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Researchers in Poland have been testing a new trichoscopy-based tool they believe may help to predict the outcome and potential success of treatment for Alopecia Areata.

Alopecia Areata is an unpredictable autoimmune disorder which has a number of phenotypes. Each causes differing amounts of sudden hair loss to varying areas of the head and body.

In this instance, a device used in predicting the likely outcome from Alopecia Areata treatment for the mildest form, which causes patchy hair loss to the scalp only, was explored by researchers from the Department of Dermatology at the Medical University of Warsaw.

Trichoscopy-based approach

Trichoscope trichoscopy

According to a June 2019 article published in the Journal of Cosmetic Dermatology, the Polish team recognised the lack of ‘evidence-based data’ for predicting Alopecia Areata patients’ potential response to treatment.

They then investigated whether taking a trichoscopy-based approach could help them determine possible treatment outcomes in a small-scale trial of 65 participants.

A trichoscope is essentially a small, handheld magnifying camera that allows hair loss specialists to see the scalp at a much larger scale and in high definition. This can give them a better chance of diagnosing and estimating the likelihood of treatment response success for certain hair loss conditions, including Alopecia Areata.

Some of the key aspects specialists advised they looked for in participants’ scalps two months into the trial included black dots, question mark hairs and broken hairs.

Spotting positive and negative signs

Based on their findings from this small group, the Warsaw researchers reported that using a trichoscope could help specialists to determine the likelihood of patients experiencing positive or negative hair regrowth results from Alopecia Areata treatment by looking out for certain signs.

They noted that ‘upright regrowing hairs and pigtail hairs are positive, while black dots, broken hairs, exclamation mark hairs, and tapered hairs are negative predictive markers’.

One critical piece of information is missing from the article, however: the type of treatment these patients used.

There are a number of therapies open to most Alopecia Areata patients whose hairloss is contained to the scalp only. These range from immunotherapy and steroid injections, to topical, at-home applications of high strength minoxidil.

The type of treatment being used will surely have a significant bearing on the results so, whilst using a trichoscope to help monitor a patient’s hair growth progress is not a new idea, ensuring the most effective hair loss solution is used for the individual’s specific needs is likely the most important aspect.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


MALE PATTERN BODY TEXT

Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see his regrowth results close up, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

A clinical trial exploring modulated light therapy to treat androgenetic alopecia, more commonly known as Male Pattern Hair Loss, has just been completed in Australia.

Although results have not yet been published, its trial registration data confirmed on 15th July that the study was finalised on 25th May 2019.

Revian daily-use system tested

The Phase 3 trial was conducted by PhotonMD using three different versions of a hair loss device called the REVIAN System and one non-active device used as a placebo for control purposes.

Each participant used their randomly allocated cap-style device for 10 minutes per day for a total of 26 weeks.

Hoping to determine the devices’ safety and efficacy in aiding hair regrowth in cases of Male Pattern Baldness graded between Norwood Hamilton Classifications IIa and V, patients were assessed at week 8, week 16 and week 26.

Norwood Scale for Assessing Levels of Hair Loss Baldness in Men

Both macro research photos and those taken by the participants of the areas of hair loss being treated were examined. In addition, at each appointment, all participants were required to complete a questionnaire relating to how they felt about their hair regrowth progress, and another regarding their quality of life.

All 161 participants were aged 18 to 65 years, with no history of finasteride 1mg use for the past 12 months, nor any high strength minoxidil use for the past 6 months. These are currently the only MHRA-licensed and FDA-approved medications for treating genetic hair loss in men.

Previous hair transplant recipients, those with Alopecia Areata or scarring on their scalp, and those who have used PRP, microneedling or micropigmentation to address their hairloss were ruled ineligible for the study.

Although the initial requirements suggested this clinical trial was also open to women with Female Pattern Hair Loss, the information now suggests it concentrated solely on men.

Light therapy to promote hair growth

The REVIAN System disperses a trademarked treatment known as modulated light therapy (MLT).

The three different devices being explored emit the following wavelengths of light in nanometres (nm): REVIAN device 101 delivers 625 nm and 660 nm of red light; 102 delivers 425 nm of blue light; 103 delivers 425 nm of blue light and 625 nm and 660 nm of red light.

Blue light therapy is generally used to treat skin disorders, including acne, and improve skin texture, whilst red light therapy is also used to treat skin issues, such as scarring, as well as seasonal affective disorder.

HairMax LaserBand 41 stats May 2019

Red light therapy is already used in popular FDA-cleared hair growth devices from a number of companies, most notably HairMax. HairMax was the first to receive this authorisation from the American medical regulator for a home-use product of this kind, with its patented LaserComb device gaining clearance in January 2007.

Since then it has refined and improved its low-level laser therapy (LLLT) technology, offering headband- and cap-style devices designed to be used for a few minutes around three times per week.

The company claims its data shows the devices can actively promote hair growth and encourage thicker, stronger hair.

A 2017 systematic review of hair loss treatments found that the only three that worked – all of which can be used together as part of a tailored male hair loss treatment course – were finasteride 1mg, minoxidil and LLLT.

Whether this new REVIAN System proves to be the next generation of light therapy for hair loss remains to be seen but we will publish the results here on the Belgravia blog as soon as they are made available.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Female Pattern Hair Loss Treatment Success Stories gallery.

This client, pictured, has two separate conditions – Traction Alopecia and  Female Pattern Hair Loss. She has seen great improvement and is maintaining very well.

Find out what else she had to say and see her regrowth results close up, or find out more about treating Female Pattern Hair Loss and Traction Alopecia by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Traction Alopecia Treatment

Female Pattern Hair Loss Treatment


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Ray

Question: What is a hair loss concealer? Is it another word for a toupee?

Answer: Hi, Ray. Concealers and toupees are different products, even though they are both used for the same purpose – to hide hair loss.

A toupee is a hairpiece or small wig which covers the top of the scalp, whilst hair loss concealers are cosmetic products applied to the wearer’s own hair to make it appear thicker.

There are three main types of concealers: microscopic fibres, coloured sprays and a scalp dye. These are all cosmetic products that may help to make thinning hair look fuller for men and women.

Hair Concealer Fibres

Microscopic fibres come in a variety of colours and are applied to the hair via a shaker-style container, with leading brands including Nanogen Nanofibres and Kerafibre. They cling to the users’ existing hairs, helping to make them look thicker, and are set in place with a spray. They can generally withstand some rain after being set properly but have to be reapplied every day as they are intended as a temporary hair loss solution. This product is rumoured to be used by the likes of Wayne Rooney and David Beckham.

Coloured sprays are used to darken the scalp, making it appear the same colour as the hair, so that the skin becomes less obvious. This method has often been used on actors with Male Pattern Baldness during their performances – when beauty work isn’t an option – as the hair only needs to look thicker from a distance as this option can look quite unnatural close up.

Bigen is a jet black dye traditionally used in barbers which specialise in Afro hair. It is generally suitable for anyone whose hair is black and often gives a more natural appearance on darker skin tones.

Using Bigen involves painting the mixture onto the scalp and hair so that, as with the sprays, the scalp is less defined and a thicker area. It can be used to create more defined edges than coloured sprays which can be a good feature but, if used to create too harsh an edge, can create extremely unnatural-looking hairlines. Bigen fades over time so regular applications are needed.

Another, more long-term procedure that can help to hide hair loss is scalp micropigmentation. This is a form of medical-grade tattooing, whereby tiny dots in a number of shades are tattooed onto the scalp, over a number of sessions, to mimic the appearance of real hair in a buzzcut style.

Due to the light exposure the scalp receives, this needs to be re-done a few times a year. It must be done by a specialist in this specific type of tattooing, which uses different needles and ink to regular tattoos, as it can go very wrong in untrained hands.

None of these options will regrow hair or help in any way to prevent baldness, they are simply temporary measures to make hair look thicker.

If you are looking for a longer term solution for addressing hair thinning, a consultation with a specialist will provide a diagnosis of your condition and recommendations for appropriate, clinically-proven hair loss treatments, as well as additional hair growth supporting products to use alongside them.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see his regrowth results close up, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

The drug cyproterone is being investigated by the European Medicines Agency (EMA) for possible links to patients developing a specific type of tumour.

Meningioma is a largely non-malignant tumour of the membranes that cover the brain and spinal cord in humans.

Cyproterone patients, being treated with the drug for androgen-based conditions such as Female Pattern Hair Loss, hirsutism, acne, endometriosis and as part of hormone replacement therapy, including during male to female transitioning, may potentially have an increased risk of developing these rare tumours.

Known risk may be higher than first thought

Pills medication tablets

The possible links to meningioma were established in 2008 and have been listed as a known possible adverse event on cyproterone patient information leaflets and prescribers’ information since then.

Patients who have already been previously diagnosed with meningioma are already advised not to take this medication.

However, France – which has voiced these concerns for the past year – has requested the latest review of the drug given its data suggests the risk of these side effects may be higher than previously reported when long-term use is considered.

The French noted that a recent study carried out in their country showed patients using medications containing cyproterone or cyproterone acetate, such as Bayer’s Androcur, still had a higher risk of developing meningioma even one year – or more – after finishing treatment.

The EMA, according to MedScape, will receive a report and recommendations on the matter from its Pharmacovigilance Risk Assessment Committee (PRAC), in November 2019.

Side effects of tumour removal

Whilst meningioma is rarely malignant, there are a host of side effects associated with its surgical removal; patients risk developing memory loss, epilepsy, and losing their sense of taste and/or smell.

The EMA, which is the European equivalent of the UK’s MHRA and the FDA in the USA, is carrying out an investigation as the drug is largely used in European countries.

The oral tablet has not been marketed in the USA nor Japan, although it is used in the UK for some conditions.

It is not, however, meant to be used to treat Female Pattern Hair Loss in the UK; this common genetic hair loss condition which presents as thinning hair along the top of the scalp and temporal areas is caused by an inherited sensitivity to the androgen hormone DHT. It is also known as androgenic or androgenetic alopecia.

Currently high strength minoxidil is the only clinically-proven, MHRA-licensed women’s hair loss treatment available for androgenic alopecia.

This is a topical drug which comes in a range of formulations designed to encourage localised hair growth and can be used alongside additional hair growth supporting products, as recommended by a professional hair loss specialist based on their findings and the individual’s specific medical needs.

Due to the relative ease at which illegal, counterfeit and mislabeled prescription medication can be purchased online without the relevant medical information and authorisations, situations such as this remind people to only purchase appropriate, prescribed treatments for any health issue from reputable, licensed pharmacies.

Not only will that ensure you are receiving genuine medication that is suitable for your specific situation but they will warn you of any potential issues – often being able to contact you about such matters even if you are no longer taking the medication.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Female Pattern Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see her regrowth results close up, or find out more about treating hereditary hair loss in women by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Gene

Question: Why is my hair loss in patches one at the back of my head just above the nape and left a bit, and another just above my ear? The one at the back’s golf-ball sized and the other one’s more like 50p sized. My dad is bald, is this how it starts? I’m only 18!

Answer: Hi, Gene. We would need to see you to make a confirmed diagnosis, but what you describe here sounds very much like hair loss from the mildest form of the autoimmune disorder Alopecia Areata.

Normal Hair Growth Cycle versus Hair Growth in Alopecia Areata

This occurs when the hair growth cycle is disrupted and becomes stalled. Reasons for this include sudden shock or trauma, allergies and a genetic aspect is also suspected in some cases.

The patches the hair fall causes can be singular or in multiples, and can be small – around the size of a £1 coin – to far larger, and may even join up, causing larger bald areas across the scalp.

In instances where the patchy hair loss comes on suddenly and only affects areas of the scalp, it will generally clear up of its own accord, with usual hair regrowth resuming within 12 months. To help accelerate this process, or where the bald spots are more stubborn, Alopecia Areata treatment is possible.

At Belgravia this involves the use of topical applications of high strength minoxidil directly to the affected areas. As Alopecia Areata bald patches on the scalp are temporary, treatment does not need to be on-going once normal hair growth has resumed.

Although, as before, a genetic element is suspected, unless your dad is bald due to one of the more extensive types of Alopecia Areata which can cause total baldness of the head, or from head-to-toe, it is unlikely your father’s hair loss is related to your own.

If your dad went bald after years of thinning hair and/or a receding hairline, it is likely he has the hereditary condition Male Pattern Baldness, which is unrelated to Alopecia Areata in any of its forms. It also happens gradually and only affects the area of the scalp from hairline to crown, plus it does not cause rounded bald spots – the hallmark of Alopecia.

That is not to say you will not develop Male Pattern Hair Loss in the future – this is entirely possible if the relevant genes are in your blood line – but what you are currently experiencing does not appear to be this.

We recommend having a consultation with a professional hair loss specialist who can confirm this diagnosis and explain your options for treatment, should you decide to explore this.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

Related Stories


Belgravia Centre Hair Loss Treatment Before and After Results - New Success Story

A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

Find out what this client had to say and see his regrowth results close up, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.