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Scalp & Hair

Hair Loss & Thinning Treatment Richmond, BC

Find the cause first, then support the follicles that are still active.

Hair loss has several causes: genetic sensitivity to hormones (pattern loss), shedding after stress, illness or pregnancy, scalp inflammation, and medical issues such as thyroid or iron problems. At RAAC in Richmond, BC, Dr. Jiang first looks for underlying causes, then may offer PRP or Sylfirm X scalp treatment to support follicles that are still active. They cannot regrow hair in smooth, bald areas, and results vary.

Cause First
Underlying causes are assessed
3–4
PRP sessions in a typical first series
3–6 Mo
Typical time before a density change can be judged
Self-Check

Signs of Follicle Stress

Hair loss isn't always sudden. It often whispers before it shouts. Look for:

Acting while hair is thinning (miniaturizing) rather than gone gives treatment more to work with.

The Science

Why Does Hair Fall Out?

Hair loss is a sign that follicles are shrinking, resting or under stress. Finding which one is the first step.

1

Androgenetic Alopecia

Genetic sensitivity to DHT (a hormone) causes follicles to shrink until they stop producing hair.

2

Poor Circulation

Follicles require a robust blood supply to receive nutrients. Reduced blood flow leads to starvation and shedding.

3

Telogen Effluvium

Stress, illness (like COVID), or post-partum hormonal shifts can shock follicles into a resting phase.

4

Scalp Health

Inflammation, oil imbalance or blocked pores can make the scalp a less healthy place for hair to grow.

Why Us

A Medical Approach to Hair Loss

29+
Yrs Clinical Experience, Dr. Jiang
MD
Physician-led
UBC
Clinical Instructor
1

Physician Assessment

PRP preparations differ between systems, which is one reason results vary. Ask us how it is prepared and what to realistically expect.

2

Comfort

Scalp injections can be uncomfortable. Numbing and comfort options can be discussed at your consultation.

3

Holistic Diagnosis

Dr. Jiang considers possible underlying issues, such as thyroid or iron deficiency, and may suggest tests with your family doctor before aesthetic treatment.

FAQ

Hair Loss Q&A

Common causes include genetic pattern loss (follicles sensitive to DHT), shedding after stress, illness or pregnancy, scalp inflammation, thyroid or iron problems, and some medications. Men more often notice a receding hairline or thinning crown; women more often notice a widening part or overall thinning. Identifying the type matters because treatments differ.
Generally no. These treatments need a living follicle to work. If an area has been smooth and shiny for years, a hair transplant may be the realistic option. They are better suited to thinning hair.
An initial PRP series is commonly about 3–4 sessions, roughly 4–6 weeks apart, with maintenance every 6–12 months for people who respond. Less shedding is often the first change, after a couple of months; a change in density is usually judged at around 3–6 months. Results vary and are not guaranteed.
Often, yes. Over-the-counter topical minoxidil, or prescription medicines a physician may discuss, can be used alongside or instead of PRP, depending on the cause, your health and whether a pregnancy is planned. Each has its own benefits, side effects and follow-up, and Dr. Jiang goes through them with you. Women and men are assessed the same way, cause first.
Scalp injections can be uncomfortable, and numbing options can be discussed. Expect tenderness or mild swelling for about a day, and we usually advise not washing your hair that day. Most people go back to work the next day.
If hair loss is sudden, patchy, painful or comes with scarring, redness or other symptoms, see your family doctor or a dermatologist. Blood tests for thyroid and iron are often useful. Dr. Jiang can also review possible causes at consultation.
About 60–75 minutes in total. That covers a short review, the blood draw, preparing the PRP in a centrifuge while numbing cream takes effect, and the scalp injections themselves, which take only part of that time. Aftercare, including when to wash your hair, is explained before you leave.
PRP uses your own blood, so allergic reactions are uncommon. Expected effects include scalp tenderness, mild swelling, bruising or a headache for a day or so, and infection is rare. Safety depends on careful preparation and screening, so Dr. Jiang reviews your health, medicines and supplements before treatment.
PRP is not done during pregnancy or breastfeeding. It may not be suitable with a blood or platelet disorder, while taking blood thinners without medical clearance, with an active scalp infection, or where hair loss is scarring or the area has been bald for years. Tell us about all medicines and supplements so the physician can check.
Yes. A shock to the body, such as childbirth, a high fever, illness, surgery, crash dieting or major stress, can push many hairs into the resting phase at once. Shedding often starts about two to three months later and usually settles on its own over several months, with regrowth after that. If it continues beyond about six months, or your part keeps widening, have it assessed.
Pattern hair loss continues over time, so any improvement from PRP or medication tends to fade gradually after treatment stops. Stopping does not make hair loss worse than it would otherwise have been. That is why maintenance is reviewed with people who respond, and why treatment is not simply continued when there is no meaningful change.

Plan Your Hair Loss Assessment

Book a scalp assessment with Dr. Jiang to look for causes and discuss which options might suit you.

Assessment by Dr. Jiang

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