Tag Archives: rogaine

Stress, Depression and Androgenic Alopecia

The last few months have not been the rosiest time in the history of human happiness, has your hair come out the worse for it? Stress and depression are often linked with hair loss in popular perception- Is this accurate? And, if so, how does this information apply to your hair loss?

The logic behind the thinking seems routine: stress causes hair loss- hair loss causes stress- stress from hair loss causes more hair loss. And so goes the vicious circle…

Depression often accompanies stress. The emotional distress of depression is frequently coupled with physical symptoms: fatigue, aches and pains, and digestive issues, and at times – hair loss. 

However, while scientific studies have yet to find a direct correlation between stress and/or depression with permanent hair loss, depression and stress may play an indirect role in the thinning of hair. And, of course, a sudden or significant increase in hair loss can easily become a new source of stress or depression. 

It is important to understand the distinction between stress based hair loss and Androgenic Alopecia, also known as Male Pattern Baldness. Androgenic alopecia is a genetically inherited condition that affects up to 60% of males by the age 50. Therefore, it’s symptoms will manifest based on genetic factors and not lifestyle choices. However, it is important for a sufferer of Androgenic Alopecia to understand that hair thinning caused by stress and depression will not do much to improve the condition of an already balding scalp.

The best way to reduce stress related hair loss is, of course, to reduce one’s stress. Spend more time outside or with friends and family, read a good book, take up skydiving.

Effective treatment of Male Pattern Baldness requires hair transplant surgery. A hair transplant may seem like a lot less fun than simply taking up a new hobby. However, you cannot reasonably expect to treat Androgenic Alopecia, a problem whose genetic causes precede your own birth, by mere lifestyle adjustments. The technology of hair transplant surgery has improved greatly over the last few decades and in the hands of a competent and experienced surgeon the results are priceless. It’s a good thing that we know one-

Dr. Yazdan and his attentive staff would like to explore 100% effective hair loss treatments with you. If you have any questions or concerns regarding stress related hair thinning or hair transplant surgery, please contact us at Modena Hair Institute today for more information. At Modena Hair Institute we pride ourselves on consistently providing our patients with the highest standard of custom hair restoration treatment available, directly tailored to their individual needs. Dr. Yazdan is eagerly awaiting your visit or digital consultation. Contact us today!

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Can I Grow My Hair Back Without a Hair Transplant?

PRP Procedure

You’ve read the title – it’s a question we get from time to time from potential patients who might have been told miracle stories or are just generally curious. To get straight to the point, there are very effective and scientifically-backed hair restoration products, such as Rogaine, Propecia and GroMD Shampoo and Conditioner – but these admittedly great products are mainly employed to slow hair loss and stimulate slight growth. 

The short answer is no. There aren’t really any non-surgical options to grow your hair back in a comprehensive and thick way. Hair transplantation – meaning the transplantation of hair grafts from places on your scalp that grow plenty of hair to those balding or thinning spots you worry about – is the only effective way you can permanently combat hair loss. 

This fact, however, doesn’t stop a lot of commercial clinics from trying to sell you on non-invasive hair growth treatments. The market has seized upon the fact that hair loss is a highly sensitive reality for both men and women. Promises of ‘hair growth’ are slapped on to everything from coconut oil to dry shampoo brands.

Patients can often spend thousands of dollars on treatments and products that do little or nothing to stimulate hair growth. Here at the Modena Hair Institute we’ve looked into many of these options and even battle tested a few of them. We are in the business of helping our patients achieve a full head of hair and are willing to try anything new that seems promising. And sometimes, new methods come along that are worth trying out. 

This has been the case with using platelet rich plasma injections (PRP). We have seen incredible results in offering PRP to our hair transplant patients. Ultimately we believe nothing compares to a hair transplant performed by an experienced specialist. Most patients who try other options eventually arrive at the same conclusion. Why waste thousands of dollars trying to take what seems to be an ‘easier’ route if it results in greater hardship? It breaks our heart to hear patients tell us how they feel they were misled. How thousands of dollars that were wasted could have been spent on permanent restoration instead.  

Perhaps part of the problem is that the word ‘surgery’ is not quite the right term when it comes to medical hair restoration. It’s not even close to being a surgery in the sense that most people imagine it. There are no hospital gowns, no doctors in scrubs, no scalpels or (visible) scars. Your hair restoration procedure, while lengthy, feels more like a long stay at your hair salon than a medical procedure. You recline, you watch TV, you chat with your surgeon and otherwise pass the time. Every once in a while, you change position depending on what area is being worked on. After all this, you go home and spend a few days watching some more TV, taking care not to disturb your new hair grafts. That’s it. The rest is just a bit of patience until your new hair grows in. 

Your recovery takes one or two days at most, although some people take time off from work for a week to ten days so as not to invite any questions about the small red dots on their scalp. Once these miniature dots scab over and fall off, no one will see that you had anything done. Over the next few months the change will be so gradual that no one will realize what happened. Except that you will start hearing that you look great.

Save yourself the time and money and disappointment of trying to coax your hair into growing with lotions, potions, and other miracle cures. Instead of trying non-surgical hair loss treatments that don’t work, find out if you’re a candidate for hair transplantation and go straight to the solution that works. To get started, see our virtual consultation module.

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

The Six Most Common Causes of Hair Loss (and their treatments)

hair loss treatmentMale-pattern baldness – ie. genetics – may be the most talked about and dreaded of hair loss types, but there are many other causes that lead to hair loss.

Board-certified Southern California hair transplant surgeon, Dr. Amir Yazdan, regularly sees patients who suffer from many different types of hair loss, and it’s not uncommon for patients to be surprised at their diagnoses. The internet can be a rich source of opinion and information – but it can never accurately assess and diagnose a unique and personal hair loss situation. To get to the root of one’s hair loss problem, you need the expert eyes and technical prowess of a specialist in person.

The most complained about cause of hair loss is male pattern baldness, also known as hereditary hair loss or androgenic alopecia, as it frequently causes visible signs of loss and impacts about 70 percent of all men in the United States. But there are also five more to watch for if you’re wondering what is causing your hair loss.

  • Androgenic alopecia: This cause is typically identified by its predictable pattern of progression. In men, loss appears as a receding hairline and a bare patch on the back of the head. Women typically experience increasing overall thinning. A hair transplant that gathers healthy grafts from loss-resistant areas of the scalp and fills in areas where too much skin is showing is a common and effective method for combatting this problem.
  • Hormonal imbalances: Major fluctuations in body chemistry can trigger hair loss, and many of them have to do with significant life events, such as getting pregnant, giving birth, or entering menopause. While those are all women-focused hormone shifts, men go through a transition known as andropause. Fortunately, a shift may be due to something as simple as diet. Unfortunately, testosterone, estrogen, and other chemicals may be off-kilter due to any of a variety of medical conditions, including thyroid problems.
  • Medical conditions: Autoimmune diseases like lupus can account for hair loss, making a medical diagnosis particularly important in many cases. Most hair-loss-causing health conditions, such as diabetes, also have other symptoms, so a doctor should consider the patient as a whole when determining the cause of loss.
  • Infections: Ringworm – a fungal infection that doesn’t actually involve worms – can cause hair to fall out if it develops on the scalp, and it’s not the only skin condition that can lead to bald patches. In the case of infections, usually no hair transplant is needed, a good antibiotic will do the trick.
  • Medications: Chemotherapy is the most obvious example in this category. Natural growth typically resumes after the treatments resolve, whether they’re regular doses of chemicals to fight cancer or herbal remedies intended to help with pain.
  • Traction alopecia: Hair that is styled in a harsh way. Most common among African American men and women who tie their hair into tight braids. Men who have hair long enough to put into a ponytail or wear a similarly pulled-back style may lose hair to the act of gathering the hair together and tugging it tight into a band.

Treatments (for each type of hair loss)

For androgenic alopecia, non-invasive therapies may slow the progression of hair loss, but only a hair transplant will provide permanent (ie. decades) coverage and relief. FUE or FUT are the gold standard. In hair transplantation, hair follicles are taken from areas of the scalp that are resistant to androgen and transplanted into areas that are androgen dependent.

Remember (!): The aesthetic effectiveness of the hair transplant varies depending on the expertise, experience and ability of the surgeon.

For hormonal imbalances, infections and medications invasive surgery is usually not needed, as when the imbalance clears up so does the robustness of the hair growth cycle. Instead, topical treatments like Rogaine or orally ingested Propecia are two non-surgical methods of treatment that help slow the rate of hair loss and to promote fuller hair growth. 

For traction alopecia, choosing the right treatment plan will depend on whether or not the damage to the hair follicles is reversible. Upon first noticing the effects of traction alopecia it is necessary to put into practice looser hair styling practices. It is at this stage that we recommend a potent cocktail of Minoxidil and GroMD shampoo and conditioner.  Both of these potent medical therapies serve to block DHT (the hair follicle killer) and enhance blood flow to the scalp.  Minoxidil is an over-the-counter topical medication.

Research has indicated that the majority of men who use the medicine consistently demonstrate a deceleration in hair loss and a re-growth of miniaturized follicles.

GroMD products are also boosted with Saw Palmetto, Stinging Nettle and Licorice Root Extract, all DHT blockers found in nature. This product also contains caffeine and menthol to dilate the blood vessels around each hair follicle for improved circulation. Ultimately this therapeutic program will stimulate dormant follicles and allow vital nutrients to reach every hair strand. 

If hair follicles are permanently damaged, however, they will no longer be able to grow new hair. At this point, hair transplant surgery will be the best way to restore normal coverage.

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Transgender Hair Transplants

What does it mean to transition? It is a journey that often seems to have a hazy “starting point” and an end point that can feel like a moving target. Familiarizing yourself with your options is a good way to make the process feel less daunting. 

Transitioning often entails significant changes in many different areas of one’s life – social, medical and legal. In the physical sense, however, the process reaches its zenith with transgender hair restoration. Correcting the hairline is the crowning mark of either the feminization or masculinization of the individual. The hairline is the first and most striking detail others notice, so it’s important that a hair transplant surgeon of the highest level of artistry and technique design and execute that scheme.

Every transition is unique. For male-to-female (MTF) transgender patients, the central objective is often rebuilding a thinning hairline or maintaining existing hair using transgender hair transplants and non-surgical treatment options. A typical feminine hairline is lower, flatter, and rounder than a natural masculine hairline. Dr. Amir Yazdan can perform a transgender hair transplant and recreate the shape of a female hairline using the same surgical techniques and technology as any other hair restoration procedure – FUE and FUT being the most commonly employed.

For MTF transgender patients who have already suffered significant hair loss, Dr. Yazdan can fill in bald spots and create thicker hair while also producing a more feminine hairline during a comprehensive transgender hair transplant procedure. Once patients have achieved their desired look using hair transplantation surgery, Dr. Yazdan offers a variety of hair loss prevention methods designed to help his patients keep their hair for years to come. 

Unfortunately, patients who receive hair transplants are not immune to future hair loss and MTF transgender patients will need to utilize a multi-faceted restoration approach to ensure they maintain their fuller, thicker hair. With platelet-rich-plasma (PRP) or low-level laser therapy (LLLT), as well as the use of prescription medications like Rogaine and Propecia, Dr. Yazdan can help his MTF transgender patients incorporate a daily routine that combats the effects of baldness for beautiful, thick, natural hair.

PRP Procedure

On the other hand, female-to-male (FTM) transgender hair restoration is usually much less involved and tend not to require hair transplantation surgery to achieve a more masculine appearance since they are not as susceptible to hair loss, although Dr. Yazdan can certainly perform the procedure as needed. Minimally invasive hair loss prevention treatments and hair loss medication are the main recommended options for FTM transgender patients who want to ensure they maintain their natural hair well into the future. For FTM transgender patients, obtaining a defined and full beard is often the main focus of their treatment.

Modena Patient – Beard Hair Restoration

We offer facial hair transplants to help our patients supplement the results of their hormone therapy by thickening mustaches, filling in beards and improving sideburns. During facial hair transplant surgery, Dr. Yazdan uses the FUE approach to only remove as many follicular units as are necessary to achieve the patient’s desired look. Dr. Yazdan chooses the source of the grafts with precision to ensure they can accurately replicate and match the look of the existing facial hair growth for truly seamless results. Another warning to the consumer-patient, a great amount of technical and artistic skill is needed during facial hair transplants to accurately sculpt a realistic beard, so choosing a highly qualified specialist is imperative.

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Rogaine: Uses and Limitations

Your hair is falling out and you want to stop it. What should you do? Many men in this position turn to drugs like Rogaine for hair restoration. However, does Rogaine actually work? What is to be gained from Rogaine?

Rogaine is the trade name of the drug Minoxidil which was developed in 1963 by the Upjohn Company as a vasodilator. One of its side effects was discovered to be hair growth. Hair growth was a side effect of Minoxidil, but not in all cases.  A recent study in the ‘American Pharmacist’ has shown that Rogaine only works in about half of all cases. Moreover, any hair regrowth affected through the use of Rogaine is often swiftly lost again if the drug is discontinued.

 As nice as it would be to simply be able to rub some foam onto your scalp and then suddenly regrow a full and youthful head of hair – Rogaine has proved to be ineffective for treating hair loss in isolation, without supplementary restoration aids.

Technically speaking – Rogaine’s properties as an anagen agonist may increase the rate and thickness at which new hairs grow back, however increased DHT circulation to the scalp due to the drug’s vasodilation properties, quite often results in men losing more of their hair than the drug is capable of restoring.

The use of various inactive ingredients such as preservatives, binding agents, texturisers, colors and scents also lead to many of Rogaine’s unfortunate side effects such as itchy scalp, irritation, and aggravated hair loss to name some of the most common.

Rogaine and other Minoxidil derivatives can be more effective when taken alongside other vitamin rich and DHT blocking formulas. A premier hair growth shampoo like groMD regenerates hair growth with a special formula containing rich vitamins, oils, minerals and fats. The use of hair growth shampoo on hair helps to reduce protein loss in both damaged as well as undamaged hair. GroMD is rich in lauric acid and has a high affinity for hair protein and easily penetrates inside the hair shaft, which is due to its low molecular weight. 

Moreover, if true hair restoration is sought, Rogaine simply can not match the effectiveness, comprehensiveness and permanency of a hair transplant. A hair transplant may seem more intimidating than the ease of treatment offered by Rogaine, but, as the old adage goes – you get what you pay for. Investment in a quality hair transplant is never wasted and the results are yours for life.

If you want to explore a hair loss solution with a near 100% effectiveness rate or if you have any questions or concerns regarding the merits of different hair loss treatments, please contact us at Modena Hair Institute today for more information. At Modena Hair Institute we pride ourselves on consistently providing our patients with the highest standard of custom hair restoration treatment available, directly tailored to their individual needs. Dr. Yazdan is eagerly awaiting your visit or digital consultation. Contact us today!

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, accredited member of the IAHRS and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Getting Past Taboos – Simple Hair Restoration Options for the Modern Worker

hair restoration options
In a recent nationwide poll on aesthetic surgery, close to 20,000 American respondents named hair loss as one of the most feared aspects of aging. This comes as no surprise that men and women perceive hair loss as an embarrassing and frustrating occurrence. Yet, while there are less social and psychological barriers to going in for lip, hip or butt treatments, for example, many feel uncomfortable going in for a hair restoration procedure.
Yet many are not in need of hair transplant surgery or something similarly invasive but are only looking to curb further hair loss and shedding, and slow or reverse hair follicle shrinkage. Luckily there are a host of excellent, scientifically backed and proven non-surgical hair restoration therapies to profit from.
The first FDA approved medication for hair loss was Minoxidil, better known as Rogaine. Rogaine is a topical treatment now available without a prescription and can be found over the counter. Rogaine combats the dreaded DHT, which is found in both male and females and happens to be the number one culprit in hair loss. DHT shrinks hair follicles, dries out natural proteins and basically chokes hair to death. With Minoxidil’s excellent vasodilation properties, Rogaine combats DHT by swelling the follicles tiny microvascular structures.
Another strong hair restoration treatment, this time in an easy to use prescription medicine form is Propecia, or its generic name, Finasteride. Propecia is probably known as the world’s most effective hair growth product that’s approved by the FDA in treating hair loss. A clinical study showed 66% of men who took Propecia grew thicker or denser hair on the back of the head and 42% of men had a significant increase in the frontal hairline region. Remarkably, nearly all of the respondents announced that they had stopped losing or shedding hair altogether.
How does it work? Propecia inhibits the enzyme 5 alpha reductase in order to decrease DHT production. You may have heard of the not so pleasing side effect of a lowered libido, don’t worry men – this is a rare side effect that’s often exaggerated with only 1.8% of men being affected. At Modena Hair Institute, only about 1 out of every 100 patients report their sexual drive was slightly lowered.
Next, an option much more congenial and easier to mix into one’s routine: hair restoration shampoos such as Nizoral and GroMD – two high quality and high performing products on the market. Their active ingredients and proprietary blend of DHT blockers stop hair loss in its tracks, all while producing thicker, longer and healthier hair.
Finally, there is PRP or Platelet Rich Plasma treatments, which restores hair loss by converting hair follicles in the Telogen (resting) phase back into the Anagen (active growth) phase. ACell can also be added to PRP treatments to boost the effectiveness of the procedure by adding additional growth factors to jump start the healing, repair, and rejuvenating process of hair growth.
The National Institutes of Health have described incredible preliminary results from PRP, reporting that a “significant reduction in hair loss was observed between first and fourth injection. Hair count increased from average number of 71 hair follicular units to 93 hair follicular units.” PRP makes a great alternative for women suffering from hair thinning – as this is generally the first sign of their hair loss process. The New York Times also reports of one practitioner that the PRP procedure “gets results in 80 percent of patients, more than half of whom are female.”

Dr. Amir Yazdan, MD, is an internationally renowned hair transplant surgeon, expert guest on Dr. Phil and The Doctors, creator of the GroMD hair restoration product line, ISHRS member, and a visceral advocate for patient care. Learn more about Dr. Yazdan or read rave reviews from his patients.

Steroid injections for hair loss

One hair loss treatment method is steroid injections. This targeted hair loss approach is used on patients suffering from a specific type of hair loss known as alopecia areata.
Alopecia areata is a condition in which the immune system attacks the hair follicles causing hair loss. Much is still unknown about this type of hair loss. What is known is that naturally occurring antibodies are mistaken as foreign antibodies and programmed for destruction.
Individuals suffering from alopecia areata usually present with clumps of hair falling out. This leaves round bald patches across the scalp. Others may experience sudden diffuse thinning across the scalp, while others may experience hair breakage.
It is common for alopecia areata patients to notice their symptoms come and go. The hair loss may be permanent or non-permanent, depending on genetic history factors.
An effective treatment for alopecia areata is cortico-steroid injections. With this type of treatment, steroids are injected directly into and near the balding areas. The steroids boost the immune system’s defensive capabilities and allow the hair follicles to withstand destruction. While this treatment method isn’t always effective, it’s the most common and effective treatment for alopecia areata at this time.
One other treatment for alopecia areata that has shown some effectiveness is Rogaine (minoxidil). Rogaine works to stimulate the hair follicles promoting strength and growth.
If you think you may have alopecia areata, you should meet with an experienced and qualified hair restoration surgeon who specializes in the medical management of hair loss. A simple exam and hair analysis will determine if you have this condition.
Feel free to contact us today and schedule you medical management consultation.

What you need to know about Rogaine

What is Rogaine?
Rogaine or Minoxidil as it’s known generically, is a topical medication used to treat hair loss caused by androgen alopecia. Androgen alopecia is also known as male or female pattern baldness. It occurs due to many factors such as age and genetics.
Minoxidil works by widening hair follicles. This creates a thicker hair strand which gives a fuller, denser look to your hair. It also lengthens the time your hair is in the anagen phase of the hair growth cycle. During the anagen phase, your hair develops in the follicle and grows longer. A prolonged anagen phase means more and longer hair growth.
What you need to know about Rogaine:
Rogaine is effective in approximately 40%-60% of individuals who use it. In order to see these results you must use the medication as instructed, daily and consistently.
Rogaine must be used indefinitely to keep up results. It is not a cure to hair loss, rather a treatment method. This means that you must continue using it, even after seeing your desired results, in order to keep your hair from reverting back to previous or worsened hair loss.
While adverse or allergic reactions are rare, they are a potential risk factor. Side effects include itching, burning, redness, and irritation. Some individuals have reported an increase in hair loss symptoms. If you have any of these symptoms after using Rogaine, discontinue use immediately. But in general, minoxidil is safe and effective when used properly.
Minoxidil is a great tool, but don’t expect a miracle. Rogaine is a great tool when it comes to maintaining hair, preventing future hair loss, promoting hair growth, as part of a medical management of hair loss plan, recovering from hair transplant surgery, or reversing recent hair loss. But, it is not going to regrow or reverse years of hair loss. Once a hair follicle has died, there is no bringing it back to life. If you have been experiencing hair loss for some time, Rogaine on its own is not going to treat your hair loss. You most likely will need a more aggressive approach to restoring your hair. It is often beneficial when coupled with hair loss medications, hair transplant surgery, and alternative methods of hair restoration such as PRP and laser therapy.

How does Minoxidil (Rogaine) work to stop hair loss?

Minoxidil or Rogaine is an anti-hypertensive vasodilator (high blood pressure) medication. In its topical form, its used to treat hair loss caused by androgen alopecia (male or female pattern baldness).
Minoxidil works by widening the hair follicles. This in turn creates thicker hair strands. Further, it prolongs the anagen state of hair growth which allows more hair strands to develop grow. Overall this increases hair density and creates thicker, fuller hair.
The efficacy of the medication ranges from 40%-60%. In other words, 40%-60% of individuals who use the medication see results. Minoxidil should be used on a consistent and regular basis to see noticeable results. It must be used indefinitely in order to continue seeing the results the medication provides.
Side effects have been reported such as itching, burning, redness, irritation, and allergic reactions. Some individuals have reported an increase in hair loss symptoms. But in general, minoxidil is safe and effective when used properly.
Minoxidil is a great treatment method to help stop the progression of hair loss. Dr. Yazdan believes when you’re in the throes of hair loss, the most important thing to do is protect and maintain the hairs you still have. This is because once a hair follicle dies, there is no bringing it back. Therefore, minoxidil nor any other medication can reverse hair loss in individuals whose hair follicles have died (in other words, someone whose hair loss has progressed).
Minoxidil is also a great treatment method used in conjunction with PRP therapy, laser therapy, and hair transplant surgery. The medication can increase the efficacy of the treatments, allowing you to see more results faster.
If you are suffering from hair loss and would like to learn if you’re a candidate for minoxidil or a more intensive course of treatment, give us a call for a medical management consultation.