In this video Dr. Mejia talks about folliculitis treatment. The word breaks down to hair follicle and “itis” translates to inflammation, which leads to Folliculitis being the inflammation of the hair follicle.

Folliculitis can be caused to due to irritation from clothing, spandex, shorts, etc. In women it can occur on their lower legs due to constant shaving, ingrown hair follicles and bacterial contamination. If Folliculitis occurs on the body, doctors prescribe an antibiotic and in severe cases an antibacterial body wash soap. If it occurs on the scalp there are similar treatments depending on the clinical situation.

Folliculitis can be very mild, but in some cases such as the scalp, it can be very serious and progress to what is known as “dissecting folliculitis” which results in hair loss and scarring.

If inflammation of the scalp, pimples, or any other signs of folliculitis occur, visit and consult your dermatologist to get the appropriate treatment.

Does Rogaine Work? Yes It Does!

One of the questions Dr. Mejia gets asked alot is “Does Rogaine Work?” The answer is yes. Rogaine is an FDA approved product which contains minoxidil. Minoxidil is an ingredient that has been used for many years that has shown clinical growth in hair follicles.

rogaine [Read more…]

Hair Transplant Alternatives – Non Surgical Hair Growth Products

Non-surgical hair growth products  are becoming increasingly more popular. The keys for effectively treating hair loss are a proper diagnosis by an expert, early intervention and proper education for all of the non-surgical and surgical hair loss solutions.

We offer choices for treating your thinning hair or hair loss:

Propecia or Finasteride: These are oral medications that are for men. It comes in 5mg tablets, so for men, they should be quartered and taken once a day. It is only used in women who cannot get pregnant due to birth defects; therefore the tablets should be halved and taken once a day.


Spironolactone: (women only) This medication is for non childbearing women. It is a tablet and dosages range from 50-100mg twice a day. The medication is a potassium sparing diuretic but functions as an anti-androgen.


Rogaine or Minoxidil: The topical solutions come in 2% for women and 5% for men. They are to be used twice a day to scalp to reactivate your hair’s natural growth cycle by reinvigorating hair follicles that are shrunken due to hereditary hair loss.


The active ingredient in ROGAINE® products, minoxidil, reactivates your hair’s natural growth cycle by reinvigorating hair follicles that are shrunken due to hereditary hair loss. Over time, ROGAINE® products will reduce your hair loss and regrow natural, thicker-looking hair.

PRP/ACell: The newest technology to be used off label to stimulate follicular growth. Effective in both men and women. It is your own blood platelets which contain many growth factors, are injected into the scalp. All these stem cells and growth factors may reactivate the hair follicle thus stimulating hair growth.

The Laser Light Comb: Used three times a week for 8-15 minutes, this low level laser treatment may help stimulate hair growth.


Capillus Portable Low Level Laser Therapy Device: Treatment option for male/female pattern hair loss that emits low level laser to the treatment to the scalp in an effort to stimulate and improve the quality of hair. Recommended use is 30min 3x a week.


Androgenetic and Non-Androgenetic Alopecia Treatments

IMG_2640Dr. Mejia recently spoke at the  American Academy of Cosmetic Surgery in Hollywood, FL. His topics  were “Diagnosing and Managing Male and Female Androgentic Alopecia and Non-Androgenetic Alopecia Treatments: When to Biopsy and or refer.  Below is a recap of his presentation.

Many people embrace being bald and can live under the mantra that “bald is beautiful”. For many other people, their hair is fundamental to their confidence and the burden of hair loss is great. For these patients, hair restoration or a hair transplant utilizing follicular unit transplants or follicular unit extraction may be an option. Many patients would rather have a hair transplant without surgery if it is possible. In these situations, we attempt to grow hair with laser caps or low level laser treatments in combination with medical therapy.  However, a good patient history and clinical diagnosis is essential to ensuring the best possible treatment for the patient. The majority of cases in women are often caused by telogen effluvium, or shedding, and when possible it should be a priority to reassure the patient that everything WILL BE OK!! Patients often experience telogen effluvium 3 months after experiencing stress. For these patients, their hair will come back! In these cases they do not need the Neograft or ARTAS or any other type of laser implants. They do not need to visit Hair Club for men or women as the hair will naturally regrow on its own.

There are many different types of hair loss diseases and it is important for any physician to be able to recognize these diseases. One of these diseases, on the verge of epidemic, is lichen planopilaris. These diseases have treatment plans, but a physician inexperienced with them must be able to know when it is necessary to biopsy or refer a patient to a specialist.

There are many alternative treatment options to androgenetic alopecia when a patient prefers a non-surgical solution. Products such as cosmetic camouflage, micropigmentation, and hair systems are growing in popularity and should be discussed as a possible treatment plan. Other solutions, such as laser therapy and PRP injections are garnering greater and greater support and research but are still relatively experimental and patients should be educated on the fact that these treatments are still new and may or may not lead to hair growth.

When a hair transplant is the best treatment for a patient, it is essential to give a realistic consult. Patients often need multiple surgeries to reach their expectations and that must be conveyed.

Hair Transplant Testimonial from Mo

Recently we had Mo from Kool 105.5 visit us at the office. It has been five years since his hair transplant and sat down with Dr. Mejia for a chat. As you can see from the pictures in the video, he has maintained hair growth all these years.

New Cure for Baldness

There is a new treatment to prevent ongoing hair loss.  Prostaglandin or PGD2 is now thought to play a significant role in the development of Baldness.

Researchers and dermatologists Dr. Luis Garza and Dr. George Cotsarelis of the University of Pennsylvania recently identified a form of prostaglandin, or PGD2, in both mice and men scalp areas where baldness exists. This gives hope that the ability to block the action of PGD2 or its recently identified targeted receptor, GPR44, early in the process of hair loss could prevent or stop hair loss altogether.

In a language both you and I can understand, this means no more male pattern baldness and possibly no more female pattern hair loss.

While the study tested the hair loss causing effects of prostaglandin on the bald areas of mice and men’s heads, future studies may indicate a similar effect in women.

Currently approved therapies for hair loss consist of an orally taken once-a-day tablet called Propecia or Finasteride combined with the topical solutions Rogaine or Minoxidil which is applied to the scalp twice a day as a liquid or foam. Finasteride blocks testosterone from being converted into dihidrotestorone, which has been found to play a significant role in male pattern baldness.  Rogaine  or minoxidil reinvigorates the hair follicle to prevent it from shrinking or miniaturizing.

The exact mechanism through which dihidrotestorone causes male hair loss is unclear. However, with this key development, we might soon see topical solutions of prostaglandin inhibitors applied to scalps to stop the balding process.

Will it work better than minoxidil or finasteride?

This is not clear yet, but test results are certainly promising.  Current studies are testing the effectiveness of topical prostaglandin inhibitors. Test results suggest they work but before we can use prostaglandin inhibitors to treat baldness they must pass tests  for safety and efficacy standards. Though even before the safety tests have been completed, we will likely see an explosion of topically applied products claiming to block prostaglandins without full scientific testing of whether those products actually work.

Not all prostaglandins are alike. This study specifically looks at the PGD2 pathway coupled with the GPR-44  receptor but not the PGD2 receptor 1 (PTGDR).  Consequently it is necessary to test the right topical product on the pathway described. While studies were done in mice and men, we can not jump to the conclusion that any known substance that has the ability to block prostglandins will actually penetrate through the scalp and get into the hair follicle at the cellular level to block prostaglandin D2 in the right concentration to get the action described in this study.

So buyer beware of any future topical product claims. There is new hope in the horizon with this study for gene therapy and possibly the ability for directed gene therapy to completely stop the balding process. Time will tell.

Kudos to Dr. Garza and Cotsarelis  for their research and dedication to combating hair loss.

Hair Loss Solutions – Dr. Mejia’ Opinion On Fox News Show

Hair Loss Solutions for both men and women with hair loss include Rogaine, laser therapy and hair transplantation that can produce natural results. For men, another hair loss treatment is Propecia. In this video, Dr. Mejia discusses some options after a TV show segement he saw today on Fox News. The causes can be many and there are many treatable causes that a board certified physican can help you with.

Dr. Mejia explained many of these causes in the prior post in which he explains telogen effluvium in depth. This will explains the reasons for hair loss and what you can do about it. Many of these hair loss solutions don’t require surgery or medical therapy. It is a basic understanding of what is going on.

However , for those patients that desire more intense density or reconstruction of their hair line or just want to get their hair back that they have lost, then that is when they need to visit their dermatologist and hair restoration surgeonn to help them plan the best alternative and treatment for medical and hair restoration treatment.

Telogen Effluvium And Causes Of Hair Falling Out In Women

Before I explain Telogen Effluvium, we need to differentiate between the  two major causes of hair falling out in women.

  • 1) Genetic – Typically a slow gradual progression of hair loss over time in which most patients don’t see a significant amount of shedding. They notice most of the thinning in the frontal area. The back of the hair looks pretty good. This occurs in a variety of different women and a variety of patterns. Mostly, it is the thinning in the front. They usually retain the frontal hair line.
  • 2) Shedding Type of Hair Loss – This is a distressing type of hair loss which is called telogen effluvium. This is the type of hair loss that comes out in globs.
    There are many different reasons for a shedding type of hair loss.

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Hair Transplant Future Technologies

Dr. Mejia recently attended the American Society of Dermatologic Meeting in Orlando, FL. This article was featured on January 6, 2011 in Internal Medicine News with embedded video shown below.

Internal Medicine News Article

Combining Medical Treatments with Surgical Hair Restoration