Hair Loss in African Hair – Causes, Treatments, and Ethnic Considerations


how hair loss in African hair
is treated is a very legitimate concern for every patient who comes to my office
of African heritage to question whether any procedure is safe for his or her
skin there is a long-established pattern of errors particularly with different
technologies where people with darker skin suffered avoidable complications
when it comes to hair loss there are some important aspects of several
hairstyling traditions which impact how I approach treating hair loss I’ll
discuss how I address common causes of hair loss for people of African descent
in my practice I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and
Fellowship-trained oculofacial plastic and reconstructive surgeon I’ve been in
practice in Manhattan and Long Island for over 20 years I’m also the founder
of TrichoStem Hair Regeneration Centers based on a system we originally
developed with PRP and acellular matrix to help improve healing and outcomes for
hair transplants recognizing that unexpectedly thinning hair became
thicker one year and more after hair transplant surgery I developed a system
which has become a standalone non-surgical hair loss treatment which
has impacted the treatment of hair loss throughout the world including many
people of African heritage the most common cause of hair loss for all people
is genetic pattern hair loss also called androgenetic alopecia until 2011 when we
developed our Hair Regeneration process the gold standard for treating thinning
hair was surgical hair transplant surgical hair transplant is essentially
transplanting hair from the back of the scalp to the front of the scalp or to
wherever there is a significant amount of hair loss
African hair being curly and course has the advantage of being able to cover the
scalp more effectively than lighter or finer quality hair in addition to a
detailed history I approach the evaluation of hair loss for people of
African heritage with some specific questions which can potentially affect
the success of our treatment the first is a question about the use of hair
relaxers hair relaxers have historically used caustic chemicals which caused a
hair in the scalp skin to scar resulting in permanent hair loss another hair
styling tradition is the use of tight braids and long dreadlocks
unfortunately these styling traditions are associated with the condition called
traction alopecia where the tension on the hair follicle compromises the
circulation to the point that the hair is permanently lost we’re also seeing
more patients who’ve chosen tattooing or scalp micropigmentation although scalp
micropigmentation can look good in pictures or video our patients report
that as their hair thins the pigmentation looks little fake there is
also a particular scarring condition which is called central centrifugal
cicatricial alopecia also called CCCA that is seen in people of African
background factoring these aforementioned issues our approach to
hair loss remains overall to be the same as other people
with genetic pattern hair loss TrichoStem Hair Regeneration is a system
I developed starting in 2011 where I used customised mixtures of PRP or
platelet-rich plasma with a cellular matrix which is an advanced wound
healing material produced by the company a cell PRP or platelet-rich plasma is
the concentration of wound healing and growth factors present in the blood
which is responsible for healing after you have an injury like a
cut we prepare PRP by drawing the patient’s blood spinning it in a
centrifuge to separate the serum with platelets from the red blood cells our
practice pioneered this treatment resulting in this large-scale interest
in the use of PRP as well as a cell for hair loss in the past few years by other
physicians we have applied this non-surgical treatment to treat pattern
hair loss in men and women and have achieved improvement in hair coverage
for over 99% of patients by thickening thinning hair and stimulating hair
growth of dormant hair follicles we’ve been able to show that for men and women
with thinning hair that TrichoStem Hair Regeneration is a highly effective
alternative to hair transplant surgery in fact we have used this treatment to
improve the results of recently performed hair transplant as well as
hair transplants which were performed many years prior when it comes to
genetic pattern hair loss for African hair we’ve seen improvement in hair
thickness and hair quality ultimately resulting in better scalp coverage I
make it a point to distinguish what we do with TrichoStem Hair Regeneration
from other injectable hair loss treatments for example many practices
are offering PRP injection on a monthly basis PRP alone can stimulate hair
growth but this benefit usually comes after multiple injections and the
results of even one injection can’t be sustained past a short-term many people
come to us after trying PRP alone for hair loss and seeing minimal results and
getting frustrated with how often they need treatment other hair restoration
doctors have adapted their own cookie cutter single formulation a cell plus
PRP these practices apply the same PRP and extracellular matrix formulation for
every patient and similarly requires
several treatment sessions over a few months practically speaking the pain and
inconvenience of multiple treatments caused many people to abandon these
treatment strategies our trichostem hair regeneration treatment is customized for
every patient based on data which I looked at after treating large numbers
of patients from all over the world over many years I developed a classification
system which corresponds with different formulations and delivery methods and
factor in the individuals age gender age of onset of hair loss degree of hair
loss and other medical factors as well as previous treatments most of our
patients have had sustained benefits from a single treatment for 3 to 5 years
we know this because we follow our patients progress every 3 to 6 months
with microscope photos and high-resolution digital photography some
of our patients benefit from a second treatment we call a booster at around 18
months later from the first hair loss is managed not cured some patients also are
optimally managed with supplementary pharmaceuticals such as a DHT-blocker
like finasteride during my consultation with men or women of African heritage I
do caution that the effectiveness of our trichostem hair regeneration is limited
by the presence of viable hair follicles if there is no hair follicle there will
not be any effect we can’t create hair this means that a long history of using
caustic hair relaxers as well as tight braids or dreadlocks can limit the
number of hairs which we can treat interestingly we have had a significant
number of patients who have been pleasantly surprised with the amount of
hair growth they had after our treatment patients who had scalp micropigmentation
are often relieved that the area they had tattoo doesn’t look as fake as it
did before our treatment every patient is an individual and I’ve had patients
who wore wigs who had extensive hair loss from chemical burns using Herald
relaxers although I didn’t anticipate much growth the little growth that they
saw made them very happy it didn’t change their need to wear a wig but they
were still very excited to see improvement while there are some
differences in hair and hair loss amongst individuals of African descent
hair loss treatment can be performed with the same principles we apply to
Asians and Caucasians it is important to limit potential further damage to the
hair due to hair styling and chemical straightness male and female pattern
hair loss is hardwired in the genetics with trichostem hair regeneration we
help our patients increase their hair thickness and density for as long as is
genetically permissible I can say without reservation that trichostem hair
regeneration is safe and effective for people of African heritage I hope you
found this information helpful thank you for your question you

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