Four Vitamins for Healthy Hair

 

Whether you’re noticing slow thinning throughout your hair or a rapid loss of hair at the crown, there are steps you can take to help thicken and strengthen the hair that you have. Nutraceuticals — vitamins, herbs, minerals and other natural compounds — can help slow hair loss, boost hair production, and nourish your scalp.

What are nutraceuticals?

According to the Food and Drug Administration (FDA) website, nutraceuticals are “pharmacy grade” nutritional supplements – vitamins, minerals, extracts, and herbs –  that offer a health benefit. Ironically, however, the FDA itself doesn’t use the word “nutraceutical” in any of its federal laws. Instead of categorizing nutraceuticals in their own area, the FDA considers them to be “dietary supplements.”  (01)

What does all this talk about nutraceuticals have to do with hair? Well, you need to know what you’re getting into. Many dietary supplements that target hair loss fall under the category of nutraceuticals or dietary supplements, both of which do not have strict FDA oversight. This is not to say that these supplements don’t work, but you do have to be more mindful about the product you’re purchasing. In addition, dietary supplements can cause toxicities if taken too frequently or not taken as directed.
That said, valid scientific evidence points to specific vitamins and minerals that can help keep hair healthy. Here are four  of the most essential vitamins and minerals to strengthen your hair. (02)

1. Biotin

Biotin, another name for vitamin B7 or vitamin H, encourages keratin production in both skin, nails, and hair. Because hair is mostly made of keratin, biotin is an essential vitamin for a healthy head of hair. However, the body doesn’t make its own biotin and, because it’s water-soluble, it’s not stored in the body for long. Instead, biotin is obtained from food sources like legumes, nuts, whole grains, and rice or supplemented through nutraceuticals.

If you’re consuming a healthy diet, then you’re probably getting enough biotin. However, women who are pregnant or breastfeeding may need more biotin than usual. Heavy alcohol use or a health condition called biotinidase deficiency can also cause a biotin deficiency. A biotin deficiency can result in red, dry or scaly skin, brittle hair, and hair loss.
A review of 18 published research papers found that people with insufficient biotin levels who had poor hair and nail growth found clinical improvement after biotin use. Supplementation of biotin, especially for people who are deficient, can slow hair loss and encourage hair growth. (03)

2. Vitamin A

Vitamin A, also known as retinol or beta-carotene,  is essential for growth, especially for fast growing tissues like skin and hair. Because vitamin A keeps skin moisturized by helping skin glands make sebum (an oily substance), it’s vital for a healthy scalp and hair. Without a sufficient amount of sebum, your hair becomes brittle and the scalp becomes too dry, damaging hair and causing hair loss. (04)

You can get vitamin A through your diet from vegetables like pumpkins, carrots, and kale.  In addition, when supplemented in small amounts through nutraceuticals, vitamin A can alleviate deficiency symptoms such as anemia, dry eyes, and thinning hair. But although vitamin A is vital for a healthy head of hair, it’s important not to go overboard. Excessive vitamin A consumption can lead to the same thing you may be trying to avoid — hair loss!
Consuming too much vitamin A within a short period of time can also lead to vitamin A toxicity. When taken in excess, vitamin A can cause vomiting, blurry vision, vertigo, or nausea. Women who are pregnant or breastfeeding should consult with a physician before taking vitamin supplements, as too much vitamin A may lead to birth defects and impairments in children. (05)

3. Vitamin D

Your body typically makes vitamin D through exposure to the sun’s rays, but the modern lifestyle doesn’t offer enough opportunities for it to do so. Other sources of vitamin D come from foods like fatty fish and mushrooms. That said, most people don’t get enough vitamin D. Which is unfortunate, because vitamin D is necessary for hair production. Hair follicles depend on vitamin D to help grow hair and keep hair from shedding prematurely.

Low levels of vitamin D have been linked to hair loss conditions like telogen effluvium, alopecia areata, and both female and male pattern hair loss. (06) A 2019 review published in the American Journal of Translational Research found a link between vitamin D deficiency and hair loss or alopecia, though the exact process remains unclear. Researchers believe that Vitamin D is part of the body’s keratin-producing process, which is necessary for a healthy scalp and hair. Without enough vitamin D, keratinocytes within the hair follicles have difficulty growing and keeping hair, which leads to hair shedding and conditions like alopecia areata. (07)

Studies indicate that the best way to increase levels of vitamin D when a deficiency occurs is through nutraceutical vitamin D supplementation. For hair loss, combined therapies – including vitamin D supplementation – have the best results. However, like vitamin A, vitamin D toxicity can develop when taken in large doses. Vitamin D toxicity, though rare, results in serious health conditions like a buildup of calcium in the blood. The rise in calcium levels causes nausea, vomitning, weakness, bone pain, and kidney problems. (08)

4. Vitamin E

Vitamin E is the name for a group of fat-soluble antioxidants that are vital to the immune system, brain functioning, tissue development, and healthy skin and hair. In regards to hair, vitamin E begins at the root. This vitamin boosts nutrient circulation in the skin – including the scalp – which encourages healthy hair growth. As a potent antioxidant, vitamin E reduces sun and environmental damage on the scalp and hair. (09)

A 2017 study of 21 participants who were administered Vitamin E supplementation in the form of tocotrienol showed significant improvement with their hair loss when compared to a group that took a placebo. Volunteers were evaluated before, during, and after 8 months of supplementation by counting and weighing hair strands and clippings. This study indicates that especially in cases of vitamin E deficiency, vitamin E supplementation may be a viable addition to any treatment for hair loss. (10)

However, like most vitamins, too much of a good thing can be bad. Excessive vitamin E supplementation may lead to hypervitaminosis E, which increases the risk of bleeding and reduces thyroid hormone levels. Additionally, too much vitamin E may cause the exact opposite of what you’re looking for  – it can result in slower hair growth. (11)

The Takeaway: Nutraceutical Supplements and Hair Growth

There’s no denying that vitamins and minerals are necessary for healthy hair growth. In particular, biotin, vitamin A, vitamin D, and vitamin E are crucial for both the scalp and hair. These vitamins encourage cell formation, boost nutrient blood flow, and establish stable sebum oil levels that keeps hair full and shiny. A deficiency in any of these vitamins can lead to hair thinning or worsen hair loss from conditions like telogen effluvium, androgenic alopecia, and alopecia areata.

Furthermore, deficiencies may occur even if an individual eats a healthy diet with a variety of foods. Age, medications, and medical conditions are all factors that can lead to vitamin deficiencies and hair loss. In addition, genetics, infections, toxins, and stress can all compromise hair loss or lead to vitamin deficiencies.
Unfortunately, treating hair loss with vitamin supplements isn’t as easy as purchasing a bottle or two at the drugstore. Because taking an excess of vitamins and minerals through nutraceutical supplements can result in nutrient toxicities, it’s essential to work with a doctor before diving into a bottle of Vitamin D. At Happy Head, every customer works with a physician to find the best – and safest – individualized treatment for hair loss. Contact us today for a free consultation. Let’s work together to find the best hair loss treatment option for you!

Resources:

(01) https://www.fdareader.com/blog/how-the-fda-regulates-nutraceuticals

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380979/

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582478/

(04) https://pubmed.ncbi.nlm.nih.gov/21914489/

(05) https://www.ncbi.nlm.nih.gov/books/NBK532916/

(06) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5751255/

(07) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789271/

(08) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2912737/

(09) https://ods.od.nih.gov/factsheets/VitaminE-HealthProfessional/

(10) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819075/

(11) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315033/#b57-dp0701a01

The Invisible Effects of Alopecia on Your Mental Health

Losing your hair can have serious effects on your mental health. This customer is looking at his hair in the mirror and noticing that his hair isn't as thick as it used to be, but now he's using Happy Head custom hair loss treatments to stop hair loss and gain confidence.

Although talking about mental health is more acceptable today than ever before, it’s still not the most comfortable topic of conversation. Add hair loss to the mix, and you have a double whammy. Bald spots and thinning hair may be noticeable, but the grief that many people feel when losing their hair isn’t. You’re probably not going to go up to your co-worker and say, “Hey, see my bald spot? I’m upset about losing my hair, and it’s ruining my life.” So who can you talk to, and how can you get help if you’re feeling depressed or anxious about your alopecia? Read on to learn about the of invisible effects of alopecia on your mental health and what resources are available if you’re struggling.

Understanding How Hair Loss & Mental Health are Connected

Alopecia isn’t physically harmful, but it has been proven to have immense psychological effects. A qualitative research study conducted in 2020 confirms that anxiety and depression related to alopecia are not only real, they can be debilitating for some. (01) One study participant said, “It was devastating when it first started. And when I first lost it all four years ago, I cried a lot. And it took me about two years. I really had to mourn the loss of my hair.” It’s not uncommon for people with alopecia to experience an ongoing bereavement process. (02)

The study also categorized emotions and the triggers that people with alopecia often experience:

  • Sadness and depression due to diagnosis
  • Insecurity, inadequacy, and self-consciousness when hair thins or bald spots appear
  • Helplessness, anxiety, fear and stress are often due to disease progression, recurrences, and failed treatment options

Given that hair is such a big part of our identity, it’s understandable that such strong emotions are evoked. People are often described and defined by the color or style of their hair. Before you were the perky brunette with the curly hair or the blonde dude with the buzz cut, and now you’re “the bald one.”

Why Depression and Anxiety Related to Alopecia Should be Addressed

Some people are so concerned about hiding their hair loss that they don’t want to participate in everyday activities. Work, birthday parties, happy hour, and even going to the gym can be tough.

When asked about how alopecia affects her social life, one respondent said, “Does it affect me physically? No. The ability to move around? No. To be around people? Yeah, it does. It does play a big role.” (03) Another mentioned that he missed his friend’s wedding because he was too embarrassed about the way he looked. “Once the alopecia was at its worst point that I had, I was just like, a homebody, you could say. I wouldn’t want to go out. [ …] I would avoid it. I wouldn’t go to, like, parties where you have to suit up. Yeah, I missed, like, my friend’s wedding.” Nobody chooses alopecia, and certainly nobody chooses to be debilitated by it. What’s the solution? Awareness and support.

How to Identify Whether Your Emotions are Manageable

The first step in getting help for anxiety and depression stemming from hair loss is being aware of your feelings. Everyone gets stressed out from time to time, and it’s only normal to be upset about losing your hair. After all, that’s a pretty significant change. How do you know if the amount of anxiety you’re feeling about your alopecia is appropriate?
According to the National Institute of Mental Health, “Anxiety disorders involve more than a temporary worry or fear. For people with an anxiety disorder, the anxiety does not go away and can worsen over time.” (04)

Symptoms of Anxiety and Depression Caused by Hair Loss

Androgenic alopecia, alopecia areata, or even telogen effluvium can trigger depression, general anxiety, and other mental health disorders in predisposed individuals. Although each of the mental health conditions is different, you can have multiple conditions simultaneously. Here are some general symptoms to look for (05):

Depression

Depression causes constant sadness and loss of interest in activities that you used to enjoy. People who are depressed may feel:

  • Tearful, empty, or hopeless
  • Angry, irritable, or frustrated
  • Less interested in activities that they used to enjoy
  • Tired
  • Restless
  • Less able to concentrate or make decisions
  • Worthless

Generalized Anxiety Disorder

Generalized anxiety disorder (GAD) occurs when people with alopecia worry non-stop about their hair loss. The anxiety doesn’t cease and begins to interfere with everyday life. People with GAD are often:

  • Restless, wound-up, or on-edge
  • Easily fatigued
  • Having difficulty concentrating
  • Irritable
  • Having headaches, muscle aches, stomachaches, or unexplained pains
  • Difficulty controlling feelings of worry
  • Having difficulty falling or staying asleep

Social Anxiety Disorder

Social anxiety disorder (SAD) makes people worry that they will be judged negatively by others because they have little or no hair. The embarrassment and shame are so extreme that they avoid socializing. SAD can often cause:

  • Feeling self-conscious or fearing that people will judge you negatively
  • Sweating, trembling, blushing
  • Pounding or racing heart
  • Stomachaches
  • Difficulty making eye contact or being around people you don’t know
  • Having things symmetrical or in a perfect order

How to Deal with the Psychological Effects of Hair Loss

There isn’t a one-size-fits-all approach to psychological treatment for alopecia. The key is to seek treatment if you feel depressed or anxious about your hair loss. Treatment options typically include (06):

  • Psychotherapy (Talk therapy)
  • Cognitive Behavioral Therapy (Teaches people to think differently)
  • Acceptance and Commitment Therapy (Uses mindfulness and goal setting to eliminate negative thoughts)
  • Medication (Antidepressants, anti-anxiety medications, beta-blockers)
  • Support groups
  • Stress management techniques

Your healthcare provider may recommend one or more of these approaches to help you cope with your condition.

Can Stress Cause Alopecia?

We’ve established that having alopecia can inflict emotional problems, but can being stressed or depressed cause alopecia? After all, chronic stress can cause heart disease, high blood pressure and a variety of other medical issues. Is hair loss one of them?

The answer is yes. In a study on mice partially sponsored by the National Institute of Health, researchers discovered a particular stress hormone that inhibits stem cells required to grow hair. (07) During the study, mice were subjected to mild stress for many weeks. The corticosterone levels in the mice increased, and hair follicles stayed in the resting phase longer than normal, reducing growth.

Two hair loss conditions in people that are known to be triggered by stress are telogen effluvium and trichotillomania.

Telogen effluvium

As in the research study with the mice, stress could push your hair follicles into a resting period causing hair loss. The good news is that telogen effluvium due to stress is not permanent and can reverse itself.

Trichotillomania

Among people predisposed to obsessive-compulsive disorders, stress can trigger a hair-pulling disorder called trichotillomania. Despite trying to stop, people with this mental disorder have an irresistible urge to pull out their hair.

Fortunately, as we mentioned above, you can alleviate stress. The faster you seek treatment, the sooner your hair can return to a healthy growth cycle. To get started on your hair loss journey with a Happy Head dermatologist, click here.

What You Can Do to Prevent and Negotiate a Hair Loss Crisis

The key to dealing with hair loss is getting to a healthy level of acceptance. Sometimes it takes hard work, and sometimes it takes a little inspiration. It doesn’t matter how you get there. There isn’t a clear-cut map because the journey is unique for each person.

In a Tedx talk, Jannica Olin, a Swedish actress living in LA, asks the thought-provoking questions, “If I’m not my body, who am I?” and “When that which defines you is gone, do you know who you are?” Jannica lost the hair on her head, her eyebrows, and her eyelashes to alopecia areata. When you watch the video, you can’t help but notice that Jannica gets a little choked up when she removes her wig. Even as a successful TedX speaker who has redefined herself, Jannica is emotional about her experience. The difference is that Jannica can focus on what she has gained through her alopecia rather than lost.

We hope that you find your new normal and take back your power. We’re proud to be your partner and to support you along the way, take the Happy Head questionnaire to get started on a custom hair loss treatment plan all online.

 

Resources:
(01) https://jpro.springeropen.com/articles/10.1186/s41687-020-00240-7

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1261195/

(03) https://jpro.springeropen.com/articles/10.1186/s41687-020-00240-7

(04, 05, 06) https://www.nimh.nih.gov/health/topics/anxiety-disorders

(07) https://www.nih.gov/news-events/nih-research-matters/how-stress-causes-hair-loss

Can Boosting Your Testosterone Levels Prevent Hair Loss?

My Dad never had much hair, even when he was in his twenties. If you’re familiar with The Love Boat, he looked just like Captain Stubing. There was such a resemblance that people would often stop my parents for an autograph and a photo when they went on cruises. My brother, sister, and I always had a good laugh when they got home and told us about their encounters. Besides that, I never thought much about my Dad’s hair, or I should say, lack of hair. Why would I?

When I recently mentioned my hair loss, my Dad shared with me that he visited a dermatologist when his hair first started falling out. Back then, little research had been conducted, no medications were available, and his dermatologist couldn’t help. The doctor politely told my Dad that balding is a natural part of aging and that he would have to learn to live with it. So, that’s what he did.

Fortunately, times have changed. Ongoing research is guiding treatment plans, and prescription medications such as Finasteride, Spironolactone, and Dutasteride are now available to promote hair growth among people with male and female pattern baldness. One of the breakthrough findings is a link between testosterone and hair loss. How are they connected? Is a low testosterone level the cause of your hair loss? We’re here to fill you in.

What is Testosterone?
Testosterone is the primary sex hormone in men. The hormone supports the development of the penis and testes. It also affects men’s voices, facial hair, muscles, bones, libido, and sperm production. Women also produce testosterone in their ovaries and adrenal glands. In women, testosterone affects ovarian function and bone strength. (01) The amount of testosterone produced is important. Contrary to popular belief, low testosterone levels are not the culprit when it comes to male and female pattern hair loss, also known as androgenic alopecia. High levels of testosterone are at the root of the problem. (02) However, not all testosterone is created equal.

What Are The Types Of Testosterone?
Two forms of testosterone exist in the body. Only one type contributes to hair loss. The first type is free testosterone which does not bind to any proteins in your body. This type of testosterone is absorbed by cells to help your body function. Free testosterone does not affect your hair.

Dihydrotestosterone (DHT) is another story. An enzyme called 5-alpha reductase converts testosterone to DHT hormones. When DHT is created, the hormone binds to your hair follicles, causing miniaturization. When the follicles miniaturize, they reduce in size, thinning your hair, and preventing new growth from emerging.

How Do You Know If Your Testosterone Level is Causing Androgenic Alopecia
There isn’t one specific test that will tell you definitively if your hair loss is due to high levels of DHT. (03) Dermatologists typically make a clinical diagnosis based on your pattern of hair loss. A typical hair loss pattern in men with male pattern baldness is an M shape that gradually extends to the crown. Women with female pattern baldness often see diffuse thinning on their crowns. The frontal area isn’t usually affected in women. In some cases, dermatologists will do blood work or take a small biopsy. The tests are typically ordered to rule out other causes of alopecia.

Can Your Testosterone Levels Affect Your Eyebrows, Eyelashes, and Other Facial Hair?
Just like the hair on your scalp, eyebrows, eyelashes, mustaches, and beards can be affected when your body produces too much DHT. Oral DHT blockers and topical medications explicitly designed for facial hair help fill in the gaps the same way they do for the hair on your head.

Can You Treat Male and Female Pattern Hair Loss by Adjusting Your Testosterone Level?
DHT Blockers are available to prevent DHT from attacking your hair follicles. The topical and oral medications are designed to prevent further hair loss and stimulate regrowth. Fortunately, androgenic alopecia progresses slowly. The earlier you begin treatment, the better the results you will get. The most effective DHT blockers are only available by prescription. Here is a rundown of what is available and often recommended:

Finasteride

Finasteride is often prescribed off-label to men and women not of childbearing age. The medication is a 5-alpha-reductase inhibitor which has been proven to be effective in numerous research studies. One study found that 48 percent of participants who used Finasteride showed improved hair growth at one year and 66 percent at 2 years compared to 7 percent of participants who received a placebo. (04)

Spironolactone

Spironolactone is prescribed off-label to women to treat female pattern hair loss. According to the Journal of the American Academy of Dermatology, all patients in a four-year study from 2015-2019 saw hair growth after using Spironolactone. Patients who used the medication for a longer time realized more growth. (05)

Dutasteride

Men often use Dutasteride in conjunction with Flomax to treat enlarged prostates. The medication is also used off-label to treat male pattern baldness and has been found to be highly effective. Dutasteride is often used as a second line of attack if Finasteride does not give the desired results. Patients can easily switch from Finasteride to Dutasteride without any issues or significant side effects.

Minoxidil

Although Minoxidil is often recommended to people experiencing male and female pattern hair loss, it is not a DHT blocker. The topical liquid and foam work by enlarging the hair follicles and preventing miniaturization. Minoxidil is often used with Finasteride, Spironolactone, Dutasteride, and other hair loss medications.

Do DHT Blockers Have Side Effects?
People who take oral medications tend to experience more side effects than people who use topical medications. While side effects from topical Finasteride are limited to mild irritation, two to three percent of patients who take oral Finasteride experience sexual side effects such as low libido. The reason why is because oral medications are systemic, while topicals only penetrate at the point of contact. With topical Finasteride, your overall testosterone level is not affected. With oral, it is.

Many patients ask if Dutasteride has more side effects than Finasteride since Dutasteride has a longer half-life. That means Dutasteride stays in your system longer, making it a more potent medication. Interestingly, the side effect profile is about the same for both medicines. Dutasteride does not cause more side effects.

Do Topical Finasteride and Other DHT Blockers Cause Shedding or Clog the Hair Follicles?
It’s rare that Finasteride or Dutasteride would cause your hair to shed when you first start using the medications. This initial shedding is called shock loss. On the other hand, Minoxidil can cause shock loss due to mild irritation that sometimes occurs when patients first start using the medicine. The shedding typically stops after the first six to eight weeks of using the medication.

If you’re concerned that topical medications could clog your hair follicles and prevent growth, you can take a deep breath. It’s a myth that anything topical will prevent your hair from growing. Even people who have dandruff are not at risk. Dandruff is an indication of inflammation as opposed to blocked hair follicles.

Will Testosterone Replacement Therapy (TRT) Help Prevent Hair Loss?
Men often use prescription testosterone injections or gels as Testosterone Replacement Therapy (TRT) to restore testosterone to normal levels. (06) Many wonder whether the TRT will help stop male pattern baldness from getting worse. Quite the contrary often happens. TRT increases testosterone levels, increasing the DHT that causes hair loss. If your doctor prescribes TRT, it’s important to work with him or her to find the right balance. Topical DHT blockers can also help counteract the effects of TRT.

Is Your Hair Thinning or Falling Out Due to an Excessive Response to DHT?
Male and female pattern baldness is passed through your family genetically. If you are predisposed, you will have an excessive response to androgens, causing you to lose your hair. The condition is progressive and can start any time after puberty begins.
If you are experiencing male or female pattern baldness, DHT blockers may be just what the doctor ordered. To find out if DHT blockers are suitable for you, contact us. We have board-certified dermatologists and hair specialists available to review your history and answer any questions.

Resources:
(01) https://www.health.harvard.edu/medications/testosterone–what-it-does-and-doesnt-do

(02) https://skinkraft.com/blogs/articles/testosterone-hair-loss

(03) https://bestpractice.bmj.com/topics/en-us/223

(04) https://pubmed.ncbi.nlm.nih.gov/9951956/

(05) https://www.jaad.org/article/S0190-9622(20)30510-7/fulltext

(06) https://www.health.harvard.edu/mens-health/is-testosterone-therapy-safe-take-a-breath-before-you-take-the-plunge

Scalp Dermaroller: The Most Helpful Hair Growth Tool You Didn’t Know You Needed

Happy Head's new scalp dermaroller helps regrow collagen and hair.

If you’re up-to-date on the latest skincare tools, you’ve probably heard about dermarollers designed to pump up your skin’s collagen. You may have even tried one. But did you know that scalp dermarollers can help rejuvenate your hair too? Although relatively new to the hair care scene, scalp dermarollers have quickly become a tool of choice, recommended by leading dermatologists and hair specialists. What makes scalp dermarollers so popular for treating hair loss? Will the trend last? We’re here to fill you in.  

What Is a Scalp Dermaroller & What Does It Do?

A Scalp Dermaroller is a small hand-held roller with about 540 tiny needles on it. When rolled over your skin or scalp, the dermaroller’s needles create microscopic wounds that stimulate collagen and elastin production. Collagen keeps your skin firm, elastic, and hydrated.  It’s also needed to build keratin which keeps your hair strong, shiny, and thick. In addition to building collagen, scalp dermarollers increase blood supply to the hair follicles, enlarging the follicles to allow new growth to emerge.

Why Are We Just Now Learning About Scalp Dermarolling?  Is it New?

Although dermarolling, also known as microneedling, has been around since the 1900s to treat birthmarks, hyperpigmentation, and scars, we started hearing more about the treatment in the late 1990s. Since then, dermarolling has been studied and found to be effective among patients with alopecia areata (01) and androgenic alopecia.  Patients with alopecia areata have seen positive results when applying triamcinolone after using a dermaroller. Patients with androgenic alopecia have seen positive results when applying Minoxidil after using a dermaroller. (02)

Are Scalp Dermarollers Safe?

Scalp dermarolling is quite safe and easy to do. Simply wet your hair and then gently roll back and forth with your Scalp Dermaroller, left and right, for just a few minutes.  Make sure that you keep the dermaroller moving.  Holding a dermaroller in one place in one area could cause scarring.

Can I Do Microneedling at Home?

The microneedling that’s referenced in this article can be done at home. All you need is a Scalp Dermaroller. The number of times that you use your dermaroller each week will depend on the length of the needles you are using and whether you are using your dermaroller to apply medication. Patients should always consult with their dermatologists to develop a treatment protocol since alopecia type, medications, hair density and other factors vary from person to person.

Other types of microneedling are performed in a dermatologist’s office. You may have heard of Protein Rich Plasma (PRP) treatments which are often done in conjunction with microneedling. During a PRP treatment, a patient’s blood is drawn and placed into a centrifuge machine. The blood is spun at a high rate so the components are separated. The platelets are then extracted and injected into the scalp. When PRP is combined with microneedling, topical anesthetic is applied first, medical-grade dermarollers are used, and then PRP is applied last. PRP treatments can only be done in a doctor’s office.

Which Scalp Dermaroller Should I Buy?

According to Dr. Ben Behnam, board-certified dermatologist, hair specialist, Happy Head co-founder and co-owner of Los Angeles-based Dermatology and Hair Restoration, the key to selecting a Scalp Dermaroller is to get the correct needle size. “When dermarolling, you don’t have to go very deep to get results,” said Behnam. “I recommend just 0.25, which is very shallow. Many people read online that a 1.5 depth is recommended, but in my opinion, that’s too deep. Nobody needs a roller that strong. Rollers with needles that are too long hurt, and they can damage the hair follicle. You certainly don’t want to damage areas where your hair is thinning or balding.” At Happy Head, we’ve designed a Scalp Dermaroller specifically for use alongside your usual topical hair growth solutions. 

Using a Scalp Dermaroller to Apply Minoxidil (Rogaine), Finasteride, and Other Topical Medications Gives Better Results

A study conducted in 2013 compared patients with androgenic alopecia who used a dermaroller to apply Minoxidil to patients who did not use the roller. Not surprisingly, patients who used the roller achieved more growth. The dermaroller creates tiny holes in the scalp that allows the Minoxidil, Finasteride and other topical medications to penetrate deeper than they otherwise would. The medicine works more effectively.

If you’re using Minoxidil or any other topical hair loss treatment on your frontal hairline, Dr Behnam recommends using the topical about two inches behind the hairline to prevent getting the medicine on your face.

Can a Scalp Dermaroller Be Used On Facial Hair?

Although no research studies have been conducted on patients using dermarollers on their mustaches or beards, there’s enough evidence to indicate it’s worth a try. We know that Minoxidil is effective for hair growth and that dermarolling increases absorption. In addition to boosting collagen and keratin production, scalp dermarolling may help improve blood flow to the area.

Keep in mind that you may notice some redness after using the Scalp Dermaroller on your mustache or beard area. This irritation should disappear after a few days. If you experience bleeding, you may be using too much pressure. See if using less pressure helps.

Here are some other tips for facial dermarolling:

  • Start with clean skin and facial hair
  • Wait until acne has cleared up before dermarolling to prevent irritation or infection
  • Use the least amount of pressure needed
  • FIll-in each cheek with air as you do when shaving to get a flatter surface for dermarolling
  • Get a consistent pattern by moving the dermaroller back and forth in horizontal, vertical and diagonal lines

How Much Do Scalp Dermarollers Cost?

Microneedling sessions at a dermatologist’s office can be very expensive, costing anywhere from $200 to $700 per session or more. Using a Scalp Dermaroller at home, however, saves time, money and gas. Scalp dermarollers designed for home use are similar to the ones dermatologists use, but have smaller needles. As we’ve discussed though, smaller needles can still pack quite a punch. Dermarollers used at home are very budget-friendly. The average price of a good stationary unit ranges anywhere from $30 to $50. A good quality electric unit costs $100 – $200 depending upon the features included.

 

Happy Head customer using his scalp dermaroller alongside his topical hair growth treatment.

Should You Test out a Dermaroller On Your Scalp?

So, here’s the takeaway. A dermaroller is an inexpensive hair growth tool that increases the effectiveness of topical treatments among patients with androgenic alopecia and alopecia areata. As with any medical treatment, you should always check with your dermatologist before buying or using a dermaroller. Although dermarolling is an easy, low-risk at-home treatment, it is not recommended for scarring alopecias.   

Always make sure that you buy your dermroller from a trusted source. As with any other hair tool, make sure that you keep your dermaroller clean according to the package instructions. Finally, use your Scalp Dermaroller as recommended, usually a couple times a week, and be careful not to overuse it. More won’t give you better or faster results.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996798/

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746236/

 

 

 

Dealing with Bald Spots and Male Pattern Baldness

Whether it’s a slow realization or a sudden awareness, discovering that you’re losing your hair is a difficult event. Every hair on the pillow or on the floor of the shower comes back to haunt you, and you’re at a loss for what to do. Fortunately, there’s steps you can take to slow – or sometimes even stop – your hair loss.

What Causes Bald Spots?

Men don’t have the monopoly on bald spots; women can have them, too! Everyone is at risk for developing a bald spot at some time in their lives, for a variety of reasons. However, some people are at a higher risk than others. 

The most common cause of bald spots in both men and women is the hormone dihydrotestosterone, or DHT.  Both men and women produce DHT, but some people have higher levels of DHT than others. Male pattern baldness (MPB), also called androgenic alopecia, results from a combination of DHT and variation in the androgen receptor (AR) genes. Androgen receptors allow hormones like DHT to bind to them, and men with AR genes tend towards male pattern baldness. (01)

High levels of DHT can damage or shrink hair follicles, preventing hair from growing normally. The hair follicles most sensitive to DHT are located at the hairline and at the crown, which is why these areas are often the first to experience hair loss. And although DHT can also cause hair loss in women, 

But it’s not just DHT that can cause bald spots. Other factors that trigger hair loss are: (02)

  • Severe emotional stress
  • Physical stress or illness
  • Hormonal Shifts
  • Medications
  • Nutritional deficiencies
  • Age
  • Hairstyling 
  • Hairstyling products
  • Repeated physical trauma (tight hats or headbands)

The First Signs of Balding

If bald spots or male pattern baldness runs in your family, you’ve probably been on the lookout for hair loss for awhile now. Sometimes it’s difficult to tell if it’s really a bald spot or just a bad hair day. Here are a few signs that you may be experiencing bald spots or male pattern baldness:

A Receding Hairline

Hair loss typically starts at the hairline. A receding hairline may occur so slowly that you might not notice it until you have something to compare it against. For example, you might spot your receding hairline when you start looking at old photos and see that your hairline looks  different today. Your hair loss may occur incrementally, making it tougher to see.

Reduction in hair thickness

Do you notice less hair on top? Does your hair feel different when you run your fingers through it? If your hair feels finer and more airy, then it might be due to male pattern baldness or hair loss.

Loss of hair at the crown

A growing crown area is one of the first signs of hair loss, especially male pattern baldness. Most people don’t look at the back of their head, so seeing differences in your crown can be challenging. Check your crown every so often using two mirrors to check for bald spots.

How Can I Manage Hair Loss?

Experiencing balding or male pattern baldness is tough, but you do have options. The following are steps you can take to slow down hair loss.

Surgical Treatments

Surgical treatments are typically reserved for advanced cases of balding or male pattern baldness. A hair transplant, for example, is an outpatient surgery that utilizes donor hair follicles. These donor follicles are implanted into sparse or bald areas, allowing new hair to grow. These implants, called follicular unit transplantation (FUT) or follicular unit extraction (FUE), leave little to no scarring. The donor follicles typically come from your own head, but the process still requires recovery time and post-surgical care. (03)

Because surgical options are invasive, there are contraindications that may keep some people from obtaining FUT or FUE treatments, like blood disorders or the tendency toward heavy scarring (keloids). Furthermore, surgery may result in adverse side-effects like swelling, folliculitis, numbness, and infection.  (04)

Scalp Reduction 

A scalp reduction is exactly as the name implies. To perform scalp reduction, areas of the scalp without hair are surgically removed, and the areas with hair are stretched to fill over the bald portions. If you’re wondering how much of the scalp can be removed, you might be surprised to find that scalp reduction can remove up to half of the scalp. 
The skin that’s meant to be stretched is prepared and loosened, prior to stretching gently. Scalp reduction may be combined with other treatments such as FUT or FUE treatments. Some people find the recovery period from scalp reduction surgery highly uncomfortable, due to a scalp tightness that lasts for a few months as skin adjusts. Hairline lowering surgery, for example, is a kind of scalp reduction surgery. To lower the hairline, the receding portion is removed and the portion with hair is pulled forward. (05)

Platelet-Rich Plasma

A procedure called platelet-rich plasma (PRP) uses an individual’s blood and separates out the plasma using a centrifuge. This platelet-rich plasma (hence the name) is then injected into bald patches and areas of thinning hair. The plasma stimulates growth and repairs damaged blood vessels, helping hair to regrow. Although effective, the PRP process is very involved, costly, and is the newest hair loss treatment option, therefore more research is still necessary to evaluate the ideal therapeutic levels. (06)

Non-surgical Procedures

Scalp micro-pigmentation creates the look of thicker hair through the application of pigmentation that appears like hair follicles. The process includes stippling a tattoo in small dots to mimic hair follicles. Men who have thinning hair or shave their head short are the ideal candidates for scalp micro-pigmentation. However, micro-pigmentation does not grow new hair, nor is it recommended for people with large bald spots or who have major hair loss and wish to regrow hair. (07)

Least Intrusive Procedures

Once you see the signs of male pattern baldness or bald spots, it might warrant considering the least intrusive method for managing hair loss. Medicinal treatments like minoxidil and finasteride are two FDA approved medications for hair loss. When used together, minoxidil and finasteride can slow – or even stop – hair loss and regrow hair. Better yet, when minoxidil and finasteride are customized for each individual, common side-effects can be avoided. 

Dealing with Bald Spots or Male Pattern Baldness: What to Choose?

How you manage your hair loss depends entirely on what’s best for your situation. Bald spots and male pattern baldness can be a distressing event, and making a choice isn’t easy. Talk to people you know who have opted for hair loss treatments and get some perspective. Determine what’s financially feasible and speak to professionals to evaluate with options that will work with your health and lifestyle. At Happy Head, we’re ready to answer any questions you may have about our hair loss products. Let’s talk!

Resources:

(01) https://www.webmd.com/connect-to-care/hair-loss/symptoms-of-high-dht

(02) https://www.aad.org/public/diseases/hair-loss/causes/18-causes

(03) https://www.ncbi.nlm.nih.gov/books/NBK547740/

(04) https://www.ncbi.nlm.nih.gov/books/NBK547740/

(05) https://pubmed.ncbi.nlm.nih.gov/24017989/

(06) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622412/

(07) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4382144/

When Women Get Male Pattern Hair Loss

Women can also suffer from hair loss, but there's help online to get a dermatologist diagnosis and formulation that works for you. Happy Head's dermatologists understand how female pattern hair loss works and how to help you regrow your hair.
Female pattern hair loss can progress from a widening part to overall thinning. But what happens when women get male pattern hair loss?

I met my friend Barbara (01) twelve years ago when our boys were toddlers. Barbara is a tiny woman with lots of spunk. I always thought of her as strong, smart, and confident. She called one day and confided in me that it bothered her that her hair was thinning. She had been losing hair on the crown of her head since she was in her late 20s, and she never did anything about it. She knew that I had lichen planopilaris and wanted to get the name of the dermatologist I used to treat my hair loss.  

Anyone knew just from looking at Barbara that her hair was sparse, and it took me by surprise that she hadn’t already had it checked out by a dermatologist or a hair specialist. But then again, Barbara isn’t exactly a fashionista.  She’s an elder care nurse who spends most of her weekdays in scrubs and her weekends in sweats. But still, I was surprised. Barbara visited my dermatologist, and it turns out that she has androgenic alopecia, also known as male pattern baldness. Who knew that women can get male pattern baldness? And who knew that it could start so young?

How Do Women Get Male Pattern Baldness?

Women get male pattern baldness for the same reasons men do. Also known as androgenic alopecia, female pattern hair loss is usually inherited. The condition occurs when a woman has a shorter than normal period of hair growth and a longer than normal period between when her hair sheds and grows. In some cases, women have the misfortune of inheriting smaller hair follicles and thinner strands of hair.  

Almost every woman experiences female pattern hair loss at some point in her life. Most first notice androgenic alopecia around menopause, but it can start any time after puberty begins. If anyone on either side of your family has lost his or her hair, it’s more likely that you will too. 

What Does Female Pattern Baldness Look Like?

There’s some good news if you have female pattern baldness. Women’s hairlines usually don’t recede and you won’t end up with a donut. The other good news is that women typically don’t go completely bald. Usually women with androgenic alopecia have one of three different patterns of hair loss. A bald spot can form at the crown of your head, you could lose hair along your center part, or your hair could thin all over. In some cases, hair gets so thin that the scalp can be seen.

How to Identify Male Pattern Baldness in Women

Although it’s tempting, don’t try to self-diagnose or treat yourself if you think you have androgenic alopecia. Get an appointment with a board-certified dermatologist and hair specialist. Your dermatologist may do one or several of the following:

  • Evaluate your hair loss pattern
  • Review your medical history
  • Rule out other possible causes for your hair loss, such as iron or vitamin D deficiency, thyroid disease, or another type of scarring alopecia
  • Determine whether you are producing too much androgen (male hormone)
  • Use a dermoscope or a microscope to look at the structure of your hair shaft
  • Take a small biopsy of your scalp and send it to a pathologist

Androgenic Alopecia Often Goes Undiagnosed in African American Women

Women of every race are affected by androgenic alopecia and other types of hair loss. African American women are no exception. In a 2016 survey conducted at Boston University’s Sloane Epidemiology Center, 47.6 percent of African-American women surveyed reported hair loss. (02)   

However, like my friend Barbara who noticed that her hair was thinning and didn’t do anything about it, many African-American women are not seeking treatment for androgenic alopecia. Out of the group surveyed, 81.4 percent reported that they had never consulted with a physician about their thinning hair or bald spots.

The moral of this story? If you think that your hair is thinning and have a history of hair loss on either your Mother’s or Father’s side of the family, don’t ignore it. Make an appointment with your dermatologist to get evaluated and treated. 

Do Asian Women get Alopecia?

Asian women do get alopecia, but traditionally rates have been lower than those of Caucasian or African-American women. (03) That number seems to be on the rise, though. Diet is believed to be a contributing factor.   

Early research indicates that diets rich in vegetables, herbs, and soy may contribute to hair growth and health thanks to their anti-inflammatory nutrients. (04) The traditional Asian diet, loaded with fish and vegetables, meets that criteria.  

Today’s modern Asian diet looks more like a typical American diet though, filled with processed foods. The fat, salt, and empty calories lead to higher BMI and blood sugar levels that have been linked to female pattern hair loss. (05)

 

Topical treatment by Happy Head, being piped out of the glass pipette. Each topical treatment is customized to your patient profile.

What Treatments are Available to Women with Female Pattern Baldness?

Treatments for androgenic alopecia are designed with two goals in mind:

  1. Prevent further hair loss
  2. Stimulate hair growth

Sounds logical, right? Well, it is. Here are medications that dermatologists typically prescribe:

Retinol (Tretinoin)

Retinol is derived from Vitamin A and has been found to be effective for treating female pattern hair loss when used either alone or in combination with Minoxidil. (06) Retinol has been proven to stimulate growth and improve the absorption of other ingredients that promote hair growth.

Minoxidil (Rogaine)

Minoxidil, sold over-the-counter under the name Rogaine, is a hair regrowth treatment. It works by enlarging the hair follicles and elongating your hair’s growth phase. Minoxidil is available in both a topical foam and a pill. Although the foam is available in a two percent formula for women and a five percent formula for men, dermatologists often recommend the five percent for women to use for androgenic alopecia. Any hair growth realized while using Minoxidil can be lost if you stop using the product, so it is highly recommended to use it under the care of a licensed dermatologist.

Finasteride (Propecia)

Finasteride is a prescription medication that was initially designed to treat enlarged prostates. Because it prevents testosterone from converting into dihydrotestosterone (DHT), the medicine is helpful for women with female pattern hair loss. (07)  Finasteride is available as an oral medication and as a topical solution. Many women prefer topical to avoid potential side effects.

Dutasteride (Avodart)

Dutasteride is similar to Finasteride. Both medications prevent your body from converting testosterone into DHT, which causes female pattern baldness. Dutasteride is newer to the market and is used off-label for androgenic alopecia in women. Finasteride is highly effective for most women, but when stronger medications are required, Dutasteride is a good option. (08) Like Finasteride, Dutasteride is best for women who are not pregnant or thinking about becoming pregnant.   

Spironolactone (Aldactone)

Spironolactone is an effective treatment for hormone-induced hair loss that is only prescribed to women. The medication blocks DHT production by simultaneously decreasing testosterone and increasing estrogen.

Data indicates that Spironolactone is highly effective for treating female pattern baldness. In a research study conducted, 74.3 percent of patients who were treated with Spironolactone reported stabilization or improvement in their hair loss. (09)  

Oral Spironolactone can cause low blood pressure, drowsiness, and other side effects. Topical Spironolactone, which does not go through the digestive system and is less likely to induce side effects, is often prescribed and preferred. Topical Spironolactone is often compounded with Minoxidil to help your hair grow even faster and thicker.   

Compounded Topical Treatments

If you’re not thrilled about using multiple products, all-in-one topical treatments that combine multiple medications into one are now available and can be more effective than using just one medication alone. (10)  Popular combinations are:

  • Finasteride, Minoxidil, and Retinol
  • Minoxidil and Spironolactone

Many women appreciate the convenience and ease of applying just one formula twice a day.  

With So Many Medications Available to Women With Androgenic Alopecia, How Do You Choose?

Are you confused about all of the different options? If so, that’s understandable since some of the DHT blocking medications work similarly. Thankfully, dermatologists have experience selecting the right medications for patients with female pattern hair loss. Your dermatologist will help you choose the right medication, dosage, and combination of medication based on the severity of your hair loss and your medical history.  

Remember that treatment for female pattern hair loss isn’t one-size-fits-all. Different medications work for different women. It’s common to go through a trial process to see what works best for you.  

Also, keep in mind that patience is key when treating androgenic alopecia. Medications work over time, so it may be a few months before you see a noticeable improvement, no matter which treatment you and your dermatologist choose.

Women With Androgenic Alopecia Often Need a Support System

Every woman deals with androgenic alopecia differently. My friend Barbara took her diagnosis in stride, but many women are devastated. Hair is a huge part of a woman’s identity, and losing it can take a toll on a woman’s confidence.  

If you’re having trouble coping with your hair loss, resources are available to you. Best of all, some of the resources are free. Facebook has a closed group dedicated to females with androgenic alopecia. Members share information about their diagnosis and treatment plans. Sometimes, they’re just there to tell each other that it’s okay to be sad about their hair loss. Whether it’s on Facebook, another social media outlet, or in person, support groups are a good way to connect with others who are feeling the same way as you about your hair loss situation.  

If you’re not in a good place mentally, make sure you contact a qualified psychologist or a psychiatrist. Depression and anxiety are common among women with female pattern hair loss. It’s important to seek help so you can regain your sense of self.


Resources:

(01) Name has been changed to protect confidentiality

(02) https://www.sciencedaily.com/releases/2016/03/160304093239.htm

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560543/

(04) https://www.karger.com/Article/Fulltext/504786

(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560543/

(06) https://pubmed.ncbi.nlm.nih.gov/3771854/

(07) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060023/

(08) https://pubmed.ncbi.nlm.nih.gov/25382509/

(09) https://www.jaad.org/article/S0190-9622(15)01878-2/fulltext

(10) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4314881/

 

Devastated About Your Hair Loss? Tips to Help You Cope.

Hair loss can be devastating. At Happy Head, we always have tips ready to help our customers cope with the loss of their hair. You can also get treatment while you work through the effects. Don't worry, Happy Head is here to help.

“It seems to me that being “not okay” is a perfectly acceptable response to this unwanted, unannounced situation.  There’s nothing wrong with feeling “not okay” on some days or in some situations.  We are grieving the loss of our hair, the loss of our identity, the loss of our sense of self, and the loss of our confidence.”

– Sarah, Member of Alopecia Areata, Find a Cure (01)

In January of 2020, Massachusetts Representative Ayanna Pressley made an announcement with a video that she has alopecia.  Much like Jada Pinkett Smith, Pressley is in the public eye and tried to hide her condition as long as she could.  Pressley decided that she was done hiding.  She took off her wig and shared her story.  The video helped Pressley make peace with her condition.  Coming forward helped Pinkett Smith in a similar way. “Me and this alopecia are going to be friends,” said Pinkett Smith.  

Alopecia may not be life-threatening, but it’s upsetting no matter what type you have.  Whether you have androgenic alopecia, alopecia areata, telogen effluvium, or any other kind of alopecia, men and women go through a similar grieving process when losing their hair. (02)   

Society’s expectations of what’s attractive don’t make it easy to accept your hair loss. Somehow we can talk about sex, curse, and even be openly rude to each other, but revealing that you’re balding or completely bald is shocking and newsworthy.    

So how do you get to the point when you’re “okay” when it feels like you never will be? We asked Rachel, one of our staff writers with lichen planopilaris, an autoimmune alopecia, how she got there. 

Q. How did you find out that you had alopecia?

Rachel: When my son was about one and a half, I noticed a lot of hair in the shower and sink. My hairline also started to recede on one side.  I had just had two babies back-to-back, and I figured that my hair was falling out from the hormonal changes.  I thought it would grow back.

Then, during a routine visit to the dermatologist, I had my doctor take a look.  He took a biopsy, which I thought was overkill for a slight hormonal imbalance, and I didn’t think about it again until I got a phone call.  The call wasn’t from a nurse or an assistant.  The dermatologist called me himself.  I knew right away that the news wasn’t going to be good. 

Q. How did you react when you found out that you have alopecia?

Rachel: I remember being really upset and desperately hoping that my dermatologist was wrong.  I was a ballet dancer all of my life and always had my hair back in a ponytail or a bun.  There wasn’t a way to hide the recession, and I wasn’t sure how to make my hair look presentable. 

Q. How did your alopecia diagnosis affect you emotionally?

Rachel: It was a tough time.  I hated the way my hair looked, and I kept imagining what I would look like as the rest of it fell out. On top of that, I felt guilty about being so vain.  People get all kinds of horrific diseases as they age, yet I was lucky enough only to get something cosmetic.  I didn’t think I had the right to be so upset about my hair.  Looking back, I wish I could tell my younger self that it’s okay to be upset.  It’s a natural part of the healing process.    

Q. How did you treat your alopecia? Did it help?

Rachel: Shortly after I was diagnosed, I found a top dermatologist in my area who specializes in hair loss. Initially, I was treated with steroid injections (yes, they hurt), topical Clobetesol, five percent Minoxidil, and Tacrolimus. The goal was to prevent further hair loss and strengthen the surrounding hair.  

My alopecia went into remission for over ten years, but recently flared up again. My treatment this time around is a bit different.   It’s amazing how much research has been conducted and how much has been learned since I first started on this journey. My dermatologist added Finasteride to my treatment plan.  Much to my surprise, I’m seeing small areas where hair is growing back.  I didn’t expect that to happen.

Q.  What did you do to get to a better place emotionally when you were feeling down about your hair loss?

Rachel: I set a time limit to allow myself to be upset. I gave myself a week and decided that after the week was over, I would let my sadness go and focus on other things. The time limit gave me power over my emotions and the situation when I didn’t have any control.   

When the lichen planopilaris flared up after being in remission for so long, I regressed a bit. I wasn’t as upset as I was the first time because I had some experience, but I definitely got emotional. I had to go through the same process of limiting my grief.  I think emotions tend to ebb and flow with alopecia. Everyone has to find what works for them when managing those strong emotions.

Q. A lot of people with alopecia are at a loss about how to style their hair.  What did you do?

Rachel: I visited my hair salon and got a sassy, short haircut.  I wasn’t sure that I would like short hair, but it’s since become my style.  If my alopecia gets so bad at some point that I have to cut it shorter, I will.  

Ironically, this process has given me confidence and taught me to own my look, whatever that is at the time.  Although it’s not a choice that everyone would make, I found that cutting my hair was liberating. I followed the protocol that my doctor prescribed for me, but I stopped fretting about every hair that I saw in the sink.

Q. What advice do you have for other men and women who are experiencing hair loss?

Rachel: Most importantly, find a board-certified dermatologist who you like and respect. You’re going to need a supportive partner. If you don’t think you have the right professional on your side, get second opinions until you find the right person.   

Secondly, I’m in a few Facebook groups for people with alopecia and read about how many are apprehensive about testing.  If your dermatologist recommends getting blood work or a biopsy, do it. The blood test isn’t a big deal, and the biopsy area is small.  Your dermatologist will numb the area. You won’t feel anything, and the site heals quickly. The small bit of aggravation is worth knowing if you have a form of alopecia. You can then move quickly into treatment.  

Lastly, be kind to yourself. It takes time to come to terms with your hair loss. If you visit online or in-person support groups, you’ll see that you’re not the only one experiencing alopecia. Millions of other people are in your boat. It’s common for people with alopecia to suffer from anxiety or depression. (03) If this is the case for you, don’t hesitate to seek help from a professional therapist or psychologist.  

Healing from the sting of learning that you have a form of alopecia isn’t easy. Now that we’ve heard Rachel’s story, we would love to hear yours. What tricks have you used to make yourself feel better emotionally when dealing with alopecia? And if you’d like to get your FREE consultation with a Happy Head dermatologist and get prescribed a custom hair loss treatment all online, take the questionnaire here. 

 

Resources:

(01) Name has been changed for confidentiality

(02, 03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1261195/#ref11

What Is Topical Finasteride?

If you’re searching for hair loss treatments, finasteride is a name you’ll need to familiarize yourself with. Why? Only two hair loss products have received the FDA’s seal of approval — minoxidil is one of them. The other product is finasteride. 

What is finasteride?

Although there are many different types of hair loss, the most common type is androgenetic or androgenic alopecia, also known as male pattern baldness or MPB. As part of a class of medications called 5-alpha reductase inhibitors, finasteride treats male pattern baldness by blocking testosterone’s ability to develop into dihydrotestosterone (DHT). DHT is a hormone that causes hair loss in adults, especially men. By blocking the production of DHT, finasteride reduces the amount of DHT within the scalp. (01)

Isn’t finasteride used for prostate issues?

Yes, finasteride is also prescribed for symptoms of benign prostatic hypertrophy (BPH) — an enlargement of the prostate gland. When used for BPH, finasteride reduces urinary frequency and urinary retention. However, the doses used in the treatment of BPH are much higher than the doses used to treat hair loss. As a treatment for BPH, finasteride is sold under the name Proscar.

What is finasteride’s history?

During finasteride’s use as an FDA-approved treatment for BPH under the name Proscar, researchers noticed its effectiveness against hair loss. Several years afterward, lower-dose finasteride was approved for hair loss under the name Propecia.

How does finasteride work against hair loss?

Finasteride works by inhibiting the action of the 5 alpha-reductase enzymes. Concentrated in the oil glands of hair follicles, 5 alpha-reductase, which helps convert testosterone into DHT, another hormone. For people who have the genes for hair loss, DHT binds to hair follicle receptors and diminishes the follicle’s size. If the follicle becomes too small, gradual hair loss occurs. 

Finasteride inhibits 5 alpha-reductase, thus reducing serum DHT (the DHT in the blood). Without DHT to constrict hair follicles, hair loss slows and — for many people — hair regrows. With less DHT in the blood, some people see their hair loss stop completely. In short, finasteride protects hair follicles from DHT damage and stops hair loss.

Which Types of Hair Loss Does Finasteride Treat?

The average person loses 100 hairs each day, even with no hair loss issues. Hair falls away as part of each strand’s natural growth cycle, and the loss is negligible. Each strand of hair grows until its fullest length, then rests and eventually falls away. Afterwards, another strand grows to take its place. (02)

Excessive hair loss is more than a normal part of a hair’s growth cycle. Hair loss can become a problem when more than the average amount of hair is lost over time or if hair fails to regrow. For many people — about an estimated 80 million US adults — a balding scalp or thinning hair is the result of hereditary factors. (02)

If a person’s hair loss stems from DHT’s damage to hair follicles, then finasteride can help.

Is oral finasteride better than topical finasteride?

Finasteride requires a physician’s prescription. A physician can determine the cause of hair loss and prescribe the most appropriate treatment. Getting to the root of the problem determines what works and what doesn’t — like oral finasteride versus topical finasteride. 

Oral finasteride, though effective, comes with a myriad of side effects. Many of the side effects of oral finasteride are life-altering, for example:

  • Decreased sex drive 
  • Pain or tenderness in the testicles 
  • Numbness in the testicles
  • A reduction in sperm count
  • Difficulty obtaining or maintaining an erection (erectile dysfunction)
  • Reduced ejaculatory volume
  • Severe mood changes
  • Breast enlargement 

In rare cases, oral finasteride may cause permanent side effects. 

Fortunately, taking finasteride topically reduces many of the more problematic side effects caused by taking finasteride orally. However, topical finasteride isn’t without precautions and still necessitates professional oversight to monitor and prevent side effects. Though not as severe as oral finasteride, some topical finasteride side-effects include:

  • Decreased sex drive 
  • Inability to urinate 
  • Swelling of hands and feet
  • Increased liver enzymes
  • Headaches
  • Testicular tenderness
  • Scalp irritation
  • Contact dermatitis 
  • Depression or anxiety
  • Dizziness or weakness

Can you buy finasteride over the counter?

Because finasteride works best for people with an inherited tendency for hair loss, it’s safest to have a physician determine its use. Therefore, finasteride is not a product that anyone can purchase at a pharmacy without a prescription. Finasteride is not an over-the-counter medication and requires a physician’s approval.

Is topical finasteride effective for hair loss?

Topical finasteride works excellently against hair loss. What’s more, topical finasteride avoids many of the adverse side effects that may deter others from completing treatment. The following are studies highlighting the effectiveness of oral finasteride.

  • A 2016 article published in the journal Dermatology Clinics and Research of 107 people found that:
    • Both topical and oral finasteride are equally effective.
    • However, participants on topical finasteride were more likely to complete treatment because there were less side effects. (03)
  • A 2019 literature review published in the Journal of Drugs and Dermatology found that topical finasteride delivered: (04)
    • A significant decrease in the rate of hair loss.
    • An increase in hair counts.
    • A reduction in DHT levels within the scalp and plasma.
  • A 2021 study published in the Journal of European Academy of Dermatology and Venereology utilized 458 study participants found: (05)
    • No serious adverse side effects in participants.
    • Fewer complaints of sexual side effects when using topical finasteride.
    • Topical finasteride improves overall hair count while producing fewer adverse side effects. 

To summarize, the topical application of finasteride is as effective as taking the drug orally. However, adverse side effects are less common with the topical application of finasteride when compared to oral treatment. 

When taken orally, finasteride goes through the digestive system and into the bloodstream. Applied as a topical, it bypasses the digestive tract and goes straight to its target with little to no side effects. This aspect makes topical use much more desirable, making users more likely to stick with the treatment! 

How do you balance the effectiveness of finasteride versus the side effects?

Getting the most benefits from finasteride with minimal side effects is achieved through:

  • Combining both finasteride and minoxidil, the two only FDA-approved medications for hair loss.
  • Customizing hair loss treatment to the needs of each individual, making every formula unique to each person’s needs.

Because each person is different, it’s essential to make every finasteride treatment as specific to the person as possible. By catering the therapy to each person, adverse side effects are less likely to occur. And because side effects like the loss of libido and a reduction in sperm count can lead to non-adherence with treatment, catering each treatment to the patient makes it more likely that customers finish their treatment and see successful results.

Making That First Step Towards Finasteride Hair Treatments

Happy Head requires a physician assessment to begin treatment. Happy Head, in collaboration with the physician and the customer, determines the most effective hair loss treatment with the least amount of side effects. The involvement of a licensed professional helps to improve safety, provides valuable feedback, and determines the most successful path toward stopping hair loss. 
With the help of board-certified dermatologists, you can find the right balance of finasteride treatments to suit your hair loss needs. Happy Head understands that hair loss can hurt. Losing your hair can be a traumatic event, even if it occurs slowly over time. Add the fact that hair loss treatments often come with side effects, and it can make anyone feel overwhelmed when searching for treatments. With Happy Head, help is just around the corner!

Resources:

(01) https://medlineplus.gov/druginfo/meds/a698016.html

(02) https://www.aad.org/media/stats-numbers

(03) https://www.scitcentral.com/article.php?journal=19&article=60&article_title=Randomized%20Comparative%20Research%20Study%20of%20Topical%20and%20Oral%20Finasteride%20with%20Minoxidil%20for%20Male%20Pattern%20Androgenetic%20Alopecia%20in%20Indian%20Patients

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609098/(05) https://pubmed.ncbi.nlm.nih.gov/34634163/

Pump Up the Volume: 5 Tricks Men Can Use to Get Thicker Looking Hair

Is the comb-over really a good look?  Sure, Donald Trump made it part of his signature, but how many other guys do you know who can or want to make that style work?  If your hair is thinning due to male pattern baldness, also known as androgenic alopecia, or other reasons don’t stress. Whether you’re 25 or 75, there are ways to increase your hair’s volume, so your hair seems thicker and more attractive.

More Volume Equals Less Scalp

What does it mean to increase your hair’s volume?  Simply put, volume is the amount of hair that covers your  scalp.  Your hair’s thickness is determined by the number of follicles that grow per square inch and the density of those follicles.  If you can’t see your scalp through your hair, you’re in good shape.  If you can, your hair’s volume may be thinning due to genetic or lifestyle factors. 

Men Get Their Hair from their Moms

Not surprising, the main reason why most men start to lose volume is due to male pattern baldness.  Androgenic alopecia is so common it affects 30 to 50 percent of all men by the time they’re 50 years old. (01)  You can blame your Mom.  Male pattern baldness is a genetically inherited condition that stems from the X chromosome. 

Men’s Hair Typically Loses Volume Gradually

With male pattern baldness, you may not notice a loss in volume right away.  Instead, the condition tends to develop slowly starting with a slightly receding hairline or a very small bald spot on the crown of your head.  The progression is gradual because your hair follicles shrink over time, leaving shorter and finer hair.  Eventually, the miniaturization of the follicles prevents new hair from growing.  Fortunately, the follicles remain alive, suggesting that new hair growth is possible.

Your Hair’s Thickness is Also Affected by Your Lifestyle

Are you under a lot of pressure at work?  Are you trying to drop a few pounds, or have you recently started a new medication?  If so, remember that stress, changes in your diet, illnesses, and some medicines can affect your hair’s growth cycle.  If your hair is feeling thin or lacking body, changes in your lifestyle may be the culprit.  The good news is that thinning hair due to these factors can easily be reversed with minimal treatment.  Many cases will resolve on their own without any intervention. 

It’s Easier to Make Your Hair Look Thicker Than Most Men Realize

If dealing with your hair doesn’t top your list of ways you want to spend your time, don’t worry.  Improving your hair’s appearance and quality doesn’t have to take a lot of effort.  Here are five tricks that Dr. Ben Behnam, a leading dermatologist, hair specialist, and co-owner of Dermatology & Skin Restoration Specialists located in Los Angeles, California, recommends to his male patients:

Use the Right Hair Products, the Right Way

Strengthen with Collagen and Keratin Enriched Shampoo 

“When it comes to building volume, not just any shampoo will do,” said Dr. Behnam.  “Choose one that contains both collagen and keratin.”  Collagen, the most abundant protein in your body, helps make up your tendons, ligaments, and skin.  Collagen also contains amino acids that your body uses to make keratin, the protein that makes up your hair. 

Keratin goes deep into the hair follicle, making the hair follicle firmer to smooth frizzy hair and make dull hair shinier.  According to Behnam, “a combination of collagen and keratin will make your hair stronger and healthier to give it a more lustrous appearance.”  

Moisturize with Conditioner 

“If you’re like most men and don’t use a conditioner, it’s time to change your ways,” says Behnam.   He recommends that his male patients use high-quality conditioners to moisturize their hair and provide a protective coating to the outer layers of the hair shaft.  Conditioner gives your hair a nice sheen and a thicker appearance.  For the best result, select a conditioner that doesn’t contain sulfates.  Sulfates inhibit the conditioner’s ability to moisturize by stripping away essential oils that allow the conditioner to work.  Apply conditioner after each time you shampoo.  Remember only to use conditioner on the ends of your hair, and not your scalp.  Too much moisture at the root will weigh your hair down and leave it limp.  

Use Hair Gel Sparingly

Do you use gel or creams to style your hair?  If so, be careful not to overdo it.  Too much gel clumps your hair, making it easier to see your scalp and inadvertently making your hair look more sparse.  In the case of gel, lighter and less give you more.

Consider Using Hair Growth Treatments

Minoxidil 

Minoxodil, sold under the trade name Rogaine, was the first hair regrowth treatment to receive FDA  approval.  The medication is available over-the-counter for men in a five percent foam or liquid.  Prescription Minoxidil is available in higher concentrations as a pill or topical formula.

Minoxidil works by enlarging the size of your hair follicles and extending your hair’s growth cycle.  Numerous research studies have proven that Minoxodil increases growth among men with male pattern baldness. (02)   

Minoxidil is an easy way to add volume if your hair is thinning.  Rogaine is sold at many retail locations and is simple to use.  However, you’ll need to be patient because it takes about three or four months to see signs of growth.  Once you start using Minoxidil, you’ll need to keep using it.  If you stop using the product, you’ll lose any new growth. (03)

Finasteride

Finasteride, the other FDA approved medication for male pattern baldness, is a 5-alpha reductase inhibitor medication that is often used to treat an enlarged prostate.  Because Finasteride decreases production of dihydrotestosterone (DHT), it has been proven to stop hair loss and promote new growth.  

Men typically do not experience severe adverse effects from FInasteride, but some do have side effects from the oral medication.  If side effects are a concern, topical Finasteride is available and is a good substitute.  Many men actually prefer the topical solution since it works similarly to the pill without systemic effects.  

All-in-one Treatments for Men

New products that combine Minoxidil and Finasteride and other active ingredients into one formula have been proven to be more effective than Minoxidil alone. (04)  Many men prefer the simplicity, convenience, and potency of all-in-one formulas.

If you’re testing a treatment that includes both Minoxidil and Finasteride, make sure that the formula contains retonic acid.  Retonic acid, a compound derived from Vitamin A, significantly improved hair growth among 43 percent of people who did not respond to Minoxidil alone. (05)  It is believed that retinoids work synergistically with Minoxidil to prolong the hair cycle’s anagen phase, increasing the growth rate. (06)

Combination formulas including more than five percent of Minoxidil and Finasteride are often customized and are only available by prescription.  Be sure to work with a board-certified dermatologist to get the compounded formula that best meets your needs. (07)

Avoid Anything that Pulls on Your Hair

“Wearing a tight ponytail, or anything else that pulls on your hair, is a recipe for disaster,” says Dr. Behnam.  Tight hairstyles can cause traction alopecia which is often seen around the temple area.  Early on, traction alopecia will reverse itself if you stop pulling on your hair.  However, longer term pulling can bring scarring and bigger problems.  If you want to avoid traction alopecia, stay away from buns, hats, cornrows, dreadlocks, and braids.

Feed Your Hair

Dr. Behnam often reminds his patients that strong, healthy-looking hair requires a well-balanced diet that includes plenty of protein.  After all, your hair is made up of a fibrous protein called keratin.  The protein-rich foods we eat feed our hair.  

Good sources of protein include:

  • Nuts
  • Avocado
  • Organic, grass-fed chicken
  • Fatty fish (salmon, tuna)
  • Eggs

Adding collagen to your diet is also a good idea.  Collagen, the protein known for your skin’s elasticity, also plays a crucial role in growing strong, healthy hair.  Your body produces collagen, but over time, your production capability diminishes.  So, when your collagen levels begin to drop, your hair may get thinner.  Bone broth, gelatin, and chicken are all good sources of collagen that can help prevent a decrease in volume.

Get the Right Cut

Men with thinning hair often grow their hair long, thinking that the extra length will cover sparse areas.  Quite the opposite is true.  When your hair is shorter, it looks thicker. With short hair, layers camouflage the sparse areas.  Not having the dead ends weighing your hair down makes it look healthier too.

Find a barber or hairstylist who knows how to properly proportion your cut.  According to Parker Plotkin, Master Stylist and Artistic Director at Lotus Hair Studio located in Palm Beach, Florida, and season two Shear Genius stylist, the trick is to balance out thinning areas. “Many stylists tend to give round cuts that are short on top and longer on the sides,” said Plotkin.  “The problem is that the round cut makes the reduced volume on top more prominent.  Most men will look better with a square haircut with close cut sides.”

Consult with a Board-Certified Dermatologist and Hair Specialist

A trip to the dermatologist doesn’t top most guys’ lists of favorite things to do, but if you’re concerned about your thinning hair, you should consult with a professional.  A number of men who are concerned about their loss of volume are self-treating to avoid the embarrassment of a doctor’s visit. (08)  If that’s you, you may want to reconsider.  Board-certified dermatologists and hair specialists are highly experienced with treatments designed to prevent further hair loss and stimulate growth.  The sooner you begin treatment, the faster and better results you’ll get. 

Resources:

(01) https://www.ncbi.nlm.nih.gov/books/NBK278957/
(02) https://pubmed.ncbi.nlm.nih.gov/3900155/
(03) https://pubmed.ncbi.nlm.nih.gov/9777765/
(04) https://pubmed.ncbi.nlm.nih.gov/23193746/
(05) https://pubmed.ncbi.nlm.nih.gov/30974011/
(06) https://pubmed.ncbi.nlm.nih.gov/3063367/
(07) https://pubmed.ncbi.nlm.nih.gov/32166351/
(08) https://pubmed.ncbi.nlm.nih.gov/19514838/

How to Make Hair Grow Faster: 2 Essential Facts You Should Know

 

How fast does your hair grow? If you’re anxious about your hair, your answer might be, “Not fast enough!” Although you can’t grow long hair overnight, there are some steps you can take to make your hair grow faster. Knowing the basic facts about hair growth can help you make better choices regarding your hair.

Fact No. 1: Growth Starts at the Scalp

When it comes to the health of their hair, most people concentrate on the hair itself and overlook the skin on their scalp. The scalp is more than something your hair adheres to, however. It’s like soil for your hair. Just like you can’t grow plants in poor soil, you can’t grow healthy hair on an unhealthy scalp! 

According to the American Academy of Dermatology Association, humans have an average of 100,000 hair follicles with each follicle containing one strand of hair. Blood flow throughout the scalp feeds hair follicles, and without proper blood flow, the appropriate balance of microorganisms, and stable oil production the hair follicles fail to produce healthy hair. Hair grows from the root, not from the tips. The follicle contains a hair bulb that actively grows the strand of hair. (01, 02)

A scalp without healthy blood flow or nutrients is like infertile soil, and can result in weak hair or a loss of hair. Furthermore, each follicle produces sebum to moisturize and strengthen the scalp, creating the right pH balance to keep harmful microorganisms in check. So, follicles need a good balance of sebum and the right nutrients to do their job. Alopecia areata, for example, is an immune disorder that targets hair follicles, compromising their ability to function and causing patchy hair loss as a result. (03, 04)

What You Can Do:

To keep your hair growing as quickly as possible, take care of your scalp. And to keep your scalp in good condition the following is recommended: 

  • Avoid hair products with drying agents like alcohol, sulfates, alcohols, or fragrances as these can strip away natural oils and irritate the scalp. 
  • Practice sun protection for your scalp by using a water-resistant, broad spectrum sunscreen with an SPF of 30 or higher on any visible portions of your skin and scalp. 
  • Stay clear of harsh chemicals like dye and bleach, as these can cause scalp injuries. 
  • Gently massage the scalp while shampooing to increase circulation. 
  • Eat a nutritious diet. Nourishing your scalp by consuming foods rich in hair-friendly vitamins and minerals may help boost hair growth. The following are examples of foods that encourage hair growth: 
    • High-quality protein-rich foods
    • Food high in biotin like eggs, almonds, and avocado.
    • Fresh fruits and vegetables high in vitamin C, zinc, and B vitamins. 
    • Cysteine contains foods like garlic, poultry, brussel sprouts, and yogurt.

Fact No. 2: Hair Has a Growth Cycle

Skin cells form through continuous division, with new cells eventually pushing old cells up and out. Similar to skin cells, hair grows through division on a cyclical growth pattern. Individual strands of hair go through a rapid phase of growth and slower phases, then eventually fall out. Each hair will not stay on your head forever and will naturally fall away from the hair follicle at some point, where another hair will typically grow in its place. These are the three primary growth phases of your hair.

Anagen Phase

During the anagen phase, also known as the “Growth Phase,” the hair emerges from the follicle. Consisting of proteins and keratin, hair grows and sebaceous glands condition the hair during this time. Hair grows at an average rate of about 6 inches every year. About 80% of hair is in the anagen phase, which can last about 2 to 8 years. (02) Conditions like androgenic alopecia occur during the anagen phase, shortening the growth cycle of hair and impairing healthy hair growth. (05)

Catagen Phase

In contrast to the anagen phase, the catagen phase is a brief period that lasts only about 10 days, although sometimes can remain up to 4 to 6 weeks. During the catagen phase, which accounts for 1 to 2 percent of hair, growth stops and the hair follicle shrinks. The part of the follicle that nourishes the hair shuts down to rest. (02) 

It’s during the catagen phase that club hair forms. Club hairs are the final state of an attached hair and is a natural part of a hair’s growth cycle. A keratin ball forms at the end of a strand of hair (club hair), keeping it in place until the strand is shed and a new growth cycle begins. If enough club hairs fall out at the same time, hair may appear less full. 

Health conditions like hypothyroidism, hormonal changes, and nutritional deficiencies can cause more club hairs to form than usual, which then fall out around the same time and creates thinner hair. During this phase and the next –the telogen phase – hairs are vulnerable to tugging and pulling and may easily fall out, like in a condition called traction alopecia. (02)

Telogen Phase

The telogen phase is the resting phase, when hair falls out of the follicle. Lasting about 2 to 3 months, the dermal papilla rests during the telogen phase. As the dermal papilla rests, no nutrients are supplied to the hair — causing the hair to fall out and preventing further growth. The tail end of the telogen phase is called the “exogen phase,” where hair falls out of the follicle. Roughly 15 percent of hair is in the telogen phase at any given time, with the scalp shedding an average of 100 hairs a day. (02) 

If a disruption occurs in hair growth at any point in the cycle, the change can affect more hairs than is usual — placing more hairs into the catagen or telogen phase at the same time. Therefore, more than the typical amount of hair sheds all at once. Telogen effluvium is one such example of a hair loss condition that occurs because of stressors like illness or trauma during the telogen phase. 

What to Do:

  • Accept some loss of hair. Knowing that shedding roughly 100 hairs a day is part of the normal growth cycle can keep you from worrying unnecessarily about hair loss. 
  • Because hair grows from the root, trimming your hair will not speed up hair growth. However, trimming your hair every 2 months can keep your hair strong by preventing split ends and breakage.
  • Avoid tight fitting headgear if at all possible. 
  • Be aware of how you handle your hair, especially when you’re anxious. Anxiety-related conditions like trichotillomania (an irresistible urge to pull or tug at hair) can result in bald patchy areas and disrupt the growth stages of hair. Prevent yourself from picking or rubbing at your scalp and hair. 
  • A cold or lukewarm shower keeps hair follicles tight and therefore more likely to hold on to hair, especially during the telogen phase. Hot water, on the other hand, can encourage follicles to shed their hair and should be avoided. 

Know When to Get Assistance

There’s no magic wand that will suddenly grow hair, but following the recommendations above and establishing healthy hair care habits can help you keep as much of the hair that you have. If you’re doing all you can to care for your scalp and you’re still experiencing slow hair growth, consult with your physician. The solution might just be a prescription away!

Resources:

(01) https://www.aad.org/public/parents-kids/healthy-habits/parents/kids/hair-grows

(02) https://www.ncbi.nlm.nih.gov/books/NBK499948/

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369642/

(04) https://www.aad.org/public/diseases/hair-loss/types/alopecia(05) https://medlineplus.gov/genetics/condition/androgenetic-alopecia/#causes