Low Level Laser Therapy for Hair Loss

American Academy of Dermatology Meeting 98

American Academy of Dermatology
American Academy of Dermatology Annual Meeting

American Academy of Dermatology

February 27 through March 3, 1998
56th Annual Meeting
Orange County Convention Center, Orlando, Florida

News!

Conference Starts 2/27

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Program Highlights

Friday Update on Alopecia and Other Hair Disorders
Elise A. Olsen, MD, R. Rox Anderson, MD, Maria K. Hordinsky, MD
An update will be given on the pathophysiology of and new treatments for androgenetic alopecia including oral finasteride and 5% topical minoxidil.  A discussion of current available treatments for alopecia areata and introduction to the new guidelines for assessment of alopecia areata will be presented.  Information ont he development of a new method of hair removal, the ruby laser, and available data from an ongoing trial will be presented.

The Debate Over Graft Size for Hair Transplants
Dow B. Stough, MD, Walter P. Unger, MD
Follicular Grafts:  The End of the Evolution? / Dr. Stough
Standard Grafts Are Not Obsolete! / Dr. Unger
Point / Counterpoint

Hair Disorders:  Current Concepts
David A. Whiting, MD, Richard G. Glogau, MD, Maria K. Hordinsky, MD, Marty. E. Sawaya, MD, PhD, Rodney D. Sinclair, MBBS
Androgenetic Alopecia causes less hairloss in women than men, despite similarities in the inheritance and histopathology of the condition.  Recent findings in scalp androgen biochemistry may account for these differences and offer future therapeutic options.  The current advances in the medical treatment of androgenetic alopecia will be discussed from the viewpoint of matching the procedure to the most durable benefit.
A number of hair shaft anomalies will be shown to improve clinician awareness and diagnostic skills.  Many patients complain of painful, hot or burning scalp, or hypersenstive hair, with relatively little clinical evidence of inflammatory change.   Different investigative techniques provide new insight into the diagnosis and treatment of these patients.
Difference Between Women & Men with Androgenetic Alopecia / Dr. Sawaya
Recent Advances in the Treatment of Androgenetic Alopecia / Dr. Waldstreicher
Hair Replacement Surgery:  Myths & Realities / Dr. Glogau
Problem Solving in Hair Shaft Abnormalities / Dr. Sinclair
New Ideas About Painful Scalps / Dr. Hordinsky

Trichotherapeutic Update
Neil S. Sadick, MD
New disorders associated with hairloss are presented including drug induced alopecia (new agents associated with hairloss), hair disorders that may be markers of underlying HIV disease, the changing spectrum of infectious folliculitis and recently described hair shaft abnormalities including golf tee hair, bubble hair and acquired post-transplant hair kinking.  New biologic modifiers in the treatment of androgenetic alopecia including recent research on finasteride will be discussed as well as other androgen blockage approaches, such as spironolactone.

Hair:  What's New?
Vera H. Price, MD, Keith D. Kaufman, MD, Jerry Shapiro, MD, Ronald J. Trancik, PhD
This is undoubtedly the "main event" as far as viewers here will be concerned.  Latest developments in androgenetic alopecia and alopecia areata will be featured.  These include hormones, hair cycles and the neural crest:  insights into treatment selection and outcome; alopecia areata update and outlook for the future; update on topical minoxidil in hairloss; and finasteride in men with male pattern hairloss including 2 year clinical studies.  Regrowth's sources say 2-year mid-frontal results will be presented.

Saturday Is Gene Therapy a Reality?
Patricia S. Walker, MD, PhD
The basic approaches of gene therapy used in medicine today will be discussed.   Specific focus will be placed on how the skin may be used to treat systemic and dermatologic diseases.  Discussion will include cutaneous DNA vaccination for the prevention and immunotherapy of viral and parasitic infections and cancer.

Hair Transplantation
Bobby L. Limmer, MD, James Arnold, MD, Gary D. Monheit, MD, O'Tar T. Norwood, MD, Dow B. Stough, MD
Subjects include history, anatomy, realistically achievable goals, new techniques and instrumentation, uses of transplants on other processes beyond male pattern alopecia, and the patients viewpoint toward the process.
Introduction / Dr. Limmer
Where We Came From & Where We Are Today / Dr. Norwood
The Product:  What We Can Reasonably Expect to Accomplish with Modern Hair Transplantation / Dr. Stough
Microscopic Anatomy:  What We See When We Really Look & How It Pertains to Transplantation / Dr. Limmer
What's New in Techniques & Instrumentation / Dr. Arnold
Other Uses of Transplants:  The Scalp & Beyond / Dr. Monheit
Panel Discussion

The Art of Follicular Transplantation
Robert M. Bernstein, MD
Follicular transplantation is a method of hair restoration surgery in which hair is moved exclusively in its naturally occuring groups called follicular units.  This session will review the principles and techniques that allow the safe movement of up to 4,000 follicular implants in a single procedure.  The surgical planning and aesthetic judgments the physician must make to achieve the best cosmetic results will be discussed.

Sunday Laser Assisted Hair Removal
Melanie C. Grossman, MD
Laser assisted hair removal affords an excellent alternative for hirsutism and hypertrichosis.  As of August, 1997, the long pulsed ruby laser, a filtered flashlamp and Q-switched Nd-YAG laser in combination with a carbon suspension are FDA cleared for laser hair removal.  Several other systems including a long pulsed alexandrite system, diode array and a Q-switched Nd-YAG laser are being investigated.  Various systems and practical clinical issues of patient selection, efficacy and techniques will be examined.

Lasers
Arielle N.B. Kauvar, MD, Richard E. Fitzpatrick, MD, Tina S. Alster, MD, Gary Lask, MD, Melanie C. Grossman, MD
In-depth information regarding laser physics and laser tissue interactions, specificallyr egarding the skin, will be presented.  These presentations will be followed by a practical approach to the treatment of cutaneous vascular and pigmented lesions.  A systemic approach to these disorders will be provided, with discussion of each of the FDA cleared laser devices available.
Laser Resurfacing:  Introductory Concepts / Dr. Kauvar
Clinical Indications & Results of Laser Resurfacing / Dr. Fitzpatrick
Laser Treatment of Scars & Striae / Dr. Alster
Laser Removal of Hair / Dr. Grossman

Scalp Biopsy & Alopecia
Steven Kossard, MD
This session will review the findings of scalp biopsy in evaluating alopecia and the key features that distinguish individual entities.  Some of the therapeutic implications for biopsies of scarring alopecia will be considered.  Open discussion of controversial entities will be presented.

Hairloss in Women:   Androgenetic Alopecia:  Diagnosis & Treatment
Vera H. Price, MD
Finally, participants will be updated on the diagnosis and treatment of a perennial problem, androgenetic alopecia in women, including the use of 5-alpha reductase inhibitors.  Do we finally have something to offer these patients?

Monday Evaluation of Hairloss
Leonard C. Sperling, MD
Many dermatologists find the evaluation of hairloss to be complex, confusing or inconclusive.  An approach to the evaluation of alopecia will be presented.   Pertinent historical clues, physical findings, diagnostic tests and maneuvers will be reviewed.  Androgenetic alopecia, telogen effluvium, anagen effluvium, trichotillomania, scarring alopecia and other common forms of hairloss will be discussed with an emphasis on diagnostic criteria.

Advances in Laser Skin Resurfacing
Arielle N.B. Kauvar, MD
Laser resurfacing has revolutionized the treatment of facial wrinkles, scarring and actinic damage.  The underlying therapeutic mechanisms and histologic effects of carbon dioxide, erbium:YAG and novel mid-infrared lasers will be discussed.  this session will provide a practical overview and comparison of currently available and developing technologies, with particular emphasis on clinical indications, patient preparation, operative techniques and wound care.

Tuesday Hair Growth:  Practical Approach to Understanding & Treatment
Wilma F. Bergfield, MD
The mysteries of hair growth reveal complex interactions with genes, growth factors and hormones.  This session will center on defined mechanisms of hair growth and targeted therapies.  A specific emphasis will be placed on how to evaluate, treat and manage the patient with hairloss.
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