frustrated so many basic science researchers. Many patients have come to Dr. Prasad who have had progressive hair loss even after transplant and they've said that 20 to 30 years ago, they were told the hair cloning is just around the corner. So Dr. Prasad sympathizes so much with the researchers who have done remarkable work. He has synthesized a rationale that he believes serves a basis for why clinically, he has been successful in doing more in a wound healing material than any biotech company. In Dr. Prasad's practice, he has had a lot of work in the clinical application of a wound healing material called extracellular matrix (ECM). When injected under the skin with the method he has developed over the past 2 years, it is able to regenerate and restore thinning hair to thicker hair with or without taking finasteride. In fact, he had so many patients who are not taking finasteride and many patients who are taking finasteride and still lose hair and all of them responded dramatically to Hair Regeneration. Through accidental discovery, Dr. Prasad found this technique to reverse hair thinning in male and female pattern hair loss using extracellular matrix through a very specific method. Extracellular matrix heals by duplication by restoring tissue. It restores the critical stem cells and signals between the dermal papilla and the progenitor cells in the hair follicle which will then restore hair to go from thin back to thick. In fact, his patients not only get back their hair, but it gets darker as if they were younger. As far as body hair transplantation is concerned, in Dr. Prasad's practice, he would probably treat this man with the injection and would see how much of their natural hair comes back. It's not a perfect solution. The hair will come back thicker but it will not be as thick as the hair before. Dr. Prasad recommends that he consider this procedure first before any transplantation. He would also advise against body transplantation because he needs a lot of grafts to cover any area. In a given transplantation, they're going around a thousand hairs so one has to be strategic of where they place those hairs. Dr. Prasad would also like him to know more about Hair Regeneration, extracellular matrix, Acell, stem cell technology and learn more about this as an option. And then have a consultation with doctors experienced in this area before he moves on with transplantation. A transplant will benefit most people for several years but one doesn't have an endless supply in the donor area.
http://youtu.be/p8VhF-5vIpE
The%20Causes%20and%20Research%20about%20Hair%20Loss%2C%20
The Factors for Continued Hair Loss after a Transplant Like Shock Loss, the Hair Growth Cycle, etc.
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A male had a hair transplant and the grafts were place in the front of his head. He wants to know if his hair transplant would thicken and blend in with his non-transplanted hair. Male pattern hair loss which is basically 95% of men experience in hair loss, and it has fast or slow progression. To combat this, patients choose to have hair transplantation. This is the strategic placement of genetically resistant hairs to help areas that are affected by male pattern hair loss. This also has to be in context of the hair loss progression and the future of where the male pattern hair loss will be after their transplant. This is because the genetically resistant area known as the donor area, will not likely fallout. Unfortunately, with the hair transplant, not every graft that's placed will take. Dr. Amiya Prasad performs a lot of hair transplants and is in a leadership position in the emerging field of Hair Regeneration. In his practice, he uses extracellular matrix made by a company called Acell in hair transplantation procedures to maximize the yield and healing of both the donor area and the hair grafts. He also uses the material to stop hair loss progression. For patients who have thinning hair who don't need a hair transplant, Dr. Prasad uses a combination of extracellular matrix and platelet-rich plasma in a treatment called Hair Regeneration. The treatment restores the critical stem cells through a limited and specific wound healing mechanism that causes thinning hair to become thicker. He has a lot of experience as a cosmetic and reconstructive surgeon in the application of extracellular matrix for wound healing and for cosmetic and reconstructive procedures. One must understand that hair grows in a cycle in three specific phases: anagen, catagen and telogen. The anagen phase is the growth phase. After a hair transplant, there is going to be various hairs in the different anagen phases. Initially, there can be shock loss affecting both the existing hair as well as the grafted hair. Un Dr. Prasad's practice, he usually waits for a year or more to make a conclusion to see the benefit of the hair transplant surgery that he performed. Generally, it is understood that people may need more than one session to get the results that they desire. There are a lot of factors to determine the effectiveness of a transplant, but the limiting factor is the density and the available hairs in the donor hair. So whether a strip method or an FUE method was done, the patient only has limited hairs to transplant. That's why in Dr. Prasad's practice, he is extremely excited to help people especially younger people or people who are starting to thin by regenerating their existing hairs so that even if he needs to do a transplant, he can be more strategic about the transplantation. Dr. Prasad's advice to him is to communicating with his doctor. He should review with his doctor his pre-operative photos and where he had the grafts placed. He should tell his doctor his expectations and move forward. Dr. Prasad thinks that in a year or in a year and a half, he would be able to make a clear conclusion as to how much of grafts actually took and what he should do to get the look that he wants.
http://youtu.be/UMT38zVNOys
The%20Factors%20for%20Continued%20Hair%20Loss%20after%20a%20Transplant%20Like%20Shock%20Loss%2C%20the%20Hair%20Growth%20Cycle%2C%20etc.%20
The Causes of a High Female Hairline, and the Factors
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A woman wants to match her temples with her hairline. She wants to know how many grafts she would need. Dr. Amiya Prasad explains that a woman's hairline can be genetically high or from a receding hairline. For some people, that's part of their genetic hair loss pattern and for some other people, it's related to wearing very tight pony tails which is called traction alopecia. One first needs to be sure that their hairline is stable in order to do an accurate and effective treatment, and also so that they can anticipate what will happen in the future. If this woman's family tends to have stable hairlines, and don't recede, then she can make a decision about how to strategize the hairline lowering process. One option is a hairline transplant. However, the number of grafts is based on the donor area otherwise known as the permanent zone. This is located at the back of the scalp where the hair never goes away and it's genetically resistant. This means that the hair transplantation is limited to the number of hairs that can be moved from one area to another. Sometimes in a hair transplantation where the hairline was made too low, the hair gets thin and you can see their grafts or plugs after 10-15 years. When Dr. Prasad does a transplant, he tries to place 20-40 hairs per square centimeter. If the patient wants to make it look thick, they may require 60-70 hairs per square centimeter. In his practice, he works from the back to the front. Unfortunately, there are doctors who work from the front to the back and this can tend to make the grafts look wide apart, sparse and artificial. So Dr. Prasad takes the maximum amount of hair he can one at a time whether by a strip method or follicular unit extraction and counts the amount of grafts. Then he'll work at the beginning point of the hairline and build forward. This way there's a feathering effect and it doesn't look as obvious. If the goal is to move the hair one inch down, he might be able to accomplish a bit but the patient may need to anticipate a second transplant if they want to get the maximum density they desire. In Dr. Prasad's practice, he tries to maximize the yield of the transplant through a method of Hair Regeneration technology using extracellular matrix and platelet-rich plasma. In hair transplant surgery, it's not just about how many hairs one can move, but also how many hairs that will actually thrive. This is because a graft has been removed from its blood supply then placed into a new area. One must not assume that if they move 1500 grafts, they'll get 1500 grafts growing. He has seen the full range from people coming to him from all over the world where they can get anywhere from 10% loss to over 90% loss of transplanted hair. So what he does to maximize the results is employ excellent surgical technique and also Hair Regeneration technology. Often there are actors and people in the public eye that have an unnatural look because the hairline looks too straight. A natural hairline is variable, feathered and curved. One can't tell a good transplant when you see it because it looks very natural. Dr. Prasad suggests that this woman meets with some qualified experienced hair restoration specialists and learn about her options. She should consider the range of what would make her satisfied with the results what she would ultimately get. In addition, density, donor area and the thickness of hair are some of the factors that Dr. Prasad considers when he examines a patient. If hair is thin, it covers less scalp than thick, coarse hair. Dr. Prasad does measurements and make drawings to show how much he can cover so it's communicated well to his patients.
http://youtu.be/PES677mrdKg
The%20Causes%20of%20a%20High%20Female%20Hairline%2C%20and%20the%20Factors%20
Why Hair Graft Survival is an Important but Often Overlooked Factor in Hairline Lowering/Transplants
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A 29-year-old woman wants to lower one side of her hairline to make it more symmetric with the other. She wants to know the best procedure for her. Hair transplant surgery to lower the right side of your hairline requires achieving a certain amount of density and space to be covered. From Dr. Amiya Prasad's clinical experience, she'll need about 2 sessions a year apart in order to get the maximal density and volume that she desires. She'll also get a few different opinions from other doctors about what is ideal for her. One thing that is overlooked during these consultations is that it is not about the number of grafts, but the number of grafts that will survive after the transplant. Some people measure results by the number of hairs doctors would place per square centimeter. In reality, it's not about the doctor's ability to do the surgery because any competent doctor can place as many hairs that he wants. The real measure of a successful hair transplant is the number of hairs that survive. With this understanding, patients are able to appreciate their game plan when it comes to hair transplantation surgeries. Dr. Prasad has seen patients who have come to him from all over the world who had very large number of hairs transplanted but had up to 90% of the hair grafts lost. So in his practice, he has been able to help a lot of his patients with something relatively new to the hair field called Hair Regeneration. This is a procedure using a material called extracellular matrix (ECM)by ACell combined with platelet-rich plasma (PRP). Platelet-rich plasma is derived from the patient's own blood that is spun down to concentrate the healing factors in the plasma called platelets. ECM and PRP have wound healing properties. He is using this technology he developed for these past several years to enhance and maximize the survivability of the hairs that are transplanted. When Dr. Prasad does his transplantation procedures in cases like this woman's, he actually starts from the back and feathers forward. This way, as the patient heals and the hairs grow, it doesn't look so sparse. Even if the transplanted hair appears very close together during surgery, compared to what nature creates, these transplants can look artificial until a second procedure. This woman's situation has a lot in her favor. Since she's dealing with a limited area and she doesn't have an issue with hair loss at this point of her life, she has more than enough donor area in order to transplant the hairs. But Dr. Prasad would advise her to look very critically at the opportunities to maximize every procedure she has. Even if she has two procedures, it is best to maximize the survival of the grafts. In addition, she also has to consider if she has a family history of hair loss.
http://youtu.be/d773bIceqk0
Why%20Hair%20Graft%20Survival%20is%20an%20Important%20but%20Often%20Overlooked%20Factor%20in%20Hairline%20Lowering%2FTransplants%20
The Temporary Cause of Hair Shedding after a Hair Transplant and How to Stop it and Future Hair Loss
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A gentleman had a transplant 2 months ago. Unfortunately, his normal hair is not growing and seems he has less hair than before. He wants to know if this is something he should worry. A hair transplant is moving hairs from a person's permanent zone located at the back of the head to the areas that are thinning or are need of hair. Initially, the transplanted hair follicles will take and then they go through a phase called shock loss. In addition, the trauma of having surgery to existing or native hairs in the adjacent area can also cause shock loss. Combining the two causes of shock loss would result to an area where there is no growth. This is the time that patients would often panic because they feel that that they are losing their grafts. Fortunately, shock loss is a normal phenomenon and is temporary. A strategy is to just wait for the hair growth cycles to synchronize and to start growth again in the course of several months to a year. There are factors that are part of the long term viability of the transplant. It includes the actual take of the transplant that was transplanted. In a standard hair transplant, not all hairs will stay. One can get 5% loss or they can get only a few hairs. They can even lose almost 90% of the transplanted hairs. When Dr. Amiya Prasad performs hair restoration surgery, he has developed a system called Hair Regeneration where he uses a wound healing material called extracellular matrix by ACell and combines it with platelet-rich plasma and vitamin D. With this, he has been successful in helping people have better growth rates with their hair transplants. It seems that this extracellular matrix wound healing technology accelerates the healing and reduces some of the initial shock loss or long-term loss based on the viability of the hair grafts. In addition, the hairs that are thinning will actually become thicker. He has had many patients from all over the world that had a transplant and learned about his Hair Regeneration and came to him to have the injection to help support their transplant. Usually they'll do that within the first month after their transplant. Wound healing is the key aspect of understanding what this gentleman is going through. So a normal process of wound healing does involve shedding of the transplanted hair and shedding of the existing hair. Also, Dr. Prasad says that he could try using some minoxidil and/or finasteride to help slow down the progression. However, this is something that he needs to discuss with the surgeon who performed the transplant.
http://youtu.be/49GgHj3VZLM
The%20Temporary%20Cause%20of%20Hair%20Shedding%20after%20a%20Hair%20Transplant%20and%20How%20to%20Stop%20it%20and%20Future%20Hair%20Loss%20
Factors of a Hair Transplant Like Age, Rate of Progression, and How to Stop Continued Hair Loss
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A gentleman has hair loss and was told by a surgeon that he need about 2300 grafts. However, he wants to know more about hair transplant surgery. Dr. Amiya Prasad explains that a young person has about a 100,000 hairs. When they start to notice hair loss, they have already lost 50% of their har. Even if getting 2300 hair grafts is an optimal transplant harvest, a surgeon must have a good strategy in using the available hairs because they can't cover the number of what was lost. Many surgeons nowadays want to sell hair transplant surgery without considering the long-term consequences of the procedure. These surgeons also do not discuss the strategies for the management of hair loss. Many transplant surgeons think of it as a continuous process where they transplant hair but as the patient's hair loss progresses, they do more transplantation. Unfortunately, the donor area or the area at the back of the neck which is genetically resistant to the effects of dihydrotestosterone (DHT), is very limited. When the person's hair loss continues despite taking finasteride, they are left with mostly transplanted hair. Losing hair native hair around the transplanted hair leads to a "pluggy" look. Asurgeon must be very strategic in using the donor hairs especially if there is only a few amount of hair available for transplantation. In Dr. Amiya Prasad's practice, he does several things as part of an initial evaluation. First, he wants to know what age they started losing hair. The reality is when people start losing hair when they're younger, it tends to be a rapidly progressing process. Often in people who have male pattern hair loss, they often don't respond very well to medical treatments such as minoxidil or finasteride. Finasteride goes by the trade name Propecia, is the enzyme that inhibits the conversion of testosterone to dihydrotestosterone (DHT). A common myth is that men who are losing hair have too much testosterone which is not true. Hair can be genetically susceptible to the effects of DHT. Sadly, finasteride has long term side-effects. Fortunately, in Dr. Prasad's practice, he offers a procedure called hair regeneration using a material called extracellular matrix (ECM) called Hair Regeneration. ECM is a material is derived from pig's bladder which is used for wound healing. It recruits adult stem called progenitor cells. These progenitor cells, which are deficient in male and female pattern hair loss, are restored and they activate the process of hair growth. The Hair Regeneration treatment uses ECM in combination with platelet-rich plasma (PRP)in a specific way customized to an individual's pattern of hair loss. With Hair Regeneration treatment, he has been able to reverse thinning hair, stop male and female pattern hair loss and restore the cells and signals that appear to be disrupted when a person has thinning hair. In addition, he is also able to help patients who have alopecia areata and systemic lupus. However, there are limitations. Hair Regeneration cannot bring back hair that is already lost, but it can make a remarkable difference with people with progressive thinning. What Dr. Prasad does is use the Hair Regeneration treatment first, then observe them for a year to a year and half. After that, he can do a hair transplant if the patient wants more hair. The difference is that he can now be more strategic with the use and placement of hair to get more coverage.
http://youtu.be/5pGkm4D32Q4
Factors%20of%20a%20Hair%20Transplant%20Like%20Age%2C%20Rate%20of%20Progression%2C%20and%20How%20to%20Stop%20Continued%20Hair%20Loss
Why Hair Transplants are Cautioned in Men in their early 20s and Stopping Hair Loss is More Urgent
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A 23-year-old gentleman has hair loss and has been using minoxidil to reduce shock loss chances. He wants to know if he is a good candidate for a hair transplant. Dr. Amiya Prasad, a cosmetic and reconstructive surgeon who also specializes in hair loss, explains that a person usually has about 100,000 hairs. Unfortunately, once someone recognizes they have hair loss, they have only about 50,000 hairs. To solve this problem, some patients consider a hair transplant but one must understand that the donor area has certain limitations. The donor area is the permanent area that is resistant to the genetic effects located at the back of the scalp. This area can only yield about 1500-2000 hairs. Even under the most optimal conditions of 10,000 hairs harvested and transplanted in 4 sessions, you will not get same volume and density in a hair transplant. Over the past several years, minoxidil and finasteride were the only pharmacological treatments to fight dihydrotestosterone (DHT), the hormone that causes hair loss. However, even with the continued use of both of these drugs, people still continue to lose hair. After many studies, it was discovered that a fatty cell layer under the scalp sends signals to the part of hair follicle called the dermal papilla for hair growth. The dermal papilla then communicates with the bulge area where progenitor cells are located. Studies show that progenitor cells are diminished in men who have male pattern hair loss. In Dr. Prasad's practice, he reverse hair thinning and thickens exiting hairs using a non-surgical procedure called Hair Regeneration. The treatment uses a material called extracellular matrix (ECM) with platelet-rich plasma (PRP) and Vitamin D that restores the body's production of progenitor cells, and reverses the hair thinning cycle, and stops continued hair loss. Dr. Prasad suggests learning more about Hair Regeneration before committing to a hair transplant. For his patients, he applies this procedure first to see how many hairs are restored non-surgically. After time passes they still want to have more hair, then he considers a hair transplant for them.
http://youtu.be/x6sQZz7u90Y
Why%20Hair%20Transplants%20are%20Cautioned%20in%20Men%20in%20their%20early%2020s%20and%20Stopping%20Hair%20Loss%20is%20More%20Urgent%20
Why Hair Grafts are so Strong they Can't Fall Out, and Normal Hair Shedding after a Hair Transplant
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A man had a hair transplant a few days ago. After he washed his head, he was able to pull out scabs and some hairs from the transplanted area. He wants to know if it is possible for grafts to fall off after a transplant. Dr. Amiya Prasad explains that it is not unusual for a few hairs to be shed after hair transplantation. Sometimes, when the scab is flaking off, it tends to cause the breakage of hair and not the actual grafts. He usually tells his patients that even after a few days, the grafts wouldn't fall out. These grafts are deeply embedded under the skin and must be physically cut out order for it to be nonviable. In Dr. Prasad's practice, he uses a combination of his transplant procedure and extracellular matrix to improve the rate of healing and graft survival rates. A certain percentage of grafts that are placed will not necessary survive and there are many factors for it. It usually takes about a year to see the full result of a hair transplant. Dr. Prasad suggests that he speak to his doctor about this and that he shouldn't stress out too much about losing a hair or two here and there. It is important to remember that it is not likely that the follicle or the key part called the dermal papilla will fall out. Also, he should keep in mind that out of the thousands of grafts, some hairs may not make it depending on how much existing hair he had. Also, a certain number of hairs may not survive because of shock loss, so it's best for him to continue to communicating with his doctor to assess his condition.
http://youtu.be/mWyxccuFum0
Why%20Hair%20Grafts%20are%20so%20Strong%20they%20Can%27t%20Fall%20Out%2C%20and%20Normal%20Hair%20Shedding%20after%20a%20Hair%20Transplant%20
How to Reverse Thinning Hair and Prevent Further Hair Loss Without Surgery
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Hair loss and thinning hair has been estimated to affect more than half of men and women by the age of 50, with men experiencing hair loss as early as the teen years. Years of research and study have found limited solutions, such topical treatments like minoxidl for men and women, drugs like finasteride for men (which has proven to have sexual side effects), and hair transplantation which relies on a limited source of donor hair. Multi-specialty cosmetic and reconstructive surgeon Dr. Amiya Prasad developed a patient-customized formulation to thicken thinning hair and stop progressive hair loss called Hair Regeneration. Clinically, it appears that Hair Regeneration thickens hair by reactivating the hair growth cycle that can be interrupted and stopped by the hormone dihydrotestosterone (DHT) as well as other processes. The Hair Regeneration treatment consisting of the wound healing material extracellular matrix (ECM) developed by ACell, platelet-rich plasma derived from the patient's own blood, vitamin D, and other factors which appears to protect the hair follicles from the effects of DHT by reactivating the body's production of adult stem cells which appear to decrease resulting in progressive hair thinning. Hair Regeneration is a non-surgical treatment that is proven to thicken hair and stop further hair loss in a single treatment for the majority of patients in the past three to five years as the procedure was developed. Hair Regeneration can also be used in combination with a hair transplant to significantly increase the survival of grafted hair follicles and treat thinning hair at the same time. The ECM component of Hair Regeneration can also improve the healing and regrowth of the donor area where hair grafts are harvested for transplant to the scalp. Dr. Amiya Prasad experience with extracellular matrix (ECM), the primary component of the Hair Regeneration formula, extends beyond hair loss treatment. Dr. Prasad has used ECM for its improved healing factors in reconstructive surgery, facelifts, eyelid surgery, and body procedures. The Hair Regeneration treatment takes about 1 hour and patients normally return to work the following day. In the majority of patients treated with Dr. Prasad's system, a single treatment has resulted in patients' seeing significant improvement in their hair thinning.
http://youtu.be/Mx6uaxbAn9c
How%20to%20Reverse%20Thinning%20Hair%20and%20Prevent%20Further%20Hair%20Loss%20Without%20Surgery%20
Possible Causes of a High Female Hairline and How to Stop Hair Loss and Thicken Hair without Surgery
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A woman has a high hairline. She can't wear her hair pulled back or wear a ponytail. She asks if a hairline advancement is appropriate for her. Dr. Amiya Prasad, an oculofacial cosmetic surgeon and hair restoration specialist, explains that a receding hairline may be due to the person's genetic pattern. If their family tends to have high foreheads, then that may due to the family's unique characteristic. It may also be caused by a condition called traction alopecia which is related to the habit of wearing a ponytail where their hair is pulled back tightly. Eventually, because of the constant puling, the hairs become nonviable and their hairline starts to recede. In addition, factors such as hormonal problems, medication and metabolic conditions may also cause female pattern hair loss. Patients with this type of problem often consider hair transplantation, hairline advancement or forehead reduction. However, these types of procedures may only last for certain time - despite successful surgery, patients may continue to have thinning hair and hair loss. The only solution for this is to stop the process and reverse it. In Dr. Prasad's practice, he has been very focused on a new technology called Hair Regeneration using ACell's extracellular matrix (ECM)that was originally designed for wound healing. This material is used in combination with a byproduct of the patient's own blood called platelet-rich plasma (PRP). Hair Regeneration reverses the thinning of hair and restores the volume and thickness by reactivating adult stem cells called progenitor cells that are responsible to activate the dermal papilla of the hair root. By doing this injection treatment, we have helped a lot of our patients avoid a surgical procedure. Even if a surgical hair transplant is performed, the Hair Regeneration treatment can enhance the procedure by stopping future hair loss, ensuring greater hair graft survival, thicken native hairs, and improve and quicken graft healing. In Dr. Prasad's office, he would use a microscope, look at the scalp and try to evaluate the proportion of normal hairs or terminal hairs compared to the hairs that are thinning. After, he'll make a recommendation about what to do. If he sees a lot of thinning hairs, then the injection is a wonderful option to restore and literally reverse the hair thinning process.
http://youtu.be/iyZpCruEVQs
Possible%20Causes%20of%20a%20High%20Female%20Hairline%20and%20How%20to%20Stop%20Hair%20Loss%20and%20Thicken%20Hair%20without%20Surgery%20
How to Clean Scabs from a Hair Transplant without Fear of Losing Grafts
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A gentleman is worried because some of his grafts haven't fallen off and there are still scabs. He wants to know if these are normal after hair transplantation. Dr. Amiya Prasad, a cosmetic surgeon and hair restoration specialist, explains that the first phase of the hair growth cycle is anagen where hairs grow normally and this lasts around 3 to 5 years. The next phase is called catagen which is also called the regressive phase and it takes about 4 weeks. The last phase is telogen which is the shredding phase - this is where the hairs normally fall off. There is also a phase after hair transplantation called shock loss where hairs shut down. Existing hairs around the grafts may also experience this phenomenon. So, within the first few weeks after hair transplantation, one can observe hairs and grafts living side by side. After a few months, there is a fair amount of shedding and after 3 to 6 months, there is growth of new hairs. After hair restoration procedures, patients are afraid of doing anything that might hurt their grafts. The scabs and crusts are basically dead skin cells, mucus and other products of the healing process. They have to be properly scrubbed off and they usually disappear after a couple of weeks. Dr. Prasad advises a proper moisturizer and a good shampoo for the hairs to keep them healthy. In Dr. Prasad's practice, he has had success with a regenerative technology called extracellular matrix (ECM). In the last 3 years of his practice he used this material, originally designed for wound healing, to help with the hair cycle with or without hair transplant. This material helps grafts heal and grow faster. The grafts also have shorter shedding phase. Extracellular matrix is also successful in reversing the hair loss process by activating adult stem cells called progenitor cells which are diminished in balding males. He combines this material with platelet-rich plasma to enhance the reversal of hair thinning and the healing process of the grafts as well as the donor strip area.
http://youtu.be/dmKP4FfeVfA
How%20to%20Clean%20Scabs%20from%20a%20Hair%20Transplant%20without%20Fear%20of%20Losing%20Grafts%20
Hair Regeneration with ACell Extracellular Matrix One Year After
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This gentleman discusses how happy he is with the Hair Regeneration non-surgical treatment performed by Dr. Amiya Prasad at Prasad Hair Restoration & Regeneration. He shows the texture and coverage of his regenerated hair one year after the treatment, and some time after his previous hair transplant. The non-surgical Hair Regeneration treatment is an injection of ACell extracellular matrix (ECM) mixed with platelet-rich plasma (PRP) and vitamin D. The individually customized Hair Regeneration injection ensures the survival of transplanted hair follicles that often meets or exceeds 100%. Meeting or exceeding over 100% survival of transplanted hair follicles happens for several reasons: ACell extracellular matrix heals by duplication or cloning, thickens existing natural hair, and protects transplanted and existing hair follicles from by triggering the production of progenitor cells - an adult stem cell that protects hair follicles from dihydrotestosterone (DHT), the hormone that causes male and female pattern baldness. Dr. Amiya Prasad is a world leader in using ACell extracellular matrix for treatment in Hair Regeneration. He developed and refined the ECM, PRP, and Vitamin D formulation over several years. As multi-specialty cosmetic and reconstructive surgeon, he brings his expertise incision closure and healing to surgical hair transplants. Dr. Prasad began his work with ACell extracellular matrix for wound healing in cosmetic and reconstructive surgeries of the face and body.
http://youtu.be/pFcAAzfFAYw
Hair%20Regeneration%20with%20ACell%20Extracellular%20Matrix%20One%20Year%20After%20
How to Restore a Receded Hairline and Stop Future Hair Loss
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A gentleman has lost hair around his peaks in his early twenties. His hairline looks nearly identical to the hairline of his grandfather. He wants to restore the hairs that he has lost. In Dr. Amiya Prasad's practice, hair transplantation uses an average of 1500 to 2000 hairs in a session, depending on the donor density or the number of hairs per square centimeter of strip. A certain number of hairs are also needed in follicular unit extractions or FEUs where individual hairs are removed by doing small punches on the scalp. Unfortunately for most men, progression of hair loss after transplantation is inevitable especially if they're not using any medical therapy such as finasteride to reduce dihydrotestosterone (DHT). Being a hair restoration specialist for over 10 years and being a leader in the field of regenerative medicine in hair restoration, Dr. Prasad has actually quantified and developed a method of preventing the progression of hair loss as well as reversing thinning hair using a material called extracellular matrix (ECM). Extracellular matrix is material that triggers the activation of the progenitor cells that are absent in balding men. It signals the dermal papilla to begin the hair growth cycle. Extracellular matrix is injected along with platelet-rich plasma (PRP) which is taken from the blood. This combination reverses thinning hair. In cases of balding and thinning hairs, Dr. Prasad usually recommends the injections first before surgery. After a year, he assesses the patient's hair to see how much was salvaged through thickening to see if it provides adequate coverage. From there, he and the patient decide the next step. He suggests that patient's learn more about hair regeneration so that they can restore a lot of those thinning hairs before they move toward surgery. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/-1k0SFFOr_Y
How%20to%20Restore%20a%20Receded%20Hairline%20and%20Stop%20Future%20Hair%20Loss
Why Eyebrow Transplants are Highly Specialized and Why Bumpy Skin can Appear During Healing
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A woman underwent an eyebrow transplant procedure where she received 300 grafts per brow. However, she is noticing bumps on her right eyebrow at the graft site. She wants to know if this is a part of the healing process. Eyebrow transplants involve a technically different style of procedure compared to a typical hair transplant on the scalp. Eyebrow hairs have to be placed in an angle so that there isn't much tissue around the hairs. Dr. Amiya Prasad uses a material called extracellular matrix (ECM) made by ACell when he does eyebrow transplants. This material has been used to reverse or treat male or female pattern hair loss. He also uses the same material in an injection form for eyebrow transplantation because it accelerates the healing process. Extracellular matrix reduces the amount of shock loss or hair loss soon after surgery and diminishes collateral hair loss considerably. Dr. Prasad explains that bumps and cobblestones after a hair transplant are usually related to the size of grafts and the size of the slit that was made. This happens when hair is placed in a hole that is a bit smaller or when there is already hair under the skin which was overlapped by the transplanted hair. This is referred to as "stacking" and creates these bumps. In the normal stages of the healing process, the body also generates collagen that contributes to the bumpy appearance. However, these bumps eventually become softer and smoother as it's a part of the normal healing process. Proper wound healing would take about 6 months or even up to a year. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/U9EOB4SJ6h0
Why%20Eyebrow%20Transplants%20are%20Highly%20Specialized%20and%20Why%20Bumpy%20Skin%20can%20Appear%20During%20Healing
Why Hair Normally Sheds After a Hair Transplant, and How to Reduce Shedding
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A gentleman had undergone a hair transplant 2 months ago but still hasn't seen any hair growth on his head. He is concerned because he is not able to find the transplanted hair roots anymore. Dr. Amiya Prasad explains that in any hair transplant, once the hair is transplanted, it can grow for a few weeks but then it goes through a normal growth cycle of shedding. A normal hair growth cycle consists of a growing phase called the anagen phase which represents 85% to 90% of the hairs in less than 3-5 years. After that, it goes through the catagen phase where the hairs stop growing and sheds for several months. So, it is normal to go to a phase after hair transplant where one doesn't see hairs growing. To help with the shedding, Dr. Prasad uses a material called extracellular matrix made by ACell which advances wound healing. It works by duplication and recruitment of adult stem cells. In many of his hair transplants, he finds that his donor incisions heal better with this material and they don't go through as much shedding phase that is typical of a hair restoration procedure. Dr. Prasad says that his concern is natural and a little patience would allow him to appreciate the benefit of the transplant. Approximately a year from the date of his transplant, he can make a decision if he needs an additional transplant procedure. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/nKvVU9oZ1Oc
Why%20Hair%20Normally%20Sheds%20After%20a%20Hair%20Transplant%2C%20and%20How%20to%20Reduce%20Shedding%20
The Causes and Statistics of Hair Loss at an Early Age,
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A gentleman in his early 20s has no history of baldness in his family. However, he had a high hairline all his life. He is looking to get at an FUE (follicular unit extraction) transplant and wants to know how many grafts he would need. Dr. Amiya Prasad, a hair restoration specialist and cosmetic surgeon, explains that this man is dealing with male pattern hair loss. He emphasizes that most men will have some type of male pattern hair loss. Hair follicles which are protected by certain substances are literally choked by something called dihydrotestosterone (DHT). Many men mistakenly believe that they have hair loss because of too much testosterone in the body. However, it is the conversion of testosterone to dihydrotestosterone that causes hair loss. To diminish DHT a drug named Finasteride was introduced during the 90s. In 2011, research that was done in the University of Pennsylvania discovered that certain adult stem cells called progenitor cells are responsible for the hair growth process. When they stop working, hair follicles are more vulnerable to DHT. In addition, the researchers noticed in the scalps of bald men that hair follicles are present but they did not continue to grow. In Dr. Prasad's practice, he has developed an injection using a wound healing material called extracellular matrix (ECM) that stimulates the body to produce progenitor cells. This is used in combination with platelet-rich plasma to stimulate and reverse thinning hair. This material also causes healing at the cellular level and protects the hair follicles from the effects of DHT. The number of grafts in a hair transplant depends on the area that needs to be covered. Generally, Dr. Prasad transplants about 1500 to 2000 hairs. However, he is always hesitant to perform hair transplants in young patients. This is because people who are in their 20s continuously loose hair even after a transplant. The new hairs are still vulnerable to the effects of DHT. He usually suggests first the regenerative technology injections before the transplant to protect the hair. After a year, he observes how much re-growth the patient has and then decides from there. If a hair transplant is done, injections of the regenerative technology are done so that the donor area heals beautifully and so there is increased survivability of the new hairs. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/m73TyH84aXg
The%20Causes%20and%20Statistics%20of%20Hair%20Loss%20at%20an%20Early%20Age%2C%20
How to Save and Thicken Existing Hair without Surgery Before Considering a Hair Transplant
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A 24-year-old male had hair loss since he was 18-years-old. Heavy thinning happened on the temples and top areas of his scalp. He wants to know a permanent solution to his problem and how many grafts he needs to cover the bald area. Dr. Amiya Prasad explains that hair loss for men is based on a genetic tendency that causes thinning typically in the temple area and the crown. The classification of hair loss is called the Norwood-Hamilton scale. Depending on family history, men can start losing hair as early as late teens to their early 20's. There are also progenitor cells that act like a protective barrier around the hair follicle, but in male pattern hair loss , these progenitor cells stop working. However, even after a hair transplant, hair loss may continue to lose hair which is described as the treadmill effect. It is important to protect the hair from further progression of hair loss before considering a transplant. Currently in the United States, there are two FDA approved drugs for hair loss: minoxidil and finasteride. Finasteride, or the trade name Propecia, works by diminishing the amount of dihydrotestosterone (DHT) that attacks genetically susceptible hair follicles and causes them to thin and eventually die. However, finasteride may have long-term sexual side effects. In Dr. Prasad's practice, he uses a material called extracellular matrix that is derived from the pig bladder and is used for would healing. This is used in combination with platelet-rich plasma (PRP) and vitamin D to help reverse hair thinning. This restores the protective effect of progenitor cells by recruiting adult stem cells to protect the hair follicle. This formula is delivered by injection to the affected area. In a hair transplant, the number of grafts needed would depend on the donor area: density, thickness of hair, and the amount of hair available for transplant are all taken into consideration. However, Dr. Prasad would advise to have the ACell extracellular matrix and PRP injection first to stop the thinning of hair and the loss of hair while thickening your existing hair before considering a hair transplant. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/1mrpuP1Ou2s
How%20to%20Save%20and%20Thicken%20Existing%20Hair%20without%20Surgery%20Before%20Considering%20a%20Hair%20Transplant%20
How a Hair Transplant with ACell ECM can Give Better Hairline Lowering than a Reverse Forehead Lift
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A 22-year-old female was born with a high hairline and an odd cowlick. She wants at least an entire inch of hairline advancement. She is confused between having a reverse forehead lift or hair grafting. Dr. Amiya Prasad, a certified facial cosmetic and reconstructive surgeon who also specializes in hair restoration, is in a unique position to advise her as he can expertly perform either procedure. When he does forehead lifts or face lifts, he assess the skin elasticity to anticipate risks of relative scarring that can occur from a procedure like a reverse forehead lift and a hair transplantation procedure. In this case, he would recommend hair grafting for practical and cost reasons. To create a lower hairline, Dr. Prasad explains that it is important to be mindful of how close the hairs are placed in order to make it look natural. A good strategy is to slowly lower the hairline from the point where it is most dense and transition it from there downward. This is based on the number of grafts that are available as well as the thickness and quality of the hair. In a cowlick, a procedure that might be helpful is to take hairs from the cowlick and transplant them in a different direction to get better coverage. In traditional hair transplantation, there are hairs that don't make it because of the type of hair, the surgical technique employed and the amount of bleeding that occurred. In Dr. Prasad's practice, he uses a material called ACell extracellular matrix which aids in healing by the duplication of tissue. This results in the activation of adult stem cells. In addition, the adult stem cell known as progenitor cells which become less capable or become defective will make hair follicles susceptible to dihydrotestosterone (DHT) the hormone that causes hair loss . Extracellular matrix and platelet-rich plasma formulation of the Hair Regeneration injection stimulates production of progenitor cells, thereby protecting the hair from the hair loss effect of DHT. So extracellular matrix is a good intervention to reverse male or female pattern hairloss and would contribute to the thickening of the hair. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/E5EhNIII6fg
How%20a%20Hair%20Transplant%20with%20ACell%20ECM%20can%20Give%20Better%20Hairline%20Lowering%20than%20a%20Reverse%20Forehead%20Lift%20
How Survival of Hair Grafts of Eyebrow Transplants Highly Increase with ACell Extracellular Matrix
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A woman wants to do an eyebrow hair transplant which has the same shape and size to increase density. Her doctor analyzed that she should have 200 grafts on each side but he is confused whether to do a single, double or triple hair graft. She wants to know the best choice for her eyebrows. Dr. Amiya Prasad explains that in eyebrow transplants, transplanted hairs tend to grow in one or two groupings which are parallel to the skin. The number of grafts that a patient needs also depends on the type of existing hairs and the size of the slits that need to be placed to make it look natural. In hair transplants, there is a certain percent of hair grafts that do not survive and fall-off. This is called shock loss where hair follicles that were implanted temporarily go to a resting phase. Unfortunately, there are a lot of surgeons who offer patients more grafts but that may not be a good idea because placing more grafts may result in more loss. Also, during hair transplantations, incisions made from the act of making openings in the area can injure native hair. To solve this, Dr. Prasad uses a material called extracellular matrix made by a company called ACell. This material improves the survivability of the hair grafts that are placed for any type of transplant. This works by stimulating the body to heal by duplication or recruiting adult stem cells that enhance healing. When Dr. Prasad does this procedure, he does this in a couple of ways: one is to help the area where he places the grafts heal, and second is to help the donor area heal so that there is no perceptible scar and the hairs grow through it. In addition, he has been using this material as a non-surgical solution for thinning hair. He has also found out that thinning eyebrow hairs can respond in injection alone and respond well when in combination with a transplant. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/8X-LjOwctzU
How%20Survival%20of%20Hair%20Grafts%20of%20Eyebrow%20Transplants%20Highly%20Increase%20with%20ACell%20Extracellular%20Matrix%20
How to Stop Hair Loss and Thicken Existing Hair in Young Men,
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A gentleman has been facing the issue of hair loss since 18-years-old. He is now 21 and is wondering if he should get a hair transplant. Dr. Amiya Prasad explains that male pattern hair loss or male pattern baldness (MBP) is usually caused by a genetic predisposition. Progenitor cells which are important in the protection of the hair follicles may be diminished or absent, leaving hair follicles vulnerable to the effects and attacks of dihydrotestosterone ( DHT). This causes the sudden weakness of the hair follicles and literally chokes them until they get smaller, which is referred to as miniaturization. An FDA approved drug to combat DHT is Finasteride which is an oral medication that blocks it. Unfortunately, there have been a lot of concerns about the long term sexual side effects of using this drug. Another drug is Minoxidil which has been around since the 80s, which is a topical treatment. Minoxidil tends to be not effective for men who have had pattern hair loss at a younger age. Dr. Prasad emphasizes that it has been a standard not to treat young people with a transplantation because of a couple of reasons: even with a transplant, you can't achieve the level of thick hair; and you may still lose hair from the ongoing progression of baldness. This means that even if we transplant one hair, you may lose two or three hairs. In Dr. Prasad's practice, he approaches hair loss in a different way called Hair Regeneration using a material called extracellular matrix (ECM) made by ACell which is used for wound healing. This material is combined with platelet-rich plasma (PRP), a material that contains growth factors drawn from the patient's own blood, and also combined with vitamin D. It is placed in a very specific way under the layer of skin called the dermis that stimulates cellular repair and growth. This results in the growth and healing of hair follicles. In fact, patients who had these injections look as if they had a hair transplant. When deciding on whether or not to do a hair transplant, Dr. Prasad usually waits about a year after he does the Hair Regeneration injection. He then discusses with the patient about a decision of a hair transplant based on a couple of factors: the donor hair density or how much hair the patient has in the back per square centimeter; and the hair thickness and quality because it takes more fine hairs to cover areas that can be covered by one thick hair. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/OHvxl56LeT4
How%20to%20Stop%20Hair%20Loss%20and%20Thicken%20Existing%20Hair%20in%20Young%20Men%2C%20
How a Hair Transplant can be done on Grafted and/or Scarred Skin
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A man had a large skin cancer on the top of his head that was removed and a skin graft was placed on his scalp. He also had radiation that left him a crater on the top of his head. He asks if it is possible to have hair replacement in the area. Dr. Amiya Prasad, a multispecialty cosmetic surgeon who also specializes in hair restoration, says that it is possible to transplant hair on grafted skin. He has been able to transplant hair on people who've had scars and burns with great success. However, when there is a history of radiation, there is always a concern about the blood vessels, vascular supply and whether it will be adequate to build the support for the hair follicles. When it comes to indentation on the scalp with some fat atrophy or volume loss from the radiation, Dr. Prasad would consider some different actions such as treating the indentation with a micro fat transfer. This procedure is very dependent on the skin quality and the amount of scar tissue. In Dr. Prasad's practice in surgical hair transplants, he routinely uses a material called extracellular matrix (ECM) made by ACell. This is a material that is derived from the bladder of pigs that has a protein called a scaffold that has been used to help restore wounds, particularly open wounds. It was first developed for the military to heal war injuries by regenerating tissue. He also has been using this material for the past 7 years for the treatment of hair loss and used the same material for several of his cosmetic and reconstructive surgeries. When used in the body, it stimulates adult stem cells so that the wounds heal by duplication of the natural tissue that's supposed to be there instead of healing by scarring. When ECM is used in hair transplants, it increases hair growth. Before jumping right away to hair transplant, Dr. Prasad would first do a physical examination and do a test session on the scalp. There, he would transplant 100 or 200 hairs by microscopic surgical technique from the donor part of the scalp and inject extracellular matrix. After the surgery, he would observe how those hairs grow. If they grow well, then he and the patient would have more confidence about going ahead with the procedure. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/Kg6GmPkWFJk
How%20a%20Hair%20Transplant%20can%20be%20done%20on%20Grafted%20and%2For%20Scarred%20Skin%20
Lowering a Female Hairline with a Hair Transplant
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A woman always had a high forehead, but after some health problems she lost more hair. She asks if she would benefit from hair transplantation. She also asks if it would look natural without any visible scars. Dr. Amiya Prasad, a cosmetic surgeon and hair restoration specialist, explains that female pattern hair loss is more of a defused thinning of hair compared to male pattern hair loss which is more about receding hairlines in the temple as well as in the thinning of the crown. To know the real cause of the hair loss, he would do a biopsy about 2-3 mm in diameter and taking several representative section of the scalp and send it to a pathology lab to get the diagnosis. Hair transplantation is the movement of genetically resisted hair. Usually, the hairs are taken from the middle portion of the back of the head. The success of the hair transplant is dependent on the density of the donor area, how thick the individual hairs are and how much coverage must be achieved. Unfortunately, there are a lot of people who perform hair transplantations who are not qualified to do the surgery and who did not have the right training and background. They tend to have wrong diagnosis of the patient and have unsuccessful hair transplantation. In hair transplantations, some hairs don't survive because of bleeding, blood pressure or just the way the tissue was manipulated. So, when Dr. Prasad does these types of surgeries, such as moving the hair forward, he tends to be very conservative. He uses the application of a regenerative medicine technology called extracellular matrix (ECM) made by ACell that's derived from the pig. This material allows healing and the activation of the adult stem cells so that there is virtually no scar tissue. It also heals by duplication which accelerates the healing process. It results in greater density of hairs as well as a natural-looking hairline. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/i9GnDpoekrQ
Lowering%20a%20Female%20Hairline%20with%20a%20Hair%20Transplant%20
Why Hair Can Continue to Fall After a Hair Transplant and How to Stop Hair Loss Non-Surgically
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A gentleman had hair transplantation six months ago. The hair growth was good, but along with the new hairs growing, he is having a very high rate of hair fall from the transplanted area. He wants to know if this is a normal or serious issue. Dr. Amiya Prasad explains that the procedure of hair transplantation where hair is placed in between existing hair can cause a situation called shock loss. The combination of swelling and trauma can put hairs in an advanced stage called the telogen phase where the follicles are not actively growing. Eventually, they fall out and after several months, they start to re-grow. In addition, genetically susceptible hairs or hairs that are easily affected by dihydrotestosterone (DHT) may also continue to fall out even after a transplant. In Dr. Prasad's practice, he uses a material called extracellular matrix (ECM) made by ACell and combines it with platelet-rich plasma (PRP) to treat both male and female pattern hair loss. This material he calls Hair Regeneration has helped a lot of his patients around the world, particularly young people, not only treat the progression of hair loss, but reverse hair thinning. After the treatment, their hairs that looked almost gone because of the effects of DHT on hair thinning came back thicker and fuller. A year after the treatment, if his patients want more hairs, he offers an option of hair transplantation. During the surgery, he uses the extracellular matrix treatment for advanced healing in the donor area. He also uses this material during the harvesting of the strip and the closure so that the incisions heal beautifully and so that the hair follicles that were transplanted flourish. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/mBw_yk16vWY
Why%20Hair%20Can%20Continue%20to%20Fall%20After%20a%20Hair%20Transplant%20and%20How%20to%20Stop%20Hair%20Loss%20Non-Surgically%20
How Having a Short Hairstyle, Scar Tissue and Ethnic Origin Factor into a Hair Transplant
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A 22-year-old gentleman has a small bald spot on his head. He wants to know how many grafts can be placed on the area and how much it would cost to get the procedure done. Dr. Amiya Prasad, a hair restoration specialist and cosmetic surgeon, explains that there are two types of hair transplantations: follicular extraction using donor strips and removal of hair using small punches. During transplantation, hairs from the back of the head is taken and moved to the frontal area. Unfortunately, some scarring will be present and wearing the hair short may somehow may make it obvious. In addition, people who have African origin have a greater space between hair follicles compared to Caucasians or Asians and their hairs grow in a circular or curly pattern. When Dr. Prasad evaluates someone for hair transplant, he looks at the area that needs to be transplanted and estimates how many hairs can be placed. With this, he is able to estimate if the hair follicles would have enough blood supply for them to survive because not all hairs after hair transplantation will survive and grow. Some grafts will normally fall out because of the normal healing cycle of hairs. Fortunately, Dr. Prasad has discovered a hair regeneration technique based on stem cells to increase the survivability of hair grafts. He uses a material called extracellular matrix (ECM) made by ACell as a non-surgical treatment for male and female pattern hair loss. ECM is combined with platelet-rich plasma (PRP) increases the survivability and healing ability of hair follicles after a transplant. Also, the area where the hair was harvested also heals better with lessened appearance of scars. Dr. Prasad recommends hair transplantation for this gentleman's case. However, he cannot tell the exact cost of all these procedures because a thorough physical examination must first be done to assess the degree of hair loss and the type of skin he has. He adds that the number of hairs that must be transplanted, how the hairs will be harvested and the use of advanced technology for the hair regeneration should be the standard of care to achieve the gentleman's goal. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/53Yn6hDrRY0
How%20Having%20a%20Short%20Hairstyle%2C%20Scar%20Tissue%20and%20Ethnic%20Origin%20Factor%20into%20a%20Hair%20Transplant%20
How to Stop Male Pattern Hair Loss at an Early Age without Surgery
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A 21-year-old male has only a rim of hair left. He wants to know that are the options for him. Dr. Amiya Prasad explains that this young man is suffering from a condition called male pattern hair loss or male pattern baldness. It is a progressive loss of hair due to the hair follicle becoming less able to generate a thick hair. This is caused by a chemical called DHT or dihydrotestosterone that affects genetically susceptible hair follicles. In a normal hair growth cycle, it goes from anagen which is the growing phase, to telogen, the sleeping phase, then goes back to anagen again. However, DHT disrupts the growth of the hairs so it results in smaller and thinner hairs. In addition, a group from University of Pennsylvania was able to show that a particular cell called the progenitor cell, that originates from the middle part of the hair follicle, is responsible for the re-growth of new hair. However, men who are balding did not produce a specific protein for the progenitor cells that was responsible for hair growth. To treat hair loss, there are two FDA approved drugs in the United States: finasteride which is a pill and Minoxidil which is a solution or a foam. Finasteride is effective in reducing DHT and can slow down progression of hair loss, which is also called androgenic alopecia. However, a successful and different concept that Dr. Prasad uses in his practice in approaching hair loss is called Hair Regeneration. This is based on wound healing and stem cell regeneration in an injection that combines a material called extracellular matrix made by ACell (ECM) and part of your own blood called platelet-rich plasma (PRP). This injection is placed at the cellular level to protect the hair follicles. As a clinician, Dr. Prasad thinks that the better way is to protect dermal papilla where the hair follicles come from and save the remaining hairs with the use of the ECM + PRP injection. So before a transplant, he does a test injection and sees how the patient's hairs respond to it. He has seen that a lot of his patients have benefited from the injection and observed that it is able to reverse thinning hair in 99% of his male patients and 70% of his female patients. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/c6ht6Joleek
How%20to%20Stop%20Male%20Pattern%20Hair%20Loss%20at%20an%20Early%20Age%20without%20Surgery
How a Non-Surgical Hair Loss Treatment Reverses Female Pattern Hair Loss, Even When Under Stress
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A 32-year-old woman is having a hair loss problem at the top of her head. She has never been pregnant and is planning to get married and pregnant within the next year. She wants to know if she is a good candidate for a hair transplant. Dr. Amiya Prasad, a hair restoration specialist and cosmetic surgeon, explains that there are two scales when diagnosing hair loss: the Norwood-Hamilton scale for men and the Ludwig scale for women. In male pattern hair loss, there is recession in the temples and thinning of the crown. When women have hair loss, there is a defused thinning of the entire scalp and the front hairline tends to stay intact. There is also widening of the part which is a reflection of diminishing overall density of the hair and sometimes called the Christmas tree pattern because it looks like a Christmas tree from the top view. In addition, women also experience a phenomenon called telogen effluvium which is also called stress hair loss. This is mainly caused by stress where the hairs keep falling out. This can happen during pregnancy when a woman may lose a lot of hair before, during or after pregnancy. However, this is a common phenomenon for women and a hair transplant is not encouraged. Hair loss can still go on after a hair transplant if the woman is still experiencing stress or the underlying factors that caused the hair loss are not addressed. Sadly, the only option for hair loss treatment for women is minoxidil and a lot of dermatologists also treat hair loss with corticosteroid injections. This is based on the belief that female pattern hair loss is caused by an inflammatory component. However, at present, there is still no exact reason that causes this female pattern hair loss. In Dr. Prasad's practice, he has developed a non-surgical injection treatment that has been very successful in treating both male and female pattern hair loss. 99% of his male patients had a clear improvement of hair quality and thickness while 70% of his female patients also had a similar level of improvement. This treatment is composed of extracellular matrix made by ACell which is combined with platelet-rich plasma that is injected into the scalp. This injection contains adult stem cells called progenitor cells that help protect hair follicles from different factors that may cause hair loss. It acts like a shield to reverse hair thinning and thicken existing hair. This prevents progression of hair loss during different stages of a stressed pregnancy. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/d-PrJmUwkg0
How%20a%20Non-Surgical%20Hair%20Loss%20Treatment%20Reverses%20Female%20Pattern%20Hair%20Loss%2C%20Even%20When%20Under%20Stress%20
How Female Hair Loss and High Hairline can be Treated with a Surgical and Non-Surgical Combination
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A woman has curly hair and high hairline. She asks if she is a good candidate for a hair transplant and what the options are to lower her hairline. Dr. Amiya Prasad, a board certified facial cosmetic surgeon and a hair restoration specialist, says that female pattern hair loss tends to be a defused type of hair loss compared to male pattern which is more of receding hairline or the crown gets larger. Dr. Prasad explains that there are some factors that are choking the life out of hair follicles. In men, dihydrotestosterone (DHT) destroys hair follicles. However, in women, it's an unknown cause but there is some inflammation basis for that loss. Based on recent studies, stem cells or progenitor cells that protect the hair follicles stop working. Unfortunately, unlike men who have option of taking Finasteride and oral drugs that blocks dihydrotestosterone, there is no equivalent for women. In Dr. Prasad's practice, as a normal part of non-surgical treatment of hair loss, he does injections of a material called extracellular matrix from a company called ACell, combined with platelet-rich plasma. Platelet-rich plasma is drawn from the patient's own blood and it contains the active growth factors that are part of the healing process. The Hair Regeneration injection triggers the activation of the body's adult stem cells or the progenitor cells. These cells protect the hair follicles from DHT and the factors that cause female pattern hair loss. In addition, Hair Regeneration not only re-grows hair that is thinning but it also stops and prevents the progression of the hair loss process. Hair transplantation to lower the hairline must be done in a conservative approach. This is because there is a great possibility of seeing visible scars after the surgery. Dr. Prasad's usual approach for hair transplantation is that he tries to pack the hair as close as possible to have a proper blood supply to the area. This makes the hair transplant look more natural and it blends with the hairlines while it is healing. In addition, he also uses the Hair Regeneration injection to increase the survivability of the transplanted hairs so that they aren't susceptible to factors that affect female pattern hair loss. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/xI5LleeDRck
How%20Female%20Hair%20Loss%20and%20High%20Hairline%20can%20be%20Treated%20with%20a%20Surgical%20and%20Non-Surgical%20Combination%20
How Hair Transplants are Improved by Using IV Sedation with General Anesthesia During Surgery
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Dr. Amiya Prasad, a multi-specialty cosmetic and reconstructive surgeon, has brought his innovative techniques in quick recovery facelifts and specialized eyelid surgery to his industry leading hair regeneration and transplantation practice. Dr. Prasad discovered that most hair transplant doctors were overlooking a common element in hair transplants - local anesthesia. Local anesthesia is the industry standard in hair transplants, meaning that patients are wide awake and fully aware during the procedure. Unlike general anesthesia, blood supply is not interrupted during surgery, and blood supply is critical in getting transplanted hair follicles to take and heal. However, Dr. Prasad noticed that patients using local anesthesia were fidgety during the long hair transplant procedure, or generally anxious which caused their blood pressure to rise. Having blood pressure rise during the surgical hair transplant can negatively affect the hair transplant. Having elevated blood pressure leads to several complications in a hair transplant: follicle "popping", excessive bleeding, and keeping transplanted hair follicles outside of the body longer than necessary. Dr. Prasad treats every hair graft as extremely valuable. If bleeding can be avoided by surgeons, they will avoid it because having less blood supply slows healing time. The biggest problem is known as "popping" where implanted hair follicles are pushed out by elevated blood pressure. In some cases, hair grafts have to be placed several times before they take because of popping. This extends the time of the surgery and decreases the survivability of the grafts since they have a harder time staying in place, and stay out of the body for a longer period. Hair grafts are also manipulated more if they are implanted more than once, which also decreases their survival. Dr. Prasad applied the same technique that helps his facelift and eyelid recovery patients recover faster from surgery, which is using local anethesia with LITE IV sedation. This combination uses local anesthesia combined with intravenous (IV) sedation using liquid valium that relaxes the patient while keeping them wide awake. The result is having lower blood pressure while still having a constant blood supply to the head, ensuring that hair grafts take the first time, and overall healing is faster. The overall result is more overall hair being successfully transplanted, and the survival of transplanted hair follicles. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/iFRGCO0_R0E
How%20Hair%20Transplants%20are%20Improved%20by%20Using%20IV%20Sedation%20with%20General%20Anesthesia%20During%20Surgery%20
Hair Regeneration with ACell Extracellular Matrix One Year After
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This gentleman discusses how happy he is with the Hair Regeneration non-surgical treatment performed by Dr. Amiya Prasad at Prasad Hair Restoration & Regeneration. He shows the texture and coverage of his regenerated hair one year after the treatment, and some time after his previous hair transplant. The non-surgical Hair Regeneration treatment is an injection of ACell extracellular matrix (ECM) mixed with platelet-rich plasma (PRP) and vitamin D. The individually customized Hair Regeneration injection ensures the survival of transplanted hair follicles that often meets or exceeds 100%. Meeting or exceeding over 100% survival of transplanted hair follicles happens for several reasons: ACell extracellular matrix heals by duplication or cloning, thickens existing natural hair, and protects transplanted and existing hair follicles from by triggering the production of progenitor cells - an adult stem cell that protects hair follicles from dihydrotestosterone (DHT), the hormone that causes male and female pattern baldness. Dr. Amiya Prasad is a world leader in using ACell extracellular matrix for treatment in Hair Regeneration. He developed and refined the ECM, PRP, and Vitamin D formulation over several years. As multi-specialty cosmetic and reconstructive surgeon, he brings his expertise incision closure and healing to surgical hair transplants. Dr. Prasad began his work with ACell extracellular matrix for wound healing in cosmetic and reconstructive surgeries of the face and body. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/pFcAAzfFAYw
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How to Save and Thicken Existing Hair without Surgery Before Considering a Hair Transplant
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A 24-year-old male had hair loss since he was 18-years-old. Heavy thinning happened on the temples and top areas of his scalp. He wants to know a permanent solution to his problem and how many grafts he needs to cover the bald area. Dr. Amiya Prasad explains that hair loss for men is based on a genetic tendency that causes thinning typically in the temple area and the crown. The classification of hair loss is called the Norwood-Hamilton scale. Depending on family history, men can start losing hair as early as late teens to their early 20's. There are also progenitor cells that act like a protective barrier around the hair follicle, but in male pattern hair loss , these progenitor cells stop working. However, even after a hair transplant, hair loss may continue to lose hair which is described as the treadmill effect. It is important to protect the hair from further progression of hair loss before considering a transplant. Currently in the United States, there are two FDA approved drugs for hair loss: minoxidil and finasteride. Finasteride, or the trade name Propecia, works by diminishing the amount of dihydrotestosterone (DHT) that attacks genetically susceptible hair follicles and causes them to thin and eventually die. However, finasteride may have long-term sexual side effects. In Dr. Prasad's practice, he uses a material called extracellular matrix that is derived from the pig bladder and is used for would healing. This is used in combination with platelet-rich plasma (PRP) and vitamin D to help reverse hair thinning. This restores the protective effect of progenitor cells by recruiting adult stem cells to protect the hair follicle. This formula is delivered by injection to the affected area. In a hair transplant, the number of grafts needed would depend on the donor area: density, thickness of hair, and the amount of hair available for transplant are all taken into consideration. However, Dr. Prasad would advise to have the ACell extracellular matrix and PRP injection first to stop the thinning of hair and the loss of hair while thickening your existing hair before considering a hair transplant. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/1mrpuP1Ou2s
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How a Hair Transplant with ACell ECM can Give Better Hairline Lowering than a Reverse Forehead Lift
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A 22-year-old female was born with a high hairline and an odd cowlick. She wants at least an entire inch of hairline advancement. She is confused between having a reverse forehead lift or hair grafting. Dr. Amiya Prasad, a certified facial cosmetic and reconstructive surgeon who also specializes in hair restoration, is in a unique position to advise her as he can expertly perform either procedure. When he does forehead lifts or face lifts, he assess the skin elasticity to anticipate risks of relative scarring that can occur from a procedure like a reverse forehead lift and a hair transplantation procedure. In this case, he would recommend hair grafting for practical and cost reasons. To create a lower hairline, Dr. Prasad explains that it is important to be mindful of how close the hairs are placed in order to make it look natural. A good strategy is to slowly lower the hairline from the point where it is most dense and transition it from there downward. This is based on the number of grafts that are available as well as the thickness and quality of the hair. In a cowlick, a procedure that might be helpful is to take hairs from the cowlick and transplant them in a different direction to get better coverage. In traditional hair transplantation, there are hairs that don't make it because of the type of hair, the surgical technique employed and the amount of bleeding that occurred. In Dr. Prasad's practice, he uses a material called ACell extracellular matrix which aids in healing by the duplication of tissue. This results in the activation of adult stem cells. In addition, the adult stem cell known as progenitor cells which become less capable or become defective will make hair follicles susceptible to dihydrotestosterone (DHT) the hormone that causes hair loss . Extracellular matrix and platelet-rich plasma formulation of the Hair Regeneration injection stimulates production of progenitor cells, thereby protecting the hair from the hair loss effect of DHT. So extracellular matrix is a good intervention to reverse male or female pattern hairloss and would contribute to the thickening of the hair. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/E5EhNIII6fg
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How Survival of Hair Grafts of Eyebrow Transplants Highly Increase with ACell Extracellular Matrix
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A woman wants to do an eyebrow hair transplant which has the same shape and size to increase density. Her doctor analyzed that she should have 200 grafts on each side but he is confused whether to do a single, double or triple hair graft. She wants to know the best choice for her eyebrows. Dr. Amiya Prasad explains that in eyebrow transplants, transplanted hairs tend to grow in one or two groupings which are parallel to the skin. The number of grafts that a patient needs also depends on the type of existing hairs and the size of the slits that need to be placed to make it look natural. In hair transplants, there is a certain percent of hair grafts that do not survive and fall-off. This is called shock loss where hair follicles that were implanted temporarily go to a resting phase. Unfortunately, there are a lot of surgeons who offer patients more grafts but that may not be a good idea because placing more grafts may result in more loss. Also, during hair transplantations, incisions made from the act of making openings in the area can injure native hair. To solve this, Dr. Prasad uses a material called extracellular matrix made by a company called ACell. This material improves the survivability of the hair grafts that are placed for any type of transplant. This works by stimulating the body to heal by duplication or recruiting adult stem cells that enhance healing. When Dr. Prasad does this procedure, he does this in a couple of ways: one is to help the area where he places the grafts heal, and second is to help the donor area heal so that there is no perceptible scar and the hairs grow through it. In addition, he has been using this material as a non-surgical solution for thinning hair. He has also found out that thinning eyebrow hairs can respond in injection alone and respond well when in combination with a transplant. Before making a decision, you really need a personal evaluation with New York Hair loss specialist Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case.
http://youtu.be/8X-LjOwctzU
How%20Survival%20of%20Hair%20Grafts%20of%20Eyebrow%20Transplants%20Highly%20Increase%20with%20ACell%20Extracellular%20Matrix%20