This option is less popular compared with hair transplantation. It involves bringing hair-bearing skin closer together by removing the central scalp affected by the alopecia. Sometimes it is performed in conjunction with hair transplantation to optimize cosmetic outcomes. Disadvantages of this procedure increase with time and include diminishing efficacy due to the unpredictability of subsequent individual hair loss, increasing cosmetic visibility of excision scars, potential gradual widening of scars due to stretching of adjacent scalp skin, and the usual need for more than one scalp reduction to effectively address hair loss (Unger and Unger 2003).

At Hair Restoration Institute of DFW, we take great pride in providing all of our patients and clients with the latest advances in male and female hair loss treatment solutions, Medical Hair Transplants, Hair Loss prevention and Custom Hair Replacement solutions. Hair Restoration Institute of DFW is a recognized leader in multi-therapeutic hair replacement for men and women suffering from Alopecia, balding, and thinning hair.
5. Do a cold-water rinse at the end of each shower. "This really does help to grow hair and keep long hair healthy for longer," Townsend says. "Cold water lays down the outer layer of hair more smoothly, which helps prevent moisture loss, snags and heat damage — you only need to do it for a few seconds, but this one extra step over time can make a huge difference."
The only nonchemical option offered up by the dermatologists I spoke with — short of a surgical hair transplant or platelet-rich plasma therapy, which is like Kim Kardashian’s vampire facial but for your scalp — was the laser comb. First cleared by the FDA in 2009, the HairMax LaserComb is a handheld laser device that is designed to promote hair growth. As the manufacturer explains in a letter to the FDA, “The device provides distributed laser light to the scalp while the comb teeth simultaneously part the user’s hair to ensure the laser light reaches the user’s scalp,” which, in turn, stimulates the hair follicles.
That meant new products like Hims and Keeps were out. Hims and Keeps are relatively new companies that allow you to set up a subscription for hair loss treatments. Both offer finasteride (after an online consultation with a doctor) or 5 percent minoxidil. However, their minoxidil solutions contain propylene glycol, so we cut them from consideration.

You probably know this already, but any hairstylist will tell you the most obvious way to help your hair grow faster is to ditch your routine of hot tools. (Sad, we know.) I've personally halved the number of times I dry and style my hair per week and noticed a significant improvement in the length and health of my hair—and so many people have noticed and commented.


Examination of the scalp shows a widening of the central part with a diffuse reduction in hair density over the frontal scalp rather than baldness per se. Although these areas show the most marked reduction in hair density, there is usually some evidence of global reduction in hair density throughout the scalp. As a result, many women are not suitable for hair transplantation due to poor donor hair population on the occipital scalp (Olsen 1994) Typically the frontal hairline is preserved although some women also develop bitemporal recession. Bitemporal recession is usually mild, starting postpubertally, and may run a course independent of mid-frontal hair loss.
Without treatment, FPHL is a progressive condition; however, the rate of its progression is highly variable. Hair shedding is often episodic. Women commonly notice increased hair loss in the shower or in the brush each day for 2–3 months before the shedding returns to normal levels. 3–12 months may elapse before the shedding returns. The condition’s unpredictability and relentless progression contributes greatly to the mental distress of affected women.
Consuming omega fatty acids can help to improve your hair from the inside, since they are filled with nutrients and proteins. Taking an omega supplement along with antioxidants helps to improve hair density and diameter. It also reduces hair loss. Omega fatty acids help your cells to work correctly and can boost immunity, leading to better overall health. Follow the manufacturer’s recommended dosage.

5. Do a cold-water rinse at the end of each shower. "This really does help to grow hair and keep long hair healthy for longer," Townsend says. "Cold water lays down the outer layer of hair more smoothly, which helps prevent moisture loss, snags and heat damage — you only need to do it for a few seconds, but this one extra step over time can make a huge difference."

Minoxidil (Rogaine) is a nonprescription medication approved for male pattern baldness and alopecia areata. In a liquid or foam, it is rubbed into the scalp twice a day. Some people have an allergic reaction to the propylene glycol in the minoxidil solution and a minoxidil foam was developed without propylene glycol. Not all users will regrow hair. The longer the hair has stopped growing, the less likely minoxidil will regrow hair. Minoxidil is not effective for other causes of hair loss. Hair regrowth can take 1 to 6 months to begin. Treatment must be continued indefinitely. If the treatment is stopped, hair loss resumes. Any regrown hair and any hair susceptible to being lost, while Minoxidil was used, will be lost. Most frequent side effects are mild scalp irritation, allergic contact dermatitis, and unwanted hair in other parts of the body.[30]
Celebrity stylist Takisha Sturdivant-Drew swears by this drugstore gem, which results in hair that looks super-thick and full. "The biotin and collagen pump up the volume on fine hair and leaves all textures with a beautiful shine," she says. "Most of all, its ingredients brings brittle hair back to life with new growth." Dermatologist Rachel Nazarian, M.D., also recommends this shampoo to her clients. "In terms of  anti-inflammatory and strengthening shampoos, I recommend OGX, which is sulfate-free and less drying than many shampoos. The keratin proteins and argan oil strengthen the cuticle for stronger hair." That means less breakage.
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During the telogen or resting phase (also known as shedding phase) the follicle remains dormant for one to four months. Ten to fifteen percent of the hairs on one's head are in this phase of growth at any given time. In this phase the epidermal cells lining the follicle channel continue to grow as normal and may accumulate around the base of the hair, temporarily anchoring it in place and preserving the hair for its natural purpose without taxing the body's resources needed during the growth phase.
The histology of FPHL is indistinguishable for that seen in MPHL. While the role of androgens in the pathogenesis of MPHL has been clearly established, the role of androgens in FPHL is less clear. There are some women with FPHL who do not have elevated androgen levels and other androgen-independent mechanisms are likely to be involved in the development of FPHL (Orme et al 1999). This may explain why post-menopausal women respond to finasteride less well than men. The pattern of hair loss seen in women is materially different to men. Bitemporal recession is less pronounced and vertex bald spots are almost never seen.
Why? Unwanted hair growth (sideburns, for example) is a reported side effect of minoxidil. The belief is that a higher concentration of minoxidil would result in more unwanted hair, which is why women are instructed to use it less often. However, the study in Skin Therapy Letter reports that unwanted hair was more common in 2 percent minoxidil solutions than 5 percent, and women are instructed to use Rogaine’s 2 percent solution twice daily — so what gives?

3. Nutriceuticals. Rogers recommends that her patients try Viviscal Dietary Supplements ($50 for a one-month supply) or Nutrafol ($88 for a one-month supply), both of which can often be picked up in a salon. The former contains marine-based proteins meant to beef up thinning hair. The latter is packed with antioxidants, like ashwagandha and curcumin, and boasts impressive clinical results.
Alopecia areata is an autoimmune disorder also known as "spot baldness" that can result in hair loss ranging from just one location (Alopecia areata monolocularis) to every hair on the entire body (Alopecia areata universalis). Although thought to be caused by hair follicles becoming dormant, what triggers alopecia areata is not known. In most cases the condition corrects itself, but it can also spread to the entire scalp (alopecia totalis) or to the entire body (alopecia universalis).
The other main hair-loss treatment that was recommended by all four dermatologists I interviewed is finasteride, often called by its brand name Propecia. This FDA-approved medication is only available with a prescription, but these days, it’s found as a generic and ordered online after a virtual consultation, through start-ups like Hims, Keeps, and Lemonaid.
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