tag:blogger.com,1999:blog-15860099375080148862024-02-08T04:05:24.288-08:00Doctor Hair LossThe Knudsen Clinic offers hair restoration by hair transplant surgery and hair growth products, treating thinning hair and baldness in men and women. Over 28 years, Dr Knudsen has performed 5000+ transplants and is a physician specialising solely in hair transplantation and hair loss treatment.
Take action against hair loss and contact us now on Ph:1800 685 399
www.treathairloss.com.auDr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-1586009937508014886.post-76377754513556244562013-01-20T17:24:00.001-08:002013-01-20T17:25:58.190-08:00Does FUE Change Donor Planning?<br />
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<span lang="EN-US" style="font-family: Arial, Helvetica, sans-serif;">Let’s firstly consider the rationale of strip harvesting. In this technique we harvest <b>all </b>the donor hairs in a selected area. If we choose the strongest donor hairs from the “safest” zone we can be more confident of the longevity of the result. This makes it an efficient harvest of the safest zone. Post strip harvest, there is minor thinning of surrounding areas but the same area can be re-harvested including removal of the previous linear scar.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Arial, Helvetica, sans-serif;">Let’s now consider the rationale of FUE harvesting. In this technique we <b>partially </b>remove hair from the donor zone. The harvest is typically in the 25-35% range of available hairs. Overharvesting of any individual area produces a significant variation between donor zones leading to the desire to harvest the stronger areas in future surgeries. This is unlikely to be a problem in smaller cases with small harvests, but in extensive balding requiring large harvests, this theoretically creates a problem. <o:p></o:p></span></div>
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<span lang="EN-US"><span style="font-family: Arial, Helvetica, sans-serif;">So, how do we deal with this potential problem? It is my view that extensively bald, younger patients should be encouraged to maintain long-term medical therapy to limit further possible hair loss. They should be properly warned as to the possibility of future thinning of some of the grafted hairs. This is probably wise regardless of donor harvesting technique, to prevent extension of the balding area, however with FUE it may also act to preserve the grafts harvested from the less safe areas and reduce the possibility of unmasking of FUE donor scars. </span><o:p></o:p></span></div>
Dr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.com1tag:blogger.com,1999:blog-1586009937508014886.post-46889447747830991352012-12-02T16:25:00.000-08:002012-12-02T16:29:06.143-08:00Finasteride - the latest updates<!--[if gte mso 9]><xml>
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<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">At an international conference recently it
was discussed in depth about Finasteride and the possible sexual side effects
resulting. It was again concluded that Finasteride is a safe medication and
side effects were mainly dose dependent and went away completely upon ceasing
the medication. It's been noted that recent media reports on the severity and
incidence of side-effects have been extremely overstated and that Finasteride
remains the best option for treating male pattern balding. </span></span></span></div>
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<span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">In my care, side effects are very uncommon
and a minimal, intermittent dose of the medication is all that is required to
give long term stability of hair loss in most thinning men.</span></span></span></div>
Dr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.com2tag:blogger.com,1999:blog-1586009937508014886.post-26533703335845571302012-11-25T20:44:00.001-08:002012-12-02T16:28:06.731-08:00The Latest Treatment for Pattern Baldness<!--[if gte mso 9]><xml>
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<![endif]--><span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="line-height: 115%;">The
most interesting topic discussed at our recent annual meeting of the ISHRS
(International Society of Hair Restoration Surgery <a href="http://www.ishrs.org/">http://www.ishrs.org</a>
) was the new research to come out about prostaglandins. Medications currently being
created to treat illnesses including Asthma, by preventing specific prostaglandins
(inflammation chemicals) may have other benefits e.g. stimulating growth of thinning
hair in men. While the new medications are a few years off yet, these
medications may turn out to be the next chapter of medicines that successfully
affect thinning hair. Also discussed where the interesting versions of
prostaglandins, some of which actually hindered new hair growth, whereas others stimulated hair growth. </span></span></span>Dr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.com5tag:blogger.com,1999:blog-1586009937508014886.post-58515388063048408452012-05-17T20:04:00.001-07:002012-12-02T16:39:00.409-08:00The latest information about hair loss treatment<h1 class="fslg fwnr mrb" style="font-family: Arial,Helvetica,sans-serif; text-align: center;">
</h1>
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">I have just recently returned from the Asian Association of
Hair Restoration Surgery Annual Meeting in Seoul, Korea. It was very well
attended with over 250 surgeons attending to find out the latest information
about hair loss treatments. </span></span><br />
<div class="MsoNormal">
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Of particular interest to me were the presentations
regarding the influence of the recipient site on the growth rate of
transplanted hair. The original research was performed in Korea over 10 years
ago and showed the surprising result that, contrary to our earlier belief, the
body site where the transplanted hairs are placed influences and changes the
growth rate of the hairs.</span></span></div>
<div class="MsoNormal">
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The relevance of this is that hairs in different regions of
the body grow at different rates. Therefore when using scalp hair to
reconstruct eyebrows the transplanted hairs initially grow at the scalp hair
rate which is three times faster than the eyebrow rate. This means that the
transplanted eyebrow hairs have to be trimmed regularly as they grow much
longer and faster.</span></span></div>
<div class="MsoNormal">
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Over time however, the surrounding eyebrow skin somehow
influences the transplanted hairs and they slow down considerably to more
resemble the growth of normal eyebrow hairs. Even more interestingly, if the
transplanted hairs are then removed from the eyebrow and re-transplanted back
into the scalp, they then begin to speed up their growth rate again! Amazing
stuff.</span></span></div>
<div class="MsoNormal">
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The other benefit from this research is that it shows that
certain body hairs can successfully be used to replace lost hairs in the scalp.
Over time these body hairs will more closely resemble natural scalp hairs in
appearance and growth rates. Despite this, body hairs should only be used as a
last resort when there are no more usable scalp hairs available as donor hairs.</span></span></div>
Dr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.com0tag:blogger.com,1999:blog-1586009937508014886.post-72214625080613035472012-03-20T17:54:00.004-07:002012-12-02T16:38:18.117-08:00Follicular Unit Extraction (FUE) VS. Strip Harvesting<div>
<span style="font-family: Arial,Helvetica,sans-serif;">Many of my patients have been reading about the supposed superiority of Follicular
Unit Extraction (FUE) versus Strip Harvesting during hair transplant
surgery. Be aware that it is very important to separate the marketing from the actual science<b>. Both techniques involve cutting the skin.</b> There is no such thing as a scarless technique for hair transplants.</span></div>
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">Both techniques produce the same sized graft. Both techniques leave
scar/s which may, or may not, be visible to the naked eye. The
difference being that FUE produces small, circular, dot type scars that may
also have a white coloured appearance. Strips produce linear scars that may have
hair growing back through them and be very difficult to see with the naked eye. Short haircuts
are usually possible with either of the techniques but shaving the entire head will probably show scars with either of the techniques.</span></div>
Dr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.com0tag:blogger.com,1999:blog-1586009937508014886.post-92195194726303587142012-03-20T17:53:00.003-07:002013-01-20T17:26:33.657-08:00Combating Hair Loss for Men & Women with Low Powered Lasers <div class="post-body">
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">There has recently been a lot of interest in low
powered laser devices and their effectiveness on treating hair loss. Research
suggests that it has a mild stimulatory effect on hair follicles. Laser could
be an effective secondary (i.e additional) treatment for hair loss in
patients who have mild balding or thinning. It also may be effective
in seasonal increased hair shedding (i.e a moult).</span></div>
<div>
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span></div>
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">However, the way the laser is delivered and the amount of laser exposure is critical
to the chance of success. A new device called the Lasercap (http://www.lasercap.us) applies
224 laser lights continuously to the scalp area in the comfort of your own
home. It uses rechargeable batteries, can be worn under a hat or cap and
can be used at your convenience. Suggested dosage schedules are 15-30
minutes every second day.</span></div>
<div>
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span></div>
<span style="font-family: Arial,Helvetica,sans-serif;">The major advantage of the Lasercap device, compared to other hand held devices, is
that the correct energy level is <b>continuously</b> applied to the scalp area.
Other hand held laser devices only apply energy for a very short period of
time if they are used to the manufacturer’s instructions. If you would like to
know more about this additional treatment for mild hair loss, please contact our
Sydney Hair Loss Clinic Ph:1800 685 399. The Lasercap can also be
ordered directly from The Knudsen Clinics. </span></div>
Dr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.com2tag:blogger.com,1999:blog-1586009937508014886.post-73154836731497748152012-03-20T17:52:00.003-07:002012-12-02T16:36:38.589-08:00Short Hair After Hair Transplant Surgery<div class="post-body">
<span style="font-family: Arial,Helvetica,sans-serif;">A common trend for male patients is the
desire to wear their hair short after surgery. We have received many inquiries at our Sydney hair loss treatment clinic about whether its possible. The good news is that this can be achieved. The
modern donor technique overlaps the donor area skin edges whilst
stitching allows hair to grow back through the donor scar. This is called the
trichophytic technique and almost always creates a great result
that is almost undetectable, even with a very short number two haircut!</span><br />
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">Some patients would like the ability to shave their head after the
transplant. This is slightly unrealistic however, as no matter which
technique is used for the hair transplant, all surgery creates scarring
to a certain degree. The modern techniques that we currently use minimize the
visibility in both the recipient hair area (the thinning/balding area) and the
donor hair area. Our website has further information about <a href="http://www.treathairloss.com.au/knudsen-clinic-hair-transplant-surgery.php">Hair Transplant Surgery</a>. If you have any questions about this, please feel free to visit our <a href="http://www.treathairloss.com.au/sydney/">Sydney Hair Loss Clinic</a> or call us on 1800 685 399.</span></div>
</div>
Dr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.com0tag:blogger.com,1999:blog-1586009937508014886.post-84363928114222713852012-03-20T17:48:00.000-07:002012-12-02T16:36:15.456-08:00Finasteride and its Side Effects<div class="post-body" style="text-align: left;">
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">Hair loss prevention treatment using
finasteride: There has been some publicity about persistent
sexual side effects from the use of <a href="http://treathairloss.com.au/solutions.php" title="Hair Loss Solutions">finasteride </a>(e.g. Propecia, Proscar, Finasta, Finnicar) tablets. The reports correctly state that a small number
of patients can get sexual side effects. What is most controversial
about the reports is a suggestion that the side effects persist for
long periods of time after stopping taking the medication.</span></div>
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">In my 14 year experience of prescribing the medication, finasteride, I have<b> </b>never<b> </b>had
a case of persistent side effects after stopping taking the tablet. Nor have
any of my colleagues around the world who prescribe it frequently. Side effects <b>always </b>resolve
soon after stopping the tablet and the chance of side effects
is dramatically reduced if the medication is prescribed 2-3 times per
week instead of every day. This intermittent use of the finasteride is just as effective and removes almost<b> </b>all possibility of
a patient having side effects.</span></div>
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">Long term use of finasteride is the cornerstone of therapy designed to prevent or dramatically reduce more <a href="http://treathairloss.com.au/hair-regrowth-clinic.php" title="Hair Loss Treatment">hair loss</a>.
It also greatly reduces the need for future hair transplant surgery/surgeries by stabilizing the loss. Most patients get great benefits from the finasteride
medication and I have over 4000 patients in my clinics successfully
taking the drug without any side-effects.</span></div>
</div>
Dr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.com0tag:blogger.com,1999:blog-1586009937508014886.post-41866216614041780162012-03-20T17:39:00.001-07:002012-12-02T16:35:41.512-08:00Hairloss Medication Treatment<div class="post-body">
<span style="font-family: Arial,Helvetica,sans-serif;">A huge amount of internet and media interest
has recently focused on claims of persistent sexual side-effects long
after discontinuing the use of Propecia (finasteride) hairloss
medication. A study published by Irwig in 2011 suggested the occurence of a
high incidence of long-term sexual side effects in some Propecia users.
It should however be noted that this study wasn't a study of Propecia
users in the general population, but a sample of men who already claimed to
have long-term side effects. </span><br />
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">Whilst not wishing to cast doubt on these patient claims, I do find
them somewhat surprising. In over 14 years of prescribing
Propecia/Proscar, to well over 4000 of my patients, I have no reported
cases of permanent sexual side-effects. Those few patients who reported
these sexual side-effects recovered fully after stopping taking the medication.
In most cases recovery occurred within one month, in a couple of cases it
was about 2-3 months until full recovery.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;">A few of recently
published medical studies from Japan and Italy support the previously
published lower incidence of side-effects and the long term
effectiveness of Propecia. The Japanese study followed 3177 men
for 3 years and the Italian study followed 113 men for 10
years. In both studies, over 80% of patients showed long-term growth and
stability on the medication without any significant side-effects.</span></div>
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">Another factor, which is largely unknown, is that the frequency of sexual
side-effects depends upon the dose used. In my care, I have
consistently recommended a dosing of a 1mg tablet three times per week for
the last fourteen years. This is because Propecia lasts a lot longer
than 1 day in your system. In fact, the enzyme is blocked for up to one
month! This means that you can maintain the effectiveness of Propecia
without having to use it daily. The other great benefit is that, the
frequency of sexual, or other side effects, drops dramatically if you
only take the tablet every 2-3 days.</span></div>
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">I believe that the frequency of patient sexual side effects in my care is
approximately 1 per 200 patients on 3 tablets per week and even less
frequent on 2 tablets per week. All my patients have fully recovered
after stopping therapy. Some of my patients who could not tolerate 3 tablets per week
were able to be re-introduced to 2 tablets per week without any side
effects.</span></div>
<div>
<span style="font-family: Arial,Helvetica,sans-serif;">With regards to depression whilst on Propecia, I have
seen this in only a handful of patients. It occurred quickly after starting
the medication and resolved quickly upon stopping the Propecia tablets.</span><br />
<span style="font-family: Arial,Helvetica,sans-serif;">In
summary, Propecia remains a very effective and safe treatment
for male pattern hair loss. Propecia has demonstrated clear superiority
compared to other treatments for hair loss and side effects can be
significantly reduced with adjusted or lower doses.</span></div>
</div>
Dr Russell Knudsenhttp://www.blogger.com/profile/16379367120381385452noreply@blogger.com0