Waching daily Jan 29 2018

Thank you for your question.

You submitted your question with several photos. And you state in your question that you're

22-years-old and you want to know how to regrow your hair. And you're stating also that

your father has no hair loss and so since it seems that you're a little bit wondering

why you do. And you're asking again about how to regrow your hair.

Well, I can certainly share with you my treatment strategy in my practice. A little bit of background,

I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and

reconstructive surgeon. I have been in practice in Manhattan and Long Island for over 20 years.

Hair loss treatment has been a big part of my practice. In fact, I am the founder of

TrichoStem™ Hair Regeneration Centers, a system we developed to help people with male

and female pattern hair loss using a technology combining platelet-rich plasma (PRP) and Acellular

matrix. We've been doing this for the past 7-8 years and helping people from all over

the world and certainly have derived a lot of knowledge in helping provide strategies

to patients who come to us for similar situations like yours.

So to begin with, it's very important to understand the genetics of hair loss and why

it's often bewildering for a lot of people who come in and say that no one else in their

family has hair loss, why are they the one who has hair loss. And the reality is that

it is a genetic role of the dice and it is hardwired in your DNA to have the process

that you are experiencing.

So what do we do to help people with hair loss? Well to begin with, it's important

to understand that no one is being cured, that whatever treatment strategy it is whether

it's pharmaceuticals, regenerative medicine, hair transplant, it is managing hair loss.

So what I, as a physician, have to work with my patients on is an optimal treatment strategy.

So when a patient like you comes in and has such an aggressive hair loss pattern and essentially,

I define almost anyone who starts losing hair in their early 20s and specifically someone

who has lost as much hair as you have. Patients have come in who started losing hair when

they were 15 or 16-years-old and it's genetics.

So, when we think of hair loss from that perspective, you have to understand further that hair that

is lost, most of it cannot come back. When it's lost, it really is lost. There's

a common misconception that hair follicles are potentially always there that can be reactivated

but that's not the case. There's a distinction between terminal hairs which are the hairs

that grow to a length that provide coverage and vellus hairs. And vellus hairs are fine

hairs that are throughout the body but never grow beyond 2 millimeters and are really imperceptible.

So when someone has hair loss, what is happening is the anagen, the growth cycle, the active

growth phase gets shorter. The resting phase gets longer.

Now in men, it has been well understood that one variable has an impact on hair growth

when there is male pattern hair loss is something called dihydrotestosterone or DHT. DHT blocking

with a drug like finasteride, I feel is important in helping particularly a younger person manage

hair loss. DHT sensitivity is something that I have essentially created an algorithm of

when I look at a patient such as yourself and I would think of someone like you as having

high DHT sensitivity. It doesn't mean that you have high DHT but it may mean that your

hair follicles are highly sensitive to the effects of DHT. So generally speaking, I recommend

a DHT blocker.

Now of course, thanks to a certain issue with the labeling of finasteride, a lot of people

have been influenced by the activity on the internet of the perception of finasteride

being a very harmful drug. I would say that as a clinical doctor prescribing this drug

since 1997 since it entered the market and my colleagues all over the world, we still

prescribe this drug and we of course inform our patients of the relative risks but I would

say that the risks are relatively low. But of course a lot of younger men come to our

practice are concerned about sexual side-effects. But I would say that it is still important

for you to consider a DHT blocker as part of your treatment strategy.

Now in our practice, we've developed a treatment called Hair Regeneration. As I described earlier,

we essentially developed this from the intention to help patients who were doing hair transplants

for. And basically, we wanted to see the hair grafts as well as the donor area heal better.

Well, a fortunate side-effect was that thinning hair became thicker. And from that, we derived

and developed a system of dosing and methods and a whole algorithm for both men and women

with genetic pattern hair loss. And so with that comes a treatment plan based on the predictability

of an individual's profile and that profile is a combination of different variables including

gender, age, age of onset of hair loss, rate of progression, degree of progression, other

medical issues as well as other variables that can be influencing the hair loss such

as hormonal issues.

So a strategy that I would typically would use is using a DHT blocker like finasteride

to slow down your hair loss progression. And we would use a treatment like Hair Regeneration

to stimulate hair growth. Essentially, it's important for you to understand that hair

loss is treated and managed. It's not cured. Eventually, the progression will march on.

But if you want to try to maximize scalp coverage well my opinion, the approach is optimal to

reduce the effect of DHT while stimulating the growth of hair with this treatment. And

we've had many examples of patients who came to us who were already on finasteride

but were still progressing and when we did our treatment, hair got thicker. So we were

able to make that distinction that finasteride can help prolong the lifespan of the hair

while Hair Regeneration from a different mechanism can stimulate regrowth, strengthen the hair

as well as increase the lifespan as well. And this has been well recognized in the medical

literature when it comes to PRP as the effect on the anagen phase of the hair growth cycle.

So in that combination approach, it can probably help you maximize coverage for as long as

is possible for you. I always explain to my younger patients that the aggressive hair

loss is that essentially, we have to observe and see how much of a benefit we get. But

when I provide a patient with a treatment plan, it's with this understanding that

we want to use every tool we can to essentially work around the predetermined plan to extend

the lifespan of the hair for as long as is possible.

So meet with doctors who can assist you with this type of planning. I would say that it

is a little too early for you to get a hair transplant given how aggressive the hair loss

is. It's a separate topic but I would say that first medical management to optimally

maximize stability before considering anything else that is more in the surgical side.

So I hope that was helpful, I wish you the best of luck and thank you for your question.

For more infomation >> How Genetic Pattern Hair Loss in Young Men is Controlled, and Stimulated for Thicker Hair Growth - Duration: 10:55.

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What is the difference between B2C and B2B sales? - The Sales Wiki | Michael Humblet - Duration: 2:00.

- What's the difference between B2B

and B2C sales?

The B stands for business,

and the C stands for consumer,

that's the easy part, right?

But the way this works is that

if I'm talking about a B2B business,

that means I am a company,

and I am selling to another business,

what that is fundamentally defined by is hierarchy.

Typically structures, when you talk to another company,

is very, vertical.

That means I need to talk to person,

that person has a boss,

and that person probably has another boss.

That means that sales like this can be very long,

the larger the company you deal with,

the longer the sales cycle,

because you need to talk to all the levels,

and they all need approval.

It's also fundamentally defined by the fact

that you can fire somebody.

I'm talking to a person in a company,

certain functions, certain title,

but his boss, or her boss, could fire him,

which is absolutely not the case in B2C.

In B2C, I am a business,

and I'm trying to sell, or I'm selling

to consumers directly.

What's there very different is that

there is no vertical hierarchy,

it's actually almost horizontal,

because then suddenly,

you have the effect of what I call circles of influence,

that means I have a girlfriend that has something to say.

I have my mother-in-law that also has something to say,

so I need to balance how I go about.

So in one hand, in B2B,

you're more talking about revenue,

and cost decrease, and really tangible, measurable

elements in your value proposition,

where B2C, you're going to go very different,

it's all going to be about emotions.

Why would you need such a product?

Because you would look good to others,

or you will feel better,

that's the fundamental difference between the two,

that also explains

why B2B takes longer than B2C.