>> COMING UP ON "CYCLE OF HEALTH," TONIGHT'S TOPIC IS A HAIRY ONE BUT MAYBE IT WILL GROW ON YOU.

HAIR LOSS AND SOLUTIONS.

TONIGHT WE ARE JOINED BY THREE PANELISTS WITH DIFFERENT EXPERTISE AND SOLUTIONS FOR HAIR LOSS.

>> THERE ARE MANY CAUSES OF HAIR LOSS.

YOU HAVE NON-SCARRING ALOPECIA, WHICH IS HAIR LOSS AND THEN THERE IS SCARRING ALOPECIA AND UNDER THOSE, THERE ARE MULTIPLE CAUSES.

♪ ♪ ♪ ♪ HELLO AND WELCOME TO CYCLE OF HEALTH, I'M DR. RICH O'NEILL.

WELL FOLKS, TONIGHT'S TOPIC IS A HAIRY ONE, BUT MAYBE IT WILL GROW ON YOU: HAIR LOSS AND SOLUTIONS.

TONIGHT WE'RE JOINED BY THREE PANELISTS WITH DIFFERENT EXPERTISE AND SOLUTIONS FOR HAIR LOSS.

LET'S MEET OUR GUESTS: DR.

SANG KIM: FACIAL PLASTIC SURGEON AT NATURAL FACE CLINICS; DR. JOYCE FARAH: DERMATOLOGIST AT FARAH DERMATOLOGY AND COSMETICS AND ASSISTANT PROFESSOR OF MEDICINE AT UPSTATE MEDICAL UNIVERSITY; MR. JEROD SCHOONMAKER: FOUNDER OF SCALP INTERNATIONAL HAIRLINES THANK YOU ALL FOR BEING HERE.

>> THANK YOU.

>> THANK YOU.

>> THANK YOU.

>> LET'S START WITH WHAT ARE THE MAIN CAUSES OF HAIR LOSS?

>> SO, THERE ARE MANY CAUSES OF HAIR LOSS.

BUT I THINK IT'S VERY HELPFUL TO THINK OF HAIR LOSS IN TWO MAIN CATEGORIES.

YOU HAVE NON-SCARRING ALOPECIA, WHICH IS HAIR LOSS.

AND THEN THERE IS SCARRING ALOPECIAS.

AND UNDER THOSE, THERE ARE MULTIPLE CAUSES.

I THINK IF WE WANT TO TALK ABOUT PROBABLY THE MOST COMMON CAUSE OF HAIR LOSS WE SEE WOULD BE ANDROGENIC ALOPECIA IN MEN AND WOMEN.

>> ANDROGENIC ALOPECIA.

WHAT DOES THAT MEAN?

>> BASE COMPLI HORMONAL HAIR LOSS.

>> SO THAT WOULD THAT FIT WITH MALE PATTERN BALDNESS?

IS THAT WHAT YOU HEAR ABOUT WHEN YOU READ IN THE NEWSPAPER.

>> YES, YOU ARE TALKING ABOUT MALE PATTERN HAIR LOSS AND FEMALE PATTERN HAIR LOSS.

>> AND ARE MEN MORE LIKELY TO EXPERIENCE BALDNESS THAN WOMEN?

>> YES, THEY ARE BECAUSE, UNFORTUNATELY, OR FORTUNATELY, MEN HAVE MORE TESTOSTERONE AND IT'S MEDIATED BY TESTOSTERONE AND AN DRONE GENERALS.

YOU SEE MORE HAIR LOSS IN WOMEN AS THEY BECOME MENOPAUSAL.

>> AND ARE THERE DIFFERENT TYPES OF HAIR LOSS, BALDING, THINNING, RECEDING.

DO YOU CATEGORIZE THEM?

>> THERE ARE DIFFERENT PATTERNS FOR WOMEN AND MEN AS WELL.

FOR MALES, YOU WILL START SEEING WHAT WE CALL THE M HERE GOING BACK.

>> THE M. >> YES, LIKE THEY START HAVING AN M HAIR LINE.

AND YOU WILL SEE LOSS ON THE VORTEX.

FOR WOMEN, MOSTLY THE FRONT HAIR LINE IS PRESERVES BUT YOU START SEEING THINNING AND IT CAN ALL GO ALL THE WAY BACK AND EVENTUALLY IN VERY SEE VER CASES, THEY COULD LOOK LIKE MALE PATTERN.

>> DO YOU DO WHAT MY SONS CALL MINE, WHICH IS-- WHAT DO THEY CALL IT AGAIN?

BUSINESS IN FRONT, PARTY IN BACK, RIGHT?

I GOT THE HAIR IN THE BACK HERE, RIGHT?

AND LIKE THIS LOOKS PRETTY SERIOUS, RIGHT BUT THE PARTY IS IN THE BACK.

YOU GUYS DON'T USE THAT IN YOUR FIELDS?

ONLY MY KIDS, RIGHT?

>> WE TRY AND PREVENT THAT.

>> TOO LATE FOR ME.

WE'LL TALK MORE ABOUT PREVENTION LATER ON.

WHAT IMPACT DOES HAIR LOSS HAVE ON A PERSON'S SELF-ESTEEM?

>> THAT'S A GREAT QUESTION.

FOR MEN, A LOT OF TIMES, WHAT YOU SEE IS THEY JUST, THE LOSS OF CONFIDENCE.

OF COURSE IT'S GOING TO MATTER DURING THEIR AGE, WHAT CYCLE OF LIFE THEY'RE IN.

IF THEY'RE YOUNGER, AND SAY THEY'RE TRYING TO GET OUT THERE AND DATE OR THEY'RE TRYING TO START A FAMILY AND MEET PEOPLE, AND THEY HAVE THIS, IT'S A HUGE LOSS OF CONFIDENCE THEY HAVE.

AND, OF COURSE, AS THEY GET OLDER, IT'S A NATURAL PART OF LOSING SOME HAIR.

BUT I HAVE MEN THAT COME IN ALL DIFFERENT WALKS OF LIFE.

THEY'VE TRIED MANY DIFFERENT REMEDIES, MANY DIFFERENT TREATMENTS AND, YOU KNOW, WE JUST HAPPEN TO BE THE BETTER OPTION AT THAT POINT IN THEIR LIFE FOR WHAT WE DO.

AND FOR WOMEN, IT'S THE SAME THING.

IT'S ALSO A LOSS OF CONFIDENCE.

THEY DON'T FEEL MAYBE AS SEXY AS THEY USED TO OR AS PRETTY AS THEY USED TO SO THEY WANT TO DO SOMETHING ABOUT THEIR HAIR LOSS.

>> DO YOU FOLKS SEE THE SAME THING IN YOUR PRACTICES THAT-- >> YES, WELL, IN MY PRACTICE, YOU KNOW, BY THE TIME PATIENTS COME TO MY OFFICE, YOU KNOW, THEY HAVE ALREADY DONE SOME RESEARCH AND THEY'RE INTERESTED IN, YOU KNOW, TREATMENT OPTIONS.

SURGICAL TREATMENT OPTIONS.

BUT, YOU KNOW, AGAIN, BUILDING UP TO THAT, BOTH MALE, FEMALE, ALL SPECTRUM OF LIFE, YOU KNOW, YOUNG, YOUNG PATIENTS IN THEIR 20s UP TO MUCH LATER, YOU KNOW, DECADES.

>> SO ANDROGENETIC ALOPECIA... >> THIS IS A NON-SCARRING ALOPECIA.

>> ANDROGEN ITIC IS NON-SCARRING.

>> BECAUSE WHEN YOU CATCH IT EARLY, THERE IS A CHANCE OF SALVAGING.

ONCE THERE IS A SCAR FOR THE HAIR FOLLICLE, IT IS GONE.

YOU CAN'T GET IT BACK.

>> YOU WANT TO TREAT IT EARLY.

>> YES.

>> WHAT ARE THE MEDICAL TREATMENT OPTIONS FOR HAIR LOSS?

>> SO THERE ARE SEVERAL.

AND IT DEPENDS WHERE THE PATIENT IS IN THEIR LIFE OR HOW THEY FEEL ABOUT TAKING MEDICATIONS.

BUT TYPICALLY WHAT WE RECOMMEND REGARDLESS IS FOR PEOPLE TO START WITH USING TOPICAL MONOXIDIL.

THAT CAN WORK EXTREMELY WELL.

IT'S OVER THE COUNTER.

THERE IS A 2% AND 5%.

AND NOW THEY JUST CAME OUT WITH A FOAM-- IT'S BEEN AROUND FOR A WHILE AND THAT IS ACTUALLY A MORE ELEGANT FORMULATION BECAUSE IT CAUSES LESS IRRITATION.

ONE OF THE SIDE EFFECTS OF TOPICAL MONOXIDIL IS SCALP IRRITATION.

WE CAN START WITH THAT AND DEPENDING ON HOW DIFFUSE THE HAIR LOSS IS, HOW DISTRESSED THE PATIENT IS, WHERE THEY ARE IN THEIR LIFE, YOU CAN START TO ORAL MEDICATION.

FOR WOMEN, ONE OF THE VERY GOOD DRUGS YOU CAN USE IS SPIROLACTONE THAT IS VERY WELL TOLERATED.

IT'S A LONG-TERM TREATMENT LIKE EVERYTHING FOR HAIR.

ONE OF ITS MAIN SIDE EFFECTS IS THAT IT CAN CAUSE MALE FETUS TO BECOME FEMALE SO WOMEN, WHEN THEY WANT TO START A FAMILY, HAVE TO GET OFF OF THIS.

>> SO SPIRANOLACTONE, ONCE YOU GET ON IT, UNLESS YOU ARE GOING TO HAVE A CHILD, YOU KEEP TAKING IT THE REST OF YOUR LIFE?

>> IT'S TRUE FOR ALL HAIR TREATMENTS THAT ARE EITHER TOPICAL OR SYSTEMIC.

IF AT ONE POINT YOU DECIDE YOU DON'T CARE ANYMORE, THEN, OF COURSE, YOU CAN STOP.

BUT IF YOU WANT TO MAINTAIN YOUR HAIR, YOU DO HAVE TO MAINTAIN THE TREATMENT.

THAT IS CORRECT.

THEN FORS MALES AND FEMALES, YOU CAN USE LOW DOSE MMONOXIDLY AND YOU CAN USE IT IN CONJUNCTION WITH THE SPIROLACTONE.

BUT IT CAN GIVE YOU SWELLING AROUND THE EYELIDS.

IT'S VERY RARE.

WHENEVER YOU ARE OR DEALING WITH ORAL MEDICINES, JUST MAKE SURE IT'S OKAY WITH ALL THE OTHER MEDICATIONS.

SO THAT'S ONE POINT.

>> A WHOLE PHYSICAL CONDITION.

>> CORRECT.

AND THEN THERE IS PROPECIA THAT IS FDA APPROVED FOR HAIR LOSS IN MALES.

AND SO WE ARE USING LESS AND LESS OF THAT BECAUSE THERE HAVE BEEN REPORTS OF PERSISTENT SEXUAL DYSFUNCTION WITH THIS.

>> NOT A BAD TRADE-OFF.

>> IN THE PAST WE USED IT AND IT WAS FINE.

I THINK IT'S YOUNG HEALTHY MALES CAN TOLERATE IT.

BUT BECAUSE OF THAT, AND THERE IS A QUESTION WHETHER THERE IS A DEPRESSION INDICATION WITH THIS.

WHETHER IT WORSENS DEPRESSION.

THAT'S IN QUESTION.

WE ARE STARTING PEOPLE ON THE MALES ON MONOXIDIL BECAUSE THERE IS NO SEXUAL DYSFUNCTION WITH THAT.

>> SO YOU, Dr. KIM, YOU DO HAIR TRANSPLANTS.

YOU WORK IN CONJUNCTION WITH FOLKS LIKE Dr. JOYCE HERE.

>> ABSOLUTELY.

I THINK IT'S A VERY IMPORTANT TO EMPHASIZE THAT HAIR LOSS, ESPECIALLY AN GROW GENETIC ALOPECIA IS A LIFE LONG PROCESS.

THERE IS A STRONG GENETIC COMPONENT TO THIS.

>> YEAH, MY DAD PRETTY MUCH LOOKED JUST LIKE THIS WHEN HE TURNED 60, HE STARTED TO LOOK LIKE THIS AND WHEN I TURNED 60, I STARTED TO LOOK LIKE MY FATHER.

I WONDERED WHAT HAPPENED TO ALL THAT WONDERFUL HAIR I USED TO HAVE.

>> THERE IS NO ONE-TIME SOLUTION IN TERMS OF SURGERY.

THE GOAL OF SURGERY IS TO REDISTRIBUTE THE DENSITY OF THE HAIR SO THAT THE AREAS THAT HAVE ESSENTIALLY COMPLETELY LOST, THAT IS ABSENT OF ANY HAIR, THE M PATTERN THAT WE TALKED ABOUT, WE ARE TRYING TO BRING BACK SOME OF THE DENSE HAIR FROM THE BACK OF THE HEAD.

>> SO WOULD YOU GO TO THE BACK OF MY HEAD HERE, FOR INSTANCE AND YOU WOULD SALVAGE SOME?

WHAT DO YOU CALL IT?

>> HARVEST.

>> I LIKE THAT MUCH BETTER.

HARVEST!

THAT'S MUCH BETTER.

I'M GROWING A LITTLE FARM BACK HERE.

YOU WOULD HARVEST AND THEN DO YOU MOVE IT IN LITTLE STRIPS OR FOLLICLE BY FOLLICLE?

>> FOLLOW-- FOLLICLE UNIT IS THE SMALLEST UNIT YOU CAN MOVE FROM ONE PART OF THE SCALP TO ANOTHER SAFELY.

THAT IS CONTRAST FROM GENERATIONS AGO PEOPLE USED TO CALL IT HAIR PLUGS, THESE PATCHES OF TUFTS OF HAIR.

>> I HAD A FRIEND BACK IN MY 20s WHO ACTUALLY HAD LITTLE PLUGS THAT LOOKED LIKE PLUGS.

>> BACK THEN THAT USED TO BE.

NOW IT'S MUCH MORE NATURAL.

SMALLER FOLLIQULA UNIT.

INHERENTLY THE HAIR FOLLICLES IN THE FRONT WHICH IS VULNERABLE TO HAIR LOSS IS DIFFERENT FROM THE DONOR SIDE IN THE BACK.

>> DIFFERENT KINDS OF HAIR.

>> THAT'S RIGHT.

>> SO WHEN YOU REDISTRIBUTE IT, THE TRANSPLANTED HAIR WILL RETAIN THE PROPERTY SO, BUT AGAIN, JUST TO REEMPHASIZE, EVEN WITH THE SURGERY, THERE IS ALWAYS A MEDICAL TREATMENT THAT YOU WOULD DO IN CONJUNCTION TO RETAIN AND PREVENT FURTHER LOSS.

>> SO YOU WOULD CALLED Dr. JOYCE AND SAY, YOU WOULD SEND THE PERSON OVER TO HER AFTER YOU DO OR MAYBE DURING THE PROCESS OF TRANSPLANT.

>> THAT'S RIGHT.

>> OR BEFORE, TOO.

BECAUSE MANY PATIENTS, ESPECIALLY FEMALE PATIENTS, THERE COULD BE UNDERLYING MEDICAL CONDITIONS THAT WE WANT TO, YOU KNOW, DIAGNOSE OR WORK UP BEFOREHAND SO THERE IS A LOT OF COLLABORATIVE WORK THAT IS INVOLVED IN THAT.

>> SO YOU GO TO THE BACK, LIKE FOR ME, AND YOU MOVE IT TO THE FRONT AND YOU IMPLANT IT AND WHAT IS THE RECOVERY LIKE?

DOES IT-- DO THEY ALL JUST STAY THERE?

AND THAT'S BECAUSE THEY'RE A DIFFERENT KIND OF HAIR THAN IN THE BACK-- IN THE FRONT I MEAN?

>> WELL FIRST YOUR QUESTION ABOUT THE RECOVERY FROM THE PROCEDURE.

SO TRADITIONALLY, THERE USED TO BE HAIR TRANSPLANT WHERE YOU WOULD DO STRIP HARVEST.

SO FROM THE BACK OF THE SCALP, A STRIP OF SCALP IS REMOVED AND THEN IT IS PREPPED UNDER THE MICROSCOPE INTO INDIVIDUAL FOLLICULAR UNITS.

THAT PROCEDURE, WHILE STILL IS BEING PERFORMED, IS MORE INVASIVE.

IT CAN HAVE SOME MORE PAIN.

AND ALSO YOU MORE OFTEN THAN NOT HAVE A LINEAR SCAR IN THE BACK OF THE SCALP.

NOWADAYS MORE AND MORE WE DO FOLLICULA EXTRACTION WHERE AN INDIVIDUAL FOLLOW-- FOLLICLE IS EXTRACTED AND TAKEN TO THE RECIPIENT SITE.

MUCH LESS INVASIVE.

YOU REALLY USE MINIMAL ORAL SEDATIVE AND DOWN TIME WISE, SOCIALLY, I TELL PATIENTS ABOUT SEVEN TO 10 DAYS, TAKE IT EASY.

STAY OUT OF SOCIAL SPOTLIGHT.

BUT DURING THAT TIME, YOU ARE NOT BED BOUND AND THERE IS VERY MINIMAL PAIN.

YOU KNOW PATIENTS CAN WORK FROM HOME OR REALLY DO A LOT OF ACTIVITIES REASONABLY SPEAKING.

SO.

>> CAN YOU TRANSFER MORE HAIR THAT WAY?

MORE UNITS?

>> YES, ACTUALLY.

EARLIER TODAY I SAW A PATIENT WHO IN HIS 70s, HAD A MULTIPLE STRIP HARVEST TECHNIQUE SURGERIES, AND FIRST THING THAT I'M LOOKING FOR, FIRST OF ALL, THE SCAR, BUT EVERY TIME YOU GET THE SURGERIES, THE SCALP GETS TIGHTER AND TIGHTER TO THE POINT WHERE REALLY THE ONLY WAY TO DO THIS IS TO, YOU KNOW, BORROW INDIVIDUAL FOLLICULAR UNIT.

SO YES THERE IS SOME OF THAT ADVANTAGE AS WELL.

>> IT IS LIKE A FREE FACE LIFT IF YOU GET ENOUGH STRIPS AND UP GO THE WRINKLES?

>> REVERSE OF THAT, THERE ARE PROCEDURES FOREHEAD REDUCTION SO YOU CAN ACTUALLY BRING THE HAIR LINE DOWN FORWARD BY REMOVING... >> INTERESTING.

SO LET'S TALK ABOUT MICRO-- SCALP MICROPIGMENTATION.

PLEASE TELL US ABOUT THAT.

>> WELL, SCALP PIE CROW PIGMENTATION IS ANOTHER OPTION FOR PEOPLE WHO WHO ARE SUFFERING FROM DIFFERENT FORMS OF HAIR LOSS.

IT WORKS ON ALL SKIN TONES.

IT WORKS WITH MEN AND WOMEN.

AND I ALSO WORK A LOT WITH HAIR TRANSPLANT DOCTORS THROUGHOUT WHO HAVE DONE THE PROCEDURES, MAYBE TWO OR THREE TIMES AND THE PATIENT MAY HAVE NOT GOTTEN THE DENSITY THAT THEY WERE LOOKING FOR.

AND THERE COMES TO A POINT, IN MEDICAL-- IN SURGERY, WHERE THEY CAN'T DO ANYMORE AND THEY WOULD COME IN AND WE WOULD DO A DENSITY PROCEDURE WHERE WE ARE JUST KIND OF SHADOWING, PUTTING A SHADOW ON TO THE SCALP TO MAKE IT LOOK MORE FULL.

AND OF COURSE, I'M SURE YOU GUYS HAVE PATIENTS THAT THEY JUST AREN'T GOOD CANDIDATES FOR HAIR TRANSPLANTS.

JUST TOO FAR GONE.

SO ONE OF THE OPTIONS IS TO CROW EIGHT JUST THAT LOOK, LIKE I HAVE, THIS IS EIGHT YEARS OLD.

I HAVEN'T DONE ANYTHING IN EIGHT YEARS.

WHERE IT JUST LOOKS LIKE YOU HAVE HAIR BUT YOU CHOOSE TO SHAVE IT DOWN.

AND, OF COURSE, WE WERE TALKING ABOUT THE F.U.T., THE STRIP SCARS BACK IN THE DAY.

I'M SURE THEY'RE STILL BEING USED BUT MOST PEOPLE ARE GOING WITH THE FOLLICULAR BUT WE ARE ONE OF THE THE ONLY PROCEDURES IN THE WORLD THAT CAN CAMOUFLAGE THAT IN.

SO IT HELPS WITH THOSE PATIENTS WHO KIND OF FEEL LIKE I HAVE A SMILEY FACE IN THE BACK OF THEIR HEAD AND THEY WANT TO GET THAT TAKEN CARE OF SO WE CAN CAMOUFLAGE THAT.

SO IT HAS THREE DIFFERENT UNIQUE APPROACHES THAT WE CAN DO.

>> HOW LONG DOES SCALP MICROPIGMENTATION TAKE?

HOW MANY SESSIONS?

WHAT IS INVOLVED?

>> WHAT I OFFER IS THREE SESSIONS.

WE FOUND THAT OVER THE LAST EIGHT YEARS I HAVE BEEN DOING THIS, THAT THREE SESSIONS TYPICALLY, TWO TO THREE HOURS PER SESSION.

IT'S A GRADUAL PROCESS SO THAT WE DON'T WANT TO OVERDENSIFY THE SKIN SO THAT YOU GET PROBLEMS WHERE NOW THEY HAVE TO GO TO A DERMATOLOGIST TO GET LASERRED OFF BECAUSE IT WAS TOO AGGRESSIVE.

THAT'S ONE OF THE ISSUES THAT SCALP MICROPIGMENTATION, ONE OF THE DOWNSIDES IF YOU GET IT DONE INCORRECTLY BY AN UNTRAINED ARTIST THAT IT HAS TO BE LASERRED OFF.

THERE IS NO OTHER WAY TO REMOVE IT.

TYPICALLY IT'S ABOUT THREE SESSIONS.

TWO TO THREE HOURS EACH SESSION.

AND THEN TOUCH-UPS GENERALLY ARE FOUR TO FIVE YEARS UP NORTH.

IF YOU ARE DOWN CLOSER TO THE SOUTHERN STATES WHERE IT'S MORE HUMID, THE SUN IS OUT, IT'S USUALLY EVERY THREE YEARS THEY'RE GOING TO NEED A GENERAL TOUCH-UP TO FRESHEN UP.

>> BECAUSE THE SUN SORT OF BLEACHES IT?

>> IT'S JUST-- YOU GET MORE TAN, SOMETIMES YOU BURN DOWN THERE, SWEAT MORE, IT ALSO DEPENDS ON YOUR OCCUPATION.

IF YOU ARE OUTSIDE EVERY DAY GETTING THAT SUN BEATING ON YOU, YOU ARE GOING TO NEED TOUCH-UPS SOONER THAN SOMEBODY IN THE OFFICE.

>> IF YOU ARE A LONG TIME YUR OF THE VOA, YOU MAY HAVE NOTICED MY HAIR CHANGING OVER THE YEARS.

IN FACT, THE MOST FREQUENT FEEDBACK WE RECEIVE ON CYCLE IS ABOUT HAIR!

WELL, I TOOK A TRIP DOWN TO A&E IN EAST SYRACUSE TO LEARN ABOUT HAIR REPLACEMENT, AND THEY CONSULTED ME ON A HAIR PROSTHESIS.

LET'S TAKE A LOOK.

DISPR SO MY GRANDMOTHER, WHEN I WAS ABOUT EIGHT OR 10 YEARS OLD SAID TO ME, YOU HAVE HAIR GIRLS WOULD DIE FOR.

I HAD ALL THIS CURLY HAIR AND IT WAS WITH ME UNTIL LIKE ABOUT 10 YEARS AGO.

THEN IT STARTED TO GET A LITTLE STRAIGHTER AND IT STARTED TO... AND MORE RECENTLY IT STARTED TO FALL OUT.

I USED TO HAVE HAIR DOWN HERE AND IT KIND OF RETREATED.

RIGHT?

AND I THINK THERE IS A BALD SPOT OR SORT OF A PINK SPOT, MY MOTHER WOULD SAY.

>> A LITTLE BIT.

>> A LITTLE PINK GARDEN MY MOAR MOTHER CALLED IT.

>> I'M A HAIR STYLIST HERE AT A & E. WHEN YOU COME IN FOR YOUR CONSULTATION, YOU WILL SIT IN THE CHAIR AND WE WILL DETERMINE WHAT HAIR COLOR, THICKNESS OF YOUR HAIR AND WHERE THE UNIT IS GOING TO SIT SO IT LOOKS EXACTLY LIKE YOUR HAIR.

IF YOU BANTED TO DO HAIR REPLACEMENT, WE WOULD PROBABLY DO A PIECE PROBABLY JUST THE TOP OF YOUR HEAD BECAUSE DO YOU ACTUALLY HAVE THICK HAIR IN THE BACK.

SO WE WOULD JUST INTEGRATE YOUR HAIR IN WITH THE HAIR PIECE SO THE HAIR PIECE WOULD SIT ON THE TOP OF YOUR HEAD ABOUT THIS MUCH RIGHT TO ABOUT WHERE YOUR SPOT ENDS RIGHT ABOUT HERE SO YOU WOULD KEEP ALL OF THIS.

AND WE WOULD PROBABLY SHAVE THE TOP OF YOUR HAIR AND YOU COULD EITHER BE PERMANENTLY ATTACHED OR NON-PERMANENTLY ATTACHED.

>> TO GET THE HAIR PIECES TO STICK, WE USUALLY HAVE LIKE THEY'RE EITHER BONDED ON PERMANENTLY, WHICH PERMANENT MEANS EVERY FOUR WEEKS THEY HAVE TO COME IN AND I TAKE IT OFF.

THERE IS NON-HAIR REPLACEMENT, WHERE IT IS JUST A TWO-SIDED TAPE AND THEY CAN TAKE IT OFF WHENEVER THEY WANT TO.

>> NOW IS THAT NATURAL HAIR?

>> THIS IS ALL HUMAN.

THIS IS ALL HUMAN HAIR.

THIS IS WHAT YOUR BASE LOOKS LIKE AND IT SITS ON YOUR HEAD AND IT'S VERY, VERY NATURAL LOOKING WHEN IT DOES GO ON.

>> WE DO HAVE DIFFERENT TYPES OF BASES SO WE HAVE ONE THAT'S CALLED AN INTEGRATION, WHERE YOU PULL YOUR HAIR THROUGH LIKE A WEBBING.

THAT'S FOR MAINLY PEOPLE WHO ARE JUST THINNING.

AND THEN WE HAVE LACE PIECES, WHICH IS OUR NUMBER ONE HAIR PIECE WE SELL AND THOSE PIECES ARE PROBABLY 95% OF OUR CLIENTS WEAR THOSE.

>> YOU USED TO SEE COMMERCIALS OR THINGS ABOUT HAIR PIECES OR PEOPLE WOULD BE IN MOVIES AND THEY WERE AFRAID IT WOULD FALL OFF IF THEY GO SWIMMING OR THEY WOULD FALL OFF IF THEY GO IN THE SHOWER OR... >> NO, YOU CAN SWIM, YOU CAN SHOWER, YOU CAN BASICALLY-- EVEN NON-PERMANENT YOU CAN SWIM AND SHOWER ALSO.

THE ADHESIVE THAT WE USE, THE TAPE THAT WE USE IS VERY, VERY STICKY AND IT WILL NOT COME OFF WITH LIKE SWIMMING OR SHOWERING.

>> SO YOU WOULD HAVE SOME KIND OF SOLVENT OR SOMETHING THAT TAKES IT OFF WHEN YOU COME?

>> YES.

>> YOU DON'T HAVE TO YANK, YANK, YANK!

>> NO, NOT THE NOT AT ALL.

>> OBVIOUSLY IT'S JUST REGULAR HAIR SO YOU CAN COMB IT OR STYLE IT ANY PARTICULAR WAY.

>> YOU CAN COMB AND STYLE ANY WAY YOU WANT.

YEP.

COLOR, CUT, PERMS, WE DO ALL SORTS OF THINGS BECAUSE WE ACTUALLY DO YOUR NORMAL HAIR, TOO SO YOU GET A PERM OR A COLOR.

SO WE HAVE TO DO EVERYTHING TO YOUR HAIR.

>> WHAT DO YOU TO THE OTHER HAIR.

>> WHAT WE DO TO THE OTHER.

RIGHT.

IT'S A SCARY PROCESS.

PEOPLE TEND TO NOT WANT TO DO IT BECAUSE IT MAKES THEM LOOK A LOT DIFFERENT.

BUT IN THE END, IT'S REALLY, REALLY A NICE THING TO HAVE.

>> WELL, I THINK MY GRANDMOTHER WOULD PROBABLY BE VERY HAPPY WITH WHAT YOU WOULD DO.

IT SOUNDS LIKE YOU WOULD MAKE ME LOOK GOOD AGAIN.

THANK YOU VERY MUCH FOR CONSULTING WITH US ABOUT WHAT YOU MIGHT DO TO MY HEAD.

>> AND IF YOU ARE EVER THINKING ABOUT IT, I'M ALWAYS HERE.

>> THERE YOU GO.

THANK YOU VERY MUCH.

>> WHAT ABOUT FAMILY HISTORY?

IS HAIR LOSS GENETIC?

>> THERE IS A VERY STRONG CORRELATION FOR MALE AND FEMALE PATTERN HAIR LOSS WITH FAMILY HISTORY, YES.

SO WE DO DELVE INTO THAT.

>> SO, FAMILY HISTORY, IS THERE A WAY TO PREVENT HAIR LOSS?

NOT PARTICULARLY TO DO ANY PREVENTATIVE MEASURES FOR THE MALE AND FEMALE PATTERN HAIR LOSS.

FOR SOME OTHER HAIR LOSS PATTERNS, YES, BUT FOR THIS, NO, NOT REALLY.

JUST, YOU KNOW, IN GENERAL, IT'S ALWAYS GOOD TO HAVE A GOOD HEALTHY LIFESTYLE FOR EVERYTHING, BUT IT'S NOT GOING TO PREVENT IT.

>> ARE THERE SOME THINGS YOU CAN DO THAT WOULD ACCELERATE HAIR LOSS?

LIKE IF YOU HAVE A TERRIBLE DIET OR... >> WELL, IF YOU GO ON VERY EXTREME DIETS, YOU CAN HAVE A DIFFERENT TYPE OF HAIR LOSS, WHICH IS WHERE YOU LOSE HAIR FROM EVERYWHERE THAT CAN AGGRAVATE WHAT YOU ALREADY HAVE.

YOU KNOW, THOSE KINDS OF THINGS.

>> SO EAT HEALTHY.

TAKE GOOD CARE OF YOURSELF AND WELL, FOLKS, THAT'S ALL THE TIME WE HAVE.

I WANT TO THANK OUR GUESTS... DR.

SANG KIM, FACIAL PLASTIC SURGEON AT NATURAL FACE CLINICS; DR. JOYCE FARAH, DERMATOLOGIST AT FARAH DERMATOLOGY AND COSMETICS AND ASSISTANT PROFESSOR OF MEDICINE AT UPSTATE MEDICAL UNIVERSITY; MR. JEROD SCHOONMAKER, FOUNDER OF SCALP INTERNATIONAL HAIRLINES IF YOU'D LIKE TO SEE MORE OF OUR PROGRAM AND EXTRAS, VISIT OUR WEBSITE, WCNY.ORG/CYCLEOFHEALTH.

TO HEAR OUR NEW COMPANION COMMUNITY FM RADIO SHOW, CHECK UP FROM THE NECK UP, VISIT WCNY.ORG/COMMUNITYFM.

FOR CYCLE OF HEALTH, I'M PSYCHOLOGIST DR. RICH O'NEILL.

THANKS FOR CHECKING IN.

♪ ♪ ♪ ♪ >> THIS ONE IS NOT CUT THE EXTRA, BUT YOU CAN'T TELL WHEN IT DOES ACTUALLY GET ON.

AND IT FITS VERY TIGHT AND YOU DON'T FEEL IT EVEN IF LIKE IF YOU FEEL RIGHT ON THE TOP OF YOUR HEAD RIGHT NOW, YOU CAN'T EVEN FEEL THAT THERE IS SOMETHING ON YOUR HEAD.