Hello, welcome to today's interview at La Tarde en 24 Horas.
Robotic applications are multiple and varied
Today, we are talking about robotics on hair transplants
something that gets attention especially to men
since they are 50 millions men that suffers baldness all over the world
Today's guest has just participated in Los Angeles
at the experts world congress in robotized hair restoration
He is going to tell us the latest advances in that area
Doctor Eduardo López Bran. Welcome.
Hello. I am glad to be here
We are talking about 50 million men that suffers baldness
That means that they will end losing their hair sooner or later
50 million men are many. Is this hereditary? Is it avoidable?
Hardly. 65% of men will lose our hair over the years
Some precociously, others later
but androgenetic alopecia (or common alopecia) visits men very often.
It visits them because he inherits
That´s right. It is necessary to develop androgenetic alopecia
(which is the most frequent type of alopecia in both men and women)
2 factors (2 key factors that we will not lose our hair if they don't occur)
Those 2 factors are: genetics (heritage) and hormonal
We are talking about men, but it is also true that women suffer hair loss, in less proportion,
Or at least, they suffer weakening, aging, ... it is a natural process
Well, more and more women, they are not a few these days,.
About 25% of women suffer androgenetic alopecia (common alopecia) at the present moment
Why more and more?
Well, I think it is because women that had not enough genetic pressure
so the alopecia did not clinically express
But, along with other trigger factors
stress, ansiety, ... mostly motivated by the, everyday more significantly, the adoption of positions of responsibility in our societies, day
have caused baldness that would never show up without those trigger factors
We are going to talk about those factors, in a moment,
but firsly, before telling us how to recover our hair,
What happens when we lose our hair? Why we lose our hair?
What is happening?
Our hair is going through different phases
The hair follicle cycle
Every 4 to 6 years, our hair is completely renewed
When androgenetic alopecia appears
The hair is renewing, but is getting thinner, less thick, less pigmented, shorter.
the hair is transformed into fine hair that is not visible to the naked eye
And this is what causes baldness or hair loss
And is it possible to recover that hair with any treatment?
It is difficult, at the present time, there are some medical treatments that are capable of slowing down hair loss
In some cases, they show good good results.
But, unfortunatelly, when the hair is lost, the only way to recover the hair in a natural way, is the hair transplant
You told us before that, apart from genetics, they are external factors that may trigger hair loss
I guess they will have to do a lot with food, with lifestyle, but also stress. Is it so important what we do to our hair vitality?
Without a doubt. Genetics are key, but other factors like stress, anxiety, and inadequate diet, sleep depravation,...
any endocrine, metabolic, infectious disorder, ...
May aggravate a hair loss when it is already underway or even trigger it when it is latent
And what if we stop those factors, will alopecia stop too?
It is not that easy to spot those factors to happen
In todays society, it is really hard.
But without a doubt, if we were able to correct in an stable way those hair loss trigger factors
we would correct an important part of that hair loss
What happens when someone is under treatments like chemotherapy.
Will this person get his/her hair back again? (if he/she loses it)
In treatments like chemotherapy, that are used in a cancerous process
A part of the follicles that are in a phase of the cycle are altered
and this causes a temporary loss of hair that is going to recover later
Usually, in the same amount. Sometimes a little weaker.
but hair recovery after a chemotherapy treatment is usually total
Hair is not vital. We can live without hair
But it is really important to women, but also to men
Why it is so important to us to have hair?
The main aesthetic concern of men is the loss of hair
And between women I believe it is the 5th or 6th in the statistics
Well, I think it might be on the top... We care a lot about hair.
Women are lucky: they tend to retain, even in advanced baldness, the implantation line
which, with these fantastic combing maneuvers, can disguise
yes [laughing]
But, in anycase, they is an historic (even in Egyptian papyri) reference to the aesthetic concern that causes hair loss
loss of self-esteem, the feeling of being less attractive
This is very personal. And in a society like todays, so competitive
in which our image covers a great place, I think that disproportionate most of the times,
Hair is one most important factors to men and women image
Alopecia may cause, not only the losing of self-esteem, but also depression for not having hair, right?
Yes, those would be more extreme cases
but it is true that researches show that hair-loss may cause to some people, loss of mood, depression
that generally coexists with a specific psychological profile
As you said before, hair has not a vital function for human beings
It protects us from solar radiation. People like me, that lose our hair prematurely,
are more likely to develop skin cancer by the action of the sun on our scalp
But hair has a psychological importance impossible to measure
You talked about the worry about not having hair goes back to very begining of history
from the Ancient Egypt to the present time.
There has also been a lot of literature about hair growers, that are always a lie.
But these day, we found other (real) solution such as robotics.
What are those robotic hair transplants about? May you tell us in an easy way how are those transplants done?
Robotics has made its presence in multiple medicine and surgery areas
What robotics does is to help the profesionals (doctors) to do better what they have been doing reasonably well.
All the repetitive processes that are able to be robotized, will eliminate the error component by human fatigue
We need to extract thousands of (follicular) units from the donor area
When it is possible to do so, because not everyone can have a hair restoration
Not everyone. that's important. When can someone have a hair transplant?
Those persons that, men and women, that has a donor area with enough follicular units and with hair that is thick and strong enough (quality)
to be taken from the donor area to the receiving area (bald area)
How is it done?
First, we extract the units (follicular), and that's where the robot helps
We might extract 2000, 3000, 4000,... follicular units
We did that manually before. Anyone may figure out the fatigue and how tedious the procedure was.
The robot is able to extract 1500 follicular unit per hour, extracts the first as the last in a similar way
I remember when was extracting 100 or 200 I was annoyed and I were less effective like any professional
So you performed hair transplants without those robots and you realize the great difference
I have been doing hair transplants more than 20 years, and , honestly, I do have suffer lots of hours of hard work,
visual fatigue, headache,... when I had to do this repeated process manually,
during to many hours in order to achieve successful hair transplants extracting more hair to cover more and better bald areas.
Does it hurts? Does the patient suffers?
At the present time, with modern anesthesia techniques (vibration anesthesia) we can achieve very comfortable transplants, without pain,
achieve non-aggressive transplants, without visible scars, with natural and definitive results
Definitive results? That´s greats news for the patients.
What happens with the transplanted hair? Do we lose that hair from that area?
What happens is that we redistribute the hair to an area with a greater aesthetic relevance.
We take hair from the donor area to the bald area
The transplanted hair is not going to recover, mostly.
(there is always a recovery of some matrix cells)
if he recovery was totally, we would have an endless donor area.
No one would have any problems with their own donor area
Today, the donor area is limited, personal and non-transferable. We'll see in the future with other options.
What happens with this donor area where the extractions has been done? Is it noticeable (the extraction)?
If we do it reasonably, if we do not exceed the 30% of the follicular units on the patient's donor area
The transplant will be undetectable, The donor area will look absolutely natural
And we'll be able in the future to proceed with another hair transplant if the baldness evolves.
Men don't really lose all of their hair.
Women neither. Women neither? No, no, no
Where the last hair last? In which area of the head?
They are two different areas, well differentiated between men and women:
Men, even on the most advanced baldness (in those classic Hippocratic alopecias of the philosophers)
a strip of hair is preserved, with a horseshoe shape, that includes the area from one ear to the other (and a little bit behind the crown)
Women has this donor area on the neck
But, sometimes, this that hair can not transplanted, right?
Well, there are cases (in which that happens)
I am an example of that. very thin hair, very fine scalp. We can not do miracles.
Our obligation is to do the best possible work with the patient's resources
But, today, we can't change those resources: Maybe, some time in the future, if the researcher's dream is fulfilled,
we'll beable to transform the hair, and from one unit, obtain 100, 200, 300, 400, ... with the famous cloning
The fomous clonation, we'll talk about that in a second, but first I would like to explain that robotic system
Spain is a pioneer on that (the robotic hair transplant system)
Yes, we are.
At this time there are many robots that are being explored in order to apply them in different fields of medicine and surgery
But we are happy that we brought this robot to Spain
and we achieved to perform a great number of hair transplants that placed us as World Leaders in robotic technology for hair restoration.
I'm very pleased. It took a lot of effort to incorporate it, it's not easy.
But we are really achieving successful results.
The robot keeps updating with better applications
Kind of like a smartphone, every so often there is an update
that makes the robot faster, more efficient and more accurate
I believe that technology and a dermatologist, a surgeon, and a experienced team, is the great binomial to achieve the best result in a hair transplant.
You have in the World Congress in LA. How was the Spanish placement in that congress?
I'm very happy because we brought our experiences, our reflections after treated our patients.
Being the voice of Spain is not easy. Sometimes, it is hard to be heard by the Americans, they can be a bit proud with what they have
I'm very happy with my Spanish flag on my presentation slides
I am very happy that we are respected, we are heard, and that our contributions are appreciated
that is the result of an experience of many patients that we have treated
Mora than one patient will choose our country (Spain) to have a hair transplant
In fact, honestly, we are pleased that we have patients, not only from Spain but from other countries as well
from Latinamerica, Europe, and from some Arab countries
and this is a great satisfaction for me and for the team that I manage
Until that capillary cloning is achieved (it doesn't seem to be close) we'll continue working with the robotic technology
Thank you very much for all you explanations and for being with us today.
My pleasure. Thank you very much.
We reached the end. We'll return on Manday with a new interview. Have a nice weekend
All the information will be available from 8:00 pm with Álvaro Zancajo. See you on Monday.
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