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• Description of Services:Description of Services:• *Salon specializing in hair loss.*Salon specializing in hair loss.• *Free consultations and private rooms.*Free consultations and private rooms.• *Comfortable and relaxing atmosphere.*Comfortable and relaxing atmosphere.• *Fully licensed staff provides complete one-on-one service. *Fully licensed staff provides complete one-on-one service. • *Custom Made Solutions*Custom Made Solutions

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*Custom hair color matching and fitting. *Custom hair color matching and fitting. • *Complete On-line Services*Complete On-line Services• By Appointment only: 415-641-9447By Appointment only: 415-641-9447    • 2850  22nd Street  (Between Harrison & Bryant) 2850  22nd Street  (Between Harrison & Bryant)

San Francisco, CA 94110San Francisco, CA 94110 • Ask about our free parkingAsk about our free parking •

(Map)(Map)• Studio International, Inc. is world renowned for:Studio International, Inc. is world renowned for:• "Studio Hair ® Wigs" The Finest in Human Hair Wigs!"Studio Hair ® Wigs" The Finest in Human Hair Wigs!

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• Natural Line Wigs, Hair Prostheses, Intra-Weave Systems®, Natural Line Wigs, Hair Prostheses, Intra-Weave Systems®, Extensions & Custom Solutions For Those Experiencing Hair LossExtensions & Custom Solutions For Those Experiencing Hair Loss

• Description of Services:Description of Services:• *Salon specializing in hair loss.*Salon specializing in hair loss.• *Free consultations and private rooms.*Free consultations and private rooms.• *Comfortable and relaxing atmosphere.*Comfortable and relaxing atmosphere.• *Fully licensed staff provides complete one-on-one service. *Fully licensed staff provides complete one-on-one service. • *Custom Made Solutions*Custom Made Solutions

*Offers largest selection of hair prostheses, Natural Line Synthetic *Offers largest selection of hair prostheses, Natural Line Synthetic Wigs, Studio Human Hair ® Wigs, hats, turbans, head wraps and Wigs, Studio Human Hair ® Wigs, hats, turbans, head wraps and accessories in the Bay Area. accessories in the Bay Area.

*Advanced wig attachment system allows total security when wearing. *Advanced wig attachment system allows total security when wearing.

*Custom hair color matching and fitting. *Custom hair color matching and fitting. • *Complete On-line Services*Complete On-line Services• By Appointment only: 415-641-9447By Appointment only: 415-641-9447    • 2850  22nd Street  (Between Harrison & Bryant) 2850  22nd Street  (Between Harrison & Bryant)

San Francisco, CA 94110San Francisco, CA 94110 • Ask about our free parkingAsk about our free parking •

(Map)(Map)• Studio International, Inc. is world renowned for:Studio International, Inc. is world renowned for:• "Studio Hair ® Wigs" The Finest in Human Hair Wigs!"Studio Hair ® Wigs" The Finest in Human Hair Wigs!

• What is Alopecia Areata?What is Alopecia Areata?

•   Alopecia areata (al-oh-PEE-shah air-ee-AH-tah) is a highly unpredictable, autoimmune skin disease Alopecia areata (al-oh-PEE-shah air-ee-AH-tah) is a highly unpredictable, autoimmune skin disease resulting in the loss of hair on the scalp and elsewhere on the body. This common but very resulting in the loss of hair on the scalp and elsewhere on the body. This common but very challenging and capricious disease affects approximately 1.7 percent of the population overall, challenging and capricious disease affects approximately 1.7 percent of the population overall, including more than 4.7 million people in the United States alone. Due to the fact that much of the including more than 4.7 million people in the United States alone. Due to the fact that much of the public is still not familiar with alopecia areata, the disease can have a profound impact on one's life public is still not familiar with alopecia areata, the disease can have a profound impact on one's life and functional status, both at work and at school.and functional status, both at work and at school.

 In alopecia areata, the affected hair follicles are mistakenly attacked by a person's own immune  In alopecia areata, the affected hair follicles are mistakenly attacked by a person's own immune system (white blood cells), resulting in the arrest of the hair growth stage. Alopecia areata usually system (white blood cells), resulting in the arrest of the hair growth stage. Alopecia areata usually starts with one or more small, round, smooth bald patches on the scalp and can progress to total starts with one or more small, round, smooth bald patches on the scalp and can progress to total scalp hair loss (alopecia totalis) or complete body hair loss (alopecia universalis).scalp hair loss (alopecia totalis) or complete body hair loss (alopecia universalis).

 Alopecia areata occurs in males and females of all ages and races; however, onset most often  Alopecia areata occurs in males and females of all ages and races; however, onset most often begins in childhood and can be psychologically devastating. Although not life-threatening, alopecia begins in childhood and can be psychologically devastating. Although not life-threatening, alopecia areata is most certainly life-altering, and its sudden onset, recurrent episodes, and unpredictable areata is most certainly life-altering, and its sudden onset, recurrent episodes, and unpredictable course have a profound psychological impact on the lives of those disrupted by this course have a profound psychological impact on the lives of those disrupted by this disease. Synonyms of Alopecia Areata disease. Synonyms of Alopecia Areata

• Alopecia Celsi Alopecia Celsi • Alopecia Cicatrisata Alopecia Cicatrisata • Alopecia Circumscripta Alopecia Circumscripta • Cazenave's Vitiligo Cazenave's Vitiligo • Celsus' Vitiligo Celsus' Vitiligo • Jonston's Alopecia Jonston's Alopecia • Porrigo Decalvans Porrigo Decalvans • Vitiligo Capitis Vitiligo Capitis • Disorder Subdivisions Disorder Subdivisions • Alopecia Seminuniversalis Alopecia Seminuniversalis • Alopecia Totalis Alopecia Totalis • Alopecia Universalis Alopecia Universalis • Disorder Subdivisions Disorder Subdivisions

– Alopecia Seminuniversalis Alopecia Seminuniversalis – Alopecia Totalis Alopecia Totalis – Alopecia Universalis Alopecia Universalis

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• What is Trichotillomania? What is Trichotillomania?

•   It is officially classified as an impulse control disorder, along the lines of pyromania, kleptomania, and pathologic gambling. It is officially classified as an impulse control disorder, along the lines of pyromania, kleptomania, and pathologic gambling. • What are the Symptoms of Trichotillomania? What are the Symptoms of Trichotillomania? • Recurrent pulling out of one’s hair resulting in noticeable hair loss. Recurrent pulling out of one’s hair resulting in noticeable hair loss. • An increasing sense of tension immediately before pulling out the hair or when resisting the behavior. An increasing sense of tension immediately before pulling out the hair or when resisting the behavior. • Pleasure, gratification, or relief when pulling out the hair. Pleasure, gratification, or relief when pulling out the hair. • The disturbance is not accounted for by another mental disorder and is not due to a general medical condition (i.e., dermatological The disturbance is not accounted for by another mental disorder and is not due to a general medical condition (i.e., dermatological

condition). condition). • The disturbance causes significant distress or impairment in social, occupational, or other important areas of functioning. The disturbance causes significant distress or impairment in social, occupational, or other important areas of functioning. • How and When Does it Start? How and When Does it Start?

People often start compulsive hair-pulling around the ages of 12-13; although it is not uncommon for it to start at a much younger or People often start compulsive hair-pulling around the ages of 12-13; although it is not uncommon for it to start at a much younger or older age. Frequently, a stressful event can be associated with the onset, such as: change of schools, abuse, family conflict, or the older age. Frequently, a stressful event can be associated with the onset, such as: change of schools, abuse, family conflict, or the death of a parent. The symptoms also may be triggered by pubertal hormonal changes. death of a parent. The symptoms also may be triggered by pubertal hormonal changes.

• Does Trichotillomania Lead To Other Problems? Does Trichotillomania Lead To Other Problems?

During adolescence, which is an especially crucial time for developing self-esteem, body image, comfort with sexuality, and During adolescence, which is an especially crucial time for developing self-esteem, body image, comfort with sexuality, and relationships with peers of both sexes, teens may endure ridicule from family, friends, or classmates, in addition to feeling shame over relationships with peers of both sexes, teens may endure ridicule from family, friends, or classmates, in addition to feeling shame over their inability to control the habit. Therefore, even a small bald patch can cause devastating problems with development that can last their inability to control the habit. Therefore, even a small bald patch can cause devastating problems with development that can last life-long. Although many people with trichotillomania get married and carry on with their lives in a normal fashion; there are those who life-long. Although many people with trichotillomania get married and carry on with their lives in a normal fashion; there are those who have avoided intimate relationships for fear of having their shameful secret exposed. have avoided intimate relationships for fear of having their shameful secret exposed.

• What Is the Cause? What Is the Cause?

There is no certain cause of trichotillomania, but the current way of looking at trichotillomania is as a medical illness. One theory on a There is no certain cause of trichotillomania, but the current way of looking at trichotillomania is as a medical illness. One theory on a biological level is that there is some disruption in the system involving one of the chemical messengers between the nerve cells in parts biological level is that there is some disruption in the system involving one of the chemical messengers between the nerve cells in parts of the brain. There may be also a combination of factors such as a genetic predisposition and an aggravating stress or circumstance; as of the brain. There may be also a combination of factors such as a genetic predisposition and an aggravating stress or circumstance; as with many other illnesses. Further, trichotillomania could be a symptom caused by different factors in different individuals just as a with many other illnesses. Further, trichotillomania could be a symptom caused by different factors in different individuals just as a cough can be produced by a multitude of different medical problems. Finding the cause(s) will take more research. cough can be produced by a multitude of different medical problems. Finding the cause(s) will take more research.

• What Is The Relation To Other Illnesses? What Is The Relation To Other Illnesses?

For many people with trichotillomania, there are symptoms of obsessive-compulsive disorder (OCD) such as compulsive counting, For many people with trichotillomania, there are symptoms of obsessive-compulsive disorder (OCD) such as compulsive counting, checking, or washing as well. There are so many similarities between hair pulling and other compulsive symptoms that some consider it checking, or washing as well. There are so many similarities between hair pulling and other compulsive symptoms that some consider it a subtype or variant of OCD. This idea is supported by the tendency for the two problems to run in the same families and the fact that a subtype or variant of OCD. This idea is supported by the tendency for the two problems to run in the same families and the fact that OCD medications can be helpful in treating trichotillomania. OCD medications can be helpful in treating trichotillomania.

• Depression also frequently occurs in individuals with this illness. There may be a direct neuro-biochemical relationship and/or be Depression also frequently occurs in individuals with this illness. There may be a direct neuro-biochemical relationship and/or be secondary to the chronic demoralization and low self esteem hair-pulling can bring.secondary to the chronic demoralization and low self esteem hair-pulling can bring.

• Other associated behaviors may include nail biting, thumb sucking, head banging, or compulsive scratching. Frequently, hair pullers Other associated behaviors may include nail biting, thumb sucking, head banging, or compulsive scratching. Frequently, hair pullers also find they compulsively pick at their skin, which may also cause physical and emotional scarring.also find they compulsively pick at their skin, which may also cause physical and emotional scarring.

• What Treatments Are Available? What Treatments Are Available?

The two methods of treatment that have been scientifically researched and found to be effective are behavioral therapy and The two methods of treatment that have been scientifically researched and found to be effective are behavioral therapy and medications. medications.

• Therapy:Therapy:In behavioral therapy, people learn a structured method of keeping track of the symptoms and associated behaviors, increasing In behavioral therapy, people learn a structured method of keeping track of the symptoms and associated behaviors, increasing awareness of pulling, substituting incompatible behaviors and several other techniques aimed at reversing the “habit” of pulling.awareness of pulling, substituting incompatible behaviors and several other techniques aimed at reversing the “habit” of pulling.

• Medications:Medications:Although medications clearly help some people temporarily, symptoms are likely to return when the medication is stopped unless Although medications clearly help some people temporarily, symptoms are likely to return when the medication is stopped unless behavioral therapy is incorporated into treatment. Medications may help to reduce the depression and any obsessive-compulsive behavioral therapy is incorporated into treatment. Medications may help to reduce the depression and any obsessive-compulsive symptoms the person may be experiencing.symptoms the person may be experiencing.

• Commonly used medications are: Commonly used medications are: • fluoxetine (Prozac) fluoxetine (Prozac) • fluvoxamine (Luvox) fluvoxamine (Luvox) • sertraline (Zoloft) sertraline (Zoloft) • paroxetine (Paxil) paroxetine (Paxil) • clomipramine (Anafranil) clomipramine (Anafranil) • valproate (Depakote) valproate (Depakote) • lithium carbonate (Lithobid, Eskalith) lithium carbonate (Lithobid, Eskalith) • Studio Hair™Studio Hair™

• Hair Loss due to Chemotherapy Hair Loss due to Chemotherapy •   •   •   •   Hair loss (Hair loss (alopeciaalopecia) is a common side effect of chemotherapy, but not all drugs cause hair loss. Your ) is a common side effect of chemotherapy, but not all drugs cause hair loss. Your

doctor can tell you if hair loss might occur with the drug or drugs you are taking. When hair loss doctor can tell you if hair loss might occur with the drug or drugs you are taking. When hair loss does occur, the hair may become thinner or fall out entirely. Hair loss can occur on all parts of the does occur, the hair may become thinner or fall out entirely. Hair loss can occur on all parts of the body, including the head, face, arms and legs, underarms, and pubic area. The hair usually grows body, including the head, face, arms and legs, underarms, and pubic area. The hair usually grows back after the treatments are over. Some people even start to get their hair back while they are still back after the treatments are over. Some people even start to get their hair back while they are still having treatments. Sometimes, hair may grow back a different color or texture. having treatments. Sometimes, hair may grow back a different color or texture.

• Hair loss does not always happen right away. It may begin several weeks after the first treatment or Hair loss does not always happen right away. It may begin several weeks after the first treatment or after a few treatments. Many people say their head becomes sensitive before losing hair. Hair may after a few treatments. Many people say their head becomes sensitive before losing hair. Hair may fall out gradually or in clumps. Any hair that is still growing may become dull and dry. fall out gradually or in clumps. Any hair that is still growing may become dull and dry.

• How can I care for my scalp and hair during chemotherapy?How can I care for my scalp and hair during chemotherapy?  

• Use a mild shampoo. Use a mild shampoo. • Use a soft hair brush. Use a soft hair brush. • Use low heat when drying your hair. Use low heat when drying your hair. • Have your hair cut short. A shorter style will make your hair look thicker and fuller. It also will make Have your hair cut short. A shorter style will make your hair look thicker and fuller. It also will make

hair loss easier to manage if it occurs. hair loss easier to manage if it occurs. • Use a sun screen, sun block, hat, or scarf to protect your scalp from the sun if you lose hair on your Use a sun screen, sun block, hat, or scarf to protect your scalp from the sun if you lose hair on your

head. head. • Avoid brush rollers to set your hair. Avoid brush rollers to set your hair. • Avoid dying, perming, or relaxing your hair. Avoid dying, perming, or relaxing your hair. • Some people who lose all or most of their hair choose to wear turbans, scarves, caps, wigs, or hair Some people who lose all or most of their hair choose to wear turbans, scarves, caps, wigs, or hair

pieces. Others leave their head uncovered. Still others switch back and forth, depending on whether pieces. Others leave their head uncovered. Still others switch back and forth, depending on whether they are in public or at home with friends and family members. There are no "right" or "wrong" they are in public or at home with friends and family members. There are no "right" or "wrong" choices; do whatever feels comfortable for you. choices; do whatever feels comfortable for you.

• If you choose to cover your head:If you choose to cover your head:  

• Get your wig or hairpiece before you lose a lot of hair. That way, you can match your current hair Get your wig or hairpiece before you lose a lot of hair. That way, you can match your current hair style and color. You may be able to buy a wig or hairpiece at a specialty salon just for cancer style and color. You may be able to buy a wig or hairpiece at a specialty salon just for cancer patients.  You also can buy a wig or hair piece through a catalog such as patients.  You also can buy a wig or hair piece through a catalog such as www.hairsalon.bizwww.hairsalon.biz  or by   or by phone. phone.

• Take your wig to your hairdresser or the shop where it was purchased for styling and cutting to Take your wig to your hairdresser or the shop where it was purchased for styling and cutting to frame your face. frame your face.

• Some health insurance policies cover the cost of a hairpiece needed because of cancer treatment. It Some health insurance policies cover the cost of a hairpiece needed because of cancer treatment. It is also a tax-deductible expense. Be sure to check your policy and ask your doctor for a is also a tax-deductible expense. Be sure to check your policy and ask your doctor for a "prescription." "prescription."

• Losing hair from your head, face, or body can be hard to accept. Feeling angry or depressed is Losing hair from your head, face, or body can be hard to accept. Feeling angry or depressed is common and perfectly all right. At the same time, keep in mind that it is a temporary side effect. common and perfectly all right. At the same time, keep in mind that it is a temporary side effect. Talking about your feelings can help. If possible, share your thoughts with someone who has had a Talking about your feelings can help. If possible, share your thoughts with someone who has had a similar experience. similar experience.

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• A positive attitude when dealing with hair loss….A positive attitude when dealing with hair loss….• What to do about it—What to do about it—• Losing your hair can be unpleasant and difficult to cope with. Losing your hair can be unpleasant and difficult to cope with.

Your best counsel on how to deal with these side effects which Your best counsel on how to deal with these side effects which are causing your hair loss is your medical health team..are causing your hair loss is your medical health team..

•   It may also be difficult to cope with your personal It may also be difficult to cope with your personal reaction to hair loss. After all, you’ve lived with your reaction to hair loss. After all, you’ve lived with your hair for a long time. It is a part of your personality and hair for a long time. It is a part of your personality and who you are. Now, your hair loss will be a visible sign who you are. Now, your hair loss will be a visible sign that something is happening. that something is happening.

• How do you explain it? Is it necessary to explain it at How do you explain it? Is it necessary to explain it at all? And how will you react to the change in your self -all? And how will you react to the change in your self -image with hair loss?image with hair loss?

• Dealing with these questions is a challenge to most Dealing with these questions is a challenge to most people. It’s a challenge you can now face, and face people. It’s a challenge you can now face, and face confidently. For one thing, you know in advance that confidently. For one thing, you know in advance that the hair loss is likely to happen. And you know why. You the hair loss is likely to happen. And you know why. You won’t have to explain your hair loss when you plan in won’t have to explain your hair loss when you plan in advance to do something about it. advance to do something about it.

• Take care of this as soon as possible, before the hair Take care of this as soon as possible, before the hair loss occurs. Finding a hair prostheses or wig now will loss occurs. Finding a hair prostheses or wig now will allow you to “adjust” to it on your own terms, not when allow you to “adjust” to it on your own terms, not when you do not have the choice. It will make the transition you do not have the choice. It will make the transition easiereasier