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Hair Loss and ‘Difficult To Manage’ Hair


Hair has always acquired a great deal of social and cultural importance. Hair loss, a condition also known as alopecia, generally refers to the loss of hair from any part of the hair bearing area of the body, like the scalp, eyebrows, beard or all over the body.

What Are Types Of Hair Loss?

Normal hair growth cycles last anywhere from 2-7 years. However, forms of hair loss are characterized by shorter hair growth cycles such as in androgenic alopecia.

A normal human growth cycle consists of 3 phases as:

  1. Anagen phase (main growing stage).
  2. Catagen phase (resting stage).
  3. Telogen phase (shedding off stage).

When telogen phase ends, old hair gets replaced with a new hair from the same follicle. Normally a person sheds about 50-100 hair strands per day, but it is not noticeable. However, with the gradual increase in thinning of hair, hair loss becomes prominent.

Certain Factors Are Involved In Thinning Of Hair, Which Include:

The most common form of male hair loss is androgenic alopecia, also called male pattern balding. This is an inheritable form of balding that comes with aging and is mediated by the active form of the hormone testosterone called DHT.

Similar condition in females is called Female Androgenetic alopecia due to a multitude of hormone disturbances, which could also be heritable.

Telogen effluvium is another type of hair loss which is usually temporary that is as a result of the effect of stress on the body. This stress may be caused by illness, pregnancy and childbirth or weight loss and nutritional deficiency etc.

Patchy hair loss also termed alopecia areata, which occurs suddenly on any part of the body where hair grows.

Trichotillomania, due to pulling of hair deliberately; this is a psychological disorder.

Certain drugs like anti cancer medication, radiation therapy can cause hair fall.

Scarring alopecia occurs due to skin diseases like lichen planus, lupus etc. and they are irreversible.

The specific type of hair loss can be determined by common blood and hormone investigations.  A biopsy of the scalp may also be done to confirm the type of alopecia in some cases.

What Are the Treatments Available?

1) Medications can be administered to prevent further hair loss for example minoxidil, Finasteride, flutamide etc. depending on the cause of the hair fall.

2) Hair supplements in case of nutritional deficiency

3) Hormone correction if required, for example in cases associated with polycystic ovarian syndrome.

4) Platelet rich plasma injections

5) Stem Cell Treatment: Stem cells  taken from your own fat or peripheral blood , referred to as Autologous stem cells, are injected into the affected area These cells release factors which send molecular signals to hair follicles which are revivable, which then give rise to new hair growth.

6) QR678 Hair Growth Factor Injections Treatment: The regulation of epidermal hair follicles is brought about by the powerful interaction between mesenchymal and epithelial cells; hence the hair follicles pass through a cycle of phase’s viz. Growth, transition, resting, and fall. The mesenchymal cells release specific growth factors which are the ultimate stimulators of follicular epithelial cells which in turn multiply resulting in full development of hair follicles.

It is the latest in non-surgical hair re-growth treatment developed by a team of expert medical professionals from India. A mixture of hair growth specific growth factors are injected via multiple injections into the affected areas, in monthly sessions (8-10) of about 15 minutes each, over a span of 8-10 months. It is a targeted therapy involving the final growth molecules, ie: the growth factors, being administered directly in the hair roots. By-passing skin as well as blood barriers, hence supposedly, it should be a very effective therapy for most patterns of hair loss and virtually devoid of side effects. It can be an alternative to transplant in the earlier stages of alopecia and also work in cases where no other therapy has worked.

7) Hair transplant: For later stages wherein hair re-growth with medical means is no longer possible, Follicular unit transplant, follicular unit extraction, or the latest direct hair implant techniques can be used.

8) Studies are underway for genetic remodelling for Androgenetic alopecia, generation of hair follicle with stem cells in the laboratory, hair cloning etc. However, they are still in the initial stages and will take years before they can be used in humans.

5) Laser treatment can also be done as adjunct though the results are unproven in clinical studies.

Are any of the treatments permanent?

All treatments including transplants come with a shelf life especially in Androgenetic alopecia and maintenance is the norm.

What are different strategies to prevent hair loss?

Hair loss can be prevented by:

1) Healthy eating habits

2) Iron and protein rich diet,

3) Regular exercise

4) Avoiding medications and chemicals that is likely to cause hair loss

5) Stress management.

6) Using the right products on the hair and limited hair styling treatments.

What must one remember while undergoing this treatment?

1) Every skin is different, just like every individual is unique. One must have realistic expectations and not get carried away by advertisements, results obtained in other patients, celebrities etc.

2) A trained expert cosmetic dermatologist with ample years of experience should be your treating physician.

3) There may be cases in which nothing works. This is sad but true as there are still some gaps in our knowledge in this subject.

Hair Care Tips

Your hair needs to be evaluated by a good dermatologist specialized in cosmetic hair care, or a trichologist. It is only then that your hair care products and tips can be individualized & recommended for your hair.

Normal hair:

Oiliness starts appearing after two or so days of hair wash.

Requires twice a week cleansing.

Dry hair:

Frizzy hair without the normal sheen. Difficult to comb, lifeless.

Requires cleansing with moisturizing shampoos and moisturizing conditioner. Anti frizz    serums, gels etc. are available in the market. Deep conditioning treatments and hair masks    are required for severe cases.

Oily hair:

Starts becoming greasy within a day after hair wash and requires frequent shampooing.

Coloured hair:

Similar to dry hair

Use products specifically meant for coloured hair only.

About 50 hairs fall daily and 75- 100 hair fall on the day of hair wash is normal. Any excessive hair loss warrants dermatological intervention.

There is a tempting array of hair styling, colouring, highlighting, hair extensions, and various other hair fashion options available today and a lot of us like to try them out. Hair care involves using the right kind of shampoo and the right conditioner in the right way. Along with enough proteins in your diet to nourish your hair. Avoid using oil if you have dandruff. Certain cases of dandruff are very stubborn and need a doctor’s help. Use a shampoo meant for daily wash if you wash your hair daily.

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Potential PRP Hair Treatment Side Effects – Should You Be Scared?


Thanks to new technology, you don’t necessarily need to go under the knife for a thicker head of hair. PRP therapy for hair loss is an exciting new non-surgical treatment that has significantly reduced hair loss for many patients. It’s also known as platelet-rich plasma therapy.

You may be hesitant to get PRP hair treatment since it’s relatively new. However, PRP has been used since the 1980s for different types of treatments. Since PRP injections use your own blood, adverse side effects are rare and there is no risk of developing a growth of tumour or cancer.

Let’s take a closer look at potential PRP hair treatment side effects now so that you can choose the best hair restoration method for you.

What is PRP Hair Treatment?

PRP involves having a blood draw as though you were getting lab tests performed. The whole blood is treated with centrifuge to separate the red blood cells from the plasma, the portion of your own blood that contains a relatively high platelet concentration. Platelets are the part of the blood that stops bleeding by clotting and clumping. Doctors then separate the plasma along with the platelets, activate the platelets and inject the serum into the area of your body that is being treated. Doctors have been using this technique for years to stimulate wound healing and improve the appearance of skin.

PRP is a promising new form of hair growth treatment. So how does it work? The growth factors that are released from the activated platelets can theoretically stimulate cells in your hair follicle to grow, which is great for inactive or implanted hair follicles.

Now that you know how it works, you’re probably wondering if it actually works. In a randomized controlled trial, three PRP treatments were given to patients who suffer with pattern hair loss. This study observed an increase in the number of hairs in the target area and an increase in hair density. No side effects were reported during treatment.

Potential PRP Side Effects

Since PRP uses your own blood, you should not have a reaction to it. Studies have noted that PRP has been found to have a positive effect on male and female pattern hair loss without major adverse side effects. You may experience minimal pain, pinpoint bleeding, and redness when the injections are being delivered.

Who Shouldn’t Get PRP Treatment for Hair Loss

Though major side effects have not been found in qualified patients, not everyone is suitable for PRP therapy. If you have a history of heavy drug or alcohol use, or a history of smoking, you should not receive PRP hair treatment. You also may not qualify for PRP treatment if you have been diagnosed with any of the following treatments:

  • Hypofibrinogenemia
  • Cancer
  • Sepsis
  • Chronic skin disease
  • Metabolic disorder
  • Systemic disorder
  • Hemodynamic instability
  • Chronic liver disease
  • Platelet dysfunction syndromes
  • Acute and chronic infections
  • Thrombocytopenia

If you’re not ready for surgery yet or can’t undergo a hair transplant, PRP may be a great hair growth solution for you. If you’d like to learn more about PRP and whether it would be a good option for you, feel free to contact us today!

Excellence Hair Transplant & Laser Center




Platelet Rich Plasma Therapy : Hair loss treatment


Platelet Rich Plasma Therapy

PRP therapy is used in hair transplantation for natural looking results. It is suitable for both men and women. It is a state of the art, non surgical, totally natural, alternative medical procedure used for the treatment of hair loss or hair thinning.

What is PRP?

PRP is a concentration derived from your own blood, it is an injectable treatment. It has lots of good growth factors that stimulate hair growth when injected into the scalp.

That’s where the addition of ACell comes in to support results. Combining ACell with highly concentrated PRP sustains improved hair growth over time. PRP alone requires 2-3 treatments to produce results.  Treatments should be continued every 4-6 months to maintain results. Results from PRP treatments are variable.

PRP procedure

Blood is drawn in our office as though you are having routine blood testing at your any physician’s Laboratory. The blood is spun in a centrifuge and the PRP is separated and removed from the rest of the blood.

The PRP is taken from your body and is specially prepared by spinning down the blood cells to a high concentration. It is a closed sterile system and the platelets are concentrated to 3X the normal blood values.

The system eliminates granulocytes which hurts tissue regeneration and wound healing. An anaesthesia block is given to nerves of the scalp so the patient does not feel any pain.

The highly concentrated platelet rich plasma (PRP) is then injected into the scalp.

The patient’s hair is then washed and the patient may drive home without any assistance.

No sedation or any medication is given during the procedure to inhibit the ability to drive or use machinery.

PRP contains many growth factors that stimulate the hair follicle’s growth. PRP can be used preoperatively, intraoperatively, or post operatively.

Some patient’s chose to have PRP performed every 3 to four 4 months as early data suggests regular or semi-annual PRP treatments that may stimulate hair growth.

How can hair loss be prevented by PRP?


PRP contains its own unique chemical messengers called growth factors. Growth factors found in PRP can counteract some of the effects of these baldness genes, but only under the right conditions. To be effective against hair loss, PRP treatments must contain a high enough concentration of these essential growth factors and it must be delivered to the areas of the hair follicle where the stem cells are in the highest concentrations – at the middle and the base of the hair follicle. This requires an injection of a specific concentrated quality of PRP into the multiple layers of a scalp that has been properly anesthetized. Beat hair loss with Platelet Rich Plasma (PRP) therapy

Advantages of PRP Therapy

Advantages of PRP Therapy against hair loss are:

  • Simple, non surgical procedure
  • Multiple Injections: procedure lasting approximately 60 minutes
  • Safe and reliable results
  • Very quick recovery period
  • Beautiful and above all extremely natural looking end results

What are the risks?

There is no risk of an allergic reaction with PRP therapy because the enriched plasma has been produced from the patient’s own blood. A concentrated amount of white blood cells make up part of the PRP which are the body’s natural defenders against infections. Infections are therefore extremely rare.

PRP New! Cutting-edge technology

The Excellence Hair Transplant & Hair Loss Treatment centre uses only the latest PRP leading edge technology. Used in conjunction with a patient’s own biological cells it is a means of naturally promoting hair growth.