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Dr. Rafael De Freitas
Dr. De Freitas is an expert in performing Follicular Unit Extraction (FUE). He's regarded as one of the world's best FUE surgeons. He performs dense-packed ultra-refined follicular unit grafting at an affordable price. -
Hair transplants - Are they right for you?
Most hair loss sufferers can benefit from hair transplants. However, some are better candidates than others and will achieve more dramatic results.
Different Patients Achieve Different End Results
Two Hair Transplant Sessions one totaling 1860 grafts the other 2995 graftsIt is important to have realistic expectations and to find a hair transplant surgeon who can meet or exceed your expectations.
Surgical hair restoration is largely a matter of "Supply and Demand".

The look you can and will achieve with hair transplants is determined by several factors. But the most critical factor is really a question of "supply and demand".
The supply of hair is how much viable bald resistant donor hair you have. The demand is how much bald area you want to cover and to what degree of thickness.
Your “Donor Hair” determines what you can achieve.
For virtually all hair loss sufferers, even those with severe baldness, there is typically hair that grows for life on the sides and back of the head. This is because the hair in this "donor area" is genetically different from the hair on the top of the head in people who go bald.
The hair follicles in the "donor area" are genetically resistant to the effects of such baldness causing hormones as (DHT) dihydrotestosterone. That's why they continue to grow, while the hair on the top (in the male pattern baldness area) thins and goes bald over time.
How much viable donor hair you have will largely determine how much you can accomplish with hair transplants. Most people have enough viable donor hair to do at least one or two hair transplant procedures.
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Kevis 8 Hair Loss Treatment Product Review
Is it Effective in Treating Baldness?Hair loss suffering men and women are always seeking new and credible treatments and with good reason. Medical science is still years from producing a true hair loss cure and current treatment options are vastly limited. Women with hair loss have even fewer options than their balding male counterparts when it comes to proven, non-surgical hair loss treatments. Additionally, there is no shortage of cunning charlatans waiting to take advantage of the unwary consumer. Thus, when a new product like Kevis Hair Rejuvenation Formula comes along claiming to be a “permanent” solution and “the most successful and potent hair loss treatment on the planet”, potential customers would be wise to remain skeptical.
Kevis hair loss treatment is not an entirely new solution. In fact, their website states that it has been sold throughout Europe and Asia for over 25 years but has only been available in the United States for 15 years. This is simply the 8th generation of the formula; hence their new name Kevis 8. But how can such an impressive treatment exist for 10 years yet remain virtually unknown to roughly 70 million balding American men and women? What’s even more surprising is that Kevis claims that published clinical studies give this solution for baldness an average success rate of 92%. So why are so many people still seeking viable hair loss treatments today?
Kevis 8 is a drug-free topical lotion developed and manufactured by Italian pharmaceutical company, Farmaka, and distributed by Kevis Rejuvenation Programs in North and South America and by Pfizer in Europe and Asia. As such, it does not come under the regulatory supervision of the United States Food and Drug Administration (FDA). It is applied directly to the scalp and can be used by both men and women. Ingredients are listed as:
Water, SD Alcohol 40-c+SD Alcohol 3-c, Propylene Glycol, Hydrolized Glycosaminoglycans (Thioglycoran), Panthenol, Sorbic Acid, Methylparaben, Hyaluronic Acid (H.U.C.P.), Thurfylnicotinate HCL, Propylparaben, Sodium Hydroxide, Biotin, Fragrance.
H.U.C.P is a high concentrate of pharmaceutical grade hyaluronic acid which purportedly aids in the breakdown of accumulated DHT in the follicle and creates a binding effect in the follicle's receptor sites preventing further DHT buildup. Kevis also lists the ingredient Tricozyme™. Tricozyme is a protein enzyme that they claim attaches itself to free-floating DHT molecules rendering them “inactive and inoperable”.
Kevis claims that results from using their product are “permanent”. Once hair follicles are protected from the effects of DHT they will remain DHT resistant for life. Thus, their claim is that once the desired result is reached, there is no need to continue using Kevis. This is a hefty claim considering all other non-surgical balding solutions are required to be used for life in order to experienced continued benefits.
In an effort to demonstrate its efficacy, Kevis provides complete, downloadable copies of seven clinical studies conducted by various institutions in France and Italy and provides summaries of each. They also offer several before and after photos (including those of company founder and President Brian Reichenberg) and written testimonials. What seem to be conspicuously missing are references to third-party studies and publications in peer reviewed journals. Without these critical components it’s impossible to verify the company’s hair growth claims.
Balding men and women may want to stick with clinically proven and FDA approved medical hair loss treatments. For men those treatments are Rogaine (minoxidil) and Propecia (finasteride). Rogaine is also approved for use by females. However, women should not ingest or even come in contact with finasteride due to the risk of specific birth defects. Men and women who are unable or unwilling to use these drugs can find credible alternatives.
When it comes to purchasing and using hair loss treatments, there is much more at stake than your hard earned money. Dedicating months or years to ineffective treatments may result in the unnecessary loss of valuable and irreplaceable hair follicles.
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Non Surgical Hair Replacement Systems
Hair Replacement systems, also known as hairpieces, hair replacements, hair systems or toupees, have improved over the past decade. Quality hair replacement systems are now refined in construction and light weight. For those with extensive baldness who require a full head of hair to be satisfied they offer a quick and nearly instant solution.
Hair systems are constructed of human hair or synthetic fiber. Recent advances have made the synthetic hair much more natural in appearance and texture.
A quality hair replacement system is specially constructed for an individual recipient. These systems are made of real hair, synthetic, or both. They're designed to attach to the head for an extended period ranging from 3-6 weeks, without ever being taken off. Visit Farrell Hair Systems for more information.
Hair systems can work for both men and women. In fact, more and more women are opting for hair systems over wigs, as they can be more comfortable and look more natural.
The process of getting a Hair Replacement System
Typically clients first visit a hair salon for an evaluation. The extent of their hair loss is measured. They are given information including prices, maintenance, and future schedules. Usually, it takes several days for the system to be prepared, based on the client’s preferences.
While a person can get virtually any type of look, you are generally guided towards an option that looks more undetectable and realistic. These studios employ their own hair stylists to achieve ideal looks. Clients can visit these stylists for monthly haircuts or touch-ups.

With these hair systems, a fine mesh foundation is placed on the scalp's balding area and precisely cut to these dimensions. Later, real or synthetic hairs will be inserted into a foundation to create the "Hair System" or hair piece.
The foundations of the past were actually designed to be thicker and more durable. Fortunately, today's foundations are much thinner to make them undetectable. However, this thinness comes at a price, literally. The thinner a system the more delicate it will be and thus it will require being replaced more often.
Once completed, the hair system is attached to the client scalp using clips, weaving, and/or adhesive. The hair system is then styled to match your existing hair.
Maintaining a Hair Replacement System
The stylist in the studios also remove the systems about once a month for maintenance, cleaning, and styling. During these adjustments a person can expect to have their hair system removed, their scalp thoroughly shampooed, and their hair cut. The hair system may also be touched up and or colored if needed.
It's crucial to carefully groom the hair system to maintain a natural appearance. With a quality system, a person can expect to continue doing all normal activities such as running, bicycling, and weightlifting.
However, hair systems typically require time, money, and effort to keep them looking their best. And some clients may feel some discomfort, as well as some insecurity that their hair system may be detected.
Various Methods of Attaching a Hair System
Hair replacement systems can be attached in a variety of ways. They can adhere to the skin, hair, or a combination of both.
When attached to existing hair this method can provide an extra sense of security for clients who enjoy active lifestyles. This type of attachment goes by names such as fusion, weaves, cabling, beading and bonding. Because this type of attachment depends on the rate of the hair's growth, the system must be reattached periodically.
Hair replacement systems can also be applied to bare skin. This can be performed in a variety of ways, such as waterproof and biologically safe glues as well as two-sided tape. However, while these glues and tapes are generally safe for the skin, it's possible to have an adverse reaction. For that reason you should tell the studio stylist of any discomfort.
It's also possible to have a hair system applied surgically. In this case, small skin grafts, known as "tunnel grafts", are taken from a donor site. These tunnel grafts are then formed into tiny loops and placed in the balding areas where the outer edges of the hair system will be attached. The edge of the hair system is then attached to these loops once they have grown into the scalp. Since the hair system is now attached to the scalp, rather than the existing hair that grows out over time, the hair system does not get progressively looser over time.
However, this method of attachment is not recommended due to possible complications such as skin infections.
Finding a Quality Hair Replacement System
If you're considering a hair attachment, you need to be aware of just how to locate the nearest studio, as well as what to look for in one.
Of course you can use the Yellow Pages or the Internet to locate a qualified studio. However, once you do locate one, it may be a good idea to check with the local Better Business Bureau for complaints against the company. It's usually only a problem if there have been multiple complaints against the company.
It's best to consider a hair attachment studio that specializes in non-surgical hair replacement systems. And once you do find an appropriate office, it's best to bring along a photograph showing your ideal look. Plus, try to meet with other clients who are wearing the hair system you may be considering.
It's also important to find out how a company handles potential client problems and complaints. Do they have money-back guarantees or trial periods? These are important questions to ask.
You may also want to check around with the American Hair Loss Council (AHLC), one of the leading groups governing hair loss. The AHLC can't endorse any individual firm. However, this organization supplies clients with a list of local AHLC specialists, known as the American Hair Loss Council Source Book. The specialist and studios on this list are all required to sign a statement that says they honor the group's code of ethics. This code is designed to protect consumers.
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Dr. David Josephitis
Dr. David Josephitis
Dr. David Josephitis performs ultra refined FUT/strip and FUE with outstanding results along side with Coalition members Drs. Ron and Paul Shapiro. -
Anti Inflamitories
In fighting hair loss, there may be certain unwelcome side effects produced. These side effects are the results of the body's natural immune response. These effects can increase hair loss, if not controlled.
But with anti-inflammatory hair loss cure products, such side effects as itching, flaking, redness, and naturally, inflammation, are reduced. These topical treatment options include Tricomin, Folligen, Proxiphen and Proxiphen-N, Betadine and T-Gel and Nizoral Shampoos.
Nizoral
Here’s one shampoo that fits in with any treatment option.
Nizoral, made for men and women, is available in any grocery store. Nizoral is effective at reducing itching, inflammation and other side effects of other treatments, such as Propecia. The shampoo also maintains scalp health. Plus, research has shown that using Nizoral for an extended period may help to treat male pattern baldness (MPB) and female pattern baldness (FPB).
It’s advised that you apply Nizoral once every three days, in rotation with your normal shampoo. However, as Nizoral’s effects can last for several days, it is a very inexpensive treatment option. After one month of use, you should then use Nizoral once every 1-2 weeks. The shampoo should be applied to wet hair and scalps. You should then leave it in for 3-5 minutes before rinsing thoroughly.
T/Gel Shampoos
T/Gel is the brand name for a variety of shampoos and hair loss cure treatments. Primarily, these products are designed to treat such scalp problems as dandruff, itching, flakiness, and excess oil.
The Original Formula shampoo contains 2% Neutar ®, which is essentially 0.5% Coal Tar. There’s also T/Gel’s Fine/Oily Hair Formula, Extra Strength Formula, and Stubborn Itch Control Formula. These varieties all feature Neutar, a patented product, which dissolves into the scalp as it treats the previously mentioned symptoms.
T/Sal® Maximum Strength Therapeutic Shampoo features 3% Salicylic Acid. This effectively treats the crusty scalp build-up of psoriasis, as well as problems caused by excessively oily skin. This product should be used at least three times a week, unless other wise directed by your physician. T/Gel’s Healthy Scalp Anti-Dandruff Shampoo also contains Salicylic Acid, specifically 1.8%. There’s also T/Scalp® Therapeutic Anti-Itch Liquid, which features 1% Hydrocortisone. This is meant for treating severe dandruff.
The prices for these products vary, but generally, a 16oz. bottle of the Original formula retails for about $13.00.
Nioxin shampoo and conditioners
If you have fine or thinning hair, you may want to consider the Nioxin family of hair products. These all-natural cleansers, conditioners, treatments and styling products are free of any drugs.
Nioxin can improve the hair’s health by cleansing the scalp’s skin, strengthening the hair follicle and energizing the cellular activity. In addition, Nioxin is supposed to restore the scalp’s proper moisture balance. On average, the Nioxin products take about 45 days to show their effects.
Nioxin has not been found to have any effect on DHT. However, by keeping the follicles healthy, these products may help delay hair loss. Because there are no side effects, the products can be used everyday. Nioxin typically costs $30-$125 per month.
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Azelaic Acid
An Active Ingredient in Several Topical Hair Loss TreatmentsAzelaic acid is a naturally occurring substance found in whole grains that contains a mild antibiotic designed to “clean” skin. It is also said to be a potential inhibitor of 5-alpha-reductase in human skin. A reduction of this enzyme may reduce the amount DHT (dihydrotestosterone) in the body and therefore, have a similar effect to finasteride; the active ingredient in FDA approved oral hair loss solution Propecia (finasteride). In theory, applying azelaic acid to the scalp may prevent or eliminate the binding of DHT to the hair follicle receptor, preventing hair loss and potentially stimulating hair regrowth. Azelaic acid can be found in many prescription acne medication and topical hair loss products like Xandrox and Provillus.
Combining azelaic acid with FDA approved hair regrowth solution minoxidil in a single topical product in theory, may prove to be a more powerful hair loss treatment for androgenic alopecia than minoxidil alone. This is why some conjecture that Xandrox may be a more effective treatment than Rogaine (minoxidil).
Azelaic acid has not been clinically proven effective as a standalone treatment for treating genetic female hair loss and male pattern baldness. It has also been known to irritate the scalp when applied topically. Though there is a low percentage, azelaic acid may interact with other medications. Be sure to consult your physician before using azelaic acid while on other medications.
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Tricomin Follicle Therapy Spray, Shampoo and Conditioner

Tricomin is an all natural hair loss treatment designed for both men and women with thinning hair to stimulate hair regrowth and improve the appearance of thinning hair. It can also be used in conjunction with with Rogainehair regrowth treatment.
Tricomin Solution Follicle Therapy Spray combines the benefits of the Triamino Copper Nutritional Complex with an exceptional leave-in conditioner. The therapy spray enriches your hair and scalp with a unique blend of mineral and body-building ingredients and essential amino acids. Spraying the therapy spray liberally after shampooing daily will condition and treat your hair and scalp. It's recommended to apply this product to damp or dry hair.
The Tricomin Revitalizing Shampoo stimulates and restores health, structure, and vitality to thinning, fine, and damaged hair. It's recommended to use the Revitalizing Shampoo daily, gently massaging it into moistened hair scalp, leaving on for 3 to 5 minutes before rinsing. A second application may be made if desired.
The Restructuring Conditioner uses a unique moisture and nutrient-rich framework to help restore your hair's natural mineral and protein balance. This conditioner helps to add structure and body onto thinning and/or damaged hair.For best results, use all three Tricomin products in conjunction with one another. All 3 Tricomin products is called the Tricomin TricoPak.
How It Works:
Al three Tricomin products contain the active ingredient copper peptides. Scientific evidence suggests that copper peptides can shorten the shedding (telogen) phase and elongate the growth (anagen) phase of the follicles. Partial FDA trials showed Tricomin products' effectiveness in promoting new hair growth.
Developing Realistic Expectations:
Tricomin copper peptide technology may provide marginal benefit to men and women with thinning hair. To date, only surgical hair restoration is proven to grow hair in completely bald areas. You are invited to have a free virtual consultation with one of our prescreened hair restoration physicians.
Ingredients
Tricomin Follicle Therapy Spray: Purified Water, SD Alcohol 40B, Amodimethicone, Nonoxynol-10, Panthenol, Polyquaternium-11, Polysorbate 60, Tallowtrimonium Chloride, Citric Acid, Dimethyl Lauramine Isostearate, Linoleamidopropyl Ethyl Dimonium Ethosulfate, Triamino Copper Nutritional Complex (Alanine/Histidine/Lysine Polypetide Copper HCl), Methylparaben, Benzethonium Chloride, Menthol, FD&C Blue #1.
Tricomin Revitalizing Shampoo: Purified Water, Sodium Laureth Sulfate, Disodium Cocoamphodiacetate, Cocomidopropyl Betaine, Ceteth-16, Glycerin, Laneth-16, Oleth-16, Steareth-16, PEG-75 Lanolin, Sodium Chloride, Triamino Copper Nutritional Complex (Alanine/Histidine/Lysine Polypetide Copper HCl), Citric Acid, Diazolidinyl Urea, Hydrolyzed Keratin, Panthenol, Methylparaben, Fragrance, Propylparaben, Peppermint Oil, D&C Red #33, FD&C Blue #1.
Tricomin Restructuring Conditioner: Purified Water, Glyceryl Stearate, PEG-100 Stearate, Stearamidopropyl Dimethylamine, Cetyl Alcohol, Propylene Glycol, Stearyl Alcohol, Dimethylamine, Triamino Copper Nutritional Complex (Alanine/Histidine/Lysine Polypetide Copper HCl), Hydroxyethylcellulose, Panthenol, Aloe Vera Gel, Soydimonium Hydroxypropyl Hydroxylyzed Wheat Protein, Hydroxylyzed Keratin, Citric Acid, Methylparaben, Fragrance, Disodium EDTA, Propylparaben, Peppermint Oil, Tocopheryl Acetate, Cholecalciferol, Retinyl Palmitate, Vegetable Oil, FD&C Blue #1, D&C Red #33.
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ElectroTrichoGenesis (ETG)
Brilliant Hair Loss Treatment, or is it a Scam?
ElectroTrichoGenesis (ETG), also known as Cosmetic TrichoGenesis (CTG), is a little known hair loss treatment that makes some very lofty hair growth claims. How does ETG work and is it really clinically proven to treat androgenic alopecia(genetic balding)?
How ElectroTrichoGenesis (ETG) Works
ETG is promoted as a safe, painless and non-intrusive. Treatment is administered via an “ergonomically shaped couch with a semi spherical hood” manufactured by Current Technology Corporation in Vancouver, Canada.
The patient reclines on the chair and the hood (with disposable liner) is placed over the head but does not make contact with the scalp. This special hood contains electrodes that deliver “specified pulsed electrostatic energy” delivered passively to the scalp by the low-level electric field generated within it.

ETG is believed to stimulate the regrowth of hair through the positive influence of the pulsed electrostatic field it generates. This field is said to stimulate “changes within the hair bulge and the follicle, stabilizing hair loss and stimulating new hair growth”. Patients receive a single 12 minute session weekly.
Is ETG Clinically Proven?
The following three studies on the efficacy of ElectroTrichoGenesis (ETG) as a treatment for thinning hair have been published in peer-reviewed journals:
Maddin, W. Stuart; Bell, Peter W.; James, John H. M. (1990).
"The Biological Effects of a Pulsed Electrostatic Field with Specific Reference to Hair Electrotrichogenesis". International Journal of Dermatology29(6): 446–450.Benjamin, Benji; Ziginskas, Danute; Harman, John; Meakin, Timothy (2002).
"Pulsed electrostatic fields (ETG) to reduce hair loss in women undergoing chemotherapy for breast carcinoma: A pilot study". Psycho-Oncology11(3): 244–248Maddin, WS; Amara, I; Sollecito, WA (1992).
"Electrotrichogenesis: further evidence of efficacy and safety on extended use". International Journal of Dermatology31(12): 878–80According to the 36-week comparative, controlled study conducted on male subjects at the University of British Columbia and published in The International Journal of Dermatology, 96.7% of those treated experienced cessation of hair loss and/or hair regrowth. Decreased hair loss was seen as early as 4 to 6 weeks but many patients required more time for results.
The pilot study conducted on women undergoing chemotherapy for breast carcinoma and published in Psycho-Oncology,showed that twelve out of 13 participants had good hair retention throughout the chemotherapy period and afterwards with no reported side effects.
As with the clinically proven medical hair loss treatments Rogaine (minoxidil) and Propecia (finasteride), ETG is said to be most effective in the early stages of balding.
Conclusion
Although the data put forth in this article seems to paint ETG as a clinically proven and highly effective hair loss treatment, it’s important to note that the procedure is not new. The studies referenced above were published more than 13 years ago. If ETG truly works to stimulate hair growth and suppress the advancement of hair loss, why has it not become a fixture in the world’s leading hair restoration clinics? Where are all the glowing, unbiased reviews?
With no reported side effects, there may be no harm in giving ETG a try if there is a provider in your area and the fees are reasonable. However, balding men and women are encouraged to consult with an experienced and reputable hair restoration physicianin order to diagnose the cause of their thinning hair and learn about the outstanding medical and surgical options available today.
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Follicular Unit Hair Transplantation - Step by Step
We believe that patients have a right to full disclosure and a complete understanding of exactly what hair restoration surgery involves.
This step by step presentation shows how today’s state of the art follicular unit hair transplant procedure is typically performed.

Patient is prepared for surgery
During surgery hair follicles from the back of the head that are genetically resistant to going bald will be removed and relocated (transplanted) to the balding areas.

Donor area is trimmed
Prior to surgery, the hair in donor area that will be surgically removed is trimmed.

Donor area is prepared for surgery
Once the donor area has been prepared it is given local anesthesia.

Donor tissue is removed
The donor tissue containing the bald resistant hair follicles is then surgically removed.

Donor area is sutured
The donor tissue containing the bald resistant hair follicles is then surgically removed.

Hair combed over sutures
When patient’s hair is combed over the donor area the sutures are not visible. These sutures are typically removed approximately ten days after surgery.

Donor tissue is trimmed into follicular unit grafts
Surgical technicians then use microscopes to view the donor tissue in order to dissect and prepare follicular units hair grafts.

Bald recipient area is prepared
After being given local anesthesia, the balding recipient area is ready for surgery. No trimming or shaving of hair is needed in the top recipient area.

Incisions are made in the balding areas
Tiny incisions are made in the recipient areas in irregular patterns that mimic nature. The follicular unit grafts will then be placed carefully into these tiny incisions.

Grafts are placed into the incisions
Follicular unit grafts are gently placed into the recipient incisions.

Grafts are placed in varying densities
Typically the smallest one and two hair grafts are placed in the very front of the hairline, with three and four hair grafts placed behind them.

Patient immediately following surgery
Following surgery a patient will have hundreds of tiny incisions with short hair stubble showing from the new grafts.

Close up of recipient area after surgery
The tiny graft incisions heal rapidly. The redness and scabbing in the recipient area normally clears up within about one week.
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