Formula 82F or 82M Compounded Minoxidil in eye, heres what to do

 

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Did you get Formula 82M/82F in your eye?

Here's what to do!

Compounded Formula 82m prescription topical hair loss medication from Dr. Alan Bauman, MD / Bauman Medical contains minoxidil, tretinoin, fluocinolone, oleanolic acid, antioxidants and other ingredients, without propylene glycol. Compounded 82M is to be applied to the scalp twice a day for powerful hair regrowth in a solution that penetrates the scalp better, is easier to use and less greasy than rogaine. Formula 82F has the same ingredients but also contains finasteride. Formula 82M/82F are packaged with colored caps by the pharmacy to distinguish them from eye drops. Compounded Formula 82M/82F should NOT be stored anywhere near your eye drops to avoid accidental use in the eye.  Of course, these medications like all others should always be kept out of reach of children.

If placed in or around the eye, the ingredients in Formula 82M/82F can be extremely irritating and painful. Avoid rubbing your eyes or eyelids as this may be damaging to the eye. Thankfully, damage or injury from Formula 82M or Formula 82F in the eye has never been reported. 

If you accidentally put Formula 82M or Formula 82F in your eye. Don't panic. Do the following:

  1.  Immediately flush your eye with water or eye-wash, if available, continuously.
  2.  Immediately call and schedule a visit with your ophthalmologist (eye doctor) for an evaluation and follow up. 
  3.  If your ophthalmologist is not available, go to immediately to your local urgent care facility or ER. Bring the 82M/82F with you.

If you have a question about Compounded Formula 82M minoxidil or Formula 82F topical finasteride and minoxidil for hair regrowth, please visit https://baumanmedical.com/ask-a-question

 

 


Does Erivedge (visomodegib) Cause Hair Loss?

Screen Shot 2018-03-20 at 8.22.36 AMErivedge & Hair Loss, Hair Thinning

What is Erivedge (visomodegib)?

Erivedge or visomodegib capsule is a prescription oral chemotherapy medication for adults with basal cell carcinoma skin cancer that has spread to other parts of the body or that has come back after surgery or cannot be treated with surgery or radiation. At Bauman Medical, chemo hair loss expert Dr. Alan Bauman has examined, evaluated and successfully treated patients who have experienced hair loss, baldness, hair thinning and-or alopecia from Erivedge (vismodegib).

What is the Mechanism of Erivedge – vismodegib?

Vismodegib is a Hedgehog Pathway Inhibitor. By disrupting the hedgehog pathway signal which drives cancer cell growth, Erivedge prevents the cancer from growing. Hedgehog pathways may also be responsible for many of the side effects of Erivedge. For example, Sonic Hedgehog signaling is required for hair follicle development in a fetus and for regulating hair follicle growth and cycling in the adult.

What are some known side effects of Erivedge visomodegib?

In addition to loss of taste, muscle pain, muscle spasms, nausea, vomiting, birth defects, fetal death, diarrhea and fatigue, Hair Loss, alopecia, and-or thinning of scalp and body hair is a known side effect of Erivedge visomodegib. Your hair may become thin, brittle, or may fall out when taking Erivedge. This means that hair breakage, shedding and changes in texture of your hair are possible side effects. In addition to scalp hair loss, Erivedge can cause loss of any body hair, including pubic, underarm, legs/arms, eyelashes, eyebrows and nose hairs. It is assumed that interruption of the Hedgehog pathway is a possible cause of changes in hair follicle function and hair fiber production in those taking the cancer drug Erivedge visomodegib.

Hair Loss and Erivedge Medication for Cancer

Hair Loss is the second side effect listed in the FDA-approved label for Erivedge and seems to be one of the more common side effects of this chemotherapy drug.

Is vismodegib hair loss permanent?

All of the details of hair loss due to Erivedge vismodegib are not known. Hair usually starts to regrow after the treatment is completed, but could take months or longer to fully regrow. Accounts of incomplete or partial hair regrowth have been reported.

Screen Shot 2018-03-19 at 3.34.45 PMWhat can be done about temporary hair loss or alopecia with Erivedge?

If vismodegib is causing temporary alopecia or hair loss, the use of a 3D-Printed Cranial Prosthesis or non-surgical medical-grade hair replacement system may be an excellent option. A CNC hair prosthesis functions beyond a typical medical wig or hair replacement system.

What should I do if I have hair loss related to Erivedge?

First, notify your prescribing doctor immediately of any side effects with Erivedge.
If hair loss side effects occur, seek out a qualified, credentialed (ABHRS, FISHRS, IAHRS) and experienced Hair Restoration Physician. Seek out an MD who has the ability to scientifically evaluate, measure and monitor your hair loss and hair regrowth and has access to the best treatments available. Bottom line, ask an expert. You may ask Dr. Alan Bauman a question about Erivedge hair loss and receive information about what to do if you experience hair loss with Erivedge vismodegib.

What kind of treatments will help hair regrowth after Erivedge vismodegib?

As long as hair follicles remain viable and not permanently damaged, treatments such as laser therapy (LaserCap 224 or CapillusRX), PRP Platelet Rich Plasma, Topical Formula 82M Minoxidil as well as nutritionals/supplements for hair support (Viviscal Pro, Nutrafol) may be good options. If some hair follicles are irreversibly damaged in small areas, FUE hair transplantation with SmartGraft, NeoGraft or ARTAS robotic-system may be required to restore coverage. If large numbers of hair follicles over a large area of scalp are damaged and do not respond to therapy, non-surgical hair replacement with CNC 3D-printed hair prosthesis may be an option.

Learn more about hair loss from Erividge visomodegib at http://www.baumanmedical.com/visomodegib-erivedge-hair-loss/

 

 


What kind of hair growth results can I expect from PRP Platelet Rich Plasma?

Q: What kind of hair growth results can I expect from PRP Platelet Rich Plasma?

A: Thank you for your thoughtful questions regarding my PRP protocols for hair regrowth and the results you can expect.

I am assuming you are asking for yourself as a male patient…?

From my experience, PRP with ECM or Extracellular Matrix in our hands at Bauman Medical appears to stimulate better hair growth from the follicles that are weak/miniaturize, while at the same time protecting those follicles that are at risk for a certain period of time.

When it comes to genetic male pattern baldness or androgenetic alopecia, there are many stages and speeds of progression in patients. While 90% of patients receive a positive response from our treatment, the “results” of PRP are most visible and measurable in areas when applied into an area where there is a large number of weak follicles. Therefore, it most common that some areas of the scalp may improve more than others.

As an example, areas that are severely depleted of hair, i.e., low density, don’t respond as well because there are fewer follicles in the area that can improve. This is especially true of a receded hairline for example. Areas that have yet to be affected by male pattern hair loss are protected, but they won’t appear much different after the treatment--just the same, which is a good thing!

The most important things to know about all non-invasive treatments (minoxidil, finasteride, laser therapy, PRP, etc.) are that they do NOT create new hair follicles, they need to be continued over time to maintain results, and results should be routinely measured in the office with a scientific device like a HairCheck trichometer to determine how and where you are responding to the treatment.

Whether or not PRP should be used as a stand-alone therapy as an alternative to, or in combination with other treatments would be something we would discuss at the time of the consultation. Through a formal consultation, I would have a better understanding of your hair loss status and goals.

I hope this information helps and I look forward to assisting you with your hair restoration goals. Let me know if you have any additional questions.
Would you be interested in proceeding with an in-person or virtual consultation? If so, start here: http://www.baumanmedical.com/schedule-consultation

Sincerely,
Dr. Alan J. Bauman, MD, ABHRS, IAHRS, FISHRS

Medical Director & CEO / Bauman Medical Group

www.baumanmedical.com

 

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PRP Results from Dr. Alan Bauman BEFORE and AFTER 12 MONTHS

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Six Minute Hair Growth: Fact or Fiction?

Six Minute Hair Growth: Fact or Fiction?

by Dr. Alan J. Bauman, MD, IAHRS, FISHRS, ABHRS

For some, the idea of laser beams conjure up images of epic SciFi battle scenes. For others, lasers in medicine mean skin resurfacing or perhaps even hair removal. Today we see “lasers for hair regrowth” advertised in magazines, on TV and in our Facebook newsfeeds. Are these treatments for hair loss for real or is it just a gimmick… another bogus ‘snake oil’ treatment? How can lasers affect hair follicles or other parts of the body? Who is a candidate for laser hair therapy? Are there any side effects? What are the limitations of laser treatments for hair loss? How do I choose the best laser? How can I measure laser therapy results?

Low Level Lasers Explained

Far below the power required to blast away cancer cells, kill hair follicles – or evil aliens, for that matter – “Low Level Laser Therapy” is the use of non-cutting, non-burning or ‘cold’ lasers that impart energy to living cells without damaging them. Since their discovery in the 1960’s, low-level lasers have been proven to be an effective drug-free way to help heal wounds, relieve pain, increase circulation, decrease inflammation and provide a host of benefits to the human body and now we know why.

How Do Lasers Help Prevent Baldness?

First, it’s important to realize that all hair loss is not the same. “Alopecia,” the broad medical term for hair loss, can mean a huge variety of different medical conditions that decrease or eliminate hair follicle function causing everything from increased shedding to extensive baldness. When hair follicles, the mini-organs under the skin that produce your visible hair fibers, “fail,” there could be a wide range of causes which require accurate diagnosis and treatment by a hair loss specialist. If hair follicles are weakening, producing thinner, shorter and wispier hair, laser therapy may be an excellent non-drug, no side-effect option to improve hair growth. When low level laser energy is consistently applied with the correct power and regimen, improvements in hair growth can be easily measured and eventually felt and seen.

What Laser Device is Right for Me?

Today, laser hair therapy devices come in all shapes, sizes and costs. There are large,
in-office devices, at-home portable caps, helmet and dome-shaped devices as well as the consumer laser brushes, combs and “band” lasers. Each device may have different types or a combinations of light sources
(laser and non-laser), numbers of laser diodes, types of laser diodes, areas of coverage, treatment times as well as other factors that impact use such as comfort, size, weight, cord vs. cordless, etc. With so many laser devices FDA-cleared for hair regrowth in men and women, how can patients choose which device will work best? For our patients at Bauman Medical, we recommend exclusively devices that meet the following criteria:

  • “Pure” laser - (no LEDs or non-laser light sources)
  • Over 200 laser diodes for maximum coverage
  • Cordless, rechargeable for portability
    and ease of use
  • FDA-cleared for hair growth
    in men and women
  • Hands-free (no movement or readjustment during treatment required)
  • Discreet (fits under a standard baseball or other cap/hat for easy compliance)

The easiest way to understand the benefit of a “good quality” laser is the difference between watering your front lawn with a watering can versus an automatic sprinkler system… both theoretically can work, but one method requires significantly less time, effort and energy. When searching for laser device, know that like most electronic equipment (TV, stereo, car, etc.) you get what you pay for in terms of power, effectiveness and durability. A quality laser will last you a long time, and because it’s a one-time expense, laser therapy is actually your least costly hair loss treatment over the long-run. Therefore, it’s recommended to “stretch” a little when making this kind of long-term investment in your hair’s health and also make sure you measure and track your results over time with a qualified medical professional.

How Do I Know My Laser Is Working to Help Hair Growth?

Knowing what treatment will work best requires an accurate diagnosis, effective treatment regimen,
compliance with the regimen and routine follow-up tracking measurements. This is most easily accomplished with an in-office visit and consultation with board-certified Hair Restoration Surgeon like Dr. Alan J. Bauman, MD, ABHRS. During your initial consultation, scientific HairCheck measurements are obtained from several different areas of the scalp to benchmark your baseline as well as track your progress over time from treatment. At Bauman Medical, after your initial consultation, all follow-up HairCheck measurements are performed as a courtesy to all of our patients at no-charge!  Hair loss question? Get answers from Dr. Alan Bauman.

 

 

 


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


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

 


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?

Havogen5_antiDHT_SawPalmetto_Patch_DrAlanBauman

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?

Havogen5-antiDHT-SawPalmetto_Transdermal-Patch_BaumanMedical
 
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.
 
 

Aclaris JAK inhibitor research for baldness ATI-5001, ATI-5002, ATI-5003 is progressing

Aclaris JAK inhibitor DrAlanBauman

ACLARIS Therapeutics JAK Inhibitor Research on Androgenetic Alopecia, male and female pattern baldness is progressing

Below you will find an excerpt from an Edited Transcript of Aclaris Therapeutics Inc earnings conference call or presentation Thursday, November 3, 2016 at 12:30:00pm GMT:

I will now turn the call over to Dr. Stuart Shanler to give a brief update on the JAK inhibitor program in alopecia areata, vitiligo and androgenetic alopecia. Stu?

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Stuart Shanler, Aclaris Therapeutics, Inc. - Chief Scientific Officer [4]

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Thanks, Neal. Our JAK program continues to progress as expected with ATI-5001 for oral administration for the treatment of the most severe forms of alopecia areata -- that's alopecia totalis and alopecia universalis -- and ATI-5002 for topical administration, primarily for the patchy forms of alopecia areata.

We are pleased to report that the IND application for ATI-5001 has been submitted to the FDA, and we expect to begin a human pharmacokinetic/pharmacodynamic -- that's a PK/PD study -- before the end of this year, which is slightly ahead of schedule. For the topical version, the ATI-5002, we are on track to submit an IND application and begin a clinical trial in the first half of 2017, which is consistent with our previous guidance.

In addition to progressing our JAK treatment program for the treatment of alopecia areata and as we reported on our last call, we have initiated preclinical development of additional JAK inhibitors which we are developing for topical use both in vitiligo and androgenetic alopecia, which is also known as male or female pattern baldness. The program includes the development of ATI-5003, which is a covalently binding JAK3-specific inhibitor, and the preclinical and formulation work continue to progress as expected.

At Bauman Medical Group Hair Transplant and Hair Loss Treatment Center in Boca Raton, FL we will be keeping a close eye on this groundbreaking hair loss research as it progresses.