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5 Reasons Why You Want a Dermatologist to Treat Your Hair Loss

You used to have a ton of hair, but now you can see your scalp. You’ve noticed. Your partner is politely pretending not to notice. Your barber is running out of ways to conceal the bald spots and make the thinning areas look thicker. Arg. What to do? First, stop Googling and wasting money on one-size-fits-all hair loss remedies that don’t work. Then, it’s time to consult with a board-certified dermatologist. Dermatologists not only treat skin conditions, but they are also trained to address your hair and nails. Here are five reasons why you want a dermatologist to treat your hair loss.

1. Dermatologists are Hair Loss Experts

News flash. Dermatologists don’t just deal with acne, warts, and eczema. After four years of earning a bachelor’s degree, they continue with four years of med school, one year interning, and at least three years as a resident. They learn a few things about skin, hair, and nails during that time. When they’ve completed their education and training, they are eligible to become board-certified by the American Board of Dermatology. Like any other medical specialty, some dermatologists are more interested in particular study areas than others. So, some dermatologists have more experience dealing with hair issues than others. These are the docs you want by your side.

2. They Are Skilled at Diagnosing Types of Alopecia

It would be nice if there was only one type of alopecia, and it was a snap to diagnose it. That’s not exactly how it works, though. Sure, the most common type of hair loss is androgenetic alopecia, male and female pattern baldness. It’s an inherited form of hair loss that occurs when a person’s testosterone converts to dihydrotestosterone (DHT) and attaches to the hair follicles. Once that happens, mayhem ensues. The hair follicles shrink, hair thins, and hair begins to shed. If the condition isn’t reversed, the hair follicles can eventually close off, preventing new growth altogether. Dermatologists are trained to diagnose male and female pattern hair loss with a visual exam. As the name suggests, when people experience male or female pattern hair loss, the balding or thinning occurs in predictable patterns.

Diagnosing other types of alopecia may require further testing, While each kind of alopecia has recognizable traits, a closer look with a dermatoscope or a pathologist’s report is more conclusive. Blood tests may also be needed to determine if a thyroid imbalance or other medical condition is causing the hair loss.

3. You Need Timely, Accurate Information

If your hair is balding or thinning, it’s not a good idea to take a wait-and-see approach. Unless you have telogen effluvium, it’s not likely that your hair will magically grow back without intervention. Treatment for androgenetic and other alopecia types, is designed to stop shedding and stimulate regrowth. The process is time sensitive because the hair follicles must remain open for growth. Once the hair follicles close, the window of opportunity for regrowth also closes. Having a dermatologist prescribe the proper medications from the start will give you the best chance of achieving your desired result.

4. They Can Give You Access to Effective Prescription Hair Loss Medications

If you’ve checked out drugstore shelves or scanned the internet, you know the market is flooded with over-the-counter hair growth remedies. Here’s what you need to know about them. Over-the-counter (OTC) shampoos and conditioning treatments will improve the appearance of your existing hair, but they won’t regrow your hair if you have male or female pattern baldness. Supplements will compensate for any vitamin deficiencies and create a healthy environment for new hair. However, it takes stronger, prescription-grade medication to regrow hair. Those prescriptions are only available through a dermatologist. Some are FDA-approved, and others are prescribed off-label. Here’s an idea of what Happy Head dermatologists often prescribe:

Minoxidil

Minoxidil is clinically proven to revive hair follicles and thicken hair over time. It’s available in both pill and topical solutions. The medication works by increasing blood flow to the hair follicles. The scalp gets more oxygen and nutrients. It also kickstarts the hair growth cycle. It moves hair from the resting phase into a growth phase and extends the stage.

Minoxidil is sold OTC as Rogaine and private store brands. The difference between what you can get with a prescription is the dosage. Stores sell two and five percent. Happy Head and pharmacies sell eight percent topical solutions and 2.25 milligrams oral Minoxidil, which are higher than what’s available OTC.

Research indicates that pairing Minoxidil with DHT blockers such as Finasteride (01), Dutasteride, and Spironolactone (02) improves efficacy. That’s why Happy Head offers combination formulas.

Finasteride

Finasteride is a first-line DHT blocker that has been FDA-approved for men with androgenetic alopecia since 1997. It’s prescribed to women off-label. Research indicates that Finasteride reduces serum DHT levels by 70 percent. Increasing the dose doesn’t result in greater serum reduction. (03) The medication is ideal for people with early recession or thinning.

Dutasteride

Dutasteride is a step-up from Finasteride. It’s also a DHT blocker, but inhibits more enzymes than Finasteride. Finasteride inhibits the Type II 5-alpha reductase enzyme, while Dutasteride inhibits both Type 1 and Type II. Experts estimate that Dutasteride reduces serum DHT levels by approximately 95 percent. (04) Because Dutasteride is a stronger medication than Finasteride, side effects may be more likely when taken orally. Topical formulas have been proven to be equally as effective with lower changes of undesirable side effects. (05)

Spironolactone

Spironolactone is an aldosterone receptor antagonist often prescribed to women under 50. It works like a DHT blocker. The oral medication is typically reserved for women since it can cause feminization side effects such as enlarged breasts in men. Both women and men can use the topical formula.

Latanoprost

Latanoprost is one of the newest prescription hair-loss medications on the market. It was originally marketed as a glaucoma treatment. When doctors discovered the medication caused longer, thicker, darker eyelashes, dermatologists tested and marketed the product for scalp growth.

5. Dermatologists Can Adjust Your Treatment Plan if Necessary

Not every medication works for every person. What works for your brother, cousin, or friend may be different for you. Body chemistry differs from person to person, and no test exists to indicate which medication is best for each individual. Sometimes finding the right medication or mix of medications means starting with a first-line prescription and stepping up dosages or to more powerful formulas as needed. Other times, patients need customized formulas. Dermatologists have the experience necessary to determine when changes need to be made in your treatment plan.

If you’ve noticed that your hair is thinning, now is the time to make an appointment with a board-certified dermatologist and hair specialist. Minoxidil, Finasteride, and Spironolactone are just a few of the treatment options available, and you don’t want to lose valuable time that you could use to regrow your hair. The right doctor will not only help restore your hair; they will help restore your confidence.

Need a referral? Visit Happy Head, your one-stop hair loss shop, without waiting for an appointment. The company is founded and operated by renowned dermatologists Dr. Ben and Dr. Sean Behnam. When you contact us, your health history will be reviewed by a screened and licensed dermatologist. Your dermatologist will work with you to select the right medication based on your condition. We even customize prescriptions. Your order will be shipped to your front door in a discrete package. Need a change? Not a problem. We’re also here to answer any questions you have. Take the questionnaire to get started. It only take a few minutes and there’s no wait, all done online.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/32166351/

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010138/#:~:text=Three%20studies%20compared%20the%20combination,with%20only%20one%20emerging%20hair%2C

(03) https://www.ncbi.nlm.nih.gov/books/NBK513329/#:~:text=Research%20has%20shown%20that%20finasteride,reduction%20in%20serum%20DHT%20levels.

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684818/

(05) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706484/

Get Ahead of the Shed & Regrow Your Hair for the Holiday Season

Christmas, Hanukkah, and Kwanza in June? Summer is here, and it’s time for flip-flops, beach trips, and cookouts. Winter holidays are probably the last thing on your mind. Who wants to think about shopping for gifts, deciding what to wear to your office party, and figuring out what you’re bringing to your family’s annual holiday bash when all of that is still six months away? Those things may not top your “to-do” list now, but here’s something that will get you in the holiday spirit.

If you’ve noticed that your hair is thinning, now is the perfect time to start regrowing your hair. Why now? Growing hair is a process. Sure, it would be awesome if we could regrow hair overnight. Let’s be real, though. If you ever had a bad haircut that seemed like it took forever to grow back, you know that doesn’t happen. It takes a while. It takes even longer if you have male or female pattern baldness or another form of alopecia. Don’t stress, though. Starting now will get you ready just in time for winter holiday parties and gatherings. Here’s what you need to know and a timeline leading up to the holidays to help you get ahead of the shed.

Before You Get Started

How Fast Does Hair Grow?

Before we get into what you need to do to start regrowing your hair in time for the holidays, let’s talk about why it seems to take so long. On average, hair grows about a tenth of an inch per day. That equals approximately one-third of an inch per month. It will take a little over three months to grow a full inch. Every hair grows from a single follicle during your hair’s growth cycle. Those follicles need to be healthy, and the growth cycle needs to function properly for your hair to grow. If stress, hormone imbalances, or anything else interrupts the growth cycle, your hair can stop growing and can fall out. This brings us to why your hair is shedding, thinning, or balding in the first place.

Why is My Hair Thinning?

To regrow your hair, you need to figure out why there are collections of hairballs on your shower floor, or your hairline is receding. One of several conditions may be to blame. If you are over 20, the most common reason is typically male or female pattern baldness. It’s a genetic condition that happens to both men and women when their bodies convert testosterone to an androgen called Dihydrotestosterone (DHT). DHT attacks the hair follicles and interrupts the hair growth cycle.

In the past, people with male and female pattern baldness had no options. Many got buzz cuts, shaved their heads, or accepted their bald spots. Today, DHT blockers and other treatments are available and effective, especially if the condition is caught early and the hair follicles are still viable.

Your Hair Regrowth Timeline

Do Now: Find the Right Hair Loss Expert

Whether you just noticed that your hair is shedding, or you’ve been experiencing hair loss for a while but just decided to do something about it, you need to start in the same place. You’ll need an appointment to determine what’s causing your hair loss. Not all doctors are trained to diagnose the cause of hair loss, though. You’ll need to consult with a dermatologist.

In addition to diagnosing skin conditions, dermatologists are trained to treat hair and nails. During your appointment, your dermatologist will ask about your and your family’s medical history. They may also ask about your hair care routine, diet, and stress level. Some conditions like androgenetic alopecia (male and female pattern baldness) and telogen effluvium can be diagnosed through your medical history, a visual exam, and a simple pull test. During a pull test, your dermatologist will gently tug on some individual hairs to see how many and how easily they come out to determine what stage of the shedding process you are in. If your dermatologist suspects a different condition, they may use light microscopy to examine some of your hair to see any hair shaft disorders. They may also order bloodwork or take a small scalp biopsy. It could take ten days to two weeks to get the results.

If you don’t have a dermatologist or a hair specialist you trust, Happy Head can help. We have dermatologists licensed in every state to help diagnose your hair loss. Through Happy Head, you can get the most effective prescription hair loss treatments on the market from the comfort of your home. We’ll even ship directly to your front door.

While You Wait for an Appointment or Test Results

What’s making my hair thin? When will I get some answers from the dermatologist? Are certain products making my hair loss worse? Waiting to find out your hair’s fate can be stressful. Take heart, though. There are some things you can do in the meanwhile that will make you feel better and make your hair look better. Here’s how to get started:

Hair growth supplements with essential vitamins and minerals can help strengthen your hair while making up for deficiencies you may have. Ingredients such as saw palmetto and caffeine act as DHT blockers, while biotin, collagen, and keratin help your hair grow stronger and shinier.
Thickening shampoos and conditioners clean your hair while keeping it hydrated and healthy. Look for formulas that include ingredients such as argan oil, biotin, and keratin that moisturize and strengthen.
Hair-healthy nutrients can be found in lean protein, fresh vegetables, fruits, nuts, and whole grains. Free-range chicken and eggs, unprocessed, hormone-free meats, whey protein concentrate, almonds, and avocados are good sources of protein that serve as building blocks for healthy hair.
Blowing off steam by hitting the gym, heading outside, or listening to music can help make your hair healthier. The reason why is that stress can contribute to hair loss by pushing your hair into a resting phase where new hair isn’t produced. Managing your stress will help keep your hair in tip-top shape.
Snapping a selfie will give you a baseline photo for comparison after you begin treatment. Since hair grows slowly, you may not notice changes for a while. Taking and comparing photos over time will help you see subtle and not-so-subtle differences.

Summertime: Months 1-3

You’ve been diagnosed and you have the prescription hair growth treatments needed to get started. Taking your medications as prescribed is the best way to ensure they will work effectively. If you’re not good at remembering, there are some tricks to help. Try setting your phone’s alarm as a reminder. Putting your medication somewhere you will see it is helpful, too.
Remember to photograph your hair on the same date each month.
Don’t lose hope if you don’t see the growth you hoped for. It’s still early in the game.
If you have any side effects, be sure to reach out to your dermatologist for advice. At Happy Head, your dermatologist is just a quick e-mail away if you have any questions or need your formula modified for any reason.

Fall – Winter: Months 4-6

This is when most people begin to see growth. Start comparing photos from now to the ones you took before you got started so you can see the difference.
The holidays are upon us. Continue to make healthy dietary choices, destress, and enjoy the festivities.

Winter – Spring: Months 7+

Continue your treatments and mark your progress with photos.
If you feel like you’re hitting a plateau, speak with your dermatologist and consider adjusting your treatment plan.
Remember, body chemistry varies from person to person. It may take some trials to determine the right medications for you.

Ready to avoid the stress of worrying about how you will look at your next holiday gathering? Now’s the time to start treating your hair loss. Simply follow our step-by-step guide, and you’ll be on your way.

Don’t want to wait for an appointment with your dermatologist or make a trip to your pharmacy? Happy Head is here to help. Contact our hair growth experts for information on the best treatment option for the type of hair loss you’re experiencing. Get customized formulas based on your needs, and have your prescription delivered directly to your front door. Use the code GOHAIR and get 50 percent off on your first order.

The Impact of Hair Loss on Mental Health

“My hair is my everything. When I started seeing it get thinner, it destroyed me. I was really nervous about taking Finasteride orally. Happy Head’s topical solution gave me my confidence back!” – Jordan

Why is losing your hair so tough psychologically? Guys aren’t supposed to care about their looks. But, the truth is that we care about our appearances just as much as women do. Not that we would ever admit it. Here’s proof, though. A survey conducted by Men’s Health magazine found that 70 percent of men believe that their physical appearance affects their overall happiness and well-being. When we look good, we feel good. When our hairline starts to look like Grandad’s, well, we stress.

If you’ve spent more than 30 minutes trying to distinguish a cowlick from a bald patch or parted your hair three different ways before meeting your friends for a drink, this one’s for you. It’s time to get real about the impact of hair loss on your mental health and what you can do to regain your confidence.

Hair Loss Is More Common Than You Think, Especially Among Men

Odds are that most of us will have to deal with hair loss at some point after puberty. Here are the stats according to the American Hair Loss Association. (01) 25 percent of men start losing some hair before their 21st birthday. By the age of 35, two-thirds will see some thinning or balding. By age 50, that number jumps to 85 percent. That’s just for male pattern baldness. Those numbers jump even higher once you add alopecia areata, cicatricial alopecia, and other hair loss conditions.

Why is Hair Loss Feel Like Such a Big Deal?

Given that hair loss is almost a rite of passage for us, why does it feel like something we should hide? Why the shame? Because in our society, we view aging as a stigma. Looking, feeling, or being perceived as old is negative. I’m 53, but when I look in the mirror, I still expect to see a 25-year-old me staring back. When I see my hair thinning and shiny spots glaring at me where my thick dark curls used to be, I think “huh, who the heck is that guy?” Let’s just say that it’s not exactly an ego boost.

Male Pattern Baldness Can Mess With Your Head

Hair loss takes us out of our comfort zone. It can trigger insecurities about our looks. It makes us think that people will judge us based on our lack of hair. We feel like we’re losing our youth and that others won’t find us attractive. Worst of all, there’s not much we can do to control our fate. As much as we want the shedding to stop, it takes time. It’s not a quick, snap-of-the-fingers proposition. It’s no wonder that men with hair loss have a higher risk of anxiety and depression compared to those without any type of alopecia. (02)

How Can You Feel In Control When You’re Not?

I have some friends who proudly shave their heads and end up strutting around with the looks and bravado of Vin Diesel at the first sign of recession. The rest of us, well, we don’t fare quite as well. With my luck, shaving my head would leave me looking more like an eraser cap than the Rock. Not to mention that I might pass out the minute I hear the buzzer near my head. So what else can we do to feel like we’re in control of our thinning hair when in reality we aren’t?

First, Stop Stressing

Sure, staying calm is easier said than done, especially when you’re staring down at a shower floor covered in your precious strands. Fretting won’t help, though. Stress can actually contribute to hair loss by producing adrenaline and cortisol that can push your hair follicles into a resting phase and halt your hair’s growth. Over time, your hair can fall out more easily. Instead, try these activities to help you calm down:

Go Outside

If you’re bummed about your hair loss, grabbing your sneakers and getting outside can help you keep your wits about you. According to the Proceedings of the National Academy of Science, participants in a study who went on a 90-minute walk reported lower levels of repetitive negative thoughts than people who walked in a city. (03)

Hit the Gym

When you’re feeling insecure about your appearance, the last thing you may feel like doing is going to the gym. Here’s a good reason to grab your bag and go anyways. A study conducted by the University of Maryland School of Public Health found that exercise helps you better manage stressful situations immediately after and for an extended time after your workout. (04) Exercise can actually buffer the negative effects of emotional events.

Write it Down

Many of us go through a grieving process when we lose our hair. After all, we’re losing a part of our image and identity. It makes sense. So how can we get out of our heads and into a better emotional space? Make a list to help you keep perspective. Make one column to write down the negative stuff you tell yourself. Write down alternative things you could say in a column next to it. When you see how you’re beating yourself up, you’ll realize it’s time to think differently.

Get Your Zzzzs

When you’re tired, the parts of your brain that contribute to excessive worrying and anxiety go into overdrive. A good night’s sleep helps you stay calmer so you can put your hair loss into perspective.

Take a Deep Breath

You may not be able to control your genetic predisposition to hair loss, but you can control your breathing. And, when you feel in control of even one thing, it can help you feel better overall. Try deep, controlled, slow breathing to relax the physiological symptoms of stress.

Play With Your Pet

Did you know that petting a dog can lower your cortisol (a stress hormone) and increase oxytocin, the feel-good hormone? It’s true. When 84 percent of patients experiencing post-traumatic stress disorder were paired with service dogs, not only did they report a significant reduction in symptoms. Forty percent were able to decrease their medications. (05)

Have a Jam Session

Ever hear of the Mozart effect? It’s real. Although scientists don’t understand why, music has been proven to help reduce anxiety and depression. (06) So, the next time you feel down about your changing hairline, pump up the jam to help you feel calmer and more centered.

Research Hair Loss Treatments

If you aren’t aware of the hair loss treatments that are available, getting up to speed might help you feel more in control. If your hair follicles are still viable, prescription medications have been proven to help reduce hair loss and promote growth within six months to a year. Top treatments include:

Minoxidil – Increases blood flow to the hair follicles to help stop shedding and stimulate hair growth.
Finasteride – First-line DHT blocker. DHT blockers prevent testosterone from converting to Dihydrotestosterone which is to blame for hair loss. Oral Finasteride is FDA-approved for male pattern hair loss. In one study, Finasteride stopped hair loss in 83 percent of men who took the medication. Over two years, 66 percent of men experienced growth. (07)
Dutasteride – A stronger DHT blocker used off-label for male pattern hair loss. Because Dutasteride blocks two enzymes, whereas Finasteride blocks one, Dutasteride is more effective for many men. (08) Dutasteride may cause more side effects, so many men opt to try Finasteride first.

Minoxidil, Finasteride, and Dutasteride all come in both oral and topical formulas and are commonly prescribed by dermatologists. Topical Finasteride and Dutasteride have been proven to work as effectively as pills, so you can use either. (09)

Hair supplements containing biotin, keratin, saw palmetto, and vitamins like A & D3 can also help curb shedding while giving your hair a healthier appearance. The right hair loss shampoo and conditioner can help as well.

If your dermatologist has determined that you’re not a candidate for hair loss medications, hair pieces or a permanent hair transplant may be an option. Thanks to advances in the field, both solutions can give you a natural look to help you feel ready to face the world.

Find What Works Best for You… Mentally and Aesthetically

Remember that grieving process we mentioned earlier? It really does happen when you lose your hair. It’s normal to be anxious or depressed, and it will take a minute to accept your evolving look. Taking care of yourself and exploring different treatment options are good ways to help you cope. Over time, you’ll find what works for you.

Meanwhile, Happy Head is here to help with hair loss solutions. Simply fill out a brief questionnaire and one of our board-certified dermatologists will make recommendations based on your hair loss history and goals. The process is easy, and best of all, completely private. Give Happy Head a try and get 50% off your first order with code GOHAIR at checkout.

Resources:

(01) www.americanhairloss.org

(02) www.sciencedirect.com

(03) www.pnas.org

(04) sph.umd.edu

(05) www.hopkinsmedicine.org

(06) journals.plos.org

(07) pubmed.ncbi.nlm.nih.gov

(08) www.ncbi.nlm.nih.gov

(09) pubmed.ncbi.nlm.nih.gov

Minoxidil Liquid Or Foam: Which One Is Right for You?

Once you’re on the path toward hair restoration, you’ll be faced with a variety of choices. For example, you may find yourself with the option of using foam or liquid Minoxidil like our customizable liquid topical Minoxidil treatment here at Happy Head. While the purpose of the medication is the same, they both differ in terms of application and absorption. Learning about the differences between Minoxidil foam and Minoxidil liquid can help you make an informed decision when the time comes to make your choice.

What is Minoxidil?

According to the National Library of Medicine, Minoxidil is a medication that’s commonly used for treating hair loss. Minoxidil is a vasodilator–a medication that widens blood vessels. Because of its ability to expand blood vessels, oral minoxidil was initially approved by the Food and Drug Administration (FDA) for the treatment of severe high blood pressure. However, people who were prescribed the drug for their blood pressure began reporting a welcome side effect – hair growth! As a result, doctors started prescribing minoxidil throughout the 1980s as an off-label medication to treat hair loss clients.

Topical Minoxidil—available in 2% and 5% concentrations—is an effective hair loss treatment for both men and women. Minoxidil is a vasodilator, which means it works by widening the blood vessels in the scalp, which then increases blood flow to the hair follicles. This increased blood flow delivers more nutrients and oxygen to the hair follicles, helping to stimulate hair growth. In addition, Minoxidil increases the size of hair follicles, which can lead to thicker, healthier hair. By “feeding” hair follicles, Minoxidil results in improved hair growth, healthier follicles, and longer strands. (01, 02)

Is Minoxidil an Effective Treatment for Hair Loss?

Several clinical studies have investigated the efficacy of Minoxidil for the treatment of hair loss. One study published in the Journal of the American Academy of Dermatology found that topical Minoxidil was effective in promoting hair growth in men with androgenetic alopecia, a common form of hair loss. The study involved 984 men with mild to moderate hair loss who were randomly assigned to receive either 5% topical minoxidil, 2% topical minoxidil, or a placebo. After 48 weeks of treatment, both the 5% and 2% minoxidil groups had significantly more hair growth than the placebo group. (03)

What Types of Hair Loss Does Minoxidil Treat?

Although topical Minoxidil has received approval from the FDA for the treatment of specific hair loss conditions, the medication is also used to effectively treat a variety of hair loss disorders. (04)

The FDA currently approves topical Minoxidil for the treatment of these hair loss disorders:

androgenetic alopecia
female & male pattern hair loss

However, Minoxidil is also successfully prescribed off-label for:

alopecia areata
beard and eyebrow growth
central centrifugal alopecia
chemotherapy-induced hair loss
frontal fibrosing alopecia
telogen effluvium

Minoxidil is available in both topical and oral forms. The topical formulation is applied directly to the scalp or other affected areas, while the oral medication is ingested in tablet form. When applying the topical version, users will have to choose between foam or liquid Minoxidil. At Happy Head, our board-certified dermatologists offer both oral and liquid forms of Minoxidil, so after reading this article you can set up a free consultation with them online here.

Minoxidil Foam Or Minoxidil Liquid?

When deciding between foam or liquid Minoxidil, users may need to consider a few factors. While both formulations are effective in promoting hair growth, there are some differences between them that may influence which one is best for a particular individual.

Minoxidil Liquid: Pros and Cons

Minoxidil liquid is the tried and true original formulation of the medication, and it has been available since the 1980s. This liquid version is applied directly to the scalp using a dropper, typically twice a day. One advantage of the liquid form is that it allows for more precise application to the scalp. This can be especially useful for individuals who have a specific area of the scalp where they are experiencing hair loss, as it allows them to target that area more effectively.

Furthermore, some individuals may prefer the liquid formulation because it can be easier to spread evenly over the scalp. The liquid version of Minoxidil slides freely between hair strands. It also flows through the scalp’s dips and valleys much more thoroughly than the foam version., ensuring adequate coverage. Liquid Minoxidil also offers dry scalp or brittle hair some moisture, improving hair health.

Along with these advantages comes a few disadvantages. The liquid version of Minoxidil can make an oily scalp look greasy. In addition, oily hair may look even oilier when using liquid minoxidil. Another disadvantage of the liquid formulation is that it can be messy and time-consuming to apply.

Some people find it challenging to control the amount of medication that’s dispensed from the dropper. The solution to this problem is to use a dropper that’s calibrated and specific to the topical. Lastly, the liquid can take some time to dry after application. For individuals who are in a hurry to get out the door, waiting for the liquid to dry can be a small inconvenience.

Minoxidil Foam: Pros and Cons

Minoxidil foam is a newer formulation that was introduced in the early 2000s. Much like hair mousse, the foam is applied directly to the scalp using a nozzle. One benefit of the foam formulation is that it makes application a breeze and the foam dries quickly. Minoxidil foam is less messy than liquid formulations.

Because the foam is applied using a nozzle, it is easy to control the amount of medication that is applied, and there is less risk of accidentally spilling or wasting the medication. In addition, the foam is less likely to drip or run down the scalp, which can be a problem with the liquid version.

One significant disadvantage of the foam formulation is that it’s not as easy to target specific areas of the scalp. Because the foam is applied using a nozzle, targeting a specific area of the scalp is challenging. In addition, the foam tends to sit on top of any hair rather than flow to the scalp area. Therefore, foam requires a few extra steps to massage the medication directly onto the scallop.

Which is More Effective?

In terms of effectiveness, both the liquid and foam formulations of Minoxidil have been shown to be effective in promoting hair growth. Several clinical studies have investigated the efficacy of Minoxidil for the treatment of hair loss, and most have found that both formulations are effective in promoting hair growth and improving hair density.

One study published in the Journal of the American Academy of Dermatology compared the efficacy of 5% minoxidil foam to 5% minoxidil liquid in the treatment of androgenetic alopecia in men. The study included 45 men who were randomly assigned to receive either the foam or the liquid formulation. After 24 weeks of treatment, both groups showed significant improvement in hair count and hair thickness. Therefore, both foam and liquid are effective treatments for hair loss. (05, 06) As mentioned, at Happy Head, we’ve found our patients to use less product when using the liquid topical form of Minoxidil since the liquid gives you more control over the placement of the liquid topical medication as opposed to losing most of it in the hair when using a foam version.

Minoxidil Foam & Minoxidil Liquid Side Effects

Both Minoxidil foam and liquid have similar side effects. Because both formulations are topical, the most common side effect is skin irritation. Along with irritation, redness, itching, and dryness of the scalp can also occur.

While these symptoms can be bothersome, they are generally mild and usually resolve on their own with continued treatment. A few rare side effects include fluid retention, blood pressure changes, and electrolyte imbalances. For the most part, Minoxidil topical, both foam and topical, is safe and effective for promoting hair growth in both men and women.

Which One Should You Choose? Foam Or Liquid

Happy Head’s liquid Minoxidil is made with a special base solution, which is designed to soothe the scalp and minimize the appearance of side effects. Unlike other Minoxidil formulations, Happy Head’s gentler formula reduces skin irritation. Are you wondering which topical hair loss treatment is right for you? Consult with our board-certified dermatologists to develop an individualized hair regrowth plan with you in mind.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/

(02) https://pubmed.ncbi.nlm.nih.gov/15034503/

(03) https://www.jaad.org/article/S0190-9622(03)03692-2/fulltext

(04) https://www.ncbi.nlm.nih.gov/books/NBK482378/

(05) https://www.sciencedirect.com/science/article/abs/pii/S0190962210018116

(06) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/

7 Modern Hairstyles for Men With Thinning Hair

When hair starts to thin, finding the right hairstyle becomes challenging. Your old tried and true hairstyle becomes more and more difficult to achieve with thinning hair. To add to the problem, your go-to haircut doesn’t do your bald spots and thinning areas any favors. Sound familiar? Don’t worry. You can achieve a stylish, modern haircut and mask your thinning hair at the same time. We’ve found 7 modern hairstyles for men with thinning hair to help you find a solution before your next event.

Fashion Forward Hairstyles for Your Thinning Hair

If you are experiencing thinning hair, it’s important to choose a haircut that flatters your face shape and helps to make your hair appear fuller and thicker. Here are some haircut tips for men with thinning hair.

1. The Crew Cut

The crew cut is both modern and classic, worn by the likes of Channing Tatum to Elvis Pressley. This cut is a shorter hairstyle that’s perfect for men who have thinning hair. Depending on the specific crew cut you’re looking for, this style involves cutting the hair short on the sides and the back. The top, however, remains slightly longer.

What makes the crew cut work is that it gives the hair some movement but hides any thinning areas – especially at the temples. This creates a clean, polished look that’s easy to maintain and style. For a versatile option, try the crew cut if you have thinning hair.

2. The Combover

The comb-over gets a bad rap, but it’s an extremely effective way to mask thinning hair or bald spots. A short comb-over, in particular, is the quintessential business look that also helps to disguise any thin patches. This style involves combing the hair over to one side to hide bald spots.

A comb-over requires hair products to keep hair in place. Typically, a comb and hairspray (or other hair product) are all that’s necessary to make a comb-over look flawless. A larger area to comb over may call for longer hair, therefore, a comb-over needs some time for hair to grow long enough to cover over the necessary areas.

3. The Slicked-Back Look

Slicking back your hair can create the look of full locks. The slicked-back hairstyle involves combing the hair straight back, away from the face. This helps to create the appearance of fuller hair on top while also giving the hair a polished, sophisticated look.

The slicked-back style can also be easily styled with a little bit of hair product, making it a great option for men who want a low-maintenance style. This look works well with a streamlined, modern wardrobe. So, if you already have an affinity for fashion, a slicked-back hairstyle might be right up your alley.

4. The French Crop

The French crop is called the “white T-shirt of haircuts” because it looks great on most face shapes. This style also seems ready-made for men with receding hairlines or thinning hair. The hairstyle calls for a crew cut-like cut, but the hair is combed forward at the top. Because the hair is styled slightly forward, the strands can shield a receding hairline from view.

When wearing a French crop, it helps to use a bit of pomade or gel to keep the hair combed forward and flattened. Also, a shorter cut at the front means frequent trims. Allowing the hair to grow long at the forehead can make the cut look like bangs, so be sure to keep the look on the shorter side!

5. The Messy Textured Crop

The messy textured crop is a modern hairstyle that is perfect for men with thinning hair. This style involves cutting the hair short on the sides and back while leaving the hair slightly longer on top. The hair on top is then styled with a bit of texture and volume, creating a messy, tousled look, perfect for men who want a more relaxed, casual look.

The hair flows forward in this hairstyle, so it helps to cover up any patches of receding hairline or bald areas. This haircut is also low-maintenance, as it doesn’t require precision or accuracy when styling. Just dab some hair product onto your hands, tousle your hair, and you’re good to go.

6. The Short Quiff

The short quiff is a more modern hairstyle that’s convenient and very doable for men with thinning hair. This style involves cutting the hair short on the sides and back while leaving the hair slightly longer on top. Though it may be mistaken for a pompadour, a short quiff, and a pompadour are two very different hairstyles.

While both the short quiff and the pompadour involve styling the front of the hair to add volume, a short quiff is much shorter and brushed forwards. So, while a pompadour calls for longer, thicker hair, a short quiff works well with thinner hair. This style also offers the illusion of movement and density, making it an excellent hairstyle for someone with thinning hair.

7. The Faux Hawk Mohawk

There’s no need to let thinning hair keep you from being edgy and modern! If you’re feeling adventurous, then a faux hawk or mohawk is for you. The faux hawk is a variation of the classic Mohawk, but it’s less extreme and much easier to wear. To create a faux hawk, ask your barber to cut your hair shorter on the sides (but not shaved all the way) and longer on top. Style your hair by using a styling product, such as pomade or wax, to create height and texture.

A Mohawk, on the other hand, calls for a complete shave on the sides of your head and leaves a strip of hair on top. Style your hair by using a styling product, such as pomade or wax, to create height and texture. If you’re feeling rebellious, style the hair into spikes or ask your barber to dye your hair a vibrant color. This should create a definite distraction from your thinning hair!

What Causes Hair Thinning?

Before you change your hairstyle, you may want to confirm that you’re actually experiencing hair loss. According to the American Hair Loss Association, a person typically loses 50 to 100 hairs a day. When a person loses more hair than that for a prolonged period of time, however, it can result in excessive hair loss which causes thinning or balding. (01)

Here are some of the most common causes of hair loss in men:

Male pattern baldness: Male androgenetic alopecia, also called male pattern baldness, affects up to 30 to 50% of men by the age of 50. The condition is the most common cause of hair loss in men. (02) This type of hair loss is typically caused by genetics and hormonal changes and typically results in a receding hairline and thinning hair on the crown of the head.
Medical conditions: Certain medical conditions can also cause hair loss. For example, scalp infections, autoimmune disorders, and skin conditions like psoriasis can all lead to hair loss. (03)
Medications: Many medications can cause hair loss in men as a side effect. Some of the most common medications that have hair loss as side effects include chemotherapy drugs, blood thinners, and antidepressants. (03)
Nutritional deficiencies: Nutritional deficiencies, particularly in iron, zinc, and biotin, can contribute to hair loss or thinning. (04)
Stress: Stress can also contribute to hair loss in both men and women. Chronic stress can lead to hormonal imbalances and nutritional deficiencies that can result in hair loss.
Hairstyles and hair treatments: Some hairstyles and hair treatments can also contribute to hair loss in men. For example, tight braids, weaves, and ponytails can cause traction alopecia, a type of hair loss caused by pulling on the hair follicles. Chemical treatments like perms and relaxers can also damage the hair and cause hair loss over time. (05)

As you can see, hair loss in men can be caused by a variety of factors. So, if you suspect that your hair is thinning, you may want to speak with a dermatologist to confirm your suspicions. You can also take our quick questionnaire here to tell us about your hair loss, share some photos, and a Happy Head dermatologist can create a custom hair loss treatment just for you. All online. No office visits needed.

You can also try our Happy Head Thickening Shampoo and Conditioner. Developed specifically with hair loss in mind, our hair care products contain high-quality ingredients like Saw Palmetto and Biotin. Our special hair thickeners add volume and length to your strands and keep your scalp healthy. Subscribe and save on your purchase!

Resources:

(01) https://www.aad.org/public/diseases/hair-loss/insider/shedding

(02) https://www.ncbi.nlm.nih.gov/books/NBK278957/

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

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

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

(06) https://www.ncbi.nlm.nih.gov/books/NBK470434/

Your Comprehensive Guide to Oral Minoxidil

If you are dealing with male or female pattern baldness, you’ve probably spent hours researching regrowth options for your hair. And, you probably learned about Minoxidil topical foams and liquid solutions. At Happy Head, we’ve created your comprehensive guide to Oral Minoxidil to answer all of your questions on your search. Two and five percent Minoxidil is sold at pharmacies and other retailers under the name Rogaine and by prescription in higher doses. You may have even given it a try.

But, you may not be aware that Minoxidil is also available as a pill. It’s only available by prescription, and it’s not advertised. A lot of people don’t know about it. But, they should. Some people who don’t respond to topical Minoxidil may have success with oral Minoxidil. Here’s everything you need to know about oral Minoxidil and how it works.

Oral Minoxidil Was the First Hair Regrowth Treatment

Back in the ‘70s, Minoxidil was only available in a pill format. Neither topical foam nor liquid existed. Here’s the background.

Minoxidil tablets were initially designed to treat high blood pressure. The medicine is a vasodilator that opens up the blood vessels and relaxes artery walls. During testing for hypertension, researchers discovered that one of the (not so) adverse effects was hypertrichosis, excessive hair growth. More testing ensued, word spread, and dermatologists began prescribing Minoxidil pills to treat their patients with male and female pattern hair loss.

In 1987, topical Minoxidil was developed and quickly became the go-to treatment for androgenetic alopecia and other types of hair loss. As topicals took off, the pills fell by the wayside. After all, topicals didn’t require a prescription. Everyone seemed to forget that pills were even an option to treat hair loss.

Oral Minoxidil Works, But Don’t Ask Anyone to Explain Why

Even today, doctors have yet to learn exactly why Minoxidil works. One hypothesis is that the medication increases oxygen and blood flow to the hair follicles. When that happens, the hair growth cycle’s anagen (growth) phase is prolonged and the telogen (resting) phase when your hair falls out is reduced. (01)

If you take the oral Minoxidil route, the odds of it working are favorable. In a study of over 19,000 people taking low doses of Minoxidil from .25 to 5 milligrams once or twice per day, 61 to 100 percent of participants saw significant improvement after taking oral Minoxidil. (02)

What’s also interesting is that oral Minoxidil may work when topical Minoxidil doesn’t. Here’s why. Many people have an enzyme called sulfotransferase. Sulfotransferase wakes up your hair follicles and activates Minoxidil. When people don’t have that enzyme in their hair follicles, they don’t respond to topical Minoxidil. However, those same people do have sulfotransferase in their livers, which means that people may respond to oral Minoxidil when they don’t respond to topical Minoxidil. (03)

Oral Minoxidil is Used to Treat Many Hair Loss Conditions

Dermatologists prescribe oral Minoxidil to treat various hair loss conditions, most commonly male and female pattern hair loss (androgenetic alopecia). Oral Minoxidil is also used for other types of non-scarring alopecia, including alopecia areata, traction alopecia, anagen effluvium, and severe telogen effluvium.

Here are the Reasons Why You May Want to Consider Oral Minoxidil

Why do people choose the oral route if topical Minoxidil is also an option? There are a few reasons. Topical Rogaine can sometimes contain propylene glycol, which can be irritating. Removing the ingredient can help, but people still sometimes develop a rash or an allergy. In this case, oral Minoxidil may be a better option. Pills are also an option if you’ve already tried topical Minoxidil for at least six months and the growth isn’t meeting expectations. Lastly, some people find that topical Minoxidil dries their hair changing the texture and causing breakage. Oral Minoxidil alleviates the issue.

1. Minimal Side Effects

Taking an oral medication designed for hypertension can seem scary. You don’t want to trade off one problem for another, especially when the issue you are trying to address is cosmetic. Not to worry. Minoxidil doses prescribed for hair loss are so low side effects are rare. Here’s what people have experienced:

Hypertrichosis – When oral Minoxidil makes your hair grow, it doesn’t distinguish between the hair on your head, body, or face. It can make all of your hair grow. Yes, it’s an annoying side effect, but it can easily be managed. Men usually aren’t as bothered as women, but hair removal (ironic, right?) and dosage adjustments are quick fixes if necessary.

Shedding – Yes, it’s true that just like topical Minoxidil, oral Minoxidil can also cause temporary shedding when first using the medicine. The reason why is that Minoxidil adjusts your hair’s growth cycle. If shedding occurs, it’s best to continue taking your oral Minoxidil as prescribed. Shedding usually happens within the first six weeks and resolves after four weeks.

Low Blood Pressure – Minoxidil is prescribed at much higher doses (10-40 milligrams) to control high blood pressure. Even though much lower doses are used to treat male and female pattern baldness, it is possible, yet not typical, for people to experience dizziness due to low blood pressure. If that happens, contact your dermatologist, who can adjust your dosage.

Other side effects may include swollen ankles, fluid retention, headaches, and a fast heart rate. Keep in mind that less than two percent of people using oral Minoxidil experience side effects, so the likelihood that you will have these or other symptoms are low. (04)

2. Keep Track of Your Blood Pressure and Heart Rate

Although it’s not likely that you will experience side effects from taking oral Minoxidil, some people do experience fluctuations in blood pressure, even at low doses. As a precaution, purchasing and using a home blood pressure monitor is a good idea. Take readings before you begin the medication and check again once each week. It’s a good idea to track the readings, keep a chart, and bring the results to appointments.

3. It’s Inexpensive

If you have health insurance with a prescription plan, oral Minoxidil is usually covered. If not, the retail cost is low. Depending upon where you fill your prescriptions, a 30-day supply of oral Minoxidil can cost less than seventy-five cents per pill.

4. It’s Easy to Take

Topical Minoxidil works well for many people without any issues. However, some people find that topical Minoxidil can cause irritation or be difficult to apply. Minoxidil works on the scalp, but the foam sometimes gets stuck in the hair. Liquids can be runny. Oral Minoxidil only requires one or two daily low-dose pills without any hassle or mess.

5. Low Doses are Available

As mentioned, the amount of Minoxidil necessary to treat male or female pattern baldness is significantly less than what’s required to treat high blood pressure. Whereas 20 to 40 milligrams are prescribed to treat hypertension, a range of .25 to 1.25 milligrams is often prescribed for androgenetic alopecia. If necessary, a 2.5-milligram tablet can easily be cut into quarters or halves with a pill cutter. Men sometimes take higher doses than women.

6. Can Be Combined with Other Hair Loss Medications

Always check with your doctor before combining medications, especially if you use other medicines that affect your blood pressure. That said, it’s generally safe to take oral Minoxidil with DHT blockers such Finasteride or Dutasteride like in our SuperCapsule™. Oral and topical medications can be combined as well. Research indicates that using Minoxidil and DHT blockers simultaneously leads to effective results. (05)

7. Take it Under a Doctor’s Care

You may not be aware of situations when it’s not safe to take oral Minoxidil. That’s why it’s important to have a doctor supervising your treatment protocol. You want to avoid aggravating drug allergies, liver conditions, adrenaline dysfunction, heart conditions, and other health issues.

8. It Isn’t a Quick Fix or a Hair Loss Cure

Like topical Minoxidil, oral Minoxidil is a long-term commitment. Once you stop taking Minoxidil pills, you can lose new hair growth. That’s why it’s important to use the medication under the supervision of a licensed dermatologist and be consistent.

9. Be Sure to Keep Your Follow-up Appointments

If you begin an oral Minoxidil protocol, it’s important that you follow up with your provider as he or she recommends. Initially, you may need to schedule appointments every three months. Once your dose is established and stable, you may only need to see your doctor every six months to a year.

Now that you know the benefits of oral Minoxidil, you may wonder if it’s right for you. That’s where we come in. Thanks to telemedicine, you can consult with one of our board-certified dermatologists without ever visiting an office or pharmacy. We’ll review your medical history and get a better understanding of the type of hair loss you’re experiencing. If oral Minoxidil is the way to go, we’ll ship your prescription in discreet packaging directly to your door.

Resources:

(01) https://www.aad.org/dw/dw-insights-and-inquiries/archive/2022/low-dose-oral-minoxidil-alopecia

(02) https://www.aad.org/dw/dw-insights-and-inquiries/archive/2022/low-dose-oral-minoxidil-alopecia

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691938/

(04) https://pubmed.ncbi.nlm.nih.gov/33639244/

(05) https://cosmoderma.org/combination-therapy-with-oral-minoxidil-and-dutasteride-in-the-treatment-of-male-patterned-baldness-a-case-report/

How to Talk to Your Partner About Hair Loss

Talking to your partner about hair loss can be tricky. What are you supposed to say? “Have you noticed that your hairline is receding?” After all, your significant other may be embarrassed, or be ignoring the issue. They may also fall into the category of people who genuinely don’t care about their appearances. Not to mention that you don’t accidentally want your partner to question whether or not you find them attractive. Aargh. Maybe you’re better off not saying anything?

Well, that depends on your approach. If you are supportive, raising the topic can be helpful. You can help your partner feel better, and you can also help give him or her the confidence needed to get treatment. Remember, it’s not what you say, but how you say it. Let’s talk about the best way to start the discussion.

Remember that Timing is Everything

Has your partner said anything about their hair loss? Made any jokes? If so, he or she is opening the floor to a conversation. Be careful not to raise the topic out of the blue or force the conversation. Doing so may make your partner feel awkward. You want to calm any insecurities rather than fuel them. What if they don’t give you an in? They just may not be ready to talk about it. Leave the topic alone for now and see if it comes up later.

Show Empathy

If you and your partner do discuss their hair loss, keep in mind that your partner may be feeling a whole array of emotions. Getting older, no longer being desirable, and fear of losing control over one’s body can go hand-in-hand with male pattern baldness, female pattern baldness, or other types of alopecia. Yes, these emotions are real and can be challenging to overcome. After all, hair is a big part of our physical identity. It’s not uncommon to refer to a person as the “guy with the blonde spiky hair” or the “woman with the long, dark, wavy hair.”

How can you approach the topic in a way that won’t diminish these feelings? Remember that compassion goes a long way. One way to do that is to acknowledge your partner’s grief. Let them know that you understand hair loss is upsetting and that you care. Avoid statements such as “maybe it will grow back” that invalidate their feelings. You may also want to ask whether your partner wants you to just listen or if he or she wants your input. Unsolicited advice may not be welcome.

Do Your Homework

If your partner does want advice, you’ll want to be prepared. Here are a few points that will be helpful to know. First of all, the most common reason why people lose their hair is typically due to androgenetic alopecia (male or female pattern baldness). It’s a genetic condition that occurs when a person’s body converts Testosterone to a substance called Dihydrotestosterone or DHT. DHT attacks the hair follicles, causing them to shrink and eventually close up. Existing hair sheds and new hair fails to grow. Many people don’t realize that androgenetic alopecia can be treated.

Minoxidil, known as Rogaine, is often used to keep hair follicles open. Finasteride or Dutasteride, DHT blockers, can be prescribed and used simultaneously. If your significant other is a guy and is concerned about sexual side effects, you can tell him not to worry. Pills are what can cause side effects. Topical formulas, which are just as effective, don’t carry the same risk profile. (01) Women don’t carry the same risk profile, although Finasteride and Dutasteride should only be used by women who aren’t pregnant or thinking about becoming pregnant.

Although male and female pattern baldness is the predominant type of alopecia that men and women experience, it’s not the only type. They can also experience temporary hair loss from illnesses or stressful events, alopecia areata, lichen planopilaris, and other types of alopecia. A trip to the dermatologist is the best way to find out for sure what kind of alopecia your partner has.

Offer Reassurance

Your partner may or may not decide to seek treatment for their hair loss. No matter where they stand on the topic, it’s important to let them know that their decision is okay with you. Self-confidence is what matters.

Build a Healthy Lifestyle

Does your partner eat right, exercise, or take any necessary supplements? If not, now is the time to make lifestyle changes that can promote healthier hair. Smoking, too much alcohol, poor diet, and stress all contribute to hair loss. As a couple, you have an automatic built-in support system to improve any bad habits. As a matter of fact, couples who quit smoking together are 5.83 times more likely to succeed than when only one partner quits. (02)

Lifestyle enhancements are more fun and longer-lasting when you make them together. Cooking, going for walks, and taking bike rides not only improve hair health but are also nice bonding opportunities. And, what’s more romantic than reading the back of protein powder labels together? Well maybe that one doesn’t top your list of date night activities, but it is a good learning opp for both of you. (If you aren’t familiar with the benefits of protein powder for hair loss, check out Dr. Ben Behnam’s segment on Gillian Lockitch’s Growing Older Living Younger podcast.)

Help Step Up Their Style Game

Some people are into fashion, and some aren’t. If your significant other is open to some subtle (or not so subtle) changes, this may be the time for a new hairstyle or a shopping trip. A good barber or hair stylist will know what styles best camouflage bald spots or make thinning hair look thicker. The right clothes can strategically direct attention away from hair. Not to mention that a fresh cut, jeans that fit just right, or a new dress can do wonders for a person’s confidence.

Be There When They’re Ready

It’s no secret that many people would rather be anywhere other than a doctor’s office. If your partner falls into this category, that’s okay. See if they would like you to accompany them to their appointment. If not, don’t feel slighted. It’s not you, they may just prefer to go solo. If he or she is really skittish, telemedicine may be a better option. They can consult with a board-certified dermatologist and hair specialist from the comfort of their own home. Prescription medications can now be prescribed through telemedicine, and orders can be delivered in discrete packages directly to their front door.

Hopefully, by now, you’ve learned that you don’t have to be a psychologist to help your partner deal with his or her hair loss. You just need to be a good listener and offer helpful advice when wanted. You have the opportunity to be the voice of reason. The initial shock will wear off over time and your partner will either accept their fate or fight it. Remember, Happy Head is here to help. Contact us if you’d like more information about male pattern hair loss or how to get the strongest prescription hair loss medications delivered directly to your door.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/34634163/#:~:text=Conclusion%3A%20Topical%20finasteride%20significantly%20improves,impact%20on%20serum%20DHT%20concentrations.

(02) https://cardiovascularbusiness.com/topics/clinical/vascular-endovascular/quitting-smoking-easier-couples-try-together#:~:text=At%20the%20end%20of%20the,partner%20was%20attempting%20to%20quit.

What Every Man Should Know About Male Pattern Baldness

Close your eyes and visualize a middle-aged guy. What do you see? Maybe a few distinguished worry lines? A slight bulge around the middle saying, “Hey, go back to the gym”? A receding hairline or a shaved head? Whoa, stop right there. Do all men go bald? Is that really your fate too?

While it’s true that data indicates over 50 percent of men have extensive hair loss by the age of 50, there are ways to avoid becoming part of that statistic. (01) There are many reasons why men go bald, and more effective treatments are available than ever before. If you’re a guy worried about losing your hair, read on. This one’s for you.

Why Do Men Go Bald?

If you find sacred strands of hair scattered in your sink every time you comb or brush, you may wonder why. Do you have a rare disease? Are you using your cell phone too much? Are there toxins in your water? Most likely not. The explanation is much simpler than you would think.

Most Guys Are Genetically Predisposed to Hair Loss

Genetics is the most common cause of hair loss among men. (02) If a family member on your mother or father’s side has experienced hair loss, you may have inherited a baldness gene that causes male pattern baldness. Let’s talk about what that means.

Male Pattern Baldness is a Type of Alopecia

Because of your genetic make-up, an enzyme called 5a reductase converts testosterone naturally found in your body to a substance called Dihyrotestosterone (DHT). DHT tells your hair follicles, “Hey, there’s an invasion. Close up shop and hunker down.” The hair follicles shrink, and healthy new hair can no longer grow.

What About Genetic Testing?

Are you thinking, “No problem, there’s genetic testing for just about everything these days, right?” If so, it’s true that genetic tests for androgenetic alopecia (aka male pattern baldness) exist. The only catch is that they aren’t quite perfected yet. So, what can you do if you think your hair loss has a genetic link?

First, consult with a licensed dermatologist who specializes in hair loss. If you’re anti-doctor and procedure-phobic, don’t stress. Male pattern baldness has specific hair loss patterns that allows diagnosis without any invasive testing. If it turns out male pattern baldness is causing thinning or recession, many treatment options are available.

Treatment Options for Male Pattern Baldness

The best way to treat male pattern baldness is to hit your scalp from different angles with various medications. One that you’ll want to consider is Rogaine. You’ve probably heard of it before. Rogaine liquid and foam is sold over the counter (OTC) to help open up your hair follicles. The generic version, Minoxidil, is sold by prescription in higher doses than what’s available OTC.

You’ll also want to use a prescription DHT blocker to prevent DHT from being produced in the first place. Finasteride and Dutasteride are the ones most commonly prescribed to men. Finasteride is effective in most men and is used as the first-line treatment. Dutasteride is a bit stronger and can be prescribed if Finasteride isn’t doing the trick. Retinol and cortisone are often added to the mix to improve absorption and prevent irritation.

Do Finasteride & Dutasteride Have Undesirable Side Effects?

Finasteride and Dutasteride are both prostate medications prescribed for men with male pattern baldness. Finasteride is FDA-approved and Dutasteride is used off-label. You may have heard friends or family members talking about the medicines. And, you may have rumors about some side effects like impotence that make you nervous.

Don’t worry, though. You don’t have to choose between your hair or your sex life. You can have both. If you’re thinking about taking oral Finasteride or Dutasteride, consider this. The percentage of men who experience side effects is really small. During Finasteride’s clinical trials, less than two percent of men taking the drug experienced side effects. (03)

If you’re worried about becoming one of the two percent, topical Finasteride or Dutasteride may be a good option. Topicals have been proven to be equally effective as oral DHT blockers (04) and don’t carry the same risk of side effects since they work at the scalp and aren’t systemic.

How do Topical Brands Compare?

It’s no great secret that the hair loss industry is booming. Prescription hair loss medications that used to only be available at a pharmacy are now available via telemedicine. Deciding which ones to use can be difficult. Are the formulas the same? Do the brands work differently? To help you answer those questions, Fin vs. Fin recently compared topical hair loss treatments based on active ingredients, ease of application, and price. Check out their review to see how industry leaders stack up.

Although Not as Common, Men Experience Alopecia for Other Reasons

Male pattern baldness accounts for most hair loss among men. However, other conditions can also cause alopecia. A small percentage of men experience alopecia due to autoimmune conditions. Alopecia areata is an autoimmune disease that causes small, round patches of hair loss. Lichen planopilaris can cause recession, smooth white patches, and an itching or burning sensation. It’s important to see your dermatologist for a diagnosis and treatment plan if you’re experiencing hair loss. If you have one of these conditions, early intervention is key to preserving your hair.

Thinning or Balding Can Be Temporary

When your body experiences sudden changes, temporary hair loss called telogen effluvium can occur. Covid, the flu, and having surgery can shock your body and cause hair in the resting state of your hair’s growth process to fall out all at once. Stress can cause the same effect. If continual conflicts at home or work burnout is an issue, finding ways to cope will help. You may also want to get your vitamin levels checked. Vitamin D and iron deficiencies can also lead to temporary hair loss.

So, let’s recap. Even if you are predisposed to balding, there are ways to preserve your hair. Get checked out by your dermatologist to determine the cause and know that treatments are available. If you need advice, we’re here to help. Happy Head has licensed dermatologists in every state who are available to answer your questions. We also offer tested hair growth pills, topicals, shampoo, conditioner, and supplements developed by hair loss specialists Dr. Ben and Sean Behnam.

Resources:

(01) https://pubmed.ncbi.nlm.nih.gov/9865198/

(02) https://pubmed.ncbi.nlm.nih.gov/16127116/

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

(04) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648777/

Men’s Hair Can Be Damaged and Dry Too. Here’s What You Can Do.

Men usually worry more about losing their hair than about if their hair is healthy. Women are generally the ones who stress over dry, damaged hair. After all, hair dryers, flat irons, bleaching, coloring, tight ponytails, and braids can take a toll. Most men are happy not to deal with all of that. Even so, it’s not ideal when men’s hair looks dried out or frizzy. Not to mention that hair that doesn’t look healthy sometimes isn’t. So, guys, let’s talk about your hair’s appearance and texture. We have some tips on how to improve your hair’s condition and what to do if you think there’s something causing damage that’s out of your control.

What Causes Men to Experience Dry Hair?

Before we talk about what you can do to repair your hair, let’s discuss the reasons why your hair may be dry or damaged. Let’s start understanding what happens when your hair gets dried out. Oils that keep your hair healthy are produced in your hair’s roots. There isn’t a source of natural lubrication. When your hair’s natural oil and moisture are lost, it also loses its smooth texture and shine. There are many reasons why this could happen. The most common reasons are aging, health conditions such as thyroid disease, and the effects of sun, wind, and other weather-related conditions. If your hair begins to thin due to male pattern baldness, your hair’s texture can also change. Thinner hair can become wavy, dry, and brittle.

How Does Men’s Hair Get Damaged?

Here’s what happens when your hair gets damaged. Each strand of your hair is protected by a cuticle, which is a protective layer. When your hair cuticles are healthy, they sit closely together and lock in moisture. The cuticle protects your hair from elements such as chlorine and sun exposure. However, those cuticles can peel away from your hair when they separate. Your hair can’t hold moisture or natural oils. Contrary to what many people believe, you cannot repair damaged hair. It’s not a living tissue and doesn’t have regenerative abilities. However, damaged hair that is cut can grow healthy cuticles.

How Guys Treat Dry or Damaged Hair

If your hair doesn’t look in tip-top shape, all is not lost. Here are some tips that can help:

Use the Right Shampoo

If a two-in-one is your go-to for the shower, you may want to rethink your shampoo. A good quality shampoo helps not only clean your hair, but will help balance your scalp’s chemistry. Shampoos include detergents, pH adjusters, preservatives, thickeners, scents, and additives. Harsh ingredients strip the oils out of your hair. If your hair is dry, you’ll want to avoid lauryl sulfates, sarcosinates, and other harsh ingredients known for deep cleaning. Instead, look for mild cleaning agents such as polyoxyethylene fatty alcohols, polyoxyethylene sorbitol esters alkanolamides, betaines, sultaines, and other gentle cleansers that also help make your hair more manageable. (01)

Remember the Conditioner

Skipping conditioner may save time, but it also means that you’re missing the opportunity to add moisture. Conditioning seals your hair’s cuticles to keep the moisture locked in between washes. Topical hair loss treatments such as Minoxidil or Finasteride may affect the texture of your hair, especially at the beginning when the medications first start working. A good conditioner can help by making your hair more shiny and manageable. Conditioners will often include ingredients such as hydrolyzed silk, animal protein, and glycerin. When selecting a conditioner, look for protein-derived substances. Protein works with the keratin in your hair to hold the cortex fragments together. Your split ends will mend temporarily until the next time you shampoo. (02)

Hair Masks Aren’t Just for Women

If you’re looking for a quick-fix to make your dry, brittle hair softer and more manageable, we’re going to share a secret weapon to treat your hair: hair masks. Yes, women are the ones who usually use hair masks. But, not only can men use them once or twice per week, they give short-term results that make your hair stronger, shinier, and tamer. Keep in mind that you should only apply a hair mask from the roots to the ends of your hair. Hair masks aren’t meant to be used on your scalp. The hair mask that you choose will depend on your hair’s texture. It’s helpful to look for keywords such as “fine” or “coarse” that match your hair type. Hair masks with all-natural ingredients and keywords such as “keratin” and “biotin” are good choices.

Visit Your Barber Regularly

Sure, it was probably fun having long Covid hair and not having to visit the barber every five weeks. However, if your hair is dry or damaged, it’s important to keep those appointments. Overgrown split ends make your hair look messy and frizzy. Not to mention that when men go too long between trims, they end up with an awkward, unflattering shape that’s tricky to camouflage. No matter how many styling products you use, your hair will still look unkempt.

Eat a Protein-rich Diet

If your hair is dry or damaged, make sure you’re eating plenty of protein. Protein will strengthen and repair the keratin in your hair strands. You’ll still need a trim to get rid of the damaged ends, but more protein and keratin means your hair will grow stronger. A lack of protein has actually been linked to hair loss. (03) When your body doesn’t get enough protein, your body will conserve what it has by shifting hair into a resting phase when your hair falls out. Good protein sources include eggs, chicken, shrimp, fatty fish, nuts, tofu, legumes, and cottage cheese.

Ask Your Dermatologist About Vitamins or Supplements

If your hair is dry or damaged and you aren’t sure why, it may be a good idea to have your vitamin, iron, thyroid, and other blood levels checked. Hyper and hypothyroidism can both cause dry, brittle hair. Low iron and other vitamin deficiencies can cause the same effect. Balancing your thyroid or supplementing with vitamins usually brings noticeable improvement.

Stop Using Harsh Coloring Products

If you color your hair and notice signs of damage, it’s a good idea to stop. In some cases, hair dye lifts the cuticle from the hair and changes the texture. The hair that’s been colored won’t return to its natural state. However, only the hair that has been dyed will be affected. New hair that grows from your scalp will have your original texture and sheen.

Don’t Wait to Get a Professional Opinion

By the time you notice that your hair’s texture and finish has changed, there’s a good chance that damage has already occurred. A visit to the dermatologist can help you understand why your hair doesn’t seem as smooth or manageable as before. Once you identify the culprit, you can start to get your hair back on the road to good health.

Sometimes men don’t realize that the change in their hair’s texture or appearance is due to male pattern baldness, telogen effluvium, or another type of alopecia that can be treated. If you aren’t sure why your hair’s texture or appearance has changed and want a professional opinion, we’re here to help. Simply fill out the questionnaire. One of our board-certified dermatologists will review your case and make recommendations on what you can do to get your hair back on track.

Resources:

(01) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458934/

(02) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458934/

(03) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315033/

Does Stress Cause Hair Loss?

People often joke around about how stress causes hair loss.

“I was so stressed I was losing my hair.”

“All these bills have me pulling out my hair.”

“This new job is making my hair fall out.”

But for many, stress causing hair loss is no laughing matter. So does stress really cause hair loss? Yes, stress can cause you to lose your hair. And when you’re trying to keep as much hair on your head as possible, managing stress becomes a top priority.

Stress: The Good and the Bad

When you feel your heart rate rise because you’re running late or you start to sweat during a work presentation, what you’re feeling is stress. This emotional and physical tension is part of the body’s natural response to potentially dangerous or new situations.

Known as the body’s stress response or the “fight-or-flight” response, stress can be positive. This emotion keeps you alert and driven, pushing the body to work harder and think faster. Stress works well for short periods, giving you enough energy to power through a challenging event. Long-term (chronic) stress, however, compromises your well-being – and may cause you to lose your hair. (01)

The Physiological and Psychological Effects of Chronic Stress

The stress response comes from your body’s autonomic nervous system, the same system responsible for your heart rate, vision changes, blood pressure, and breathing.

During a stressful situation, you may experience the following:

Increased heart rate
High blood pressure
Faster breathing
Sweating
Tremors

With chronic stress, you can see these additional symptoms:

Headache
Muscle tension or pain
Chest pain
Restlessness
Insomnia
Fatigue
Stomach upset

Chronic stress can lead to health problems like high blood pressure, skin conditions, obesity, and heart disease. (01)

Why Stress Causes Hair Loss

To understand why stress causes hair loss, you first need to know the basics of hair growth. Hair grows in a cyclical pattern, with new hair growth to replace older hair once it falls out. Every healthy strand of hair typically grows in three primary stages:

Anagen Phase
Catagen Phase
Telogen Phase

Anagen Phase

The anagen phase is also known as the “Growth Phase.” During this phase, a strand of hair grows from the hair follicle. As it grows, sebaceous glands condition and lubricates the hair. Hair grows at an average rate of six inches a year for most people. At any given time, about 80% of hair is in the anagen phase. This phase of rapid growth usually lasts about 2 to 8 years.

Catagen Phase

Unlike the anagen phase, the catagen phase lasts only briefly. The catagen phase lasts about ten days, though some people may have hair that remains in the catagen phase for up to 4 weeks. This phase accounts for about 1 to 2 percent of a person’s hair. It is at this point that growth stops, and the hair follicle shuts down to rest. (02)

Telogen Phase

Hair falls out of the follicle during the telogen phase. The telogen phase is aptly named the “resting phase” because the hair follicle shuts down for a short rest. During this phase, the follicles no longer supply nutrients, which causes the air to fall out.

The hair that’s lost is usually hairs that are at the very tail end of the telogen phase, called the exogen phase. Approximately 15% of hair is in the telogen phase at any given time. The scalp sheds an average of 100 hairs a day. With about 100,000 hair follicles on the scalp, the daily loss of 100 hairs is negligible. (03)

Hair Loss and Stress

Hair growth is determined by the stem cells within the follicles. Chronic stress affects the adrenal glands. A recent study published in the journal Nature–with support from the NIH’s National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), showed how the hormone corticosterone is impacted by the adrenal glands, which respond to stress. (04)

Stress increases corticosterone levels. Corticosterone prevents the stem cells within hair follicles from activating hair growth. Instead, hair follicles remain in an extended resting phase – in the telogen phase.

Telogen Effluvium

Telogen effluvium is the primary condition responsible for hair loss during stress. Stress can cause a greater than usual amount of hair to suddenly shift to the telogen phase all at once. During telogen effluvium, many strands stop growing, and hair follicles become dormant. Fortunately, hair typically regrows within 6 to 9 months. (05)

Signs of Telogen Effluvium

With telogen effluvium, hair loss is often abrupt. However, hair loss may begin only a few months after experiencing significant stress. Hair follicles prematurely enter the telogen phase, and the follicles may take up to 3 months to start regrowing hair.

Unlike other hair conditions, like alopecia areata, the hair loss pattern typically experienced by individuals with telogen effluvium is diffuse hair loss. In other diagnoses like female pattern hair loss or alopecia areata, hair falls off in a patchy pattern, or they may experience a widening of the hair part. In telogen effluvium, hair loss occurs throughout the head resulting in an overall thinning rather than bald spots. (05)

Other Hair Loss Conditions Caused by Stress

Telogen effluvium is the second most common type of hair loss for men and women, but it’s not the only hair loss condition due to stress. Chronic stress may also indirectly cause the following conditions:

Alopecia Areata

Although alopecia areata (AA) is an autoimmune disease, It results in hair loss. In alopecia areata, the immune system mistakenly targets hair follicles, causing patchy hair loss throughout the scalp. Stress may be a trigger for the immune sustain, resulting in further hair loss. There’s no cure for AA, but some prescription hair medications can help manage hair loss. (06)

Trichotillomania

During a bout of trichotillomania, known as “hair pulling disorder,” an individual may feel compelled to pull or tug at their hair. People with trichotillomania have episodes of the disorder during times of significant stress. Trichotillomania causes patches of bald areas where the hair pulling occurred. (07)

Does stress cause male pattern baldness?

Male pattern baldness, also known as androgenic alopecia, is not caused by stress. The condition is caused by genetics. Unlike telogen effluvium, androgenic alopecia is not temporary. With early treatment, however, individuals with androgenic alopecia can slow hair loss or regrow hair.

In general, hair loss can be caused by a variety of factors. Finding the reason for your hair loss is important in addressing the issue. Our Happy Head licensed, board-certified dermatologists can help you determine the best approach to your hair loss including a custom topical hair regrowth treatment that’s made for you. Our hair regrowth products are made for both men and women, so there’s a solution for everyone. Contact us to learn what Happy Head can do for you.

Resources:

(01) https://medlineplus.gov

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

(03) https://www.nejm.org

(04) https://www.nih.gov

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

(06) https://www.niams.nih.gov

(07) https://www.sciencedirect.com