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https://www.instagram.com/drdavinlim/ Instagram- for awesome skin FOR LIFE https://www.lasersandlifts.com.au My guide to skin treatments, lasers, peels, and many more https://www.realself.com/find/Australia/Brisbane/Dermatologist/Davin-Lim More before and after pictures, and real reviews How to treat hair loss- part two Dermatologists are formally trained in disorders of skin, hair and nails. This video gives insight into the hundreds of hair disorders medical dermatologist treat. Disclaimer- I am a procedural dermatologist – this means I only perform procedure such as PRP and low level laser. I work with a team of medical dermatologist to treat hair loss disorders. As a rule I do not prescribe drugs as this needs careful monitoring at regular intervals. This video will concentrate on the management of female hair loss, a very different entity and approach to male pattern hair loss. In males, the most common condition by far is non scarring androgentetic alopecia, or genetic balding. Unfortunately I suffer from this condition – due to my father’s genes. In females androgenetic alopecia is much less common, and other medical conditions such as thyroid disorders, iron, Folate, vitamin deficiencies need to be investigated. Inflammatory disorders such as lupus, lichen planus or frontal fibrosing alopecia, and alopecia aerata need to be excluded. There are over 210 causes of hair loss, and this short video will only cover telogen effluvium and androgentic alopecia. Treatment options for female pattern hair loss due to androgentic causes include the following. 1. Minoxidil topically or orally. If a foam or lotion is to be considered, both male and females should use 5% at night. If oral medication is indicated by your medical dermatologist, 1-3 mg daily should be taken. You can obtain a bespoke prescription from your physician at www.myskinpharmacy.com.au For females this should be stopped in pregnancy as it not category A 2. DHT inhibition is another option- either Finesteride or Duasteride. Side effects and the risk benefit ratio will be discussed with your medical dermatologist. This is off label use in females, and must be ceased if you are pregnant. 3. Spironolactone or C. acetate are androgen blockers, and can be very useful in the management of female pattern hair loss. Your dermatologist will guide you as to the dose. 4. PRP or Platelet Rich Plasma can be adjunctive therapy. My protocol is to inject in the areas of Norwood or Ludwig pattern baldness. 3 sessions spaced 6-8 weeks apart, followed by 2 injections annually. As stated this is NOT a stand-alone procedure. This should be conducted by a specialist and not a nurse led procedure as the pattern of hair loss is critical to results. 5. Low Level Laser emission devices in the 630-655 nm wavelength can stimulate blood flow and increase hair density. Like PRP for hair loss this is not a stand alone procedure, and needs to be combined with medical or surgical procedures. My Laser of choice is the Lutronic System as it provides exact energy delivery to the entire scalp. This is a medical and not a cosmetic laser. 6. Surgical options. FUE is the current standard of practice. Your result will be dependent on one person- the surgeon. This is not a branch, brand or franchise, nor is it a robot. Do your research and find the best specialist. FUE is different for females than it is in males due to the pattern of hair loss. I do one video a week, covering common medical conditions that general dermatologist see, however my specialist trade is a laser, and procedural based dermatologist, with an interest in facial rejuvenation and acne scarring. Dr Davin Lim, Laser and procedural dermatologist. Brisbane, Australia. NOTE- Dr Lim does NOT prescribe, he is part of a team of hair loss specialist, and only performs PRP and Low Level Laser Energy protocols. I will initiate tests and in some case prescribe topicals, but as a rule I work in a team of medical specialist if medication needs to be prescribed, or complex investigations such as biopsies and high level testing are needed.
