Drugs and Devices
Hair loss drugs and devices.
There are no magic solutions to hair restoration, but there are a variety of techniques that work, all of which are discussed here. These are non surgical solutions for hair loss treatment which you can buy and use at home, rather than surgical treatments such as hair transplants or stem cell treatments.
Using the information here, you can make the decision that suits you best. We offer all these treatments, enabling us to truly tailor the best hair loss treatment to suit your needs and aspirations. You can buy some of these hair loss tablets and treatments from us directly.
Some of these hair loss tablets require a doctors private prescription, which we can arrange by an easy online consultation. These drugs include the various 5 alpha reductase inhibitors, as originally used for protate disease.
You can download information sheets and consent forms here:
Propecia tablets are currently the most effective licensed drug for treating hair loss. It slows, stops or regrows hair in 81% of men. Also known as Finasteride.
The chemical name for Propecia is Finasteride, and it has been used in hair loss treatment for more than twenty years. It needs to be used for at least a year before you can know for sure whether it’s working, although some people will see an improvement before this time. Occasionally, positive results are achieved in as little as three months. The longer it is used, the better. In each year after the first twelve months, there continues to be a 2-3% improvement until a plateau is reached after five years. However, 80-90% of the best achievable result will be reached within 12-18 months of starting the programme.
Is Finasteride safe?
Finasteride is known to be a very safe drug and is highly unlikely to interact with any other commonly taken drugs, including alcohol, antibiotics, painkillers or even ‘recreational’ drugs. Although there are no long-term studies showing serious side effects, Finasteride has been used very safely for thirty years as a 5mg tablet in treating prostate disease.
It has been extensively studied and there appears to be no evidence for any post finasteride syndrome side effects.
How does Finasteride work?
Finasteride works by ‘blocking’ the action of 5 Alpha 1 reductase, which is an enzyme that makes dihydrotestosterone (DHT) from testosterone (see causes of hair loss). Only scalp hair responds to Propecia. “I have taken it for 22 years with no side effects, but have achieved slight regrowth of frontal hair and crown hair and definitely arrested the ongoing hair loss.” – Dr Rogers.
Avodart (Dutasteride) is a tablet that is still undergoing trials in many countries, including the UK, but is not yet licensed for hair loss, although it is licensed for the treatment of prostate disease.
However, the original studies showed it works slightly better than Propecia, as it benefits 90% of men. The side effects are slightly more common – about 2% of men compared to Propecia with just 1% of men suffering side effects.Results so far seem to suggest that it is 10% more effective than Propecia but it is a any newer medication, so we have less experience of any long-term side effects.
Those who don’t respond to one or get side effects with the other, may still benefit from switching to the other one in the family of DHT blockers.
Download the Propecia & Avodart consent form. We need you to fill in the consent form before we can supply you with Propecia or Avodart.
Minoxidil (Regaine) solution. Minoxidil was used initially in the treatment of high blood pressure, and has achieved some modest results in promoting scalp hair growth. However, a side effect of this can be increased hair growth across the whole body, not just scalp hair.
This does not appear to be a problem when Minoxidil is used in solution rather than tablet form. Unfortunately, Minoxidil is not particularly effective but users can see some benefit from reduced hair loss and even some regrowth. The solution also tends to cause skin irritation. However, Minoxidil is readily available and can be more effective when used with Propecia. The two drugs work in different but complementary ways.
Is a tablet supplement which seems to promote better growth of hair and nails. It will not counteract genetic hair loss but can help your remaining hair retain quality growth.
There are no “super vitamins” which will stop hair loss but a vitamin (or mineral) deficiency can result in poor hair growth. Particularly important are Iron, Zinc, vitamin Bs and also essential fatty acids (most commonly found in meat eating diets but also in vegetarian diets if care is taken to include them).
Stem Cell treatments and therapy
Stem Cell treatments and therapy are the very latest options using activated stem cells to reactivate the hair follicles before they become too dormant. Using our Stem Gems in Nanofat transplantation is a minor procedure to relocate abdominal fat stem cells to the scalp and improve hair quality.
Essentially like a supercharged version of PRP – the evidence is now mounting that they can help male and female pattern hair loss, alopecia areata and potentially chemotherapy hair loss too.
read more here
PRP, A cell
PRP, A cell are treatments based around extracellular components of the blood and skin. The theory is that the accessory chemicals involved in healing, will also promote better growth of the hair (and also tried in facial rejuvenation, bone repair etc). There is evidence to suggest that it can help but realistically will not regrow significant hair loss.
Mesotherapy is shallow injections of vitamins to induce regrowth but again the evidence is weak.
Spironolactone is an old drug, used to reduce androgens in general. Although it can be effective, it is a bit like using a shotgun approach, compared to drugs like Propecia.
Cyproterone and Oestrogens
Cyproterone and Oestrogens are usually used in women, rather than men (unless transgender) as they will drastically change the balance of sex hormones in the body. They reduce the androgenic hormonal balance and are very useful for women with poly cystic ovary syndrome and can be used for women with male pattern hair loss.
Laser combs, helmets and lasercaps
There is little evidence of significant effect. The best results demonstrated still only showed regrowth of wispy hairs, rather than good, long, quality hairs
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What our patients say
Dr Rogers Compliment Letter 2015 – SG
When I arrived at the clinic on Harley Street I was welcomed warmly by the staff and did not have to wait long before the Surgeon (Dr Richard Rogers) came and introduced himself. I then sat down with Dr Rogers who spent time getting to know me, asking very detailed questions. He then spent some time with me penciling on different hairlines giving me plenty of time to think, whilst giving his expert opinion and advice on what would look the most realistic. When I had decided on the placement of my new hair line Dr Rogers made sure that I was happy with the outline drawn one last time walking round showing me it from different angles using a mirror.
Through Dr Rogers being so intent on making sure I was 100% happy with the procedure before going ahead really helped me feel comfortable and sure with my decision. With my hairline drawn and having been made to feel completely relaxed by Dr Rogers I was walked to the surgery. Even then Dr Rogers continued to make me feel comfortable introducing me to each of his nurses and explaining each step to me in detail of what they would be doing whilst he performed the procedure.
Having talked through the procedure with me and going over everything in extreme detail Dr Rogers asked me to place myself on the chair and then began to adjust the position making sure that I was completely comfortable. Now that I was sat comfortably and ready for the procedure to begin Dr Rogers began to guide me through each step before doing so. To begin with he explained that he would be administering general anesthetic to numb the surrounding area, and told me that it may hurt a little like a pinch. However, I did not feel a thing! In fact I didn’t even realise Dr Rogers had begun, he was so gentle and light handed I was shocked and of course extremely pleased!
With the first part out of the way and the surrounding area completely numb, Dr Rogers told me that he would now begin to remove the strip of skin. At this stage I could honestly not believe how it was possible that I could not feel my skin being cut away. Throughout the procedure I was not once in pain and Dr Rogers continually made sure that I was ok and checked that I was in no kind of pain.
Better still Dr Rogers talked to me throughout the procedure and joined in with conversations between the nurses and myself. This really made me feel at ease and at times I nearly forgot that I was having a hair transplant. With my strip of skin removed and the nurses now taking each hair follicle from the skin, Dr Rogers began to stitch my skin back together. Even now I could not feel a thing and before I knew it Dr Rogers had finished.
Whilst the nurses continued to separate the hair follicles Dr Rogers offered me some water and asked if I had any food to eat to help boost my sugar levels. Once I had eaten a snack and topped myself up with water Dr Rogers made sure that I was comfortable before the procedure continued. He then explained that he would be administering some local anesthetic to the surrounding area for the hair follicles to be placed. With the area numbed and having been told what was to happen next Dr Rogers began to make tiny pin pricks into my skin for the hair follicles to be placed in by his nurses. I cannot stress enough how I did not feel a thing and it was over with so quickly, he was a magician with his hands! It was now time for the final part of the procedure; the nurses began to delicately place my hair follicles in one by one.
With the procedure now finished and my new hairline complete, I was given plenty of time to slowly sit myself up. Dr Rogers then offered me some water and food to help boost my sugar levels. Now that I had my bearings back, Dr Rogers walked me into a quiet room and showed me to a mirror. He then said that he would leave me for a few minutes to look at the hairline. After a few minutes had passed he knocked on the door and asked if I was happy with the outcome, to which I found myself near on speechless! I told him how happy I was with it and continually thanked him for doing such an amazing job.
He then asked me to take a seat and began to explain in detail how to care for my new hair each day and gave me a detailed plan on paper. He then gave me a spray that he explained would help to clean any blood away from the surrounding area. After making sure that I was completely happy with the outcome and asking if I had any questions Dr Rogers shook my hand and wished me the best of luck with my new hairline.