OCT 2017

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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COURTESY OF HAYLEY SHORTRIDGE-GABRIEL, TRUE LIFE CANVAS; BACKGROUND © GETTY IMAGES HIGH DENSITY Providing Camouflage Products such as hair fi bers, hairpieces and scalp micro– pigmentation can help hide hair loss. "Hair surgeons need to be familiar with these camoufl age products and know what the resources are in their community, if they don't offer them in-house," says Dr. Niedbalski. Hayley Shortridge-Gabriel, owner of True Life Canvas in Cour d' Alene, Idaho, offers permanent cosmetic pro– cedures including new brows and hairlines. "Brows are not given the credit they deserve in terms of the way they make someone look," she says. "Without brows, people look older, less expressive—a lot of people feel lost without their brows because others can't read their non-verbal communication." Scalp micropigmentation, a form of permanent cos– metic, involves making tiny dots that look like hair follicles to extend a hairline, cover visible scalp areas and even create facial hair. These tattoo techniques are often re– ferred to as "semi-permanent" because the pigments are designed to fade over time. But Shortridge-Gabriel cautions, "There are always some remnants, so you don't want to give an indication that it will completely go away—and if someone used the wrong color or went too deep, it can last forever," she says. Training requirements for permanent makeup provid- ers' vary from state to state, but reputable, certifi ed train- ers, like Shortridge-Gabriel, can be located through the Society of Permanent Cosmetic Professionals (SPCP). Wigs and hairpieces are a good option for patients who are poor candidates for surgery. In some cases, they can be combined with surgery to create a more natural look. "Some men who have been in a full hair– piece for years don't like that their hairline has to be covered up. They want to be able to style their hair a little bit more," says Dr. Niedbalski. "So we will do a transplant surgery and give them a hairline and then the hairpiece fi ts behind that, which gives them a more natural appearance." Women with central centrifugal cicatricial alopecia, who tend to experience balding in the middle and back of the scalp, can wear small hairpieces that blend in with the rest of the hair. "Transplants aren't very effective for these patients because the scar tissue that's in the scalp isn't re– ceptive to growing new grafts, so oftentimes we'll refer these people over to get a small hairpiece. We also show patients how to use the Toppik pigmented hair fi bers," says Dr. Niedbalski. "Educating patients on all these things is important. It gives them more options and makes them feel more empowered so they don't feel so helpless." Inga Hansen is the executive editor of MedEsthetics. 34 OCTOBER 2017 | Med Esthetics Permanent makeup artists can use a feathering technique to create natural- looking eyebrows for alopecia patients and those with thinning brows.

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