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 Hair Replacement – Topically Speaking

By: M. Palmer/ A3

The basis of hair growth and loss is based on the three stages of hair follicle development. Each hair goes through a growing, resting and sometimes a dying stage. It is the prevention of the dying stage that is crucial in the treatment of Alopecia, so as to prevent the hair from falling out. It’s the individual hair that is affected, rather than the specific area. So, for example, that is why hair can be extracted from the side of the head and placed into the balding region, where it will continue to grow.

So why does balding mainly affect men? It is because it’s a chemical conversion of testosterone to dihydrotesterone that kill the blood supply to the hair root, and thus the loss of the hair.

Most hair growth or “maintenance” drugs stimulate or even shock the blood supply to be increased to the hair root and prevent a resting stage from becoming a dying stage one. As a result, the most famous blood supply stimulant is topical Minoxidil, a product that has been used for many years, but still remains high on the best selling list. The 3% solution is said to be the most effective and economical. Minoxidil combined with Tretinolic acid (High strength Vitamin A – branded Retin-A®).

So can one prevent the conversion of testosterone to dihydrotestosterone (DHT), and therefore further decrease the possibility of hair loss?

The answer is that we’ve had drugs for some time that do just that. There are individuals with serious disorders that require them, but in the treatment of Alopecia, taking such an oral drug could cause serious complications, as one develops an “overall” preventive conversion.

Thus the application of a topical product, solely to the scalp, in order to reduce hair loss through the prevention of conversion of testosterone to dihydrotestosterone (DHT), and therefore localize the action is highly desirable.

And that’s what Nizoral shampoo appears to do, Nizoral contains Ketoconazole, it is actually approved as a prescription strength anti-dandruff shampoo. But recent interest has been aroused in it’s ability to help prevent hair loss, principally by helping inhibit the binding of DHT to the hair follicle (although it’s precise action is not yet clear this is the most likely answer).

So, how effective is it? Well body builders, a group who utilize anabolic steroids, (and thus elevate testosterone to very high levels), have been greatly impressed at the ability of Nizoral to help them keep their “hair on”! Bear in mind that this is a class that often experience rapid hair loss and many of them have described Nizoral as the best preventive treatment they have used to date.

Neither Nizoral, nor it’s active ingredient Ketoconazole, is recognized by the manufacturer or the authorities as a hair loss treatment, it’s marketed for the treatment of dandruff. But remember that claims can be only be made after exhaustive and expensive approval process in the individual country’s.

One should remember that hair loss appears to be like just about all the other “aging disorders”. The earlier you treat it the longer and better the results will be, for once major “damage” sets in, it takes drastic measures to try to make amends.

The combination of Minoxidil, Nizoral (and perhaps also Retin-A®), may be considered to be one of the most effective, safe and accessible treatments that we have today for balding.
This kind of topical approach will attack Alopecia on three levels, helping increase the blood supply and circulation to the hair follicle, and prevent DHT from damaging it too. 

More info can be found in the training manual: 
Medicine Goes Esthetic

Published by Medical-Esthetics Int'l

Books available on Book Order page

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