About Hair Loss and Hair Restoration
有关毛发脱落和毛发修复
全为你
到访我们的诊所会使你走上更健康头发之路。 我们的宗旨是让你对自己感觉良好。为了达到此目的,我们善待的不止是你的头皮,更重要的是你的整体。当你来到诊所咨询 Rosanelli 博士,他会回答你的问题,而且他会为你设计一个度身定做的治疗计划。 同时,如果你有疑问, 请点入“Ask the Doctor” 按钮。Rosanelli 博士会独立回答你的问题。你也可在以下的常问问题里找到答案。
Just for You
A visit to our offices will put you on the road to healthier hair. Our goal is to make you feel good about yourself. We are able to accomplish this by treating the whole person, not just your scalp. When you come in for a consultation with Dr. Rosanelli, your questions will be answered, and a
treatment plan will be created specifically for you. In the mean time, if you have a question, please feel free to click on the Ask the Doctor Button and Doctor Rosanelli will personally answer your question or search our frequently asked questions below for additional answers to our patient's questions.
为什么脱发问题出现?
十个男性中有九个会在成年期间出现脱发问题。 这是个基因问题源于男性荷尔蒙睾丸素转化为二氢睾丸酮(DHT)。DHT会附在头皮毛囊的接收器上导致毛囊收缩直至他们永久失去生发的能力。接收器的敏感度随着个人基因的不同而不同。家族历史常常可以在这方面提供我们线索。对大部分人来说,在后部和侧边的头发毛囊接收器对DHT 是不敏感的。 所以这部分的头发是永久的。我们也称这区域为捐献区。
Why Does Hair Loss Happen?
Male pattern hair loss affects 9 out of ten men at some point in their adult lives. It is a genetic condition which is caused by the conversion of the hormone testosterone into dihydrotestosterone (DHT). DHT attaches to the receptors on the hair follicles in the scalp and causes them to shrink until they permanently stop producing hair. The sensitivity of the receptors to DHT is genetically pre-determined.
Family history can often give us a clue as to the timing and amount of hair loss one might expect. For many, the hair follicle receptors in the back and side regions of the scalp are not sensitive to DHT, and the hair they produce is permanent. This area is referred to as the donor region.
什么是头发修复?
头发修复是一个革命性的进步。在这个手术中,我们能将捐献区的对DHT不敏感的毛囊移植到头发较稀少的区域。
What is Hair Restoration?
Hair restoration is a revolutionary process by which we are able to surgically remove DHT-resistant follicles from the donor region and the hair follicles, or grafts, are then transplanted to balding and thinning areas of the scalp.
在手术当天我需要知道什么?
手术会在诊所进行。我们会对病人进行局部麻醉。 我们的病者会坐在舒适的椅子上看电视或自选的电影。大部分手术时间会从早上到大概下午三点。 大部分的例子中,如果病人自身有足够的头发给移植,即使是手术完成当天,外人也不会察觉到病人做过手术。但如果病人有严重脱发而不足以有头发移植, 病人可戴一顶棒球帽作为掩饰。
What do I need to know about the Day of Surgery?
The procedure is done in the office under local anesthesia. Our patients sit in a comfortable chair and watch television or a movie of their choice. Most surgeries take place in the morning and are completed by mid afternoon. In most cases, the transplant is undetectable even the day of surgery if the patient has enough thinning hair to help camouflage the grafts. If the patient has significant baldness and no hair to help in covering the surgical area a simple baseball cap will provide complete camouflage.
为什么微粒植皮术能造成自然和难以察觉到好效果?
头发并不会一块块地脱落而是随时间慢慢地变薄。所以,头发修复会遵循这样的自然规律。微体嫁接一到四根头发到一个卵泡单位。这个步骤会覆盖整个脱发区域使之看起来自然。不像早期的技术,Rosanelli 博士的技术能达到更好的效果。以下是Rosanelli 博士的病人的说法:
- “我的朋友说我头发多了。我说这只是幻觉。没有人察觉到我被治疗过,只是知道我看起来头发多了。” J. Harris
- “我是为自己做的就像送自己一份礼物。我很高兴我做了。我看起来年轻了10到15年。这让我感觉非常好。” S. Calderara
- 我讨厌脱发。Rosanelli 博士对我的治疗是显著的。我仿佛看到年轻时候的自己。“-B. Vinson
What should I understand about Micrografting for a Natural and Undetected Result?
Typical hair loss does not occur in random "clumps" but with a gradual thinning and loss over time. Hair restoration should and will proceed in the same natural pattern. Micrografts of 1-4 hairs per graft (also known as follicular units) are dispersed throughout the areas of loss, providing a natural look. Unlike the huge plugs of the past, Dr. Rosanelli’s techniques achieve a highly superior result. Here are a few quotes from Doctor Rosanelli patients:
- "My friends are saying it looks like I’ve got more hair and I tell them it’s their imagination. Nobody has noticed that I had the procedure done, they just know that I have more hair than I did before". -J. Harris
- "I wanted to do it for me, it was like a gift to myself that I wanted to give, and I’m really glad that I did it. I look like I did maybe 10 or 15 years ago and that makes me feel good." -S. Calderara
- "I hated the idea of losing my hair. With Dr. Rosanelli, the amount of hair and coverage I got is outstanding. It looks like it used to-I feel like I’m the guy I used to be!". -B. Vinson
我应该如果对待脱发?
你已经看过了电视,电台或杂志上的广告标榜如何神奇地治疗脱发。但底线是大部分治疗脱发的广告并不能真正预防和治疗脱发。你有可能浪费大量的金钱和时间如果一个脱发治疗是没有经历FDA认证的。紧记早期的治疗对成功治疗脱发很大帮助。当你一旦发现有脱发的征兆,你就应该尽快用有效的产品治疗。
以下的两个治疗已经在临床上证明对男性脱发有一定程度上的疗效。
What can I do to treat hair loss?
You've all seen the ads in magazines, you've heard the commercials on the radio and you've seen the infomercials promoting miracle treatments for hair loss. The bottom line is that the vast majority of advertised "treatments" do not work for the prevention and treatment of hair loss. If a hair loss treatment is not approved by the FDA, chances are you are wasting your precious time and money. Remember that successful treatment of hair loss is greatly dependent on early intervention. I t is critical to begin treatment with an effective product as soon as you notice the onset of hair loss.
The following two treatments have been clinically proven to successfully treat hair loss in men to varying degrees.
非那甾胺,非那雄胺生发剂
非那甾胺是非那雄胺生发剂的药名。非那甾胺最早是Merck公司用于治疗前列腺增大的。在使用非那甾胺治疗男性前列腺问题的时候发现了药品的其中一个副作用是令头发增多。由于Merck公司已经获得FDA认证用非那甾胺治疗前列腺问题。于是,该公司决定发展非那甾胺为第一种治疗男性脱发问题的药物。
在1997年12月22日,FDA 认可 1mg剂量非那甾胺来治疗雄激素性脱发。非那雄胺生发剂是史上第一种能用于大多数男性来治疗男性脱发问题的藥。
Finasteride, Proscar/Propecia
Finasteride is the generic name for the brand name drugs Proscar and Propecia Finasteride was originally developed by Merck as a drug to treat enlarged prostate glands (Proscar). During the trials on men with prostate problems an intriguing side effect of hair growth was observed. Since finasteride had already been approved by the FDA to treat enlarged prostates in men, Merck and Company decided to pursue the possibility of developing finasteride as the first pill to treat male pattern baldness.
On December 22, 1997 the FDA approved a 1mg dose of finasteride for the treatment of androgenic alopecia in men (male pattern baldness). Propecia is the first drug in history to effectively treat male pattern baldness in the vast majority of men who use it.
非那雄胺生发剂/非那甾胺是如果治疗的:
非那甾胺对脱发治疗的成功在于抑制转化睾丸素为更多强力雄激素 DHT 的Type II 5-alpha-reductace酶。如果每天服用,1mg剂量非那雄胺生发剂能有效降低高达60%的DHT值。DHT就是使毛囊收缩导致秃头的原因。临床验证,因为降低60% 的DHT值, 86%的男性脱发问题停止恶化而65%的病者觉得脱发问题明显改善。
到此为止,医学上被肯定的能制止脱发的唯一有效办法是降低DHT水平。美国脱发协会推荐非那甾胺是所有有意治疗脱发的首选。
How Propeica/Finasteride Works:
Finasteride's hair-raising success is due to its ability to specifically inhibit Type II 5-alpha-reductace, the enzyme that converts testosterone into a more potent androgen dihydrotestosterone (DHT). Propecia's 1 mg dose of finasteride can effectively lower DHT levels by as much as 60% when taken daily. It is DHT that shrinks or miniaturizes the hair follicle, which eventually leads to baldness .This 60% reduction in DHT has proven to stop the progression of hair loss in 86% of men taking it the drug during clinical trials. 65% of trial participants experienced what was considered a substantial increase of hair growth.
At this point, the only truly effective medically proven way to arrest the hair loss process is to lower DHT levels. The American Hair Loss Association recommends finasteride as the first line of attack for all men interested in treating their male pattern baldness.
敏乐血定是第一个被FDA认可治疗男性秃头问题的药物。多年来,敏乐血定片剂被广泛用于治疗高血压。同非那甾胺一样,敏乐血定被发现有促进毛发生长的副作用。用这种藥的人发现毛发生长在不寻常的地方如他们的脸颊,背部,手背甚至前额。
Minoxidil (loniten)
Minoxidil (loniten) was the first drug approved by the FDA for the treatment of male pattern baldness. For many years, minoxidill, in pill form, was widely used to treat high blood pressure. Just like finasteride researchers discovered a very interesting side effect of the drug. People taking the medication were growing hair in unexpected places like on their cheeks and the back of their hands, some even grew hair on their foreheads.
一些大胆的实验家有了将敏乐血定直接用于秃头区域的想法。虽然这实验很取决于掉发的程度,但这想法在那时是革命性的
Some enterprising researchers had the notion that applying minoxidil topically, directly on the head, might grow hair on balding areas. Well it did to varying digress depending on the extent of the hair loss, but at the time it was revolutionary.
虽然敏乐血定被临床证明可以减慢掉发和再生少量的毛发,大部分专家认为这种药用于治疗脱发的效果是有限的。由于敏乐血定没有促进荷尔蒙分泌,它被认定是短期治疗最好的药物,但长期治疗的效果欠佳。
While minoxidil has been clinically proven to slow the progression of hair loss and regrow some hair, most informed experts see it as a relatively marginally effective drug in the fight against hair loss. Since minoxidil has no effect on the hormonal process of hair loss it's positive effects are at best temporary and usually yield somewhat disappointing long-term results.
总结上述,美国掉发协会依然推荐敏乐血定给那些服用过非那甾胺但没有效用的人或想尝试多一种药的人。但是,美国掉发协会并不推荐男性脱发患者用敏乐血定作为首要药物,只推荐其作为有效的治疗给小部分患者。
With the said, The American Hair Loss Association still recommends the drug for those who have not responded favorably to finasteride treatment or for those who would like to add another product to their regime. The AHLA does not recommend minoxidil as the first line of attract for men suffering with male pattern baldness, but does recognize it as an effective treatment for a small percentage of its users.
如何选择一个毛发修复外科医师?
你现在已经决定手术修复头发是你正确的选择。所以,现在你要开始寻找一个可以达到你预期效果的医生。要小心?你可能会用以往惯用的技巧和步骤来做决定?用排除法。无论你的抉择是什么,不要因为价格而放弃一个医生。你可能会因此做了重大而错的决定而后悔一生。
How to Select a Hair Restoration Surgeon
You've decided that surgical hair restoration may be right for you, now it's time to do some homework to make sure you select a doctor whose results meet your expectations. One word of caution? during your decision-making process you may use the technique that most of us use when making decisions in life? the process of elimination. Whatever you do, do not dismiss a doctor because of distance or price. You may be making a tremendous mistake that you'll pay for the rest of your life.
Important Questions to Consider Before Making a Decision on Your Doctor
在选择医生前重要的考虑问题
医生持有美国毛发修复手术委员会颁发的证书吗?
虽然有些医生已经持有证书并在美容手术有一定的培训,但是毛发修复手术并不包括在一般整容手术培训内。而毛发修复有关手术的证书也只能在唯一的协会:美国毛发修复委员会取得。
- Is the doctor board certified by the American Board of Hair Restoration Surgery?
While doctors may be board certified and well-trained in plastic and cosmetic surgery, hair restoration surgery is not part of the training and certifying criteria for these boards. The American Board of Hair Restoration Surgery is the only Board that certifies doctors exclusively for their knowledge and skills related to hair restoration surgery.
要确保照片提供清晰的手术前后对照图给仔细评估发线,中线和头顶位置。只有在同一距离,同一角度照的前后对照图能有效反映发线修复效果。
- Can the doctor provide clinical "before" and "after" case photos for your review?
Be sure the photos offer good clarity and detail, and include "before" views as well as "after" views that allow for critical evaluation of the hairline, midline and crown areas. An "after photo" of a restored hairline is only relevant when compared to a "before photo" taken from the same angle and distance. - Will the doctor provide a list of names and phone numbers of patients who are willing to discuss their personal experiences?
Patient testimonials are invaluable for multiple reasons. They show that the doctor has succeeded in meeting or exceeding the expectations of his patients. Also, when you speak with former patients, you can ask more specific questions about their personal experience with hair restoration surgery.
什么是显微镜技术?
头发毛囊是极细和难以用肉眼看见的。解剖显微镜提供放大技术使之能用于头发嫁接手术。此放大技术使我们能清楚看见每个毛囊,从而能最大化来自捐献区的组织值数。
What are Microscopes?
Hair follicles are extremely small and difficult to see. Dissecting microscopes provide the proper magnification and are thus used for the preparation of the grafts. By using the proper magnification we are able to see each follicular unit. This assures the maximum number of grafts possible from the donor tissue.
女患者也能受惠吗?
不少于三分之二的女性会在人生某阶段经历头发脱落。幸运的是女性头发脱落不会像男性一样导致光秃。在Rosanelli医学联盟,我们也留意到女性的特别需求。Rosanelli博士也治疗过很多有脱发问题的女性。治疗包括药物治疗和毛发修复手术治疗。两种治疗都证实能对女性脱发患者有一定疗效。
Can Women Benefit Too?
As many as two-thirds of all women experience hair loss at some point. Fortunately hair loss in women typically does not result in complete baldness, as is often the case with men. We recognize the special concerns of women at Rosanelli Medical Associates. Dr. Rosanelli has treated numerous women who have experienced hair loss. Treatment options including medication and/or hair restoration surgery have proven to be has proven to be beneficial to many of our female patients.
雌激素会影响脱发吗?
雌激素在头发生长方面并没有什么影响。虽然还没有严格研究显示雌激素能治疗脱发,但是含有雌激素的口服和外服药会出现在医生开给女性患者用以治疗脱发的药单中。
Does Estrogen Affect Hair Loss?
The role of estrogen in hair growth in humans is not clear. However both oral and topical estrogens can be prescribed by physicians to treat hair loss in women -- although there are no controlled studies to support this use of estrogen.