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Medical treatment

Photobiomodulation therapy

Photobiomodulation therapy also known as Low Level Laser Therapy (LLLT)

According to latest research, the efficiency of the light in hair loss treatment has recently been acknowledged.

Light from LED or light from laser diodes, it’s all about a specific light with a wavelength of 650-nm that penetrates within tissues and stimulates the microcirculation, the cell metabolism and the protein synthesis.

Several devices are currently available on the market. It is difficult to precisely assess the effectiveness, the outcome and impact of this new treatment. Besides it is essential that our patients keep in mind that once the treatment has begun, it must be finished and when we talk about LLLT treatment, we talk about a long-term treatment.


Capillus 272

Those are tiny helmets with integrated light-emitting diodes (1360mW). With Capillus, patients can benefit from low laser therapy without ever leaving their house. The process is very simple and only takes a few minutes a day: position the helmet on your head and wait 6 minutes. Tested and approved by the FDA in January 2015, this technology generates after a few weeks a real hair growth (you can notice a 51% increase in terminal hair) and a significant reduction of your hair loss.


Capillus 82 and 202

Here we are talking about the same devices but those helmets contain less laser diodes, 82 and 202, respectively. Their price also differs; 799$ for the Capillus 82, 2000$ for the capillus 202 and finally 3000$ for the Capillus 272 pro. We strongly recommend all our patients to choose helmets fitted with more laser diodes.


Theradome LH 80 pro

Approved by the FDA for treating androgenic alopecia in women, we are awaiting the device approval for men. This helmet covers your whole scalp and it is recommended to use twice a week. You will observe a substantial reduction of your hair loss between the first and the fourth month. Then after the seventh month you will notice your hair growing thicker. This therapy is indicated for patients experiencing moderate or recent hair loss.

For all those devices:

  • The hair growth is faster in women. Hair growth for men can be accelerated combining laser diodes therapy with other treatments as Minoxidil, Finasteride or Dutasteride
  • We would like to underline that all the benefits of the laser diodes therapy disappear after cessation of it.

Other devices are available such as:

Laser cap pro fitted with 224 laser diodes


Hair max laser band or laser comb


Revage laser system


Systeme LED Triwings

Hormonal treatment

Hormonal treatment against hair loss

Birth control pills

A number of studies have shown that birth control pills as the ethynilestradiol and drospirenone have a protective role against hair loss because of their anti-androgenic properties. Those oral contraceptives can help women with female pattern baldness.


Androcur

Other studies suggest the use of Androcur (or cyproterone acetate) to slow down hair loss in women.


Other endocrine disorders can induce hair loss, especially thyroid disorders, can explain why your hair is falling out.

 

Conventional therapy

Treatments with Rogaine (Minoxidil) and Finasteride (Propecia)

Rogaine (Minoxidil)

This product increases the anagen stage and it even might start on a new hair growth cycle by fastening the hair loss in the telogen stage: this is what we call “the shedding effect“. In general, the hair grows stronger and thicker. It works by stimulating the follicular units’ growth and it activates the dermal papilla’s germinative cells.

The lotion must be applied directly on the skin and not on the hair, once or twice per day. The Rogaine 5% lotion has been shown to be most effective in men.

In women Rogaine 2% lotion is suggested; the risks linked with allergies or with cutaneous irritation are more important in men.

You can appreciate the results of this treatment after 6 months of use.


Finasteride (Propecia)

So far 2 molecules may slow down the formation of DHT: the finasteride treatment (trade name of the propecia) blocks the 5a reductase type 2, and the dutasteride (or avodar) has been proven to regrow hair by blocking DHT.

Some studies have shown after 5 years of finasteride treatment:

  • 48% of patients noticed a new hair growth (6% versus placebo),
  • 42% of patients perceived the stabilization of their alopecia (19% versus placebo),
  • 10 % of patients did not noticed a positive change, they kept losing their hair (75% versus placebo).

But this efficiency on the hair loss can come with undesirable effects on the sexual functions in males for 4,5%, and it is difficult to measure the real impact. Within the secondary effects, we noticed the decrease of the libido, erectile troubles, testicular pain, male breast enlargement and even gynecomastia.

The undesirable side effects disappeared in patients who have stopped using this treatment and even in 58% of patients who have kept using it. However, those secondary effects can stay after the treatment, we call it the Post Finasteride Syndrome (PFS).

In some countries, this molecule is available in lotion associated with Minoxidil in order to reduce the risk of undesirable side effects.


Other effects:

  • Finasteride lowers PSA rate in the blood,
  • Finasteride may prevent the risk of low-grade prostate cancer, but it could increase the risk of high-grade tumor (risks in patients between 40 and 50 years),
  • In men, it may reduce the spermatozoids number. In women, it might also reduce the fertility. It is strictly prohibited for pregnant women or soon-to-be because of the risk of birth abnormality of the newborn (male) reproductive system.

Be aware that those treatments require a long period of use without interruption, otherwise all the benefits will be lost.

 

Food supplement

Viviscal food supplement

Food supplements enhance the chances of your hair growing thick and strong.

Viviscal food supplements are made of fish extracts, AminoMar C (blend of shark and mollusk powder), marine proteins and other keys nutrients for stronger and healthier hair.

Three products are available in Natural Hair Transplant:

  • Extra strength,
  • Professional,
  • Viviscal man.

A study made in 2015 showed a real hair regrowth in 80% of patients after 6 months.

Those treatments are more efficient in women.

Reference : “Ablon G, Dayan S, A randomized, double blind, placebo-controlled, multi center, extension trial evaluating the efficacy of the new oral supplement in women with self-perceived thinning hair, J Clin Aesthet Dermatol, 2015 Dec”