The Lifecycle of a Hair Follicle

The Lifecycle of a Hair Follicle

Lieberman & Parikh

Hairs appear in drains and on shoulders, on combs and in brushes, on bathroom counters and shower floors. They’re stray hairs, and the sight of them can prompt people to worry that they’re losing their hair for good, sending them to contort themselves in the mirror to spot the telltale skin of a beginning bald patch and start researching hair restoration treatments. San Francisco Bay Area surgeons Dr. David Lieberman and Dr. Sachin Parikh specialize in hair restoration—but they also work to educate men and women about how hair works. In many cases, it’s just time for a hair to fall out.

Did you know it’s not uncommon to lose 50 hairs a day? Not only that but some people shed 100 hairs (or even more) every 24 hours.

Hair turnover is natural and represents the end of a hairs’ life cycle. Our job as hair restoration surgeons is to educate our patients about how hair works as well as look for the root cause of each patients hair loss.

Every person has approximately 5 million hair follicles on their body with about 100,000 of them on their head. All 5 million follicles go through its own four-stage life cycle before it falls. This is why all of your hair doesn’t usually fall out at the exact same time.

Exogen phase is the beginning of the cycle which is marked by both an ending and a beginning. An old hair falls out, pushed from the follicle by a new hair beginning to grow. The new hair signaled by the shedding of the old then enters the longest phase of its lifetime.

The anagen phase is next which is when active growth begins. At any given time, about 85 percent of the hairs will be in the angen phase.  As the hair grows over the course of years. The typical length of this phase is two to six or even eight years, during which a single hair can grow roughly six inches a year.

As a growing hair approaches the end of its life, it enters the catagen phase, a transition period that lasts one or two weeks. During this time, the hair’s follicle shrinks in size as it readies itself to eject the old hair, which separates from its source of blood and moves upward.

Finally comes the telogen phase, when the follicle rests for a few months as the disconnected hair sits in place. As the follicle regains energy to begin new hair growth, it ultimately pushes the hair out. Exogen is achieved once again, and the cycle continues.

This exogen-prompted shedding is responsible for many of the stray hairs found around the house.

People should note that a mass resting phase can be triggered by a sudden shock or stress, whether viral, physical, or even emotional. Everything from an expected event (such as childbirth) to an unexpected event (such as an accident) to an internal problem (such as an infection or diet change) can be a contributing factor. Known as telogen effluvium, this event can impact up to 70 percent of all of a person’s hair, leading to a mass fall-out—sometimes weeks or even months after the catalyst itself.

Typically, this development is not a permanent one, as follicles will return to a more normal cycle and begin producing new hairs over six to eight months.

While knowledge of a hair’s life cycle can help to ease worries about hair loss, some people still find comfort in seeking the help of a professional who specializes in diagnosing and treating hair loss. A range of other factors—from illnesses to hormone imbalances—can also cause hair loss, so it’s important to visit a doctor if there is any cause for concern that the shedding could be due to something serious.

To learn more about hair loss and the options, if necessary, for hair restoration, San Francisco Bay Area facial plastic surgeons Dr. David Lieberman and Dr. Sachin Parikh can help. Contact the Lieberman & Parikh Center for Hair Restoration by calling (650) 327-3232 or sending us a quick email.

Kirk Has Hair : Bay Area Hair Transplant With Drs. Lieberman & Parikh

Lieberman & Parikh

How about that result?!

That’s balding me, Kirk Peffer from 94.5 Bay FM, on the left, and me, six months after my FUE hair transplant with Drs. Lieberman & Parikh on the right.  It’s been an incredible transformation, and the best part is that I have a totally new head full of my own hair.

Seriously, how good is my result?
Drs. L&P are hair wizards and hands down the best hair transplant docs in the Bay Area.

If you want more hair, don’t wait to get a FUE hair transplant. Call Lieberman & Parikh Center For Hair Restoration at 650-327-3232 or send them a quick email  for your hair consultation.

Tell them Kirk from 94.5 sent you and they’ll waive your consult fee. Trust me, you won’t regret meeting Drs. Lieberman & Parikh and finding out how you can have more hair.

Am I A Good Candidate For A Hair Transplant?

Lieberman & Parikh

Chances are, if you’re visiting our website dedicated entirely to hair loss and hair restoration, you’ve probably experienced some of the devastating effects that hair loss can have on a person – a loss of confidence, being treated unfairly because of the way you look or simply not feeling like yourself.

If this is the case, it is absolutely appropriate to schedule a consultation with a hair loss specialist like Drs. Lieberman & Parikh, to see if you are a good candidate for a hair transplant. And, if not, what other procedures and hair-growth options could be available to you.

Have You Considered Nonsurgical Options?

At Lieberman & Parikh Center for Hair Restoration, we make sure our patients are aware of all nonsurgical options available. Topical products, supplements, and other therapies can provide robust results for some patients. Because of the efficacy of the nonsurgical hair growth products, we usually recommend them to our patients who go forward with a hair transplant.

Must Be Voting Age But Not Already Bald

Age and the stage of hair loss are the next most important factors physicians consider when assessing potential hair transplant patients. Before a person reaches 18 years old, it is very hard to know if their hair pattern has fully developed or if they have immature hair loss that will eventually grow in. A hair transplant could cause awkward hair patterns as their growth matures.

On the flip side, if a person’s hair loss has progressed so far that they are bald or almost bald, the patient probably does not have enough donor hair to harvest for an effective hair transplant. This is the case with Dr. Lieberman who lost all of his hair before the latest hair restoration techniques, including NeoGraft, were invented. When a man has progressed to Class 6 on the Norwood Scale or a woman to Class 3 on the Ludwig scale, it is probably too late for a hair transplant.

Men and women over the age of 30, who have experienced thinning hair or pattern baldness for about five years, tend to be the best hair transplant patients. By this age, if they are not already bald, the loss pattern has been established and a specialist can harvest enough grafts to provide a long-lasting and natural-looking transplant.

Is Your Hair Healthy Enough for A Hair Transplant?

Since a hair transplant involves harvesting hair from existing hair follicles, it is important to look at the health and density of a patient’s existing hair. The best person for a hair transplant procedure has a lot of thick hair in the occipital area with patches of thinning on the crown or hairline.

When the hair loss is consistent across the entire scalp, as is the case with patients who have Diffuse Unpatterned Alopecia (DUPA), the patient won’t have enough hair density in the donor area to warrant a transplant. A hair transplant procedure could be potentially dangerous and will definitely be a waste of time and money.

Similarly, if a person has very fine, straight hair, the appearance of baldness will be more difficult to conceal. Thick hair, especially thick, curly hair, provides better blockage and doesn’t require as many grafts to conceal thinning areas.

Are Your Expectations Realistic?

Finally, having a realistic expectation about how much density you can expect from one hair transplant is key. Every person has a finite amount of donor hair and only so many of these follicles can be safely harvested for transplantation. In addition, the hair loss pattern in the recipient area will also dictate how much coverage the donor follicles can provide.

Hopefully, your hair loss specialist will use a simulation tool to show you exactly how he or she will use your existing hair follicles to mask areas of the scalp. But remember these are just tools and while highly-advanced, they cannot be fully relied upon to show an accurate portrayal of the expected result.

Your best bet is to find out if you are a good candidate for a hair restoration procedure, is to schedule a consultation with a board-certified hair specialist.

At our practice in the San Francisco Bay Area, we offer consultations to men and women interested in learning more about hair loss options.

Disclaimer: The content within this site is not intended to provide diagnosis, treatment or specific medical advice. The products and claims made about specific products and treatments through this article have not been evaluated by the United States Food and Drug Administration and are not approved to diagnose, treat, cure or prevent disease. Please consult with a NeoGraft Certified Physician or other healthcare professionals regarding any medical or health-related diagnosis.

How To Stop Hair Thinning Non-Surgically

Lieberman & Parikh
Drs. Lieberman & Parikh -stop hair thinning non surgically
Drs. Lieberman and Parikh NeoGraft’s September Spotlight

We see a lot of men and women in our practice who want to know all of the options for how to stop hair thinning non-surgically. While there are many nonsurgical hair replacement options on the market, only a few of them are FDA-approved and effective.

In our practice, we’ve found the best nonsurgical treatment for hair thinning is a combination of multiple nonsurgical treatments, carefully customize for each patient. Check out our article on nonsurgical options for hair thinning on the NeoGraft website. And if you have any questions about finding a multi-pronged approach to your hair thinning, we’d be happy to give your personalized advise.

Schedule your hair thinning consultation with Drs. Lieberman and Parikh by calling our practice at (650) 327-3232 or send us an email.

Hereditary Hair Loss & The 7 Most Other Common Causes

Lieberman & Parikh

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Male and female pattern baldness, also known as hereditary hair loss and androgenic alopecia (AGA) is often assumed to be the only cause of hair loss. AGA causes visible signs of loss, thinning areas, and bald patches and affects some people at a very young age.

Such was the case with Dr. Lieberman who began losing hair during his first year of college at Stanford University. Hereditary hair loss impacts about 70% of all men in the United States, as well as tens of thousands of women.

FUE Doctors

As two of the leading providers of NeoGraft Hair Restoration, Drs. Lieberman & Parikh were asked to contribute an article to the website, FUE Doctors. They explain hereditary, male / female pattern hair loss, as well as the seven additional reasons why you may be losing your hair.

Read the full article here.

Hair Loss After Chemotherapy – Meet Andrew, Real Patient / Real Story

Lieberman & Parikh
Real Patient after NeoGraft Hair Transplant by Drs. Lieberman & Parikh

Hair loss after chemotherapy is normal and usually in two to three months after the last treatment, a patient’s hair regrows exactly the way it was. Occasionally, the new hair will temporarily be different in color and or texture. People who had straight, dark hair before chemo might have wavy, grey hair afterwards.

After chemotherapy, our patient Andrew’s curly hair returned but it didn’t come back nearly as full. His hairline receded dramatically and he lost a lot of fullness at the crown. While permanent, hair loss after chemotherapy is rare, hair follicles can get burned after many years of the strong treatment and sometimes some hair follicles never return to the active phase of growth.

Hair loss after chemotherapy and having thinner hair rocked Andrew’s confidence in a way that he never would have expected, but fortunately he found a solution.

Here is his story.

March Madness – NeoGraft Special!

Lieberman & Parikh

March Madness – NeoGraft Special!

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Lieberman & Parikh has a serious case of March Madness with really good deal on hair transplants! Book your NEOGRAFT hair transplant during March and we’ll offer you $5.25 / graft instead of the standard price, $8 / graft. You must book a minimum 1000 grafts and schedule the procedure before May 1, 2017.

Call (650) 327-3232 to reserve your appointment.

What You Need To Know – Planning a NeoGraft Hair Transplant

Lieberman & Parikh

Lieberman & Parikh Center for Hair Restoration - crown of headWhile the NeoGraft system is  a semi automated hair transplant system, it is not a machine that just anyone can use. A lot of thought should go into planning a hair transplant and choosing a board-certified surgeon with a keen aesthetic sense will make the difference between an awkward or very natural end result.

 As you can see in the photo above, Drs. Lieberman & Parikh added a few grafts to the crown of this gentleman’s head as it is the most aggressive place of hair loss. However, the majority of grafts were implanted in the patient’s hairline, temples, frontal and mid-scalp regions. Why? The frontal areas frame the face and establishes a healthy hairline. No one speaks to the back of your head.

Lieberman & Parikh - Areas of frontal scalpFor this particular patient, about 2200 grafts were harvested from the back of his scalp and focused mostly in the frontal scalp, frontal mid scalp, temples and hairline. A few grafts were transplanted around the crown to make it slightly less bare. A hair transplant has it’s highest impact when it is transplanted along the front and sides of the hairline and along the temples.  In a few months, this patient will see considerable hair growth in these areas which will make him look a whole lot younger.

Lieberman & Parikh - hairlineConsidering the hairline may be one of the most artistically challenging and rewarding parts of a hair transplant. Everyone has an irregular hairline and the tell-tale sign of a poor transplant (and improper planning) is a straight line around the forehead. The hairline is like a coastline – it’s always jagged near the shore but as you go deeper into the ocean, or further back on your head, everything becomes more uniform. Drs. Lieberman & Parikh take many factors into account and go to great lengths to design a hairline that naturally frames a person’s face in an irregularly, regular and natural-looking pattern.

js-hair-1With proper planning and execution, nobody should be able to tell that you had a hair transplant. You may not end up with a full head of hair like you did at age 12, but like this patient, the hair growth can be considerable and your appearance transformed.

If you think you might be a good candidate for a NeoGraft hair transplant, call to schedule a free consultation with Drs. Lieberman & Parikh – (650) 327-3232

Eight Common Causes of Hair Loss

Lieberman & Parikh

2weeksafterneograftjourneyMale-pattern baldness may be the most talked about and dreaded cause of hair loss, but there are many other reasons why you may be losing your hair (we won’t even get into toddlers and teenagers). Bay Area hair experts Dr. David Lieberman and Dr. Sachin Parikh regularly see patients who suffer from hair loss due to a variety of other causes which is why we emphasize the importance of first figuring out the root of the problem, and only then talking about possible solutions.

Of course, the most complained about cause of hair loss is male pattern baldness, also known as hereditary hair loss and androgenic alopecia. It frequently causes visible signs of loss and impacts about 70 percent of all men in the United States, as well as tens of thousands of women. Here is more information on that condition, as well as seven more to watch for if you’re wondering what is causing your hair loss.

  • androgenic alopecia: This cause is typically identified by its predictable pattern of progression. In men, loss appears as a receding hairline and a bare patch on the back of the head. Women typically experience increasing overall thinning. A hair transplant that gathers healthy grafts from loss-resistant areas of the scalp and fills in areas where too much skin is showing is a common and effective method for combatting this problem.
  • natural, daily loss: Often overlooked as a cause of hair loss, the natural life cycle of a hair ultimately involves each hair falling out at some point to make way for new growth. While the rate of replacement is nowhere near fast enough to account for thinning, it can cause stray strands to appear on pillows, in combs and hairbrushes, in shower drains, and elsewhere. If this is found to be the case, no treatment is recommended or needed.
  • hormonal imbalances: Major fluctuations in body chemistry can trigger hair loss, and many of them have to do with significant life events, such as getting pregnant, giving birth, or entering menopause. While those are all women-focused hormone shifts, men go through a transition known as andropause. Fortunately, a shift may be due to something as simple as diet. Unfortunately, testosterone, estrogen, and other chemicals may be off-kilter due to any of a variety of medical conditions, including thyroid problems.
  • medical conditions: Autoimmune diseases like lupus can account for hair loss, making a medical diagnosis particularly important in many cases. Most hair-loss-causing health conditions, such as diabetes, also have other symptoms, so a doctor should consider the patient as a whole when determining the cause of loss.
  • infections: Ringworm—a fungal infection that doesn’t actually involve worms—can cause hair to fall out if it develops on the scalp, and it’s not the only skin condition that can lead to bald patches. In the case of infections, no hair transplant is needed. A good antibiotic will do the trick.
  • injuries: Anything that damages the skin can temporarily or permanently damage a follicle’s ability to produce hair. Burns, cuts, and scrapes can remove hair and prevent its replacement from growing, and resulting scar tissue can also be an impediment to new growth.
  • medications: Chemotherapy is the most obvious example of this problem, possibly sitting as the second-most discussed (and feared) reason for hair to fall out. As with many other points on this list, no hair transplant or similar procedures are required to restore a full head of hair. Natural growth typically resumes after the treatments resolve, whether they’re regular doses of chemicals to fight cancer or herbal remedies intended to help with pain.
  • traction alopecia: Men who have hair long enough to put into a ponytail or wear a similarly pulled-back style may lose hair to the act of gathering the hair together and tugging it tight into a band.

If you have questions about your hair loss, Drs. Lieberman and Parikh would happy to discuss them with you. Set up an appointment by calling (650) 327-3232 or emailing.

What Happens After The Hair Transplant?

Lieberman & Parikh

day-of-5-days-afterIt’s true that a NeoGraft Hair Transplant with Drs. Lieberman & Parikh will solve your hair loss woes and restore your confidence in the long-term. But, what happens immediately after the hair transplant when insecure feelings about thinning hair only intensify when people realize you had a cosmetic procedure to cover it up? Or maybe you just don’t want to answer questions about such a personal issue.

The first thing to know is that most people return to their normal activities in about three days – photo above shows a patient immediately after surgery and five days post-op.

If you would feel comfortable with a few additional concealing tactics in your back pocket, here are some to consider:

LOOSE FITTING HATS

For the first 24-hours after transplant, you will wear bandages around your head to keep the donor area clean so the follicles start to heal. The second day, the bandages won’t be necessary and you can wear a loose-fitting hat or cap. Toupee, anyone? 

STRATEGIC HAIRCUT

female-6m-hair-up-1Hiding the donor area with a strategic haircut is another way to go. If you already have short hair, consider shaving the back one week prior to the procedure but fade the hair upwards so it’s still longish on the top. After the procedure, the harvested area and redness will be concealed with the short hair regrowing in the back and the longer hair in the front can be combed forward to hide recently implanted grafts.  

If your hair is long, you will most likely be able to hide both the shaved area and the transplant area with other layers of hair and / or styling.

POST-OP SELF CARE

The day after FUE, some redness and scabbing will occur and many patients report that this is the harder part to conceal.

As the site begins to heal, scabs will form around the implanted grafts. The scabs will itch and become hard and crusted over if not washed off frequently. Keeping the scalp moist after surgery will prevent this from happening. Once scabs have formed, day1neograftjourney-500x225they are much harder to get rid of because scrubbing them will also dislodge the grafts. If scabs do form, you’ll have to wait 10 days for the grafts to become permanent before removing the scabs.

If you’ve had a hair transplant, how was your post-op experience? Let us know by leaving a comment below.

To schedule your hair transplant consult with Drs. Lieberman & Parikh, please call our office at (650) 327-3232 or drop us a note here.