At Alizadeh Cosmoplastic Surgery in Long Island and New York City, Dr. Kaveh Alizadeh, MD, FACS, board-certified plastic surgeon and Professor of Clinical Surgery at New York Medical College, recently hosted a virtual educational event focused on hormone therapy and regenerative approaches for hair and skin health. The discussion provided a physician-led overview of how hormonal balance and regenerative technologies are evaluated and applied within a clinical, evidence-informed aesthetic setting.
Rather than focusing on trends, Dr. Alizadeh centered the conversation on physiology, symptoms, and individualized medical assessment. What follows is a summary of the core clinical concepts discussed during the event, along with access to the full recording.
Why Symptoms Matter More Than “Normal” Lab Results
One of the central themes of the event was the importance of listening to symptoms, not just lab reference ranges. Many patients experience specific, measurable symptoms even when standard bloodwork is reported as “normal,” including:
- Fatigue and reduced energy levels
- Disrupted sleep patterns
- Brain fog or difficulty concentrating
- Decreased libido
- Hot flashes or temperature regulation changes
- Difficulty maintaining or losing weight
Lab values may fall within a standard range while still being low for an individual’s baseline, especially when compared to hormone levels earlier in adulthood.
The Hormone Therapy Evaluation Process
The event outlined a structured approach to hormone therapy that begins with a detailed symptom questionnaire, followed by laboratory testing when appropriate. Evaluations may include thyroid markers, estrogen and progesterone balance, testosterone levels, estradiol, and other age-related factors, establishing a baseline for individualized treatment planning.
Ongoing monitoring allows the care team to adjust therapy over time based on clinical response, symptom resolution, and individual tolerance.
Why Pellet Therapy Is Often Preferred
Several delivery options for hormone therapy are available, including oral medications, patches, injections, and pellet therapy. Pellet therapy is often preferred because it provides steady, consistent hormone levels over time and reduces the fluctuations seen with other methods. Placement is performed during a brief in-office procedure, with effects typically lasting several months.
Stable hormone levels were highlighted as an important consideration for long-term health, including bone density, cardiovascular function, muscle mass, and overall quality of life.
Understanding Exosomes and Regenerative Care
The second half of the event focused on regenerative medicine, particularly the role of exosomes. Exosomes are microscopic signaling particles involved in cellular communication, repair, and regeneration. With age, this signaling activity declines, which may affect healing, skin quality, and hair cycling.
Dr. Alizadeh reviewed how exosomes are used to support hair health, skin recovery, and post-procedural healing, noting that delivery methods, sourcing, and treatment protocols vary and require experienced physician oversight.
Where PRP, PRF, ExoBoost, and Hair Restoration Fit
Different regenerative options may also be layered or customized based on the degree of hair thinning, overall health, and treatment goals, including:
- PRP and PRF: Common starting points that use a patient’s own blood components to support hair follicles.
- ExoBoost: A more concentrated approach designed to deliver regenerative signaling directly near the follicles.
- Early intervention: Emphasized because regenerative therapies are most effective when follicles remain viable.
- Surgical hair restoration: Considered when follicles are no longer present, using modern follicular unit extraction techniques.
For patients with advanced hair loss, modern follicular unit extraction (FUE) hair transplantation is a separate surgical option, sometimes complemented by regenerative therapies to support recovery.
Watch the Full Event and Continue the Conversation
For a deeper, more detailed discussion, the full virtual event recording is available to watch online, including the live question-and-answer portion. Patients considering hormone therapy or regenerative treatments may benefit from an in-person consultation that allows for comprehensive evaluation, discussion of candidacy, and individualized guidance.
To learn more, contact Alizadeh Cosmoplastic Surgery to schedule your consultation with Dr. Alizadeh today.