As a doctor taking a medical approach to hair loss, Dr. Gray begins every treatment plan with diagnosis. Biological systems are at the root of hair loss, so the priority at HT&RC is to identify and isolate those medical causes. By pinpointing and treating the underlying causes of hair loss, Dr. Gray creates treatment plans that work, make sense, and achieve predictable results.
Treating the individual
Every case of hair loss is unique, even when the same biological systems are to blame. Your consultation at HT&RC includes measurement, photos, documentation, and medical testing. Only by uncovering all the factors in your hair loss can Dr. Gray be sure of the best course of action. Your results after treatment completely depend on your circumstances before treatment.
Hereditary hair loss
For most men, hair loss is genetic and predictable. Male pattern baldness (or androgenetic alopecia) is responsible for more than 90% of men’s hair loss cases. If you’re genetically predisposed, certain hair follicles are vulnerable to a naturally occurring hormone called DHT. This breakdown product of testosterone affects sensitized follicles in such a way that their life cycle shortens and they become miniaturized and colorless. Over time, affected follicles will exhaust their life cycles and cease to regenerate a new hair after the hair falls out. Androgenetic Alopecia follows a pattern of loss in 7 stages according to the Norwood Scale. Though age doesn’t cause male pattern baldness, men become more likely to see symptoms the older they get.
By far, male pattern baldness is usually caused by genetic predisposition to sensitization to DHT. However, there can be other causes of hair loss that require further treatment. Through diagnosis, Dr. Gray isolates the cause of your hair loss so that every solution corresponds directly with a specific problem.
- Alopecia Areata
- Alopecia Totalis
- Ciatricial (Scarring) Alopecia
- Chronic Hair Pulling
- Scalp & Skin Conditions
- Thyroid Problems
- Autoimmune Disorders
- Vitamin Deficiencies
- Prescriptions & Medical Treatments
- Stress or Trauma
The basics of hair and loss
If you want to fight your hair loss, you’ll need to understand why and how it happens. When you know how treatment methods act on causes, you can make decisions confidently and play an active role in preserving your hair.
Hair grows in 3 stages.
Most cases of hair loss involve not just shedding, but also an interruption in the hair growth cycle. Noticeable loss usually develops over time, as more hair is shed than is added.
Phase 1: Anagen
Hair is actively growing when it’s in the anagen phase. Cells rapidly multiply in the follicle, and new hair is very unlikely to fall out. Each strand of hair stays in the anagen phase for two to six years. In androgenetic alopecia, the anagen growth phase gets shortened, resulting in miniaturized hairs that don’t grow to their full potential. If you are shedding anagen hairs, this is not normal unless you are exposed to some toxin, such as chemotherapy, which attacks rapidly dividing cells.
Phase 2: Catagen
Catagen is a transition stage lasting just two or three weeks. During this phase, the root pulls away from the follicle, preventing the growth of new cells. About 3% of your hair should be in the catagen phase at any one time.
Phase 3: Telogen
Telogen hairs should make up less than 10% of the hairs on your head. These club hairs are finished growing, and they simply stay in place until they’re shed. You will normally shed about 100 telogen hairs a day.
Assessing your hair
If you have excess shedding of hair, meaning that you are losing more than 100 hairs a day on average, Dr Gray can view these hairs under the microscope to determine if you are losing telogen or anagen hairs. The solutions that work for you will depend on our growth cycle. The fewer anagen hairs you have, the less likely non-surgical solutions are to work for you.
When you work with Dr. Gray, you can be assured of a proactive and common-sense approach to fighting hair loss. With access to surgery, PRP with ACell, and Cesare Ragazzi CNC, you’re assured a successful solution no matter what’s causing your hair loss. When you’re ready to start matching problems to solutions, just give us a call.