Regular Clinic Hours
Monday - Friday: 9:00am - 5:00pm
Tuesday: 9:00am - 6:30pm
Saturday: 10:00am - 3:00pm
1471 Saratoga Ave., #200
San Jose, CA 95129
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Hair Loss Evaluation
Medication & Topicals San Jose
Jenesis is the Bay area’s leading provider in both surgical and non-surgical treatments for hair loss and hair restoration. New techniques and faster recovery times make it possible to achieve a more natural result with a minimally invasive procedure.
If you are suffering from hair loss, the sooner the problem is diagnosed and addressed, the better. This will also enable us to achieve optimum results for you.
In the past few years, medicine has made tremendous strides in the treatment of men’s hair loss.
You need to always keep in mind that any medication will only help reduce, or delay, the effects of hair loss, but no medication will restore or re-grow lost hair.
Finasteride is the generic name for the brand name drugs Proscar and Propecia. Finasteride was originally developed byMerck as a drug to treat enlarged prostate glands (Proscar). During the trials on men with prostate problems an intriguing side effect of hair growth was observed. Since finasteride had already been approved by the FDA to treatenlarged prostates in men, Merck and Company decided to pursue the possibility of developing finasteride as the first pill to treat male pattern baldness.
On December 22, 1997 the FDA approved a 1mg dose of finasteride for the treatment of androgenic alopecia in men (male pattern baldness). Propecia is the first drug in history to effectively treat male pattern baldness in the vast majority of men who use it.
How Propecia/Finasteride Works:
Finasteride’s hair-raising success is due to its ability to specifically inhibit Type II 5-alpha-reductace, the enzyme that converts testosterone into a more potent androgen dihydrotestosterone (DHT). Propecia’s 1 mg dose of finasteride can effectively lower DHT levels by as much as 60% when taken daily. It is DHT that shrinks or miniaturizes the hair follicle, which eventually leads to baldness. This 60% reduction in DHT has proven to stop the progression of hair loss in 86% of men taking the drug during clinical trials. 65% of trial participants experienced what was considered a substantial increase in hair growth.
At this point, the only truly effective medically proven way to arrest the hair loss process is to lower DHT levels. The American Hair Loss Association recommends finasteride as the first line of attack for all men interested in treating their male pattern baldness.
PROPECIA was developed to treat mild to moderate male pattern hair loss on the vertex (top of head) and anterior mid-scalp area (middle front of head) in MEN ONLY. There is not sufficient evidence that PROPECIA works for receding hairlines at the temples.
Finasteride is taken orally in tablet form daily. It was originally and still is also used for the treatment of enlarged prostate glands (prostatic hyperplasia) where the mechanism of action is similar to the scalp.
Finasteride’s action only begins to ‘kick-in’ at 3-4 months, while results should begin to be apparent after around 6 months. Any benefits gained by using Finasteride will be lost within a few months of stopping use of the drug. Therefore to maintain your hair you would need to continue this medication all your life.
In general use, the following side effects have been reported: allergic reactions including rash, itching, hives, and swelling of the lips and face; problems with ejaculation; breast tenderness and enlargement; and testicular discomform. You should promptly report to your doctor any changes in your breasts such as lumps, discomform, or nipple discharge. Tell your doctor about these or any other unusual side effects.
A small number of men had sexual side effects, with each occurring in less than 2% of men. These include less desire for sex, difficulty in achieving an erection, and a decrease in the amount of semen. These side effects went away in men who stopped taking PROPECIA because of them. In addition, these side effects decreased to 0.3% of men or less by the fifth year of treatment.
Minoxidil (loniten) was the first drug approved by the FDA for the treatment of male pattern baldness. For many years, minoxidill, in pill form, was widely used to treat high blood pressure. Just like finasteride researchers discovered a very interesting side effect of the drug. People taking the medication were growing hair in unexpected places like on their cheeks and the back of their hands, some even grew hair on their foreheads.
Some enterprising researchers had the notion that applying minoxidil topically, directly on the head, might grow hair on balding areas. Well it did this to varying degrees depending on the extent of the hair loss. For it’s time, this treatment was revolutionary.
While minoxidil has been clinically proven to slow the progression of hair loss in up to 80% of men and regrow some hair, most informed experts see it as a relatively marginally effective drug in the fight against hair loss. Since minoxidil has no effect on the hormonal process of hair loss its positive effects are at best temporary and usually yield somewhat disappointing long-term results.
With that said, The American Hair Loss Association still recommends the drug for those who have not responded favorably to finasteride treatment or for those who would like to add another product to their regimen. The AHLA does not recommend minoxidil as the first line of attack for men suffering with male pattern baldness, but does recognize it as an effective treatment for a small percentage of its users.
Shampoo and Conditioner
There are wide arrays of shampoos and conditioners available as the hair loss treatment products to be used specifically for post-surgical care. These post-operative hair loss treatment products can offer better recovery and better growth of hair transplants after the hair transplant surgery.
These hair replacement shampoos, conditioners are special hair loss treatment products which are extremely gentle on the scalp and have ingredients that help in healing at the donor and recipient surgical sites.
Additionally, these hair restoration products help reduce the appearance of scars. These hair loss treatment products are made especially for the hair transplant patients for post-surgical use. Since these hair loss products are to be used just after the hair transplant surgery they have unique formulations like the comforting aloe vera gel or essential copper peptide micronutrients. The copper peptide micronutrient-based hair loss products help to control crusting at the transplant site and have enhancing effect on the wound healing.
While these are not the actual hair loss treatment products or hair growth products, they help with improved healing and it is the better healing that results in better hair growth after the surgery. This special line of products can be better called as post-operative products. GraftCyte and Tricomin are the two examples of such post-operative products which are commercially available.
Some post-operative products are available as spray for hydrating the graft sites. Foil-wrapped sets of copper peptide saturated gauzes are the specially designed post-operative care products are also available. These copper-peptides are meant to be used for the first three post-operative days.
A gel to be placed on the donor incision in the back of the head is also offered for better healing of the donor area.
All of these post-operative interventions may lead to improved, more rapid healing and can also offer the additional benefits as post-operative hair loss treatment products to promote more rapid growth of the transplanted hair.
Tricomin, a second generation compound available as a copper-peptide spray, is the latest post-operative product available in the market. It delivers a specific copper/peptide micro molecule to the hair follicle stimulating its growth. This compound contains copper ion complex with conjugated peptides (proteins). This special molecule is known to have both skin repair and hair growth enhancement effects. Tricomin did undergo FDA Phase 2 clinical studies and was shown to cause hair growth in the transplanted follicle. It is believed that Tricomin stimulates hair growth primarily through follicle protein synthesis and activation of the hair cycle by releasing the copper and delivering it to the root of the follicle.
We recommend the application of copper-peptide gauzes for first three post-operative days as these seem especially beneficial to stimulate growth.
* All patients are actual patients of our practice who have provided consent to display online. Readers should understand that results do vary and not all individuals achieve the results depicted here.
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