The Hair Loss Center

Hevia Cosmetic Dermatology has joined with Dr. Bernard Cohen of the Hair Loss Center and now includes hair loss diagnosis and treatment among its many services.  The newly re-located Center provides comprehensive testing for problematic cases of hair loss; especially hair loss in women.  Cutting edge diagnostic technology includes genetic testing, hormone assays, blood chemistries, hair density and diameter evaluations, hair mass measurements, growth synchronization assays, damage and breakage assays, video microscopy, photo-documentation, hair loss index and profile measurements, infectious disease cultures, scalp biopsy, etc.

Dr. Bernard Cohen is an internationally recognized, award-winning authority in the field of hair science.  For 25 years, he has been Clinical Professor of Dermatology (Voluntary Faculty) at the University of Miami’s School of Medicine.  For the past 12 years, he’s been listed in the prestigious  “Best Doctors in America” and “America’s Top Doctors.”  Dr. Cohen is board certified in both Dermatology and Hair Restoration Surgery.

HOW TO NAVIGATE THE HAIR SCIENCE CENTER LINKS

Listed below are the major topics and links contained within Hair Loss Center site.  Each underlined title links to a more detailed page containing up-to-date information, photos, and graphics.

ANATOMY AND BEHAVIOR OF HAIR

This page contains everything you need to know about the anatomy and behavior of hair.  It’s a good starting place to learn about your hair and how it behaves.

HAIR LOSS IN GENERAL

In spite of perfectly normal health, a large percentage of men and women will experience hair loss in their lifetime. However, there’s a significant difference between hair loss in men and women in terms of the cause, the natural progression, the prognosis, and the treatment.

HAIR LOSS IN MEN

Seventy-five percent of men will have some degree of balding or thinning. The cause is genetic and the medical evaluation is straightforward.  The good news is that thinning is totally preventable if diagnosed early – in many cases reversible. If treatment is started when the loss has just begun, the loss can be stabilized and will get no worse. Genetic testing and other tests help to determine what the future has in store for the man with early balding.

HAIR LOSS IN WOMEN

Twenty-five percent of women will lose hair as a result of thinning.  But other causes of loss, such as shedding and breakage, are not uncommon. The influence of hormones, childbirth, iron deficiency, chemical hair processing, and many other factors can cause hair loss.  Determining the cause of hair loss in women is more complex, and a greater diagnostic challenge.

ALOPECIA AREATA & TRICHOTILLOMANIA

Unlike shedding, which affects the entire scalp, and thinning, which affects the top and front; alopecia areata is a patchy moth-eaten looking loss. Trichotillomania is a patchy loss that is emotionally based. Both disorders can involve the hair of the eyebrows, lashes, and body.

MEDICAL EVALUATION AND TESTING

Although some dermatologists and hair transplant surgeons promote themselves as hair loss “specialists,” only the Hair Loss Center has over 30 years experience and uses state-of-the-art diagnostic testing methods not available elsewhere.  Dr. Cohen, is board certified in both Hair Restoration and Dermatology, and has pioneered scientific diagnostic technologies that have been adopted by other hair research centers throughout the world.

TREATMENT OF HAIR LOSS

A brief visit to the Internet will reveal dozens of products that promise to grow hair.  At the Hair Loss Center we prescribe those that are proven and established effective by the FDA.  Sometimes we conduct studies on yet unproven forms of treatment, and patients may choose to participate.  We have formulated several adaptations of established treatments as well. For example, we can modify or enhance an established formulation like minoxidil, to make it less messy, less irritating to the skin, and more effective in its penetration.

TRACKING THE SUCCESS OF TREATMENT

Prescribing an established hair loss treatment is just the first step.  But how well is the treatment actually working?  Drugs and laser devices have a tendency to work better for some patients than they do for others.  Some patients will improve with a lower dose, or improve with a combination of multiple treatments instead of one. What’s essential is a technology to precisely measure the patient’s response. Many clinics use photos and vague impressions to determine how well their patients are doing – but that requires a long follow-up, and a significant improvement between the before & after.  At the Hair Loss Center, the smallest improvement (or worsening) will be scientifically and precisely measured so that treatment can be promptly and effectively adjusted.

RAPID SCREENING FOR FEMALE HAIR LOSS (THINNING)

Hair loss due to thinning will affect 25% of women in their lifetime.   Unfortunately, the loss is not visible until 50% of the hair is gone!  The Hair Loss Center has developed a simple Rapid Screening test to determine if a woman with normal-appearing hair, has in fact, very early microscopic thinning.  The screening test is positive 10-15 years before thinning becomes visible to the naked eye.  Early diagnosis equals greater treatment success.