Hair loss or baldness is one of the most common complaints in a dermatology clinic. When a patient comes with a complaint of hair loss, Dr. Rajdeep Mysore, one of the best hair specialist doctors in Bangalore at Charma Clinic, assesses if it is temporary or it is causing balding.
Hair loss or hair fall can be due to hormonal changes, diet, stress, environmental changes, habits like smoking, weight loss, recovery from a serious illness, anemia, etc. Certain tests may be suggested to identify the root cause. Depending on the patient’s history and clinical findings the right treatment course is suggested.
Baldness on the other hand is genetically determined and caused by the male hormone Dihydro-testosterone (DHT). However, even genetically determined baldness can be accelerated by stress and other conditions causing hair fall.
The commonest causes of hair loss are stress and micronutrient deficiency. Stress can also significantly accelerate baldness. It is because stress often increases the body's production of cortisol (stress hormone) that in turn raises the body's levels of testosterone leading to baldness.
So, the best way to improve stress-related hair loss is to find ways of managing and reducing stress levels. There are several methods proven to reduce stress like breathing exercises, meditation, regular physical activity, etc.
Micronutrient deficiencies are more common in picky eaters who avoid certain types of food. These deficiencies can also be caused if there are absorption problems due to genetic conditions or parasite infestation (worm infestation) in the intestines. These can be treated by simple supplements and dietary modification.
Other factors are change in weather, change in diet, weight loss, inflammatory conditions affecting the scalp like seborrheic dermatitis (dandruff) or psoriasis. Hence, consulting a hair loss treatment doctor is a must to get an effective diagnosis and treatment for the concern.
1. Scarring Alopecia
A group of diseases that affect the skin on the scalp can cause scars and damage hair roots leading to permanently scarred areas of hair loss. Fortunately, these are rare. The focus on treatment in these conditions is not allowing the disease to spread. Hair regrowth is next to impossible in these conditions. Even surgical treatment is not very successful in scarred areas as the implanted roots cannot grow properly in a scarred area. Fortunately scarring alopecia is very rare.
2. Non-scarring alopecia - Most of the patients with hair loss or baldness have non-scarring alopecia which means hair regrowth is possible in these cases. The common diseases causing non-scarring alopecia are elaborated below:
This is the most common cause for balding and is also referred to as patterned hair loss - male pattern hair loss and female pattern hair loss. This is caused by both genes and hormones. GFC (Growth Factor Concentrate) Treatment for this condition in the early stages gives good results. However, in the advanced stages only Hair Transplant can provide satisfying results.
This is a type of patchy hair loss that most commonly leaves small round or oval-shaped patches of hair loss on the scalp, beard, mustache, or eyebrows. It can occur anywhere in the body but is usually noticed when it occurs in visible areas. It is a type of immune reaction by the body which temporarily stops hair growth. In most cases it is treatable. In very rare cases it can lead to loss of hair on the entire body, called Alopecia Universalis.
It is an inflammatory condition affecting the scalp and is commonly known as dandruff. It causes hair fall which is usually reversible once the dandruff is treated.
These are relatively less common. Thyroid hormone deficiency or excess can cause hair fall which subsides 3-6 months after the imbalance has been corrected. Sex hormone abnormalities and especially PCOS can cause not only hair loss but balding in women.
Treatment for hair loss depends on the disease causing it. Conditions that cause inflammation on the scalp like dandruff and psoriasis are treated with anti-inflammatory medicines. Balding or androgenetic alopecia is treated with a combination of medicines and surgical or non-surgical procedures.
1. Advanced Growth Factor / GFC
PRP stands for platelet-rich plasma. Platelets are blood cells that help in clotting. Once they form a clot they release a lot of useful chemical mediators called growth factors which help in healing. Some of these growth factors also help in improving the thickness and quality of hair. This property of platelets is used in PRP treatment. Earlier platelets that were extracted from the patient's own blood were injected near the hair roots so that the growth factors released by them would help in hair regrowth. Now we use a more advanced technique and prepare a growth factor concentrate (GFC) which has a much higher chance of improving hair growth than the traditional PRP.
Since both these procedures are made use of patients' own blood they do not pose any adverse effects. With the advent of GFC treatment, the success rate of treatment is also much higher than PRP. It is often combined with standard hair loss medication like minoxidil to give the best results. Improvement in hair quality and thickness was noted in all patients treated with GFC in our center. A few patients also had their grey hair turn black after the treatment. It is a common and highly successful procedure performed in most patients with hair loss in our center.
2. Hair Transplant
Hair transplant is a popular surgical procedure that involves microscopic precision and good handling of grafts to give sustainable results. The procedure is done under local anesthesia. The grafts removed contain the hair follicles or hair roots which are removed by a technique called FUE or follicular unit extraction. It makes use of a specialized micro-motor device with which the surgeon carefully removes the follicles without damaging them. These follicles are stored in a bio-enhanced medium made of PRP to improve their survival outside the body. Handling these delicate grafts is extremely important for their survival after they are implanted into the bald areas. Our expert team of hair loss surgeons and technicians utilize the latest techniques in both harvestings and implanting the grafts to give very high graft survival rates after the transplant. High graft survival translates to better hair growth even years after the surgery.
At Charma Clinic, one of the best hair care clinics in Bangalore, we offer a bio-enhanced FUE technique that gives better results and very short downtime for the patient's recovery as there is no surgical scar.
Most of the hair loss issues are the result of poor nutrient supply to the hair follicles, lack of blood circulation to the scalp, and imbalance of hormones around the hair follicles.
Mesotherapy is a non-surgical, cosmetic hair restoration procedure that has steadily gained popularity among people with bald or thinning areas on the scalp. In this treatment, microinjections filled with vitamins, minerals, hormones (particularly, androgen dihydrotestosterone), enzymes, amino acids, and other essential nutrients are administered just beneath the superficial skin layer (i.e. in the skin mesoderm lying at a depth of about 1 mm) into appropriate tissues. The ingredients of the injection can be custom-tailored according to the unique needs of the patient.
As the nutrient-rich liquid is injected directly into the mesoderm (a layer connecting the skin fats and the skin tissues) of balding sections of the scalp via a pin-pricking procedure, the components of the injection get maximally absorbed by the hair follicles. This ensures that the scalp has a proper hormonal balance and blood circulation. It encourages the natural regeneration and proliferation process of the hair which helps the hair follicles to give rise to strong, dense, and long hair.
The results are quite impressive as the patient can easily and quickly eliminate hair loss issues (either partial or complete). For the effective outcome of the hair loss treatment, mesotherapy is carried out in multiple sessions each being conducted with an interval of about 1-2 days or a week. The number of treatment sessions given to the patient depends upon the area being treated and the scalp condition. Sometimes, maintenance treatment is given after 6 months or a year.
The treatment is a virtually pain-free therapy performed by certified dermatologists. It is a safe procedure that does not require anesthesia, surgery, or any sutures and dressing after the treatment. There is no significant downtime needed after the mesotherapy which means patients can instantly resume their daily routine and work schedule. The recovery time is relatively short as compared to other invasive procedures. This therapy is a less expensive alternative to the surgical method. It can work for both male and female pattern baldness (i.e. Androgenetic alopecia).
Only people with good overall health who are facing baldness or have weak hair are eligible for this treatment.
4. Microneedling with Growth Factor Treatment
When it comes to effective and safe hair loss treatment, natural therapies are always the best rather than the use of pharmaceuticals or harsh chemicals. The new alternative solution for treating individuals with receding hairline, balding, or thinning of hair on the scalp is a combination of microneedling and PRP/ GFC therapy.
In microneedling treatment, a device (like a micro pen or derma roller) with multiple affixed fine needles is moved across the balding or thinning areas of the scalp to create controlled microscopic injuries into the skin of the scalp. These tiny wounds cause the body to unfold its natural healing capacity which includes the regeneration of the hair follicles, thereby stimulating the hair growth.
In combination therapy, firstly, microneedling is carried out to open microchannels for reaching directly to the hair follicles. This stimulates the body’s natural healing response and also provides passage for the platelet-rich plasma. Next, the platelet-rich plasma solution is inserted into the micro-wounded skin in a grid-like fashion to stimulate and heal the hair follicles and encourage new hair growth. To carry out the process with minimal discomfort, topical numbing cream is applied to the area to be treated before microneedling is carried out.
In platelet-rich plasma therapy for hair loss, three steps are involved. Firstly, the patient’s blood is drawn from the arm. Next, the blood is centrifuged to separate the different components i.e. platelet-poor plasma, platelet-rich plasma, and erythrocytes. Finally, the platelet-rich plasma layer is isolated, taken in a syringe, and inserted into the balding scalp. The platelet-rich plasma comprises the natural growth factors and healing proteins that promote hair growth.
When microneedling and platelet-rich plasma therapy are performed hand-in-hand, the results look natural as the root cause of hair loss is addressed. Both of these procedures for hair loss are completely customizable as they are designed based on the specific hair needs of the individual. They are simple and convenient methods involving zero downtime and no making of incisions. The procedures are relatively pain-free without the need for extensive recovery. They are safe and simple procedures performed by the hair experts in their office.
General Tips for managing Hair Loss
For more information, please feel free to consult with a leading hair specialist doctor in Bangalore at Charma Clinic.
Note: remove mesotherapy if possible, it's a pseudoscience with no evidence
Disclaimer: This website (www.charmaclinic.com) aims to spread awareness about skin, hair, nail problems and their relevant treatments. The information shared here is generic in nature and can not replace the advice/ prescription of a qualified medical professional. Every individual may have different skin, hair, nail concerns and must be treated accordingly. Hence, medications or treatments mentioned on the website shall not be consumed/ utilized unless prescribed by a certified medical professional.