CONSUMER GUIDE TO HAIR LOSS AND HAIR TRANSPLANT. dhi-philippines.com (+632)

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Justin Earl Hodge
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1 CONSUMER GUIDE TO HAIR LOSS AND HAIR TRANSPLANT (+632)

2 Physically, hair plays an important role in protecting our scalp from the sun and helping to maintain body temperature. Emotionally, your hair is part of who you are, how you see yourself and how others see you. It s not surprising then, that losing your hair can result in a loss of confidence and self-esteem. This guide is intended to answer any questions you might have about hair loss and whether a hair transplant could be the right procedure for you. table of contents What is hair and how does it grow? Overview of hair loss Causes of hair loss The psychological effects of hair loss Hair transplant options Follicular Unit Transplant (FUT) Follicular Unit Extraction (FUE) Direct Hair Implantation (DHI) Who is suitable for hair transplants? Science behind direct hair implantation (DHI) The DHI difference What to expect: Before a treatment During a treatment After a treatment DHI results before & after photos Frequently Asked Questions Cost Risk & Complications Conclusion

3 what is hair and how does it grow? Hair is composed of two structures. The hair shaft, which is the hair you see on your scalp, and the follicle, a narrow tube in the skin through which the hair shaft grows. The hair shaft begins to grow from cells at the base of the follicle. As the cells multiply, they grow upwards inside the tube. By the time the growing hair pushes out of the skin, the cells have died and are replaced by a hard protein called keratin. Hair growth occurs in 3 stages: Anagen is the active phase of new hair formation and growth. The rapidly growing hair pushes the old hair in the follicle out as it grows. Hair on your scalp stays in anagen for 2-5 years. Most of your hair follicles (80-90%) are in anagen at any given time. Catagen is a transitional phase where growth stops and the outer root sheath shrinks away from the follicle wall and attaches to the root of the hair shaft. This phase lasts for 2-3 weeks and about 3% of all hair follicles are in this phase at any given time. Telogen is the resting phase and lasts for about 100 days for scalp hair. The follicle is resting during this phase and it is during this time that hair can be either pulled out or shed. Around 10-15% of hair follicles are in telogen at any one time.

4 overview of hair loss There is an important distinction to make between shedding, which occurs as part of the normal cycle of hair growth, and hair loss. It is quite normal to shed hairs a day, through brushing or washing your hair, or as the old hair is pushed out by new hair growth. As we age, some of the hair follicles stop producing new hair, or the anagen phase gets progressively shorter and the hair is shed at a faster rate. Hair loss occurs through other factors that either effect the health of the hair follicle, or disrupt the normal cycle of hair growth. Some of these effects are reversible and normal hair growth returns once the trigger is removed. Other factors can't be reversed without medical help. 01 Everybody sheds hairs daily as part of a normal hair growth cycle % of men have noticeable hair loss by the age of % of all hair loss types are genetic. 04 The same hormone (DHT) that causes hair loss is also responsible for acne and oily skin.

5 causes of hair loss Both men and women experience hair loss, although it is more frequent and perhaps more noticeable in men. Androgenetic Alopecia By far the most common reason for hair loss and baldness is genetics. For about 90% of men and women who experience hair loss, the cause is related to changing hormone levels ('Andro'), a trait that is inherited from your parents ('genetic'). The hormones involved in androgenetic alopecia are called androgens. Increased levels oiandrogen shortens the growth phase (anagen) of the hair and delays the start of new hair growth. At the same time, a proportion of the follicles shrink in size and produce vellus hairs - barely visible hairs with no pigment. In androgenetic alopecia, hair loss occurs in a distinctive pattern (also known as male pattern hair loss or male pattern baldness) that can begin any time after puberty and becomes progressively more noticeable with age. Hair loss may also be a temporary reaction to a trigger that improves once the trigger is removed and hair growth returns to its normal pattern. The temporary increase in shedding occurs 2-4 months after the trigger event and may last for several months. Reversible hair loss triggers include: 1. Stress causes a range of health problems, but often one of the first symptoms of stress is hair loss. 2. A poor diet lacking essential nutrients supporting optimal hair growth may also result in hair loss. A diet lacking sufficient protein, the main component of hair can inhibit follicle growth.

3. Smoking reduces the amount of oxygen and increases the level of carbon monoxide in the blood supply to the scalp, causing damage to the hair follicle. 4.

6 3. Smoking reduces the amount of oxygen and increases the level of carbon monoxide in the blood supply to the scalp, causing damage to the hair follicle. 4. Hormonal imbalances can trigger temporary hair loss. Thyroid hormone imbalances cause hair loss and in women, hair loss before and after childbirth and menopause is due to dropping oestrogen levels. 5. Diseases or infections causing fever, anaemia or damage to the skin (eczema, skin infections, trauma) can also contribute to hair loss. The psychological effects of hair loss Until you start losing your hair, you probably don't appreciate how much it contributes to your sense of self. In today's 'selfie society' we are constantly reminded of our appearance and are bombarded by pictures of young, fit and good looking people. If what you see in the mirror every morning reminds you that you aren't as young as you used to be, it can be pretty devastating. We know that a high proportion (62%) of men who experience hair loss suffer from negative psychological effects, such as loss of confidence and self esteem. Many report becoming socially withdrawn because they are embarrassed about their appearance. A lot of men associate having a full head of hair with masculinity and virility, and so to feel that you are becoming less masculine because your hair is thinning has some fairly profound consequences. Men suffering from hair loss report higher than normal levels of depression, anxiety and aggressiveness. Unfortunately, stress is a common trigger for hair loss and may make the condition worse. The psychological impacts of hair loss on self-image can also have wider implications on social relationships. In one study, 40% of women reported problems in their marriage and 63% of men reported career-related difficulties. The good news is that those who sought treatment reported feeling more positive and had increased self-esteem after treatment. That's a pretty good reason to come and talkto us about treatment options for your hair loss.

7 Hair transplant options Healthy hair (donor) follicles that are taken, from areas of the scalp that aren't affected by baldness, such as low on the back of the head, are then surgically inserted one by one into the area to be treated. The common methods of donor follicle harvesting are: Follicular Unit Transplant (FUT) - donor hair follicles are removed in a long thin strip of scalp and divided into single units under a microscope. The site where the scalp is removed is then sewn back together. This procedure is fairly commonly used in Australia as it minimises the time required for the extraction by a surgeon and is relatively cost-effective. However, it creates a long thin scar to the back of the patients scalp that may be visible under short hair. Follicular Unit Extraction (FUE) - a punch is used to make a small circular cut in the skin around a hair follicle or group of follicles, removing them from the scalp. Leaving a small open hole. The process is repeated until the surgeon has enough follicles to cover the treatment area. The holes heal to tiny white scars throughout the donor area and can be undetectable depending on the skill of the surgeon. These scars heal quicker and are less visible than FUT. The difference between FUT and FUE is in the extraction phase of the procedure. Donor follicles are implanted using the same methods for FUT and FUE. That is, creating reception holes in the treatment area and placing the hair follicles into the holes with forceps, allowing little control over the angle, direction and depth. Implantation is normally done by technicians, not by a surgeon. Direct Hair Implantation (DHI) - The DHI sessions are performed by a Certified Surgeon from start to finish. The follicles are extracted with a specialised tool designed to minimise damage to the hair follicle and surrounding scalp tissue. Individual follicles are kept in a growth solution called HypoThermosolTM at a constant temperature to ensure optimum development and growth after placement. HypoThermosolTM is generally used in major organ transplant procedures and results in maximised hair survival rate. Hair follicles are implanted using another specialised tool, the DHI implanter, that allows the DHI Master Surgeon to control depth, direction and angle of placement, giving you a really natural result. There is also no need to create recipient holes in the treatment area with DHI. This allows the surgeon to obtain higher hair density when necessary.

8 Who is suitable for hair transplants? A correct diagnosis is the first step in determining if hair transplant surgery is right for you. We know that over two, thirds of men and women suffering hair loss get some form of treatment without a proper medical diagnosis and then spend a fortune on lotions and shampoos that don't work. Our treatment options are personalised to individual requirements, based on sound medical knowledge and experience. Hair transplants are suitable if you are in JooG general health and your hair loss is affecting your self-confidence and self-esteem. You may not be a suitable candidate for hair transplants if: You don't have enough hair in the donor area to get sufficient donor follicles The recipient/ transplant area isn't able to support the donor graft You have unrealistic expectations about what hair transplant can achieve You are unable or unwilling to undergo the procedure and follow post-operative care instructions Some of the alternative options to hair transplant surgery include: PRP (Platelet Rich Plasma) Treatment can thicken hair and stimulate new hair growth. A small amount of blood is taken and the blood cells removed to leave behind the plasma, containing growth factors and nutrients that stimulate follicle activity. The plasma is injected into the scalp where hair loss is occurrinvg to improve hair growth. Scalp Micropigmentation increases the appearance of hair density and covers bald areas. Non-toxic pigment is applied to the area in a series of small dots simulating hair follicles, to colour the scalp and give the illusion of higher hair density. Micropigmentation is a good option if hair transplants are not suitable but canaovo be used in combination with a hair transplant to improve results. Hair prosthesis (wig or hair piece) to cover the hair loss. If hair transplant isn t right for you just yet, or you are just looking for prevention or to thicken up your hair, then growth factor therapy could be right for you. Growth Factor Therapy featuring Factor4, is a revolutionary new treatment method for patients suffering from alopecia. Treatment takes place through the injection of autologous serum into the scalp; with the goal of stimulating the scalp to endorse hair growth.

9 Science behind direct hair implantation (DHI) DHI have been treating hair loss internationally for over four decades. We pioneered the FUE method, but were unhappy with the survival rates of the implanted hairs mainly due to excessive handling of hair follicles. Because a high proportion of follicles didn't survive, many more follicles had to be implanted to achieve the desired density of hair growth. There were several factors at play: how the follicles were extracted, how they were treated while waiting for transplant and how they were implanted. We designed new tools with smaller diameters (less than 1mm) to help reduce the damage to the follicles during extraction and implantation. This means the follicles are more likely to 'take' in their new location due to a tighter fit in the skin. We also keep the follicles in a special growth solution (HypoThermosolTM), at a constant temperature of 4 C, to keep them healthy while they are waiting to be re-implanted. In reducing how much the follicles are manipulated between extraction and implantation, and providing optimum conditions for survival outside the body, we have increased our follicle survival rate to an exceptionally high level. Some studies by universities have found hair survival rates as high as 97% with DHI procedures. Robson Costa BRAZILIAN INTERNATIONAL MODEL DHI PHILIPPINES PATIENT 2014

THE DHI DIFFERENCE Diagnosis - we recognise that the correct diagnosis is the basis for successful and permanent treatment. We treat everyone as an individual.

detail - hair doesn't naturally grow straight out of your head, it grows at different angles and directions.

10 THE DHI DIFFERENCE Diagnosis - we recognise that the correct diagnosis is the basis for successful and permanent treatment. We treat everyone as an individual. Your treatment needs will be determined by four different factors: Psychological Medical Artistic/aesthetic Mathematical (ratio of available donor follicles to area needing treatment) Attention to detail - hair doesn't naturally grow straight out of your head, it grows at different angles and directions. Our specially designed DHI Implanter allows the DHI Master Surgeon to control the depth, angle and direction of implant, so your new hair growth looks completely natural. Quality - only DHI-certified surgeons perform the Direct Hair Implantation procedure from start to finish, not nurses or technicians. We have strict quality control procedures to ensure that no matter which clinic you visit, they are all of an equally high standard everyone attends the London Hair Restoration Academy for the best training available. Survival vs Success - success can be measured by the survival rate of the transplant. We routinely achieve over 90% survival of the transplants - the industry range is 50-90%. This means we don't need to remove and transplant as many follicles because a greater number of them survive. This also preserves more donor follicles available for transplant in the future. No stiches, no scars - smaller diameter tools mean less pain, less trauma and faster healing. Permanent Solutions - we use donor follicles from areas of the hair where hair loss is rare, so the follicles are genetically programmed for survival. Your new hair will continue to grow in a natural way for the rest of your life.

11 what to expect During your initial consultation, the DHI doctor or consultant will perform an examination to make a diagnosis of your hair loss type and discuss your expectations and the options for treatment. If you are a good candidate for hair transplant, you and your surgeon will discuss and decide on where and how much hair will be transplanted. If you are not a good candidate for hair transplant, we can discuss other options for you. Before a treatment As with any surgical procedure, a good preparation will help reduce the risk of complications, such as infection, excessive bleeding, poor healing or scarring, and reactions to the anaesthetic. These risks can be minimised if you are in good general health, with no pre-existing medical conditions and you follow your clinic's pre and postoperative instructions. Some of the instructions include: You will need to have some blood tests done (HIV, Hepatitis, blood clotting and general health) before the procedure. If you are over 45 or have known heart problems you will require an ECG. The test results should be provided to the clinic at least 7 days before your procedure. You will have to stop smoking for two weeks before your procedure. Stop using Minoxidil, taking vitamins and steroids 7 days before the procedure. We require that you take Tranexamic acid, a medicine that controls bleeding, for 3 days prior to treatment, but you will need to stop any medicine that thins your blood (warfarin, heparin or aspirin). Please speak to your GP before you stop taking this medication. You could also consider dyeing your hair a dark colour 2 days before the procedure if you have light or grey hair, so that the hairs are easier to see and use an anti-dandruff shampoo for the week before your treatment. Don't shave your head in the 10 days before your procedure. During a treatment You will be given a local anaesthetic to numb the scalp before the treatment begins and you will be lying down, or lying back for the procedure. The surgeon will mark out the treatment area and once the anaesthetic starts to work, the surgeon can begin. The first phase is the follicle extraction. The follicles are removed one by one and placed in growth solution at 4 C until transplant. Up to 4500 hairs can be transplanted per session. Sessions typically last from 6 hours to 2 days.

12 When all the follicles are collected, the surgeon implants them in the marked areas using the specialised DHI implanter tool. The implanter tool controls the depth, direction and angle of the placement so that the hair blends in naturally with those around it. Before a treatment To make sure that you get the best results from your treatment, it s important that you follow the instructions provided by the clinic. We will provide you with a Post-Operative pack containing sterile saline (salty water) to keep the area moist and some medication to reduce inflammation and the risk of infection (antibiotics). You won t be able to smoke or consume alcohol for 7 days post-treatment while on the antibiotics. Don't sleep on the treated area for the first 2 nights to avoid the graft rubbing on your pillow. The friction may cause the grafted hair to fall out. You will need to avoid sun exposure (wear loose-fitting hats) and swimming for 2 weeks, and intense exercise (like weights) for a month. We recommend Omnilux light treatments, starting immediately post-treatment. A course of 6 treatments, with hours in between each procedure promotes healing of the donor and recipient skin. Ten days after your treatment, you will start applying Minoxidil (5%) cream twice a day onto a dry scalp. You should avoid any other chemicals on your scalp - such as hair products or anti-dandruff shampoo for a month post-treatment. You can colour your hair 45 days after treatment. You will need to visit the clinic for follow-up over the next 12 months. If you can't get back to the clinic, we can do the appointment via Skype or telephone. However, if you have any questions, or you notice anything unexpected, don't hesitate to contact us immediately for advice. You may notice new hair grows for about a month and then seems to stop. This is quite normal. You can expect to see new growth again 3-4 months post treatment, an obvious difference at 6 months and complete results anywhere from 9 months to a year post treatment. The healing stage requires patience and following the instructions carefully will make sure you get the best results and a quick recovery. The support of friends and family will help as your transformation progresses. This may be an emotional time and if you would like to speak to someone about how you feel after your procedure, please contact us.

13 dhi results - before and after photos Before After Redesign and restore natural hairlines Before After Add density to thinning hairlines For more amazing results, visit our website

14 frequently asked questions This guide is intended to answer some of the questions you might have about hair transplants. Here is a list of our most commonly asked questions, but if you have any other questions, give us a call to arrange a consultation. 1. Will I have to shave my head before treatment? No. Our protocol does not require you to shave your head. In fact, we ask that you don't shave your head in the 10 days prior to the procedure. 2. How long will I need before going back to work? In most cases, you will be able to return to work the following day, provided you are able to maintain your post-operative routine. Many of our clients choose to take the following week off. 3. How long will it take to see results? You will start noticing improvement within 3-4 months, but the complete results take up to a year. 4. Is the DHI procedure suitable for women too? Yes 5. How long do I have to wait before I exercise? You can return to cardio and swimming 2 weeks after your procedure, but wait a month before resuming intense exercise (e.g weights) 6. Can you still perform DHI if I have lost a lot of hair already? If there is not enough hair for donor extraction, we can sometimes use facial and body hair. There may be other treatment options available. It is best to come in for a consultation to discuss your options in detail. 7. Will I still have to take medication? The implanted hair will keep cycling through its normal phases of growth and regeneration, so there is no need to take long-term medication. However, we do recommend application of Minoxidil and/or Finasteride to prevent thinning or hair loss of existing hair.

15 cost Each patient is individual, with individual requirements, so we prefer not to provide a quote or an estimate without having performed an examination and provided an accurate diagnosis. DHI can be 20% more expensive than FUE, but has a consistent hair survival rate of 90%, no matter which of our clinics you attend. FUE has a success rate of between 50-90% and is dependent on the skill and experience of the surgeon you choose. Risks & complications All surgery carries some risks or potential for complications, such as infection, excessive bleeding, poor wound healing or scarring. These risks can be minimised if you are in good general health, with no pre-existing medical conditions and you follow your surgeon's pre and post-operative instructions. Conclusion Hair transplants have come a long way in the last decade and we believe that the DHI procedure is superior to any other method. It is low risk, painless, leaves no scars and provides a permanent solution to hair loss. We have over 50 years experience in hair restoration with 66 clinics globally. If your hair loss is stopping you from enjoying life, we have the solution. Come in for a consultation and see the incredible, natural results we have been able to achieve. We can help you be yourself again, with a little help from science.

HAIR LOSS. Types of Hair Loss

HAIR LOSS. Types of Hair Loss HAIR LOSS Hair loss is a common condition that affects most people (depending on the severity) at some point in their lives. Humans have between 100,000 and 150,000 strands hairs on their head. The number