Category: Blog @en


One of the most common questions that patients ask before deciding to undergo hair restoration procedure is whether hair restoration is a successful procedure. Can a doctor ever claim that one treatment of surgical procedure is going to be successful or even give a written guarantee? Our attitude is not, but what we can promise is that in every procedure we will invest all our efforts, knowledge and commitment for the best outcome. However, sometimes it happens just the opposite-poor growth of transplants after hair restoration. After following up of these patients, we came to the conclusion what are situations where blog_0001something like this could happen. Factors that lead to poor growth are divided into preoperative (general), intraoperative and postoperative. Under the general factors we refer to general health of the patient, as well as certain lifestyle habits that may affect the outcome of the intervention, such as systemic diseases such as diabetes, vascular disorders, infections, poor healing of the tissues, smoking, alcoholism. Skin diseases like a scarring alopecia or alopecia areata lead to poor growth after hair restoration and that is is why it is necessary to do evaluate the scalp prior to the procedure. Perhaps the most im

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The inspiration for this text was born after some local and global googling. Spreading of information, whether good or bad, is now easy thanks to new internet media. And it can be spread by anyone. Unfortunately … In our the type of medicine , media became more like some kind of a ring rather than a way of educating patients in need of our services. Some of the advertisements for hair transplantation contain terms such as “special discount coupons”, “service combo package” and “exclusive offers”. Local searches offered photographs of famous people who were willing to have their pictures taken for the needs of a clinic. The concept is pretty OK and very attractive, when it’s true. Few said that they underwent the transplant, obviously reluctantly, because this is the Balkans and the results were mediocre. Of course, there were those who did not even undergo the transplantation but said they were, showing their equally perfect hair for “before” and “after” photos, providing publicity to some clinic. Beyond this country’s borders, there are bundle offers to perform hair transplantation in one city and celebrate a New Year’s Eve in another (even in another country). Cheap, of course. Like it is the last New Year’s Eve they will be celebrating. The Asian block is winning though. Its presence in all local forums with made-up Anderson patients’ names wh

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IMG_1045-200x300 Sometimes patients with a certain condition inspire you to search and find out how you can help them. Some year and a half ago I met a wonderful girl my age who completely lost her hair two times in her life. It started as alopecia areata – small circular hairless area, but it stubbornly continued until all hair was lost so today she suffers from alopecia totalis – progressive hair loss. Since I met such a lovely person who is dealing with her problem with such bravery so you can envy her on the positive view on life, I wanted to help her. I have studied what PRP therapy in treatment of alopecia areata is, I have even met Joseph Greco, MD, a physician who wrote the treatment protocol for alopecia areata. We have applied two treatments so far and we can already see some progress. We will continue with this… Last week at the School of Medicine at the University of Miami I had a chance to attend a lecture by visiting professor from the Columbia University, Angela Christiano, MD. She is an immunologist and geneticist conducting research on the subject of alopecia. As she herself had suffered from alopecia areata and faced difficult life circumstances, she decided to try to find a cure for this conditio

Posted in Blog @en, Hair loss by Hair Center Serbia

As someone who spent a lot of time learning how to, first of all, differentiate different types of hair loss in girls and women and then how to firstly clinically and then dermoscopically and histologically differentiate so many diagnosis, I think that we should be very careful in deciding whether a patient is a good candidate for hair transplant or not. Female hair loss is very complex and any decision on the intervention should be made after determining proper diagnosis. Androgenic alopecia, scarring alopecia, anagen effluvium, telogen effluvium, congenital alopecia are just some of over 20 different conditions leading to female hair loss. Contrary to men, where androgenic alopecia represents the most common cause (around 80%) making the course of hair loss partially predictive, this is not the case in women. This is why I think that proper diagnosis is the first step in further decision making that can go in two directions: toward prevention and treatment of hair loss or surgical treatment – hair transplantation. Hair loss prevention and treatment are very complex issues. First, they require family analysis of hair loss, personal history of hair loss, correction of some associated systemic, psychiatric, hormonal and dermatological diseases that could lead to hair loss, insight in history of taken medications and other. Hair loss prevention starts with healthy nutrition and l

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2 13.08.2014

Minoxidil, known as Rogaine and Regaine in different parts of the world, was primarily medication used for regulating high blood pressure in hypertensive persons. By its effect it is a vasodilator – its function is dilatation of blood vessels which causes decrease in blood pressure. However, it was noticed that it had a side effect of regrowing hair but to this day actual mechanism has not been explained. Minoxidil is considered to lead to dilatation of blood vessels of the scalp thus increasing the supply of nutritious substances to hair follicles so they have more strength for growth. Minoxidil exists in doses of 2% and 5%. Greater doses of 8% and 15% can be obtained only by prescription. It comes in the form of lotion or foam. Also, if Minoxidil is directly injected in scalp derm, (mesotherapy )m effect is much greater than with lotion application. It is used twice a day by applying 1 ml of lotion by gentle massage on areas with thinning hair. It should not be rinsed after the application and should be left to take effect. It is very important to take care not to let it flow down on the face because it can cause unwanted, but temporary, hair growth of facial hairs and sometimes neck. Indications for its use are androgenic (hereditary) alopecia, anagen or telogen effluvium, alopecia areata and many other diseases related with hair loss. The biggest effect is in the crown and

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te-3Telogeni efluvijum je veoma cesto i slozeno stanje kose koje pogadja sve uzraste i cesce – zene. Nakon androgenetske alopecije, ovo predstavlja drugi najcesci uzrok opadanja kose I razlog obracanju lekaru za pomoc. Normalno je da je oko 80-90% dlaka u aktivnoj fazi rasta (anagena faza), dok je ostatak u tzv. telogenoj (pasivnoj) fazi rasta. Kod telogenog efluvijuma se desava da veliki broj dlaka istovremeno ulazi u ovu pasivnu faza rasta I opada. Najcesce pogadja srednji deo glave, retko sa strane (temporalno) I pozadi (okcipitalno). Pacijenti obicno ne izgube svu kosu, ali ona postaje difuzno tanka I slaba, a cesto se skalp jasno nazire. Tipicno se vidi da se kosa gubi temporalno u prednjoj liniji kose (slicno muskim zaliscima) I pacijentkinje subjektivno navode da im je rep izgubio volumen. U izrazenijim slucajevima, telogeni efluvijum pogadja I obrve, pubicnu I pazusnu dlaku. Folikuli dlake nisu trajno osteceni, samo se mnogo vise njih nalazi u pasivnoj fazi rasta nego sto je normalno. Iz tog razloga, sto se ranije pocne sa terapijom, veca je mogucnost da se uspori ili zaustavi opadanje kose, a dlake vrate u aktivnu fazu rasta. Postoje dva oblika ovog obolenja: kod jednog, opadanje kose nastupa naglo I najveci deo kose se izgubi vec

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Alopecia areata is an autoimmune disease equally affecting men and women, children and adults. Characteristic clinical features are bald patches on head, beard or eyebrows. The patches can be very small but could also cover a couple of centimeters if they spread. If they cover the whole scalp we talk about alopecia diffusa, and if the disease spreads to the whole body and all body hair falls out we talk about alopecia universalis. The origin of the disease is still unknown as with all autoimmune diseases. It is considered that the “trigger” is most commonly stress (different kinds) and that there is family predisposition of reacting to different life situations with hair loss. Hair is considered a weak spot like with some people abdomen, heart, and skin. The disease itself is psychologically difficult for the patient due to its unpredictability and the inability to control it. With each hair wash new hair loss is observed and often a patch renews itself and another develops and so the process “moves” around the scalp. There is still no cure. Usually there are methods for controlling the disease. It is very important to talk openly and honestly with patients because each of them can clearly identify when the disease started and whether its development coincided with a difficult life situation. If the issue is chronic stress, it is necessary to minimize it and ask for adv

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Is a beard just a symbol of masculinity or something more?   hs1 It is said that beards became very fashionable again last year but that is not true – actually it never was unfashionable, it just laid low for some time until a new generation grew up to play with it again. That new generation is represented by hipsters who call themselves members of an alternative counter-culture and they strive to be connected to ideas of individuality, every-day nonchalance coupled with social awareness, unique style and general “coolness”. And with all that goes a thick, casual and super cool beard!   This is not an issue of shaving being unpleasant and ugly but rather the beard having healthy influence on our organism. The beard protects us from UV rays and rejuvenates our face skin. When you wear it in the winter without a scarf, you don’t even feel the wind. All of this, plus every man looks just as mother nature intended.   Maybe some people ask themselves what is the purpose of a beard? Try to grow a beard for couple of weeks. The attempt will not be easy at all; only real beards can endure all prejudices, generally accepted opinions and disapprovals and come to the light.  

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2 10.12.2013

Hair loss (alopecia) is not just an adult problem. It occurs in 3% of children and for many parents this is a horrifying issue. The good news is that with a proper diagnosis, most of these children can be cured efficiently. For most children over 2 years, the following reasons are most common causes for hair loss. Tinea Capitis is a fungal infection of the scalp that can often be seen in children. You can notice white keratotic crusts similar to dandruff on the whole scalp. These changes most commonly occur in circular patterns, they itch and hair in this area is missing and it appears as black spots on scalp. Dermoscopy should confirm clinical diagnosis and treatment usually includes antifungal medications – pills or cream. Antifungal shampoo with selenium sulfide or ketoconazole can also be used. Since this is a contagious disease, care should be taken for the child not to share hats, pillows, hair pins or brushes with other children. Alopecia areata is not a contagious disease and its origin is considered to be autoimmune. It manifests with sudden development of circular (patchy) hairless areas. These patches are smooth and do not contain broken hair. Although there is no cure for this disease, it can be controlled by some treatments. In most children, hair grows again after a year while some lose it again. In 5% of children, the disease progresses into a condition called al

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Summer is already here and it’s the favorite season of many, especially children because of the long summer holiday. During summer season most interventions related to better hair appearance can be performed. Hair mesotherapy represents procedure of injecting vitamin cocktails that strengthen the hair root making hair thicker and better. The intervention is performed on outpatient basis and it lasts around ten minutes. Bathing and tanning is allowed immediately. PRP therapy – platelet-rich plasma is a therapy in which one’s own platelet-rich plasma with growth factors is injected subcutaneously in hairy area. This therapy is extremely effective in alopecia areata (patchy alopecia) as well as in androgenic alopecia because it stimulates hair growth. The intervention is performed on outpatient basis and it lasts around an hour. Bathing and tanning is allowed the next day. Laser treatment against hair loss (Low Level Laser Hair Treatment) is a treatment that stimulates hair follicles on the dermis. Treatments are performed on outpatient basis and last around half an hour. Bathing and tanning is allowed immediately. Eyebrow transplantation is a surgical procedure of transplanting hair from the back of the head into the eyebrow area. The intervention is performed in the surgery room and lasts around three hours. Bathing and tanning is allowed after two weeks. FUE hair transplant

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