Androgenic Alopecia Archives

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Low-Level Laser Light Therapy for Androgenic Alopecia

Data from the American Hair Loss Association shows that androgenic alopecia accounts for more than 95% of men and 40% of women over age 50. (01) So, if you’re dealing with hair loss, the chances that your condition is due to androgenic alopecia are high. Fortunately, in the battle against hair loss, there are a variety of strategies to choose from. One such option is low-level laser light therapy.

Understanding How Androgenic Hormones Affect Hair Follicles

Androgenic alopecia, also known as pattern baldness, is the most prevalent type of hair loss in both men and women. The condition is primarily caused by the influence of androgenic hormones on hair follicles.

How DHT Relates to Hair Loss

Testosterone and dihydrotestosterone (DHT) are examples of androgen hormones that play a crucial role in developing and regulating secondary sexual characteristics in both sexes. After all, humans would not be able to procreate without these hormones! However, when it comes to hair follicles, DHT can have a detrimental impact.

In individuals genetically predisposed to androgenic alopecia, hair follicles become more sensitive to the effects of androgens. DHT binds to receptors in the hair follicles, leading to an unwanted process known as miniaturization.

Miniaturization is the gradual shrinking of hair follicles over time. This process shortens the hair growth cycle, resulting in thinner, weaker hair strands. Eventually, these hairs may stop growing altogether. As a result, affected individuals experience a receding hairline, a more visible crown, or overall hair thinning. (02)

The exact mechanisms by which androgens cause miniaturization remain unknown. One theory suggests that DHT disrupts the natural growth cycle of hair follicles, shortening the anagen (growth) phase and lengthening the telogen (resting) phase. This disrupts the balance between hair growth and shedding, eventually leading to hair loss. (02)

Another theory hypothesizes that DHT may affect the hair follicle’s nutrient supply. Increased production of DHT can reduce the size of blood vessels supplying the hair follicles. The shrunken vessels cannot deliver adequate oxygen and nutrients, making the starved hair follicles more susceptible to miniaturization.

Whatever the cause of androgenic alopecia, the resulting hair loss is almost always distressing. Understanding how to identify the condition’s specific growth patterns can help individuals seek appropriate treatment as soon as possible.

Androgenetic Alopecia Growth Patterns in Males and Females

When it comes to androgenic alopecia, hair loss patterns are distinct. The most common hair loss pattern for men starts with a receding hairline, forming an “M” shape. Hair loss extends to the crown area as the condition progresses, resulting in a thinning or a bald spot. In contrast, female pattern baldness follows a different pattern. Women usually experience overall hair thinning rather than distinct bald spots or receding hairlines. Unlike men, women rarely develop a completely bald scalp.

What are the Signs of Androgenic Alopecia?

To determine if they are experiencing androgenetic alopecia, individuals should look for specific signs and symptoms. A few signs of androgenic alopecia may include:

Gradual hair thinning
Excessive hair shedding
A widening part line
A stark decrease in hair volume
Distinct changes in the hair texture (e.g., becoming finer or more brittle)

Keep in mind that other factors, such as stress, vitamin deficiencies, and certain medical conditions, can also contribute to hair loss. Therefore, consulting a healthcare professional can provide an accurate diagnosis and identify the underlying cause.

So, once you’ve determined that you have androgenic alopecia, the next step is finding the right treatment.

Hair Growth Solutions for Androgenetic Alopecia

Intervening early improves the chances of reducing or halting hair loss. Treatment options for androgenetic alopecia typically include medications like Minoxidil or Finasteride to counter the impacts of DHT. These medications make hair follicles healthier, encouraging robust hair growth.

Although these medications may be taken orally, pills typically result in more side effects because they are ingested. Topicals, however, target hair follicles directly and usually have fewer negative effects on the rest of the body. Medicated hair growth treatments work best when they’re customized for the individual, which is why working with an experienced hair professional is essential.

Interestingly, many individuals feel the need to stick to one treatment option at a time. Many may choose medications but opt out of other hair growth treatments while taking the medications.

But why put all your eggs in one basket? Instead, one way to boost the chances for success is to add another layer of treatment and explore other options — all while undergoing treatment using prescription topical medications. For example, a process that can be utilized alongside prescription topical treatments is low-level laser light therapy.

Stimulating Hair Growth With Laser Light Therapy

Laser light therapy is also known as low-level laser therapy (LLLT) or red light therapy. This process involves the use of specific wavelengths of light to stimulate hair follicles and promote hair growth.

FDA-approved since 2007 with red light wavelengths of 650nm-1200 nm, LLLT works well with tissues such as the scalp. Low-level light therapy is based on the principle of photobiomodulation, where light energy is absorbed by cells, triggering biological responses. (03)

Is Low-Level Light Therapy Effective?

Numerous studies have investigated the efficacy of laser light therapy for hair loss. A study published in Lasers in Surgery and Medicine in 2019 evaluated the effects of laser light therapy on pattern hair loss in both men and women. After 24 weeks of treatment, the laser therapy group exhibited a significant improvement in hair density compared to a group that did not receive light therapy (04).

Furthermore, a review published in the Journal of Dermatological Treatment analyzed data from a 24-week study. The analysis found that laser light therapy significantly increased hair density and hair growth rate in people with androgenetic alopecia (05).

These studies and many others provide promising evidence for the effectiveness of laser light therapy. However, it’s important to note that individual responses may vary, and long-term maintenance treatments may be required to sustain the results.

How Does LLLT Work?

While using light to grow hair might seem like science fiction, the science behind low-level light therapy is undoubtedly real. The low-power lasers or light-emitting diodes (LEDs) used by low-level light therapy stimulate cellular activity and promote healing. And although the exact mechanisms are not yet fully understood, several theories suggest how LLLT can positively impact hair growth and cell turnover, especially on the scalp.

One proposed theory is that LLLT increases blood flow and nutrient delivery to the hair follicles. The photons emitted by the laser or LED devices are absorbed by the cells in the scalp, leading to increased production of adenosine triphosphate (ATP), the energy source for cellular processes. This heightened ATP production may enhance blood circulation, promoting the supply of oxygen and nutrients to the hair follicles.

Another theory suggests that LLLT stimulates the production of growth factors and cytokines. These molecules play crucial roles in cell development. By boosting these molecules, LLLT may trigger the hair cycle’s anagen (growth) phase, leading to increased hair growth and density.

Furthermore, LLLT is thought to reduce inflammation and oxidative stress in the scalp. Inflammation and oxidative stress can contribute to hair loss and block cell turnover. By targeting these underlying factors, LLLT may create an environment more favorable for hair follicles to heal and cells to regenerate. In turn, healthier follicles can begin to grow hair.

Laser Hair Growth Home Formats Available

Perhaps the best reason to incorporate LLLT into your hair growth routine is that it’s safe and easy to use at home. LLLT is considered a very safe and non-invasive option not only for individuals experiencing hair loss but also for people simply seeking to improve the health and quality of their hair.

While low-level light therapy services can be found at dermatology clinics, these in-office treatments are often extremely costly and time-consuming. However, a home-based LLLT routine can conveniently and safely reduce scalp inflammation and stimulate hair follicles to produce new growth. Personal at-home LLLT treatments allow individuals to see all the benefits of light treatment without the in-office price tag.

References:

(01) https://www.americanhairloss.org/men_hair_loss/introduction.html

(02) Study on the role of LLLT in adrogenetic alopeica

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6554163/

(04) https://link.springer.com/article/10.1007/s10103-018-02699-9

(05) https://pubmed.ncbi.nlm.nih.gov/23551662/

Is it Too Late to Treat Your Hair Loss?

If your hairline has already significantly receded or has severely thinned throughout, you might wonder is it too late to treat your hair loss? Are hair treatments still worth the trouble if you’ve already lost most of your hair? Before answering those million-dollar questions, let’s review some basic information about hair loss.

Your Hair’s Growth Cycle

At a glance, it may appear as though a full head of hair grows at the same rate. However, the truth about hair growth is more complex than it seems. Healthy strands of hair grow under a definite growth cycle consisting primarily of three phases; the anagen phase, the catagen phase, and the telogen phase (01). Let’s walk through each to help you find out if it’s too late to treat your hair loss.

1. Anagen Phase

The anagen phase is also known as the “growth phase.” About 90% of a full head of hair is in the anagen phase at any given time. This phase lasts the longest of any growth phase, lasting 3 to 5 years. Hair can sometimes remain in the growth phase for almost seven years. During the anagen phase, hair follicles push the hair out until the strand reaches the end of its lifespan.

2. Catagen Phase

Once the anagen phase ends, the catagen phase begins. Unlike the growth phase, the catagen phase, also known as the transition phase, only lasts about ten days. During this time, hair growth slows down, and the hair follicles shrink. The strands become disengaged from the base of the follicles but still remain in the same spot.

3. Telogen Phase

The telogen phase is also called the resting phase because it’s during this time that very little activity occurs for three to four months. At the end of this phase, hair naturally falls out. Sometimes, the natural process of shedding hair at the end of the telogen phase is called the “exogen phase.” The average person typically loses about 100 hairs daily. After the hair falls out, new hair growth appears, and the cycle starts over again.

As you can see, excessive hair loss is not a normal part of the body’s hair growth cycle. If a disruption occurs within any of these three phases, problematic hair loss can result. But is it too late to treat your hair loss? Depending your personal hair growth cycles and the type of hair loss patterns you’re experiencing, let’s find out why disruption occurs.

Why Are You Losing Your Hair?

Because your hair’s growth cycle plays such a significant role in the health of your hair, it’s essential to figure out at which point in the growth cycle is seeing a disruption. Many factors can lead to hair loss, but where in the growth cycle a change occurs can determine whether:

You experience hair thinning
Hair falls out gradually or suddenly
Your hair can regrow on its own

For example, a severe illness or stress lasting a few months or more can lead to telogen effluvium. With telogen effluvium, the anagen phase is cut short. Therefore, a more significant portion of the hair enters the telogen phase simultaneously, causing sudden and diffuse hair loss. Hair may regrow on its own after the illness or stress has passed (02). However, in some cases, hair restoration may be necessary.

In much the same way, disrupted hair growth can also lead to hair loss. For example, an unhealthy diet or reduced blood circulation can deprive hair follicles of oxygen and nutrients. Without enough sustenance, hair growth becomes disrupted, and the anagen phase shortens. Hair may grow slowly or may never reach a desired length.

Hereditary hair loss, also known as androgenic alopecia, occurs in both men and women. In men, the more common term for this type of hair loss is male pattern hair loss or male pattern baldness. In women, it’s called female pattern hair loss (03).

With hereditary hair loss, the hormone dihydrotestosterone (DHT) injures hair follicles, shortening as strand’s anagen phase (04). In addition, the damaged follicle also takes longer to regrow hair after the telogen phase. The hair follicle becomes smaller and smaller, resulting in follicular miniaturization. These smaller follicles produce shorter and weaker hair called vellus. Sometimes, these hair follicles may not grow hair at all without assistance.

What Does Hair Loss Look Like?

Each person experiences hair loss differently. For some people, baldness develops at the top of the head. In others, baldness starts at the temples. In many others, however, hair loss is spread throughout the head, causing thinning but no bald spots. Hair loss typically occurs in the following three patterns; focal, diffuse, or patterned.

People who experience focal hair loss typically have an autoimmune disorder, like alopecia areata. This type of hair loss occurs in patchy areas on the scalp or body.
Patterned hair loss often develops in people with androgenic alopecia. People with patterned hair loss have progressive balding or thinning at the top of the scalp or the hairline.

Individuals with diffuse hair loss lose hair evenly throughout their heads. Their hair becomes thin and falls out easily. Diffuse hair loss is typically seen in cases of telogen effluvium.

It’s normal to avoid acknowledging your hair loss at first. After all, hair loss can be a traumatic and life-changing experience. So, if you’ve spent months or years watching your hairline recede or your hair thin out without any intervention, you’re not alone. Once you’ve accepted your hair loss, however, is it too late to take action?

Is There Hope for Your Hair?

For a small slice of the population, they can accept their hair loss without stress or a loss of confidence. For most people, however, hair loss is distressing. Watching strand after strand go down the drain or a bald spot grow bigger can hurt a person’s spirit and affect their mental health. Moreover, a person can feel hopeless after losing hair for some time.

Fortunately, there’s good news. To answer the question, “Is it ever too late to treat your hair loss?” The answer is…it is never too late!

It’s always possible to slow hair loss or even regrow your hair. While there’s no magic bullet to stop hair loss, there are methods that can reduce your hair loss. With the proper treatment, you can start seeing results in a few months to a year. Topical and oral medications like minoxidil and finasteride help improve hair follicles and promote hair growth.

To determine the cause of your hair loss, however, it’s best to work with a trained hair loss professional. This person can provide you with a thorough assessment and recommend how to treat your hair loss. Furthermore, working with a trained professional ensures that your treatment will not only be effective but it will also be safe.

It’s Never too Late to Regrow Your Hair

If you’re searching for a hair loss treatment that fits your needs, Happy Head is for you. We customize your treatment based on your sex, age, and medical history. Happy Head’s proprietary formula is compounded monthly and not available anywhere else.

Hair loss treatments are not one-size-fits-all, and we recognize that our products may not be the best fit for everyone. Our products also come with a money-back guarantee. So, with Happy Head, you have nothing to lose and everything to gain. Take the questionnaire today and set up a consultation with a board-certified dermatologist. It only takes a minute and we’ll formulate a custom-made topical treatment that’s easy to apply daily. We also have lots of options if you prefer an oral solution like our 3-in-1 SuperCapsule™ to help you regrow your hair and feel great about how you look. And you can get 50% off your first order when you use code GOHAIR at checkout. It’s never too late to regrow your hair with Happy Head.

Resources:

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

(02) https://www.aocd.org/page/telogeneffluviumha

(03) https://www.aad.org/public/diseases/hair-loss/types/female-pattern

(04) https://www.mdpi.com/1422-0067/21/15/5342

Why Self-diagnosing Your Hair Loss is a Bad Idea

“When did you graduate from medical school?” my husband asks me on a regular basis. I didn’t, but I am a self-proclaimed expert in the medical field anyway. Why wouldn’t my Google education make me highly qualified to diagnose the whole family’s symptoms and illnesses? Evidently, I’m not the only one self-diagnosing. A survey conducted in March 2020 indicated that nearly one-third of all Americans do their own medical research. (01)

Being your own doctor can work against you though. In fact, when I first started losing my hair, I didn’t even think to have it checked. Based on what I read, postpartum hair loss is normal, and I had two babies in two years. I would never in a million years have guessed that I had alopecia. However, knowing what I know now, I do not recommend waiting to consult with a medical professional if you’re noticing an unusual amount of hair loss. Treating hair loss early helps you prevent further shedding and even regrow your hair. Here are seven more reasons why you should schedule an appointment with a board-certified dermatologist and hair specialist if you’re concerned about the amount of hair you’re losing.

Reason #1: Dermatologists are familiar with hair loss patterns associated with specific hair loss conditions.

Your dermatologist has spent countless hours studying and memorizing the different types of hair loss. Many times, just looking at patients’ hair loss patterns gives your dermatologist clues as to where to start with a work-up to get a diagnosis. Common hair loss conditions and associated patterns are:

Androgenic alopecia (men) – Receding hairline and gradual thinning on top
Androgenic alopecia (women) – Widening of the part
Alopecia areata – Patchy or circular bald spots on the head, eyebrows, or beard
Telogen effluvium – Overall thinning due to sudden hair loss
Fungal infection – Scaly patches that spread over the scalp
Alopecia totalis – Full-body hair loss

If your dermatologist suspects that you have androgenic alopecia, known as male or female pattern baldness, he or she may use the Norwood scale, a scale of 1 to 7, to track the progression of your hair loss. The scale helps your dermatologist recommend the best possible treatment options to prevent further hair loss and stimulate growth based on the amount of recession or thinning you have.

Reason #2: Your doctor can determine the severity of your hair loss

Losing a certain amount of hair is normal and is part of the hair growth cycle. How do you know if the amount you’re seeing in the sink or shower is too much? You don’t. However, once your dermatologist has an idea of your hair loss pattern, he or she has a number of tools and tests he or she can use to determine the extent of your hair loss. The most common are:

Pull Test

A pull test is pretty much as the name indicates. During the test, your doctor will gently tug on small sections of hair from parts of your scalp. Usually, the litmus test is six or more strands. If you lose that much, your hair loss is active.

Scalp Biopsy

A scalp biopsy, also known as a punch biopsy, is often used to determine what type of alopecia you have. It allows pathologists to see inflammation and can distinguish whether the alopecia is scarring or non-scarring. To take the biopsy, your dermatologist numbs the area and uses a pencil-sized device to remove a small amount of tissue that is sent to a lab for analysis. The incision is closed with a couple of small stitches.

Trichometric Analysis

If your dermatologist wants to analyze your scalp and hair, he or she may do a trichometric analysis using a small handheld device with a high-definition camera. The device magnifies images by up to 100 times so your hair, hair follicles, and scalp can be seen in great detail. The tool shows how much hair is covering your scalp, and the diameter of each hair strand. Dermatologists often use this camera to monitor progress after you begin treatment.

Fungal Culture

If your dermatologist suspects that your hair loss is due to a fungus in your hair or scalp, he or she may run this test. Fungal cultures determine if a condition called tinea capitis, scalp ringworm, is causing your hair loss. During the test, a small sample of skin or hair is sent to a lab for incubation.

Reason #3: Your vitamin levels may need to be checked

Often one of the first questions dermatologists often ask new patients is whether they have recently had a routine blood test. The reason why is because simple vitamin deficiencies can cause hair loss. Fortunately, if this is the case, supplements will usually solve the problem quickly and easily. The two most common vitamin deficiencies that cause hair loss are vitamin D and iron.

Studies have shown that vitamin D has anti-inflammatory properties and affects the hair cycle. (02) When your body has a vitamin D deficiency, regulation of the hair follicles is challenging. Growth and shedding cycles are disrupted causing your hair to suddenly fall out.

Iron deficiency stunts the production of hemoglobin which transports oxygen to the cells in your body, including the cells that make your hair grow. The hair follicles lack the nutrients they need to thrive. With an iron deficiency, hair sheds and thins, giving the appearance similar to androgenic alopecia.

Reason #4: Your hormones may be out of whack

Your dermatologist may also run blood tests to check for hormonal imbalances. Hormone imbalances can cause hair to get dry, brittle, thin, or fall out altogether. The only way to know if this is the case is to have your levels checked.

Contrary to popular belief, high or low testosterone is not an indicator of hair loss. Research has continually demonstrated that there is not a link between serum androgen levels and androgenic alopecia. (03) Instead, male pattern baldness could be linked to an androgen sensitivity or high androgen density.

Factors that can affect your hormone levels include:

Menopause

Estrogen levels fall before, during, and after menopause while testosterone levels inversely increase. During the process, the testosterone converts to dihydrotestosterone (DHT) which attacks your hair follicles, and makes your hair fall out.

Stress

Stress is a bigger contributor to hair loss than most people realize. When you are stressed out, your body creates cortisol which disrupts the function and regulation of your hair follicles as well as your hair growth cycle.

Pregnancy

During pregnancy, estrogen levels rise, causing your hair to get fuller and thicker. After the baby is born, however, those levels drop rapidly, making the excess hair shed. It can take a while for your estrogen levels and hair loss to balance out.

Thyroid

Both hypothyroidism and hyperthyroidism have been linked to alopecia. In a 2013 study, patients aged 21-40 with thyroid disfunction were likely to have diffuse alopecia and alopecia areata. Patients older than 40 were more likely to have alopecia areata and androgenic alopecia. (04) The findings confirm the importance of checking thyroid levels when there is a hair loss issue.

Reason #5: You could have a scalp infection

A number of scalp infections can cause hair loss. These infections can easily be confused with various types of alopecia, but once treated, hair typically regrows. Examples include:

Ringworm

Ringworm is a fungal infection that forms scaly, raised, red patches. Itching is a common complaint among patients with scalp ringworm and is typically treated with anti-fungal medications.

Scalp Psoriasis

Psoriasis is an autoimmune condition that causes thick red patches, and sometimes scaling. There isn’t a cure, but proper management can help prevent hair loss.

Seborrheic Dermatitis

Seborrheic dermatitis causes dandruff in adults, characterized by dry, flaky skin, and typically does not cause hair loss. Shampoos and topical medications are often recommended.

Lichen Planus

Lichen planus causes inflammation and can leave tiny red bumps on your scalp. The cause is not known for certain, although autoimmune dysfunction is one of the possible causes. Topical creams are often used to treat symptoms, but in many cases, lichen planus will disappear without treatment.

Your dermatologist has been trained to address and treat all of these infections.

Reason #6: Sometimes you need an outside perspective

When your dermatologist takes your medical history, he or she may be able to identify bad habits that are affecting your hair and contributing to your hair loss. Some of these habits may include:

Smoking
Poor diet filled with processed foods
Stress
Tight buns, ponytails, braids, or other hairstyles that can pull on your hair and cause traction alopecia
Compulsively pulling on your hair (trichotillomania)

Reason #7: The most effective medications are only available by prescription

Hair loss products are similar to skincare products in that very few over-the-counter (OTC) products are truly effective. If you have a graveyard of barely or partially used tubes and containers under your bathroom sink, you get the picture. The reality is that besides Minoxidil which is sold OTC as Rogaine in a 5 percent formula, you’re wasting your money on OTC hair loss products. You’ll need a doctor to write a prescription. Some of the most effective and widely used prescription hair loss medications that your doctor may prescribe are:

Minoxidil

Designed to enlarge the hair follicles and prevent miniaturization. Used to treat a broad spectrum of hair loss conditions.

Sold OTC in foam and liquid formulas
Available by prescription in higher dose pills and topical formulas

Finasteride

Prevents testosterone from converting to DHT, which attacks the hair follicles and causes hair loss. Often used to treat male and female pattern hair loss.

Available only by prescription
Reported sexual side effects such as lower libido by some users
Used by both men and women, but not recommended for women of childbearing age
Topical formula is proven to be equally as effective as the pill without the undesirable side effects since it is not systemic.

Retinol

A derivative of Vitamin A that improves the absorption of Minoxidil, Finasteride, and other medications that stimulate hair growth.

Typically not used as a stand-alone hair loss solution
Low OTC doses not as potent as prescription doses

Spironolactone

A DHT blocker used to treat female pattern hair loss.

Available only by prescription
Safe for women who have not been through menopause

When to see a doctor

In a 2015 study conducted by the National Library of Medicine, nearly one-third of people surveyed reported avoiding the doctor, even those with major health problems. (05) The result was later detection, reduced survival rates, and more suffering than necessary. You won’t die if your hair falls out, but why lose your hair if you don’t have to? If you are experiencing hair loss, be sure to seek medical treatment from a licensed dermatologist. Early medical intervention not only prevents further hair loss but in many cases, can help you regrow your hair.

If you have hair loss concerns and if accessibility and/or affordability is an issue, visit us at happyhead.com. You will have the opportunity to consult with one of our board-certified dermatologists and hair specialists. No insurance or co-pay is required. You only pay for the product if deemed necessary and appropriate.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084283/#:~:text=Surveys%20suggest%20that%20a%20large,self%2Ddiagnose%20using%20online%20information.

(02) https://pubmed.ncbi.nlm.nih.gov/34553483/

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432488/

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746235/

(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4351276/#:~:text=People%20often%20avoid%20seeking%20medical,survey%20reported%20avoiding%20the%20doctor.&text=Even%20individuals%20with%20major%20health,12%20avoid%20seeking%20medical%20care.

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

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.

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)

What Treatments are Available to Women with Female Pattern Baldness?

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

Prevent further hair loss
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.

“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

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/

Hair Loss Reversal 101: What You Need to Know

If you’re experiencing hair loss, you’re not alone. According to the American Hair Loss Association, at least two-thirds of all American men will have noticeable hair loss by the time they turn thirty-five. Women account for forty percent of all Americans experiencing hair loss. (01) Those numbers are much higher than you thought, right?

Sure, most people expect to get some gray hair, wrinkles, and a few extra pounds as they age, but hair loss? That’s not usually part of the plan. We can color our hair, use Botox for our wrinkles, and spend some extra time at the gym. But what can be done about a receding hairline? More than you think.

There are Different Types of Hair Loss

The first step is to understand the different types of hair loss. All hair loss is not the same, so not all hair loss will respond to the same treatment. We’re here to give you a crash course.

The Term Alopecia Encompasses More Conditions Than Most People Realize

When people think of alopecia, they usually think of alopecia areata, the type that Massachusetts Representative Ayanna Pressley and actress Jada Pinkett Smith have. However, if you use Dr. Google, you’ll see that WebMD defines alopecia areata as an “autoimmune disorder that causes your hair to come out, often in clumps the size and shape of a quarter.” The definition is accurate, but not all hair loss is alopecia areata. Alopecia is an umbrella term for many different hair loss conditions.

There’s a Difference Between Non-Scarring and Scarring Alopecia

Alopecia falls under two broad categories: non-scarring and scarring alopecia. There’s a big difference between the two types.

When people have non-scarring hair loss, their hair just falls out. No redness, scaling, flaking, itching, or burning occurs. The alopecia can come on fast and furiously, leaving people holding clumps of hair in their hands, or gradually over a long period of time.

Scarring alopecia is a different story. Also known as cicatricial alopecia, scarring alopecia is an inflammatory condition that occurs in otherwise healthy people. The hair follicle is destroyed and replaced with scar tissue. The hair loss can happen over time and go unnoticed, or it can happen quickly, causing symptoms such as severe itching and burning. (02) Speed is essential when it comes to treating scarring alopecias. The goal is to slow or stop further hair loss and promote hair regrowth in unaffected areas.

What Type of Alopecia Do You Have?

Many different types of hair loss fall under the categories of non-scarring and scarring alopecia. Once you know what type you have, your dermatologist will work with you to develop a treatment plan.

Examples of Non-scarring Alopecia

Telogen Effluvium

Telogen Effluvium is a form of temporary hair loss caused by stress, severe chronic illness, high fever, childbirth, thyroid disorders, major surgery, dieting, certain medications, etc. Telogen Effluvium usually resolves itself over time.

Androgenic Alopecia

Also known as male and female pattern baldness, androgenic alopecia is a genetic condition experienced by up to 50 percent of men and women. (03) Experts believe that pattern baldness is due to an excessive androgen dihydrotestosterone (DHT) response which causes hair follicles to miniaturize. When the hair follicles shrink, hair loss occurs. Androgenic alopecia typically causes frontal hair loss in men and diffuse hair loss at the crown and top of women’s heads.

Alopecia Areata

If your hair falls out in clumps around the size and shape of a quarter, you may have alopecia areata. This condition is an autoimmune disorder that occurs when your body attacks its own hair follicles. With alopecia areata, hair loss is unpredictable and can happen anywhere on your body. Sometimes the condition resolves itself. However, it can also reoccur without notice. Many research studies are currently underway to understand the cause and effective treatment. (04)

Traction Alopecia

Constant pulling on hair due to tight ponytails, buns, braids, cornrows or dreadlocks, hair extensions, weaves, and more can cause traction alopecia. This condition, that’s common among actresses and models, can cause small bumps that resemble pimples. Fortunately, traction alopecia can be reversed if you stop pulling your hair back.

Examples of Scarring Alopecia

Lichen Planopilaris

Lichen Planopilaris is the most common type of scarring alopecia. Although it can affect both genders, lichen planopilaris is more likely to affect women aged 40 to 60 than men. (05) Redness, itching, burning, and tenderness can accompany frontal or other pattern hair loss.

Central Centrifugal Cicatrical Alopecia (CCCA)

CCCA is found almost exclusively among black women aged 30 to 55 year-old. The cause is still unknown and is being researched. Women who experience CCCA experience inflammation and associated hair loss in the crown area. (06)

Effective Hair Loss Treatment Complements Your Diagnosis

After your dermatologist determines the cause of your hair loss, he or she will discuss treatment options with you. Keep in mind that hair reversal treatments are not one-size-fits-all. In some cases, “cocktails” which combine specific medications and protocols may be needed. Just to give you an idea of what’s out there, here are some of the most frequently used medications and treatments:

Minoxidil (Rogaine)

Minoxidil, also known as Rogaine, is available over-the-counter as a topical foam and liquid and by prescription as an oral pill. Minoxidil is a vasodilator reduces miniaturization of the hair follicles and elongates the growth phase.

Minoxidil has proven to promote growth among men and women with male and female pattern hair loss. Minoxidil is also often recommended to patients with scarring alopecia to promote growth in unaffected areas.

Once you start using Minoxidil, you need to continue. When you stop using the medication, any new hair that grows will most likely be shed.

Finasteride (Propecia, Proscar)

Finasteride is a 5 alpha-reductase inhibitor originally designed to treat enlarged prostates. The medication, available both as a pill and a topical solution, blocks the conversion of Testosterone to dihydrotestosterone (DHT), a hormone that inhibits hair growth.

Clinical studies have found Finasteride to be highly effective in reversing hair loss in both men and women with scarring and non-scarring alopecias. (07, 08) Topical Finasteride is often used to treat androgenic alopecia, while oral is typically recommended for scarring alopecias.

Finasteride is only available by prescription and is not recommended for women of childbearing age. Check with a board-certified dermatologist to see if you are a good candidate for the topical or oral treatment. Don’t have time to make an appointment? Don’t worry, you can get custom topical treatments and oral medications prescribed by a Happy Head board-certified dermatologist, have a consultation and get it all shipped to your door each month. Just fill out our quick questionnaire, send us a few photos, and get started on growth here.

Corticosteroids

Topical or injected steroids are often used to treat hair loss that is induced by autoimmune diseases such as alopecia areata and lichen planopilaris. The corticosteroids allow hair to grow by inhibiting the autoimmune disease.

Steroid treatments are only available by prescription and should be surprised by a qualified dermatologist.

Platelet-rich Plasma (PRP) Injections

PRP injections have become a popular treatment for healing wounds and regrowing tissue such as tendons, ligaments, and muscles.

PRP has regenerative properties and has been primarily tested on patients with androgenetic alopecia. (09) When injected into the scalp, PRP is believed to stimulate hair growth by increasing blood flow to the hair follicles and increasing the size of the hair shaft.

As the name suggests, PRP injections are made from platelets derived from your blood. Blood is first drawn, and then spun at super high speeds to separate the blood components. The resulting plasma is highly concentrated.

PRP use is still in its early stages and can be expensive. Research also indicates that PRP is most effective when used with Minoxidil, Finasteride, and other hair growth treatments.

Biotin

Biotin, also known as Vitamin B7 or Vitamin H, has become a familiar hair growth supplement. Sold in supplements or as an ingredient in hair care products, Biotin is promoted as a way to make your hair grow longer and healthier.

Does it work? Well, the jury is out. Not enough research has been conducted to say yeah or nay. (10) It won’t hurt you to try a new shampoo that contains Biotin, but there’s no evidence to indicate that it will help. Biotin deficiency is rare. (11) Most people get adequate amounts through their regular diets.

Many Biotin supplements sold are not FDA approved, and high concentrations of Biotin can interfere with the results of some lab tests. (12) As with any oral supplement, check with your doctor before testing it out.

Hair Transplants

Hair transplant procedures and techniques continue to improve over time. Rather than using noticeable plugs, today’s surgeries move hair strips or carefully selected hairs from one area to another to promote growth that looks natural.

When determining whether a patient is an ideal candidate for a hair transplant, dermatologists consider several factors, including:

Type of hair loss
Degree and pattern of baldness
Patient age
Hair color
Donor hair density
Patient expectations

Although hair transplants are expensive and time-consuming, they are an effective, reliable, and safe way to get lasting results.

It’s Important to Set Realistic Expectations When Treating Alopecia

We’re fortunate to live during a time when hair loss research is prolific, and the list of hair replacement options is growing. Whether you’re 25 or 55, you don’t have to live with bald spots, a receding hairline, or thinning hair, even if your genetics or immune system are working against you.

The first step is to find a board-certified dermatologist and hair specialist you trust and get diagnosed. He or she will help you select the right treatment option for your type of alopecia and lifestyle. Remember to set realistic expectations for your hair regrowth. Treatments don’t work overnight, so be patient and track your progress over time. After all, small signs of stubble today can lead to a fuller head of hair tomorrow. To get in touch with a Happy Head dermatologist and do your consultation over the phone, get started here and you can do it all from home.

Resources:

(01) https://www.americanhairloss.org/

(02) https://rarediseases.org/rare-diseases/cicatricial-alopecia

(03) https://www.ncbi.nlm.nih.gov/books/NBK430924/

(04) https://www.aad.org/public/diseases/hair-loss/types/alopecia

(05) https://www.ncbi.nlm.nih.gov/books/NBK470325/

(06) https://jamanetwork.com/journals/jamadermatology/fullarticle/2768748

(07) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4809380/

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

(09) https://www.health.harvard.edu/blog/platelet-rich-plasma-does-the-cure-for-hair-loss-lie-within-our-blood-2020051119748

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

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

(12) https://www.fda.gov/medical-devices/in-vitro-diagnostics/biotin-interference-troponin-lab-tests-assays-subject-biotin-interference