Hair Loss Management AHLC Dr. Alan J. Bauman 05-2012
May 21, 2012 - Annual Meeting of the American Hair Loss Council, Ft. Lauderdale FL Dr. Alan J. Bauman was asked to present on the topic of "The Medical Management of Hair Loss" at the Annual Meeting of the American Hair Loss Council in Fort Lauderdale, Florida. Dr. Bauman is a Certified Faculty Member of the American Hair Loss Council and has been a long standing participant in American Hair Loss Council Meetings and events for over ten years. The lecture "Managing Hair Loss" gives insight (in a brief overview format) to the various ways doctors can medically evaluate, treat and monitor hair loss and hair regrowth. From diagnostic tools like HairCheck, HairCam and Genetic Hair Loss Testing, to FDA-approved medications and devices, to the latest minimally-invasive FUE/NeoGraft hair transplant techniques to permanently restore hair, to haircare/styling products, to cosmetic options like extensions, wigs and weaves, there are many ways physicians and others in the field of hair replacement can work together to help their patients and clients achieve their goals. How often should you perform HairCheck measurements? When are the results of medical treatments or hair transplants fully visible? What is the difference between linear/"strip harvest" hair transplants and minimally-invasive FUE/NeoGraft? How soon can patients return to athletic activity after a linear/strip harvest hair transplant? How soon can patients return to athletic activity after an FUE/NeoGraft hair transplant? Are there herbal alternatives to medical hair loss treatments? What kind of laser therapy device gives the best overall coverage of the scalp? When will future treatments like 'hair cloning' become available? There is no one-size-fits-all answer for every hair loss patient. For more information on how Dr. Alan J. Bauman, M.D. can help hair replacement professionals take better care of their clients, please contact Liz Ashe, Director of Patient Education at Bauman Medical Group (patienteducation@baumanmedical.com) or email Dr. Bauman directly at doctorb@baumanmedical.com http://www.baumanmedical.com (c) Copyright 2012 All rights Reserved Bauman Medical Group, P.A. - Boca Raton, FL Hair Restoration for Men and Women
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Hair Loss Management AHLC Dr. Alan J. Bauman 05-2012
- 1. MANAGING HAIR LOSS HOW TO MEDICALLY MAINTAIN, ENHANCE AND RESTORE LIVING AND GROWING HAIR Alan J. Bauman, M.D., D.A.B.H.R.S Bauman Medical Group – Boca Raton, FL American Hair Loss Council – Ft. Lauderdale, Florida May 21, 2012 ALAN J. BAUMAN M.D., A.B.H.R.S.
- 2. ALAN J. BAUMAN M.D. ABHRS DIPLOMATE, AMERICAN BOARD OF HAIR RESTORATION SURGERY • Eastwood Medical Center, NY – Hair Transplantation • Mt. Sinai Medical Center, NY – Surgery • Beth Israel Medical Center, NY – Surgery • New York Medical College – M.D. w/ Cor Et Manus • University of California-Riverside – B.S. Biology/Psychology • American Hair Loss Council • American & Int‘l Board of Hair Restoration Surgery • Int‘l Soc of Hair Restoration Surgery • Int‘l Alliance of Hair Restoration Surgeons • American Hair Loss Association • American Academy of Anti-Aging Medicine ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 3. BAUMAN MEDICAL GROUP BOCA RATON, FLORIDA (EST. 1997) • Hair Loss in Men & Women • Diagnosis, Evaluation, Tracking, Medical Management • Results-Oriented, Multi-Therapy Treatment • 5000 sq. ft. • 4 Hair Transplant OR‘s • Laser Therapy ‗Spa‘ • 12 Staff • 1000 new patients per year, 50:50 men/women • 250+ hair transplants per year—including scalp, eyebrows, eyelashes & ―other‖ ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 4. OBJECTIVES • Impact • Causes • Diagnostics/Evaluations • Tracking • Treatments • What‘s NEW? • Future Treatments? • What can YOU do? ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 5. IMPACT OF HAIR LOSS • Premature Aging • Embarrassment • Emotional Distress • Low Body-Image Satisfaction • Low Self Esteem • Low Self Confidence • SOCIALLY & PROFESSIONALLY ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 6. HAIR LOSS… ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 7. IMPACT OF HAIR RESTORATION… ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 8. RESTORING THE ‗FRAME‖ OF THE FACE… ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 9. MALE PATTERN HAIR LOSS Percent of Men with Hair Loss by Age 100 80 60 % w/ Hair Loss 40 20 0 20-29 30-39 40-49 50-59 60-69 70+ Age Range “MPHL in fact effects both sexes; about 40 million men and 20 million women in the US.” -- Genetic Engineering News V. 14; 12/94; p12 Merck analysis of Consumer Research, census data, and changes in the population, lead Merck to believe the prevalence numbers have increased since 1994 to 52 million men in 2001. ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 10. HEREDITARY HAIR LOSS • Myths and Misconceptions • Male Pattern Hair Loss • Female Pattern Hair Loss • Treatment Options ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 11. HAIR LOSS MYTHS • Poor Circulation • Wearing Hats • Clogged Follicles • Scalp Mites ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 12. ANDROGENETIC ALOPECIA HEREDITARY MALE PATTERN HAIR LOSS ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 13. MALE HAIR LOSS: MECHANISM 5-αR Testosterone Dihydrotestosterone (DHT) Men: DHT-mediated miniaturization of hair follicles •Shorter growth cycles •Less pigmentation •Decreased caliber ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 14. FEMALE HAIR LOSS – LESS UNDERSTOOD • Hormone changes or ‗imbalance‘ • Polycystic Ovary Syndrome • Childbirth • Menopause/Hysterectomy • Thyroid • Nutrition/Diet • Medications • Illness • Stress ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 15. HAIR LOSS EVALUATIONS • Family History (parents, grandparents, siblings, other relatives) • Sudden or Progressive • Pattern, Diffuse, Patchy • Illness, Surgery, Medications, Diet, Stress, Lifestyle, Hormones • Color, Texture, Shine, Breakage • Hair Care Routine: heat, chemicals, color ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 16. GENETIC HAIR LOSS TESTING • Non-invasive cheek-swab • Assess Risk of Male or Female Hereditary Hair Loss • Predict Response to Treatment ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 17. HAIRCHECK CROSS-SECTIONAL BUNDLE TRICHOMETRY • Scientific • Repeatable • Accurate • Simple • Quick • Hair Mass Index (HMI) aka HairNumber • = [hair caliber] x [quantity of strands] • Diagnosis and Response to Treatment ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 18. HAIRCAM • iPhone microscope • Density Assessment • Degree of Miniaturization • Compare Stable areas to Affected areas • Diagnosis and Tracking (response to treatment) ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 19. TREATMENTS • Oral Medications • Topical Medications • Low Level Laser Therapy • Nutritional Guidance COSMETIC OPTIONS • Hair Care • Styling • Hair Replacement / Extensions • Camouflage ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 20. ORAL MEDICATION • Propecia (Finasteride 1mg) • Daily Prescription Pill • Prevents DHT production in the body • 90% Success Rate – patients look ‗same‘ or ‗better‘ after 5 yrs • 98% No Side Effects ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 21. FINASTERIDE/PROPEC IA Before and After 10 months ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 22. MINOXIDIL • Topical Solution 2x/day • Mechanism not well understood • Anagen ―Growth‖ Phase Prolonging agent • Reverses Miniaturization of hair follicles • Rogaine & Generic Rogaine • Prescription ―Formula 82M‖ • Minoxidil, Retin-A, Anti-inflammatory, Anti-androgen • Fewer Side Effects, less greasy, more user-friendly ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 23. LASER THERAPY • In-office • Sunetics Hood – 107 diodes • 30min 2-3/wk • At-Home • LaserCap – 224 diodes • 30 min, every other day ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 24. LLLT - RESULTS Before and After 12 months of Laser Therapy ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 25. LLLT – RESULTS LASER THERAPY: HELPS HAIR FOLLICLES PRODUCE THICKER HAIR Before and After 12 months of Laser Therapy ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 26. HAIR TRANSPLANTATION • Permanent restoration of living and growing hair • Single Follicular Unit: • microsurgical angle, orientation and position = natural • Faster, less restricted recovery with FUE/NeoGraft Recipient Area: Before, 24-HRS After & 12-MOS Ater ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 27. HAIR TRANSPLANTATION Before and After Hair Transplantation ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 28. HAIR TRANSPLANTATION 6-MOS ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 29. HAIR TRANSPLANTATION: THE RESULTS 12-MOS ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 30. SURGICAL THERAPY: THE RESULTS ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 31. WHAT‘S NEW… • NEOGRAFT/FUE (Follicular Unit Extraction) • No scalpel / No stitch harvesting, now up to 4,000 grafts per procedure • Less discomfort / Less downtime • Faster Recovery • No Linear Scar to Hide ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 32. PRP ―PLATELET RICH PLASMA‖ • Blood-Derived • Autologous • Injectable (stand-alone) • Hair Transplant Graft Storage • Post-Op Wound Healing Accelerator • AUTOLOGEL PRP = FDA-app‘d Wound Healing ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 33. FUTURE TREATMENTS • Allergan seeks FDA-approval for Bimatoprost (Latisse) for Scalp Hair Growth • Latisse is already FDA-app‘d for eyelash growth ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 34. FUTURE TREATMENTS • Japanese scientists graft human hair follicles onto nude mice by manipulating stem cells. Totyoshima et. al. http://www.nature.com/ncomms/journal/v3/n4/full/ncomms1784.html ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 35. CONCLUSION • Hair Loss and Its Impact • Current Treatment Options • Non-Medical • Medical • Surgical • Let‘s work together to help those with hair loss. • Collaboration = Success for our clients and patients • Q&A ALAN J. BAUMAN, M.D., A.B.H.R.S.
- 36. THANK YOU! Bauman Medical Group -- Wharfside at Boca Pointe • Linkedin.com/in/alanjbauman • Facebook.com/baumanmedical • YouTube.com/baumanmedical • Twitter.com/DrAlanBauman ALAN J. BAUMAN, M.D., A.B.H.R.S.