AGA(male pattern baldness)・Hair loss/thinning hair treatment
If you are worried about thinning hair or hair loss, please visit Elm Clinic.
AGA(male pattern baldness)?
One in three adult men suffers from thinning hair and hair loss!
AGA (androgenetic alopecia) is a type of hair loss unique to men, and many hair problems are also referred to as AGA (androgenetic alopecia). AGA (androgenetic alopecia) generally occurs in men after puberty (20s to 50s), and is characterized by gradual thinning and thinning of hair starting from the hairline of the forehead and the top of the head.The influence of male hormones and genetic and environmental factors are thought to be involved.
AGA(male pattern baldness)is a progressive alopecia
Early treatment makes a difference in results!
AGA (androgenetic alopecia) is characterized by being a "progressive" type of hair loss.Therefore, if you leave it alone, your hair will gradually continue to decrease and the area of thinning hair will progress. This is why early detection and early treatment are said to be important for AGA (androgenetic alopecia).
*Average change in the number of hairs within a 1-inch diameter circle (5.1cm2/500 yen coin)
Average number of hairs before test = 903 See Kaufman KD et al. Eur J Dermatol 2002;12(1):38-49.
AGA(male pattern baldness)・Causes of thinning hair/hair loss
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Case
Effects of male hormones
The main cause of AGA (androgenetic alopecia) is thought to be the influence of male hormones.Testosterone (TH), one of the male hormones, has the function of creating a masculine skeleton and muscles, as well as thickening hair.Generally speaking, men have thicker hair than women because they secrete more testosterone.However, when testosterone is converted by enzymes, it turns into a male hormone called dihydrotestosterone (DHT), which is said to suppress and inhibit hair growth.
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Case
stress
Tension caused by stress causes poor blood circulation and disturbances in the autonomic nervous system.Without sufficient nutrients reaching the hair roots, the function of the hair cells slows down, leading to hair loss and thinning hair.
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Case
Eating habits
Eating too much oil and having an unbalanced diet are also one of the causes of hair loss and thinning hair.Always try to eat a variety of foods in a well-balanced manner.
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Case
Lifestyle habit
There are many cases in which casual lifestyle habits such as smoking, drinking, lack of sleep, exposure to UV rays, exposure to cold weather, and improper hair care can cause hair loss and thinning hair.
How hair works
hair root
Although it is usually hidden under the skin and cannot be seen with the naked eye, it contains important tissues that are necessary for hair growth and maintaining hair health.
Hair matrix cells(Already ugly)
This is the part that repeats cell division and grows hair.It is also the part that determines the color of the hair.
dermal papilla(More new year)
This is an essential tissue for hair growth, and its function is to absorb the nutrients necessary for hair growth.
Sebaceous gland(hishisen)
It secretes sebum to protect the hair and scalp.Excess sebum secretion can clog pores, and conversely, lack of sebum can lead to dryness, which can lead to hair loss.
hair trunk
Generally speaking, this is what we call hair.Each strand of hair is made up of finer tissue.
medulla(Medulla)
This is a tissue located in the center of the hair.Polygonal cells shaped like a honeycomb are lined up in one direction.
fur quality(Cortex)
These are cigar-shaped cells that determine the properties of your hair, such as its color and elasticity.This area is easily affected by chemicals as it is used for perming and hair coloring.
hair epidermis(cuticle)
They are hard, colorless, transparent, scale-like cells with a three-layered structure.It has the role of protecting the epidermis of the hair, and while it is resistant to stimuli such as light, heat, and chemicals, it is vulnerable to physical stimuli such as friction.
Mechanism of hair cycle
Hair has cycles of ``growth phase'', ``catagen phase'', and ``telogen phase''.Each hair has a lifespan, and this cycle repeats every 2 to 5 years for men and 4 to 6 years for women.
Hair tries to keep it in better condition by regrowing, but if the condition of the scalp deteriorates, the balance of the hair cycle will be disrupted, causing thinning or hair loss.Keeping the hair cycle in a normal state is very important in terms of creating an environment for hair growth.
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Growth period(initial)
This is the period during which hair mother cells divide repeatedly and new hair is produced.
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Growth period【XNUMXnd Semester】
This is the period when old hair falls out and new hair grows.If you are suffering from thinning hair or hair loss, the cycle of this growth phase may be shorter.
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Regression period
This is a period in which the division of hair matrix cells that grow hair decreases.Because the hair roots are located shallowly in the scalp, hair falls out easily when you comb or shampoo your hair.
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Resting period
This is the period when the activity of hair matrix cells is completely stopped.The new hair begins to grow again and the old hair falls out.
Types of thinning hair/hair loss
Male pattern baldness(AGA)
The progression pattern of androgenetic alopecia (AGA) can be roughly divided into three types.
A type
This is a type where hair loss and thinning progress from the forehead hairline (frontal region).It is also known as a progression pattern that is often seen in Eastern people.
O type
This type of hair loss/thinning progresses from the top of the head. Compared to types A and M, the symptoms are relatively easy to improve.
M type
This type progresses from the temples to the top of the head.It gradually progresses from a state where the hair becomes thinner, as if it were shaved.
Alopecia areata(XNUMX yen bald)
Specialty
Generally, it is thought of as circular alopecia that occurs on one part of the head, but there are various types, such as hair loss in several places, hair loss along the hairline, and hair loss in eyelashes and body hair.Also, it is not necessarily circular.In some cases, there are no symptoms, and people notice it when someone else points it out to them, such as at a hair salon.
Cause
In addition to mental stress, endocrine abnormalities, autoimmune diseases, and genetic factors, there are also possible causes.
juvenile alopecia(Young bald)
Specialty
It is a hair loss disease that appears at a young age, from teens to 10s.Symptoms appear at an age when physical aging has not yet begun.Hair matrix cells are no longer able to maintain a normal hair cycle, and hair thinning at the forehead hairline and the top of the head becomes thinner, hair loss increases, and thinning hair gradually becomes noticeable.
Cause
In addition to possible hormonal imbalance, other causes include nutritional deficiencies due to excessive dieting, irregular lifestyle habits due to being a night owl, and lack of exercise.In some cases, symptoms can be improved by reviewing lifestyle habits.
seborrheic alopecia(Shirosei Datsumo Sho)
Specialty
This is a case where excess sebum is secreted from the scalp, causing bacteria to grow on the scalp and causing hair loss.Your pores may become red and inflamed, and you may experience a lot of oily dandruff.It also tends to appear in people with a lot of hair.
Cause
Excess sebum is secreted due to hormonal imbalance, which blocks pores and causes inflammation around the pores and hair roots.One possible cause is inflammation that reaches close to the hair root, causing hair to fall out.
Pityriasis alopecia(flying plane)
Specialty
Due to dryness of the scalp, the dead skin cells on the scalp peel off, resulting in a large amount of dandruff.Although there are cases where it appears in combination with seborrheic alopecia, it is a relatively rare alopecia.
Cause
Excessive shampooing and coloring can damage the scalp, cause inflammation, and dry the scalp.
Thinning hair/hair loss treatment process
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Flow of treatmentCounseling by doctors and nurses(About 30 minutes)
At our hospital, we emphasize free consultations with our doctors.Patients who visit us for the first time must receive counseling from a doctor, who will discuss their daily living environment, eating habits, etc.If you have any questions, please contact your doctor directly.*For those who only need counseling, the session ends here.
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Flow of treatmentInitial examination/medical examination
The doctor will palpate and inspect the head.We also perform a comprehensive diagnosis by asking questions about your daily diet, lifestyle, and genetic background.
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Flow of treatmentDeciding and starting treatment
Based on the content of the counseling and examination, we will decide on the treatment and begin treatment.
Treatment details and fees
At our hospital, we provide treatment that focuses on oral medications, topical medications, and injections, depending on the patient's symptoms and concerns.
scalp hair growth injection(3 types of growth factors/EGF)
What is scalp hair growth injection?
A formulation with high hair growth and hair loss suppressing effects is injected directly into the scalp.Because it is injected by machine, it is possible to inject evenly and at a uniform depth.In addition, pain is kept to a minimum by using topical anesthesia.The ideal treatment interval is approximately 2 consecutive treatments, with intervals of approximately 4 weeks.
Scalp hair growth injection ingredients
A growth factor complex (Gross Factor/EGF) that is effective for hair regeneration activates cell proliferation and division, promoting hair growth. In addition to three growth factors: IGF-1 (insulin-like growth factor), bFGF (fibroblast growth factor), and VEGF (vascular endothelial growth factor), coenzyme Q3, which promotes blood flow in the scalp, and sebum secretion Hyaluronic acid, etc., which suppresses hair growth, creates an environment for hair growth.
Effects of scalp hair growth injection
Improvement of thinning hair/fine hair, hormonal hair loss, genetic hair loss, hair loss due to stress/fatigue, aging/dry hair, FAGA (female pattern baldness), AGA (male pattern baldness)
Minoxidil
What is minoxidil?
Minoxidil was the first drug approved by the FDA (U.S. Food and Drug Administration), equivalent to Japan's Ministry of Health, Labor and Welfare, in 1988 as a treatment for androgenetic alopecia.Minoxidil has a vasodilatory effect and was initially taken as a treatment for high blood pressure, but since the 1990s, research and development as a treatment for alopecia has progressed since it was recognized to have a recovery effect on alopecia. Many minoxidil products are manufactured and sold.
Effects of minoxidil
The vasodilating effect of minoxidil increases blood flow to the scalp, which activates cell division.Minoxidil acts directly on the hair matrix cells, distributes nutrients to the hair roots, and has a hair growth effect that promotes hair growth.Topical medicines are mainly effective for hair growth and growth on the top of the head.
Hair growth agent containing minoxidil
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minoxidil tablet(oral medication)
This is minoxidil tablet type.Since it works from within the body, it is highly absorbed into cells and has a high hair growth effect.
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Rogaine(External preparation)
Rogaine is a hair growth stimulant for middle-age alopecia whose main ingredient is minoxidil.Rogaine 5% is available for men.Rogaine 5% contains 5% of the active ingredient minoxidil.
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Pantostin(External preparation)
It suppresses the production of the male hormone dihydrotestosterone (DHT), which is said to be the cause of AGA (androgenetic alopecia).Pantostin is a unisex hair growth topical drug that improves mild hereditary (androgenic) hair loss.
Zagaro(Dutasteride)
What is dutasteride?
Dutasteride (brand name: Zagaro) is a treatment for androgenetic alopecia (AGA) that prevents the production of bad male hormones and normalizes the hair growth cycle.Clinical trials have shown that the number of hair growth increased by 1.6 times, making it an oral hair growth treatment that is attracting attention.It must be taken daily for at least 6 months to determine if it is effective.
Effects of dutasteride
Normally, hair grows back every 2 to 6 years, but the bad male hormone dihydrotestosterone (DHT) shortens and disrupts the hair cycle, which prevents hair from growing completely and leads to hair loss and thinning. It will be.
Dutasteride prevents the male hormone testosterone from being converted to the bad male hormone (DHT).As a result, you can expect the effect of restoring the hair cycle to normal and suppressing and improving the progression of AGA.
Dutasteride prevents the production of DHT by inhibiting the enzyme 5-alpha reductase.While finasteride only inhibits 5α-reductase type I, dutasteride inhibits both type I and type II, thereby more strongly suppressing the progression of AGA.This can also be expected to be effective in improving the progress of thinning hair on the forehead, hairline, and crown of the head.
Propecia(Finasteride)
What is Propecia?
Propecia was approved by the FDA (U.S. Food and Drug Administration) as the world's first ingestible hair growth agent, and is effective as a treatment for AGA (androgenetic alopecia) in more than 60 countries around the world.In Japan, it has been approved by the Ministry of Health, Labor and Welfare since 2005, and in domestic clinical trials, 3% of people felt it was effective after 76 years of use, and it is a highly effective AGA treatment that is prescribed by many medical institutions. is.
Effects of propecia
Finasteride, an ingredient in Propecia, has the effect of suppressing the production of the male hormone dihydrotestosterone (DHT), which is said to be the cause of AGA (androgenetic alopecia).Using Propecia as a single agent can be expected to maintain the status quo and delay the progression of AGA (androgenetic alopecia).
panto girl(B vitamins, amino acids, proteins, etc.)
What is Panto Girl?
Pantogar is an oral medication for hair growth and hair loss prevention that supplements nutrients such as B vitamins, proteins, and amino acids necessary for hair growth.Pantogar was originally an oral drug that was recognized as effective and safe for the first time in the world as a treatment for hair loss in women, but Pantogar can be taken by both men and women as it easily supplies the nutrients necessary for hair growth.
Pantogar effect
Improves hair quality, prevents hair loss, improves thinning hair due to stress, lack of elasticity, brittle hair, dullness of hair, and hair damaged by UV rays.
AGA(male pattern baldness)・Hair loss/thinning hair treatment fees
Sales
Hair growth/hair growth
(tax included)| Menu | Regular fee | Campaign fee | set course |
|---|---|---|---|
| Zagaro [Dutasteride] 1 month supply(Internal hair growth medication) | 10,200 Yen | - | - |
| Propecia [Finasteride] 1 month supply(AGA treatment drug) | 9,000 Yen | - | - |
| Minoxidil 1 month supply(Internal hair growth medication) | 9,800 Yen | - | - |
| Rogaine(Hair growth topical preparation) 1 bottle for men [Hiroshima-in, Okayama-in, Kumamoto-in, Osaka-in] |
8,700 Yen | - | 3 24,500 Yen |
| Velartis(Hair growth topical preparation) 1 bottle for men [Hiroshima-in, Kyoto-in, Omotesando-in] |
8,700 Yen | - | 3 23,490 Yen |
| Pantostin 1 bottle(Hair growth topical preparation) | 11,000 Yen | - | - |
| Pantogirl 1 month supply(Internal hair growth medication) | 13,000 Yen | - | - |
| Lumigan topical preparation 1 box [Hiroshima-in, Okayama-in, Kyoto-in, Kumamoto-in, Osaka-in, Omotesando-in] | 5,500 Yen | - | - |
Side effects
| Internal medicine | Side effects |
|---|---|
| Zagaro [Dutasteride](Internal hair growth medication) | Erectile dysfunction, decreased sexual desire, decreased semen volume, enlarged breasts, liver dysfunction |
| Propecia [Finasteride](AGA treatment drug) | <Side effects> Decreased libido (decreased sexual desire), erectile dysfunction (ED), decreased semen volume, liver dysfunction, depressive symptoms, breast tenderness/enlargement |
| Minoxidil(Internal hair growth medication) | Itching sensation, redness, scaling, folliculitis, palpitations, shortness of breath, edema of limbs, face, etc. |
| Rogaine(Hair growth topical preparation) Men's |
Scalp itching, dandruff, rash, heat sensation, rash |
| Velartis(Hair growth topical preparation) Men's |
Mild scalp dermatitis. (*Avoid contact with eyes or skin mucous abrasions.) Increased orthostatic hypotension. |
| Pantostin(Hair growth topical preparation) | Inflammation such as rash, redness, itching, or tingling on the scalp (*Avoid contact with eyes or skin abrasions.) |
| panto girl (Internal hair growth medication) | Although mild, abdominal pain, diarrhea, dizziness, headache, palpitations, and heartburn |
| Lumigan topical preparation | Conjunctival bloodshot eyes, itchy eyes, eyelid pigmentation (pigmentation around the eyes), corneal erosion (eyes rumbling, pain, glare, tearing), eyelid hirsutism |
About payment methods
You can choose the payment method that suits you.
Various combinations are possible.
- Lump sum cash
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- Medical loan(3 to 60 installments/annual interest rate 8.4%)
For minor patients
If you are a minor, a "parental consent form" is required.Please download and fill out the form in advance and bring it with you, or bring one of your parents with you.
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*Temporary closures may be established.[Business hours] 10:00-19:00 [Closed days] Irregular holidays
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