Doctors on Hair Loss & Hair Transplant surgery.

I am 27 and first noticed that i had hair loss about 24..My dad also has hair loss so its should be caused by genetic. About 1 year ago,i already had very little hair . I have been using Minoxidil 5 %, and Propecia, and it helps to control the hair loss but recently i realize that there is excessive hair loss even though i use it faithfully. I tried other ways of different treatment but i dun see any results. I recently saw this product “provillus’,its main ingredient is saw palmetto. It is said that it is similar to propecia but it doesn’t affect your sex drive ,Is this true? Can you please advise me on what other methods can i try,i recently just bought a laser set,do you think it will be useful?

Hair Loss is a multi-factorial problem. This is probably why some people respond well to DHT inhibitors such as Propecia and why others do not respond as well. Some people respond well to Minoxidil or Rogaine, while others do not. We recommend treating your hair loss with as many options as possible to cover as many potential causes of hair loss as possible.

You can purchase saw palmetto over the counter in a health food store and take the pills each day. Saw palmetto is a DHT blocker. We recommend you use this.

We also recommend you shampoo with Nizoral Shampoo at least once a week. Leave the product on for 5 minutes prior to rinsing. The product is a topical agent so it needs skin contact to do its job. We also recommend Hair Cycle shampoo and conditioner 4 to 5 times per week. Again, leave this product on 5 minutes prior to rinsing. Hair Cycle is an anagen stimulator so it will help you keep the hair in the growing phase longer. This should help you prolong the life of your hair. Hair Cycle is also healthier for your scalp since it lacks sodium laurel sulfate, which is the agent creating lather in most shampoos. This lather is the equivalent to engine degreaser and it is not healthy.

Other products you might consider include topical spironolactone.

The laser comb is expensive, but should help. We are working on a less expensive model.

You might find that decreasing the dosage of your Propecia to three times a week on Monday, Wednesday, and Friday has less of an affect on your sex drive.

Please note that Rogaine Foam is a new version of topical minoxidil and seems to produce less skin irritation. It also is better absorbed and does not leave your hair oily or greasy the way most minoxidil solutions do.

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I see on your website that you offer a Hairdx test, what is it and how is it helpful to prevent hair loss?

Hairdx is a genetic marker test to determine your risk for hair loss and to determine whether you might not loose your hair. The test evaluates a specific marker on the X chromosome. As you know, the X chromosome arises from the mother of the male. The marker is on the androgen receptor gene located on the X chromosome. Men who carry this gene variant are at a 60% risk of loosing their hair by age 40. Men with the less common genetic variant have a greater than 85% probability of not going bald before age 40. Ninety-five percent of bald men have the high risk androgen receptor variant.

It is known, however that androgenetic hair loss is polygenic in inheritance. One receives genes from both the mother and the father and it is felt that hair loss is not sex linked. This means that you can receive the risk for hair loss from either the mother or the father, but the specifics are still poorly understood. To date there are 4 major genes that determine your risk for hair loss, age of onset, eventual hair loss pattern, and rate of hair loss progression.

This test is only a prediction of future hair loss. It does not rule in or rule out the probability of future hair loss entirely. If you test positive, you should be evaluated for other signs of hair loss. These include miniaturization of the hair follicles and loss of hair shaft pigment. If you show signs at any point after testing positive for the marker, you might want to consider medical therapy such as Propecia or Minoxidil. You might also want to begin using Haircycle shampoo and conditioner to prolong the anagen duration, which is known to slow down the rate of hair loss progression. Instituting medical therapy at an earlier stage in life may limit the rate of your progression and the ultimate degree of loss you will suffer from.

We are happy to send a test kit to you if you like. The cost of the test is 149.00. This is the first diagnostic test to help you determine if hair loss may be in your future.

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what is the best possible treatment for baldness for a 23 years young male?

The best treatment for a 23 year old male with hair loss will vary somewhat depending on the degree of hair loss at this young age. If you have an advanced degree of hair loss, surgical solutions should not be considered. The reason for this is simply that hair loss is a lifelong process. Once it begins, it will continue the remainder of one’s life. Typically it will advance in stages. This means there will be periods when the loss is stable and periods when the loss accelerates quite rapidly. An advanced degree of loss usually means that one will lose an excessive amount of hair over their life time beyond the capacity of the donor area to keep up with the pace of loss. Eventually there will be a mismatch between supply and demand. This can result in an unnatural result later in life. One should avoid crown work when possible at this age or at least minimize the size of the grafts to one and two hair grafts that will appear more natural as the surrounding hair is lost later in life.

For the advanced degree of loss at an early age, medical and other non-surgical solutions would be the best options. These include DHT blockers such as Propecia and Avodart. It also includes minoxidil (Rogaine) along with Nizoral shampoo. We like Hair Cycle shampoo and conditioner too. One might also consider a hair piece.

Less aggressive degrees of loss should also be treated medically, but one might also consider a surgical solution. The surgical solution should never include a strip procedure. Rather one should have FUE or FIT when they are less than 30 years of age. It used to be that the only surgical option was a strip surgery that left a permanent strip scar. Today, this is not the case. Alternatives that avoid strip scars are available today and a much safer surgical solution.

It is a good idea to put off surgery as long as possible when you are young. The longer you wait, the more likely you are to know the bald pattern you are likely to develop into. In addition, you may find that you panicked as a 23 year old and solved the problem surgically. As men mature, sometimes they become comfortable with their hair loss. Once you begin surgery, you increase the probability that you may require additional procedures as you mature and your hair loss progresses. If you are certain that you want to maximize the hair on your head and you are not expected to have an advanced degree of loss, then surgery may be an option for you, however.

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