1 00:00:01,440 --> 00:00:02,320 This is the Art 2 00:00:02,320 --> 00:00:05,080 Beauty podcast, where we are always reaching for truth and beauty. 3 00:00:05,080 --> 00:00:08,040 Remember, the brands and the people on the show are not paying to be here. 4 00:00:08,040 --> 00:00:09,520 So we get to asking the questions. 5 00:00:09,520 --> 00:00:12,240 We know you want answered because you deserve to be informed 6 00:00:12,240 --> 00:00:15,520 so you can make the best choices for yourself. 7 00:00:15,600 --> 00:00:19,600 With that said, I'm Amber, and today my fabulous co-host is Dr. 8 00:00:19,600 --> 00:00:20,640 Alan Bauman. 9 00:00:20,640 --> 00:00:25,640 He is the CEO and founder of Bauman Medical and he is a world 10 00:00:25,640 --> 00:00:30,520 one of the world's leading experts when it comes to hair restoration surgery. 11 00:00:30,600 --> 00:00:32,600 We are so honored to have you on here today. 12 00:00:32,600 --> 00:00:34,400 How's it going, Dr. Bauman? 13 00:00:34,400 --> 00:00:35,200 It's going great. 14 00:00:35,200 --> 00:00:36,880 Thank you so much for having me on. 15 00:00:36,880 --> 00:00:38,400 It's great to be here with you. 16 00:00:38,400 --> 00:00:40,520 I mean, I know you're in sunny Boca Raton. 17 00:00:40,520 --> 00:00:43,560 I got to tell you it here in New York, I feel like it's been raining normally. 18 00:00:43,560 --> 00:00:48,440 September is my favorite month, but it has just been raining nonstop. 19 00:00:48,520 --> 00:00:49,960 That's hard. 20 00:00:49,960 --> 00:00:50,960 Oh, my hair out. 21 00:00:50,960 --> 00:00:53,960 Except we know that you don't want to do that. 22 00:00:54,200 --> 00:00:55,720 No, please don't pull your hair out. 23 00:00:55,720 --> 00:00:58,360 That would not be good. 24 00:00:58,360 --> 00:01:00,080 So we are here today talking, 25 00:01:00,080 --> 00:01:03,400 you know, about hair loss, hair restoration. 26 00:01:03,600 --> 00:01:08,280 And this is something that I think has become more in the conversation. 27 00:01:08,520 --> 00:01:12,960 You know, there's many more options out there, including things at home 28 00:01:13,040 --> 00:01:15,960 all the way up to surgery and different supplements. 29 00:01:15,960 --> 00:01:17,760 So I'd like to touch on some of that today. 30 00:01:17,760 --> 00:01:20,760 But offhand, do you happen to know 31 00:01:20,920 --> 00:01:23,920 any statistics on hair loss in women and men? 32 00:01:23,920 --> 00:01:26,720 How many people are actually dealing with that? Yeah. 33 00:01:26,720 --> 00:01:29,760 So the American Academy 34 00:01:29,760 --> 00:01:32,960 of Hair Restoration Surgery has really taken a look at this. 35 00:01:32,960 --> 00:01:34,680 And they know that about 80 million 36 00:01:34,680 --> 00:01:38,760 Americans are dealing with hair loss and suffering from it. 37 00:01:38,760 --> 00:01:42,000 So about 50 million men and 30 million women. 38 00:01:42,000 --> 00:01:43,320 But I think that those numbers 39 00:01:43,320 --> 00:01:47,080 undercount the amount of people who are really struggling with everything 40 00:01:47,080 --> 00:01:52,200 from hair shedding to scalp health issues and and other things related to hair. 41 00:01:52,200 --> 00:01:56,240 And especially here we are, I would say, post-pandemic and 42 00:01:56,320 --> 00:01:58,480 and with every single news cycle, 43 00:01:58,480 --> 00:02:02,320 we see some new kind of medication or thing that's causing hair loss. 44 00:02:02,400 --> 00:02:05,960 So I really have seen it over the past 25 years in practice. 45 00:02:05,960 --> 00:02:09,160 I've seen a huge increase in the amount of people 46 00:02:09,160 --> 00:02:12,160 who are coming to us complaining of hair loss 47 00:02:12,200 --> 00:02:17,480 and hair symptoms and scalp symptoms, but also so many new triggers that 48 00:02:17,600 --> 00:02:21,480 it just seems like everything is working against our hair sometimes, you know? 49 00:02:21,560 --> 00:02:24,000 You know, it's funny, we talk a lot on this podcast about, 50 00:02:24,000 --> 00:02:26,840 you know, we talked with nutritionists, other doctors and dermatologists 51 00:02:26,840 --> 00:02:29,800 and even though everybody listening, you know, 52 00:02:29,800 --> 00:02:33,120 to us, our hair is incredibly important. 53 00:02:33,200 --> 00:02:35,320 Really when it comes down to biology. 54 00:02:35,320 --> 00:02:36,960 Our body doesn't think it's that right. 55 00:02:36,960 --> 00:02:40,600 So if your body is fighting for nutrients, if it's trying to 56 00:02:40,680 --> 00:02:43,680 fix your internal organ, the hairs, the hair and the nails 57 00:02:43,800 --> 00:02:48,000 and sometimes the skin are like the last things that our body 58 00:02:48,000 --> 00:02:49,040 is going to pay attention to. 59 00:02:49,040 --> 00:02:50,520 Yeah, that's that's so true. 60 00:02:50,520 --> 00:02:54,440 And I think that's what and evolutionarily it's probably hardwired into our psyche 61 00:02:54,440 --> 00:02:58,040 that, you know, when someone has good healthy head of hair, that that's 62 00:02:58,040 --> 00:03:01,920 a sign of youth and vitality and fertility and all of those good things. 63 00:03:01,920 --> 00:03:05,160 And that's one of the reasons why Hair, I think, is so valuable 64 00:03:05,240 --> 00:03:08,600 as well as it being a way of self-expression, 65 00:03:08,600 --> 00:03:12,760 you know, whether it's a buzzcut or a mohawk or dreadlocks, you know, 66 00:03:12,840 --> 00:03:16,480 all of those different ways that you change your hair over time, 67 00:03:16,560 --> 00:03:20,200 you know, to express ourselves, to express yourself or ourselves 68 00:03:20,280 --> 00:03:21,120 makes a big difference. 69 00:03:21,120 --> 00:03:22,640 But when you start losing it, wow. 70 00:03:22,640 --> 00:03:25,360 Yeah, it can cause a lot of distress for sure. 71 00:03:25,360 --> 00:03:28,960 You know, I have a good girlfriend who was actually on the show 72 00:03:28,960 --> 00:03:32,120 who at a very young age was having thyroid issues 73 00:03:32,120 --> 00:03:34,320 and lost a significant amount of hair, you know, 74 00:03:34,320 --> 00:03:37,320 And as a woman and as a young woman and as a beautiful young woman, 75 00:03:37,320 --> 00:03:42,520 I think that that was I watched her and it was crushing. 76 00:03:42,600 --> 00:03:43,440 She has 77 00:03:43,440 --> 00:03:47,440 since taken she fix the problem. 78 00:03:47,440 --> 00:03:47,800 Right. 79 00:03:47,800 --> 00:03:50,160 So so I don't want to focus too much on her. 80 00:03:50,160 --> 00:03:53,760 But, you know, are you are you finding that when it comes to hair 81 00:03:53,760 --> 00:03:57,680 loss these days, that that it's really runs the gamut of ages? 82 00:03:57,680 --> 00:04:00,240 Are people noticing it younger? 83 00:04:00,240 --> 00:04:04,120 Is it more men than women? 84 00:04:04,200 --> 00:04:07,200 So I think what happens is that, 85 00:04:07,400 --> 00:04:11,000 you know, men, sometimes they suffer in silence when it comes to hair loss. 86 00:04:11,000 --> 00:04:12,800 And then sometimes they just decide 87 00:04:12,800 --> 00:04:16,360 maybe it's time to shave their head and they kind of move on from it. 88 00:04:16,440 --> 00:04:21,280 Obviously, women who are suffering from hair loss don't typically have that option 89 00:04:21,480 --> 00:04:25,160 unless they're going to turn to wigs or weaves or something like that. 90 00:04:25,240 --> 00:04:28,200 So I think women sometimes suffer a little bit more. 91 00:04:28,200 --> 00:04:30,840 Are there more people suffering now than before? 92 00:04:30,840 --> 00:04:32,560 I think we touched on that, absolutely. 93 00:04:32,560 --> 00:04:36,720 And I see patients today in a much younger category coming in 94 00:04:36,920 --> 00:04:38,160 and wanting to do something. 95 00:04:38,160 --> 00:04:41,120 Now, is it because we have such better options, 96 00:04:41,120 --> 00:04:44,560 you know, early interventions, ways to measure hair, 97 00:04:44,640 --> 00:04:47,040 or is it really happening at a younger age? 98 00:04:47,040 --> 00:04:49,440 And I think it's a combination of all of these things 99 00:04:49,440 --> 00:04:54,240 that's really driving patients into seek hair restoration and, 100 00:04:54,320 --> 00:04:57,920 you know, but unfortunately, you know, there are, you know, many sponsors 101 00:04:57,920 --> 00:04:59,200 and even sometimes your local 102 00:04:59,200 --> 00:05:01,280 dermatologist are saying, oh, yeah, we can fix your hair. 103 00:05:01,280 --> 00:05:04,000 But but, you know, unfortunately, they don't have the training, 104 00:05:04,000 --> 00:05:08,200 the expertise or even the treatments on hand to really do the job. 105 00:05:08,280 --> 00:05:10,520 You know, we're certainly see a lot. 106 00:05:10,520 --> 00:05:13,160 Let's get into some of these causes, right? 107 00:05:13,160 --> 00:05:15,400 You know, is it is it genetics? 108 00:05:15,400 --> 00:05:16,840 Is it environment? 109 00:05:16,840 --> 00:05:19,680 Is it a combination of both? 110 00:05:19,680 --> 00:05:19,960 Yeah. 111 00:05:19,960 --> 00:05:22,880 So hair loss can start with genetics for sure. 112 00:05:22,880 --> 00:05:24,760 Male pattern, hair loss, female pattern, hair loss. 113 00:05:24,760 --> 00:05:25,200 We know that 114 00:05:25,200 --> 00:05:29,120 there is a huge genetic component that's passed along from the mom's side 115 00:05:29,120 --> 00:05:33,240 or the dad's side, and that is your predisposition. 116 00:05:33,320 --> 00:05:35,920 But of course, there are so many other factors. 117 00:05:35,920 --> 00:05:39,480 And we say that hair follicles are a very, very sensitive organ. 118 00:05:39,480 --> 00:05:44,080 So let's just say in women, for example, changes in hormone status, whether it be 119 00:05:44,160 --> 00:05:47,760 PCOS, polycystic ovarian syndrome, which can occur during 120 00:05:47,840 --> 00:05:50,520 your most fertile years, supposedly your most fertile years, it's 121 00:05:50,520 --> 00:05:54,240 the most common hormone abnormality of women of childbearing age 122 00:05:54,320 --> 00:05:57,000 can disrupt the hair follicle and, of course, childbirth. 123 00:05:57,000 --> 00:05:58,360 Everybody kind of knows that. 124 00:05:58,360 --> 00:06:00,040 Oh, gosh, once the child's born, 125 00:06:00,040 --> 00:06:04,440 you're going to see some shedding as those hormone levels crash back down to normal 126 00:06:04,520 --> 00:06:07,920 And and your beautiful pregnancy hair starts to fade a little bit. 127 00:06:08,160 --> 00:06:10,400 And then during perimenopause and menopause, again, 128 00:06:10,400 --> 00:06:12,360 hormonal fluctuations, right. 129 00:06:12,360 --> 00:06:15,560 But there's so many other things that can affect your hair as well, 130 00:06:15,640 --> 00:06:18,200 your nutrition, your diet. What are you taking in? 131 00:06:18,200 --> 00:06:20,000 What are the nutrients and fuel? 132 00:06:20,000 --> 00:06:23,440 Because as we said, the hair follicle, maybe that the hair follicle 133 00:06:23,440 --> 00:06:27,440 is one of the most highly metabolic cell populations in the body. 134 00:06:27,520 --> 00:06:30,440 And that's probably why it's so sensitive to so many things, 135 00:06:30,440 --> 00:06:35,040 especially nutrients and fuel and hormones and you name it, 136 00:06:35,280 --> 00:06:40,360 even poor sleep, poor lifestyle choices, toxin exposure, autoimmune issues. 137 00:06:40,360 --> 00:06:41,640 I mean, the list goes on and on. 138 00:06:41,640 --> 00:06:44,280 And then also how we treat our hair, right. 139 00:06:44,280 --> 00:06:49,560 So using chemicals and heat on the scalp and even just braiding 140 00:06:49,560 --> 00:06:53,560 or tight hairstyle nails or wearing extensions, hopefully. 141 00:06:53,560 --> 00:06:55,400 Now, that sounds familiar, but 142 00:06:55,400 --> 00:06:58,840 if it does, those are all things that could put your hair at risk. 143 00:06:58,920 --> 00:07:00,920 And then, of course, stress. 144 00:07:00,920 --> 00:07:03,560 In the modern age, you can't avoid the stress. 145 00:07:03,560 --> 00:07:05,160 The stress is all around us, 146 00:07:05,160 --> 00:07:07,960 but we have to make ourselves more resilient to stress. 147 00:07:07,960 --> 00:07:10,240 We have to work on our stress management skills 148 00:07:10,240 --> 00:07:14,440 so that we can lower that cortisol level as we go into the evening hours 149 00:07:14,520 --> 00:07:18,560 and not have that lingering high level of cortisol that, you know, 150 00:07:18,560 --> 00:07:23,000 deadly stress hormone really over time affecting our hair follicles, too. 151 00:07:23,080 --> 00:07:25,680 I mean, you know, that's like we know stress is the killer. 152 00:07:25,680 --> 00:07:26,480 It's so hard. 153 00:07:26,480 --> 00:07:29,760 But like, how do you really not be stressed in this day and age? 154 00:07:29,760 --> 00:07:32,000 I mean, we can do our best. 155 00:07:32,080 --> 00:07:34,000 You know, when it comes to hair loss. 156 00:07:34,000 --> 00:07:36,440 It's a whole nother podcast. And, you know. 157 00:07:36,440 --> 00:07:40,000 Just maybe we we've done a lot of them. 158 00:07:40,080 --> 00:07:43,480 You know, when it comes to hair loss, there are different types, right? 159 00:07:43,480 --> 00:07:46,080 So you talked about male pattern balding. 160 00:07:46,080 --> 00:07:50,040 But I know personally at a young age I had alopecia areata, right? 161 00:07:50,040 --> 00:07:53,040 A small patch of hair 162 00:07:53,040 --> 00:07:56,560 loss due to stress, which, knock on wood, finally came back. 163 00:07:56,560 --> 00:07:58,320 But man, that was not fun. 164 00:07:58,320 --> 00:08:02,520 Can you run us through some of the different types of hair loss? 165 00:08:02,600 --> 00:08:03,360 Absolutely. 166 00:08:03,360 --> 00:08:06,720 So let's just be clear about male and female pattern hair loss. 167 00:08:06,800 --> 00:08:07,640 Can look different. 168 00:08:07,640 --> 00:08:11,480 So the traditional male pattern, you can recognize it from across the room, right? 169 00:08:11,480 --> 00:08:13,920 You have a receding hairline thinning in the crown. 170 00:08:13,920 --> 00:08:15,480 The bald spots get bigger 171 00:08:15,480 --> 00:08:19,200 and then it could eventually wipe out all the hair on the top of the scalp, 172 00:08:19,200 --> 00:08:21,520 sparing the hair around the sides in the back. 173 00:08:21,520 --> 00:08:24,880 For men, you know, in women, when female pattern hair loss occurs, 174 00:08:24,880 --> 00:08:28,080 usually it's a more diffuse pattern in the frontal zone. 175 00:08:28,160 --> 00:08:29,240 But from the measurements, 176 00:08:29,240 --> 00:08:33,200 we can tell that the hair around the sides in the back stays relatively permanent. 177 00:08:33,280 --> 00:08:35,120 Now, sometimes there are exceptions. 178 00:08:35,120 --> 00:08:39,280 Sometimes women can recede their hairline, especially if they're exposed to 179 00:08:39,360 --> 00:08:42,920 excessive androgens, let's say, during hormone optimization therapy 180 00:08:43,160 --> 00:08:44,520 or PCOS, where 181 00:08:44,520 --> 00:08:48,280 they become more sensitive to androgens, they can actually recede their hairline. 182 00:08:48,360 --> 00:08:51,160 Well, that usually happens much later on in life. 183 00:08:51,160 --> 00:08:52,200 Autoimmune hair loss. 184 00:08:52,200 --> 00:08:56,080 What you mentioned, alopecia areata can happen in little spots 185 00:08:56,120 --> 00:08:59,760 and they can sometimes resolve on their own, triggered by stress 186 00:08:59,760 --> 00:09:04,440 or some other allergy to something in your environment or something you ate. 187 00:09:04,520 --> 00:09:06,480 And but they can also be treated 188 00:09:06,480 --> 00:09:10,320 with things like PRP or corticosteroids which shut down the 189 00:09:10,400 --> 00:09:14,480 the immune system in that area if it tends to progress to alopecia. 190 00:09:14,480 --> 00:09:18,720 So tallis which is loss of the total hair on the top of the scalp or universalis 191 00:09:18,880 --> 00:09:23,880 your whole body then you need systemic medication like JAC inhibitors. 192 00:09:23,880 --> 00:09:27,920 Janice kinase inhibitors are now FDA approved to reverse 193 00:09:28,080 --> 00:09:31,560 alopecia areata totality universalis, which is kind of 194 00:09:31,560 --> 00:09:34,840 interesting and basically works by shutting the immune system down. 195 00:09:34,920 --> 00:09:38,280 But there's other types of alopecia too, traction alopecia 196 00:09:38,440 --> 00:09:41,520 which can be caused by pulling and tugging on the hair So 197 00:09:41,680 --> 00:09:46,240 tight braids, as I mentioned previously, or clipping extensions even, 198 00:09:46,320 --> 00:09:48,120 or wearing hairpieces. 199 00:09:48,120 --> 00:09:52,560 These are all ways that the follicle gets damaged from the outside in, 200 00:09:52,560 --> 00:09:55,640 meaning that you're pulling on the hair, perhaps even tearing that 201 00:09:55,640 --> 00:10:00,560 the hair fiber out of the follicle, and over time that could damage it. 202 00:10:00,640 --> 00:10:03,120 And then, of course, we see scarring alopecia. 203 00:10:03,120 --> 00:10:07,440 Some ethnic populations are more prone to this in Africa than 204 00:10:07,520 --> 00:10:08,640 those of African descent. 205 00:10:08,640 --> 00:10:09,960 We can see scarring. 206 00:10:09,960 --> 00:10:11,280 Alopecia is occurring 207 00:10:11,280 --> 00:10:14,520 centrally in the crown area and then expanding and it's way out. 208 00:10:14,760 --> 00:10:17,720 We think that's probably due to exposure to hair 209 00:10:17,720 --> 00:10:21,400 relaxing agents or those chemical agents that are often used. 210 00:10:21,400 --> 00:10:25,360 They used to call it hot comb alopecia, but it was really probably due 211 00:10:25,360 --> 00:10:26,880 to the chemical exposure. 212 00:10:26,880 --> 00:10:31,360 But scarring alopecia can also occur from things such as plastic surgery 213 00:10:31,360 --> 00:10:36,600 like brow lifts and facelifts, or, God forbid, a trauma to the scalp. 214 00:10:36,680 --> 00:10:41,040 If you've had a facelift or a brow lift, an incision was made somewhere. 215 00:10:41,280 --> 00:10:44,280 And if that incision was made in a hair bearing area, 216 00:10:44,280 --> 00:10:47,280 it could affect the follicles in that zone. 217 00:10:47,400 --> 00:10:52,000 And so very often, especially here in Florida, we're asked to repair 218 00:10:52,080 --> 00:10:55,000 kind of plastic surgery. 219 00:10:55,000 --> 00:10:56,320 Cicala if you will. 220 00:10:56,320 --> 00:10:57,720 You know, the things that typically happen 221 00:10:57,720 --> 00:10:59,920 after plastic surgery, which would be scarring. 222 00:10:59,920 --> 00:11:02,560 And so we can fix all of that. 223 00:11:02,560 --> 00:11:05,040 So every patient needs a, I guess the point is in 224 00:11:05,040 --> 00:11:08,760 so many different types of alopecia is that you need a good diagnosis 225 00:11:08,760 --> 00:11:12,240 and evaluation and measurements to kind of sort through all of this. 226 00:11:12,400 --> 00:11:15,360 Oh, and not to mention things like COVID, which can cause 227 00:11:15,360 --> 00:11:19,000 a telogen effluvium, which is a synchronized shed. 228 00:11:19,080 --> 00:11:24,320 And now we're seeing synchronized shedding from general anesthesia or crash 229 00:11:24,320 --> 00:11:27,520 dieting or ozempic and other semaglutide 230 00:11:27,600 --> 00:11:30,280 injections or even bariatric surgery. 231 00:11:30,280 --> 00:11:33,280 Weight loss surgery can affect your hair in that way, too. 232 00:11:33,440 --> 00:11:36,840 And so a synchronized shed can sometimes reveal an underlying 233 00:11:36,880 --> 00:11:40,440 tendency towards male or female genetic hair loss. 234 00:11:40,520 --> 00:11:43,480 And so we have to figure out how much of each component 235 00:11:43,480 --> 00:11:47,280 is really responsible for what's going on at the level of your scalp. 236 00:11:47,360 --> 00:11:48,440 I mean, you said it before. 237 00:11:48,440 --> 00:11:50,160 What you have made clear, 238 00:11:50,160 --> 00:11:53,560 you know, is that we could probably talk about this one for 5 hours, Right. 239 00:11:53,560 --> 00:11:59,080 Because there are so many different types of hair loss, different causes for it. 240 00:11:59,160 --> 00:12:03,200 So, you know, for those of us listening here, 241 00:12:03,280 --> 00:12:06,440 when when do you think it's like, okay, 242 00:12:06,440 --> 00:12:10,360 I need to now go into an expert versus, you know, when does that amount? 243 00:12:10,360 --> 00:12:12,840 Like what are the signs we should be looking for? 244 00:12:12,840 --> 00:12:14,720 And, you know, 245 00:12:14,800 --> 00:12:16,200 sorry to make this about me, but, 246 00:12:16,200 --> 00:12:21,200 but as my hair got longer, I would notice more hair in the shower. 247 00:12:21,200 --> 00:12:22,240 Let's say. 248 00:12:22,240 --> 00:12:25,720 But I actually, like, talked to one of my very best friends 249 00:12:25,800 --> 00:12:28,720 who used to be a co-host of this podcast, 250 00:12:28,720 --> 00:12:32,280 who was a hairstylist and had hair restoration 251 00:12:32,280 --> 00:12:35,720 surgery and knows everything when he was like, bring it in to me. 252 00:12:35,720 --> 00:12:38,720 And he actually was like, it's just because it's much longer, right? 253 00:12:38,720 --> 00:12:40,360 Like, I don't think you're losing as much. 254 00:12:40,360 --> 00:12:45,160 So with all that said, you know, how can we know, Hey, something here? 255 00:12:45,160 --> 00:12:48,240 I need to go see an expert. Right? 256 00:12:48,240 --> 00:12:51,120 So usually you'll have a gut feeling that something is out of whack. 257 00:12:51,120 --> 00:12:52,280 Something is abnormal 258 00:12:52,280 --> 00:12:56,200 when it comes to either the shedding or the receding or lack of coverage. 259 00:12:56,280 --> 00:13:00,040 Maybe you have to change your hairstyle to cover a widening part line. 260 00:13:00,120 --> 00:13:03,080 You know, there are many different signs and symptoms that can occur. 261 00:13:03,080 --> 00:13:05,520 Obviously, if your scalp is irritated or inflamed, 262 00:13:05,520 --> 00:13:08,040 you know, that could also trigger this kind of a problem. 263 00:13:08,040 --> 00:13:11,760 But it's important to note that shedding is not always a bad thing. 264 00:13:11,760 --> 00:13:15,560 So sometimes people have seasonal shedding where they just notice in the fall 265 00:13:15,560 --> 00:13:16,840 or even sometimes in the spring, 266 00:13:16,840 --> 00:13:21,600 they have a seasonal shed where they tend to just lose more hair around that time. 267 00:13:21,600 --> 00:13:25,440 And the reason why shedding occurs every single day in your brush 268 00:13:25,440 --> 00:13:29,800 or on your pillow is that hair follicles cycle on and cycle off. 269 00:13:29,880 --> 00:13:30,720 If they didn't, 270 00:13:30,720 --> 00:13:33,960 everybody would be walking around with hair all the way down to their heels. 271 00:13:33,960 --> 00:13:37,400 And so it's kind of amazing. 272 00:13:37,480 --> 00:13:37,680 Yeah. 273 00:13:37,680 --> 00:13:40,160 And there are some Instagram women out there that do that. 274 00:13:40,160 --> 00:13:43,920 So, yeah, you know, they're Guinness world record holders, I guess. 275 00:13:43,920 --> 00:13:44,920 Right. 276 00:13:44,920 --> 00:13:48,240 But the point is, is that normal people have a growth cycle 277 00:13:48,240 --> 00:13:50,000 that lasts about 5 to 7 years. 278 00:13:50,000 --> 00:13:51,760 And so that would be a ponytail, Right. 279 00:13:51,760 --> 00:13:55,920 And then the follicle shuts down and then we'll produce another hair 280 00:13:55,920 --> 00:13:57,280 in about three months. 281 00:13:57,280 --> 00:14:00,000 So there's like a three month lag time 282 00:14:00,000 --> 00:14:03,480 when the follicle has to let's just call it reboot itself, right? 283 00:14:03,480 --> 00:14:06,480 And going from the resting phase into the growing phase. 284 00:14:06,680 --> 00:14:10,560 And as it transitions into that next growing phase, at some point, 285 00:14:10,800 --> 00:14:13,560 the hair fiber that we see, which is basically dead keratin 286 00:14:13,560 --> 00:14:16,760 tissue like your fingernail is going to shed, it's going to come out. 287 00:14:16,840 --> 00:14:18,800 What's interesting is that her fingernails don't do that. 288 00:14:18,800 --> 00:14:20,880 That would be kind of interesting, right, If her fingernails shed 289 00:14:20,880 --> 00:14:24,480 and then grew another one, that would be weird, but hair does. 290 00:14:24,560 --> 00:14:27,080 But if you have a synchronized shedding, always, 291 00:14:27,080 --> 00:14:29,680 we want to look back, hey, what happened six weeks ago? 292 00:14:29,680 --> 00:14:33,560 Because usually that's around the time that something happened. 293 00:14:33,600 --> 00:14:36,880 And, you know, unless you had, you know, chemotherapy, God forbid, 294 00:14:36,880 --> 00:14:40,920 or something like that, usually it's a little bit further back in time. 295 00:14:41,000 --> 00:14:45,040 So you're blowing my mind right now because I. 296 00:14:45,120 --> 00:14:45,680 Did you say 297 00:14:45,680 --> 00:14:49,600 5 to 7 years is the hair normal growth. 298 00:14:49,600 --> 00:14:50,640 Cycle. 299 00:14:50,640 --> 00:14:51,120 Okay. 300 00:14:51,120 --> 00:14:54,120 Because I was in the impression that hair in general you 301 00:14:54,160 --> 00:14:59,120 then you mentioned six weeks is on this like 6 to 8 week 302 00:14:59,200 --> 00:15:00,760 kind of 303 00:15:00,760 --> 00:15:01,880 maybe it's just eyelashes. 304 00:15:01,880 --> 00:15:06,600 Eyebrows are more of like the 6 to 8 week cycle cycle. 305 00:15:06,680 --> 00:15:09,120 But your hair on your head is 5 to 7 because I guess it makes sense. 306 00:15:09,120 --> 00:15:10,920 You wouldn't be losing your hair every 6 to 8 weeks. 307 00:15:10,920 --> 00:15:12,240 That would be traumatic, right? 308 00:15:12,240 --> 00:15:15,720 So just imagine, you know, a quarter to a half inch a month, 309 00:15:15,840 --> 00:15:19,080 how long it takes you to basically grow out a thicker ponytail. 310 00:15:19,080 --> 00:15:20,400 It could take a lot of time. Right. 311 00:15:20,400 --> 00:15:23,920 And so even a hair transplant, when we when we implant those follicles, 312 00:15:23,920 --> 00:15:25,560 it does take a full year 313 00:15:25,560 --> 00:15:28,800 to see the final result from that procedure because the hair grows 314 00:15:29,000 --> 00:15:33,040 at about a centimeter a month or quarter to a half inch a month 315 00:15:33,120 --> 00:15:34,080 on an average basis. 316 00:15:34,080 --> 00:15:37,520 So and then remember, it's going to grow about 5 to 7 years. 317 00:15:37,520 --> 00:15:39,600 It's going to produce that hair fiber. 318 00:15:39,600 --> 00:15:41,000 And then at some point after that, it's 319 00:15:41,000 --> 00:15:44,920 going to shut down that reboot cycle, which takes about three months. 320 00:15:45,000 --> 00:15:48,000 So when you're talking about eyelashes and eyebrows, 321 00:15:48,000 --> 00:15:50,880 the growth is typically a little bit slower 322 00:15:50,880 --> 00:15:53,480 in terms of how fast the hair is produced. 323 00:15:53,480 --> 00:15:56,160 And the growth cycles, typically for eyelashes, 324 00:15:56,160 --> 00:15:58,120 for example, are about 100 days. 325 00:15:58,120 --> 00:16:00,320 And and then those will shed out. 326 00:16:00,320 --> 00:16:05,480 So it's normal to again, also lose eyebrow hair and eyelashes with time. 327 00:16:05,640 --> 00:16:06,480 But theoretically, 328 00:16:06,480 --> 00:16:11,120 it should be replaced by other follicles kicking in just like on your scalp. 329 00:16:11,200 --> 00:16:16,200 If you're losing 100 to 200 strands per day in a normal head of hair, 330 00:16:16,200 --> 00:16:20,320 which is about the average, you should hopefully be replacing 100 or 200 331 00:16:20,320 --> 00:16:24,320 strands a day as those hair follicles are then kicking back into action 332 00:16:24,560 --> 00:16:28,080 from their resting phase that had started three months prior. 333 00:16:28,160 --> 00:16:30,200 But the problem is, is when that gets out of whack, 334 00:16:30,200 --> 00:16:34,240 when it's out of balance and your ponytail volume starts to decrease 335 00:16:34,320 --> 00:16:35,760 and you see a lot of thinner, 336 00:16:35,760 --> 00:16:39,600 weaker, wispy your hair, people often say, oh, my hair is breaking. 337 00:16:39,600 --> 00:16:41,320 You know, they look and they see they part their hair 338 00:16:41,320 --> 00:16:44,400 and they see these little tiny spikes of of hair sticking up more 339 00:16:44,400 --> 00:16:47,400 than they used to, but not really breakage, 340 00:16:47,480 --> 00:16:51,480 except it's really the hair follicle not growing that five years. 341 00:16:51,640 --> 00:16:53,720 It's only growing a little bit of time. 342 00:16:53,720 --> 00:16:56,000 You're only seeing that half inch of hair 343 00:16:56,000 --> 00:16:58,640 and then it's turning off and then turning on again. 344 00:16:58,640 --> 00:17:02,280 Again, you're seeing only that short amount of hair. 345 00:17:02,360 --> 00:17:05,360 Wow. You know, I know that 346 00:17:05,520 --> 00:17:09,440 like I said, there's so much information to take in here. 347 00:17:09,440 --> 00:17:12,240 But, you know, when if we start to notice something, 348 00:17:12,240 --> 00:17:16,400 if we're feeling like something's not right, do we immediately go to a hair 349 00:17:16,400 --> 00:17:20,160 restoration expert or a hair expert, or is that something you would start with, 350 00:17:20,160 --> 00:17:22,160 like your GP? 351 00:17:22,160 --> 00:17:23,400 Well, unfortunate. 352 00:17:23,400 --> 00:17:27,160 Well, look, if you know that you're having some kind of a medical condition, 353 00:17:27,240 --> 00:17:30,160 you feel like, you know, you've come down with something or like, 354 00:17:30,160 --> 00:17:32,120 God forbid, you, you know, you had COVID or something. 355 00:17:32,120 --> 00:17:34,400 I mean, what if you know that there's something wrong 356 00:17:34,400 --> 00:17:37,760 with your health and wellness and of course, go see your primary doctor? 357 00:17:37,840 --> 00:17:40,520 Unfortunately, however, they're going to be very ill 358 00:17:40,520 --> 00:17:43,520 equipped to determine what's going on with your hair. 359 00:17:43,560 --> 00:17:46,720 So, I mean, I've yet to find a primary doctor with a microscope 360 00:17:46,720 --> 00:17:48,000 that could actually look at your scalp. 361 00:17:48,000 --> 00:17:50,880 And obviously, that's something that we've been using here for almost 20 years. 362 00:17:50,880 --> 00:17:51,160 Right. 363 00:17:51,160 --> 00:17:54,080 Video microscopes have been available since 1999 364 00:17:54,080 --> 00:17:55,920 and before that, it was a handheld scope. 365 00:17:55,920 --> 00:17:58,720 So, you know, we can look at your scalp and see what's going on. 366 00:17:58,720 --> 00:17:59,040 Today. 367 00:17:59,040 --> 00:18:03,760 We have a high powered microscopes that literally count every hair on your head. 368 00:18:03,840 --> 00:18:06,480 I have a device that can actually number the hairs 369 00:18:06,480 --> 00:18:09,840 on your head and go back to the same area again and again, 370 00:18:09,920 --> 00:18:14,160 even to see what hairs are growing or not, what new hairs are growing 371 00:18:14,160 --> 00:18:15,000 or not in that area. 372 00:18:15,000 --> 00:18:18,400 And even to track pigmentation in those zones. 373 00:18:18,480 --> 00:18:19,800 You know, I was going to ask you, 374 00:18:19,800 --> 00:18:22,960 because there is that old adage, no, going back to this 5 to 7 year thing 375 00:18:22,960 --> 00:18:26,880 where if you pluck a gray hair, you know, three more are going to grow in 376 00:18:26,880 --> 00:18:28,360 it in its place. 377 00:18:28,360 --> 00:18:30,840 Is that is that true? Is that no life scale? 378 00:18:30,840 --> 00:18:34,000 Well, whether you pluck it or not, I have to tell you that 379 00:18:34,080 --> 00:18:35,520 you're going to continue to get more gray. 380 00:18:35,520 --> 00:18:37,200 I mean, that's just a progressive condition. 381 00:18:37,200 --> 00:18:38,000 That's like saying, 382 00:18:38,000 --> 00:18:41,200 you know, if you if you zap a wrinkle, you're going to have three more. 383 00:18:41,200 --> 00:18:43,640 You know, the wrinkles are going to happen right? 384 00:18:43,640 --> 00:18:46,440 So we have to fight against the graying. 385 00:18:46,440 --> 00:18:51,040 I think there have been things, you know, like maybe the use of zinc and such, 386 00:18:51,120 --> 00:18:54,120 you know, around the time of the pandemic to kind of boost our immunity 387 00:18:54,240 --> 00:18:56,640 that have maybe displaced copper in our bodies. 388 00:18:56,640 --> 00:18:57,480 And that's one of the things 389 00:18:57,480 --> 00:19:00,480 that we're really interested in, is using copper peptides 390 00:19:00,680 --> 00:19:02,160 for improving pigmentation. 391 00:19:02,160 --> 00:19:03,360 Maintaining pigmentation. 392 00:19:03,360 --> 00:19:06,600 We can get into how we kind of do that here in the practice 393 00:19:06,680 --> 00:19:07,520 a number of different ways. 394 00:19:07,520 --> 00:19:10,440 You can do it at home and also in the office. 395 00:19:10,520 --> 00:19:13,080 But the bottom line is, is that if you think that 396 00:19:13,080 --> 00:19:16,400 you having a hair problem, if you're running to a dermatologist 397 00:19:16,400 --> 00:19:19,880 who's not an expert, not board certified in hair restoration, 398 00:19:19,960 --> 00:19:23,760 you're likely not going to get a full evaluation there. 399 00:19:23,760 --> 00:19:27,400 So it takes us an hour to do an evaluation for hair. 400 00:19:27,480 --> 00:19:31,040 When was the last time you spent an hour at the dermatologist 401 00:19:31,120 --> 00:19:33,960 speaking to the speaking to the doctor, maybe waiting an hour 402 00:19:33,960 --> 00:19:36,960 for him in the waiting room, but you know, or her. 403 00:19:37,040 --> 00:19:42,720 But a hair restoration specialist is going to have a unique ability to dissect into 404 00:19:42,800 --> 00:19:48,080 your medical history, your hair loss history, your hair health history. 405 00:19:48,160 --> 00:19:50,440 And you know what we do here in the practice? 406 00:19:50,440 --> 00:19:53,360 It's a very, very holistic approach these days. 407 00:19:53,360 --> 00:19:57,280 We're very keen on prevention, We're very keen on 408 00:19:57,360 --> 00:20:00,040 looking at other things that might be influencing your hair. 409 00:20:00,040 --> 00:20:03,600 I have an entire functional medicine department inside the practice. 410 00:20:03,760 --> 00:20:05,480 I have a psychology department 411 00:20:05,480 --> 00:20:08,600 which is a hair and scalp health department inside the practice. 412 00:20:08,600 --> 00:20:13,240 And so very often patients will start to connect with me virtually first. 413 00:20:13,320 --> 00:20:15,960 And obviously we can't do our measurements 414 00:20:15,960 --> 00:20:18,800 over the Internet, but just like we're talking today, you can send me 415 00:20:18,800 --> 00:20:22,080 some photos, some medical history, I can ask more detailed questions. 416 00:20:22,200 --> 00:20:26,160 We can send a DNA kit out to you if we needed to, to do that. 417 00:20:26,240 --> 00:20:29,600 There's a lot of ways to figure out what's going on before you physically 418 00:20:29,600 --> 00:20:30,760 come in the office. 419 00:20:30,760 --> 00:20:33,200 But eventually, if you have a hair problem, 420 00:20:33,200 --> 00:20:35,400 it doesn't get better on its own, right? 421 00:20:35,400 --> 00:20:38,080 It's only going to get worse. So you need to take some action. 422 00:20:38,080 --> 00:20:39,400 And you know, 423 00:20:39,400 --> 00:20:43,360 when we say in the in the field of hair loss is that time is follicle. 424 00:20:43,440 --> 00:20:46,800 So every hour, day, week, 425 00:20:47,040 --> 00:20:51,040 month, year that you delay treatment, the more hair you're going to lose. 426 00:20:51,040 --> 00:20:55,320 So, you know, time is of the essence to get it sorted, at least measured. 427 00:20:55,320 --> 00:20:57,040 So you know what's going on. 428 00:20:57,040 --> 00:21:00,720 So, you know, before we get into what happens 429 00:21:00,720 --> 00:21:04,680 with in your practice, you know, you mentioned before copper peptides. 430 00:21:04,680 --> 00:21:07,680 Are there things that we could be doing at home? 431 00:21:07,760 --> 00:21:10,000 Obviously, you know, 432 00:21:10,080 --> 00:21:11,920 we know that it's not going to be the same. 433 00:21:11,920 --> 00:21:13,320 What you're going to get in a bottle is never be 434 00:21:13,320 --> 00:21:16,200 the same as a needle, is never be the same as going under a knife. Right. 435 00:21:16,200 --> 00:21:19,200 But but are there things that we could be doing 436 00:21:19,360 --> 00:21:23,560 at home to help protect our hair, 437 00:21:23,640 --> 00:21:26,640 whether or not we're dealing with hair loss to help boost it? 438 00:21:26,840 --> 00:21:28,440 And then, of course, if we are dealing with hair 439 00:21:28,440 --> 00:21:31,960 like are there things that you're seeing now as as technology has changed, as 440 00:21:32,200 --> 00:21:36,840 the world is changing that you would recommend to people at home? 441 00:21:36,920 --> 00:21:37,960 No, absolutely. 442 00:21:37,960 --> 00:21:38,760 I mean, you know, 443 00:21:38,760 --> 00:21:40,120 we've already spent a little bit of time 444 00:21:40,120 --> 00:21:43,400 talking to all those things that could potentially influence your hair. 445 00:21:43,400 --> 00:21:46,680 And so whether it's your lifestyle choices, how good your sleeping, 446 00:21:46,680 --> 00:21:50,600 if you're getting very jetlagged from doing business trips or 447 00:21:50,680 --> 00:21:54,000 or maybe you're socially jetlagged, staying out late on the weekends, but, 448 00:21:54,120 --> 00:21:57,000 you know, getting up early during the week and things like that, 449 00:21:57,000 --> 00:21:58,360 you know, your nutritional status, 450 00:21:58,360 --> 00:22:00,720 are you losing weight, Are you taking good care of yourself? 451 00:22:00,720 --> 00:22:02,760 What is your what is your your plate of food 452 00:22:02,760 --> 00:22:06,600 look like on a regular daily basis and your overall health status? 453 00:22:06,600 --> 00:22:09,400 I mean, obviously, there's so many ways for us to evaluate 454 00:22:09,400 --> 00:22:13,080 that ourselves at home now and even to the point where you could 455 00:22:13,160 --> 00:22:17,160 have blood tests ordered at home, you know, they can you know, you can have 456 00:22:17,160 --> 00:22:20,800 a phlebotomist come to your house and take a, you know, a routine blood test. 457 00:22:20,800 --> 00:22:23,480 And very often when patients start with us, virtually, 458 00:22:23,480 --> 00:22:23,680 you know, 459 00:22:23,680 --> 00:22:25,680 we order those things for for patients 460 00:22:25,680 --> 00:22:27,760 if they haven't been able to do it on their own. 461 00:22:27,760 --> 00:22:29,400 But let's just start with the basics. 462 00:22:29,400 --> 00:22:32,440 You know, hair care is important for a number of different reasons. 463 00:22:32,440 --> 00:22:34,280 Obviously, the right shampoo and conditioner 464 00:22:34,280 --> 00:22:38,160 is important for that strand of hair to make it look okay and perform okay, 465 00:22:38,400 --> 00:22:39,840 depending on how much oil 466 00:22:39,840 --> 00:22:42,680 your scalp produces and the kinds of products that you use 467 00:22:42,680 --> 00:22:45,400 and your style and the thickness and the quality of the hair. 468 00:22:45,400 --> 00:22:49,360 So choosing just the simple right product can have a huge cosmetic effect 469 00:22:49,440 --> 00:22:50,360 on your hair. 470 00:22:50,360 --> 00:22:53,000 That doesn't necessarily mean grow more hair. 471 00:22:53,000 --> 00:22:54,000 It means make whatever hair 472 00:22:54,000 --> 00:22:57,920 you have perform better and look better, look more voluminous. 473 00:22:57,920 --> 00:22:59,200 And that that's okay. 474 00:22:59,200 --> 00:23:03,280 We've got all kinds of stylers from salt sprays to 475 00:23:03,360 --> 00:23:06,640 to smoothing treatments, you know, that are under the Baumann brand 476 00:23:06,720 --> 00:23:10,720 that can be helpful for that, but most importantly, keeping the scalp healthy. 477 00:23:10,800 --> 00:23:13,440 So again, if your scalp is inflamed, if it's irritated, 478 00:23:13,440 --> 00:23:17,040 it's itchy, it's dry, it's flaky, or it's overly oily 479 00:23:17,120 --> 00:23:20,120 or God forbid, you know, you have severe dermatitis or some other issue, 480 00:23:20,320 --> 00:23:23,320 you know, that has to be rectified, that has to be handled. 481 00:23:23,320 --> 00:23:27,160 If you're going to grow good quality hair, if you have inflammation at the scalp, 482 00:23:27,240 --> 00:23:30,240 like that's the first thing that we try to fix, right? 483 00:23:30,240 --> 00:23:33,360 So then we're into like, you know, the nutrients and fuels. 484 00:23:33,360 --> 00:23:34,960 So I always think like, you know, 485 00:23:34,960 --> 00:23:39,840 what can we do for protein, whether it's protein, collagen, powders or or vitamins 486 00:23:39,840 --> 00:23:43,320 and minerals, is it probiotics to reduce overall inflammation in the body? 487 00:23:43,560 --> 00:23:46,760 And then we get into more specific things like what are the herbs, you know, 488 00:23:46,760 --> 00:23:49,560 should we be on anti inflammatory herbs like Kirkman's marriage? 489 00:23:49,560 --> 00:23:52,120 Should we be on ashwagandha for stress? 490 00:23:52,120 --> 00:23:56,600 Should we be on, you know, something else that's going to help recruit stem cells 491 00:23:56,600 --> 00:23:59,880 out of our bone marrow, something specific for mitochondrial function? 492 00:23:59,880 --> 00:24:03,280 I mean, these are some things that again, we have under the Baumann brand 493 00:24:03,280 --> 00:24:04,800 and there are other things that we've curated 494 00:24:04,800 --> 00:24:07,280 that we have in our e-store that are very helpful. 495 00:24:07,280 --> 00:24:10,680 And patients do find that if they measure their hair 496 00:24:10,760 --> 00:24:13,840 that very often, sometimes there's a little missing nutrient there 497 00:24:14,080 --> 00:24:15,960 and it really, really helps 498 00:24:15,960 --> 00:24:18,840 because again, if you're losing weight or you're protein deficient, 499 00:24:18,840 --> 00:24:21,840 I mean you got to have protein or you're not going to build hair. 500 00:24:21,840 --> 00:24:23,800 What are your thoughts on Biotin? 501 00:24:23,800 --> 00:24:27,160 You know, I don't know if it's like a placebo effect, but 502 00:24:27,240 --> 00:24:29,360 I took it for a long time that I stopped taking it 503 00:24:29,360 --> 00:24:31,800 and I felt like, wow, my hair wasn't as good and I'm back on it. 504 00:24:31,800 --> 00:24:33,520 I mean, yeah. 505 00:24:33,600 --> 00:24:34,080 Yeah. 506 00:24:34,080 --> 00:24:37,000 Vitamin E, vitamin A, biotin or B7 part of the B 507 00:24:37,000 --> 00:24:40,720 complex, also often called vitamin H for hair. 508 00:24:40,800 --> 00:24:43,520 You know, it seems like we're all kind of born with this knowledge 509 00:24:43,520 --> 00:24:47,200 that biotin can help our our skin or hair and our nails. 510 00:24:47,280 --> 00:24:51,920 And so but unfortunately because biotin is cheap and it's like 511 00:24:52,000 --> 00:24:57,560 essentially generic big Pharma doesn't really care to do any kind of research. 512 00:24:57,640 --> 00:25:00,320 And so people say, oh, well, there's no, you know, super 513 00:25:00,320 --> 00:25:03,400 high quality science that shows that biotin does anything. 514 00:25:03,400 --> 00:25:05,120 And actually that's not really true. 515 00:25:05,120 --> 00:25:08,920 There are some good studies that show that biotin improves nails, so 516 00:25:08,920 --> 00:25:14,040 the thickness of your fingernails improve when you increase your biotin intake. 517 00:25:14,120 --> 00:25:16,880 Is it true that biotin deficiencies rare? Yes. 518 00:25:16,880 --> 00:25:19,800 But it's also true that biotin is relatively innocuous. 519 00:25:19,800 --> 00:25:21,040 It's very, very safe. 520 00:25:21,040 --> 00:25:24,160 You pick it out if you're taking too much. 521 00:25:24,240 --> 00:25:25,360 Years ago, 522 00:25:25,360 --> 00:25:29,400 2500 to 5000 biotin a day was kind of the standard. 523 00:25:29,400 --> 00:25:31,400 Today, most practitioners will, 524 00:25:31,400 --> 00:25:35,480 if they do recommend biotin, recommend 10,000 micrograms. 525 00:25:35,480 --> 00:25:36,600 That is okay. 526 00:25:36,600 --> 00:25:40,000 So ten 10,000 micrograms is a pretty standard dose. 527 00:25:40,080 --> 00:25:42,640 But as I said, you know, you can't overdose on biotin. 528 00:25:42,640 --> 00:25:44,920 You're going to pick out what you don't need. 529 00:25:44,920 --> 00:25:47,160 And for you know, I know it's a controversial topic 530 00:25:47,160 --> 00:25:48,480 and I don't really know why 531 00:25:48,480 --> 00:25:51,040 there's such a controversy about something that's so safe. 532 00:25:51,040 --> 00:25:54,800 But, you know, what we've noticed in our practice 533 00:25:54,800 --> 00:25:59,400 is that truly, again, if you measure hair color, quality, texture and shine, 534 00:25:59,400 --> 00:26:03,640 as well as her density hair volume, with all the different metrics that we use, 535 00:26:03,720 --> 00:26:06,840 very often we get a very nice improvement in those metrics. 536 00:26:06,840 --> 00:26:11,040 I'm not saying miraculous, but very often with a good quality 537 00:26:11,160 --> 00:26:14,760 biotin supplement consistent over time. 538 00:26:14,840 --> 00:26:17,520 So, I mean, are you going to get it from GNC or Amazon 539 00:26:17,520 --> 00:26:19,440 or maybe I don't know if that's such great quality, 540 00:26:19,440 --> 00:26:22,880 I wouldn't recommend I don't take, you know, vitamins from from Amazon. 541 00:26:22,880 --> 00:26:23,920 I don't know where they've been stored. 542 00:26:23,920 --> 00:26:26,760 I don't know if they're even what they say they are on the bottle. 543 00:26:26,760 --> 00:26:30,240 So good quality supplements are critical 544 00:26:30,240 --> 00:26:32,880 and especially since there's very little regulation in that regard. 545 00:26:32,880 --> 00:26:37,520 So if I'm going to take it myself, I'm not of that company that's producing it, 546 00:26:37,520 --> 00:26:38,880 the manufacturing process. 547 00:26:38,880 --> 00:26:40,520 I'm going to go and visit them. 548 00:26:40,520 --> 00:26:43,440 I'm going to look at their clean rooms and that's how we're going to curate 549 00:26:43,440 --> 00:26:48,000 and create our own, you know, vitamin supplements and so forth. 550 00:26:48,000 --> 00:26:51,280 And that's what we've done here in the practice over two decades. 551 00:26:51,360 --> 00:26:51,840 So so 552 00:26:51,840 --> 00:26:55,600 you have your own line of supplements, and I hate to put you on the spot here, 553 00:26:55,680 --> 00:26:57,960 are there because most of us can't go to the clean rooms 554 00:26:57,960 --> 00:26:59,880 and can't do that kind of detail research. 555 00:26:59,880 --> 00:27:01,880 Are there other brands, you know, that may be in mass 556 00:27:01,880 --> 00:27:07,120 market that you feel like, okay, this kind of lives up to 557 00:27:07,200 --> 00:27:08,400 what it should? 558 00:27:08,400 --> 00:27:10,880 So something that's not under the Baumann brand 559 00:27:10,880 --> 00:27:14,600 that I particularly like is Nutrafol and people Oh, you know, I see that on TV. 560 00:27:14,600 --> 00:27:15,440 How could that be? 561 00:27:15,440 --> 00:27:16,200 How could that be good? 562 00:27:16,200 --> 00:27:20,720 Well, actually, Nutrafol is one of the few nutritional supplements that's out there 563 00:27:20,880 --> 00:27:23,840 that actually has peer reviewed clinical research 564 00:27:23,840 --> 00:27:27,720 in the journals that support its use 565 00:27:27,720 --> 00:27:31,760 and the mechanism and the effects and the science and the data is there. 566 00:27:31,760 --> 00:27:36,040 And it's very, very clear now is a company like Nutrafol going to have something, 567 00:27:36,120 --> 00:27:39,480 you know, to the extent of like, you know, big pharma company will? 568 00:27:39,480 --> 00:27:40,360 Of course not. 569 00:27:40,360 --> 00:27:43,200 But at least they have some good data that we can look at 570 00:27:43,200 --> 00:27:46,520 and we have some baseline measurements that we can take. 571 00:27:46,600 --> 00:27:50,920 And I'm very confident, having known the founders and the 572 00:27:51,000 --> 00:27:54,320 and the creators of Nutrafol, that I'm very confident 573 00:27:54,320 --> 00:27:57,520 in the proprietary ways that they put those things together. 574 00:27:57,520 --> 00:27:59,800 Very standardized, if you will. 575 00:27:59,800 --> 00:28:02,800 Herb salad, if you might think of it like that. 576 00:28:03,000 --> 00:28:06,480 So I do curate nutrafol and there's a variety of different ones 577 00:28:06,480 --> 00:28:08,080 that they have now postpartum 578 00:28:08,080 --> 00:28:11,880 and for women's balance for for menopause and so forth. 579 00:28:12,000 --> 00:28:15,120 And then they have one specifically a probiotic specifically for stress 580 00:28:15,120 --> 00:28:15,680 and so forth. 581 00:28:15,680 --> 00:28:19,120 But so we like Nutrafol Allison years ago, I like to scale 582 00:28:19,120 --> 00:28:22,720 to also clinical studies, peer reviewed journals. 583 00:28:22,960 --> 00:28:29,120 These are the things that as a physician give me some confidence that I am getting. 584 00:28:29,200 --> 00:28:33,640 I'm prescribing or recommending something that's good quality, that's consistent 585 00:28:33,720 --> 00:28:36,680 that I know about, and it also has some good science behind it. 586 00:28:36,680 --> 00:28:38,640 So those are the things that I particularly like. 587 00:28:38,640 --> 00:28:39,480 You just made me so happy. 588 00:28:39,480 --> 00:28:41,640 I take that as a pro every day. 589 00:28:41,640 --> 00:28:46,520 The pro, not the other one, but again, things that it wasn't so much 590 00:28:46,520 --> 00:28:50,320 that I noticed this great change, but when I stopped taking it, I was like, 591 00:28:50,360 --> 00:28:55,000 Oh, and that brings me to something, you know, there are all these at home 592 00:28:55,000 --> 00:28:56,040 treatments, right? 593 00:28:56,040 --> 00:28:59,040 Everything from, you know, we've touched on supplements, 594 00:28:59,240 --> 00:29:03,360 but, but we know that there are now it's such a boost of hair growth shampoos 595 00:29:03,360 --> 00:29:06,360 and then you've got sort of the Minoxidil line. 596 00:29:06,360 --> 00:29:09,960 I always wanted to know, you know, and all of these companies 597 00:29:09,960 --> 00:29:14,880 that come out with these hair growth serums, I've tried a thousand of them 598 00:29:14,960 --> 00:29:16,520 just working for new beauty. 599 00:29:16,520 --> 00:29:19,800 You know, I just wonder, is there anything that we should be worried about? 600 00:29:19,800 --> 00:29:20,000 Right. 601 00:29:20,000 --> 00:29:25,680 Like minoxidil specifically once you stop using it, can't there be some loss? 602 00:29:25,680 --> 00:29:28,680 Is that because of the minoxidil, is it not? 603 00:29:28,680 --> 00:29:31,880 I know this is a lot to kind of touch on quickly, but. 604 00:29:31,960 --> 00:29:35,440 So things like minoxidil and laser light therapy 605 00:29:35,440 --> 00:29:39,000 and nutritionals have a good positive effect on the hair follicles. 606 00:29:39,000 --> 00:29:40,960 But sometimes it's been if you especially if you haven't 607 00:29:40,960 --> 00:29:43,960 had a measurement, probably you're used to the new normal. 608 00:29:44,040 --> 00:29:45,440 And then all of a sudden 609 00:29:45,440 --> 00:29:47,880 when you stop that, you're like, Oh, I don't need it anymore. 610 00:29:47,880 --> 00:29:49,280 I'm good, my hair is fine. 611 00:29:49,280 --> 00:29:52,120 All of a sudden you notice it's starting to change back. 612 00:29:52,120 --> 00:29:58,240 And so but what I want to impart to your listeners is that it's no spite response. 613 00:29:58,240 --> 00:30:01,480 It's not much worse because you were on the treatment. 614 00:30:01,560 --> 00:30:04,400 You still have the opportunity to get back on the therapy. 615 00:30:04,400 --> 00:30:08,400 So you're not going to be worse for having been on Minoxidil. 616 00:30:08,480 --> 00:30:11,840 The problem with Minoxidil in my opinion, is that the over-the counter 617 00:30:11,840 --> 00:30:16,000 versions of the liquid lotions and bombs are typically annoying to use. 618 00:30:16,000 --> 00:30:20,880 They're irritating and they and very often they just don't penetrate all that well. 619 00:30:20,960 --> 00:30:25,680 So we use compounded versions of minoxidil if we're going to do a topical version 620 00:30:25,680 --> 00:30:30,280 that has a very special component to it that makes your skin more responsive 621 00:30:30,360 --> 00:30:33,240 to the marks and it makes the follicles more responsive. 622 00:30:33,240 --> 00:30:33,480 Right? 623 00:30:33,480 --> 00:30:36,040 A specific enzyme is what's located in your skin 624 00:30:36,040 --> 00:30:38,880 that converts minoxidil to minoxidil sulfate the active 625 00:30:38,880 --> 00:30:42,040 and you need to have good sulfate transferase activity. 626 00:30:42,040 --> 00:30:44,040 That's the enzyme in your skin. 627 00:30:44,040 --> 00:30:48,720 And genetically you could be predisposed to have poor social transferase activity. 628 00:30:48,800 --> 00:30:51,760 And so then you could try Rogaine minoxidil. 629 00:30:51,760 --> 00:30:56,040 It may not work, but if you tried one that was compounded with tretinoin 630 00:30:56,040 --> 00:30:59,760 or other ingredients that can crank up that enzyme activity, 631 00:30:59,920 --> 00:31:03,520 you might have a much better response and sometimes it's dramatically better. 632 00:31:03,600 --> 00:31:08,360 While the other thing it's a miracle for patients, I would say, is oral minoxidil. 633 00:31:08,440 --> 00:31:10,080 But that does come with some concerns. 634 00:31:10,080 --> 00:31:14,080 Obviously, it's not FDA approved as a hair growth drug orally, 635 00:31:14,160 --> 00:31:16,200 you should use a quality compounded 636 00:31:16,200 --> 00:31:20,080 version, not splitting pills from CVS or Walgreens, please, 637 00:31:20,160 --> 00:31:23,360 and be under the guidance of a physician because there are side effects 638 00:31:23,520 --> 00:31:27,480 if you do it wrong or worse, that no effect if you do it wrong. 639 00:31:27,480 --> 00:31:31,440 Also right, which I'm so glad that you're bringing this up. 640 00:31:31,440 --> 00:31:34,280 You know, and I think that so many of us there's so many options out there, 641 00:31:34,280 --> 00:31:37,920 and sometimes it's hard to know who can they trust, where can they go? 642 00:31:38,000 --> 00:31:41,160 You know, before I let you go, I do want to talk on this idea of surgery. 643 00:31:41,160 --> 00:31:41,520 Right. 644 00:31:41,520 --> 00:31:44,800 So we come into the clinic you're going to do. 645 00:31:45,000 --> 00:31:47,800 You said you have this incredible eye technology that can actually 646 00:31:47,800 --> 00:31:50,800 measure follicles, number follicles. 647 00:31:51,000 --> 00:31:51,600 What? 648 00:31:51,600 --> 00:31:54,360 I've actually sat in on a hair transplant surgery before. 649 00:31:54,360 --> 00:31:56,280 It's fascinating. 650 00:31:56,280 --> 00:31:59,280 I'm sure it's changed even since I sat in on one. 651 00:31:59,520 --> 00:32:02,520 What is that procedure like for people 652 00:32:02,600 --> 00:32:05,600 and what kind of downtime is required? 653 00:32:05,760 --> 00:32:08,320 Can you can you kind of give us that or. 654 00:32:08,320 --> 00:32:10,800 So I think the most common myth today 655 00:32:10,800 --> 00:32:14,160 is that a hair transplant is painful or some way unnatural. 656 00:32:14,160 --> 00:32:17,400 Looking in the proper hands artistically design 657 00:32:17,400 --> 00:32:20,400 with the right technology techniques and surgical skill. 658 00:32:20,520 --> 00:32:24,640 First of all, it should be completely 100% comfortable, not a painful process. 659 00:32:24,840 --> 00:32:26,400 It is a long process. 660 00:32:26,400 --> 00:32:29,560 We do use minimally invasive techniques which take much longer 661 00:32:29,560 --> 00:32:31,080 than the old fashioned ones, 662 00:32:31,080 --> 00:32:34,720 so we don't take a big strip or big chunk of scalp out of your head anymore. 663 00:32:34,720 --> 00:32:35,880 With stitches or staples. 664 00:32:35,880 --> 00:32:40,440 We take each individual follicular unit or as little as a single hair, one 665 00:32:40,440 --> 00:32:45,240 at a time, and that can be used to enhance a hairline density in the crown. 666 00:32:45,480 --> 00:32:50,160 It can be used to restore your eyebrows or even replace eyelashes 667 00:32:50,240 --> 00:32:53,560 or put hair back onto a scar from a brow lift. 668 00:32:53,640 --> 00:32:57,320 So eyelash, eyelash, eyebrows, scalp and even beard 669 00:32:57,320 --> 00:33:02,080 transplants for men are still are possible today with these modern techniques. 670 00:33:02,160 --> 00:33:06,680 And we can do hairline feminization for transition patients. 671 00:33:06,680 --> 00:33:10,440 We can do hairline lowering for women who are just born with a high hairline. 672 00:33:10,680 --> 00:33:14,400 And those are very, very commonly performed today, as I said, comfortably. 673 00:33:14,400 --> 00:33:16,320 So when you arrive in the office, 674 00:33:16,320 --> 00:33:18,960 I'm going to make a plan with you and I are going to sit together 675 00:33:18,960 --> 00:33:20,680 and we're going to look at the areas of concern. 676 00:33:20,680 --> 00:33:24,400 You've already had your consultation, so we already have a basic game plan. 677 00:33:24,480 --> 00:33:29,000 But if we're going to restore hairline for you or maybe for your significant other 678 00:33:29,080 --> 00:33:32,440 who might be out there struggling with his hair loss situation, 679 00:33:32,520 --> 00:33:35,520 we'll design the hairline in an age appropriate way. 680 00:33:35,520 --> 00:33:38,840 Not, you know, not the turkey cookie cutter, which is a straight across 681 00:33:38,840 --> 00:33:42,760 hairline, which is a disaster always, but something that we remember from the. 682 00:33:42,920 --> 00:33:44,520 Commercials from the eighties. Right. 683 00:33:44,520 --> 00:33:47,160 Right here where it was like, oh, boy. 684 00:33:47,240 --> 00:33:47,840 Yeah. 685 00:33:47,840 --> 00:33:50,840 And unfortunately, you know, that's coming back today with 686 00:33:51,040 --> 00:33:54,520 with those treatments that are being done through medical tourism 687 00:33:54,600 --> 00:33:57,240 overseas, you're basically getting a cookie cutter process. 688 00:33:57,240 --> 00:33:58,360 So I always caution 689 00:33:58,360 --> 00:34:02,160 my patients, look, you know, in hair restoration, just like in cosmetic surgery 690 00:34:02,160 --> 00:34:05,160 and most things in life, you get what you pay for on that. 691 00:34:05,160 --> 00:34:07,680 But I'm not going to spend any more time on that. 692 00:34:07,680 --> 00:34:10,680 But we're going to create something that's going to look normal and natural 693 00:34:10,720 --> 00:34:14,600 and age appropriate for you that's going to be uniquely designed for 694 00:34:14,600 --> 00:34:18,560 you and your hair lines can be different than the last one that I did and different 695 00:34:18,560 --> 00:34:19,680 than the one before. 696 00:34:19,680 --> 00:34:23,680 And so out of the 13,000 patients that I've done a hair transplant on, no. 697 00:34:23,680 --> 00:34:26,520 To have ever been the same right. 698 00:34:26,600 --> 00:34:28,520 So what we're going to do is plan it out. 699 00:34:28,520 --> 00:34:30,120 And under local anesthetic, 700 00:34:30,120 --> 00:34:33,400 which is comfortably applied, the scalp is completely numb. 701 00:34:33,480 --> 00:34:35,600 You're not going to feel anything but some tapping. 702 00:34:35,600 --> 00:34:38,360 We're going to make the recipient sites, We're going to harvest the hair. 703 00:34:38,360 --> 00:34:42,360 We're going to implant that hair over the course of about 6 to 8 hours. 704 00:34:42,360 --> 00:34:47,960 Yes. Now, some cases, larger cases might more than one day consecutively, 705 00:34:48,040 --> 00:34:50,400 but most of the cases are about a day long. 706 00:34:50,400 --> 00:34:52,040 And then what's the recovery like? 707 00:34:52,040 --> 00:34:55,680 Well, that evening, you're not in store for some, you know, 708 00:34:55,760 --> 00:34:58,960 crazy, you know, pounding headache or something like that. 709 00:34:58,960 --> 00:35:01,240 Usually you feel a little bit of tightness or pressure. 710 00:35:01,240 --> 00:35:04,160 Sometimes it's from the bandage or the numbness wearing off. 711 00:35:04,160 --> 00:35:07,640 We the what we do today, we hardly even prescribe 712 00:35:07,800 --> 00:35:11,560 any pain medication because it's so comfortable that first night. 713 00:35:11,640 --> 00:35:13,800 We don't even prescribe narcotic pain medication. 714 00:35:13,800 --> 00:35:17,040 And it's not because we're sadistic, it's because we just don't need it anymore 715 00:35:17,120 --> 00:35:18,720 with these techniques. 716 00:35:18,720 --> 00:35:22,800 And generally you're harvesting right from the back in many endless 717 00:35:22,800 --> 00:35:25,040 and I know every case is different, but one that I saw 718 00:35:25,040 --> 00:35:28,600 it was harvesting from the back to add to the front of the hairline. 719 00:35:28,680 --> 00:35:29,120 Correct. 720 00:35:29,120 --> 00:35:32,200 So where you have more than you need, we're permanently harvesting 721 00:35:32,200 --> 00:35:35,680 those follicles out and re implanting them into the thinning in the balding zone. 722 00:35:35,760 --> 00:35:39,200 It's done by myself and my team, so I can't do it alone 723 00:35:39,280 --> 00:35:41,680 and my team can't do it by themselves either. 724 00:35:41,680 --> 00:35:42,520 It's a team effort. 725 00:35:42,520 --> 00:35:46,080 It's like, think of it like a coronary artery bypass procedure. 726 00:35:46,080 --> 00:35:47,520 If you're getting a heart bypass, 727 00:35:47,520 --> 00:35:50,400 you need a team harvesting over here, open the chest over 728 00:35:50,400 --> 00:35:51,960 here, implanting over here. 729 00:35:51,960 --> 00:35:53,560 And that's kind of how we all work together. 730 00:35:53,560 --> 00:35:56,240 Like a symphony. I thought it was the coolest thing. Right. 731 00:35:56,240 --> 00:35:58,920 So you had this a surgeon doing this. 732 00:35:58,920 --> 00:36:01,080 It was also 733 00:36:01,160 --> 00:36:02,400 like machine assisted. 734 00:36:02,400 --> 00:36:04,560 I don't know if that's the correct word, you know, 735 00:36:04,560 --> 00:36:07,560 And yeah, and then you had the people who are literally harvesting 736 00:36:07,600 --> 00:36:12,200 with with their little tiny microscopes and individually taking each follicle 737 00:36:12,200 --> 00:36:15,120 and prepping it. It was brilliant. I mean, it was incredible to see. 738 00:36:15,120 --> 00:36:15,680 But yeah. 739 00:36:15,680 --> 00:36:20,120 So, so when you walk out of a hair transplant, you don't walk out with hair. 740 00:36:20,200 --> 00:36:23,040 You know, unlike the wig factory, I guess what 741 00:36:23,040 --> 00:36:27,080 you walk out with in the area of concern is the crusting and the scabbing. 742 00:36:27,160 --> 00:36:32,680 And we do a lot of different things to accelerate the body's recovery process. 743 00:36:32,760 --> 00:36:33,280 You may know 744 00:36:33,280 --> 00:36:36,880 I'm a little bit of a biohacker, so we do encourage everything from red 745 00:36:36,880 --> 00:36:41,960 light therapy to the nutrition to the stem cell, stimulating nutraceuticals. 746 00:36:42,200 --> 00:36:45,360 We're using things like Nano V to improve our protein 747 00:36:45,360 --> 00:36:49,600 folding exosome therapy to provide signaling to the scalp, 748 00:36:49,600 --> 00:36:52,920 doing PRP and platelet rich platelet rich plasma 749 00:36:52,920 --> 00:36:56,600 along with some other things to enhance the recovery process. 750 00:36:56,600 --> 00:36:58,200 But you're going to have crusting and scabbing 751 00:36:58,200 --> 00:37:00,960 and a little bit of swelling for a couple of days. Right. 752 00:37:00,960 --> 00:37:03,840 So once the crusts like off, which is about a week, 753 00:37:03,840 --> 00:37:05,680 you're basically back to normal. 754 00:37:05,680 --> 00:37:08,320 So you're back to normal life. 755 00:37:08,320 --> 00:37:11,240 You can do physical activities within, you know, 3 to 4 days, 756 00:37:11,240 --> 00:37:14,640 a little bit of like cardio, you know, like resistance training. 757 00:37:14,720 --> 00:37:16,920 No more fighting until those scabs are gone. 758 00:37:16,920 --> 00:37:17,400 Please. 759 00:37:17,400 --> 00:37:21,640 And so but once you're healed, then you've got to wait for the hair to grow. 760 00:37:21,640 --> 00:37:22,560 And it does take 761 00:37:22,560 --> 00:37:26,280 about 4 to 5 months for that hair to become visible to the naked eye. 762 00:37:26,360 --> 00:37:29,280 Six months you'll be halfway grown in nine months. 763 00:37:29,280 --> 00:37:33,600 A little bit further along about 75% and about a year to a year 764 00:37:33,600 --> 00:37:37,480 and a couple of months to get to 95 to 100% of the final result. 765 00:37:37,560 --> 00:37:39,720 And then it keeps growing. It's permanent. 766 00:37:39,720 --> 00:37:44,120 So a transplant and hair follicle is immune to male pattern 767 00:37:44,120 --> 00:37:47,600 hair loss or female pattern hair loss, but your other hair is not. 768 00:37:47,600 --> 00:37:51,320 So concurrently, we're instituting a regimen of treatment 769 00:37:51,400 --> 00:37:55,120 and tracking protocols so that you can protect the other hair 770 00:37:55,200 --> 00:37:57,760 that you don't need to keep coming back for more and more and more 771 00:37:57,760 --> 00:37:59,360 and more transplants. 772 00:37:59,360 --> 00:38:02,720 So when you're transplanting hair about how what is the percentage 773 00:38:02,720 --> 00:38:06,360 that will actually take or does it varies patient to patient. 774 00:38:06,440 --> 00:38:09,040 We are well, obviously it depends patient to patient 775 00:38:09,040 --> 00:38:11,200 because, you know, we do see patients, you know, 776 00:38:11,200 --> 00:38:14,960 well up into their eighties and even some of my patients are in their nineties 777 00:38:15,040 --> 00:38:17,760 who are getting hair transplants today, which is which is mind blowing. 778 00:38:17,760 --> 00:38:20,880 But they're very vital and healthy elderly population and 779 00:38:21,080 --> 00:38:23,920 and and they're just, you know, 90 years young and they want great hair. 780 00:38:23,920 --> 00:38:26,720 So I don't blame them. I'll probably be the same. 781 00:38:26,720 --> 00:38:30,600 But the point is, is that everybody heals a little bit differently. 782 00:38:30,600 --> 00:38:34,440 So we have to look at their overall 783 00:38:34,440 --> 00:38:37,440 health and wellness before we get started with a hair transplant. 784 00:38:37,600 --> 00:38:40,240 If we're concerned about, for example, blood circulation, 785 00:38:40,240 --> 00:38:44,320 we might use nitric oxide supplementation, tablets or lozenges, 786 00:38:44,520 --> 00:38:48,240 again, hitting them with PRP ahead of time, maybe some microneedling 787 00:38:48,240 --> 00:38:51,240 well in advance, maybe some exosome therapy well in advance. 788 00:38:51,360 --> 00:38:55,280 Certainly red light therapy, no question for a for every procedure, 789 00:38:55,360 --> 00:38:58,800 but so well and well into the high 90% range is where we're going 790 00:38:58,800 --> 00:39:04,960 to get growth rates and remember that this is a very tiny, delicate organ. 791 00:39:04,960 --> 00:39:07,360 The hair follicle, you know, it's 792 00:39:07,360 --> 00:39:10,560 4 to 5 millimeters long and less than a millimeter wide. 793 00:39:10,800 --> 00:39:14,640 And so it's a very, very tiny little thing that can easily dry out. 794 00:39:14,640 --> 00:39:17,200 And if you let it get dry, forget about it. 795 00:39:17,200 --> 00:39:18,720 That's certain death. 796 00:39:18,720 --> 00:39:19,440 Right? Right, right. 797 00:39:19,440 --> 00:39:21,960 So we are obsessive compulsive. 798 00:39:21,960 --> 00:39:25,800 When I say we meet my team, I surgical team, keeping those grafts moist, 799 00:39:26,040 --> 00:39:29,920 handling them properly at the appropriate temperature, four degrees centigrade. 800 00:39:30,120 --> 00:39:34,600 We have thermal electric cooling trays that keep it exactly that temperature. 801 00:39:34,680 --> 00:39:37,440 We use special ATP 802 00:39:37,440 --> 00:39:40,080 solutions and storage solutions like you would use 803 00:39:40,080 --> 00:39:43,480 for transferring a heart or lung across country in a jet plane. 804 00:39:43,560 --> 00:39:46,440 You know, you put them in hypothermia, cell solutions. 805 00:39:46,440 --> 00:39:51,160 And so these are all ways to ensure the best quality growth. 806 00:39:51,240 --> 00:39:54,840 So, you know, but it takes it takes a team 807 00:39:54,920 --> 00:39:57,600 to make sure that those follicles are counted, they're sorted 808 00:39:57,600 --> 00:39:59,960 the way that they're harvested, the way that they're implanted. 809 00:39:59,960 --> 00:40:00,960 And everything that happens in 810 00:40:00,960 --> 00:40:05,280 between is what gives us this really good growth rate as well as all of these 811 00:40:05,280 --> 00:40:07,360 healing therapies. On the back end. 812 00:40:07,360 --> 00:40:09,560 I mean, we can institute all kinds of things. 813 00:40:09,560 --> 00:40:15,280 We can prescribe hyperbaric therapy any day drips, we can do hydrogen 814 00:40:15,280 --> 00:40:15,920 inhalation. 815 00:40:15,920 --> 00:40:19,960 I mean, all of these different things are, again, red light therapy 816 00:40:20,040 --> 00:40:21,720 to stimulate 817 00:40:21,720 --> 00:40:24,480 the healing process and to really accelerate it. 818 00:40:24,480 --> 00:40:25,120 Right. 819 00:40:25,120 --> 00:40:28,640 I'm but one of my also no, so much of this is not only 820 00:40:28,640 --> 00:40:32,760 in the hands of the surgeon, but also then in the hands of the patient afterwards. 821 00:40:32,760 --> 00:40:35,960 Right. You So that's also a teamwork expert. 822 00:40:35,960 --> 00:40:38,240 And I don't mean to cut you off 823 00:40:38,240 --> 00:40:40,920 being mindful of our time here, 824 00:40:40,920 --> 00:40:47,120 you know, so it's clear that this is a big to do, right, just like any other. 825 00:40:47,120 --> 00:40:49,560 If you were going to go for 826 00:40:49,560 --> 00:40:52,600 any sort of cosmetic surgery or, let's say, like use 827 00:40:52,600 --> 00:40:56,440 the organ transplant, but we'll keep it cosmetic here. 828 00:40:56,440 --> 00:40:58,560 Right. So 829 00:40:58,560 --> 00:41:00,960 we know prices vary, 830 00:41:00,960 --> 00:41:03,480 but you've made this clear that there is a whole team here. 831 00:41:03,480 --> 00:41:09,520 So I have to imagine that this comes at at higher cost, 832 00:41:09,600 --> 00:41:11,080 knowing that prices can change 833 00:41:11,080 --> 00:41:14,080 where you are in the country or where you are in the world. 834 00:41:14,160 --> 00:41:18,200 What are sort of ballparks to begin something like this? 835 00:41:18,280 --> 00:41:21,120 Well, that's going to be different for every patient, you know, 836 00:41:21,120 --> 00:41:24,120 because obviously the lifestyle changes are free, 837 00:41:24,160 --> 00:41:27,360 you know, getting better sleep, you know, maybe tracking your sleep 838 00:41:27,360 --> 00:41:30,960 with an aura ring or improving your nutritional status or, 839 00:41:31,200 --> 00:41:34,000 you know, getting off the weight loss program and getting on more 840 00:41:34,000 --> 00:41:37,000 of a stabilization program, making sure that your protein intake 841 00:41:37,000 --> 00:41:40,400 and your fuel and nutrient and vitamin intake is on point, 842 00:41:40,480 --> 00:41:43,360 you know that that's really a free service, right? 843 00:41:43,360 --> 00:41:46,360 You know, you have to make those lifestyle changes yourself. 844 00:41:46,600 --> 00:41:49,600 I mean, Nutritionals obviously kind of know where they are. 845 00:41:49,800 --> 00:41:52,680 I would say that general beauty budget for those are going to be, 846 00:41:52,680 --> 00:41:57,560 you know, anywhere from less than a dollar a day to you know, 80 to $100 847 00:41:57,560 --> 00:42:01,240 a month depending on what your the specialty products are. 848 00:42:01,320 --> 00:42:03,760 And then, you know, you've got different hair care. 849 00:42:03,760 --> 00:42:06,480 And and of course, as we said, hair care is important 850 00:42:06,480 --> 00:42:09,680 and so appropriate hair care that doesn't contain 851 00:42:09,760 --> 00:42:12,760 nasty chemicals or things that you're allergic to, God forbid, 852 00:42:12,840 --> 00:42:16,120 you know, but can also make your hair look good and feel great 853 00:42:16,200 --> 00:42:18,240 and perform the way that you want it to. 854 00:42:18,240 --> 00:42:21,960 You know, sometimes good, appropriate hair care can be a little bit more expensive 855 00:42:21,960 --> 00:42:23,600 than what you're getting in. 856 00:42:23,600 --> 00:42:26,400 You know, and even in the salon, you know, good quality shampoo 857 00:42:26,400 --> 00:42:28,200 like what we have under the the Bauman M.D. 858 00:42:28,200 --> 00:42:31,200 brand, you know, those shampoos could be, 859 00:42:31,280 --> 00:42:34,560 you know, 50 to $100 depending on what the ingredients are. 860 00:42:34,560 --> 00:42:38,000 If you're and if you're pairing it, shampoo and conditioner wise, 861 00:42:38,080 --> 00:42:39,600 you know, laser light devices. 862 00:42:39,600 --> 00:42:41,920 Another great example, you get what you pay for. 863 00:42:41,920 --> 00:42:44,840 I mean, you can see on Amazon there are these, you know, 864 00:42:44,840 --> 00:42:47,880 little plastic domes with a couple of lasers. 865 00:42:47,880 --> 00:42:50,680 If they're even lasers, most of them are just LEDs, you know, 866 00:42:50,680 --> 00:42:52,360 not even laser diodes. 867 00:42:52,360 --> 00:42:55,680 And they range from a couple of hundred dollars to $800 or so. 868 00:42:55,760 --> 00:42:59,160 But a true medical grade, low level laser light device is going to be 869 00:42:59,160 --> 00:43:04,120 in the thousands of dollars, 3000 to $5000 for a good laser. 870 00:43:04,200 --> 00:43:06,960 People say, oh, my God, I would never spend $5,000 871 00:43:06,960 --> 00:43:09,520 or 50 $200 on a turbo laser cap. 872 00:43:09,520 --> 00:43:10,920 But actually that's your least 873 00:43:10,920 --> 00:43:15,000 costly treatment over time and has your lowest risk of side effects. 874 00:43:15,000 --> 00:43:16,920 It has a zero risk. 875 00:43:16,920 --> 00:43:21,280 And if you spend the money on a good one that has a lifetime warranty, 876 00:43:21,360 --> 00:43:24,360 you know, that might be the last laser you'll ever need your whole life. 877 00:43:24,360 --> 00:43:28,400 And so amortize out over time PRP treatments which are, you know, 878 00:43:28,440 --> 00:43:31,520 nonsurgical noninvasive can vary. 879 00:43:31,520 --> 00:43:34,840 You know what you're going to get at the med spa down the block with you know 880 00:43:34,880 --> 00:43:40,120 a clear golden PRP that you know Kim Kardashian used on her face or whatever. 881 00:43:40,200 --> 00:43:43,640 You know, that's probably not enough platelets to stimulate hair growth. 882 00:43:43,720 --> 00:43:44,480 Right? 883 00:43:44,480 --> 00:43:46,680 You might have to do that every month. Yeah. 884 00:43:46,680 --> 00:43:48,480 To get any kind of improvement. 885 00:43:48,480 --> 00:43:49,920 And probably the 886 00:43:49,920 --> 00:43:55,280 the result is more from the trauma than the platelets, which is awful to say. 887 00:43:55,360 --> 00:43:55,920 And we've done 888 00:43:55,920 --> 00:43:59,760 all the testing on that having done over 13,000 PRP treatments on the scalp. 889 00:43:59,760 --> 00:44:03,040 So we know that you have to get 10 to 12 billion platelets in there. 890 00:44:03,200 --> 00:44:08,560 And so that can be in the 3 to $4000 range and other noninvasive therapies. 891 00:44:08,800 --> 00:44:11,600 And that's a once a year, by the way, because our treatments last 892 00:44:11,600 --> 00:44:14,600 10 to 14 months, when you do it properly. 893 00:44:14,760 --> 00:44:17,360 So you could add surgeries like 894 00:44:17,360 --> 00:44:18,480 surgical procedures. 895 00:44:18,480 --> 00:44:20,760 Well, if it's a small procedure in the practice, 896 00:44:20,760 --> 00:44:24,560 you know, a couple of hundred grafts, it could be under $5,000. 897 00:44:24,640 --> 00:44:29,520 Oh, eyebrows or eyebrows or $10,000 eyelashes or more hair 898 00:44:29,520 --> 00:44:34,160 transplants can range anywhere from 10 to $50000, depending on how much you need. 899 00:44:34,240 --> 00:44:36,720 So and you might need more than one procedure. 900 00:44:36,720 --> 00:44:37,040 Right. 901 00:44:37,040 --> 00:44:41,280 But as I said, you know, these it all starts with a consultation 902 00:44:41,280 --> 00:44:45,760 because there's such a huge wide range like saying, well, how do I fix my house? 903 00:44:45,840 --> 00:44:47,960 Well, you know, until the contractor gets in there 904 00:44:47,960 --> 00:44:51,960 and starts taking the walls apart, you may not know what you're in store for. 905 00:44:52,040 --> 00:44:53,640 I love that you just said that. 906 00:44:53,640 --> 00:44:54,280 And you know what? 907 00:44:54,280 --> 00:44:58,240 I guess where I was kind of going with that is because I thought 908 00:44:58,240 --> 00:45:00,320 that it was like minimum 25. 909 00:45:00,320 --> 00:45:03,040 But maybe I'm hoping that if people are thinking about this 910 00:45:03,040 --> 00:45:06,120 and they've been sort of reluctant to go see somebody because they think, 911 00:45:06,120 --> 00:45:08,360 oh, I can't afford this, 912 00:45:08,440 --> 00:45:09,040 you know, that 913 00:45:09,040 --> 00:45:13,480 maybe there are options that, you know, aren't to be. 914 00:45:13,520 --> 00:45:15,920 But certainly what I thought they were going to be, 915 00:45:15,920 --> 00:45:17,520 you know, talked about and it's clear, I mean. 916 00:45:17,520 --> 00:45:20,200 They probably spent honestly, they're probably spending more, 917 00:45:20,200 --> 00:45:23,000 you know, over the course of five or ten years on their cable bill 918 00:45:23,000 --> 00:45:26,200 last ten years than they would spend on a hair transplant sometimes. 919 00:45:26,200 --> 00:45:28,760 So, you know, it's all about priorities. 920 00:45:28,760 --> 00:45:32,480 But the most important thing is to get it done correctly 921 00:45:32,560 --> 00:45:35,480 the first time, because the worst thing you could possibly 922 00:45:35,480 --> 00:45:40,680 do is sacrifice your nonrenewable, highly valuable resource, your donor hair. 923 00:45:40,680 --> 00:45:42,120 Right? It's a finite amount of. 924 00:45:42,120 --> 00:45:47,680 Hair and undoing a poorly designed transplant is a heavy lift. 925 00:45:47,760 --> 00:45:52,320 So I don't mean to scare people, but, you know, unfortunately, there are 926 00:45:52,400 --> 00:45:54,720 non board certified folks out there, people 927 00:45:54,720 --> 00:45:58,080 that do these procedures once a month instead of three times a day, 928 00:45:58,160 --> 00:46:01,480 bringing in teams from across the country who are leaving that night, 929 00:46:01,560 --> 00:46:06,280 not going to see the next day or putting you back on a plane from God knows where, 930 00:46:06,360 --> 00:46:10,120 bleeding with bandages, you know, and saying good luck on your recovery. 931 00:46:10,200 --> 00:46:12,800 I mean, that like the worst thing you could possibly do. 932 00:46:12,800 --> 00:46:16,440 So, you know, look, if you've got to scrimp and save or 933 00:46:16,440 --> 00:46:20,120 work out some financing, I mean, these are the things that our patients do 934 00:46:20,200 --> 00:46:23,040 because they know that they're in good hands with high quality 935 00:46:23,040 --> 00:46:26,040 team members, that my staff has been with me for 20 years. 936 00:46:26,040 --> 00:46:26,720 Right. 937 00:46:26,720 --> 00:46:30,520 You know, my dad always said you don't want to save on birth control 938 00:46:30,520 --> 00:46:31,400 or plastic surgery. 939 00:46:31,400 --> 00:46:34,560 That's two areas you just don't want to save on, you know? 940 00:46:34,680 --> 00:46:37,960 But before I let you go, 941 00:46:38,040 --> 00:46:40,240 before and before we get into how people can find you, 942 00:46:40,240 --> 00:46:43,600 is there something if people want to look for a reputable surgeon, 943 00:46:43,600 --> 00:46:44,280 if they want to know, 944 00:46:44,280 --> 00:46:48,280 is there some place that they can go to that you would recommend? 945 00:46:48,360 --> 00:46:49,520 Yeah, absolutely. 946 00:46:49,520 --> 00:46:52,920 So American Hair Loss Association has a group of surgeons. 947 00:46:52,920 --> 00:46:54,720 The International Alliance of Hair Restoration 948 00:46:54,720 --> 00:46:58,920 Surgeons is about a group of about 150 to 100 of us. 949 00:46:59,000 --> 00:47:03,720 Obviously, the American Board of Hair Restoration surgery is about 200 of us 950 00:47:03,720 --> 00:47:07,000 who are board certified in the world, and that's it. 951 00:47:07,080 --> 00:47:09,920 There's also lists like you can do a search for top hair 952 00:47:09,920 --> 00:47:12,000 transplant surgeons worldwide by AIP. 953 00:47:12,000 --> 00:47:13,720 Two gentlemen, for example, 954 00:47:13,720 --> 00:47:17,400 are proud to be listed amongst my esteemed colleagues there as well. 955 00:47:17,480 --> 00:47:19,880 For many, many years, 956 00:47:19,960 --> 00:47:20,520 places like 957 00:47:20,520 --> 00:47:24,320 esthetic everything that list top surgeons from around 958 00:47:24,320 --> 00:47:28,160 North America, America, Canada and so forth. 959 00:47:28,240 --> 00:47:31,080 But what's interesting is that, you know, 960 00:47:31,080 --> 00:47:34,120 you really have to click and jive with your surgeon. 961 00:47:34,120 --> 00:47:36,760 And so if your surgeon is talking to you, 962 00:47:36,760 --> 00:47:38,200 you know, like, I'll give you a great example. 963 00:47:38,200 --> 00:47:41,160 Patient came in and says, you know, I went and I saw this other surgeon. 964 00:47:41,160 --> 00:47:43,760 The first thing he did is drew a line on my head. 965 00:47:43,760 --> 00:47:44,040 Yeah. 966 00:47:44,040 --> 00:47:46,440 I mean, if that's the first thing that your surgeon is doing 967 00:47:46,440 --> 00:47:49,960 when he sees you in person for the first time, I don't know. 968 00:47:49,960 --> 00:47:54,040 I mean, if I was the patient, I would be a little bit nervous about that, Right? 969 00:47:54,120 --> 00:47:56,640 So that's why we spend so much time. 970 00:47:56,640 --> 00:48:00,320 Like I said in the beginning of our conversation today, over an hour, 971 00:48:00,360 --> 00:48:03,880 getting a detailed history of what's going on, what you've tried in the past, 972 00:48:03,880 --> 00:48:08,000 what are the measurements, what's going on in each and every area of the scalp 973 00:48:08,200 --> 00:48:10,120 before we even talk about what 974 00:48:10,120 --> 00:48:13,800 you're trying to accomplish, let's get a complete inventory. 975 00:48:13,880 --> 00:48:16,960 And I think, unfortunately, that's been missed in so many clinics 976 00:48:16,960 --> 00:48:17,560 around the world. 977 00:48:17,560 --> 00:48:21,200 Not all There are many esteemed colleagues that do that. 978 00:48:21,280 --> 00:48:23,680 But if your surgeon is like jumping in with a pencil 979 00:48:23,680 --> 00:48:27,720 into your console room, you know, I would say run, run. 980 00:48:27,800 --> 00:48:29,560 You know, if people. Away. 981 00:48:29,560 --> 00:48:32,960 Want to come to you, it's clear that you have such great care. 982 00:48:32,960 --> 00:48:34,520 What's the best way to find you? 983 00:48:34,520 --> 00:48:37,120 How to how can they make an appointment with you? 984 00:48:37,120 --> 00:48:40,040 Well, our physical location is in beautiful downtown Boca 985 00:48:40,040 --> 00:48:43,320 Raton, Florida, just about a mile from the Boca Resort, 986 00:48:43,320 --> 00:48:47,000 which is now called the Boca Raton, not far from the beach and such. 987 00:48:47,080 --> 00:48:48,760 And the mall, I should say. 988 00:48:48,760 --> 00:48:53,520 But most people start their journey at Baumanmedical.com “BAUMAN” 989 00:48:53,520 --> 00:48:58,360 how you spell Bauman and at Bauman medical dot com you can simply just peruse 990 00:48:58,440 --> 00:49:03,200 thousands of pages on that website that I've written over the past 25 years. 991 00:49:03,280 --> 00:49:07,320 You can watch hundreds of hours of videos of me explaining 992 00:49:07,320 --> 00:49:11,400 about everything from soup to nuts about the procedure, the treatments, 993 00:49:11,480 --> 00:49:14,000 how that work, how the work gets done, 994 00:49:14,000 --> 00:49:16,800 or you can request a consultation there. 995 00:49:16,800 --> 00:49:19,520 But even if you just wanted to ask a question, Bauman 996 00:49:19,520 --> 00:49:22,960 Medical dot com slash ask is a simple form. 997 00:49:22,960 --> 00:49:24,960 You can put your name in with your email, 998 00:49:24,960 --> 00:49:28,160 write a question and I will get back to you through my team 999 00:49:28,240 --> 00:49:31,160 and we'll respond with whatever hair loss question you have. 1000 00:49:31,160 --> 00:49:33,920 And if we don't know the answer, we're going to go find it. 1001 00:49:33,920 --> 00:49:35,920 But I promise. You that we'll. Figure it out. 1002 00:49:35,920 --> 00:49:38,920 So I. Want to thank Oh, so you. Know what? 1003 00:49:38,920 --> 00:49:40,400 That's awesome. 1004 00:49:40,400 --> 00:49:43,720 And we have to wrap this up now because we've got another podcast 1005 00:49:43,720 --> 00:49:46,160 right behind this. But Dr. Bauman, I want to thank you so much. 1006 00:49:46,160 --> 00:49:48,160 It is clear you have so much information. 1007 00:49:48,160 --> 00:49:50,640 I would love to have you back on. 1008 00:49:50,720 --> 00:49:53,640 And I just want to say thank you for your time today. 1009 00:49:53,640 --> 00:49:55,640 And of course, if you at home have questions 1010 00:49:55,640 --> 00:49:56,760 you want me to pass on to Dr. 1011 00:49:56,760 --> 00:49:58,720 Bauman or his team? I'm always happy to do that. 1012 00:49:58,720 --> 00:50:01,680 You can write to me at Hello at Art Beauty podcast dot com. 1013 00:50:01,680 --> 00:50:04,840 You can find us on Facebook, Instagram and YouTube at Art Beauty podcast. 1014 00:50:04,840 --> 00:50:09,200 And as always, we will see you next Tuesday. Bye. 1015 00:50:09,280 --> 00:50:18,640 All right, Amber, great to be with you 1016 00:50:18,720 --> 00:50:18,960 guys.