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Hair transplants MD

Five Things You May Not Know About Hair Restoration

March 18, 2016

Hair restoration in Baltimore, MD, has come a long way over the years. From the only option being to wear a toupee or simply accept baldness to advanced techniques in hair grafting and other minimally invasive treatments, actual hair growth in areas where hair loss has occurred is possible. If you are suffering from hair loss and want to look at your options, here are five things you may not know about hair restoration: Hair restoration includes non-invasive techniques, too. When you think about hair restoration, the first thought is transplantation. There are several non-invasive and minimally invasive techniques that have made hair restoration possible without the need to undergo procedures that require sedation and longer recovery times. It is better to wait for hair restoration if you are still young. When you suffer hair loss at an earlier age than normal, the pattern of hair loss is erratic and may be broader as time passes. Let’s say you are in your 20s or early 30s and have started to see your hairline receding so you decide to have a hair transplant with the idea that you can head off your hair loss at the pass and achieve a fuller head of hair at the hairline and crown. Then over the years, the hair loss continues in other areas while the transplanted hair remains the same, leaving you with patches of hair that look even worse than you thought it did when you noticed your hair thinning. Newly transplanted hair takes time to fully grow. It is common for patients who have undergone a hair transplant to want to see immediate results. The reality is that the hair used in transplant procedures takes time to begin to grow. In fact, it typically takes about six months to start to see growth and may take up to a year to realize the full effects of a hair transplant. Hair transplants may take a lot of time. Depending on the extent of the hair loss and the desired amount of hair to be transplanted, hair transplants can take some time. Not only does each procedure take several hours, most patients require at least two procedures to complete the restoration process. It is an arduous process that is not for the faint of heart. Hair transplants are permanent. The hair used for transplants is taken from other areas of the scalp where hair is dense and resistant to the hormone that causes hair loss – DHT. Because of this, the restoration is permanent and will not start to thin or fall out in the future. Considering Hair Restoration The advances in hair restoration make it worth seriously considering one of the procedures to replace hair loss. If you are considering hair restoration, you have options. By contacting our offices to schedule a consultation, we can determine the best treatment plan and answer any questions you may have.

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The Importance of Early Intervention with Hair Loss

February 18, 2016

If you have bald relatives or even those with severely receding hairlines, it is very likely you may have to deal with hair loss as you get older. You may already notice your hairline inching towards the top of your head. Hair loss affects about 35 million men and over 21 million women (Relevant Research, 2014) with the percentage of men seeing noticeable hair loss by the age of 35 at about 40 percent – yes, 40 percent. This is why it is so essential to understand the importance of early intervention with hair loss. For many, by the time hair loss is noticeable, the hair loss has been going on for years. The Effects of Male Pattern Hair Loss Male pattern hair loss happens over time – you don’t just wake up one day with no hair. Hair follicles shrink, causing hair to eventually fall out. Once this happens, the only way to cover the balding scalp is to have hair transplantation. This is where early intervention enters the picture. You look in the mirror every morning and night where you inevitably notice that your hairline is creeping up your head. This is when you need to seek attention to it if it is bothersome or makes you self-conscious. The problem is that when you avoid it by thinking that everyone’s hairline recedes, you get to a point where the only option is hair transplantation. Hair transplantation is often not the right option for men in their 20s when hair restoration is under discussion. Instead, the ideal option is to look at other options that facilitate expansion of the hair follicle and possibly even regrowth. It is important to understand that without any early intervention, you will continue to experience hair loss. This will lead to continued hair transplantation and, ultimately, a point in time where hair loss exceeds the amount of donor hair available. Early Intervention Methods Hair follicles suffer from reduction at different times rather than all at once. Because of this, it is important to try to keep hair growing for as long as possible. By doing this, you can potentially keep hair growing so you can stave off further hair loss. The way to do this is by working with the following: Prescription drug therapy – Rogaine® (Minoxidil) and Propecia® (Finasteride) are the only FDA-approved drugs to treat hair loss. Each works to slow the process of hair loss and even reverse hair loss. Laser hair therapy – laser hair therapy directs light energy on the scalp to increase blood flow and oxygen to hair follicles. The objective is to stimulate as many follicles as possible from the resting phase into the growing phase to increase hair growth. Deal with Hair Loss Early Many patients who deal with hair loss early are able to protect the hair they have and revive declining hair follicles. The key is early intervention with hair loss, so make an appointment with a trusted physician who specializes and has a stellar reputation in hair loss and restoration.

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Hair Restoration Treatment in Baltimore, MD & Washington, DC

The Art of Hair Restoration

January 18, 2016

Deciding on hair transplantation is a major decision in and of itself. Once it is made, the next step is finding the right hair restoration physician to perform the procedure. The ideal surgeon who performs hair transplantation must see the art of hair restoration. And it is an art form. Prescribing Medication to Maximize Effectiveness Along with the benefits of prescription drug therapy are potential side effects as well as the usefulness of the medication. Hair restoration physicians walk a thin line in prescribing medication to maximize effectiveness while minimizing potential side effects. Be Patient with the Process There is an old saying – “patience is a virtue.” When it comes to hair transplantation, nothing could be truer. This process is thought of as a long-term plan rather than a short-term solution. Skilled physicians have the experience and ability of knowing what will work best at a particular point in the hair restoration process. For instance, if a patient insists on hair transplantation but a physician knows it is too early in their hair loss, while the physician understands the haste towards hair transplantation, they know that going ahead with transplantation will not solve the issue since future hair loss will more than likely take place. Retrieving and Placing Hair The most important part of understanding hair transplantation is that it does not give patients new hair but rather moves hair from one place to another. This part of hair restoration is where artistry is more important than ever. Much of transplanting hair is about understanding how to almost duplicate the hairline in a similar manner prior to hair loss by judging the natural way the hair fits the scalp. An experienced hair restoration physician knows how to place the hair grafts to fit the head best so the hair will lie correctly as time passes, and he needs to know how to create an illusion of denser hair. Combines Art with Science Just as with any facial cosmetic procedure, hair restoration combines art with science and medicine to create a natural-looking head of hair. It takes knowing how the facial structure plays into hair placement and hairline as well as understanding the composition of the skin, how to graft the hair at the right angle, and how to place it in the right way. When choosing a physician skilled at hair restoration, it is imperative to make sure he has the artistry as much as the education. Those who have the ability to combine both are the ones who truly take the time to treat the hair loss and produce the results patients want.

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Male Pattern Baldness: What It Is and How to Fix It

December 5, 2015

Did you know that about 35 million men suffer from male pattern baldness (MPB), or androgenetic alopecia, or that over 800,000 of those suffering from it will seek treatment? While those are astonishing statistics, the bigger questions to ask are “What Is Male Pattern Baldness?” and “How Do You Fix It?” What Is Male Pattern Baldness? In a nutshell, male pattern baldness is a condition most often caused by hormonal changes in men that trigger hair follicles to shrink, making hair grow at a slower rate. Inevitably, the follicles eventually cease to produce hair at all, and the area becomes bald. It is called MPB because it typically follows a predictable pattern starting at the front of the hairline and working its way back, in addition to affecting the hair at the crown of the head. Medical terms used to refer to MPB include male pattern alopecia, hereditary alopecia, and androgenetic alopecia, but, in the end, they all mean the same thing. With male pattern baldness, a classification system is used for diagnosis that rates the progression of the condition. Using the Norwood Male Pattern Baldness Classification System, physicians diagnose the level of MPB with the following scale: Type I – Minimal or no recession of the hairline Type II – Definite recessions at each side of the temples – usually symmetrical Type III – Hair loss great enough to be considered bald – significant recessions at the temples Type III Vertex – Recession at the temples along with the start of a bald spot at the top (vertex) of the head Type IV – Receding hairline beyond the temples with the balding at the crown more noticeable although there is still a strip of hair across the vertex separating the two areas Type V – Recession has gone much farther back with less distinct division between the temples along with a much narrower band of hair across the vertex separating the front and temples from the crown Type VI – A few sparse hairs in the strip across the vertex with the hair loss at the temples and vertex much greater so that the area is virtually bald Type VII – Only a narrow band of hair on the sides and around the back with very sparse hair at the nape of the neck and in a semi-circle over the ears How Do You Fix It? There are several options to “fix” male pattern baldness which include non-surgical, surgical, and medical techniques for hair restoration to achieve a desired look. Most commonly, physicians specially trained in hair restoration recommend the following: Hair Transplantation. This type of hair restoration is a permanent fix with very little risk. It involves surgical techniques to take grafts of hair from areas of the head not affected by MPB and surgically attach them in bald areas of the scalp so that the hair begins to grow in those areas. Laser Hair Therapy. With laser hair therapy, infrared light therapy is applied to the areas of the scalp affected by MPB in an effort to stimulate growth. Prescription Drug Therapy. Rogaine and Propecia are two […]

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Hair Restoration Rockville

How to Plan Ahead for Hair Restoration

September 21, 2015

So you made the decision to have hair restoration and met with a physician who specializes in this area to lay out a treatment plan to remedy your hair loss. It was a big decision, but you made it and are now ready to begin the process. As with any major surgery or other important undertaking, the best way to approach hair transplantation is to have a plan. It is normal to have questions and concerns about what you might look like following your procedure as well as what you might say to friends, co-workers, and family about your restoration. Here is a general plan of what is about to take place so you can really understand your hair transplantation and feel a little more at ease about your transformation. But, prior to reading on, please note that these are only general guidelines, and more specific directions will be provided at the time of your procedure. Consultation. If you have not already had a consultation, this appointment is required prior to proceeding towards your hair restoration. During your consultation, you discuss the details of your procedure with your hair restoration physician including donor hair extractions and where they will be transplanted. On top of this, you will have a good idea of how long the procedure will take and how many procedures may be necessary. But remember, everything is an estimate and may change as the procedure begins – be flexible. Following the consultation, questions will inevitably come to light. When this happens, be sure to write them down, so you do not forget them and can ask them at your next appointment. Week Prior to Your Procedure. At this point, typically a surgical coordinator or nurse will get in touch with you to go over specific details and answer any questions you may have (hopefully you have written them down). This is the point where certain medications are temporarily stopped as well as any alcohol or cigarette consumption so the body is clear of anything that may hinder the healing process. Day Before the Procedure. Make sure you have the logistics of your procedure day organized, so you are not stressed. Most importantly, make sure you have someone come with you to take you home as you are given a mild sedative to prevent discomfort. Additionally, because of the sedation used, do not eat or drink anything after midnight or the day of the procedure. Other Things to Keep in Mind In addition to the actual preparation for hair transplantation, there are other things to keep in mind. You may have a preconceived idea of what you want to look like following the procedure. Your hair restoration physician should be very skilled at the art of performing transplantation that result in a natural appearance. So trust his judgment and know his goal is to meet your expectations while making your new restoration look as natural as possible.

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Hair Restoration Myths Debunked

July 3, 2015

You have heard of “old wives tales” that explain why things happen. Tons of them are related to hair, from brushing your hair a certain number of times makes it grow faster to wearing a hat makes you go bald. Sadly enough, when it comes to hair, another old saying comes to light – “desperate times call for desperate measures.” The hard part is that no matter which ones you have heard, more than likely they are myths. Here are some of the more popular hair restoration myths debunked: Wearing hats causes hair loss. Let’s start with one we already mentioned. This, more than likely, comes from the fact that men who have significant hair loss or are even bald wear hats a lot. More than likely, this is because they want to prevent their scalp from getting sunburned or because they are very self-conscious. Wearing hats does not cause hair loss, so breathe easy when wearing your favorite ball cap whenever you want. Men with male pattern hair loss lose their hair in huge clumps. This could not be farther from the truth. In fact, men with male pattern baldness lose hair gradually starting with receding hairlines, and, for most, the initial hair loss is replaced by finer, thinner hair. If you lose hair in large clumps, call your doctor immediately – it may be a more serious health issue. People lose their hair because they shampoo it every day. The only thing shampooing every day does is give you very clean hair or possibly strip the hair shaft of essential oils, but it has no effect on the hair follicle. If you shave your head, it will come back thicker. Once hair starts its regrowth, it looks thicker because the hair shaft is thicker at the base. So, yes, it may look thicker – after all, you shaved your head bald! But ultimately, shaving your head does not actually make your hair thicker. Baldness comes from the mother’s side of the family. Male pattern baldness (androgenetic alopecia) does tend to be hereditary; however, it can come from either side of the family. Hair loss affects only men. So not true – in fact, hair loss affects about 21 million women in the U.S. (Relevant Research, 2014). Blow drying hair causes hair loss. Blow drying hair along with using curling irons, flat irons, and other hair care utensils may dry out the hair shaft, causing it to break, but styling your hair does not affect the hair follicle which is the part responsible for hair loss. Hair loss occurs from damage to and issues of the hair follicles. Whether it is genetic, as a result of taking certain medications or any other cause, these myths are absolutely untrue. So please do not spend money and time on creams and solutions or alter what you do in the hope of saving yourself from baldness. Instead, see a physician who specializes in hair loss to evaluate your scalp and hair issues. If hair restoration is something you want, he can recommend the best course of action.

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Solutions for Hair Loss in Baltimore, MD & Washington, DC

Hair Loss and Women: What Makes a Good Candidate for Restoration?

June 1, 2015

Hair loss is a condition most often associated with men. Over the years, the advances with hair restoration have made it possible for the procedure to yield a full head of hair that is permanent and, most importantly, natural looking. Because of this, women dealing with female pattern hair loss are turning to physicians who specialize in hair restoration in an effort to achieve the same results as their male counterparts. However, hair restoration may not yield the same results for women as it does for men. Certainly, some women may benefit from hair restoration, but only when hair loss results from certain situations. The following are hair loss conditions that allow women to potentially be good candidates for hair restoration: Those Who Suffer from Certain Types of Alopecia. Traction alopecia and alopecia marginalis are conditions where hair loss occurs as a result of hair persistently being pulled too tightly into buns, ponytails, and braids. When this happens, the consistent pull on the roots can result in hair loss. Women diagnosed with traction alopecia or alopecia marginalis are often considered excellent candidates for hair restoration procedures. Those Who Have Undergone Facial Surgery around the Hairline. Brow lifts, facelifts, and other facial cosmetic procedures often involve incisions along the hairline at the temple or forehead. With these procedures, there is a chance that hair in that area may fall out or thin as a result of the tightening of the skin, the trauma to the skin around the incision, and other revisions of the skin around the hairline. If this occurs, the hair loss is not due to the hormones that most often cause the condition in women but simply the other procedure, making hair restoration possible. Those Who Have a Specific Pattern to Their Baldness. Women who suffer from hair loss which follows a specific pattern similar to what men face and have a donor area not affected by conditions that cause baldness may be excellent candidates for hair restoration. Those Who Have Suffered Trauma to the Head. When women suffer traumatic injuries such as burns or accidents, hair loss may occur. Many of these women can benefit from hair restoration procedures primarily involving hair transplantation. Hair Restoration Is Often Successful Women who make good candidates can feel confident knowing that hair restoration, whether surgical or medical, is often very successful. Another advanced treatment for hair loss in women is laser hair therapy. With this treatment, low-level lasers target the scalp to stop hair loss and even start regrowth. Unfortunately, only a percentage of women benefit from hair transplantation. For those who do, there are several options. It is essential to evaluate the hair loss as well as get a complete medical history to determine if treatment is possible and ultimately which treatment options may be the best options.

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FUE, Mini-Micro Grafting, and Micro Grafting: Hair Transplant Methods

May 26, 2015

About 40 percent of all men over 35 show signs of hair loss or male pattern baldness. Many of them show signs before they turn 35 and start applying Rogaine or taking Propecia to try to reverse the condition. But for those who have lost hair, hair transplantation may be the solution to being able to replace the lost hair. Hair transplantation procedures involve taking hair from areas of the scalp where hair is denser and does not suffer from loss (donor areas) and placing, or transplanting, the hair in areas where hair loss has occurred. Once transplanted, hair continues to grow as the results are permanent. Hair Transplantation Procedures Several procedures for hair transplantation are available and vary with every physician specializing in this field. Three of the procedures frequently performed with great success include follicular unit extraction (FUE), mini-micro grafting, and micro grafting. Depending on the extent of the treatment and the degree of hair loss, each procedure offers permanent hair transplantation results. Follicular Unit Extraction (FUE). FUE involves extracting individual follicles from the back and sides of the head using an instrument to make a tiny, circular incision around the hair follicles. The follicles are harvested one at a time and then transplanted to the areas where hair is thinning – most often the front of the head where the hair recedes and the crown. The procedure typically takes place over a two-day period with large sections being transplanted during each appointment. Recipient sites are made in the areas to receive the donor hair so it can be placed in the sites and begin to grow. With FUE, there is some downtime as well as healing time which takes about a couple of weeks. If there are any scars left in the donor area, they are very miniscule. This procedure is ideal for those who like to wear their hair short, want no linear scarring from an incision, want a much shorter recovery time or have a limited donor area. Mini-Micro Grafting. Probably the oldest surgical hair transplantation technique, mini-micro grafting involves removing a strip of donor tissue containing skin and hair from the neck and cutting it into smaller pieces to place on the bare scalp. The strips of tissue that contain three to six hairs are called mini grafts. This procedure can take up to eight hours and is done under a local anesthetic to prevent discomfort. Once the anesthetic wears off, there may some discomfort along with itching and crusting as the area heals. Depending on the extent of the procedure, it may take up to two weeks or more to recover. It is possible to return to daily activities within a few days if swelling and other discomfort subside. Micro Grafting. With micro grafting, the process is similar to that of mini-micro grafting but is most often done around the hairline. The advantages of micro grafting include the natural results this procedure yields as well as the time it takes to complete. Additionally, because each micro graft stands alone, the doctor and patient have more flexibility in addressing the hair loss. To determine […]

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Five Ways to Know if Hair Restoration Is Right for You

March 27, 2015

According to a recent study, more than 40 percent of men over 35 have noticeable hair loss, with 65 percent by age 60 (Relevant Research, 2014). If you are curious about whether you have significant hair loss, there are obvious signs: You have more hair in the shower drain each morning (and it does not belong to your spouse) Your forehead seems to be larger than in the past The area around the crown of your head is always sunburned in the summer when you do not wear a hat For many who suffer from significant hair loss, hair restoration may be an option to give you back a full head of permanent natural hair. Here are five ways to know if hair restoration is right for you. You are a candidate for hair restoration. If you have suffered from male pattern baldness for either a few weeks or over the course of a year, hair restoration may be the right option for you. The speed at which the pattern baldness develops can be important. You have a generous supply of donor hair.Typically with male pattern baldness, the hair loss occurs in certain areas while other areas are not affected by hair loss (donor areas). For hair restoration, it is essential to have an ample supply of donor hair from which your physician can take hair to place in balding areas. To give you an idea of the number of hair grafts patients need for hair restoration, 50 percent of patients receiving hair restoration needed at least 1,000 grafts to achieve their desired results while over 40 percent needed at least 2,000 grafts (Relevant Research, 2014). You are a man. This is not meant to be sexist, but it is simply a fact. Men make better candidates for hair restoration because of the patterns of their hair loss. Because women’s hair loss does not typically follow a pattern in the same manner as male pattern baldness, women who experience hair loss for over the course of a year should see a doctor. You have realistic expectations. The results depend on the amount of hair in the donor areas and what you want to achieve as well as the possibility or likelihood that further hair loss following hair restoration may occur (even if you continue taking medication to prevent it). That is why it is important to have realistic expectations from hair restoration, which means that though you benefit from hair restoration, you understand your hair probably will not have the look and feel it did when you were a teenager. Talk with a Physician If you suffer from any form of recent hair loss and have thought about hair restoration, it is probably to your advantage to talk with a physician who specializes in hair restoration to make sure one of the treatment plans is right for you.

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Hair Restoration Treatments MD

Meet Dr. John Kiely

January 5, 2015

When it comes to hair restoration, it is imperative to work with a physician who is well-educated and trained in performing the most advanced treatments and procedures. On top of that, you want to work with someone who, most importantly, has a good reputation and a high success rate. Dr. John Kiely is a board-certified hair restoration physician practicing in Baltimore and the surrounding areas. The following is a conversation with Dr. Kiely on his history with hair restoration: How long have you practiced in the specialty of hair restoration? I have been performing hair restoration procedures since 1981 and have performed thousands of hair transplant procedures. What sets you and your practice apart from other hair restoration clinics? The biggest factor that sets my practice apart from the rest is that I, personally, perform all the hair restoration procedures. It is common for bigger hair restoration clinics to have clinicians and trained technicians (who are not certified) perform the procedures rather than educated and board-certified medical physicians, which can result in potentially negative outcomes. What kind of education and training in hair restoration do you have? I graduated from Vanderbilt Medical School and am a board-certified physician. I am also a member of the American Board of Internal Medicine, the American Medical Association, the American College of Physicians, and the International Society of Hair Restoration to name a few. In terms of training, I stay on top of the latest advancements in hair restoration to provide the best and most natural-looking results and participate in continuing education and training to provide the best service and treatment for my patients. In what hair restoration procedures do you specialize? I perform the most up-to-date techniques of hair restoration including mini/micro-grafting follicular units, a cutting-edge procedure that transplants hair to thinning areas of the scalp to provide density in those areas. What is your philosophy when it comes to hair restoration? Perhaps one of the most important factors involved in hair transplants is the restorative surgical skills of the physician. Since the results from your procedure will last a lifetime, you should select a trained physician or surgeon with extensive experience in hair transplantation and a track record of success. If you could offer patients one piece of advice about hair restoration, what would it be? There is no certification for hair transplantation that is recognized by the American Board of Medical Specialties, so it is important to do your research when choosing a hair restoration physician. You want to be confident in the skills of the physician you choose, so it is important to select a surgeon who has extensive experience and a successful track record in performing hair restoration procedures. How do patients in Baltimore and the surrounding area begin hair restoration with you? The first step in beginning the hair restoration process is for patients to schedule a consultation with me to evaluate their hair loss as well as discuss what they want out of hair restoration. From there we develop a plan to achieve those goals.

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