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
Among the six treatments for hair loss recommended in the Today.com story are compounded minoxidil (rogaine alternatives), nutritionals like Viviscal Pro, laser therapy with LaserCap, PRP Platelet Rich Plasma. Other therapies used by full time hair restoration physicians include no-scalpel, no-stitch Hair Transplantation with NeoGraft or using the the ARTAS robotic system.
For women, the most common triggers are hormonal (pregnancy, menopause, thyroid disorders, polycystic ovarian syndrome) or hereditary, but autoimmune conditions and nutritional deficiencies can also be to blame. And unlike men, we tend to lose hair gradually and all over the head, so it can take longer to detect. "Many of my patients notice a change in the shape of their face as the temples recede, a widening of their part line or that their ponytail is smaller in diameter," says hair restoration specialist Dr. Alan Bauman, who heads the Bauman Medical Group in Boca Raton, Florida.
Luckily, there's a lot that can be done, from lasers to lotions and everything in between. And you'll be rewarded for treating it early. "I liken it to sun damage — it's never too late to address the problem, but it will get worse with time if you don't slow the progression," says Bauman. Here, the best, doctor-approved treatments from easy-peasy to full-on offense.
Check out at-home lasers.
Discreet enough to fit under a cute cloche, the Laser Cap is a powerful (but pricey) way to increase hair mass. "We've had excellent results using laser therapy in-office for several years, but now most patients are treating themselves out of the office," says Bauman. "The device emits low-level laser light treatment proven to enhance growth while you go about your day. It's painless, chemical-free, has no side effects and you see results in 90 days." (And it's a great excuse to expand your hat collection.)
Ready for the big guns? "Platelet-rich plasma is the newest frontier," says Bauman. "It allows us to exploit your body's own pharmacy of growth factors. It isn't an overnight cure, but we can clinically measure improvements in several weeks, and they're noticeable to the naked eye after six months." Here's how it works: A small sample of the patient's blood is processed to separate out the platelets and stem-cell-rich plasma. In some cases, additional "bioscaffolding" — sometimes placental tissue from screened donors — is blended in to improve the effects. Then, the custom cocktail is shallowly injected under the scalp under local anesthesia. Sounds intense, but "it's comfortable, takes less than an hour and there is no recovery phase," promises Bauman.
The key is accurate diagnosis, effective prescription treatments and proper routine follow-up HairCheck measurements. For more info about board certified hair restoration physician, Dr. Alan Bauman, visit http://www.baumanmedical.com
This is a reprint of a MedicalResearch.com Interview with: Dr. Nana Keum, PhD Department of Nutrition Harvard T.H. Chan School of Public Health Boston, MA
Medical Research: What is the background for this study? What are the main findings?
Dr. Keum: Male pattern baldness, the most common type of hair loss in men, is positively associated with androgens as well as IGF-1 and insulin, all of which are implicated in pathogenesis of colorectal neoplasia. Therefore, it is biologically plausible that male pattern baldness, as a marker of underlying aberration in the regulation of the aforementioned hormones, may be associated with colorectal neoplasia. In our study that examined the relationship between five male hair pattern at age 45 years (no-baldness, frontal-only-baldness, frontal-plus-mild-vertex-baldness, frontal-plus-moderate-vertex-baldness, and frontal-plus-severe-vertex-baldness) and the risk of colorectal adenoma and cancer, we found that frontal-only-baldness and frontal-plus-mild-vertex-baldness were associated with approximately 30% increased risk of colon cancer relative to no-baldness. Frontal-only-baldness was also positively associated with colorectal adenoma.
Medical Research: What should clinicians and patients take away from your report?
Dr. Keum: While the relationship between male pattern baldness and prostate cancer risk has been widely examined, to our knowledge, this study represents the first to report a potential relationship between male pattern baldness and the risk of colorectal neoplasia. Thus, our findings should be confirmed in other studies before making definite clinical recommendations. Yet, in the meantime, it may be prudent for males with frontal-only-baldness or frontal-plus-mild-vertex-baldness at age 45 years, although their elevated risk is modest, to consult physicians about colonoscopy screening guidelines.
Medical Research: What recommendations do you have for future research as a result of this study?
Dr. Keum: To better understand etiologic mechanism linking male pattern baldness to colorectal neoplasia, future studies are warranted to examine the association of sex hormones, IGFs, and insulin in relation to subtypes of male pattern baldness.
Hair is often an important outward sign of internal health and hair loss conditions are often associated, exacerbated or triggered by medical conditions. In this recent study we see the first published correlation between subtypes of hereditary male pattern baldness and the appearance of and increased risk of neoplastic colon polyps or colon cancer. --Dr. Alan Bauman
"Top Six Reasons Why Your Hair Regrowth Treatments Aren’t Working"
by Alan J. Bauman, M.D. / Diplomate, American Board of Hair Restoration Surgery
Deciding to undergo treatment for hair loss isn’t always easy. Particularly for women, there is often a lot of embarrassment and confusion that goes along with this condition. Admitting to yourself that you have female- or male-pattern hair loss is sometimes a tough pill to swallow, but coupled with this is the nagging fear that the treatments won't work.
This is why it’s so important for patients to feel confident about the effective treatment options that are available and what time and effort is needed to achieve results.
By the time hair loss becomes visible to the naked eye, over 50% of your hair may have already been lost. So, getting started early on treatments and sticking to your doctor’s medical plan and follow-up appointments are critical to reversing hair loss.
While occasionally men and women may feel like the treatments “aren’t working,” it’s important to get a clear perspective on why this may - or may not - be the case. Having realistic expectations about what these treatments will do and how long they will take is also critical. After all, the main reason why treatments fail is that patients give up too soon… long before the results are visible to the naked eye. Good things come to those who are consistent and “wait.” Treating hair loss is a marathon, not a sprint.
Since August is National Hair Loss Awareness Month, I thought it an important time to address this common question among hair loss sufferers.
Here are six reasons why your hair loss treatment may not be working:
1) "You Think It’s Not Working, But It Is."
First off, let’s address the obvious. In many cases, patients don’t “feel” like their treatment program is working, when in reality it is. The problem is that hair growth rates are slow (about 1/4-inch per month) — therefore most treatments take at least six months before subtle results are visible to the naked eye, and even with an advanced hair transplant procedure it takes a year or more for the full result to grow in.
I would recommend that hair loss patients always keep in touch with their doctors, because he/she can take scientific measurements and use microscopic analysis of the follicles to determine if the regrowth is taking place as it should. For example, patients undergoing a non-invasive treatment regimen can use baseline and tracking measurements like HairCheck/HairCam evaluations performed by their doctor or a certified HairCoach™ to support or discontinue their treatments.
Also remember that symptoms may be misleading. A temporary increase in shedding may be a sign your new treatment is working so push onward through to that 90-day follow-up visit to find out what’s really happening at the scalp.
2) "You’re Doing It Wrong."
Sometimes, ‘user error’ is the reason why a treatment takes longer than it should to show results. For example, sloppy or inconsistent application of a prescription topical medication like Compounded Minoxidil Formula 82M may mean the difference between fair results and great results. But you may also simply be using the wrong treatment. Expecting medical-grade results from an over-the-counter treatment (i.e. Rogaine) or a cheap and weak consumer laser (like some of the ones seen in popular in-flight magazines) vs. physician-only/prescribed laser device simply doesn't make logical sense.
3) "Wrong Diagnosis."
Some rare medical hair loss conditions mimic more common ones, meaning you might be on the wrong treatment regimen. See the right physician. A missed diagnosis of a scarring alopecia for example could spell disaster for your hair in a hurry if left untreated.
3) "Hair Loss Risk Factors Are Inhibiting Your Results."
In a perfect healthy world, treatments for hereditary hair loss work for everyone, but in real life hair loss risk factors like stress, poor diet, medications, toxins like smoking and alcohol intake, poor sleep cycles, hormone imbalance, acute and chronic illnesses and more can overwhelm even the best medical hair regrowth regimen. If your doctor glosses over these risks, or worse, adds to the problem like prescribing testosterone while you are at risk for hereditary hair loss, for example, your hair regrowth may suffer.
4) "Too Late."
Many patients have gone from “bare to hair,” so while it’s never really “too late” to start a hair restoration regimen, sometimes an area of scalp is simply “too far gone” to be helped with traditional non-invasive therapies alone. Meaning, if there is a severe depletion of hair follicles, you will likely need some degree of hair transplantation to reach your goals in that area.
5) Wrong Doctor.
Your primary doctor, ob/gyn, plastic surgeon or even your dermatologist may not be the best source of advice for the most advanced hair loss evaluations, measurements or treatments. While it is true that dermatologists do study hair loss amongst skin diseases during their schooling, the courses are generally brief and not “all encompassing” as compared to a physician specialist solely focusing on hair and hair loss and is staying abreast of the latest research and the newest treatment options.
After all, while your basic car mechanic may know a bit about your transmission and transmission problems, a transmission specialist is where I’d take my car!
Bottom line: Seek a doctor with expertise specializing specifically in hair loss and its treatment.
For more information about Dr. Alan J. Bauman or hair loss evaluations, diagnosis, treatments and procedures performed at Bauman Medical Hair Transplant & Hair Loss Treatment Center in Boca Raton, FL please visit http://www.baumanmedical.com
Find a Certified HairCoach who can measure your hair loss and hair regrowth using a scientific HairCheck device.
Prominent Hair Loss Expert Interviewed for New eBook, Rejuvenating Hair as Women Age Dr. Alan Bauman discusses issues surrounding aging hair for the third installment of Dr. Barry Lycka’s Inside Cosmetic Surgery Today eBook series.
April 10, 2014
Boca Raton, FL – Forget wrinkles, it could be your hair that betrays your age. While unruly grays are the most known, and most obvious, there are six other signs of aging hair to watch out for—dryness, lackluster color, thinning, breakage, split ends, and frizz. And it doesn’t stop there, more than half of all women over 40 experience age-related hair loss or thinning.
To help women understand how aging effects their hair, Dr. Barry Lycka, author of the eBook series Inside Cosmetic Surgery Today, teamed up with nationally recognized hair loss expert, Dr. Alan Bauman, for his third installment of the series. Rejuvenating Hair as Women Age discusses the struggles women face as their hair ages and offers tips and advice on how to keep your hair healthy and vibrant.
“It is no secret that our bodies change as we age - but many women overlook the impact aging has on their hair,” Bauman explained. “When our skin ages, we develop wrinkles, fine lines, and age-spots. Similarly, when our hair ages, we can see thinning through loss of density, diameter and damage that leads to breakage.”
“Today, women with aging hair can expect success with topicals, laser therapy, platelet rich plasma and new minimally-invasive NeoGraft FUE hair transplants for scalp, eyelash and eyebrow loss without the need for stitches or linear scars,” explained Dr. Bauman.
Topics discussed in Rejuvenating Hair as Women Age include:
• Why female age related hair loss patterns are different from men • Why and how hair ages • How genetics play a role in hair loss as women age • The facts about hormones, menopause and hair loss in women • How stress, inflammation and nutrition affect women’s hair health • How to restore damaged hair – straight or curly • Why hair transplants for women have become a viable option. • How new techniques are restoring thinning eyebrows and eyelashes • What to expect from a physician when seeking hair loss treatment
For more information on V3 of Inside Cosmetic Surgery Today, or to download the eBook, visit Amazon.com.
If you have concerns about your aging hair, or if you are interested in learning how to stimulate healthy hair growth, it is important to consult with an experienced hair restoration physician— who can evaluate, measure and manage your hair’s aging issues. For more information, visit www.baumanmedical.com.
Alan J. Bauman, M.D. is a full-time hair transplant surgeon who has treated over 15,000 patients and performed over 6,000 surgical procedures since starting his hair loss practice, Bauman Medical Group, P.A. in 1997 located in Boca Raton, FL. 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 100 physicians worldwide to achieve certification from the esteemed American and International Board of Hair Restoration Surgery. He has been an active member of the International Society of Hair Restoration Surgery as a participant and lecturer at numerous Annual Scientific Meetings and Live Surgery Workshops.
Dr. Bauman is an author of textbook chapters on the science of hair care and hair transplantation, including eyelash transplant surgery, and has been extensively featured in the world’s leading media as a medical expert and successful early-adopter of some of the most advanced technologies in the treatment of hair loss such as laser therapy and NeoGraft FUE hair transplantation. Dr. Bauman has been featured extensively in the world’s leading media in print, radio and television as a medical expert and successful early-adopter of the most advanced technologies in the treatment of hair loss
About Dr. Barry Lycka:
Dr. Barry Lycka is a recognized North American expert in cosmetic, laser, reconstructive and liposuction surgery. Dr. Lycka is author of the best-selling book – Restoring Youth – that has just completed its fourth edition; other books include Skin Works and How To Choose The Perfect Doctor For Your Cosmetic Surgery. Dr. Lycka is recognized by the College of Physicians and Surgeons of Alberta as a specialist in Dermatology.
Dr. Lycka frequently shares his knowledge of cosmetic surgery at international symposia such as the American Academy of Dermatology and the American Society of Cosmetic Dermatology And Aesthetic Surgery (ASCDAS), for which he served formerly as vice president in 2004-2006. Dr. Lycka is also the founder of the Canadian Skin Cancer Foundation and the Ethical Cosmetic Surgery Association.
If hair loss is "Your Mane Concern," as Men's Health Magazine describes, there are several preventative and restorative options you should consider. In this month's issue, hair loss expert Dr. Alan J. Bauman was tapped for his opinion regarding the top strategies for battling baldness. He describes non-invasive treatments like Propecia/Finasteride, Minoxidil (Formula 82M), Laser Therapy with LaserCap or Nutreve Personal Laser, as well as the least invasive hair transplant available: Follicular Unit Extraction or FUE. NeoGraft FUE heals faster and more comfortably with less activity restriction. FUE also completely avoids the linear scar left behind by old-style linear hair transplant procedures. For more information on hair loss and hair regrowth, visit http://www.baumanmedical.com
For most men, having a full head of hair is what makes them feel confident, handsome and, well, sexy. Good hair is a reason why thousands of women swoon over hunky Hollywood actors like Brad Pitt and Tom Cruise and it’s kind of like your right arm, you just assume it will always be there. But what if it isn’t? According to the American Hair Loss Association, by the age of 50, approximately 85 percent of men will suffer from male pattern baldness and, for some men it starts sooner rather than later. And while some men can pull off the shaved head look, for others, even in their 20s, baseball caps, cowboy hats or sunglasses on their heads become everyday accessories as they try to shield their balding pates.
Fortunately the days of resorting to terrible toupees and poorly done plugs have disappeared, as today’s modern technology offers delicate hair transplant surgeries from doctors so precise they’re certain no one can detect the surgery even happened. Sound iffy? Meet Steve, a Palm Beach County man in his 30s who had hair transplantation six months ago. He already feels like a different person with his new head of hair and if you saw him today, he promises no one would be able to tell he was once on the verge of baldness. “I don’t feel like I’m the most superficial person in the world, but it just bothers you when you’re a guy and you start losing hair,” says Steve. “I had no confidence at all. It messes with you mentally. Now I already feel more confident. It was 100 percent worth it.”
When Redbook wanted to educate its more than 2,000,000 beauty-conscious readers about the latest cosmetic products for thicker healthier hair, they sought the advice of internationally recognized hair loss expert Dr. Alan J. Bauman of Bauman Medical Group in Boca Raton, FL who has helped thousands of women diagnose, treat, measure and monitor their hair loss and hair growth since 1997.
Scan the reviews for Rogaine (minoxidil) and the complaints are not hard to find: too greasy, too messy, sticky, irritating, flaking skin, inflammation, dermatitis, difficult to use, etc.
Clever cosmetic chemists have figured out how to reduce the side effects of minoxidil through the use of pharmacy compounding. This new compounded mixture, called Formula 82M, is available through prescription only. That means your doctor cannot simply write a prescription for Formula 82M and send you down to the local pharmacy.
Our patients have noticed that Formula82M minoxidil goes on drier and is less irritating than the standard minoxidil/rogaine solutions found over the counter. Because there are fewer side effects, patients tend to be more compliant. That means that they use the product more often and stay on the regimen long enough to see the benefits. Even the new, droptainer bottle makes it easier to apply than rogaine foam.
At Bauman Medical Group, we recommend HairCheck measurements every 90 days to track the regrowth of hair and the maintenance of the existing hair. Patients should use minoxidil Formula 82M by applying approximately 15 drops twice a day to the scalp.
For more information about the ingredients of Formula 82M, download this informative whitepaper (article):