Why Traction Alopecia that Damages Hair Follicles is Difficult to Treat with Non-Surgical Treatments

Why Traction Alopecia that Damages Hair Follicles is Difficult to Treat with Non-Surgical Treatments


Thank you for your question. You’ve submitted several photos and you’re
asking about the use of PRP to help with your hair loss and you describe a little bit about
your personal situation. So, I can certainly give you some guidance
on the role of PRP and what solutions are available to you. A little bit of background, I’m a Board-certified
cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon. I’ve been in practice for over 20 years in
Manhattan and Long Island. I’m also the founder of TrichoStem® Hair
Regeneration Centers. This is the technology we developed in our
practice to non-surgically help people with hair loss. I’m using platelet-rich plasma as well as
other things that was developed from our application of this technology for hair transplant surgery. So a situation like yours is something I’m
quite familiar with. To begin with we have to understand first
of all the cause and issue on what’s the basis for your hair loss. From the photos you submitted my first thought
is that these areas are diminishing of hair in the temple areas of your scalp. I think that from my experience is caused
by something we call traction alopecia and this is very common for people who have braided
their hair or done very tight types of hairstyles where the skin was under tension from the
hair being pulled very tightly. Basically with traction alopecia the hair
follicle eventually stopped growing because of the tension traction. Now in a related type of situation for people
with your skin type, I’m assuming you’re someone of African descent. We’ve also seen comparable situations in people
who have used hair relaxers and hair relaxers are basically chemicals that disrupted the
bonds in the hair to realign the proteins in a way that causes straightening. Unfortunately these relaxers could also cause
skin burns and can result in hair loss as well. Now, since your situation looks more like
traction but in the end there is probably some overlap in the way we would treat your
situation. So when it comes to PRP a little bit of guidance
from my experience. We use PRP in our practice a lot, we use it
every day for a variety of reasons, as a cosmetic surgeon, as someone who does laser in non-invasive
treatments and microdermabrasions and various other and micro-needling. Platelet-rich plasma is wonderful, we use
it for acne scars, we use it for wrinkles, we use it for dark under-eye circles, we use
it in combination with fillers. But when it comes to hair, platelet-rich plasma
can stimulate hair growth but in my experience it’s not sustainable stimulation of hair growth. In our practice we use something called Hair
regeneration and Hair regeneration is a combination of platelet rich plasma with a material called
extracellular matrix. Now, we use this mainly for genetic pattern
loss, male and female hereditary loss. I have found it to have a limited value with
traction alopecia. However, when we look at someone, when we
do a microscope examination I often will tell the patient that in order to see what we can
maximally get from your scalp, whether there is any salvageable hair follicles that might
be in injured state. There’s value to trying something like Hair
Regeneration as opposed to PRP alone, but to get density to get restore benefit we usually
have to do some kind of transplantation and that’s gets tricky because the space that
you need hair is a fair amount and so you would probably need a fairly extensive hair
transplant procedure and very often it’s necessary to have more than one. But I think in a step wise methodical approach
you can first you have to do everything to prevent further traction alopecia that means
changing hairstyles and I think the unfortunate reality is a lot of people are resistant to
it because often that’s their look. And we do a lot to counsel our patients to
try to manage that. Because if you keep putting tension on your
hair you will lose more hair. There have been some patients who actually
did this traction maneuver to try to lift their brows and they lost their hair from
that I wouldn’t advise that as well, but that being said I think it’s the stepwise approach
does make sense, Hair Regeneration technology to first maximize whatever growth there is
and then transplantation done in a way that makes sense to both you and your physician. So learn about these options about Hair Regeneration
and transplantation and then do some consultations with doctors who specialize in hair loss treatment
and hair transplant and move forward from there so I hope that was helpful I wish you
the best of luck and thank you for your question.

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  1. Thanks so much for this information and it was explained very clearly. I paid another doctor to tell me this same thing you told me for free. Thanks again for caring.

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