Unwanted hair loss is an extremely common and often very distressing problem affecting both men and women. By the age of 60 years the vast majority of men and women will suffer from some form of hair thinning. However, in a significant number early onset male and female pattern hair loss can be the cause of significant psychological distress and social embarrassment. A normal head of hair consists of between 100,000 to 120,000 hairs. On average most people lose 60 hairs per day. This is a normal part of the hair cycle. The loss of hair does not mean that it won’t grow back. In those suffering with hair loss these lost hairs don’t grow back and they start to develop characteristic patterns of hair thinning. By the time one can see through to their scalp they have often lost over 50% of their original hair in that region.
Who is a candidate for this treatment?
Candidates for biocellular hair restoration are males and females of varying ages suffering from male or female pattern hair loss. Patients will respond better to treatment the sooner they attend. Those with long standing hair loss and large bare areas of scalp tend not to do well from treatment and in these cases hair transplant is often the only option.
How is the procedure performed?
Biocellular hair restoration is a minimally invasive procedure and performed under local anaesthetic. PRP is obtained using the Angel Arthrex system or the Magellan TruPRP system. Fat is normally harvested from the flank using VASER liposuction. Harvested fat is spun and purified in a centrifuge and PRP added to this. The fat is then micronised using a special filter and resultant aspirate is injected into the scalp. The stem cell/growth factor/PRP injections into the scalp are performed under a local anaesthetic ring block whereby the entire scalp is numbed before hand. In contrast to PRP only treatments biocellular restoration treatments are performed once and then patients monitored for the next 6 months with interspersed PRP sessions.
©Individual results may vary
Stem cell treatments for hair loss
At Rejuvence we strive to push the boundaries providing cutting edge regenerative treatments yielding superior results. At Rejuvence we are introducing biocellular hair restoration. This involves the use of stem cells with PRP to augment hair regrowth. Harvested fat is micronised (filtered) to produce a homogenised fat serum consisting of equally sized fat cells with large concentrations of stem cells and growth factors. This can easily be injected into the scalp and together with PRP has been shown to improve on responses from PRP alone. This is an exciting new development that we believe will potentially revolutionise the treatment of hair loss.
Platelet Rich Plasma for Hair Loss
Over the last few years there has a been huge interest in the potential of platelet rich plasma to treat hair loss. The combination of micro needling and platelet rich plasma has been shown recently to significantly increase hair thickness, hair count and thereby hair density. Studies over the last five years have demonstrated approximately 20% increase in hair thickness following on average 3 sessions over 3 months with maintenance sessions every 9 to 12 months. PRP tends to be more effective when started early before large bald patches appear. However, not all clinics are able to achieve similar results. This is because not all PRP is the same. PRP is only effective if the concentration of platelets achieved is greater than 4 to 5 times baseline levels. The majority of clinics offering PRP use PRP preparation methods that can only achieve concentrations 2 to 3 times greater than baseline. At Rejuvence Clinic we use Angel Arthrex and Magellan TruPRP. This system is guaranteed to yield PRP with a concentration of platelets greater than 5 times baseline and hence our treatments tend to perform much better than other clinics (although individual results may vary).
The most common cause of hair loss in men and women is medically termed androgenic alopecia. It is otherwise known as male and female pattern hair loss. In men, this is usually due to effects of testosterone being converted to dihydrotestosterone by the enzyme 5-alpha reductase. Dihydrotestosterone results in a reduction in the blood supply to the scalp and gradual miniaturisation of hair follicles and lengthening of the hair cycle. In women the cause of female pattern hair loss is not fully understood. Other common causes of hair loss include anaemia (normally due to iron deficiency), underactive thyroid and vitamin D deficiency. Other causes of hair loss can be due to stress and medication. Alopecia areata is an autoimmune condition where the body attacks it’s own hair follicles.
There are numerous treatments available at present for hair loss. Initial treatment is in the form of topical foams and shampoos, most well known of which is Minoxidil and must be applied to the scalp every night. Minoxidil usually takes about 9 months to take effect and can result on average in reduction of hair loss and about 1% increased hair growth. If stopped patients often suffer from a ‘rebound loss’ with increased hair fall. Caffeine based shampoos have also been touted as a treatment for hair loss. Numerous supplements are available over the counter and through prescription. These supplements replace vitamins and minerals that are potentially implicated in the cause of hair loss. Their success is limited. Prescription medications in the form of finasteride have been shown to help and most patients awaiting a hair transplant are started on finasteride although this is not an option for women of childbearing age. Low level laser therapy has recently shown some promise in hair regrowth. Often once these treatments have failed patients jump to hair transplantation as the solution. This is not the answer in the majority of cases and is at best a camouflage solution. This is clear to see when you consider 3000 to 4000 grafts cannot make up for upto 60,000 hairs.
There is no downtime associated with this procedure and patients can often return to work the following day. However, depending upon the amount of fat harvested from the flanks, there can be a bit of oozing that persists for 48 to 72 hours.
At Rejuvence we specialise in regenerative medicine techniques for hair restoration and believe with the advent of biocellular hair restoration using Angel Arthrex and Magellan TruPRP and micronised fat with stem cells and growth factors, fewer patients will have to opt for hair transplantation and more will successfully maintain their natural hairline for longer.
For further information please book a free consultation.