Frank Agullo, MDBoard Certified Plastic Surgeon

What to Do If Your Hair Falls Out

Category: Hair Treatment

What to Do If Your Hair Falls Out

Many men and women who experience hair loss feel as though they are alone, when in reality, hair loss is a common condition. Hair loss can occur for a variety of reasons in men and women of all ages. If your hair has begun to fall out, there is no need to feel hopeless. The following hair restoration treatments can restore a fuller head of hair and improve your self-confidence and self-image.

Causes of Hair Loss

Androgenic alopecia (AGA) is the most common cause of hair loss. As this genetic condition can affect both genders, it may be called male pattern hair loss (or male pattern baldness) and female pattern hair loss. Male hair loss is far more common than female hair loss, especially as men age. In addition to AGA, hormones and age can contribute to male hair loss. Men in their 50s have a 50 percent chance of having noticeable hair loss.


Female hair loss can be caused by androgenic alopecia as well as other conditions such as alopecia areata, trichotillomania, loose-anagen syndrome, scalp infections, and scarring alopecia. Temporary hair loss is more common in women than men and is usually related to hormonal changes, hypothyroidism, stress, or certain medications.

Getting Treatment for Hair Loss

Agullo Hair patient before and after photos

If you have hair loss, hair restoration treatment methods can help. An accurate diagnosis is essential, especially for women because they are more likely to have alternate causes of hair loss than AGA. Treatment for hair loss includes the following options:

  • Medication: Hair loss medicines such as Rogaine® (minoxidil) and Propecia® (finasteride) can be used to treat hair loss.
  • PRP: Platelet-rich plasma injections can stimulate hair growth, prevent hair loss, and improve the quality of the hair. The procedure consists of taking a small amount of blood from the patient and processing it to concentrate the platelets. The platelets in the body contain many growth factors, and these are injected into the scalp. The new protocols consist of an injection once a month for four months. The patient can resume normal activity the following day. Research has shown an 80 percent response rate.
  • Laser Therapy: Photo-biotherapy can stimulate the hair follicles so that they produce thicker hair, which improves hair volume. This treatment is most beneficial for women who have diffuse hair loss. Low-level laser therapy (HairMax®) can also be used as a non-surgical treatment for male hair loss.
  • Camouflage: Creative hair styling and the strategic use of sprays and powders can help conceal hair loss for those with enough hair to support these methods.  
  • Follicular Unit Transplantation (FUT) Hair Restoration Surgery: A strip of tissue is removed from the sides or back of the head and split into units of one to four hairs. These are then transplanted to the recipient site through tiny incisions. This technique is best for larger transplants and is the most commonly used hair transplantation procedure.
  • Follicular Unit Extraction (FUE) Hair Restoration Surgery: Tiny, round incisions are made around hair follicles on the sides or back of the head and removed one at a time. They are then transplanted into the recipient site. This technique is best for smaller areas and is a longer and costlier procedure than FUT.

With the right treatment, hair loss can be corrected and a fuller head of hair can be restored. If your hair is falling out, schedule your consultation with Dr. Frank Agullo for hair restoration treatment. Call (915) 590-7900 or contact Dr. Agullo online to book your appointment today.

Three Ways Hair Restoration Procedures Are More Successful Than Ever

The International Society of Hair Restoration Surgery, or ISHRS, has recently published a study showing tremendous increases in the number of people – primarily men – who have chosen to undergo hair restoration surgery over the last ten years. From 2006 to present day, there was an incredible 76 percent increase in the number of procedures performed, and since 2012, the market size for hair-restoration surgery has increased 28 percent. The hair restoration industry is now larger than $2.5 billion, and numbers are showing no sign of slowing down.

According to the ISHRS’ report, there were about 397,000 hair-restoration procedures done worldwide in 2014. As you would expect, a great majority of these are performed on men, but there has been a steady increase in the number of women choosing to undergo hair restoration as well. The market increases in hair restoration procedures are no accident, and here we are going to highlight the three main reasons for the uptick.

  1. Hair transplant surgeries are much quicker to perform and recover from. More than two-thirds of the respondents in ISHRS’ study reported only needing one procedure to achieve the desired results they were looking for in hair restoration. The same results typically took five to ten procedures in the past, and thus many more people are willing to undergo the surgery.
  2. Advances in cell removal and restoration have made it much easier to grow back your own hair. With PRP (protein rich plasma), the cells used are from the patient’s own body, making it possible to grow your own hair within only a few short months. These treatments have been very successful and that makes it more attractive to men who want a realistic hair regrowth solution.
  3. Hair restoration procedures are relatively painless. Although some patients did report some soreness and pain after the surgery, most reported feeling fine during and after the procedure. Full recoveries usually only take 10 to 14 days before the scabs left from the surgery can no longer be seen. A post-op regiment to clean and treat the scalp area is typically given by the surgeon to help it to heal faster and remove much of the discomfort during recovery.

Frank Agullo, M.D. of Southwest Plastic Surgery in El Paso has access to the latest hair restoration techniques available. Contact our award winning team today! Call us at 915-590-7900 or fill out our online contact form.

Why Am I Losing My Hair?

The average person sheds 25 to 100 hairs each day. For those who suffer from significant hair loss, this can be devastating. Having good, healthy hair is seen as a sign of youth and attractiveness, and losing your hair may cause you to feel self-conscious. Here are some of the reasons why hair loss occurs and what can be done to restore your hair.

Causes of Hair Loss

Below are some of the common causes of hair loss in men and women.

Androgenic Alopecia (AGA)

Androgenic alopecia (AGA) refers to male or female pattern hair loss, although it is much more common in men. This genetically inherited condition is progressive and affects hormone levels and hormone sensitivity. As this hair loss is not temporary, consider undergoing hair restoration to restore your hair.


Hormonal imbalances can cause hair loss. Changing or stopping birth control pills, menopausal hormonal changes, and polycystic ovary syndrome can all cause hair loss. Pregnancy-related hair loss is a fairly common condition that may arise after childbirth. As your hormone levels are brought back into balance, normal hair growth will stabilize.


Some medications, such as antidepressants, blood thinners, and cholesterol-lowering medications, can cause hair loss. Talk to your doctor about other options if you experience hair loss as a side effect of your medication.

Physical Conditions

Physical conditions such as hypothyroidism and anemia can also contribute to hair loss. Getting an accurate medical diagnosis and treatment, such as iron supplements for anemia and thyroid medication for hypothyroidism, can resolve the problem. However, other conditions such as lupus and trichotillomania may cause permanent hair loss. In these cases, getting hair transplant surgery may be a worthy option.


Stress levels are another cause of temporaryhair loss. By reducing stress and anxiety in your life, you can manage your emotions more effectively and reduce the likelihood of stress-related hair loss.


Diet mistakes such as overdosing on vitamin A, being deficient in vitamin B, not getting enough protein, and crash dieting are all potential causes of hair loss. Keep your vitamin levels balanced and consume a healthy diet of natural vitamin B and lean proteins to stabilize hair growth.

Over-styling Your Hair

Over-styling your hair causes hair loss over time. Excessively tight braids, cornrows, chemical treatments, and overexposure to heated tools can damage your hair even at the root. Minimizing heat treatments, using conditioner regularly, and treating your hair gently will help to prevent further hair loss.

Physical Trauma

Physical trauma, such as severe illness or infection, a car accident, or major weight loss, may shock the body and cause temporary hair loss. As your body recovers, your hair will begin to grow back.


Aging is the most common cause of hair loss in women and men, particularly over age 50. It is important to determine that there are no other causes related to your hair loss before assuming that it is age-related.

Hair Restoration

Hair restoration and transplant procedures can restore a full head of hair after hair loss. For some patients, medication or laser therapy may suffice for treatment. For other patients, surgical hair restoration with either Follicular Unit Transplantation (FUT) or Follicular Unit Extraction (FUE) is an excellent solution for restoring hair. However, surgery may not be appropriate for everyone. Prospective patients should accurately determine the cause of their hair loss before seeking treatment. Dr. Agullo will evaluate your condition to assess whether hair transplantation is right for you.

Hair Transplant Before and After Photos

To find out more about hair restoration procedures, call (915) 590-7900 to schedule your personal consultation today with double-board certified plastic surgeon Frank Agullo, M.D. You can also reach us by filling out our online contact form.

The Facts about Hair Loss

Dr. Agullo Hair Transplant Before and After PhotosHair plays a significant role in defining our self-image, self-esteem, and overall appearance. Socially and culturally, it is strongly associated with well-being and youth, which explains why currently many men and women suffering from hair loss seek hair restoration. Hair also serves an important function – that of protecting the scalp. Dr. Agullo embraces science and expertise and translates it into restored beauty through hair transplant procedures.

There are roughly five million hair follicles on the human body; approximately 100,000 are located on the scalp. The number of follicles varies depending on hair color, with the highest follicle count in blonde, lower in brunettes, and lowest in red hair.

The Hair Growth Cycle

Hair normally grows at a speed of 0.25 to 0.5 inch per month and undergoes a growth pattern, which has the following three phases: anagen, telogen, and catagen.

Growth Phase:  “Anagen”

  • Known as the active growth phase
  • Can last between three to ten years

Degeneration Phase:  “Catagen”

  • Hair stops growing and sheds and then transitions into the next phase
  • Lasts anywhere between two to three weeks

Resting Phase:  “Telogen”

  • A new hair follicle begins to form and gets ready to enter growth phase again
  • Usually lasts three to four months

On average, we shed between 25 to 100 hairs daily. Approximately between 4 to 24 percent of the hair follicles on the scalp are in the resting phase. This is normal and not indicative of any hair loss condition. Most of the hair is in the active growth phase and a very small percentage in the shedding phase.

The Role of Hormones and Genes in Hair Loss

Alopecia is the medical term for loss. The most common form of hair loss is known as androgenetic alopecia, where both hormones and genes play a role. Hence, the technical term for male and female pattern hair loss is androgenetic alopecia (AGA) i.e. with androgens (andro) as well as genes (genetic). It is often progressive and occurs in both men and women; however, it is much more common in men. AGA is also known as male pattern baldness and affects approximately 50 percent of men by age 50.

The androgen hormone known as testosterone and its metabolite dihydrotestosterone (DHT) play an important role in AGA. This condition causes hair follicles to grow thin and short, known as “miniaturized hair,” and has a vellus appearance. While the growth of facial, underarm, and pubic hair is determined by testosterone, scalp hair is not. Both male and female pattern hair loss are linked to an inherited sensitivity to the effects of DHT on the hair follicles of the scalp. In addition to hormones, hair loss genes play an important role in hair loss as well. AGA is a condition that runs in families so to speak. The family history of baldness can be helpful in predicting the pattern and severity of hair loss.

While AGA runs in the family, it is not definite that a person will carry it just because his/her father or aunt has it. AGA simply makes it much more likely that the next generation will carry the condition.

Most patients who come to Dr. Agullo for hair restoration have AGA. However, it is of utmost importance to eliminate any other conditions that cause hair loss. Dr. Agullo will carefully and thoroughly evaluate you to determine whether hair restoration is right for you. With his experience and in-depth understanding of hair loss, Dr. Agullo routinely provides invaluable advice to patients regarding the nature of hair loss and the treatments that exist, both medical and surgical.

If you are concerned with hair loss, schedule a consultation with double board-certified plastic surgeon Dr. Frank Agullo. Call our El Paso office at (915) 590-7900 or our Las Cruces office at (575) 520-5041 to schedule your personal consultation. For your convenience, you may also contact us online at our El Paso Office or Las Cruces Office.

How Does Stress Affect Your Beauty?

Beauty Restoration Treatments

Beauty Restoration TreatmentsStress is an unfortunate fact of life. For people living with chronic stress, their bodies take a serious beating. Chronic stress disrupts the natural hormone levels in your body, causing homeostatic imbalances that can lead to health issues like heartburn, respiratory problems, cardiac irregularities, and insomnia. Stress sometimes gets expressed externally as well, altering your beauty. The effects of stress may cause:


When you are stressed, your muscles have a tendency to be tense. Muscle tension in the face, mainly in the forehead and around the eyes, can etch in deep wrinkles. These wrinkles prematurely age the face.


PRP (Protein Rich Plasma) Facial Rejuvenation: Blood plasma enriched with platelets that release growth factors to promote collagen production and healing.

  • PRP treatments combined with dermal fillers or fat grafting can achieve smooth, younger-looking skin.

Hollow Eyes and Cheeks

People that suffer from chronic stress will occasionally experience bouts of insomnia. Lack of sleep leads to dark, puffy under-eye bags and hollow cheeks, which make you appear constantly fatigued.


Fat injections: The transfer of fat into areas of the face that have experienced a loss of volume.

  • Smoothing under-eye bags and plumping sunken cheeks restores a rested appearance and a bright complexion.

Weight Gain

Some people have a tendency to overeat as an emotional coping mechanism for stress. The increased caloric intake is often accompanied by a lack of motivation to exercise, which can cause you to pack on the pounds. During stressful times, your body also produces hormones that cause you to store excess fat. Unfortunately, there isn’t a cosmetic procedure to help you lose a major amount of weight. You can lose weight with the help of a nutritionist, personal trainer, and personal determination. Once you have lost weight, you may be discouraged to find excess skin and clinging fat deposits you didn’t have before.


Body Contouring: A combination of surgical procedures that may include liposuction, tummy tuck, and arm lift surgery.

  • Removes excess skin and fat
  • Tightens and tones the area
  • Restores pleasing body contours

Hair Loss

Hair loss normally occurs six weeks to three months after the initial stressful event. After a traumatic event, the body releases hormones that disrupt the natural hair growth cycle. For some people, stress causes ticks where they pull out an excessive amount of their hair.


In most cases, your hair cycle will return to normal. If it doesn’t, the stress may have exacerbated an underlying medical condition.

PRP for Hair Loss: Wakes up dormant hair follicles and stimulates them to grow.

Hair Transplant: Takes hair follicles from donor sites and transplants them to areas where the hair is thinning or bald.
Schedule your consultation with Dr. Agullo to erase signs of stress and restore your vibrant, beautiful self. Call our office today at (915) 590-7900 or fill out our online contact form here.

Feeding Follicles: Protein Rich Plasma and Hair Regrowth

The search for the perfect way to regrow hair is about as legendary — and some might say as historically longstanding — as the search for the fabled Fountain of Youth.

But legend and fable have nothing to do with one of the latest and most promising procedures available to promote hair growth: Protein, or Platelet Rich Plasma. The same medical procedure used to speed up the healing of wounds and recovery from surgery may also have applicable benefits to reviving dormant hair cells.

side profile of woman with long brown hairWhile some remain skeptical, Platelet Rich Plasma has been demonstrated to wake up dormant hair follicle stem cells. That makes PRP what could be the next big breakthrough in the treatment of hair loss.

Dr. Frank Agullo, an M.D. and board-certified plastic surgeon at El Paso Cosmetic Surgery, acknowledges that PRP may indeed be the best medical treatment advance to address hair loss since Propecia, but it is not a cure-all for everyone.

Experienced surgeons like Dr. Agullo must do a comprehensive analysis of each hair loss client before suggesting any kind of treatment, let alone knowing what the best course of action would be as certain treatments favor certain individual types.

When platelets are activated in the human body, the sponge-like molecules form branches while releasing proteins that heal. These proteins are called growth factors and these growth factors do everything with the end result being accelerated tissue and wound healing. A recent case study cited online involving a 26-year-old man suggests that platelet rich plasma can stop and reverse hair miniaturization caused by male pattern baldness.

Experts explain that due to the concentrated nature of PRP and its ability to be used in specific, targeted or isolated areas, Platelets can also improve coagulation and lessen bleeding. Since platelets are also steeped in proteins, it may allow them to better help the healing process on grafting areas too.

While PRP treatment may not be for everyone, and may not yield the same results for everyone, it does show promise, primarily because of the introduction of platelets and white blood cells through platelet rich plasma (PRP). That amplifies the body’s naturally-occurring wound healing mechanism. Others propose that PRP can actually stimulate the stem cells (dermal papilla) of the newly transplanted hair follicles. Some practitioners also claim that PRP can be used to stimulate the growth of follicles, thereby reversing hair miniaturization seen in androgenetic alopecia and even preventing hair loss.

The Fountain of Youth in a BroadBand Light

road sign- fountain of youth, next exitInterested in turning back the hands of time?  Now you can, thanks to Sciton’s Forever Young BroadBand (BBL) light therapy.

Forever Young BBL’s non-invasive, advanced light therapy technology allows precise application of various light wavelengths that penetrate the skin down to the molecular level, rejuvenating skin tissue and altering the gene expression.  The result?  With regular treatments, BBL light therapy can actually delay the aging process.

 How Does BroadBand Light Therapy Work?

BroadBand Light therapy uses a dual-lamp device that is lightly placed on the skin’s surface, delivering pulses of bright light that sinks into the skin’s tissue (goggles are provided to protect the eyes).  The heat from the light energy stimulates skin cells to create collagen and elastin, improving its tone and texture.  This device contains a cooling mechanism that will keep you comfortable during the treatment.

 What Conditions Can Be Treated With BroadBand Light Therapy?

BBL treatments can help with many skin conditions, including:

  • acne
  • rosacea
  • sagging skin
  • pigmented lesions (e.g. freckles, age spots, sun spots)
  • vascular lesions (e.g. cherry angiomas, telangiectasia’s, spider veins)
  • hair removal

 What You Can Expect:

  •  fast treatment with very little downtime – regain youthful skin during your lunch hour
  •  long-lasting results:  treatments can last up to several years
  • wide range of application:  treat your face, hands, neck, arms – wherever you want tighter, younger-looking skin
  • can be used with lighter or darker skin types


If you are ready to turn back the clock, please contact Southwest Plastic Surgery today for more information or to schedule a consultation by calling (915) 590-7900.

Site Designed & Hosted by Plastic Surgery Studios. Copyright 2018