Welcome to Dr. Alan Bauman's Blog, aka BaumanBlog.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.  :-)

Sincerely,

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

 


Taxotere Chemotherapy and Hair Loss

Is Taxotere Linked to Permanent Hair Loss and Baldness?

For more than 20 years, at Bauman Medical we’ve treated men and women who have suffered from hair loss due to hereditary conditions, illness, injury, trauma as well as medications such as chemotherapy. While all these hair loss conditions are different, what they have in common is when someone loses their hair, we know it can have significant effects on their self-esteem, self-confidence and psychological well-being. We all know that hair is important for self-expression. Our hair is a reflection of how we view ourselves and important for how others perceive us. Hair is a sign of beauty, health and youth that is recognizable from across the room. When hair is lost, whether it be a little or a lot, it can have deep and long lasting psychological effects.

Chemotherapy and Hair Loss

The psychological effects of hair loss often surprise many people and may even prevent cancer patients from seeking the proper lifesaving treatment. Recently, well-known Rolling Stone guitarist Ronnie Wood declined chemotherapy for his lung cancer, not because he didn’t think it wouldn’t work, but because he didn’t want to lose his hair!

Thankfully for most cancer patients who receive chemotherapy, their hair returns to its normal state after the drug has been withdrawn. For others, changes in texture, color, curl and coverage are lingering problems that can be dealt with in terms of styling, hair replacement, and-or doctor-directed hair regrowth treatment options, if desired. However, when hair growth does not return after chemotherapy, especially when this happens unexpectedly, permanent baldness becomes more of a significant, long-term disfiguring burden to bear.

Breast Cancer, Taxotere and Hair Loss

It has been reported that more than 1,600 breast cancer survivors treated with Taoxtere or docataxel (Sanofi-Aventis) have experienced alopecia or permanent baldness with little to no hair regrowth after stopping the drug. From our Taxotere hair loss patients we’ve learned that this unexpected hair loss situation is a continuous and unwelcome reminder of the disease they worked so hard to defeat. The impact of this type of unexpected long-term hair loss cannot be underestimated and our hearts are heavy whenever these brave survivors seek our help.

Years into their remission, and even though they’re feeling physically well, these survivors are still treated as “sick” by those unfamiliar with their condition. They avoid family photos for years and must answer questions from their kids about why their mom didn’t get her hair back and others with a similar condition did. It can affect their personal life as well as their professional one–where in today’s job market, your professional image and first impression matter.

Should You Be Grateful Chemo Saved Your Life?

The now well-known story of Ami Dodson, a frustrated breast cancer survivor who is now living with chemo-induced alopecia said, “I should not be permanently disfigured.” She goes on to describe that she gets told all the time, “‘Well, you’re not dead. Shouldn’t you be grateful the chemo saved your life?’ No, I should be alive and also have hair. Disfigurement is not something we should accept as something that’s part for the course.” It should be noted that Dodson has gone on to file a lawsuit against Sanofi-Aventis regarding her permanent hair loss which she believes is related to her chemotherapy.

And Dodson, now in her 40’s, is not alone in her frustration. Her story is similar to countless others who have turned to Dr. Alan Bauman and Bauman Medical for help. When Dodson was diagnosed with aggressive breast cancer in 2010 at age 35, doctors used Taxotere (docataxel) to treat her cancer. Later, when her hair did not return or regrow, she was diagnosed with permanent chemo-induced alopecia for which there is currently no known cure.

Taxotere and Chemo-induced Alopecia

At Bauman Medical, we’ve been seeing a significant increase in chemo-induced alopecia cases over the years. These brave survivors are healthy and certainly happy to be in remission. What they are not so happy about is the permanent hair loss that they deal with daily. The traditional wigs and weaves are uncomfortable, itchy and not particularly suited for an active lifestyle–especially here in Florida and across the United States. They also don’t like the idea of having to shave what little hair they have.

CNC: Breakthrough 3D-Printed Hair Replacement Changes Lives

The good news is that new hair replacement technology recently brought to the United States from Bologna, Italy is an excellent solution. The new “CNC” Hair Prosthesis by Cesare Ragazzi Laboratories is created with a combination of 3D-printing and old-world craftsmanship. Once the scalp mould and template is sent to Cesare Ragazzi in Bologna, the 39-step / 240+ man-hour process is begun. The breathable, dermato-compatible “second skin” is matched with proper texture and complexion color. Then, up to 100,000 unprocessed human hair strands are meticulously blended and matched to the patient’s specifications.  These hair strands are delicately sewn strand-by-strand into the “second skin” of the prosthetic’s medical-grade polymeric base with an incredible attention to artistry and detail–the angle, orientation and position of each hair is designed to be virtually identical to mother nature’s patterns.

When the CNC Hair Prosthesis for chemo is applied to the woman with severe chemotherapy hair loss and styled, the end result is a hair replacement system like no other in terms of naturalness, beauty and durability and unmatched in the freedom of lifestyle provided. Swim, shampoo, shower, dance, curl and style… all as if it was your own natural head of hair.

Learn more about the Cesare Ragazzi CNC hair and scalp prosthetic hair replacement system from Dr. Bauman—the first physician in North America to offer this life-changing solution for permanent chemo-induced alopecia which is helping cancer survivors once again live their lives with a full head of hair. For more information on the CNC Italian Hair System, start here: www.baumanmedical.com/schedule-consultation


Why is Transplanted Hair Permanent?

Q: Why is Transplanted Hair Permanent?

A: Transplanted hair comes from the back of the scalp or Donor Area, which is relatively immune to the effects of hereditary male pattern hair loss or androgenetic alopecia (AGA). When these follicles are moved or transplanted to the thinning or balding area, they will "take" and grow in that area with lasting results.  Follicles that were in the balding area previously were sensitive to the effects of the body's hormones like Dihydrotestosterone (DHT) which caused them to miniaturize and eventually die, whereas the hair follicles from the back of the scalp are NOT sensitive to DHT.  In simple "agricultural" analogy, the problem is not with the "soil" or skin in that balding area, but the problem is with the "plants" or follicles that were genetically sensitive to hair loss.  The entire field of hair transplantation is based on the well-established "Theory of Donor Dominance" which describes the fact that hair follicles transplanted from the more permanent or "safe" zones in the Donor Area retain their ability to produce hair in a way that is unaffected by DHT--the primary trigger for male pattern hair loss.  Even a man who has extensive baldness still typically maintains hair around the sides and back of the scalp.  These are the locations from which transplanted hair follicles are harvested.

The most obvious examples of the permanency of hair transplants are easily seen in the old, "pluggy" results from outdated 4mm "punch-graft" hair transplant procedures of yesteryear which contained 20-30 hair follicles. Quite unnatural looking, these tufts of transplanted hair can still be seen growing on people's scalps today if they have not been camouflaged with additional hair transplants. Those old plug-type hair transplants, which are far different from today's "follicular unit" and artistic, single-follicle approach, are often a cause of many misconceptions about modern day hair transplants. Today's hair transplants use techniques in which an artistic surgeon using small follicular-unit grafts can create a 100% natural looking result and ongoing non-surgical, medical treatments will protect the non-transplanted hair that remains at-risk.

Hair transplantation is the only permanent way to restore your own living and growing hair.

For more information about hair transplant visit www.baumanmedical.com or start your consultation with Dr. Bauman today.

 

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Examples of Plug or Bundle Hair Transplants (Performed By Other Physicians) Seeking Hair Transplant Repair From Dr. Alan Bauman, Bauman Medical - Boca Raton & Miami Florida

 

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Interview: Hair Loss Hair Transplant Expert Dr. Alan Bauman on World Finance Network Radio CEOmoney

Dr. Alan Bauman Discusses Hair Loss / Hair Restoration on World Finance Network Radio #CEOMoney

In this fast-paced interview, internationally renowned hair loss expert and FUE hair transplant pioneer Dr. Alan J. Bauman, MD, ABHRS discusses the latest in the medical treatment of thinning hair and hair loss in both men and women.  Topics included hair transplantation using a minimally-invasive approach like NeoGraft or ARTAS FUE, as well as medical therapies such as topical Formula 82M minoxidil rogaine-alternative, topical finasteride Formula 82F, laser therapy, PRP platelet rich plasma with BioD ECM extracellular matrix, in addition to medical-grade hair replacement options like the Italian Hair System CNC Hair & Scalp Cranial Prosthesis.  Future therapies like hair cloning, hair multiplication, stem cell treatments, and more are likely to become available as research progresses, but the time is now to take action if you are experiencing hair loss. Long distance consultations via phone or skype are easily scheduled through Dr. Bauman's website BaumanMedical.com.  

About Dr. Bauman:  With over 20 years of hair transplant experience treating nearly 20,000 patients and performing over 8,000 surgeries, Dr. Bauman is one of only approximately 100 physicians worldwide to achieve certification from the American Board of Hair Restoration Surgery and one of only approximately 50 surgeons accepted by the International Alliance of Hair Restorations Surgeons. He was listed as a Top 5 Transformative CEO by Forbes and year-after-year is recognized by Aesthetic Everything network as a Top Hair Restoration Physician. 

About Bauman Medical: Located in downtown Boca Raton, Florida, Bauman Medical is a nearly 12,000 sqft stand-alone facility dedicated exclusively to hair & scalp health, hair loss treatments and state-of-the-art hair transplant procedures. Bauman Medical has become a destination-location for those who seek the highest level of care and results in the field of hair restoration. For photos, videos and audio content on hair loss and hair restoration, visit BaumanMedical.

 


Finding a Hair Loss Expert

Finding a Hair Loss Expert

How can I find a medical expert in hair loss and hair restoration, you ask? Hair loss is a specialized medical field in and of itself, with its own journals, texts, scientific conferences, live surgery workshops, etc. Unfortunately, those suffering from hair loss often waste valuable time and money with over-the-counter "cures" that don't work or consulting with doctors who never even examine or measure their hair growth before seeking an expert opinion from a hair restoration specialist. In my more than twenty years in the field, I see that many of those performing FUE hair transplantation part-time are not hair loss experts and never seek training, certification or knowledge in diagnosis or management of hair loss. This is unfortunate.

When companies want to test their product or hair transplant device "in the field" and bring their idea "from the bench to the bedside" they will often ask "what physician is a expert at treating hair loss" and "how can I find a hair transplant specialist?" Unfortunately, legal disputes between medical device manufacturers are becoming more common and on more than one occasion I've been asked to give an opinion "on the record" regarding various hair growth devices. I hope we will see fewer examples of these lawsuits and litigation as time goes on.

When it comes to credentials, however, board certification from the American Board of Hair Restoration Surgery (ABHRS) is a good place to start, as well as those who have achieved Fellow status with the International Society of Hair Restoration Surgery (FISHRS). At the consumer hair loss patient advocacy organization, the International Alliance of Hair Restoration Surgeons and the non-profit American Hair Loss Association, hair transplant surgeons have been hand-selected, recommended and accepted based on their experience, expertise, disciplinary records, ethics and results. Looking for a hair transplant or hair restoration expert? These are the locations you can find my esteemed hair loss colleagues with exceptional expertise.

Dr. Alan J. Bauman, MD, FISHRS, ABHRS - Bauman Medical - Boca Raton FL

Ask Dr. Bauman a Hair Hoss Question here...

Looking for legal expert opinion on hair loss?


What is CNC 3D-Printed Cranial Hair & Scalp Prosthesis?

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What is a CNC 3D-Printed Cranial Hair and Scalp Prosthesis?

Many alopecia and other hair loss patients are thrilled to hear about the new Italian Hair Replacement System called the CNC Cranial Prosthesis. But what exactly is a CNC medical-grade hair and scalp prosthesis and how does it differ from traditional medical wigs, weaves and extensions and other medical hair replacement options like hair transplant surgery, platelet rich plasma (PRP), medications and laser therapy?  Where can you buy a CNC Cranial Prosthesis?  How does it work and what is involved in getting an Italian Hair System? What does "CNC" stand for, anyway?

At Bauman Medical, we've seen that some alopecia patients are not good candidates for hair transplantation, which requires a significant quantity of your own healthy donor hair follicles to be redistributed into the thinning or balding area.  Men and women with severe hair loss that affects their available "donor hair" in terms of quantity and quality, as well as those who want to achieve results that a hair transplantation or medical treatments cannot provide, need other options. Unfortunately, hair replacement options like hot, itchy, shifting wigs or damaging extensions or weaves have their obvious drawbacks.

What if there was a hair replacement solution that offered a nearly limitless quantity of hair, with long lengths seen only in Hollywood, and the pure soft silky shiny quality ONLY found in real unprocessed human hair, in a system that you could be as active or athletic as you want to be without restrictions... swimming, dancing, shampooing/styling, etc., and secured in such a way that made it seamless and undetectable to even the closest inspection and touch?  It is not a dream, it is REAL. Leave it to modern technology combined with the brilliant craftsmanship, artisanship and appreciation of beauty found only in the "DNA" of the Italians (think shoes, handbags, fashion, sportscars, etc.) to solve this problem!  With nearly 50 years of experience, Cesare Ragazzi Laboratories (CRLAB) of Bologna, Italy brings together a marriage of technology and artistry that is unlike any other breakthrough in non-surgical hair restoration called the "CNC." And, at Bauman Medical, we are thrilled to be able to pioneer this life-changing "beauty tech" to the U.S.!

If you know someone struggling with hair problems due to hair loss, alopecia, chemotherapy, scarring, burns, injury or other condition that depleted their hair and may benefit from the CNC Hair and Scalp Prosthesis / Italian Hair System, please have them contact us at BaumanMedical.com/schedule-consultation

What does CNC mean?

CNC stands for "Capelli Naturali a Contatto" in Italian, which means simply "Natural Hair, Attached."  It is a deceptively simple name for a hair replacement system or medical-grade cranial prosthesis, behind which lies an incredible series of 39 separate production steps, nearly 250 man-hours of meticulous handcrafted labor over 12 weeks of time and uses 3D scanning, robotic 3D-printing, sophisticated polymer chemistry and more, all within a quality-controlled production facility that looks like it was designed more for aerospace engineering than hair replacement! Having personally been to the facility, however, I can say with great confidence that the most important "ingredient" that I noticed was the passion and love that each member of the CRLAB team brings to their "job"--and a deep appreciation of how their work has such an impact on peoples lives. 

It is truly a pleasure to have a partner such as Cesare Ragazzi to work with in order to help our patients and we are thrilled to bring this "gamechanging" hair replacement option to our patients in the U.S. exclusively at our clinic Bauman Medical, located in Boca Raton, FL. 

Take a Virtual Tour of the high-tech, high-touch CRLAB Cesare Ragazzi Laboratories production facility in Bologna, Italy with Dr. Alan Bauman.

See a scalp burn survivor from San Antonio, Texas receive a new head of beautiful 3d-printed hair from Dr. Bauman in Florida with a CNC.

Watch a scarring cicatricial alopecia patient with CCCA receive a CNC Cranial Prosthesis at Bauman Medical in Boca Raton.

Brain cancer survivor Tim receives a life-changing CNC Hair & Scalp Prosthesis from Dr. Alan Bauman in Boca Raton, FL using 3d-printing tech.

What is the CNC scalp prosthesis "second skin" made of?  

CNC prosthetic base is made of a breathable, comfortable, dermato-compatible (skin friendly) medical grade polymer that is shaped specifically the patient's unique scalp contour with the help of sophisticated 3d-printing technology. The color and texture is matched specifically to the patient. When the hair is implanted into the prosthesis and it is secured to the scalp with medical grade adhesive, the appearance and texture of the prosthesis is 100% undetectable to the naked eye and indistinguishable from the patient's own skin. 

Up to 100,000 unprocessed human hairs may be implanted into the CNC hair and scalp prosthesis to restore a full head of hair, or just a small area of hair loss--depending on the patient's needs. Only "virgin" or unprocessed hair is obtained primarily from people of Eastern Europe--that means the shine, quality, texture of the hair is truly unsurpassed.  This hair is far different and certainly more rare than traditional wigs or weaves made from Asian hair (or even Yak hair, eeew!) which is typically dyed and processed to create inexpensive "throw-away" hair replacement systems.  Based on a small sample of the patient's own hair, if available, strands of the proper curl, length and color are carefully selected and artistically blended to create and mimic the natural variety of hair found on the human scalp. In other words, natural "brown" hair is NOT just brown--it contains perhaps 15-20 different colors blended together. This is what helps gives natural hair (and the CNC hair and scalp prosthetic) its unique radiant color and shine.

Each individual hair strand is "stitched" or implanted and secured into the "second skin" of the prosthesis with careful attention to the angle, orientation and position--in order to mimic natural patterns of hair growth on the scalp. As a hair transplant surgeon, I can certainly appreciate the detail required on this step! 

Once the CNC production steps are completed and all of the numerous quality-control aspects are met, the Cranial Prosthesis is sent back to Boca Raton, Florida so it can be applied and styled for one of our hair loss patients at Bauman Medical.

How often does the CNC get maintained? What is the maintenance involved?

Approximately every four weeks, the CNC must be removed, cleaned and reapplied to the scalp. This is important for the health of the scalp as well as to maintain the longevity of the CNC hair replacement system. With proper care and maintenance, the hair system will remain looking and feeling great for years and years. 

Where to buy CNC hair and scalp prosthesis?  Where can you get a CNC 3d-printed hair system?

3d-printed hair system called CNC is available from Dr. Alan Bauman and Bauman Medical Group in Boca Raton Florida. Are you a candidate? Find out now at http://www.baumanmedical.com/schedule-consultation.  

 

 


Hair Loss Expert Dr. Alan Bauman to Present at Premiere Orlando, the Beauty Industry's Most Important Show

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The epicenter of the beauty industry is Premiere Orlando--International Beauty Event, happening this weekend. With more than 57,000 attendees from all 50 states and over 44 countries, 800 exhibitors across a 7-acre exhibit floor, this event has the reputation as the Industry's Most Important Show for all things salon and spa. Top celebrity stylists will debut the latest hairstyle trends on the Main Stage and the most-followed and most influential artists, manufacturers and professionals will be together under one roof. This year for the first time, there will be an entire educational area dedicated exclusively to Hair Loss and Trichology... which is great news for the tens of millions of men and women in the U.S. suffering from hair thinning and hair loss and their stylists who want to help.  It is also one of the reasons we are excited to attend this year as well as present scientific information on my specialized area of expertise to the beauty community.  Through our participation in events such as Hair+ Summit and our own HairCoach Certification program for medical and beauty professionals, we have already educated hundreds of licensed professionals. 

In collaboration with Hair+Summit by Modern Salon and HAIR.University, I will be presenting "Understanding Hair Loss & Hair Restoration: A Medical Perspective" on Monday, June 5th 11am-12:15pm W309A at Premiere Orlando this year. If you plan to be at #PremiereOrlando or it's co-located show #PremiereDAYSPA, let's connect! It should be a fantastic event... I hope to see you there!

Licensed Medical and Beauty Professionals can register for education and hand-on training in trichology, hair loss analysis, hair restoration treatments, PRP training, hair transplant and other hair replacement options at HairCoach.net. Limited seating is available for next class, so register early!

 


What is the Bauman Certified HairCoach Program?

What is the Bauman Certified HairCoach Program?

The Bauman Certified HairCoach Program is the brainchild of board-certified Hair Restoration Physician, Dr. Alan J. Bauman, M.D. of Boca Raton, Florida.  For over two decades, he’s dedicated his entire professional career to helping those with hair loss. In addition, he’s been a champion of educating professionals and the general public interested in learning more about the causes of hair loss, effective treatments as well as the latest medical and surgical procedures in the fast changing and often confusing field of Hair Restoration.

Hair loss is a common concern for millions of men and women, but yet there are limited resources available to patients and professionals alike when it comes to effective treatments and procedures and a multitude of myths, misconceptions and misinformation. The HairCoach program was “born” out of Dr. Bauman’s well-wrought results-oriented "Bauman Protocols" which include scientifically rigorous hair loss evaluations, diagnosis, advanced treatments, obsessive follow-ups/results tracking and more.

What kind of topics are covered in HairCoach certification?

HairCoach offers information on male and female pattern hereditary hair loss and other alopecias such as traction alopecia, scarring types of alopecia, baldness prevention and more, common scalp problems like dandruff, itching, flaking, oily or dry scalp, PRP Platelet Rich Plasma hair regrowth preparation and application protocols, hair growth diagnosis and tracking with HairCheck trichometry and HairCam dermoscopy, hair restoration basics, FDA-approved and compounded medical therapies, non-chemical treatments like Low Level Laser Therapy, nutrition and nutraceuticals, proper hair care and scalp care and trichology principles, diagnostic tools and therapeutic regimens included in Scientific Scalp Makeovers™, cranial prosthetic devices, hair transplantation using NeoGraft FUE and the ARTAS robotic-assisted FUE system and much more.  Future therapies such as stem cell treatments, Autologous Lipocyte Micronized Injection (ALMI Hair Regrowth), growth factors, cell therapy, hair follicle cloning or rejuvenation will be discussed.

No one in the world expects that you can become fully versed in the evaluation and treatment of hair loss in one simple workshop or seminar. However, whether you are just starting your journey towards helping those struggling with hair loss, or you want to refine your skills in the latest techniques and technology, Dr. Bauman’s HairCoach Program has proven again and again to be a valuable investment. As a Certified HairCoach (or C.H.C.), a multitude of personnel, resources and training opportunities will be available for you over the long-run to ensure your success, including additional training, online resources, priority access to Dr. Bauman and his knowledgeable staff, published research, webinars and much more.

PRP Hair Regrowth Training DrAlanBauman - HairCoach

Who should consider HairCoach training and certification? 

Professionals in the beauty, aesthetic, cosmetic and anti-aging industry looking for the latest information on hair loss in men and women, diagnosis and evaluation methods, effective treatment protocols, the latest most advanced procedures, common “pearls and pitfalls,” etc., can all benefit from HairCoach program. HairCoach attendees have included physicians, surgeons, aestheticians, hairdressers, cosmetologists, registered nurses and nurse practitioners, medical assistants, physician assistants, clinic managers and many others in the health and beauty industries.

What educational resources are available through HairCoach?

While there is a robust self-study online component to HairCoach, the distillation of key points, tips, techniques and more come together in the hands-on experience at Dr. Bauman’s more than 11,000 square foot “Hair Hospital” facility in Boca Raton, FL. The jewel of the hair restoration industry, Dr. Bauman’s comprehensive and state-of-the-art facility is unmatched in its ability to help those with hair loss.  Taught by renowned hair transplant surgeon and board certified Hair Restoration Physician, Dr. Alan J. Bauman himself, the HairCoach program “comes alive” for those limited number of participants who can attend the small programs, presentations and hands-on training.

What do past participants say about HairCoach?

Listen to what some HairCoach attendees have to say about the program:

 More HairCoach program reviews, ratings, feedback and testimonials are available!

For more information on upcoming HairCoach class dates and registration, please visit http://www.HairCoach.net

 


Replicel releases safety, efficacy data on RCH-01 DSCC regenerative cell therapy for baldness, thinning hair.

According to data released by Replicel on March 14, 2017, "The five-year trial data set has confirmed the complete safety profile of a high-dose of dermal sheath cup cells (DSCC) for patients with pattern baldness due to androgenetic alopecia." 

DSCC therapy is the keystone technology for Replicel's RCH-01 product. Replicel reports that the first-in-human data on long-term safety endpoints for RCH-01 successfully met it's endpoints as they move forward toward further research, development and commercialization of the hair loss product in collaboration with Japanese company Shiseido. 

According to Replicel, histological examination of the injection sites via biopsies at 6, 12, 24 and 60 months after treatment on 19 patients revealed no significant pathology (tumor, granuloma, foreign body formation, etc.)  

 

 

In addition, efficacy data--while not statistically significant--revealed that there was a overall stabilization of hair loss in all participants as well as up to a 21% improvement in hair density in a top tier responder (average 4.2% increase in hair density overall). 

Replicel Chief Scientific Officer, Dr. Kevin McElwee, alluded to further research focusing on designing optimal cell number (dosage) and injection frequency (timing) to optimize peak efficacy in terms of increased hair density.  From his statements, it appears that smaller cell doses and more frequent treatment sessions may be used to achieve a superior effect in terms of increasing hair regrowth. 

“In summary,” stated RepliCel’s President and CEO, R. Lee Buckler, “we are very pleased with the results of this first-in-human study and are excited to move this product forward into the next phases of development.”

At Bauman Medical in Boca Raton, FL we are actively watching this--and other--continuing research in the field of cell therapy for hair regrowth in androgenetic alopecia (pattern baldness in men and women).  We are hoping to see the hair measurements of the hair regrowth performed with the HairCheck device which can be used to measure results from hair loss treatments such as PRP with Extracellular Matrix, SVF, MSCs, adipose stem cells or other cell therapy, compounded Formula 82M minoxidil, topical finasteride, laser therapy, hair transplantation and more. 

 

 


Dr. Alan J. Bauman Hair Loss Expert Interview w/ Dr. Barry Lycka - Inside Cosmetic Surgery 03-13-2017

RADIO INTERVIEW - SHOW TRANSCRIPT 

13 March 2017 Inside Cosmetic Surgery Today on WebTalkRadio.net Interview with Dr Barry Lycka & Dr Alan Bauman

Dr Barry Lycka Cosmetic Dermatologist from Edmonton, Alberta is talking today with

Dr Alan J Bauman, ABHRS, FISHRS Board-Certified hair transplant surgeon from Boca Raton, Florida.

This is your number one internet radio show on cosmetic surgery, in the world! We get over 8000 downloads per week, because this show is designed for those who want the newest and best information about cosmetic surgery, and of course we have the best expert doctors as our guests. Thank you to all our listeners who have made that growth possible. If you have any topics you would like us to feature, please email Dr Lycka directly on info@barrylyckamd.com.

Today Dr Lycka is talking with very popular repeat guest, Dr Alan Bauman, from his practice in Boca Raton, Florida. Dr Bauman always shares with us the very latest and best techniques & technologies for looking after our hair and dealing with the devastating problem of hair loss. He is one of the most knowledgeable people in the world when it comes to hair loss treatment. Both men AND women suffer hair loss for a variety of reasons. It is such a common problem and yet it is such a debilitating problem too. People hate to have thinning hair and a bald head.

Welcome, Dr Bauman!

Thank you, Barry it’s great to be back with you.

What percentage of men get hair loss, Alan?

It can start any time after puberty so 20% of men in their 20s, 30% of men in their 30s, 40% of men in their 40s and it just keeps going upwards from there. So over half the men over the age of 50 are going to have some visible signs of hair loss. And of course, many don’t want to lose their hair! They want to keep looking young and feeling great!

If a man has hair loss, is it always due to their genes & hereditary factors or are there different reasons for hair loss as well?

There are lots of types of hair loss. 98% of men who come into the clinic have hereditary male pattern hair loss. There are sometimes exceptions. Dr Bauman had an interesting case today, an unusual medical condition that obliterates the hair follicles and sometimes mimics what male pattern hair loss looks like. But the majority will have the tendency to weak, miniaturized hair, and eventually some degree of baldness and hair loss.

Let’s start at the beginning. A man is starting to lose his hair what are the signs that he has male pattern alopecia?

Typically, it starts with a recession of the frontal hairline. The forehead starts getting bigger as the hair recedes at the front and sides. Also, there can be loss of density and fullness and coverage in the crown area too. These are the 2 places that we typically see male pattern hair loss start. It can progress onwards from there. As the hair follicles miniaturize, and weaken over time, then there is the loss of more and more density, more loss of caliber of hair, and loss of coverage even over the entire top of the scalp. And of course, it spares the hair follicles around the sides and back so you typically see that ‘monks ring’ of hair around the sides and the back.

Of course, some people consider hair loss as sexy – not everyone agrees with that! But the good news is that the hair follicles are being miniaturized – they are NOT going away. That is good news, isn’t it?

Yes, it is. If action is taken early enough then you have time. You can interrupt the miniaturization process and regrow those hairs, thicker, fuller and healthier. Once a follicle is dead and gone then you must do something more aggressive to restore hair growth.

Let’s start with a man starting to lose hair. What can they do themselves without visiting a doctor – are there any over the counter products that can help?

There certainly some over the counter treatments that are FDA approved, such as minoxidil products. There are also over the counter, consumer, low level laser devices available. BUT, even though they are FDA approved proven to grow hair sometimes patients can have problems because they don’t know exactly how to use the treatments or even what to expect. Even if they are doing the treatments 100% correctly they don’t know what to expect in terms of a result.

The most important thing for listeners to understand is that if they are experiencing some hair loss they should seek expert advice, find a hair restoration physician. They have to find someone who can measure and monitor their hair situation and really diagnose exactly what is happening. Male pattern hair loss may be visible from across the room but there may be areas of weak or miniaturized hair that are not yet dead and gone, or areas where too much density has already been lost and applying a topical treatment from over the counter is just not going to get the job done.

That is such an important point. The first thing that anyone who is suffering a dermatological problem, and that includes hair loss, needs to do is get a proper diagnosis. Without a diagnosis, nothing can be treated properly. So back to the example quoted earlier, that person had a rare scarring process going on, causing the hair loss. That person had already been to a dermatologist who said it was just male pattern baldness, and that was that. But on closer inspection it was a totally different problem of scarring alopecia, that was mimicking male pattern baldness.

What tests can be done to help diagnose what the hair loss is and what type it is.

The first thing that happens at Dr Bauman’s clinic is a detailed evaluation. What is happening, how quickly, are there risk factors, medical factors, diet, illness, things that affect the body’s metabolism, medication. All these contribute to the whole picture of the hair loss situation.

Then what does it look like, is it receding, balding at the crown? Measurements are taken with a Hair Check Trichometer. It is a tool which measures the numbers of hairs and how thick they are in different areas of the scalp. The permanent zone (that are where your head hits the pillow first) is compared against the crown, the frontal, temples. These measurements are very important over time. They have established a base line against which it is possible to track the response to different treatments.

Then the second thing will be to look at the scalp under a microscope. And amazingly we have something we can add to an iPhone to do this, and look directly at the scalp with high powered magnification. This helps determine the density. How any hairs are there, are they good, thick and healthy? Is it a forest of oak or a few blades of grass!

These tests help us determine how the hair loss has progressed and predict the expected response to various treatments.

Age also affects the different risks for patients. For example, an older man sitting at home on a diet of tea and toast might wonder why his hair is falling out. Younger men using supplements to help improve physique and sports performance that can also cause hair loss. Creatine pills for example have been shown to cause hair loss, with aggressively miniaturized hair follicles.

There is a huge movement in regenerative medicine and anti-aging to do hormone replacement therapy and men and women can be on testosterone which can be converted in the body into dihydrotestosterone which we know, for men, is the trigger for male pattern hair loss. That is therefore a big risk factor. So, steroids, and hormone replacement therapy under the care of a general practitioner, can affect the hair follicle cycling.

Even poor sleep habits can cause excessive hair shedding.

So, moving on to hair loss in women.

What percentage of women have hair loss?

This also varies by age, and around 50% of women aged 50 and older will have some visible signs of hair loss. The feel decreased volume, maybe less coverage on their scalp. In women, hair loss can happen any time after puberty, just like in men. It is typically subtler, and is not usually easily recognized from across the room as in men.

Female pattern hair loss looks different.

Is there always a strong family link with this?

Yes, just as with men, there is a strong genetic link, but women’s hair is more sensitive to other things such as illness, hormone imbalance, disrupted sleep/wake cycles, stress – even than men.

There are also plenty of non-genetic hair loss such as auto-immune conditions, so once again we need to get the ladies in for a diagnosis and look for the risk factors and issues than can be contributing to the hair loss situation. Problems could be in the form of excessive shedding, receding hair line, and usually a loss of volume. They notice that they can’t do the same hairstyles they could when they were younger.

Again, what are some of the simple tests that you do, and what patterns do you see in female hair loss situations.

Once again, we will be looking at the scalp and going through the timescale of how and when the hair loss has occurred. Female hair loss usually does not recede the hairline but will be a loss of density and caliber. It usually spares the hair around the back of the scalp and around the sides -they remain unaffected. There will be the detailed medical history, blood tests, and if it is unclear what is going on at the scalp then maybe a biopsy will be suggested. But, most of the time, the diagnosis in the clinic will be made by the medical history and the physical examination.

When patients visit Dr Bauman’s practice, it is not an automatic biopsy procedure which is often offered in a dermatology office, there will be an hour-long investigation to see exactly what is happening with their health and to try and get to the bottom of the situation. The risks are identified – medications can be a very strong trigger for female pattern hair loss.

OK. So, we have got to the point where, for both men & women, we know they have hair loss, male pattern hair loss or female pattern hair loss and what is causing it.

What are the first steps in treating it?

First steps are to go through the different options available to treat the hair loss.

For men, the oral therapies are the first line approach – Finasteride, is the first line of approach. For women, it might be a topical medication, or a laser light device. These are the basics. Even at this point many men, even though they understand that Finasteride has a strong influence in preserving, protecting, and enhancing their own hair, they may want to try something that is non-pharmaceutical, and shy away from the typical FDA approved oral treatments. This means Dr Bauman goes through the whole gamut of therapies across the board that are available. Many people want to avoid the pharmaceutical treatments these days.

Typically, if we know it is androgenetic alopecia, then Finasteride (Propecia) is the medication which reduces the DHT and that works ‘pretty darn good’ in 90% of the time, and patients look the same or better in the long run, for men. In women if a topical medication is going to be used, then Dr Bauman will typically prescribe a compounded version of Minoxidil, like Formula 82M as opposed to the Rogaine that is available over the counter. Rogaine tends to be more greasy and gooey and not all that strong. The compounded medications, like 82M, are stronger, give a little bit more ‘oomph’ to the treatment, and are a lot easier to use. Unlike the oral medications which is taken once a day, topical medications must be used twice a day to be truly effective. Both men and women can use the topical medications.

Laser light therapy devices can be used for both men and women. There are devices to take home – patients don’t have to go to the clinic 3 times a week for clinic treatments. They take the Laser Cap device home and use it 30 minutes every other day, to get the best results.

If you want to stay away from chemical therapies then you are looking at laser light devices, and maybe even PRP treatments.

PRP – Platelet Rich Plasma - is a new modality that is used in regenerative medicine. We harvest and exploit the platelets that regenerate tissue.

When you are talking about laser therapy, are you talking about the red lasers that are found in some of these cap devices?

Yes. Laser therapy for hair regrowth is in the red wavelength, it is visible red light but it is the laser diodes that give the best results, NOT LED’s. There are laser caps – you wear them on your head, they are hands free, cordless and rechargeable, and they are powerful. They are more effective and easier to use than the devices we used to have in the clinic!

Are there any better devices? It’s easy to get lost when searching for ‘laser for hair loss’ everybody seems to be trying to sell one!

Yes, there is a huge variety of different lasers ‘out there’ and many are FDA cleared for hair regrowth, so they have been proven to the FDA that they are effective but you need to look for the laser with the highest number of LASER diodes – not LED’s. They must be laser light – those are the diodes that are the most effective in re-growing hair. Importantly, to get some regeneration, the hair follicles must not be dead and gone. They can be weak but not dead. But that is true of just about any other therapy as well. There must be a hair follicle there for it to grow hair.

For a laser cap device, you should get one with about 220 diodes. There are some coming out with 300 diodes which are the latest and greatest ones. They must cover the whole scalp and deliver enough energy to get some good results. And we must measure to check the progress of results!

Back to oral medications – do you use oral medications in women too?

Post menopause we can use the hormone modulating treatments because there is no risk to a pregnant woman or developing fetus. But to determine if a woman should take Finasteride, given that she is post-menopausal, a genetic test called “HairDX” is taken first to determine if she is androgen sensitive. Not all women are androgen sensitive. We can determine who is most likely to respond to the Finasteride / androgen modulating treatments. If a woman is androgen sensitive, then it is possible to prescribe the Finasteride for post-menopausal women. Dr Bauman sees some great results with it.

As we come towards the end of our time today, please can you summarize for us what we have talked about today?

The most important thing for any man or woman who is experiencing hair loss and doesn’t like it, Dr Bauman’s advice is to get a medical evaluation by a board-certified hair restoration physician. The ABHRS is the American Board of Hair Restoration Surgery. It is also an international board and there are only a small number of physicians in the world who have achieved that board certification. When you have the evaluation, make sure you get a complete medical history, and do have evaluations such as the HairCheck measurements, and the HairCam microscope photos of the scalp and that they are recorded in your medical records. Ask for a copy of those.

Then get started on some effective treatments. Oral therapies – primarily for men;
Topical therapies – for men and women;
Laser Light devices- physician prescribed like LaserCap

PRP Platelet Rich Plasma – we didn’t talk too much about that but it’s an autologous injectable no-downtime hair re-growth treatment done over a lunch-hour that stimulates hair growth. It can work for both men and women in the early stages for up to two years.

You really need to try and keep your existing hair. If you don’t keep what you have then you are going to need some degree of FUE transplantation to fill in those gaps.

The simple advice is ‘the earlier the better’. Anyone listening who is suffering from hair loss, and not currently considering any form of treatment, then the time really is now to get the best results.

The earlier treatment is started, then the better the results are over the long run. If you wait until too many hair follicles are damaged or dead, then the treatments become more aggressive and more invasive as you go. We have great minimally invasive technology and techniques these days, to restore your own living and growing hair. In the early stage of the game patients need to take some positive action, and seek out therapy from well-trained and experienced hair restoration physicians who are trained in the medical management of hair loss.

Sadly, in the USA, most dermatologists don’t have time to do a hair loss consultation so there is a complete new sub-specialty (only about 15 to 20 years old) board certified hair restoration physician. Those physicians exclusively dedicate their practice to the treatment of hair loss and hair re-growth.

How can listeners access Dr Bauman’s specialist service?

Thanks to the power of the internet, via Dr Bauman’s website, patients can initiate a long-distance consultation, upload photos, schedule a phone call – or do it through Skype, or Facetime - and it’s almost as good as being at the office. Obviously Dr Bauman can’t do the measurements or look with the microscope, (although he is working on that!) He however can at least make a start on understanding exactly what is going on. Dr Bauman also certifies HairCoaches, so there may be someone local to them who the patient can be referred to at a hair center who can take the measurements – HairCheck and HairCam evaluation with the microscope. There are over 150 Certified HairCoaches ‘out there’, many of them international, who have been trained by Dr Bauman to help him diagnose and treat hair loss. Simply click Start Consultation.

Or of course, you can visit Dr Bauman’s facility in South Florida, Boca Raton. He has a new building completely dedicated to the treatment of hair loss and hair transplant procedures.

Thank you once again Alan for spending time educating our listeners about hair loss. Dr Lycka loves to do this show and provide real information to the listeners.

Thank you, Barry, for being such a gracious host. Dr Bauman knows that many people listen to this podcast from around the world, and say to him ‘I heard you on Dr Lycka’s show, and the information really helped me get started dealing with my hair loss.’

 

Contact details for Dr Alan Bauman:

Dr. Alan J. Bauman, M.D. – ABHRS Board Certified Hair Restoration Physician

Telephone: Boca Raton: (561) 394 0024

https://www.baumanmedical.com/

 


What is the Havogen5 Natural Anti-DHT Saw Palmetto patch?

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Patients often ask "Is there a natural way to block DHT to fight hair loss or oily scalp?"


Patients looking to decrease DHT (dihydrotestosterone) production naturally may come across Saw Palmetto or Serenoa Repens, a common ingredient in natural DHT blocking supplements as well as in some compounded oral prescription (like FinPlus) and topical prescription solutions. In the scientific literature there is an increasing amount of evidence that supports the use of Saw Palmetto and similar compounds like avocado extracts to help block the activity of DHT. DHT is the well known trigger for hair loss in men (and some women) which has also been implicated in the over production of sebum or oil in the scalp and skin. A NEW transdermal patch called Havogen5 allows for the absorption of Saw Palmetto and other helpful ingredients conveniently and naturally through the skin.
 

Where to buy Havogen5 Anti-DHT Saw Palmetto Patch?

The Havogen5 patch is now available from Dr. Alan Bauman and Bauman Medical in Boca Raton for those patients seeking a natural DHT blocker to aid in their hair loss or oily scalp condition.  Havogen5 Saw Palmetto patch can be used as an alternative or adjunct to traditional pharmaceutical treatments like finasteride, propecia, etc. as long as results are being tracked carefully by your board-certified Hair Restoration Physician. 

How is Havogen5 transdermal saw palmetto patch used?

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The Havogen5 patch is applied 12 hours each day to the skin of the nape of the neck or shoulder area. Havogen5 ingredients including Saw Palmetto, avocado extracts and others, may help the reduction of DHT activity in the scalp. Routine measurements, of course, with the HairCheck device and the Sebum Analysis Tool are critical to monitoring it's effects and benefits for seborrhea and hair loss.  Blood tests may also be used to determine if the levels of DHT in the blood or serum are being effectively decreased.
 

When should I see results with Havogen5 natural Anti-DHT patch?

As with any treatments, because of standard hair growth rates in humans, it takes about three to six months to measure early changes with the HairCheck device and approximately 9-15 months to see changes on standardized scalp photography.  HairCheck measurements are recommended every three months because results vary between patients. 
 
Visit BaumanMedical.com for more information on traditional, natural and alternative treatments for hair loss and oily scalp.