T h e U l t i m a t e H a i r C a r e & R e c o v e r y R e s o u r c e WNER MANUAL FOR YOUR HAIR

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1 O WNER MANUAL T h e U l t i m a t e H a i r C a r e & R e c o v e r y R e s o u r c e FOR YOUR HAIR S

2 Keep Hair Clean 1 Clean hair is important for optimal hair and scalp health. Eliminate sebaceous oil buildup because it clogs hair canals, as does hair spray, mousse, and other styling products. Buildup on the hair and scalp can damage hair. Avoid chlorine by using a shower filter to minimize damage to fine, thin hairs. Pollution in the environment is a part of life. Washing hair helps minimize long-term negative effects of contaminants in the air. Use Quality Products 2 Product quality is important. Avoid using cheap products. They often contain low-quality fillers, alcohol, formaldehyde-based fillers, and parabens. When coloring hair or getting permanents, use naturally based, organic products. Avoid Heat Damage Towel dry hair or use a blow-dryer on a cool setting. Avoid damaging hair with heat. Hot dryers stress hair, especially fine, thin troubled hair. 3w w w. W e G r o w H a i r. c o m

3 Healthy Hair Habits Avoid Stress 4 Eat Healthy 5 Stress has been shown to minimize the body s ability to fight free radicals and produce antioxidants. Long periods of uninterrupted stress have been shown to contribute to changes in hair health. Exercise, meditation, and prayer are all excellent habits to help control stress toxins that build up in our bodies. Eating a well-balanced diet is important for good hair health. The body needs to get nutrients from foods and supplements. Since hair is a nonessential tissue, it only gets what is left over from other vital organs. Therefore it is essential to eat well in order to provide enough nutrition for your hair. Dieting is a major stressor on nonessential tissues like hair. Sudden and dramatic weight loss can be harmful to hair as well. Slow, controlled weight loss is recommended. Use Quality Vitamins and Minerals 6 There are a number of vitamins and minerals that are essential for overall hair health, especially since many of today s foods don t contain the nutrients and minerals they once contained. The five essential vitamins for optimal hair health are biotin, vitamin A, vitamin E, pantothenic acid, and inositol. Avoid Bad Hair Habits 7 Tight ponytails, braids, dreadlocks, and hair extensions can contribute to hair loss by causing scarring under the skin where hair grows. This is a type of traction alopecia and over time can lead to permanent hair loss. Flat irons and curling irons also damage the cuticle and organic part of the hair. Avoid high heat settings on all devices. Overcoloring or overprocessing can stress and damage hair. To lengthen the time between treatments, avoid hair styling products that contain alcohol. These products strip hair dyes and increase fading. Use a chlorine filter on your shower to minimize the damage to colored and treated hair. Use Quality Brushes 8 For optimal hair health, avoid combs and brushes with sharp bristles. Anything that might scratch the skin should be avoided. Use brushes that have bulbs on the bristles and make sure bristles are placed far apart from each other.

4 Stop Hair Loss Before It Goes Too Far! So why is waiting to do something a bad idea? One Word: Progression If you have pattern baldness, it is extremely important to understand that the progression of hair loss is MORE HAIR LOSS unless you proactively do something to slow it down or stop it. There are several FDA-approved and clinically proven nonsurgical options to combat the negative effects of genetic hair loss, such as Propecia, Rogaine, low-level laser therapy (LLLT), platelet-rich plasma (PRP), and specially designed treatment products like Anagen products. In the initial stages, pattern baldness is commonly noticed in the frontal hairline, temple area (sides of the forehead), and/or crown. If nothing is done to stop it, thinning will continue to progress. Studies show that many people lose 50% of their hair before actually noticing that it s gone. Pictured below is the progression of hair loss in one short year without treatment. These photos clearly document hair loss that could have been prevented. Wouldn t it have been much better for this patient if his hair loss had been stabilized? By simply engaging in effective treatments, he could have reversed the pattern of hair loss and enjoyed overall improvement to his hair health. Instead, he was faced with continued hair loss. Hair Loss Progression: 1 Year Before 1 yr later Before 1 yr later

5 Old hair falls out Papilla Papilla separates from follicle Anagen Growth 2 6 yr Catagen Transition 2 3 wk Telogen Rest 2 3 mo The Cycle of Hair Anagen This is the first stage of the hair cycle, where hair grows for an extended period of time averaging 2 to 6 years. Catagen This is the second stage of the hair cycle, following the anagen phase, where hair is in a temporary state lasting only 2 to 3 weeks before moving to the telogen phase. Telogen This is the final stage of the hair cycle, following the catagen phase, where hair goes into a resting phase before falling out. This cycle generally lasts for 2 to 3 months before the follicle produces a new hair and the growth cycle starts over. Hair loss becomes apparent when the life of the hair during the growth cycle is significantly shortened and it enters into the telogen phase prematurely. w w w. W e G r o w H a i r. c o m

6 Low-Level Laser Did You Know? Low-level laser therapy is safe It is suitable for both men and women It stimulates hair rejuvenation at the cellular level No adverse side effects have been reported It is painless Results can be noticed in as little as 6 weeks It is relatively inexpensive Treatments are fast and easy, requiring minimal time per session It is noninvasive There is no downtime or recovery after treatments Widely recognized as the most effective nonsurgical way to treat early onset hair loss, low-level laser therapy is an FDA-approved treatment which uses a very specific laser light spectrum to regrow recently lost hair. It also improves the overall health and condition of thinning hair. Patients using laser therapy begin to see results as soon as 8 to 12 weeks with consistent use. Laser therapy works through the science of photobiostimulation. Hair laser in the wavelength range of 670 to 690 nm

7 Therapy (LLLT) w w w. W e G r o w H a i r. c o m stimulates the mitochondria of the hair cells to encourage hair cell reproduction, hair cell repair, and hair cell metabolism. LLLT is an important part of a good hair health and hair loss management program. Michael Ramsey, Clinic Director of WeGrowHair.com / PAI Medical Group Additionally, low-level laser therapy has tremendous benefits for hair transplant patients. Jeff Waesche, MD, a hair transplant surgeon, says, Patients who use LLLT after a hair transplant notice quicker healing and regrowth of their newly transplanted hair. We highly recommend LLLT for patients following a hair transplant surgery. Low-level laser photons irradiate the entire scalp, which increases microcirculation of blood supply to the hair follicles. This increases the number of red corpuscles that deliver life-giving oxygen and vital nutrients to the hair bulb. Laser hair therapy helps protect and maintain existing native hairs that live in transplanted areas. Fullness, density, and the best cosmetic look is achieved with both hair transplant surgery and low-level laser therapy. Before laser therapy After laser therapy

8 Platelet-Rich Hair growth is stimulated with the patient s own blood w w w. W e G r o w H a i r. c o m As you may have seen on Good Morning America, platelet-rich plasma (PRP) is one of the newest hair loss treatments clinically shown to stimulate new hair growth while slowing down or even stopping hair loss. For those with thinning hair, the main goal should be to catch hair loss early and maintain healthy growing hair for as long as possible. PRP is an excellent way to stave off the need for more aggressive solutions. For a decade, PRP has been used by the NFL, NBA, and other professional sports organizations to treat soft tissue damage, like knee, shoulder, and hip injuries. PRP is being used in many new areas of medicine and dentistry because of its restorative properties. PRP+ A-Cell: The Dynamic Duo That Fights Hair Loss The patient s blood is spun in a centrifuge to separate platelet-rich plasma from platelet-poor plasma. Platelet-rich plasma / stem cell therapy contains many growth factors. When mixed with A-Cell (a healing powder also containing growth factors), it stimulates miniaturizing hair follicles at the cellular level. This revitalizes, repairs, and remodels damaged hair cells. It stimulates adult stem cells

9 Plasma (PRP) in damaged follicular tissues to produce improved quality in hair growth. Significant improvement is possible with just a single treatment. The practitioner may suggest additional treatments to keep hair flourishing. PRP can also be used during hair transplant surgery to optimize results. Leading hair transplant practices around the world now recommend this treatment in conjunction with surgery. The process begins with a blood sample from the patient. The platelet-rich plasma is mixed with A-Cell and injected into thinning areas. Results can be seen in 4 to 8 months. Best results take 10 to 12 months. Before 4 mo

10 *Clinically shown to improve laser (LLLT) therapy results. Anagen Therapy Products Nature s path to fuller, thicker, healthier, and more hair. Anagen Therapy products are formulated to enhance the anagen phase by creating the healthiest environment in which hair can grow. All harmful chemicals have been eliminated from Anagen Therapy products, which are made from only the purest pharmaceutical-grade natural ingredients. Up to 90% of all hair care products contain caustic chemicals that are absorbed into the tissues of the scalp and bloodstream, and over a period of time, can cause the sebum of the hair shaft to crystallize, clogging the follicular channel and provoking hair loss. Stimulating Sulfate Free Shampoo promotes fuller, thicker hair. Live Enzyme Cleaner removes fats, greases, oils, detergents, and harmful compounds. Rejuvenating Conditioner restores, rejuvenates, and protects the hair shaft with an all-natural blend of botanicals, vitamins, and nutrients, leaving hair alive with energy and shine. Daily Treatment eliminates harmful oxidants that are known contributors to thinning hair. Chlorine Shower Filter removes the risks associated with chlorine, promoting soft skin and more manageable hair. Revitalizing Complex Capsules is a DHT blocker that enhances the anagen phase, providing vital nutrients to the hair follicle for fuller, thicker hair. Follisaw-2 is a natural alternative to synthetic DHT inhibitors.

11 Micropigmentation M icropigmentation is an amazing new way to treat the appearance of hair loss. Also known as virtual hair, this unique approach to hair loss is offered at WeGrowHair / PAI Medical. Using a highly advanced type of cosmetic coloring, the micropigmentist deposits specialized pigments into the top layer of the skin on the scalp to mimic hair follicles. This gives the appearance of a shaved head or buzz cut. By using pigmentation we can now minimize the appearance of the scalp showing through the hair. This results in thicker, fuller-looking hair. Micropigmentation is a popular adjunct to hair transplantation. Finally, micropigmentation is a great way to conceal scars on the scalp. Patients who want to minimize the appearance of scars from older, less sophisticated transplant procedures or other scars find micropigmentation an excellent option. It is also used with patients who wear their hair longer but notice their scalp showing through the hair. Before After w w w. W e G r o w H a i r. c o m

12 Female Hair Loss Diffuse Hair Loss Diffuse hair loss can be stabilized with treatment options like PRP with low-level laser therapy. Additionally, micropigmentation can make the hair look much fuller and thicker. Even though hair loss in women is not life threatening, the psychological effects, such as loss of confidence and a diminished self-image, can be devastating. Hair loss occurs for various reasons, and sometimes the reasons may never be clear. However, some of the most common causes are: Although hair loss is considered to be predominantly a middle-aged male problem, hair loss can happen at any age and it happens to women too. In fact, women are nearly as likely to experience hair loss as men. According to the American Hair Loss Association, women make up forty percent (40%) of American hair loss sufferers. Most women notice the first signs of thinning in their 50s or 60s, but there are many cases where it occurs in younger women as well. Women experience mainly two types of hair loss: Diffuse hair loss (thinning all over), which can only be treated with nonsurgical solutions initially. Surgical solutions may be considered later after diffuse hair loss is stabilized. Female pattern hair loss (thinning on the top of the head and crown only), which can be treated with both surgical and nonsurgical solutions. Pregnancy Reactions to medications Thyroid disorders Autoimmune disorders Polycystic ovary syndrome (PCOS) Skin conditions such as psoriasis and seborrheic dermatitis Physical trauma such as surgery or accidents Intense illnesses Dramatic weight loss too quickly Taking too much vitamin A Chemicals Self-inflicted conditions such as braids, cornrows, and hair extensions that are too tight (traction alopecia) Trichotillomania, a nervous condition where the hair is pulled out uncontrollably Before PRP After PRP Before transplant After transplant

13 w w w. W e G r o w H a i r. c o m Effective treatments for female hair loss include platelet-rich plasma, laser therapy, hair shampoos and supplements, hair transplants, and micropigmentation. Female Pattern Hair Loss Female pattern hair loss or androgenetic alopecia is the most common type of hair loss in women, and its effects are noticed as the hair becomes thinner, weaker, more fragile, and shorter. This type of hair loss can often be linked to genetics, just as it is in males who have male pattern baldness. The hair follicles are sensitive to DHT (dihydrotestosterone), which causes them to miniaturize and fall out. Menopause is known to cause hormonal changes, which are responsible for a multitude of unwanted effects on the body, one of which is hair loss. When a woman goes through menopause, estrogen levels decrease and testosterone increases, creating a hormone imbalance. As a result, hair tends to grow thinner and finer than before. Once nongenetic causes of hair loss such as chemicals, medicines, disease, or thyroid issues are eliminated, the possibility of genetic hair loss can be addressed. Ask questions such as, does anyone in my immediate family have pattern baldness (brothers, sisters, mother, father, grandmother, grandfather)? During your free consultation appointment, a PAI Medical consultant will use video microscopy to examine the hair follicles at a magnified strength to look for variances, cuticle health, and diameter of the hair follicles. Before transplant After transplant Before laser therapy After laser therapy

14 How Will I Look Right After the Procedure? Hairline design before procedure 3 days after procedure 9 days after procedure Darren Andrews, Consultant for PAI Medical Indianapolis, says, Patients often ask, how will I look right after my procedure? One of the best things about a hair transplant procedure is you have little downtime. Typically, patients will have some small scabs about the size of a large strawberry seed or small freckle as well as a little bit of redness for the first few days. Then the redness begins to diminish to a light pink color and fades away over a few days to a week or so. Skin type has a lot to do with it. As you can see in the patient above, he had a little pinkness the first few days with some mild scabbing, but by day 9 he looked pretty normal. Your Hair Grows in Gradually... Before 4 mo 12 mo I was originally concerned about a sudden change in my appearance after the transplant. After I met with PAI, I learned that the hair seeds or papillae that are transplanted grow in gradually. So my hair grew in slowly and thickened throughout the year. Many people couldn t figure out what was different. ~Todd Holdzer

15 Matchless Diagnosis Means Superior Treatment Miniaturized hairs are a telltale sign of advancing hair loss. Without a proactive treatment, many miniaturized hairs will fall out prematurely and never return. PAI uses video microscopy to identify the presence of miniaturized hairs, lower density, problematic skin conditions, and other factors that contribute to thinning hair. Once a patient s hair health has been analyzed, recommendations can be made to map out the best solution for hair loss management and hair restoration. Can PAI Fix Another Clinic s Bad Transplant? Corrective Procedures Corrective procedures are a big part of our hair transplant practice, says clinic director Michael Ramsey. At PAI, we see many patients who had the old-style plugs. They come to us to have them repaired, naturalized, 1a or sometimes removed. With today s grafting procedures, fixing Before the old doll s head look is an easy 2a process. In some cases, the old plugs have to be removed, but in most cases Before hair can be added in front of, into, and in the back of the old hairline to create a soft, natural, undetectable look. In pictures 1a and 2a, you can clearly see the old-style plugs. These were done 20 years ago by another clinic. In pictures 1b and 2b you can see the same patient, after his corrective procedure with PAI. The strategy is to overwhelm the original plugs with new micro, follicular unit, and Multi-Unit Hair Grafts. This is truly a life-changing event for patients who face the daily challenge of unsightly hair plugs. 1b Our physicians really enjoy these types After of surgeries, says Angela Scanlan, Patient Care Coordinator for PAI Medical Group Nashville. She adds, Many of these patients don t even realize their After hairlines can be fixed. They are delighted to know we are here and that we have the technology to help them. Our clinic director, Michael Ramsey, had these old-style plugs 25 years ago and his hairline now looks completely normal and natural. 2b

16 Which procedure Choosing the right hair restoration procedure can be daunting. PAI is a great resource because we offer nearly every type of effective surgical and nonsurgical hair restoration option in order to genuinely meet the needs of all our patients. FUE Advantages: (Follicular Unit Extraction) No Linear Scar, Less Downtime, Minimally Invasive FUT Advantages: (Follicular Unit Transplant) Shorter Procedure, Smaller Investment, Better Preserved Donor, More Hair PAI s Choice for FUE PAI Medical Group has chosen the ARTAS robotic FUE system over all other FUE devices. Precision in surgery is important. It is faster, more accurate, and the most advanced by far, making it the best FUE solution available in today s market. FUE ARTAS Robotic FUE Handheld FUE Reason Cost Amount of Hair Natural Results Transection Discomfort Length of Procedure No. of Procedures Precision Comparable ARTAS follicles are more robust and procedure is shorter, resulting in less hair attrition and better result. ARTAS doesn t overharvest because of intelligent algorithms. ARTAS doesn t get careless due to fatigue. Robotic analysis determines best angles and hairs to harvest. Comparable ARTAS harvests every 1.6 seconds, which is impossible with a handheld device. ARTAS harvests more hairs per procedure; therefore, fewer procedures are needed. Robotics facilitate precision never before imagined.

17 is right for me? A Word About PAI s Linear Scar PAI Medical Group uses a special suture technique called a trichophytic closure. This results in a very fine line that is quite difficult to see even with a short hairstyle. PAI s Choice for FUT Traditional follicular unit transplants (FUT) cannot compare to PAI s specially developed Multi-Unit Hair Grafting (MUHG) procedure. For patients who need the most hair possible or are concerned with cost, the MUHG procedure is the best choice hands down. It typically delivers up to twice the hair density in the same period of time. FUT MUHG Traditional FUT Reason Cost Amount of Hair Natural Results Transection Discomfort Length of Procedure No. of Procedures MUHG requires fewer procedures, which is more cost-effective. MUHG results in DOUBLE the hair when compared to all other procedures. Both use 1- and 2-hair groupings, but MUHG also uses multiple follicular unit grafts, which preserves bundles of hair in their original, more natural-looking formation. MUHG requires less cutting and follicle manipulation, resulting in less transection. Comparable MUHG is the shortest hair surgery, taking nearly half the time of all other procedures (4 5 hours). Patients need fewer procedures and many are satisfied with only one MUHG procedure.

18 ARTAS Robotic H Optics Stereoscopic HD Vision This system uses highly advanced optics to analyze the angle and position of each hair at an impressive rate of 60 times per second. Donor No Linear Scar This procedure produces minimal scarring when compared to handheld FUE devices. An intelligent robotic algorithm prevents overharvesting in the donor area. No linear scar means patients can wear their hair extremely short. Results More Hair ARTAS eliminates human fatigue, reduces transection (follicle destruction), and prevents hair attrition (follicle death caused by long surgery). This results in more hair and superior results. Before After Did You Know? PAI leads the nation in hair restoration technology. We were one of the first clinics to offer the ARTAS robotic system, and we were also one of the first to have two ARTAS certified surgeons on staff. PAI chooses to use the ARTAS system over Ellis, NeoGraft, and other FUE procedures because it is the most advanced FUE device available today. w w w. W e G r o w H a i r. c o m

19 air Transplant Robotic FUE is the most precise follicular unit extraction process in the world. Michael Ramsey Accuracy Precision and Reproducibility ARTAS Artificial Intelligence algorithms identify and select the optimal hairs to be harvested while preventing overharvesting. With delicate precision, this physician-assisted technology consistently delivers high-quality, robust follicles every time. This results in less transection and more hair. Precision is imperative in surgery. Recovery Minimal Pain The ARTAS procedure is virtually pain free and post-op pain is minimal. The patient can resume most normal activities in just a few days. Speed Shorter Procedure ARTAS is the fastest FUE procedure available. This means the staff is less fatigued and more productive, giving the patient a more comfortable procedure and better results.

20 Multi-Unit Hair Grafting More Hair. Fewer Procedures. Smaller Financial Investment. More Hair in One Session PAI Medical Group developed and trademarked this extraordinary procedure, which uses a blend of surgical technologies and an array of different-sized hair groupings (grafts) to best fit the individual patient s needs. The medical team places 1-hair grafts in the frontal hairline for a soft, natural appearance. Next, 2- and 3-hair grafts are placed behind the frontal hairline so the hair gradually becomes thicker in appearance. Finally, the Multi-Unit Hair Grafts, which contain multiple hairs, are packed in tight to deliver double the density while maintaining a soft, natural appearance. This advanced technique achieves the desired density in fewer procedures, limiting inconvenience and cost. 1-Hair Graft 2- to 3-Hair Graft Multi-Unit Graft Before After Before After Double the Hair More Natural Results Less Transection Shorter/F

21 MUHG Is More Cost- Effective! Multi-Unit Hair Grafting (MUHG) outperforms micro and follicular unit grafting by delivering double the hair density while maintaining soft, natural results. Ideal for patients with significant hair loss, nothing can compare to MUHG. Because more hair can be transplanted in a single procedure, fewer procedures are needed to reach a patient s hair restoration goal. Our Linear Scar Is Really Hard to Find! All surgical procedures leave scars, but PAI s suture line can be a challenge to find. By using a special technique called trichophytic closure, the surgeon bevels the closure, allowing hair to grow back through the line. This camouflages its appearance. It also optimizes the This linear scar is nearly undetectable! donor for future procedures if needed. For those needing more hair, MUHG is an easy choice, considering the stealth suture line and maximized density. Before After Before After ewer Procedures Stealth Suture Line Smaller Financial Investment

22 Transplanting More Than the Top of the Head Eyebrows How Does an Eyebrow Transplant Work? In an eyebrow transplant, hair is taken from the lower occipital region in the back of the head where hair grows in finer, softer, and more slowly. Our skilled surgeons pay careful attention to the angle and direction of the transplanted hairs so that the result will look completely natural. Beards A beard transplant is a permanent, effective solution for those who wish to restore facial hair in their patchy, uneven beards. How Does a Beard Transplant Work? An eyebrow transplant can enhance your appearance by improving one of your most noticeable facial features. In addition to protecting the eyes, eyebrows frame the face and help us communicate better with our facial expressions. Many women suffer with thin or transparent eyebrows from overplucking or genetic loss through the aging process. Others were simply born with thin or nonexistent eyebrows. The science of a beard transplant is almost identical to that of a regular hair transplant. Hair is taken from the safe zone and transplanted into areas where hair is missing. The safe zone is the healthy ring of hair on the sides and back of the head where hair is resistant to dihydrotestosterone (DHT), which causes hair loss. When the hair is moved, it will retain those genetic attributes and Before After keep growing.

23 Changing Lives One Hair at a Time 9000 Church Street East, Ste 201 Brentwood, TN

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