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Hair Loss Specialist

Michael Aziz, MD

Primary Care Physician & Internist located in Midtown East, New York, NY

There are many treatment choices when it comes to hair loss and balding. At our office located in Manhattan and Midtown East, we just don't give pills such as finasteride, but we check for the root of the problem such as thyroid issues, low vitamin D, or an excess of dihydrotestosterone. We also check for other vitamin deficiencies. We use a combination of treatment methods such as medications, PRP, growth factors, and exosomes. Exosomes are the treatment choice for hair loss as it is a novel treatment and gives great results. 

Hair Loss

Currently, there are a few non-surgical injectable options for the treatment of hair loss. One option is platelet-rich plasma (PRP) which entails drawing up a patient’s blood and isolating the platelet-rich plasma component which is then re-injected into the patient’s scalp by a small needle. PRP is enriched for growth factors that can stimulate hair follicle growth. In many patients, PRP injection can help promote hair growth. It works best in patients who have thin (or miniaturized hairs). However, many sessions are needed. Another option that has shown some promise is microneedling, which involves using a skin roller with small needles to cause minor injuries to the skin. The growth factors released to heal these injuries have shown positive but variable results in the treatment of hair loss. Some doctors use growth factors. Again, several sessions are needed to see results.

Enter Exosomes, minute extracellular vesicles that carry messenger RNA, micro RNA, and proteins, including growth factors. The use of exosomes for the treatment of hair loss is new and has shown very promisingly early results in individual patients. However, exosomes have not been investigated in formalized clinical trials yet, which are the gold standard for rigorous testing of new medical treatments. Exosomes are derived from the mesenchymal stem cells that are present in bone marrow of a human donor. Companies such as Kimera have developed technologies to harvest a large number of exosomes from mesenchymal stem cells from human donors. Although exosomes are considered an acellular material, the tissue donors are tracked and screened for HIV and Hepatitis B and C.

While the mechanism of action of exosomes has not been fully elucidated, many hypothesize that exosomes target existing stem cells in your scalp. Scalp stem cells are mostly located in the “bulge area” of your hair follicles and their activation can result in the growth of existing miniaturized hairs and the growth of new hairs. Many doctors who have been early adopters of exosomes have obtained very promising results, with a much quicker onset and more robust hair growth than PRP (platelet-rich plasma). In addition, there have been anecdotal results of hair growth in completely bald scalps, a feat previously not achieved with other injectable hair loss treatments. There are still many aspects regarding the practical use of exosomes that need to be worked out, including how many injections are necessary. Also, since no clinical trials have been conducted using this new injectable, it has not been rigorously studied in regards to its efficacy (both short and long-term) and potential long-term side effects, we recommend at least 3-4 treatments, 1-2 months apart. Dr. Michael Aziz likes to stay on the cutting edge of medical innovations, and we are now offering exosomes for hair loss and thinning hair. We only use the highest quality exosomes at our office and inject from 5 billion to 15 billion exosomes in session for best and optimal results. 

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