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BOSLEY - HAIR LOSS CAUSES Why do some men and women keep their hair well into old age while others begin experiencing hair loss at a young age? A Genetic Problem? For most of us who are experiencing premature baldness, the cause is genetic. Hair loss, like eye color, is an inherited trait. While you were still forming in the womb, your hair follicles were being genetically coded. If genes responsible for hair loss were present, they made the hair follicles on top of your head sensitive to the hormone dihydrotestosterone, or DHT. These follicles were then predisposed to begin shrinking when you reached adulthood. Unfortunately, once this genetic ball gets rolling, it will continue throughout your lifetime. As the hairs produced by your ever-shrinking follicles become finer and finer, they will begin failing to grow to normal length. And what is first noticed as "thinning hair" or a "receding hairline" progresses to baldness when the shrinking follicles finally stop producing any hair at all. Popular Misconceptions For many years our schools have taught - quite erroneously - that hair loss is always inherited from the mother's father. Medical science now knows that baldness genes are passed down from both sides of the family. They also can skip generations, and are utterly random in terms of which siblings they will affect; it is quite common for a woman to keep a full head of hair while her sister begins experiencing severe thinning in her twenties. How Important Is Hair Care? Contrary to common belief, hair loss is not caused by a failure to take good care of your hair. Consumers waste millions of dollars on shampoos and phony, non-FDA approved treatments. (Only two medications, Rogaine and Propecia, have ever been approved by the FDA to treat hair loss.) We have counseled too many men and women who hold themselves responsible for their hair loss. It is important to understand that with very few exceptions, our hair follicles are going to live or die by their genetic coding - and nothing else. Medical science is still searching for a complete understanding of the biochemical processes that occur within our hair follicles. Click here to learn more about the science behind hair loss and what you can do about it. Is there a set number of grafts for each hair transplant surgery? MORE ANSWERS PROCESS: See a step-by-step guide to hair restoration at Bosley MORE PHOTOS: Review more photos of Bosley hair restoration patients in this section MORE TALK WITH A PATIENT: Email Carl Bell about his hair transplant experience at Bosley MORE RESEARCH Don't take our word for it. See pictures and read comments from more of our hair restoration patients. What is a hair transplant exactly? A hair transplant procedure is an artistic redistribution system that takes donor-dominant hair follicles from the very back and sides of the head and artfully transplants them into thinning or balding areas. With Bosley follicular unit technologies, this results in a very natural appearance. Basically we take hair from where you have more than you need and put it where you need it more, the ideal solution to baldness. How long do hair transplants last? For the vast majority of patients, virtually all transplanted hair lasts a lifetime. In some cases, a small percentage of transplanted hair may be lost as the patient ages. Is it going to hurt? Although patients are administered local anesthetics and other medications, the degree of pain or discomfort experienced by patients during or after the procedures varies among patients. We also supply patients with medication to use after the procedure, if needed. Many of our patients find that they do not need to take any medication at all after their hair transplant procedure. How does the Bosley hair restoration procedure differ from all the others I see advertised? Bosley can't account for the work of others because we don't know the exact protocols and specific technical variations that are used elsewhere. We can talk to you about Bosleys own hair transplant techniques which emphasize the natural variations in the texture and color of hair, the angles and directions of hair growth, and the size and shape of grafts. The artistry involved in combining these numerous variations significantly impacts the naturalness of the hair restoration results. Not every physician has the skill or aptitude for this refined technique. Bosley suggests you visit with others and we also invite you to come in to visit with us at no charge. Is there any scarring? Whenever human skin is cut, it always heals by the process called "fibrosis." This fibrosis (commonly known as scarring) is the skin's way of healing. Thanks to the skill of our experienced hair transplant physicians, the healing sites in the transplanted areas are usually so small that the fibrosis is virtually undetectable. Any scar in the donor area is covered by your existing hair. At Bosley, hair transplantation procedures are designed to produce a very natural look. In the great majority of cases, the microtechnologies currently used at Bosley make the restored hairline virtually undetectable. Are there any complications or risks with the hair transplantation surgery? Occurrences of infection after a hair transplant procedure are rare. In the few cases where infection does occur, it is often due to the patient's failure to fully follow post-operative instructions. Even when infection occurs, it generally is easily treatable with antibiotics, which can be prescribed by the physician. How many grafts will it take to cover 1 square inch? That is very difficult to answer without seeing you. This is because the number of grafts required will ultimately be dependant upon the texture and quality of your hair, i.e. darker, coarser hair may require fewer grafts to cover the same area as compared to lighter colored, fine hair. It will also be dependent upon your degree of baldness and your density goals. Can I have the procedure done by Dr. Bosley? Yes, you may have a procedure done by Dr. Bosley. However, you should be aware that his fees are higher than those charged by the rest of the doctors at Bosley. This does not mean that other Bosley physicians' skills are any less than that of Dr. Bosley. It is the result of the fact that if Dr. Bosley did not charge more, a substantial number of persons would ask specifically for him and the demand would greatly exceed his ability to meet all of the requests. Do you use laser in the hair transplantation procedure? Bosley physicians do not feel that the laser benefits patients. It can damage healthy hair follicles, have a negative impact on scalp elasticity, and in general, slow down the healing process. The use of lasers in hair restoration has diminished greatly in the last few years. How many procedures are necessary for hair restoration? The number of procedures necessary to achieve a personally desired goal varies from person to person and the individual degree of hair loss; but in our experience, the great majority of our patients want to have at least two procedures. Return to top of page Privacy Statement and Legal Matters The confidentiality of the medical records of all Bosley patients has been and continues to be strictly protected. We release medical information regarding one of our patients whenever the patient instructs us to do so, or whenever we are required to do so by legal process. Because Bosley is not involved in the electronic transactions that are typical of managed care, Bosley is not covered by the Health Insurance Portability and Accountability Act of 1996, commonly known as HIPAA. The patients featured on this website have given their permission to appear. Testimonial statements and photographs of Bosley patients do not constitute a warranty or prediction of the outcome of your individual hair restoration. Not all patients can achieve the results depicted here. Ask your Bosley physician about your individual case. Professional services are provided by the licensed medical doctors of Bosley Medical Group, L, Lee Bosley, M.D., founder. The World's Most Experienced Hair Restoration Practice (sm) 2004 Bosley. Bosley has performed more than 180,000 hair transplant procedures on men and women from more than 60 different nations who suffered from hair loss. Bosley is a world leader in hair loss and medical hair restoration. 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REGAINE EXTRA STRENGTH 3 PACK - HAIR LOSS TREATMENT FOR MEN - (3 x 60ml)     Allcures.com - For all your Pharmacy and Chemist needs. ');" onMouseout="imgOff('Tab7', '   Allcures.com - For all your Pharmacy and Chemist needs. 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TABAC TABTIME TAMPAX TENA THE TRUTH THERMACARE THERRY MUG THIERRY MU THORNTON & THROATIES TIGER BALM TIGRA TINADERM TIXYLIX TOFUPILL TOMMEE TIP TOMMY HILF TOOFY PEGS TOTAL CARE TOTAL SHAV TOUCH OF S TRANSVASIN TRAXAM TRIM FORM TUBIGRIP TUMS TUNES TYROZETS ULTRA CHLO ULTRABRITE ULTRASWIM ULTRAZYME UNIVERSAL V CREAM VAGISIL VALDERMA VALPEDA VANDERBILT VASELINE VASELINE I VASOGEN VEET VEET FOR M VEGANIN VELOUTY VELVET PRE VELVET TOU VENO'S VERACUR VEROMAX VERRUGON VICHY VICKS VICTORY V VIELLE VIRASORB VISCOTEARS VISIONACE VITAL EYES VITAPOINTE VIVA VOCALZONE VOLTAROL WARTEX WARTNER WASP-EZE WASSEN WASSEN - S WAXSOL WELLA SHOC WELLA SHOC WELLA VIVA WELLMAN WELLWOMAN WERNETS WET ONES WIND SETLE WIND-EZE WISDOM WITCH WITCH DOCT WITCH HAZE WITCH STIC WOODWARDS WRIGHT'S WRIGHTS XIT YARIBA YEAST VITE YMEA YOTUEL YVES SAINT ZANPROL ZANTAC 75 ZERO ZERO FRIZZ ZIRTEK ZOCOR ZOTRIM ZOVIRAX Ask the Pharmacist Canesten Products Anti-Cellulite Aids Baldness Anti-Aging Creams Holiday Products A-Z of Symptoms A-Z of Conditions A-Z of Products -- Help Delivery Payment Returns FAQ All Resources Contact Allcures Corporate Info HelpDesk Press Coverage Code of Ethics AllStar Promise Product Information REGAINE HAIR LOSS TREATMENT FOR MEN 5% SOLUTION P Extra Strength 3x60ml Size: 3 x 60ml Was:   59.95 Now:  42.85 Pharmacy Product If you want to contact one of our pharmacists before you purchase this product you may do so by email or telephone. Click here for contact details Also available in: Extra Strength 60ml Extra strength value pack Regular Strength 60ml Shampoo Ideal for use with Regaine Directions Study the pack leaflet carefully before use. Your hair and scalp should be thoroughly dry before using Regaine Extra Strength. Apply a dose of 1ml, with one of the enclosed applicators, to the affected area twice daily (with a 12 hour interval). Remember to wash your hands after use. Replace large outer cap on bottle when not in use. Do not exceed 2ml in a day, and do not use it more than twice a day (your hair will not regrow any quicker, and you may risk side effects). Ingredients Minoxidil 50mg/ml. Also contains : Propylene Glycol, Alcohol, Water. Product Leaflet Medically proven to treat thinning hair and advancing baldness. 3 month start pack. This pack contains three 60ml bottles or Regaine Extra Strength. One pump spray applicator. One extended spray tip applicator. One rub on applicator. Regaine Extra Strength is for the treatment of hereditary hair loss in men. Regaine Extra Strength will not work for everyone and it is not possible to predict individual responses. Continued use is necessary to maintain the results of treatment. Hair growth should become noticeable after 2 months of twice daily usage. Regaine Extra Strength is not suitable for women. Do not use : If you don't know why you're losing your hair. See your doctor. If your hair loss is sudden or patchy. If you have a condition which affects your scalp or you have a shaved scalp. If you are using other medicines on your scalp. If you have high blood pressure or are having treatment for high blood pressure. If you are under 18 or over 65 years of age. Do not use Regaine extra strength if you are allergic to these ingredients. For external use only. Avoid contact with eyes. Flammable. Do not apply whilst smoking or near naked flame. Keep out of the reach of children. Store below 25c. People Who Bought This Product Also Bought The Following Items: PREGAINE-CLEAR GEL SHAMPOO FOR MEN AND WOMEN - Shampoo Ideal for use with Regaine - 200ml NIZORAL-SHAMPOO - Dandruff - 100ml JUST FOR MEN-HAIR COLOURANT - RRP 7.49 - Medium Brown JUST FOR MEN-HAIR COLOURANT - 7.49 - Natural Dark Brown / Black FEMINAX-FAST RELIEF FROM PERIOD PAINS AND MENSTRUAL CRAMPS - 20 Caplets Related Features Common Hair Loss in Men by Tony Maleedy, MIT.MTS Related Product Categories Counter Drugs - Embarrassing Conditions - Baldness Counter Drugs - Embarrassing Conditions Counter Drugs - Hair & Scalp Counter Drugs - Hair & Scalp - Hair Loss Treatment home counter drugs beauty toiletries alternative photoshop health info newsletter Allcures.com PLC, Registered in the UK, Registration Number: 3732995 Registered Office: 118 Piccadilly, Mayfair, London W1J 7NW Please read our terms and conditions of use . Have you updated your medical history ? 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Hair Removal: Definitions Hair Removal Index ||| Quackwatch Home Page Hair Removal Methods: Definitions © 2001, Andrea James Before we get going, I need to define some terms as they'reused in this discussion. It turns out that in the hair removalindustry, results aren't the only thing that can be confusing.So let's get precise! "Hair" This might sound silly, but hair needs to be defined. Whensome people say that their device removes hair, they don't alwaysmean that it removes every type of hair. In fact, it'snot possible to remove every type of hair in an area permanentlyin one treatment. The following are distilled from an excellentsummary of the basics [1]. There are three types of hairs you might see on your skin: Vellus : sometimes called "peach fuzz," these are tiny colorless hairs. Intermediate : hairs between vellus and terminal. Thin, but with some pigmentation. Terminal : these are deep-rooted coarse hairs, either pigmented or gray (usually the hairs consumers want removed). In addition, all hairs have a three-stage growth cycle: Anagen : active growing phase Catagen : a brief transitional phase Telogen : dormant phase until shed and replaced by a new anagen hair The amounts of each type of hair and hair growth-cycles varyfrom person to person. That's another reason why it's tough tocompare hair removal results between you and others. Dependingon the body area, anywhere from 20% to 85% of hairs are in anagen(this is called the anagen/telogen ratio). Many hair-removal methodshave been shown to be more effective on actively growing anagenhair. That means that a single treatment from a device cannottreat all your hairs. One last thing to discuss is potential follicles. Many folliclesdo not produce a hair, even though they have the potential todo so. Follicles can be activated by hormonal changes (like puberty,pregnancy, aging, etc.) or by other chemicals or medical conditions.That's why even after permanent hair removal, totally new hairsmay grow. "Permanent hair removal" Most consumers assume "permanent" means lasting forever.Unfortunately, that's not always the case as it's used in advertising.For instance, a permanent wave in your hair is not really permanent. How much time should elapse before results can be consideredpermanent? Since waiting forever is out of the question, manypeople, myself included, have suggested arbitrary definitionsof "permanent" when assessing new hair-removal devices.Some of the definitions people use are pretty silly. One manufacturerclaims its device is permanent based on results after 9 weeks.It's ridiculous to base a claim on such a short period of observation.,but the FDA formerly permitted this to be done [2]. Waxing canlast that long, and it's been clinically observed to be temporary[3]. Permanent hair removal can be generally defined as "thecomplete destruction of a treated hair follicle's ability to generatehair." Here's my personal and unofficial working definitionof "permanent hair removal" when assessing new devices: Able to go one year after your final hair removal treatment and still be as clear of hair in the treated area as you were right after your final treatment. This, of course, also means you went a year without havingto use any other method to remove or conceal hair in the treatedarea. This is based in part on one definition for permanent hairreduction (below). However, some hairs have a growth cycle lastingseveral years [1]. That means a year might not be long enoughto determine true permanence, but a lot of consumers would behappy to have one hair-removal treatment a year. " Permanent hair reduction" Another confusing definition. In 1998, the US Food and DrugAdministration (FDA) began allowing some manufacturers of hairremoval lasers and flash lamps used for epilation to use the term"permanent hair reduction," [4] which the agency definesas: The long-term, stable reduction in the number of hairs regrowing after a treatment regime. The number of hairs regrowing must be stable over a time greater than the duration of the complete growth cycle of hair follicles, which varies from 4-12 months according to body location. Permanent hair reduction does not necessarily imply the elimination of all hairs in the treatment area.[5] For clearance purposes, FDA requires that hair counts be measuredat 3, 6, 9, and 12 months following the last treatment [5]. This is one of those complicated things I warned you about!I'll explain "permanent hair reduction" in detail inthe section on laser hair removal. "Response rate" Defined here as: the percentage of people who respond to treatment. Medical literature indicates that, for unknown reasons, someconsumers don't respond to laser or electrolysis procedures [6,7].The less clinical data available, the higher the margin of errorin the response rate. With Vaniqa TM ,for example, 58% of women responded to the active ingredient [8].However, if one-third of the subjects were "false positives"as they were in the control group, the actual response rate wouldreally be closer to 25%.That's why you can't rely on the personalexperiences of a few people. Response rates must be compared againsta large control group to determine that positive results aren'tjust coincidence, since we're dealing with so many variables. "Regrowth rate" Defined here as: the percentage of hair that returns followingone or several treatments. Medical literature indicates that regrowth rates followinghair removal vary wildly. This means regrowthrates are virtually impossible to estimate accurately. For instance,from 22% to 100% regrowth has been reported in long-term lasertreatment follow-up [9,10]. Even after 125 years of clinical andempirical evidence regarding electrolysis, published estimatesstill range between 15% to 50%.[11]. Another expert can only estimateregrowth might range from 20% to 30% per treatment under idealconditions, adding "the exact percentage is unknown."[12] The less clinical and empirical data available, the higherthe margin of error in the regrowth rate for each method. Also, what is counted as regrowth must be carefully defined.Appropriately rigorous studies should describe the total numbersof hairs treated, specifying the number of terminal and vellushairs [13]. Some researchers have suggested a definition of regrowthwhich only counts terminal hairs.[14]. Although many consumersseeking treatment are primarily interested in removing terminalhairs, this selective definition of regrowth makes treatment resultslook better at first glance and obfuscates true efficacy rates. Whew! Now that we're all on the same page, let's look at someof the devices and claims out there. References Richards RN, Meharg GE. Cosmetic and Medical Electrolysis and Temporary Hair Removal: A practice manual and reference guide. Toronto: Medric Ltd.,1991, pp 37-40. FDA Docket K892514 , Aug 8, 1990. Following several failed submissions rejected by FDA reviewer Theodore Stevens, electric tweezer maker AHRS submitted an unpublished in-house report on 5 subjects followed for 9 weeks. The new FDA reviewer, Paul Tilton , allowed 9 weeks as a performance standard for permanent hair removal. Subsequently, AHRS (and a clone called GHR, which Tilton cleared in 1991) can claim they are "permanent." The FDA subsequently set a more sensible performance standard and now requires 12 months of clinical follow-up for considering claims of permanent hair reduction. The FDA also stated in 1998 that there are no significant data to substantiate claims of electric tweezer permane nce [Docket 97N-0199 ]. Fo r an extensive critical analysis of the Tilton decision, you can download Docket 99P-1614 . The Tilton decision is an unfortunate footnote in the history of hair-removal regulation and a triumph of quackery over good science. Richards RN, Uy M, Meharg G. Temporary hair removal in patients with hirsutism: A clinical study . Cutis 45:199-202, 1990. FDA Docket K980517 . July 21, 1998. See summary (requires Adobe Acrobat). Richard Felten , personal correspondence, 17 April 2001. Liew SH and others. The effect of ruby laser light on cellular proliferation of epidermal cells . Annals of Plastic Surgery 43:519-522, 1999. Richards RN, Meharg GE. Electrolysis: Observations from 13 years and 140,000 hours of experience . Journal of the American Academy of Dermatology 33:662-666, 1995. Vaniqa package insert . Vani qa TM is a trademark of Bristol-Myers Squibb Company. Lloyd JR, Mirkov M. Long-term evaluation of the long-pulsed alexandrite laser for the removal of bikini hair at shortened treatment intervals . Dermatologic Surgery 226:633-637, 2000. Nanni CA, Alster TS. Optimizing treatment parameters for hair removal using a topical carbon-based solution and 1064-nm Q-switched neodymium:YAG laser energy . Archives of Dermatology 133:1546-1549, 1997. Richards (1991), p. 248 Wagner RF Jr, Tomich JM, Grande DJ. E lectrolysis and thermolysis for permanent hair removal . Journal of the American Academy of Dermatology 12:441-449, 1985. Kobayashi T. Electrosurgery using insulated needles: Epilation . Journal of Dermatologic Surgery and Oncology11:993-1000, 1985. Grossman MC and others. Damage to hair follicles by normal-mode ruby laser pulses. Journal of the American Academy of Dermatology 35:889-894, 1996. __________________ Ms. James is a Chicago-based writer and consumer activist whoowns hairfacts.com. Hair Removal Index ||| Quackwatch Home Page This article was posted on May 13,2001.



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But today, it's the second most popular nonsurgical cosmetic procedure in America -- and its popularity is skyrocketing. Recent Company News » Ideal Image Inc. Latest News » Florida's hate crimes up 21.5% » Joint venture buys Riande-owned hotel in Orlando » Ginn Co. acquires Vermont ski resort » Conventions leave behind more than $1M in donated goods, services » C. Fla. among top destinations for New Year's, family vacations More » Companies in the News » People in the News Consider: Last year, 1.4 million laser hair removal procedures were done, a 1,173 percent increase when compared with only 110,000 such procedures in 1998, according to the American Society for Aesthetic Plastic Surgery Inc. in New York City. "Laser offers comfort, speed and accuracy with getting rid of hair," says Kimberly Masser, managing director and minority partner in the Central Florida franchise of Tampa-based Ideal Image Inc. , which offers laser hair removal. "I love it. I had my legs done, and it has shaved 20 minutes off the time it takes me to get ready in the morning. There's no stubble. It's remarkable." The procedure is proving attractive to both men and women, who apparently have a great desire to shed excess facial and body hair. In fact, the industry is projected to rake in $3 billion-$5 billion a year by 2007, says Masser: "It's little hairs becoming a very big business." Not completely risk-free Those numbers continue to climb, despite the fact that two young women died recently -- one in Tucson, Ariz., and another in Raleigh, N.C. -- as a result of using too much numbing cream before getting hair removal done at laser clinics. According to published reports, the two women completely coated their legs in the cream while at home and then suffered a toxic reaction on their way to the laser clinics, which led to coma and then death. Detractors blame the fact that compounding pharmacies, where the creams were made, are largely unregulated by the U.S. Food and Drug Administration. Latricia Stone, a local nurse who works in the medical device industry, says she was aware of the two deaths before she decided to have laser hair removal done at Ideal Image on her eyebrows, underarms, legs and bikini area, but didn't let that change her mind. In fact, she's even used some numbing cream herself. "You get a full sheet of instructions on the numbing cream -- how to use it and when to apply it," she says. "They are very thorough in giving proper patient education. You're not supposed to coat yourself down." Courtney Gleaton, a cosmetic surgery consultant at The Bougainvillea Clinique in Winter Park, agrees. "Laser hair removal is very safe," she says, adding that the procedure has such minimal discomfort that a numbing cream really isn't even needed. However, other risks, say Gleaton, include possibly burning the skin or discoloring dark skin with the laser. That's why it's important, she says, to make sure the facility has the latest technology, is overseen by a doctor and uses only licensed medical professionals such as a nurse practitioner or a physician assistant to do the procedure. » Continued Page: 1 | 2 © 2005 American City Business Journals Inc. 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