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Author: Elbert T. Cheng, MD
As we discussed earlier this month, hair loss impacts both men and women at various ages and for a slew of different causes, but the most common one being male or female pattern baldness. No matter what the cause of thinning hair may be for you, there is hope in the many options that are available today. Let’s explore some of the most available treatments for thinning hair and see what plan might be right for you.
Minoxidil was first approved in 1988 to treat androgenetic alopecia (male pattern hair loss). The drug was originally prescribed in oral form to treat high blood pressure. After noticing unexpected hair growth in patients, the drug was trialed topically to treat hair loss. When these FDA trials proved successful, the drug was approved by the FDA for this use.
Using Minoxidil can put a stop to hair loss from male pattern baldness once it has started, and it may even stimulate new hair growth. It works best when started as soon as hair thinning is noticed and must be used continuously to maintain the results. Results in men are further enhanced when Minoxidil is used with an oral prescription medication called Propecia.
Minoxidil is the only drug which is FDA-approved to treat female pattern baldness. It may prolong the growth phase of the hair follicle to slow down or stop hair loss; and up to a quarter of women using Minoxidil actually experience new hair growth. Its results in women are further enhanced with the use of the oral medication Sprinololactone.
While weaker forms of Minoxidil are available over the counter, studies show that higher concentrations of Minoxidil are much more effective and show results sooner. In our office, we dispense a men’s and women’s topical prescription formulation of Minoxidil. We also combine the topical prescription medication with oral prescription drugs (Propecia for men and Spironolactone for women) to maximize results.
Platelet Rich Plasma (PRP) injections have been around for decades, helping athletes to heal from sports-related injuries. The benefits of PRP are now being used to rejuvenate the skin and hair in a gradual fashion. PRP treatments offer an additional, non-invasive weapon in our arsenal against hair loss and thinning.
Platelet Rich Plasma is a concentration of platelets which circulate through the blood and are involved in the clotting process. Rich in growth factors, PRP activates and rejuvenates cells in your body by promoting healing and stimulating tissue growth and collagen formation. PRP can induce a remodeling of the tissue to a healthier and younger state, and we are now discovering this includes hair. Over the last several years, a growing number of physicians have been utilizing it for hair loss with great success.
During this procedure, a small amount of your blood is drawn, the same way blood is taken for routine blood testing. The blood sample is spun in a centrifuge to produce the Platelet Rich Plasma, separating this “liquid gold” from the red and white blood cells. We can introduce PRP to the scalp via microneedling in completely hairless scalp. In areas of thinning, utilizing injections of PRP into the scalp may improve the hair’s quality and quantity.
PRP for hair rejuvenation works best when performed as a series of treatments. We recommend four treatments once per month as the initial treatment and single treatments four months apart for maintenance. Of course, patients see the fastest and best results when they combine PRP treatments with oral and topical treatments.
Over the last several decades, the single greatest advancement in hair restoration surgery is the Follicular Unit Extraction (FUE) technique. Prior to the FUE technique, the traditional way to transplant hair was harvesting a long strip of hair from the back of the scalp or temples, cutting individual groupings of hair by a team of hair technicians, and implanting them into the scalp.
We offer the NeoGraft® FUE system in our office. It eliminates the need to cut a long strip of scalp hair and allows us to individually harvest one or more hair follicles directly from the back of the scalp and, almost immediately, transplant them back into the hair deficient scalp. It avoids long, painful, wide scars in the back or sides of the scalp, which results in a faster recovery and less discomfort after the procedure. In addition, there is no linear scaring with the NeoGraft® FUE technique.
Expectations and goals with any treatment or procedure are important to review during a private consultation. The most important concept to accept about hair loss is that the original density and number of hairs in the scalp will not be replaced. The goal and expectation of hair transplantation is to create the illusion of increased hair density on the scalp and to build self-confidence and self-esteem for the individual with hair loss.
Typically, patients will see the transplanted follicles grow in 3 months after transplantation. Sometimes it can be sooner, and sometimes it can take longer. NeoGraft® transplantation normally has a very good survival rate for hair follicles. Anywhere from 70% to 80% of the transplanted hairs will grow and thrive.
With these effective and affordable options available, there is simply no reason to suffer with hair loss or thinning. There is so much that can be done to help! Call the Center for Facial and Body Rejuvenation today to schedule a complimentary, private consultation to determine the best hair rejuvenation treatments for you.
Disclaimer: The content within this site is not intended to provide diagnosis, treatment or specific medical advice. The products and claims made about specific products and treatments through this article have not been evaluated by the United States Food and Drug Administration and are not approved to diagnose, treat, cure or prevent disease. Please consult with a NeoGraft® Certified Physician or other healthcare professionals regarding any medical or health-related diagnosis.
Elbert T. Cheng, MD has been in practice for over 16 years. His top priority is always to achieve a natural look through the safest possible surgical procedure or office based treatment. With thousands of surgeries and procedures performed, he recognizes the importance of the partnership between the physician, staff, and patient in achieving his patient’s goals. Towards this end, Dr. Elbert T. Cheng and his wonderful staff will support you at every step of your journey towards revitalizing yourself – a journey where the conclusion of a procedure does not mark its end, but its beginning.
Dr. Elbert T. Cheng was raised in Mountain View and attended Stanford for his undergraduate studies. He graduated with honors, achieving a Bachelor of Science degree in Biology. He traveled to England and undertook research and additional studies at Oxford University. Upon completing his Medical Degree at Duke University, he returned to Stanford University for residency in Head and Neck Surgery. After five years of this intense training, he traveled to Indianapolis for one additional year of focused study with the American Academy of Facial Plastic and Reconstructive Surgery. After fellowship, he returned to the San Francisco Bay Area.
Dr. Elbert T. Cheng is passionate about many things in his life, and his wife and children are at the top of the list. He is a member of the American Academy of Facial Plastic and Reconstructive Surgery, the American Academy of Otolaryngology-Head and Neck Surgery, the California Society of Facial Plastic Surgery, and the Santa Clara County Medical Society. Dr. Elbert T. Cheng is a recognized expert in his field and lectures internationally to other physicians.
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Venus Bliss™ is cleared by the FDA and licensed by Health Canada for non-invasive lipolysis of the abdomen and flanks in individuals with a Body Mass Index (BMI) of 30 or less, with the diode laser applicators. The (MP)2 applicator is cleared by the FDA for temporary reduction in the appearance of cellulite, and licensed by Health Canada for temporary increase of skin tightening, temporary circumferential reduction, and temporary cellulite reduction. Venus Bliss™ has CE Mark as a non-invasive medical aesthetic device enabling a comprehensive approach leading to body contouring, addressing fat reduction, skin tightening, circumference reduction, and cellulite reduction.
Venus Versa™ is cleared by the FDA, licensed by Health Canada, and has CE Mark as a multi-application device intended to be used in aesthetic and cosmetic procedures. The SR515 and SR580 applicators are cleared by the FDA, licensed by Health Canada, and have CE Mark for the treatment of benign pigmented epidermal and cutaneous lesions and treatment of benign cutaneous vascular lesions. The HR650/HR650XL and HR690/HR690XL applicators are cleared by the FDA, licensed by Health Canada, and have CE Mark for the removal of unwanted hair and to effect stable long-term or permanent hair reduction for Fitzpatrick skin types I-IV. The AC Dual applicator is cleared by the FDA, licensed by Health Canada, and has CE Mark for the treatment of acne vulgaris. The DiamondPolar™ and OctiPolar™ applicators on the Venus Versa™ system are cleared by the FDA for non-invasive treatment of moderate to severe facial wrinkles and rhytides on females with Fitzpatrick skin types I-IV. The DiamondPolar™ applicator is licensed by Health Canada and has CE Mark for non-invasive treatment of moderate to severe facial wrinkles and rhytides on females with Fitzpatrick skin types I-IV. The OctiPolar™ applicator on the Venus Versa™ system is licensed by Health Canada and has CE Mark for temporary body contouring via skin tightening, circumferential reduction, and cellulite reduction. The NanoFractional RF™ (Viva) applicator is cleared by the FDA, licensed by Health Canada, and has CE Mark for dermatological procedures requiring ablation and resurfacing of the skin.
NeoGraft® is cleared by the FDA, licensed by Health Canada and has CE Mark with indication for use in suction-assisted follicular extraction and re-implantation. It is an auto-graft system and can be used on both male and female patients.
ARTAS iX™ is cleared by the FDA, licensed by Health Canada and has CE Mark with indication for use for harvesting hair follicles from the scalp in men diagnosed with androgenic alopecia (male pattern hair loss) who have black or brown straight hair. ARTAS iX™ is intended to assist physicians in identifying and extracting hair follicular units from the scalp during hair transplantation; creating recipient sites; and implanting harvested hair follicles.
Venus Legacy™ is cleared by the FDA for the non-invasive treatment of moderate to severe facial wrinkles and rhytides in females with Fitzpatrick skin types I-IV with the OctiPolar™ and DiamondPolar™ applicators, and temporary reduction in the appearance of cellulite with the 4D Body (LB2) and 4D Face (LF2) applicators. It is licensed by Health Canada and has CE Mark for the temporary increase of skin tightening, temporary circumferential reduction, temporary cellulite reduction, and temporary wrinkle reduction.
Venus Velocity™ is cleared by the FDA, licensed by Health Canada and has CE Mark for hair removal, permanent hair reduction (defined as the long-term stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the completion of a treatment regimen), and the treatment of pseudofolliculitis barbae for all Fitzpatrick skin types.
Venus Fiore™ received regulatory approval in Israel for aesthetic and functional treatment of the vagina, labia and mons pubis. Venus Fiore™ is available for sale in India, Hong Kong, and other selected Asian countries.
Venus Viva™ is cleared by the FDA, licensed by Health Canada, and has CE Mark for dermatological procedures requiring ablation and resurfacing of the skin. The DiamondPolar™ applicator is cleared by the FDA, licensed by Health Canada and has CE Mark for the treatment of moderate to severe wrinkles and rhytides in Fitzpatrick skin types I-IV.
Venus Freeze Plus™ is cleared by the FDA for the non-invasive treatment of moderate to severe facial wrinkles and rhytides in females with Fitzpatrick skin types I-IV. It is licensed by Health Canada for temporary skin tightening, and temporary reduction in the appearance of cellulite on the abdomen and flanks, using the DiamondPolar™ and OctiPolar™ applicators. The DiamondPolar™ applicator on Venus Freeze Plus™ has CE Mark for the non-invasive treatment of moderate to severe facial wrinkles and rhytides, and the increase of skin tightening, temporary circumferential reduction, and cellulite reduction with the OctiPolar™ applicator.
Venus Heal™ is licensed by Health Canada and can be used for the treatment of both acute and chronic disorders of the musculoskeletal system, such as muscle spasms, back pain, and soft tissue injuries, and results in effects such as pain relief, myorelaxation, increase of local blood circulation, and edema reduction. In the U.S., Venus Heal™ is cleared by the FDA for the relief of minor muscle aches and pain, relief of muscle spasm, and temporary improvement of local blood circulation. These indications enable the treatment of certain soft tissue injuries and conditions.
Venus Glow™ is cleared by the FDA as a Class I motorized dermabrasion device. It provides a dermal rejuvenation treatment that works to open up and deep-clean pores. Venus Concept is the exclusive distributor for Venus Glow™.
Venus Epileve™ is licensed by Health Canada and has CE Mark for hair removal, permanent hair reduction (defined as the long-term stable reduction in the number of hairs re-growing when measured at 6, 9 and 12 months after the completion of a treatment regimen), and the treatment of pseudofolliculitis barbae for all Fitzpatrick skin types. Venus Epileve™ is also CE-Marked for hirsutism.
Venus Freeze™ is cleared by the FDA for the non-invasive treatment of moderate to severe facial wrinkles and rhytides in females with Fitzpatrick skin types I-IV. It is licensed by Health Canada for temporary skin tightening, and temporary reduction in the appearance of cellulite on the abdomen and flanks, using the DiamondPolar™ and OctiPolar™ applicators. The DiamondPolar™ applicator on Venus Freeze™ has CE Mark for the non-invasive treatment of moderate to severe facial wrinkles and rhytides, and the increase of skin tightening, temporary circumferential reduction, and cellulite reduction with the OctiPolar™ applicator.
Venus Swan™ is cleared by the FDA for the non-invasive treatment of moderate to severe facial wrinkles and rhytides, and licensed by Health Canada for the non-invasive treatment of cellulite reduction, skin tightening, and temporary reduction in the appearance of stretch marks.
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