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/

 


Prominent Hair Loss Expert Interviewed for New eBook, Rejuvenating Hair as Women Age

image from ecx.images-amazon.comProminent 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.”

The eBook isn’t the first collaboration between the two doctors; they frequently discuss new treatments and research on Dr. Lycka’s popular series, Inside Cosmetic Surgery Today on WebTalk Radio. Some popular topics have been Aging Hair, Laser Therapy and PRP, Female Hair Loss & Menopause and minimally-invasive NeoGraft FUE hair transplants.

“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.

About Dr. Alan J. Bauman:

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.


Hair Transplant Textbook / Eyelash Transplant Chapter


Dr. Bauman contributes Eyelash Transplant Chapter for "Hair Transplantation" text (Avram/Rogers)


Soon to be released in 2010, "Hair Transplantation" by Avram/Rogers contains Dr. Alan Bauman's chapter on Eyelash Transplantation. The eleven page chapter includes the History of Eyelash Transplants, Patient Selection, Eyelid Anatomy, Eyelash Transplant Methods, Eyelash Transplant Pre-Op, Eyelash Transplant Post-Op, Eyelash Maintenance, and more. The chapter includes 13 photos, including before & afters, several charts and diagrams. For more info visit http://www.eyelash-transplant.com For eyelash transplant training, DVDs, Videos, Webinars, etc., email doctorb@baumanmedical.com

Joella Cain's "The Escort" now available in Paperback

Fiction

• The Escort

Joella Cain

Brad Benette is the handsome son of an old Palm Beach family

renowned for its charm and social graces but with a modicum of

cash. He is accustomed to living the good life with invitations to

clubs and parties from their wide circle of friends. This prompted

his mother to add the III to his name for extra cache in hopes one of

the wealthy, single daughters of her socially prominent, rich friends

would form a marital allegiance with her son.

Occasionally, Brad is often asked to escort the daughters of his

mother’s Garden Club members to major galas and social functions,

and within a short time, he achieves an enviable social agenda

including a wide circle of invaluable contacts.

So, when Brad graduates from college and looks for work,

personality and social connections are his foremost talents. Short of

money, as usual, he begins to charge a fee to the wealthy matrons

for his entertaining social skills. Soon, he becomes a regular invitee

to the international jet-set parties, traveling the world as a guest on

private planes and adorning the decks of elegant yachts moored in

glamorous ports, all for a fee including room and board.

One of these mega-rich ladies, the beautiful widow Mrs. Lorinda

Winthrop, invites Brad for a Mediterranean cruise aboard her

luxurious yacht, The Ultimate Bitch a one of a kind yacht designed

especially for her and purchased from South Florida Yachts through

her favorite broker, Joel Rotta. She inadvertently falls in love with

her handsome escort.

The couple fully enjoys the abundant pleasures of life together

while visiting Lorinda’s villa in Capri until Brad’s hostess/lover is

murdered. Suspicion soon falls on Brad, however without proof, the

crime remains unsolved. Many years later, Mrs. Winthrop’s adopted

son vows to find her murderer.

Unlike the author’s previous book,

(see later in

Fiction), about the secret lives of the haute monde, The Escort introduces

the reader to some of the unscrupulous characters who inhabit

the perimeter of high-society, desperately aspiring to belong.

Joella Cain uncovers the lives of these social wannabes who,

like the Pilot fish, feed on the scraps left by affluent “social sharks”

who skillfully navigate the palm-fringed shores of Palm Beach.

Joella Cain, started writing as a columnist and feature writer for

the Chicago Tribune, then wrote for Phoenix Today. After moving to

Palm Beach she wrote for Palm Beach Today, Palm Beach Chic and

created a magazine, Florida Woman. She has three books published.

Palm Bitch

is her first novel, this is the second. She appeared on

Donahue, Montel, and Sally (twice) with her non-fiction titles. Presently,

she is free-lancing for magazines and is a writer for

The Palm

Beacher

and Society Magazine. Her writing career has placed her

right in the middle of the rich and celebrated social life, which gave

her the inside scoop. Joella also conducts special tours for corporate

groups called The Palm Bitch Tour.

Hard cover, 288 pages. U.S. price $29.95. Publication Date:

November 2008.Entre Nous Publishing.

All rights available.

 

 

Brad's 'mane' of hair is his signature... he visits Dr. Bauman (Hair Restoration/Transplants) in Boca Raton Florida to keep his hair up to par.