Hair Today, Hair Tomorrow

Men today have a range of options if they choose to battle hair loss. New advances in plastic surgery, microfiber technology and pharmacology can help slow -- or compensate for -- male pattern baldness.

Los Angeles dermatologist Harold Lancer, M.D., says, "The majority of my patients start by taking oral Propecia in pill form and applying Rogaine topically." Both medications are government-approved for promoting hair regrowth. Rogaine -- which is available over the counter -- must be applied twice a day; prescription Propecia is taken once a day.

Rogaine contains minoxidil, which lowers blood pressure, so individuals with certain heart conditions shouldn't use it. Propecia is for men only. Pregnant women shouldn't even handle the pills, which can cause birth defects.

Washington, D.C., public relations executive John Seng started taking Propecia a year and a half ago. "Besides stopping hair loss in its tracks," he says, "I can happily say that the drug has never caused any side effects of which I am aware." Seng pays about $130 for a three-month supply of Propecia.

Less drastic than surgery, the next step men usually take is nonsurgical hair replacement, which involves attaching a fine mesh to the scalp which contains hairs matched to the patient's own. The hairpiece is either glued, taped or clipped to the scalp, sometimes for as long as two months. Costs range between $1,000 and $3,000 per year.

In addition to human hair, more natural-looking man-made fibers are now available. Hair replacement specialist Dennis Van Scoy says new fibers like Toupelon and Cyberhair are durable, colorfast, wash-and-wear, and appear natural in the wind.Disadvantages include an annual bill for maintenance required to keep the hair looking as natural as possible. And, fearing discovery, some wearers avoid swimming and other sporting activities.The most drastic measure -- surgical hair transplantation -- relocates hair from the back of the scalp to the top and front. Surgeons today use mini- or micrografting techniques to harvest, separate and insert plugs containing only one or two hairs.Three to five sessions will most likely be required. Costs average around $8,000 per session, says dermatologist Paul J. McAndrews, M.D., an instructor at the USC School of Medicine.Like most surgery, a hair transplant can be painful, and doctors warn it won't give you back the hairline you had when you were 21. But it'll be your own hair, and it won't fall off.Another surgical option is skin flap surgery. The American Academy of Facial Plastic and Reconstructive Surgery explains that the process involves tissue expanders which stretch the skin allowing for the removal of bald areas before hair-covered areas are sutured back together.A good review of all hair replacement options can be found at Regrowth.com.
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