Why is miniaturised hair still present with treatment of Androgenetic/Pattern Hair Loss? 

Written by  



Hair miniaturisation is a gradual and progressive thinning of individual hair shafts that results in thinner hair and an overall increased visibility of the scalp. A significant number of people with androgenetic alopecia continue to present with some miniaturised hair even though they have received treatment. Many incorrectly assume that ongoing miniaturisation will be completely halted, completely eradicating every trace of miniaturised hair.

Total reversal of all miniaturised hair can occur in a percentage of early stage androgenetic alopecia cases – usually patients who are young and generally healthy with no predisposing/contributory factors. The vast majority of patients with androgenetic alopecia will find things will definitely improve with treatment  – but realistically we cannot restore every single hair and eradicate miniaturisation completely. For some patients – it may appear that it does – but under trichoscopy a percentage of miniaturised hair still persists. Although treatment can be very effective at improving hair thickness (both in numbers of hairs and diameter of the hair shaft) – results are rarely to the extent of how the patients’ hair presented before the first signs of hair loss.

Although hair loss is ‘reversed’ – in truth we rarely see a 100% reversal – realistically we can expect to see a 70-85% recovery – which is a great result! However – for some – a ’result’ (and improvement) is that treatment slows down and stops further hair loss. This can be seen as an improvement and a success, even though treatment hasn’t restored hair thickness (in some very rare cases – treatment can fail to even provide this benefit).

The aim of successful treatment is :

  1. Increase density/numbers of hairs
  2. Increase hair strand thickness /reduce the number of miniaturised hairs 
  3. Restore shedding to normal. 

Conclusion: Success is measured by the improved diameter and numbers of hairs on the scalp (and the patients’ positive reaction to this) and the reduction of excessive hair shedding. If hair loss is due to Androgenetic Alopecia/Pattern Hair Loss stops/slows down, it means that treatment is working. Treatments rarely restore hair 100%. A more intensive treatment plan (which could include a greater number of treatment options combined) could reduce the proportion of miniaturised hair and increase density further. In general it may be considered ‘normal’ to have up to 10% miniaturised hairs even when hair is restored to ‘normal/healthy’ growth.

Published in  Elan Blog

Read more… 

Thursday, 17 February 2022 18:17 

Chemotherapy-Induced Hair Loss 

Written by  



Chemotherapy-Induced Hair Loss

Chemotherapy Induced Alopecia (CIA) as an upsetting side effect of cancer treatment. Each time a patient looks in a mirror at their thinning hair or notices shed hairs on the pillow, it only seems like an added insult that compounds what they’re going through.

What is actually happening?

Chemotherapy drugs are powerful medications that are designed to attack rapidly growing cancer cells. Unfortunately, these drugs do not discriminate between those cells – and  other rapidly growing cells in your body, such as those responsible for hair growth (the hair follicle is an incredibly active structure with a multitude of active cells that produce the growing hair).

Chemotherapy may cause hair loss all over the body (not just on the scalp), including eyelashes, eyebrows, armpit, pubic and other body hair. Some chemotherapy drugs are more likely than others to cause hair loss, and varying doses can cause anything from ‘thinning’ hair to complete hair loss. The hair loss caused by Chemotherapy is known as ‘Anagen effluvium’, which means the hair is  shed during the active growth phase. Due to the ‘toxic’ nature of Chemotherapy treatment, the hair ‘atrophies’ at the root and falls out.

What should you expect?

Hair usually begins falling out 2 – 4  weeks after your first treatment; and once it starts It may shed very quickly. You’ll start to notice a lot of shed hair on your pillow, in your hairbrush or comb, or in your sink or shower drain. Your scalp may also feel ‘tender’. Hair loss will continue throughout treatment and up to a few weeks afterward.

When will your hair grow back?

Fortunately, nearly 100% of all cases of hair loss from chemotherapy are temporary. Regrowth can be expected very quickly after treatment ends, normally within 1 – 3 months. The new hair is almost always initially a different colour and texture. It might be curlier than it was and will only regain its colour once the cells that control the pigment in your hair begin functioning again. It will take a while before you will have enough hair length to visit your hairdresser.

Can hair loss be prevented?

At present no treatment exists that can guarantee that everyone can avoid loosing their hair. The most popular way of reducing hair loss (with some degree of success) is via Scalp Cooling Caps/Cold Caps (aka scalp hypothermia). During chemotherapy infusions, a closely fitted cap that’s cooled by chilled liquid is placed on the head to slow blood flow to the scalp. This reduces the temperature of the scalp by a few degrees immediately before, during and after the administration of chemotherapy. The blood flow carrying chemotherapy drugs to hair follicles is therefore reduced , which can prevent or minimise hair loss.

Is there anything a Trichologist can do to help?

In this instance, the only advice that can be offered (apart from the suggestion of the Cold Cap) are ‘tips and suggestions’ that may aid healthy hair regrowth.

*Avoid anything that may damage your hair (i.e heat styling, harsh brushing, etc.).

*Supplements may be beneficial, consider discussing the following with your consultant: Vitamins B, C (antioxidant), E, D, some proteins (keratin), amino acids (L-cysteine), zinc and iron.

*Stay hydrated, try to drink at least  6-8 glasses of water per day.

* Continue to use a shampoo throughout your treatment – and choose one based on ‘dermatological’ benefits rather than purely cosmetic benefits. This will help to encourage the best environment for a healthy  scalp and hair growth.

Avoid harmful hair colouring (for as long as you can) after chemotherapy – your hair will remain ‘fragile’ and the scalp could be more ‘sensitive’.

* Consider using a light hair oil to add shine and control to your hair.

*Once your hair has grown – and is looking ‘shaggy’ around the edges – book an appointment for your first haircut. Psychologically and physically this prepares you for a return to ‘normal’ hair routines.

* If you do suffer with any form of scalp irritation – it may be advisable to seek the advice of your consultant and/or a qualified Trichologist.

Conclusion

Without a doubt, chemotherapy is a demanding treatment, both physically and emotionally. Chemotherapy Induced Alopecia is obviously an entirely unwelcome side-effect. But, unlike some other hair loss issues, you can look forward to your hair regrowing – and although it is distressing, upon the completion of your treatment hair will begin to regrow within a few months.

Many patients often reflect on this time – while sitting in the hairdressers chair waiting for their colour and haircut to be done.

Neil Harvey MIT 

Published in  Elan Blog

Read more… 

Thursday, 19 August 2021 09:07 

Six of the most common hormone related hair loss conditions 

Written by  



Hormones are considered the most common cause of hair loss for both women and men. Six of the most common hormone related hair loss conditions regularly seen in clinic are:

1. Androgenetic Hair Loss – Male Pattern Hair Loss/ Female Pattern Hair Loss.

As the name suggests – this is a ‘genetically’ acquired condition. Both men and women can inherit a certain ‘sensitivity’ to a hormone which is created by the conversion of testosterone into a more potent variant known as dihydrotestosterone (DHT). Both men and women need testosterone; men have a large amount of testosterone and a smaller amount of oestrogen – whereas women have a smaller amount of testosterone and larger quantities of oestrogen and progesterone.DHT affects your hair by targeting receptors within the hair follicles, causing miniaturisation. This means that throughout the hairs growth cycle (growing shedding and regrowing), hair gradually gets thinner – and can eventually stop growing altogether.                                                        In women this type of hormonal hair loss produces a ‘diffuse thinning’, resulting in a widening parting and a more visible scalp. Men typically have a receding hairline and temples with a thinning crown – which can eventually result in complete hair loss to the top of the head.

2. Hypothyroidism and Hyperthyroidism are both conditions caused by an imbalance of hormones. Severe and prolonged cases can cause hair loss, which may present as ‘diffuse’ thinning across the entire scalp. Regrowth can occur with successful treatment of the thyroid disorder. Some forms of thyroid disorders may come on abruptly and are diagnosed early, while others may have been present for months or years before diagnosis. Hair loss may only become apparent several months after the onset of thyroid disease, which may follow the treatment, causing blame to fall incorrectly on the thyroid medication.

3. Puberty is a period in our lives when hormones have a huge effect on our bodies. There is often a sudden influx of dihydrotestosterone (DHT), which may result in diffuse hair loss for females and a receding hairline in males. It is however, not a common occurrence for teens to lose their hair, and hair loss may be an indicator that something else is going on within the body that may require attention. Puberty is also a time when the sebaceous glands (influenced by hormones) produce extra sebum, which can make hair look too flat and greasy, which makes the hair appear ‘thinner’ – as it has lost its ‘bounce’ or volume. ‘Scalp buildup’ can occur when sebum accumulates with sweat, perspiration and dead skin cells on the scalp. Cleansing hair regularly (every day or every other day) with a detox shampoo can help oily hair and this type of build up. As a trichologist – I see more problems created by not shampooing the hair enough – rather than shampooing too often.

4. Pregnancy and Childbirth are obvious times of huge hormonal change. Women produce more oestrogen during one pregnancy than throughout the rest of their entire life when not pregnant, resulting in the hair staying in its’ growth phase for longer, with less hair shedding, giving a noticeably thicker and fuller head of hair. However – three to six months after giving birth, the hormones stabilise and the normal hair cycle returns – which often results in a much greater than normal hair shedding. This can be quite alarming, but once the hormone levels ‘settled back to normal’ – hair growth does recover.

5. The Menopause is another example of hormonal change – during which hair loss is related to the reduction of oestrogen and progesterone, which allows male hormones a more dominant role. Hair follicles miniaturise resulting in hair growing more slowly and becoming thinner, more ‘brittle’ and more susceptible to damage.

6. Stress is often blamed for hair loss – and often with good reason. Stress releases hormones like adrenaline, cortisol and testosterone into the body, which can suppress oestrogen and affect the hair follicle, resulting in hair loss.

How To Treat Hormonal Related Hair Loss

Just as there is not only one version of hormone related hair loss – there is not just one solution. Accurate diagnosis is always essential. A certified trichologist will be able to investigate the cause – and recommend (where needed) lifestyle and dietary changes, supplementation, shampoo, topical solutions and medication; and (If needed) – referrals to other health care professionals.

“Sometimes – a diagnosis helps you to understand what’s going on inside your own body, which itself can help to put the mind to rest and be the first step to recovery”.

Neil Harvey MIT 

Director – The Institute of Trichologists

Elan clinic – Warwickshire UK

References;

https://www.btf-thyroid.org/hair-loss-and-thyroid-disorders#:~:text=Hair%20loss%20and%20thyroid%20disease,The%20hair%20appears%20uniformly%20sparse.

https://www.healthline.com/health/pregnancy/bodily-changes-during#TOC_TITLE_HDR_1

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397031/

Published in  Elan Blog

Read more… 

Sunday, 14 February 2021 20:12 

Scalp micropigmentation for longer hair.. 

Written by  



Does Scalp Micropigmentation Work with Long Hair?

Scalp Micropigmentation (SMP) was initially created with the shaved head in mind, as long hair can look unnatural as the cosmetic micro dot tattoo creates the look of ‘stubble’. 

However, there have been recent developments in the scalp micropigmentation process that make it possible for the treatment to look natural with a longer hairstyle.

Scalp micropigmentation works best with long hair when combined with certain ‘types’ of hair loss. If your hairline is intact, and you’re experiencing general hair thinning across your scalp, micropigmentation can help create the  illusion of ‘depth’ to your hair – resulting in a thicker looking head of hair.

Female Pattern Hair Loss (FPHL) is a distinctive form of diffuse hair loss that occurs in women with androgenetic alopecia (a form of hair loss that is related to a genetic disposition and hormones – however, lifestyle, some medicines and emotional health can also ‘trigger’ this condition). Many women are affected by FPHL. By age 50 approx: 40% of women show signs of hair loss – and by the age of 80 this increases to approx: 55%

How much hair loss is considered to be FPHL?

FPHL becomes evident when a ‘diffuse thinning’ of the hair (due to increased hair shedding), a reduction in hair volume (miniaturisation) or both increases .Another condition called chronic telogen effluvium (CTE) may also present with increased hair shedding (this is often confused with FPHL). It is important to differentiate between these conditions as management for both conditions differ.

 

What you will notice first; FPHL presents quite differently from the more easily recognisable male pattern hairloss (MPHL), which usually begins with a receding frontal hairline that progresses to a bald patch on top of the head. It is very uncommon for women to lose hair in this manner –  unless there is excessive production of androgens in the body.

 

Your hair style and FPHL; Wearing your hair in a long style with scalp micropigmentation may also be possible for those with receding hairlines. However, since this process will camouflage a bald spot (such as with Alopecia Areata), within long hair, it is necessary to limit the treatment to where your hairline has receded to. This process may lessen the severity of the thinning significantly and so make your hair appear thicker.

The future of your hair; Of course, in any event – you need to be wary of future hair loss: such as the possibility that your hairline may recede further, or your hair may thin more extensively. Your consultation with your scalp micropigmentation expert will help determine the best course of action for you. If you are looking to maintain a long hairstyle after scalp micropigmentation, it’s even more essential to seek out a skilled technician who has plenty of experience with this procedure. Scalp micropigmentation is a complex and labour-intensive process, and it’s something that should only be left up to an experienced specialist.

Is FPHL permanent? Once the follicle is empty and hair is lost – it cannot grow back. However, there are some very successful treatments that can stop hair loss and potentially help regrow some of the hair that appears lost through the ‘miniaturisation’ process – effectively giving you back more hair. SMP is a long term cosmetic solution that may be really helpful. 

Investigating FPHL and why this has happened to you; The èlan clinic will investigate your health and wellbeing along with blood tests (if supplied) and microscopic/trichoscopic testing to find the  causative factors. Our methods are different to that of your GP, as are our treatments options. We will find the best treatment for you, that restores your confidence, helping you to feel and look better.

What to do first and where to start; The certified Trichologists at the èlan clinic have years of experience with thinning hair and have helped individuals with various treatments options.

If you are considering scalp micropigmentation or interested in other possible treatments for your thinning hair – speak to us at the èlan – Elan Clinic. 

Tel: 01926 299001 email: email@elanclinic.co.uk

We are here to help you at any stage of hair loss.

Gill Harrison    ART

Published in  Elan Blog

Read more… 

Monday, 11 January 2021 09:30 

Covid hair loss 

Written by  

Unexpected and uncharacteristic hair loss and shedding can happen after any stressful event. 
The Covid pandemic appears to have led to an increase in people experiencing thinning hair.

While the exact mechanisms of why severe physical or psychological trauma can trigger hair loss is not entirely understood – in the majority of these cases, the patient is diagnosed with ‘telogen effluvium’, a temporary condition in which dramatically increased numbers of hair are shed each day, far beyond the typical 100 or so that is considered ‘normal’.

Telogen effluvium may often appear 3-6 months after the ‘triggering’ stressful event has happened, and in most cases (if the cause is removed) the problem will resolve itself (in rare cases, unremitting stress can lead to chronic and prolonged shedding).

Currently, no published research exists to suggest that Covid-19 attacks hair follicles; indicating that any related  hair loss is a result of the body reacting to the physiological and emotional stress caused by the disease, rather than a symptom of the disease itself (indeed, I have yet to see a  hair loss patient that has actually been diagnosed with coronavirus).

The current cause for the recent increase in hair loss conditions is therefore most likely to be connected to the stress and worry connected to the pandemic, such as financial worries, the disruption to a routine, coping with home schooling and work, holiday cancellations or the worry over an ‘at risk’ family member, 

Anyone with new or worsening hair loss should seek a professional diagnosis from a certified trichologist.

It is imperative to rule out other possible causes, such as thyroid problems, medications, genetic disposition, illness, alopecia areata, scalp disorders, dietary failings and anaemia.

Published in  Elan Blog

Read more… 

Friday, 18 December 2020 14:34 

Serum Ferritin – stored Iron 

Written by  



The lower a person’s ferritin is – the more likely it’s related to the hair loss they are experiencing.

Ferritin is a measure of the bodies iron storage levels. The ideal amount varies – males tend to have higher ferritin levels than females and premenopausal women tend to have lower ferritin levels than post menopausal women. Extremely low ferritin levels have many potential side effect and may prevent the body from making haemoglobin – a condition which is called ‘anaemia’ (many people may also have low ferritin levels without actually having an anaemia).

How low can go ferritin levels go before it starts to contribute to hair loss? 

Many females have ferritin levels 20-40 without hair loss. In fact, if you were to measure iron levels in all women between ages 20-40, you may find many have ferritin levels of 28 – 44, you’d not find many with ferritin levels above 50 (some would have ferritin levels of 6 – 19).

While it’s often considered that one needs to have a ferritin level above 40 (or above 70) for healthy hair growth, this rule is perhaps too simplistic. We often “aim” for that level for optimum hair health …. but it is not always correct to suggest that ferritin levels below 40 will cause a problem. If a ferritin level is between 20 – 40 and there is hair loss, we would  recommend an iron supplement.

If ferritin levels are low and haemoglobin levels are also low (indicative of iron deficiency anaemia) it is recommended to speak to your G.P. 

Vitamin C helps iron absorption and taking a vitamin C rich sources with iron supplements will help to increase your bodies iron. Limiting the consumption of caffeine may also help.

Published in  Elan Blog

Read more… 

Monday, 07 December 2020 08:38 

Alopecia Areata Treatment 

Written by  



Alopecia Areata Treatment

Although there are currently no treatments that work for everyone with alopecia areata (AA), some treatments are effective for some people. Depending your age, general health and the extent of hair loss, there are a variety of treatment options available. The main goals of treatment are to block the immune system attack and/or stimulate the regrowth of hair. This can be effective, especially for people with milder forms of the disease (less than 50% hair loss*).

If there is no ‘cure’ for alopecia areata, what good are treatments?

There are a variety of treatments for both mild and severe AA. The aim of treatment is to stop active hair loss and stimulate/aid the regrowing hair.

Treatments for mild alopecia areata
Topical Corticosteroids 
                                                                                                                                 
Decreases the inflammation around the hair follicle. Available in a variety of strengths and preparations (such as solutions, lotions, foams, creams, ointments). Here at the  èlan clinic we offer a solution based on DNA analysis – for improved results.

Benefits: Studies have shown that there is a reduction of hair loss – with improved regrowth of approx: 25%.

Drawbacks: The effectiveness of some topical corticosteroids is limited by their absorption in the scalp – lotions are a better option than creams or ointments.

Intralesional Corticosteroid Injections                                                                                                                    This method of treatment — the most common form of treatment for AA — uses corticosteroids that are injected into bare patches of skin with a tiny needle. These injections are repeated about every 4 – 6 weeks and are usually administered by a dermatologist (GP referred or private).

Benefits: If new hair growth occurs – this may be visible within 4 weeks. There are few known side effects related to this kind of treatment.

Drawbacks: like all treatments for AA, it does not prevent new hair loss from developing. While there are few reported side effects, temporary depressions (dells) in the skin may result. You may experience slight discomfort from the needle pricks and tingling from the medication, but usually there is no lasting pain or discomfort.

Anthralin/Dithranol Cream                                                                                                                                 Also widely used for psoriasis — this is a common form of treatment for AA. Applied to areas of hair loss once a day and then washed off typically after 30 – 60 minutes (or in some cases – several hours).

Benefits: If new hair grows – it is usually visible within 8 – 12 weeks.

Drawbacks: May irritate the skin and cause temporary discolouration.

Minoxidil                                                                                                                                                   5% topical minoxidil solution may be applied 1 – 2 times daily, to help stimulate hair to regrow. Minoxidil is not usually effective for AA when used alone, but when applied in combination with topical corticosteroid medications, some may see improved results.

*For those who have more than 50% hair loss on their scalp (or other areas of the body), there are also oral  and topical medications, phototherapy and light treatments available.

Published in  Elan Blog

Read more… 

Tuesday, 24 November 2020 21:15 

What is Androgenetic Alopecia/Female Pattern Hair Loss? 

Written by  



Androgenetic Alopecia

Almost every woman eventually develops some degree of female pattern hair loss (FPHL). It can start any time after the onset of puberty, but women tend to first notice it around menopause, when hair loss typically increases. The risk increases with age, and it’s higher for women with a history of hair loss on either side of the family (genetic disposition).                                            

FPHL involves the action of the hormones called androgens, which contribute to the ongoing development of hair growth. The condition may be inherited and involve several different genes. (In some cases It can also result from an underlying endocrine condition, such as overproduction of androgen or an androgen-secreting tumour on the ovary, pituitary, or adrenal gland. In either case, the alopecia is likely related to increased androgen activity).   

FPHL occurs because of a genetically determined shortening of anagen (the growing phase of the hair), and a lengthening of the time between the shedding of a hair and the start of a new anagen phase. This means it takes longer for hair to start growing back after it is shed in the course of the normal growth cycle. The hair follicle itself also changes, shrinking and producing a shorter, thinner hair shaft — a process called ‘follicular miniaturisation’. As a result, thicker, pigmented, longer-lived hairs are replaced by shorter, thinner, non-pigmented hairs – hair density is reduced and the scalp becomes more noticeable.

Hair loss treatment for women

Topical medications are the most common treatment for hair loss in women.

DNA/Genetic testing for specialist prescription – the most complete genetic test for hair loss, analysing genetic factors and other relevant patient characteristics (16 genes and 48 genetic variations related to alopecia)  resulting in a more effective treatment for better results. Included factors for analysis are: prostaglandins metabolism, inflammation, androgenic effect, vasodilation and blood circulation, collagen synthesis, vitamins and minerals metabolism and Insulin-like growth factor metabolism. We strongly advise this form of topical medication, we have many very satisfied patients who are experiencing far more effective results with our bespoke prescription service.

Minoxidil (Regaine). 2% and a 5% solution/foam. Minoxidil – can produce some new growth of fine hair in some women, but it wont promise to fully restore the full density of the lost hair. It’s not a quick fix, either –  results often take  at least 3 months. The effect often peaks at around four months, but it could take longer, so plan on a trial of 6-12 months. If minoxidil works for you, you’ll need to keep using it to maintain those results. If you stop, you’ll start to lose hair again.                                                          

How to use minoxidil: Be sure that your hair and scalp are dry. Using the dropper or spray pump that’s provided with the over-the-counter solution, apply it twice daily to every area where your hair is thinning. Gently massage it into the scalp with your fingers so it can reach the hair follicles. Then air-dry your hair, wash your hands thoroughly, and wash off any solution that has dripped onto your forehead or face. Don’t shampoo for at least four hours afterwards.                                                           

Some women find that the minoxidil solution leaves a deposit that dries and irritates their scalp. This irritation (contact dermatitis) is caused by the alcohol that is included to facilitate drying.

Cosmetic Hair Enhancement

Hair fibres (Toppik) hair building fibres create thicker, fuller looking hair instantly, made from keratin fibres, just like each of your natural hairs they attach to your hair to cover areas of thin or thinning hair.

Scalp Micropigmentation (SMP) is an advanced cosmetic/aesthetic procedure in which natural organic pigments are applied to the epidermal level of the scalp via specialist micro needles, replicating the appearance of hundreds or thousands of hair follicles/strands – gradually reducing the amount of visible scalp seen through the hair.                                                              The procedure usually takes place over 3 sessions (each lasting approximately 3 – 4 hours) resulting in a gradual build up of hair density and a natural recreation of the hairline. During the initial consultation, our expert technician will discuss the various implications of SMP.

Hair Pieces – clip in ultra-realistic hair that fixes to your own hair, creating a seamless illusion of thicker/fuller hair, designed and made here at Elan clinic.

Published in  Elan Blog

Read more… 

Sunday, 25 October 2020 17:24 

Frontal Fibrosing Alopecia 

Written by  



Frontal fibrosing alopecia (FFA) is a ‘primary cicatricial alopecia’ (encompassing a group of hair loss disorders in which the hair follicle is irreversibly damaged and replaced by fibrous tissue); this results in permanent hair loss along the frontal hairline. 

Other areas of hair loss may include the top or back of the scalp, eyebrows, eyelashes, eyebrows and body hair. 

FFA is most common in middle-aged or older women. Upon examination – the scalp shows alterations in the front hairline, including scattered isolated hairs or ‘lone hairs’. Thinning of the skin is often associated with FFA – resulting in more readily visible veins. The actual cause of FFA is currently unknown – although hormonal abnormalities may be present in some women.

Unfortunately, as with other scarring conditions, there is (as yet) no successful treatment for areas where scarring hair loss is already present, although topical applications (steroid creams) can help prevent the condition from progressing. 

Common signs in Frontal Fibrosing Alopecia Diagnosis:



1. Eyebrow loss is common, often it is the first sign – although not always recognised

2. Both areas of the hairline in front of the ear have receded .

3.  Fine/short hairs are no longer present in the front hairline. Instead there are individual long hairs. There is often a faint ‘redness’ around the base of the hair.

4. Veins may be more visible (scalp/front hairline) and the skin itself often seems smoother and ‘paler’ in colour.

5. The average age for FFA is 46 – 66 

Frontal fibrosing Alopecia is a complex condition, as with many conditions there is no ‘one way’ that it appears – it can present in many variations and diagnosis should be performed by a registered trichologist.

Published in  Elan Blog

Read more… 

Tuesday, 13 October 2020 13:31 

Microdot hair 

Written by  



Micro Dot Pigmentation 

Micro Dot Pigmentation for hair loss (or Scalp Micro Pigmentation – SMP) is a relatively new hair loss treatment for men and women with hair loss/thinning hair. For men with extensive hair loss or a receding hairline – once completed, the effect will look like very short hair; and can be utilised to effectively camouflage not just  thinning hair, but also scars, and produce a fuller look for hair transplants. As closely shaven hair appears as thousands of ‘small dots’ on the scalp –  Micro Dot Pigmentation thickens and restores lost hair by using pigment hair dots that effectively replicate this appearance. This cosmetic procedure for hair loss, when applied by a highly trained and skilled technician – is a highly detailed procedure that creates an incredible natural simulation of micro hair. Hair Micro Dot Pigmentation can create the appearance of a fuller, thicker head of hair, and recreate a natural hair line and camouflage the visible scalp area due to hair loss, accident, operation scars and burns.

Hair Microdot Pigmentation – is a  non-invasive process offering instant and reliable results. Many men and women decide on MDP (also known as SMP) in favour of, or in conjunction with other hair loss treatments, such as hair transplant surgery or hair loss medicines. Pigment dots are layered over several sessions to gradually increase the density and darkness until the correct blend is achieved. In terms of quality, it is vital to choose a reliable professional to guarantee the most genuine outcomes from MDP. The placement of each dot is of paramount importance. Misplaced, marginally darker or larger dots could lead to ‘telltale’ signs and an unnatural appearance,                                 

The scalp micro pigmentation procedure offers benefits such as:

Low risk – an advantage of the microdot pigmentation treatment is that there is ‘next to no risk’ of infection – when done by a skilled professional. There is no pain – more a ‘sensation’, and you do not have to wait for grafts to grow.

Cost-effective – compared to hair transplantation, microdot hair pigmentation costs are much less, results are immediate and there is almost no ‘healing’ required.

Quick healing time – microdot hair pigmentation is a swift healing process, usually 1 – 2 days for slight ‘redness’ to the scalp to subside. Another great advantage is that existing MDP can be restored or the colour can be updated over a period of time – depending on your requirements and needs.

Why consider microdot pigmentation? – microdot pigmentation is a great solution for alopecia, thinning hair, hairline decline and burn, scar and surgery related hair loss. In conclusion – some of the benefits offered by this non-surgical treatment include the following:

Generate the appearance of a fuller, thicker head of hair

Camouflage the symptoms of hair loss

Hide birthmarks, blemishes, scars and burns

Work as a blend with hair transplantation to offer supplementary density

Reconstruct a natural hair line

Contact the elan clinic for more information on the Microdot Hair Pigmentation procedure and how this treatment could benefit you.

Published in  Elan Blog

Read more… 

More…

Tuesday, 06 October 2020 07:26 

Scalp Micropigmentation for Long Hair 

Written by  



SCALP MICROPIGMENTATION
FOR LONG HAIR

Scalp micropigmentation was initially created with the ‘shaved head’ in mind, as the micro dots of pigment recreates the look of stubble. However, there have been recent developments in the scalp micropigmentation process that make it possible for the treatment to look natural with a long hairstyle.  For the technician – working with long hair can be time consuming, it is essential to work through the hair patiently and in small neat sections. This is something Gill Harrison, our Elan clinic precision SMP technician can achieve fantastic results with. 

Scalp micropigmentation will work well for long hair with ‘certain types ‘of hair loss. If your hairline is intact, and you’re merely experiencing hair thinning across your scalp, micropigmentation can give the illusion of depth to your hair. Thinning hair is relatively common for both men and women and Scalp Micropigmentation for long hair can be a great solution. To keep your hair at a longer length after scalp micropigmentation, you need to satisfy certain requirements if an effective illusion is to be achieved:

a relatively intact frontal hairline

a willingness to keep the hairline in the current position (bringing it forward is unrealistic)

at least 50% coverage in the crown area 

SMP with long hair results

If you have long hair that you can blend with your Scalp micropigmentation, the results can look very good, but SMP for long hair isn’t necessarily always a long-term solution. Scalp micropigmentation can only create the illusion of short hair itself….. If your hairline has receded or ‘thinned’ beyond a certain point, you may need to look at other options. For men – if your hair is thinning and you would like to keep the length longer without having to wear a shaved look then SMP techniques can do this by creating an illusion of density by building up treatments and shades of micro-dots around and in-between your existing hair.                        For those clients who are turning grey/white – it is advisable to keep the hair colour a darker shade for optimum results, or at least match the pigment used in the SMP process to the remaining darker shades of the hair.                                      

Long hair SMP for men 

For men with a longer hair length, scalp micropigmentation can maintain your look as your hairline starts to recede. You will need to have some hair at your hairline to help create the appearance of fuller, thicker hair. SMP can fill in the visible areas of your scalp that a receding hairline leaves behind, helping you to look younger for longer. Over time, men can expect their hairline to further recede. When this happens, it may be time for a shorter cut or a different type of treatment. SMP for long hair can also be used to fill in gaps in other areas of hair loss (e.g. the crown) – it is a very effective way of creating an overall appearance of thicker hair. 

Long hair SMP for women

For many women, long hair becomes a part of your identity, and something you’re not ready to surrender (and why should you?). There are many varied reasons why so many women go through the experience of thinning hair. For women, this usually means that the hair becomes thinner and the scalp can be seen through the strands (‘diffuse’ hair loss). Using scalp micropigmentation, it’s possible to disguise this – small micro dots of pigment can make your hair look thicker and fuller again. Often, long hair SMP is very effective for masking small patches of complete hair loss or hiding thinning hair. 


SMP for long hair with a receding hairline

Scalp Micropigmentation can create the illusion of thicker hair along a hairline, as long as there is sufficient remaining hair to strengthen the overall look. You may find that as your hairline thins, you may need to wear a shorter style, but under the right circumstances – SMP for long hair may allow you to keep your hair for longer than you otherwise could.



Published in  Elan Blog

Read more… 

Friday, 17 April 2020 10:08 

Thinning hair – causes and treatments 

Written by  



Hair loss and hair thinning can be caused by an individual or wide range of varying factors, it can be hard to understand the root of the problem without seeking professional help from a Trichologist


Diagnosis is crucial for any treatment is to be effective. Through in-depth consultation your trichologist will examine your personal/medical history, lifestyle, genetic factors, blood test results (where necessary) and scalp and hair.

However, there is always a reason for hair loss and hair thinning. Hair growth is responsible for the second most active production of cells within the body – and those cells can be the most sensitive to internal imbalances and changes.

Published in  Elan Blog

Read more… 

Friday, 17 April 2020 09:53 

Is hair loss for men inevitable? 

Written by  



It may be considered natural for men’s hair to thin over time, but that doesn’t mean you have to live with it. Today, there are many more ways to combat hair loss than ever before. I would encourage any man who notices an increase in hair loss to seek professional advice. As with any medical condition – diagnosis is the key; and although some loss over time is inevitable – starting treatment early can slow down and even reverse the visible signs of certain hair loss conditions.

While ageing naturally causes hair to thin, other lifestyle factors can also be an influence. Smoking is one such example, cigarettes can hinder the blood flow that maintains hair health. Likewise, not enough protein, omega 3, iron, vitamin C and other essential vitamins and minerals in your diet, as well as dramatic weight loss.

Alternatively, speak to your trichologist about taking supplements if you aren’t getting enough nutrients naturally. 

Other factors that can contribute to hair loss include stress, some medications, medical conditions, changes in testosterone, lack of exercise and genetic inheritance.  

Hair loss remedies prescribed by a G.P. or pharmacist are a ‘one type suits all’ – I prefer and use what is considered to be the most complete and advanced genetic test for hair loss, which analyses DNA and relevant patient characteristics to produce ‘personalised’ medication, designed specifically to work with your individual genetic functioning – resulting in improved hair regrowth and retention that is far superior to the generic ‘over the counter’ remedies.


3 things to do straight way  


  • Seek professional help – your trichologist can identify the cause of your hair loss.
  • If advised, use ‘personalised’  topical treatments – based on DNA testing, to slow down and reverse the visible signs of hair loss – (it is possible to achieve dramatic results that many men are extremely happy with).
  • Examine your lifestyle, diet, exercise regime, stress management, sleep patterns and overall health.

Cosmetic solutions 

There are also a number of excellent ‘cosmetic’ enhancements – that will improve how your hair looks – and restore confidence; from changing your hairstyle, shampoo, conditioner and hair styling products to the use of fibres that adhere to your own hair to make each strand thicker and (in more pronounced cases) hairpieces that can be made to replicate natural hairlines and perfect colour blends. 

The ultimate ‘cosmetic’ hair enhancement is now considered to be Scalp Micropigmentation – a procedure in which pigments are applied to the scalp via specialist micro needles, replicating the appearance of hundreds or thousands of hair follicles, resulting in a gradual build up of hair density and a natural recreation of the hairline. 


Hair transplants 


The final word  however – must go to the option of hair transplants. All too often, trichologists are inundated with requests from men who are far too young, often showing very little if any signs of hair loss. It would be considered unethical by a surgeon of any professional standing to consider such a patient. 

 Responding to advertisements can be a lottery, you may or may not have success, but the results of an unsuccessful procedure will remain with you for a long time – and may be extremely costly to put right. Transplant surgery requires a great deal of care, attention to detail and expertise. A great deal of skill and experience is required to achieve a natural look that replicates the normal growth pattern. If this delicate procedure is not performed precisely, your hair will not grow correctly, if at all. 

The èlan clinic offers a personalised hair transplant referral service; working closely with some of the countrys’ leading hair transplant surgeons,  we are ideally qualified to select the best surgeon for your specific needs.


“It is important to accept – there often isn’t just one cause of hair loss – so a treatment plan often doesn’t just contain  one solution”.


      Neil Harvey MIT – consultant trichologist


Need Help?