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Understanding Hair Transplants and Hair Loss - Pacific Hair

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21) Dr. Nilofer Farjo of Britain writes that local autocrine/paracrine factors are involved<br />

in the regulation of hair growth. She noticed that the addition of IGF-I or II (insulin<br />

growth factor) maintains anagen growth rates . When these factors are removed,<br />

the follicles go into premature catagen phase . The implication is that human growth<br />

hormone through its IGF-I factor is obviously necessary for good hair growth. The<br />

old observation that anti-aging therapies with growth hormone caused the hair to<br />

thicken up is thus validated .<br />

22) Dr. Francisco Jimenez-Acosta, M.D. of Spain writes that caffeine alone led to significant<br />

stimulation of hair follicle growth at low concentrations of .001% <strong>and</strong> .005%<br />

in vitro . Paradoxically, high concentrations of caffeine showed inhibitory effects .<br />

23) Dr . Reese of Minnesota notes that, through the use of platelet-rich plasma, there<br />

was more rapid normalization of the scalp with respect to both crusting <strong>and</strong> erythema<br />

in those cases in which grafts were bathed in PRP .<br />

24) Dr . Sinclair of Australia writes that the aromatase gene is also a c<strong>and</strong>idate for<br />

female pattern hair loss . The female balding scalp is characterized by low levels of<br />

aromatase <strong>and</strong> high levels of dihydrotestosterone . The implication of this is that the<br />

low aromatase does not produce sufficient estrogen to supply the female balding<br />

scalp. In other words, the intracellular estrogen may be low, even though the circulating<br />

estrogen could be normal . This is consistent with the loss of hair following<br />

drop in estrogens postpartum . Naturally, if there is low aromatase in female balding<br />

scalps, the testosterone levels <strong>and</strong> DHT levels would rise since testosterone is not<br />

getting converted to estrogen .<br />

25) Dr. Acosta of Spain also writes that iron deficiency has long been associated with<br />

telogen effluvium, but recently Dr. Kantor in the JID in 2003, noted that ferritin<br />

levels in female patients with <strong>and</strong>rogenetic alopecia <strong>and</strong> focal alopecia areata was<br />

significantly lower than in normals without hair loss.<br />

26) The prostagl<strong>and</strong>ins Bimatoprost <strong>and</strong> Latanoprost, which are used as eye drops to<br />

treat glaucoma, are noted by an ophthalmologist to increase the length <strong>and</strong> thickness<br />

of eyelashes .<br />

27) <strong>Hair</strong> Dx Test - <strong>and</strong>rogen receptor allele hypothesis that females with this defect<br />

may be responsive to finasteride under investigation.<br />

28) <strong>Hair</strong> or follicle cloning: Dr. Beeson Farjo <strong>and</strong> Dr. Nilofer Farjo in Engl<strong>and</strong> are working<br />

with a research company to develop the ability to clone hair folicle stem cells .<br />

U n d e r s t a n d i n g H a i r T r a n s p l a n t s a n d H a i r L o s s<br />

54

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