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      hair & baldness
      hair biology
      Hair originates from a hair follicle; a structure of about 4-5 mm deep in theskin.Hair follicles connect
      to thebody through the dermal papilla. Blood vesselsand lymphatic vessels connect with the dermal
      papilla and sendall importantnutrients, hormones, etc. to the hair follicle for building hair. The
hair
      follicular
unit is composedof 1-3 hairs, a sebaceous gland (produces oil), and an apocrinegland
      (produces odor).
               Hair grows out from the skin as a group of 1-3 hairs and occasionally 4 hairs. When we get older,
               the amount of hair in each group declines from 3 to 2 to 1 and the hair's diameter becomes
               smaller with aging.
 



 
      hair density
      Humans have roughly 1 follicular unit/square mm of scalp.
          
About 2 hairs/unit = 200 hairs/sq. centimeter.
          
100,000 hairs on the scalp = 500 sq. centimeters of scalp.

      hairline shape
      For normal males and females with no baldness or receding hairline, hairline shapes are as follows:




      hair direction
      The normal direction of hair is from the occiput to the nose as a whorl from the back. However,
      some will still have remnants of vellus hair left on the border of the hairline.



      hair cycle
      Each unit of hair grows and rests in cycles. The growing phase (anagen) lasts 3-5 years. The resting
      phase (telogen, catagen) lasts 3-6 months.
             During the catagen and telogen phases, the hair root becomes club hair(dumbbell shaped hair)
             and is ready to fall out. If you rub or massage your head or comb the hair, club hair will fall out.
             This is a normal physiological phenomenon. Each day, approximately 100 hairs will fall out in
             normal men.




      hair synthesis
      Hair stem cells (progenitor or pluripotential stem cells) are located at the orifice of the sebaceous
      gland and the insertion point of the arrector pili muscle (bulge region). Stem cells will produce
      daughter cells at each cycle of hair growth.
             Daughter cells will differentiate to become full follicular units and produce hair. At the end of
             the hair matrix and papilla interaction, each hair cell becomes a dead cell and piles up through
             the hair canal to become a hair shaft growing out of the skin.
             Hair synthesis requires a high metabolic rate in the body. So, in the eventthat anything
             interrupts this process, hair will stop growing and fall out.Examples include chemotherapy for
             cancer, after the shock stage,following typhoid fever, and a few months after delivering a baby.              
 
    
      baldness
      Common baldness or androgenic alopecia is caused by:
        1.
Genetics: the baldness gene found on chromosomes
            is a must for
            baldness.
Baldness is hereditary
            and sometimes occurs even
            without a family history of it;

            baldness can happen because of
            the mutation of genes.
        2.
Male Hormones: testosterone and
            dihydrotestosterone (DHT).
        3.
Aging and degenerating factors.

 
    
      
medicines with some positive effects on hair roots
        1. Minoxidil: increases the size of the hair by
            stimulating blood supplies to the hair root; but,
            it also stimulates unwanted hair on the face and
            body.
        2.
Finasteride & Dutasteride: acts with the anti-male
            hormone (DHT) by stopping the enzyme 5-alpha
            reductase. As a result, any miniature hair on the
            scalp can grow longer. It lessens hair loss but
            finasteride can cause loss of sexual desire and
            infertility.