Hi, I'm Dr. Alan Bauman, board-certified hair restoration physician and the Founder and Medical Director of Bauman Medical Group Hair Transplant and Hair Loss Treatment Center located in Boca Raton Florida. Here, at BaumanBlog.com, you'll find news and information on hair loss diagnosis, medical treatments, and hair transplants that are helpful for those suffering from thinning hair or hair loss. Got a question? Ask it at www.baumanmedical.com!
Welcome to BaumanBlog.com, a place for personal notes, thoughts and updates about my hair loss and hair transplant practice, Bauman Medical, located in Boca Raton, Florida and on the web at www.baumanmedical.com. Depending on the day, you'll likely find announcements, news, cutting-edge research, out-of-the-box ideas, or perhaps even controversial theories in the field of hair restoration appearing here first. I look forward to your feedback and comments as the journey toward providing the best medical, surgical and cosmetic treatments for our hair loss patients continues, so feel free to interact and respond in the comments section. If you think I might be able to help you in any way, just reach out and let me know. Ask me a question directly here. :-)
Alan J. Bauman, M.D., A.B.H.R.S, F.I.S.H.R.S Diplomate, American Board of Hair Restoration Surgery Fellow, International Society of Hair Restoration Surgery
Hair-loss causesMany factors can contribute to thinning hair, including:Hereditary female-pattern baldness Scalp disease Anemia Crash dieting Thyroid disease Autoimmune disorders, such as alopecia areata Trauma or severe psychological stress Hormonal changes, such as childbirth Medications, such as birth-control pills Cornrows, braids, tight hairstyles
Hair-loss treatments Within five years, doctors hope they will be able to harvest hair stem cells from an adult’s head, put them in areas of hair loss and generate new hair cells. But for the time being, here are some ways Dr. Alan Bauman recommends to treat or camouflage thinning hair: Minoxidil (Formula 82M) Hair transplantation surgery Laser therapy
A #throwback to a nice round up of treatments for hair loss from The Seattle Times! - Dr. Alan Bauman, MD, FISHRS, IAHRS, ABHRS-certified Hair Restoration Physician, CEO & Medical Director of Bauman Medical Hair Transplant & Hair Loss Treatment Center - Miami Boca Raton Ft Lauderdale Florida
Compounded Formula 82m prescription topical hair loss medication from Dr. Alan Bauman, MD / Bauman Medical contains minoxidil, tretinoin, fluocinolone, oleanolic acid, antioxidants and other ingredients, without propylene glycol. Compounded 82M is to be applied to the scalp twice a day for powerful hair regrowth in a solution that penetrates the scalp better, is easier to use and less greasy than rogaine. Formula 82F has the same ingredients but also contains finasteride. Formula 82M/82F are packaged with colored caps by the pharmacy to distinguish them from eye drops. Compounded Formula 82M/82F should NOT be stored anywhere near your eye drops to avoid accidental use in the eye. Of course, these medications like all others should always be kept out of reach of children.
If placed in or around the eye, the ingredients in Formula 82M/82F can be extremely irritating and painful. Avoid rubbing your eyes or eyelids as this may be damaging to the eye. Thankfully, damage or injury from Formula 82M or Formula 82F in the eye has never been reported.
If you accidentally put Formula 82M or Formula 82F in your eye. Don't panic. Do the following:
Immediately flush your eye with water or eye-wash, if available, continuously.
Immediately call and schedule a visit with your ophthalmologist (eye doctor) for an evaluation and follow up.
If your ophthalmologist is not available, go to immediately to your local urgent care facility or ER. Bring the 82M/82F with you.
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South Florida Luxury Guide features #1 Top Hair Restoration Surgeon, Dr Alan Bauman, and his "Executive Hair Restoration Experience℠"
HAIR TO STAY
RELAX - REJUVENTATE - RESTORE... LIKE A BOSS!
Alan J. Bauman, M.D. of Bauman Medical Hair Transplant and Hair Loss Treatment Center in Boca Raton, FL is revolutionizing the hair restoration industry with his Executive Hair Restoration Experience, a concierge service that creates custom getaways for high-level executives and others to undergo proprietary hair restoration treatments in a vacation-like atmosphere.
Read more about the Executive Hair Restoration Experience in the latest issue of South Florida Luxury Guide - Miami edition, Beauty and Wellness section...
About Alan J. Bauman, MD, IAHRS, FISHRS, ABHRS:
Alan J. Bauman, M.D. is a full-time board-certified hair restoration physician who has treated over 17,000 patients and performed over 8,000 hair transplant procedures since starting his medical hair loss practice, Bauman Medical, in 1997. Currently located in Boca Raton, Florida, Dr. Bauman received his M.D. degree from New York Medical College and surgical residency training at Mt. Sinai Medical Center and Beth Israel Medical Center in New York. Dr. Bauman is one of approximately only 200 physicians worldwide to achieve the certification from the esteemed American and International Board of Hair Restoration Surgery (ABHRS), is an accepted member of the International Alliance of Hair Restoration Surgeons (IAHRS), and is also recommended by the American Hair Loss Association. Dr. Bauman has achieved the coveted Fellow status within the International Society of Hair Restoration Surgery (ISHRS) and is a frequently invited faculty member at numerous international scientific meetings and live surgery workshops.
This past year, Dr. Bauman was named a “Top 5 Transformational CEO” and one of “10 CEOs Transforming Healthcare in America” in Forbes as well as voted North America’s “#1 Top Hair Restoration Surgeon” by Aesthetic Everything. He is a Trustee member and recipient of the Small Business Leader of the Year Award from the Greater Boca Raton Chamber of Commerce. Dr. Bauman has been featured in hundreds of national and international media stories. Personal appearances, interviews and profiles include the Today Show, The Early Show, Good Morning America, Extra, Access Hollywood, The Howard Stern Show, The Doctors, Spencer Kobren’s The Bald Truth, CNN, Dateline NBC and more. Newspaper and magazine articles and feature stories include The New York Times, Newsweek, Cosmo, Elle, Vogue, The CEO Forum, Allure, O – The Oprah Magazine and Men’s Health, among others.
Dr. Bauman sees patients personally and performs procedures at his state-of-the-art facility in Boca Raton, FL. Virtual Consultation and In-Person Consultations can be requested at https://www.baumanmedical.com/schedule-consultation
About SmartGraft Vision Medical, Inc. is a leading USA manufacturer that develops and markets medical and aesthetic technology products for the medical and aesthetic markets for worldwide distribution. Vision Medical’s first commercial product, the SmartGraft® Hair Restoration System, uses minimally-invasive vacuum assisted FUE technology for men and women. SmartGraft keeps the newly harvested grafts chilled, hydrated & robust without any exposure to outside air for optimal graft preservation.
A novel strategy for stimulating hair growth using WAY-316606, an SFRP1 Antagonist via Wnt signaling pathway...
Fig3: Inhibiting SFRP1 activity with WAY-316606 enhances human hair growth, increases K85 protein expression, and inhibits spontaneous catagen ex vivo.
Recently touted in this popular news story entitled "Shampoo containing brittle bones drug allegedly triggers hair growth" http://www.foxnews.com/health/2018/05/09/shampoo-containing-brittle-bones-drug-allegedly-triggers-hair-growth.html, the scientific research behind this story and WAY-316606 is true and not "fake news," but the title is VERY misleading. This potentially hair-growing compound is NOT contained in a shampoo or gel in the ex-vivo studies (the studies were done in a petri dish, not on a scalp), and an over-the-counter remedy based on this technology is very, very far off--and may never come to fruition. Here is an excerpt from the original study below... --Dr. Alan Bauman, MD, ABHRS, IAHRS, FISHRS
Identifying novel strategies for treating human hair loss disorders: Cyclosporine A suppresses the Wnt inhibitor, SFRP1, in the dermal papilla of human scalp hair follicles
Nathan J. Hawkshaw, Jonathan A. Hardman, Iain S. Haslam, Asim Shahmalak, Amos Gilhar, Xinhong Lim, Ralf Paus
Published: May 8, 2018 https://doi.org/10.1371/journal.pbio.2003705
Hair growth disorders often carry a major psychological burden. Therefore, more effective human hair growth–modulatory agents urgently need to be developed. Here, we used the hypertrichosis-inducing immunosuppressant, Cyclosporine A (CsA), as a lead compound to identify new hair growth–promoting molecular targets. Through microarray analysis we identified the Wnt inhibitor, secreted frizzled related protein 1 (SFRP1), as being down-regulated in the dermal papilla (DP) of CsA-treated human scalp hair follicles (HFs) ex vivo. Therefore, we further investigated the function of SFRP1 using a pharmacological approach and found that SFRP1 regulates intrafollicular canonical Wnt/β-catenin activity through inhibition of Wnt ligands in the human hair bulb. Conversely, inhibiting SFRP1 activity through the SFRP1 antagonist, WAY-316606, enhanced hair shaft production, hair shaft keratin expression, and inhibited spontaneous HF regression (catagen) ex vivo. Collectively, these data (a) identify Wnt signalling as a novel, non–immune-inhibitory CsA target; (b) introduce SFRP1 as a physiologically important regulator of canonical β-catenin activity in a human (mini-)organ; and (c) demonstrate WAY-316606 to be a promising new promoter of human hair growth. Since inhibiting SFRP1 only facilitates Wnt signalling through ligands that are already present, this ‘ligand-limited’ therapeutic strategy for promoting human hair growth may circumvent potential oncological risks associated with chronic Wnt over-activation.
Hair loss is a common disorder and can lead to psychological distress. Cyclosporine A, a fungal metabolite commonly used as an immunosuppressant, can potently induce hair growth in humans. However, it cannot be effectively used to restore hair growth because of its toxic profile. In this study, we used Cyclosporine A as a lead compound to identify novel therapeutic targets that can aid the development of new hair growth–promoting agents. Through microarray analysis, we found that the level of the secreted Wnt inhibitor, SFRP1, was significantly reduced by Cyclosporine A. This inspired us to design a new pharmacological approach that uses WAY-316606, a reportedly well-tolerated and specific antagonist of SFRP1, to prolong the growth phase of the hair cycle. We show that WAY-316606 enhances human hair growth ex vivo, suggesting that it is a more targeted hair growth promoter with the potential to treat human hair loss disorders.
At Bauman Medical, we are closely monitoring these types of research studies which may give rise to safe, therapeutic treatments for hair loss for our patients in the future. Stay tuned for further updates at https://www.baumanmedical.com Hair loss suffers may request a private Virtual Consultation (Skype or FaceTime) or In-Person Consultation with #1 Top Hair Restoration Surgeon, Dr. Alan J. Bauman, MD, ABHRS, IAHRS, FISHRS.
Alan Bauman, MD, Adds SmartGraft® To Treatment Portfolio, Producing Natural-Looking FUE Hair Transplant Results From His Florida Practice
Revolutionary Technology Restores Hairlines For Men And Women
Boca Raton, Florida – May 2, 2018 --Internationally Renowned Hair Transplant Surgeon Dr. Alan J. Bauman, MD bringsSmartGraft®, a minimally invasive and permanent hair restoration treatment for both men and women, to his state of the art practice in Boca Raton, Florida which serves Miami, Palm Beach, Ft. Lauderdale and beyond.
Dr. Bauman is one of only 200 physicians globally to achieve certification from the American and International Board of Hair Restoration Surgery (ABHRS), be an accepted member of the International Alliance of Hair Restoration Surgeons (IAHRS) and also recommended by the American Hair Loss Association. In addition, he has attained the coveted Fellow status within the International Society of Hair Restoration Surgery (FISHRS).
Hair is Dr. Bauman’s passion; he is an Advisory Board Member for the World Trichology Society and is also the author of numerous articles and textbook chapters on the science of hair care and hair transplantation, including eyelash transplant surgery. He is a successful early-adopter and pioneer of some of the most advanced technologies in the effective treatment of hair loss including no-linear-scar FUE or Follicular Unit Extraction, which is why SmartGraft appealed to Dr. Bauman.
“As an FUE hair transplant pioneer who has used numerous manual, mechanical and robotic devices over more than 15 years and after extensive internal device testing and research, I can say with great confidence that SmartGraft is a dramatic improvement over previous manual mechanical FUE tools currently on the market,” states Dr. Bauman. “Innovations like the unique closed, climate-controlled internal graft storage and hydration system, programmable microprocessor control, and on-board LED lighting system on the handpiece are improving accuracy, efficiency and, most importantly, our patients’ results.” He details that minimally invasive FUE harvesting of individual follicular units for transplantation with SmartGraft allows patients a faster, more comfortable, less restricted recovery phase compared to old-style linear “strip” harvesting.
Since no wide-shave of the donor area is required, handheld FUE devices such as SmartGraft empower Dr. Bauman and his team to execute traditional transplants for male pattern hair loss, as well as specialty transplants like female hairline lowering, female pattern hair loss, female temple restoration, eyebrow transplantation, beard and body hair harvesting, as well as smaller “no shave” FUE procedures from the scalp for male and female hair loss patients. “With SmartGraft, all patients maintain the benefits of leaving behind absolutely NO telltale linear scar,” adds Dr. Bauman.
SmartGraft makes hair replacement a more accessible, effective and realistic option than ever before for both men and women with hair loss, delivering natural-looking outcomes with little downtime. When expertly performed, the treatment is quick, comfortable and permanent.
About Alan J. Bauman, MD, IAHRS, FISHRS, ABHRS:
Alan J. Bauman, M.D. is a full-time board-certified hair restoration physician who has treated over 17,000 patients and performed over 8,000 hair transplant procedures since starting his medical hair loss practice, Bauman Medical, in 1997. Currently located in Boca Raton, Florida, Dr. Bauman received his M.D. degree from New York Medical College and surgical residency training at Mt. Sinai Medical Center and Beth Israel Medical Center in New York. Dr. Bauman is one of approximately only 200 physicians worldwide to achieve the certification from the esteemed American and International Board of Hair Restoration Surgery (ABHRS), is an accepted member of the International Alliance of Hair Restoration Surgeons (IAHRS), and is also recommended by the American Hair Loss Association. Dr. Bauman has achieved the coveted Fellow status within the International Society of Hair Restoration Surgery (ISHRS) and is a frequently invited faculty member at numerous international scientific meetings and live surgery workshops. Dr. Bauman was an early pioneer of no-linear-scar FUE Follicular Unit Extraction hair transplant procedures, designing the first commercially available instrument specifically for FUE called the Bauman MINDEX. He has performed FUE procedures for over 15 years, transplanting nearly three million FUE grafts for his patients over that time.
This past year, Dr. Bauman was named both a “Top 5 Transformational CEO” and one of “10 CEOs Transforming Healthcare in America” in Forbes, as well as voted North America’s “#1 Top Hair Restoration Surgeon” by Aesthetic Everything. He is a Trustee member and recipient of the Small Business Leader of the Year Award from the Greater Boca Raton Chamber of Commerce. Dr. Bauman has been featured in hundreds of national and international media stories. Personal appearances, interviews and profiles include the Today Show, The Early Show, Good Morning America, Extra, Access Hollywood, The Howard Stern Show, The Doctors, Spencer Kobren’s The Bald Truth, CNN, Dateline NBC and more. Newspaper and magazine articles and feature stories include The New York Times, Newsweek, Cosmo, Elle, Vogue, The CEO Forum, Allure, O – The Oprah Magazine and Men’s Health, among others.
In addition to teaching and lecturing internationally, Dr. Bauman sees patients personally and performs procedures at his state-of-the-art facility in Boca Raton, FL. In-person or Virtual consultations with Dr. Alan Bauman can be requested at https://www.baumanmedical.com/schedule-consultation
About FUE or Follicular Unit Extraction
FUE or Follicular Unit Extraction is the least invasive hair transplant graft harvesting technique that leaves absolutely NO telltale linear scar in the donor area and with a more comfortable and less restricted recovery than traditional “Strip Harvest” techniques. Grafts as small as a single hair can be harvested from the Donor Area and when implanted with artistry and precision by an expert surgeon, create an undetectably natural restoration of living and growing hair.
Vision Medical, Inc. is a leading USA manufacturer that develops and markets medical and aesthetic technology products for the medical and aesthetic markets for worldwide distribution. Vision Medical’s first commercial product, the SmartGraft® Hair Restoration System, uses minimally-invasive vacuum assisted FUE technology for men and women. SmartGraft keeps the newly harvested grafts chilled, hydrated & robust without any exposure to outside air for optimal graft preservation. To learn more about SmartGraft and its technology, visit www.SmartGraft.com.
Erivedge or visomodegib capsule is a prescription oral chemotherapy medication for adults with basal cell carcinoma skin cancer that has spread to other parts of the body or that has come back after surgery or cannot be treated with surgery or radiation. At Bauman Medical, chemo hair loss expert Dr. Alan Bauman has examined, evaluated and successfully treated patients who have experienced hair loss, baldness, hair thinning and-or alopecia from Erivedge (vismodegib).
What is the Mechanism of Erivedge – vismodegib?
Vismodegib is a Hedgehog Pathway Inhibitor. By disrupting the hedgehog pathway signal which drives cancer cell growth, Erivedge prevents the cancer from growing. Hedgehog pathways may also be responsible for many of the side effects of Erivedge. For example, Sonic Hedgehog signaling is required for hair follicle development in a fetus and for regulating hair follicle growth and cycling in the adult.
What are some known side effects of Erivedge visomodegib?
In addition to loss of taste, muscle pain, muscle spasms, nausea, vomiting, birth defects, fetal death, diarrhea and fatigue, Hair Loss, alopecia, and-or thinning of scalp and body hair is a known side effect of Erivedge visomodegib. Your hair may become thin, brittle, or may fall out when taking Erivedge. This means that hair breakage, shedding and changes in texture of your hair are possible side effects. In addition to scalp hair loss, Erivedge can cause loss of any body hair, including pubic, underarm, legs/arms, eyelashes, eyebrows and nose hairs. It is assumed that interruption of the Hedgehog pathway is a possible cause of changes in hair follicle function and hair fiber production in those taking the cancer drug Erivedge visomodegib.
Hair Loss and Erivedge Medication for Cancer
Hair Loss is the second side effect listed in the FDA-approved label for Erivedge and seems to be one of the more common side effects of this chemotherapy drug.
Is vismodegib hair loss permanent?
All of the details of hair loss due to Erivedge vismodegib are not known. Hair usually starts to regrow after the treatment is completed, but could take months or longer to fully regrow. Accounts of incomplete or partial hair regrowth have been reported.
What can be done about temporary hair loss or alopecia with Erivedge?
If vismodegib is causing temporary alopecia or hair loss, the use of a 3D-Printed Cranial Prosthesis or non-surgical medical-grade hair replacement system may be an excellent option. A CNC hair prosthesis functions beyond a typical medical wig or hair replacement system.
What should I do if I have hair loss related to Erivedge?
First, notify your prescribing doctor immediately of any side effects with Erivedge. If hair loss side effects occur, seek out a qualified, credentialed (ABHRS, FISHRS, IAHRS) and experienced Hair Restoration Physician. Seek out an MD who has the ability to scientifically evaluate, measure and monitor your hair loss and hair regrowth and has access to the best treatments available. Bottom line, ask an expert. You may ask Dr. Alan Bauman a question about Erivedge hair loss and receive information about what to do if you experience hair loss with Erivedge vismodegib.
What kind of treatments will help hair regrowth after Erivedge vismodegib?
As long as hair follicles remain viable and not permanently damaged, treatments such as laser therapy (LaserCap 224 or CapillusRX), PRP Platelet Rich Plasma, Topical Formula 82M Minoxidil as well as nutritionals/supplements for hair support (Viviscal Pro, Nutrafol) may be good options. If some hair follicles are irreversibly damaged in small areas, FUE hair transplantation with SmartGraft, NeoGraft or ARTAS robotic-system may be required to restore coverage. If large numbers of hair follicles over a large area of scalp are damaged and do not respond to therapy, non-surgical hair replacement with CNC 3D-printed hair prosthesis may be an option.
What is SmartGraft device for FUE hair transplantation?
SmartGraft™ is the fastest, most advanced hand-held device for minimally-invasive FUE Follicular Unit Extraction hair transplant procedures we have ever used at Bauman Medical, allowing for the individual harvesting of follicular unit grafts directly from the Donor Area of the scalp without leaving a linear scar or “zipper” appearance. Shorter FUE procedure times means reduced risks of graft failure and poor growth quality, as well as enhanced patient comfort. SmartGraft, by Vision Medical, also has a complete microprocessor controlled graft extraction and storage system which reduces the risk of damage to the fragile FUE grafts.
Many, including North America's #1 Top Hair Restoration Surgeon (Aesthetic Everything), Dr. Alan J. Bauman MD, believe that SmartGraft is simply a better or maybe “smarter!” way to perform a hair transplant. SmartGraft is a breakthrough device that helps hair transplant surgeons and their specialized teams perform FUE or Follicular Unit Extraction hair transplantation. Less invasive than traditional linear "strip" harvesting, Follicular Unit Extraction uses no scalpel, no stitches, no staples in the donor area--allowing for faster healing and less discomfort after transplantation.
What is FUE Follicular Unit Extraction?
Hair transplantation is the redistribution of permanent, living and growing hair follicles from the “Donor” Area into a thinning or balding “Recipient” area of the scalp. FUE is a harvesting technique which is less invasive than traditional strip or linear harvesting which requires no scalpel or stitches in the Donor Area. Recovery from FUE procedures is more comfortable and less restrictive than with linear or strip harvesting. The vast majority of patients require absolutely NO strong pain medications during their recovery and can return to non-impact athletic physical activity in just several days.
Dating back prior to 2002, renowned hair loss expert and ABHRS-certified Hair Restoration Surgeon, Dr. Alan J. Bauman, MD, ABHRS was amongst a handful of surgeons worldwide who helped develop instruments for, as well as pioneer, research, teach and train doctors on the minimally-invasive techniques of FUE. Dr. Bauman was the very first board-certified hair transplant surgeon in North America to routinely use Neograft, a motorized hair transplant system for no-linear-scar hair follicle harvesting, starting in 2007. He was also one of the first physicians to use the FDA-approved ARTAS robotic-assisted FUE system. Since 2002, Dr. Bauman and his surgical team have transplanted more than 2,500,000 follicular units using the FUE technique–making Dr. Bauman one of the most experienced FUE surgeons in the world. FUE is the least invasive hair transplant procedure and leaves absolutely NO linear scar. It has less downtime and less discomfort than traditional “linear” or “strip-harvest” procedures.
Will SmartGraft FUE Hair Transplant Look Natural?
The final naturalness and undetectability of a hair transplant relies primarily on the minimally-invasive FUE harvesting method of grafts as small as a single follicle and the artistic ability of the surgeon who creates the sites where the follicles will be implanted. Your surgeon must understand the bounds of naturalness of the hairline design, as well as the relationship of each and every angle, orientation and position of the transplanted hair so that the end result looks natural, and not transplanted. Dr. Bauman is renowned for his artistic approach to hairline design and meticulous execution in his hair transplant procedures. Read patient reviews and ratings as well as see Dr. Bauman's artistic hairline and other transplant results at BaumanMedical.com.
For more information about SmartGraft for FUE procedures or to see if you are a candidate for this type of hair transplant procedure, ask a question at www.BaumanMedical.com/ask-a-question