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.

• 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.

Update: April 19,2011: Dr. Mejia references Telogen Effluvium and understanding of hair loss treatment options after watching Fox News TV segment on hair loss

First of all, you need to understand some of the stages of hair loss to understand the cycle. Generally speaking, 90% of our hairs are in a growth phase. 10% are in a resting or shedding phase. These hairs that are in the resting phase are called the telogen hairs which shed over a three month period. Typically in that stage, 10% of your hairs constitute between 100-150 hairs that are shed per day. Normally we have about 100,000 hairs on our scalp, so an average type of hair loss is between 100-150 hairs per day.

When women start complaining that their hair is falling out like crazy and thereare tons  of strands on the floor and they bring bags of the hair to my office, this is a significant amount of hair loss. What happens is that the hairs that are in the growth phase get shifted into telogen and you get a much higher proportion than normal of hairs in telogen than the anogen, or the growth phase.

The growth phase typically lasts two to five years and usually grows about a centimeter a month. After it grows two to five years, it then enters into this resting phase. Now all of a sudden, if we have an event, and there’s a shift into telogen, you’ll notice a significant amount of hair loss three months after that event.

So what is the event that we are talking about? There are many different causes for these events to cause telogen effluvium or shedding. When patients come in and say to me, “ I woke up today and my hair is shedding like crazy,” I have to ask them what happened three months ago because that is typically the cause of the hair loss today. Some of the responses patients give me are: “I was fasting for weight loss or I was sick and hospitalized.”  Many of these events in our body play havoc with our hair loss, but unfortunately with a three month delay cycle.

Stress due to job loss, divorce, infections, fevers, hospitalizations, medications, new drugs or new pills are also factors for hair loss in women and cause a delayed telogen effluvium.

If you have recenlty been put on an iron medication or even blood loss as for heavy menstruation, you may experience some shock hair loss a little bit later. Chronically, this could lead to iron deficiency anemia or low values in ferritin and we typically recommend that the iron level be checked in a CBC blood test.

Additionally, there are a variety of medications that have been known to be associated with hair loss, beta blockers for the heart or some cholesterol lowering medications. So when we think of hair loss in women or especially the shedding type of hair loss which can also occur in men, we usually have to go three months earlier. It’s like doing a little detective work to figure out what factors were involved to cause the hair loss and therefore out bodies start to show the signs of that three months later.

What can we do today? Sometimes the answer is time and patience. That hair will regrow, but it might take a while to grow back because hair grows slowly about a centimeter per month. Sometimes Rogaine can stimulate new hairs. It can stimulate growth in the antigen phase. But once you start Rogaine, it is a continual process to help the hairs especially if you have a genetic or female pattern type of hair loss.

Another probably cause of hair loss in women is hair breakage and in today’s society there are many chemicals and treatments added to the hair which can cause fragility and fracture of the hair. When you comb your hair and see that there is no bulb or root, then it is more likely it is hair breakage. In that case, then it requires more gentle care with your hair.

Hopfully this has helped you to understand the different causes of hair loss in women . In most cases it will get better on its own with some patience to allow those hairs to grow.

Internal Medicine News Article

Natural Hair Transplant Results are expected with the  advanced procedures Dr. Mejia utilizes in his office. Hair transplant patients should expect that after undergoing the hair surgery, a friend or colleague wouldn’t even notice a hair surgery took place. Fuller denser hair is possible with natural results.

I was overwhelmed by the staffs courtesy and hospitality. All my needs were attended to promptly and patiently. I required another procedure and I came back on 11/12/2007. I will also recommend Dr. Mejia to anyone who may be seeking hair loss treatment. Having hair transplant surgery at Jupiter Hair Restoration has been a great experience for me.

First of all, I would like to express my appreciation to all the staff that performed my surgery. Second, I have seen great team-work at this clinic. For me, each of them are great! Finally, I know that my result will be successful. I received 2267 grafts on 9/13/06 and 1892 on 11/12/07. I can not begin to tell you how comfortable Dr. Mejia and his staff made me feel fantastic. His presence alone and the way he speaks to you makes you feel like you are in the hands of a person who cares about his patients.

I have been in the marketing and sales markets for 12 years and I deal with people from all over the world. You don’t find people who truly love their profession and are genuine. I have called him several times on his cell phone and I couldn’t believe that on the post operation papers he even provides you with his direct number.

“I have to tell you this…………yesterday I got a haircut from a stylist who I had never been to before. Normally I would have such anxiety over someone new cutting my hair as I was always worried that they would cut too much or not do it just right to cover all the bald spots. I never told the stylist that I had a hair transplant. It is growing so natural looking that no one……not even the hair stylist….would ever know.”

I chose Dr. Mejia on the basis of his surgery expertise and his confidence in being able to effect repairs to give my transplanted hairline a much more natural look. You can also benefit like I have. Call his office and schedule an appointment. You will not be disappointed.

Michael, Florida

But hey people this if very personal and with you for life so take is seriously. A sales guy at the BIG BOX companies will push you through and not care about you as a person or the results. These companies have to pay for all of those commercials you see everywhere and guess who pays (you)! That’s what keeps the giant wheel rolling with those places.

Think about it you are picking a person and their skill to cut open the back of your scalp and punch thousands of holes or slices and move lots of hair to the front and attempt to make it look awesome as it can be! They need to be an artist people! My clients look at me all day with my work, so Dr. Mejia did his job and took control and I wanted him to do what he thought would represent his work best on me.

That’s what should happen even when going to just get a haircut at the stylist. His chair-side manner was it for me and I knew he would be the ONE who would be doing and or supervising my whole day in the chair (10) hours for a fact. I was given a very though handout explaining the pre and post-op procedures and I followed them to a t.

I was most worried about the bumpy scarring that could occur and that I’ve seen on some of my own clients in the front and wide scar in the back and how my own body would heal. When I finally made the decision to go for it I had to feel comfortable and confident with my Doctor. Dr. Mejia did the whole consultation thoroughly and concisely. I told Dr. Mejia do it the best you can and if you see me out at dinner somewhere I want you to be able to be proud of what you did for me and say that’s one of my pieces of art! That’s how I feel about my own clients.

At this point in the process and considering the time, pain, and money I would totally do this all over again without a problem picking Dr. Mejia! Dr. Mejia also takes care of all of my own 5 employee’s regular skin treatments and we all love him and his staff!

JH

When I first called to inquire about the procedure, Dr. Mejia’s staff was extremely easy to talk to. They were very kind, very professional and above all, very knowledgeable. They answered every one of my many questions before I decided to schedule the actual consultation with Dr. Mejia.

When I met Dr. Mejia, I felt at ease right away. He was very very kind and very very thorough during the consultation. He answered every question and concern that I had. I knew right away that he was the surgeon that I wanted to have the surgery performed by.
On the day of my surgery, I noticed so many different things, one being the respect that Dr. Mejia and his staff had for one another.

In this day and age when patient and customer service standards have all but diminished, not only was so much kindness extended towards me, but seeing them work together as a team so harmoniously was wonderful.

I believe I was scheduled to have two thousand graphs done that day but because of Dr. Mejia and his staff’s hard work, determination and dedication to their craft, I was given almost a thousand more graphs extra graphs. The procedure took much longer due to that and everyone was amazing. In fact, it was actually fun.

While Dr. Mejia and his staff remained very focuses with such precise hard work, I got to lie there and talk to them about music, movies, actors and all kinds of entertainment. It was great. It would have been very uncomfortable to lie there all that time with silence.

As for the results, I love it! There graphs have been growing in beautifully! I am so happy with the work that Dr. Mejia and his staff did. It’s absolutely amazing! I cannot get over how quickly the graphs started growing in. Everyone around me has been noticing. I am so happy I had it done. I just wish I did not wait as long as I did to continue with hair restoration.

I would have a ton of hair with all the graphs Dr. Mejia did but because I did not go sooner, I will need to go back to have other areas made thicker. And after the fantastic experience I had with Dr. Mejia and his staff, there is no other surgeon or office that I would go to.

I personally would like to thank Dr. Mejia and his entire staff for the utmost kindness and professionalism and I recommend them without hesitation as I am convinced that he is the best surgeon for this procedure.

Sincerely and respectfully, Dennis
Palm Beach Gardens, Florida

Television Reporter investigates hair transplanted follicles. Dr. Mejia speaks about hair restoration.