Hair Loss in Males (cont.)

ZIERING:
Shampoos are important for general hair care in that they remove dirt and oils from the hair which cause the hair to be flat and lay in clumps. Therefore shampoos can restore moisture to the hair shafts and give it a healthier and shinier experience, but will not grow new hair.

MEMBER QUESTION:
Are certain shampoos better to use when your hair is thinning?

ZIERING:
People have different types of hair, oily versus dry, and should match their shampoo with the production of their oil. Some shampoos that are mild are good to use so there's no damage to the hair shaft. However none of them can grow back hair. So in general it's a personal preference.

Some confusion comes from the fact there are hair "thickeners" which add moisture to the hair shaft and seal in moisture and therefore create the appearance of thicker, fuller hair, which is beneficial but does not grow new hair.

Hair cuts and styles such as cutting your hair shorter will also give your hair the appearance of fuller, thicker hair.

MEMBER QUESTION:
I'd like the doctor's opinion of Nizoral.

ZIERING:
Nizoral is a medicated shampoo used to treat "dandruff" and also has been shown to have some antiandrogen properties, so it may be beneficial in preventing additional hair loss. It is often recommended in conjunction with the other two FDA-approved medications.

MEMBER QUESTION:
Are there any vitamins/mineral/supplements that can help?

ZIERING:
The best thing to do is eat a healthy, well-balanced diet. And unless you're deficient because of a medical condition you don't need to take vitamins or supplements. However the B supplement vitamin helps with skin, hair and nails, so if you're going to take one, that's the one to take -- the B vitamin complex.

MEMBER QUESTION:
I will be going through chemo and may lose hair. Will it come back when I'm done with treatment?

ZIERING:
Chemotherapy can cause hair to fall out, but it's generally temporary and most hair will grow back, although it may be thinner or curlier at first.

Good luck with your treatment. There are plenty of experts that can deal with your hair loss afterwards, if it does not grow back as expected.

"We are capable of doing three thousand or more follicular unit grafts at one time, moving over 7,500 hairs at a time, and most patients require only one or two surgeries to get the look they want to achieve."

MODERATOR:
If medical, noninvasive treatments aren't satisfactory, what options does a man have?

ZIERING:
The first is to do absolutely nothing and let the progressive nature of hair loss continue and accept the hair loss. The only permanent solution to restore your hair is to have a microscopic follicular hair transplant. A third option is to use a hair system or toupee. But today's hair transplants are virtually undetectable and look extremely natural and allow the patient to have complete freedom with regard to activities.

MODERATOR:
What is involved in a hair transplant?

ZIERING:
We take the hair from the back and sides of the head, which are not programmed genetically to be lost, and therefore are not sensitive to the DHT. We remove a strip of tissue with the hair follicles and divide them up under the microscope into one, two, and three haired follicular unit grafts, which are then artistically transplanted to the front and top of the head into the thinning or bald spots. The incisions are made with very fine small instruments at the appropriate angle, direction, and orientation to recreate a natural look. So basically hair transplant surgeons like myself are in the moving business.

MODERATOR:
How long does this take? Does it require procedures?

ZIERING:
We are capable of doing three thousand or more follicular unit grafts at one time, moving over 7,500 hairs at a time, and most patients require only one or two surgeries to get the look they want to achieve.

MEMBER QUESTION:
My husband has lost all of the hair from the top of his head. He just has some on the sides and back. Is it too late for him to get a hair transplant? It is a really large bald area.

ZIERING:
No, it is probably not too late for him to get a transplant. You can look at our web site to see patients who have perhaps similar amounts of loss. You can also seek out a hair-loss expert in your area and have a personal consultation so that he can be evaluated by a trained professional and have a treatment plan recommended and designed just for him.

MODERATOR:
What is recovery like? How long does it take? What kind of restrictions are there while recovering?