The best fix by far for replacing lost hair is a transplant. Back in the day, docs used plugs that resembled cornrows (definitely not natural looking). Today, guys have more options. You can go for “the strip method” where a doctor surgically removes a strip of hair from the back of your head, dissects every hair graft under a microscope, and then plants the individual grafts onto hair-thin areas of your scalp with tiny incisions.
Hair thinning and hair loss are often wrongly thought to only affect men, but in reality both sexes can suffer from the condition. It’s perfectly normal to lose 50-100 strands of hair per day, even 250 on a day when you wash your hair. For some people though, thinning hair can be a real problem. It can happen very gradually or suddenly and it can be a result of a range of conditions, such as stress, genetics, medical treatment or childbirth.
There are numerous ways to categorize hair loss. One must first examine the scalp to determine if the hair loss is due to the physical destruction and loss of hair follicles (scarring or cicatricial alopecia). If the scalp appears perfectly normal with plenty of empty hair follicles, this is called non-scarring hair loss. On the other hand, cicatricial alopecia permanently destroys the follicles. Non-scarring hair loss also happens in situations where there is physical or chemical damage to the hair shaft, resulting in breakage. Occasionally, it may be necessary to do a biopsy of the scalp to distinguish these conditions. Sometimes, a physician may pull a hair to examine the appearance of the hair shaft as well as the percentage of growing hairs (anagen phase). This article will concentrate on the non-scarring types of hair loss.
Fenugreek. Fenugreek seeds have been found to help in treating hair fall and hair loss. They contain hormones and protein that rebuild the follicles and stimulate growth of hair. Soak a cup of fenugreek seeds in water overnight. Grind it to a paste and apply on your hair. Cover your hair with a shower cap and let it stay for 40 minutes, and then rinse. You can do this every day for a month.
Involutional alopecia. This one is less of a medical condition (it's not caused by a disease or genetics) and is more concerned with the hair growth cycle. Also called telogen effluvium, this condition is marked by a long dormant phase of telogen than growth or anagen. This type of hair loss is the second most common next to pattern baldness but is also the most unpredictable and difficult to pinpoint its cause. Studies have shown that the dormancy phase in the hair growth cycle is related to a range of factors, including hormonal imbalances, pregnancy in women, stress, diet, etc.
Male pattern baldness is the most common type of hair loss, affecting 6.5 million men in the UK, according to the NHS Choices website. For some men the process can start as early as their 20s and by the age of 60 most men have some degree of hair loss, although in some cases this can just be a part of the ageing process as opposed to a hereditary condition. Male pattern baldness is not a disease or illness and it doesn't affect your health. However, if you have hair loss that doesn't follow this pattern, for example your hair is falling out in clumps and leaving patches, then you should talk to your GP.
Tissue expansion. In this procedure, a material called a tissue expander is inserted under portions of the scalp with hair. Saline water is injected for six to eight weeks in order to expand or stretch this portion of hair-bearing skin. The bags are eventually removed and the expanded hair-bearing skin is cut away and moved to the adjacent bald area. This is typically used to address hair loss as a result of burns or injuries on the scalp.

Some hair loss treatments can cause side effects. Regaine for women can cause headache, skin irritation and changes in the colour or texture of your hair. It is normal to notice increased shedding during the first two weeks of treatment with Regaine. This indicates that the treatment is working. If you find that you are shedding an unusual amount of hair after the first 14 days of treatment, stop using Regaine and ask your doctor for advice.
Another type of baldness that goes with hair styling can be permanent: Wearing your hair in a style that pulls too tightly can cause something called traction alopecia. Traction alopecia can permanently damage the hair follicles if you wear a style that pulls on your hair for a long time. if you are getting your hair styled and it hurts, ask the stylist to redo it so that it is no longer painful. Pain is a sign of too much traction on the hair.

While diet alone won’t save your hair, there may be some truth to the old adage that you are what you eat. “You’re not going to have the healthiest hair if you’re living off doughnuts, because being nutrient-deficient weakens strands and makes them more prone to breakage,” says Denise Kernan, owner of DK Hair Techs, Inc., a member of the International Society for Hair Restoration Surgery, and a hair transplant technician who has worked on everyone from senators to sports stars to actors to mafia guys (she won’t name names to protect the privacy of her clients).

Hair may be all about vanity but hair conditions, such as hair loss and balding may have emotional, mental and psychological repercussions: insecurity, the loss of self-confidence, humiliation or embarrassment, self-imposed isolation out of fear of what people might think of how we look with that missing part of ourselves. Hair issues are more than vanity.
Alopecia mucinosa - also known as follicular mucinosis is an autoimmune disorder. It causes inflammation of the hair follicles which can result in scarring or non-scarring hair loss. This condition can affect any part of the body and can affect both children and adults. If treated early, the hair will grow back. If the condition is too severe, the hair will not grow back.
Minoxidil: This medicine is applied to the scalp. It can stop hairs from getting thinner and stimulate hair growth on the top of the scalp. The U.S. Food and Drug Administration (FDA) has approved minoxidil to treat hair loss. It is the only hair re-growth product approved for men and women. A dermatologist may combine minoxidil with another treatment.
Central centrifugal cicatricial (scarring) alopecia: This type of hair loss occurs most often in women of African descent. It begins in the center of the scalp. As it progresses, the hair loss radiates out from the center of the scalp. The affected scalp becomes smooth and shiny. The hair loss can be very slow or rapid. When hair loss occurs quickly, the person may have tingling, burning, pain, or itching on the scalp. Treatment may help the hair re-grow if scarring has not occurred.
Laser treatments. Low-level laser therapy (LLLT) is used for the prevention and reversal of hair loss. Also known as red light therapy, cold laser, and soft laser, it is a form of light/heat treatment (therefore generally safer) that is used on cases of pattern baldness and alopecia areata. The procedure uses a device that emits light that penetrates into the scalp. The more commonly used lasers are the excimer, helium-neon and fractional erbium-glass. The procedure can increase the blood flow in the scalp to stimulate the follicles that are in resting or dormant phase to go into anagen, and at the same time, prevent the production of DHT, which destroys the hair follicles.
"My hair began to thin when I was 28 years old. Now I am 44 and the top of my head is bald. Recently, I considered using medicine to treat my hair loss and see if any hair would regrow. After reading the literature and talking to my doctor, I decided not to take medicine because it is unlikely to make a huge difference in my hair—and I don't want to take medicine forever!"
Generally, hair problems, especially hair thinning and hair loss, occur around the anagen phase or the resting phase. As we age, the length of the anagen phase also decreases as the hair follicles receive less and less nourishment from the body. The result is hair that is weaker and thinner after every cycle. In some cases, the hair enters the resting phase too early (or the catagen phase is too short) and this is when excessive shedding also happens.
While trauma can come on suddenly and unexpectedly, you may be able to help manage ongoing stress in your life with exercise, like yoga, or mindfulness techniques, like meditation. Some researchers are even exploring these alternative healing modalities in relation to reversing hair loss. The idea is that yoga and meditation may help regulate blood sugar and enhance circulation, promoting regrowth.

NATURAL INGREDIENTS BACKED BY SCIENCE: We all know how biotin alone can do wonders for your hair, but most aren't aware that it also interacts incredibly well with other ingredients to boost its effectiveness. Our team of experts has formulated a natural, synergistic blend that combines several essential vitamins, minerals, and amino acids that work in conjunction to create a truly superior blend for maximum results.


Rogaine’s foam squirts out just like hair mousse and is applied with “cool, dry hands.” Applying means working the foam down to the scalp where you want to see thicker growth — for it to work, “it has to get into your scalp,” Dr. Wolfeld explains. “If it sits on your hair, it’s not really as effective.” Once massaged, it dissolves into a watery liquid that leaves a tingly sensation, “but no burning!” one of our balding testers was happy to discover.
Post surgery care is important if you've undergone a hair transplant or surgery. Expect some swelling of the face and on the scalp a couple of days after the procedure. To fast track hair growth, you may be asked to use Minoxidil or Finasteride. Saline is applied on the grafts for a few days, while you will be prescribed to use a diluted shampoo that is softer and less harsh on the scalp. Hair growth in the transplanted areas becomes visible in three - six months.

Men’s Rogaine Extra Strength Solution is the liquid version of our top pick. It didn’t make our final cut because it includes propylene glycol, which causes irritation in roughly one-third of its users. With that said, Dr. Wolfeld finds that it can be even more effective in practical daily use. In his experience, “the solution can penetrate and get into your scalp a little bit better” than the foam — especially if you’re not taking the time and effort to apply the foam correctly. This seems crazy to us since the foam so quickly dissolved into a liquid in our tests, but if you’re worried, try a one-month supply of the liquid and make the switch to foam if you notice any irritation.


Minoxidil (Rogaine) is available over the counter and available in 2%, 4%, and 5% concentrations. It may be something of a nuisance to apply twice daily, but it has been shown to help conserve hair and may even grow some. Minoxidil tends to grow very fine small hairs wherever it is applied. It is important to avoid running the liquid onto the face or neck where it can also grow hair. It is marketed for women at the 2% concentration but may be used in higher strengths as directed by a doctor.
Coconut milk / coconut oil. Coconut milk/oil, like aloe vera, is one of the oldest and most common natural ingredients for promoting hair growth and growing healthy, shiny hair. Coconut is rich in protein, iron and other minerals that promote healthy hair and prevent breakage. Apply the coconut milk/oil on your bald spots or all over the scalp, and leave it on overnight. Rinse the next day with cool water. You can do this every time you wash your hair.
This herbal hair oil contains natural ingredients like neem, bhringraj, til oil, amalaki, japa, patola, dhattura, and narikel, which are known to help arrest hair fall. It helps strengthen and nourish the roots while also promoting new hair growth. The Trichup Hair Fall Control Oil protects hair from damage caused by chemical treatments, pollution, and styling. It improves hair texture and overall hair health.
In mainstream medicine, Levothyroxine drugs are the gold standard for the treatment of hypothyroidism. While these drugs work for some people, they fail for others. Levothyroxine drugs contain T4 thyroid hormone only. Our bodies are supposed to convert that T4 thyroid hormone to the active T3 hormone our cells need. For some of us our bodies don’t convert T4 to T3 properly, leaving us symptomatic. This is why many of us do better on a combination of T4 and T3 thyroid hormone replacement treatment.
Harsh hairstyles or treatments: Hairstyles that consistently use rubber bands, rollers or barrettes, or pull hair into tight styles such as cornrows, can inflame and scar hair follicles. So can incorrectly used chemical products such as dyes, bleaches, straighteners or permanent wave solutions. Depending on the degree of damage, resulting hair loss can be permanent.

If your hair loss is related to male-pattern and also female-pattern baldness, it is quite more difficult because the hair will not grow back in your scalps on its own. You may need to apply medications such as Minoxidil (Rogaine) that are suitable for both sexes and Finasteride that can be available for men to speed up the hair growth. Injectable cortisone can also help in some certain condition. Hair transplant is another permanent hair-replacement solution that you can try to deal with the pattern baldness.

Acupuncture is a form of Chinese medicine that has been practiced for thousands of years. Its applications are many, and some researchers believe that it may help with hair loss from alopecia areata. How? The needles inserted into the scalp may help stimulate hair follicles and promote regrowth. More research needs to be done in this area, but consider asking your doctor for a referral to a licensed acupuncturist if this treatment sounds appealing to you. (Learn more about acupuncture for hair loss.)

This refers to the habitual pulling or twisting of one's own hair. The scalp and eyelashes are often affected. Unlike alopecia areata patches, which are perfectly smooth, hair patches in trichotillomania show broken-off hairs. Treatment is often entirely behavioral. One has to notice the behavior and then consciously stop. Severe or resistant cases may require stress counseling with a therapist or psychologist or medical treatment with a psychiatrist. Several antidepressant or anti-anxiety medications can help with this condition.

Coconut milk / coconut oil. Coconut milk/oil, like aloe vera, is one of the oldest and most common natural ingredients for promoting hair growth and growing healthy, shiny hair. Coconut is rich in protein, iron and other minerals that promote healthy hair and prevent breakage. Apply the coconut milk/oil on your bald spots or all over the scalp, and leave it on overnight. Rinse the next day with cool water. You can do this every time you wash your hair.


The scalp contains a natural oil called sebum, which helps keep the skin lubricated. Sebum is produced by the sebaceous glands. Sometimes these glands work overtime and produce too much oil, leading to a greasy scalp. Greasy hair can look dull, limp, and lifeless, and it may be more difficult to manage. To treat greasy hair, try washing with a gentle shampoo that is specially formulated to control sebum.
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Losing your hair in the typical male pattern (where your hairline starts receding before getting thinner at the crown and the temples) is very common. When these two areas meet, it leaves hair at the sides and the back – in a horseshoe pattern. Eventually some men may go completely bald, while others might keep their hair around the back and sides (although some choose to shave these areas off anyway ).

3. Surgical hair replacement. If you opt for hair transplantation (which runs $5,000 and up), your dermatologist or hair-replacement surgeon will remove single hair follicles from the back of the head, near the nape of the neck, where your hair is fullest. Once those follicles are harvested, they are then dissected and reimplanted into an area of the scalp where hair is thinning. The procedure takes anywhere from three to six hours, and newly implanted hair will usually begin to grow on its own 3 to 12 months after the treatment session. Traditionally, hair transplantation required removal of an entire strip of scalp, Sadick says, but this new follicle-by-follicle technique looks more natural when it heals and allows patients to get heads of hair as dense-looking as before they started losing it.
What’s got less evidence supporting its efficacy are the hair-growth shampoos that claim to block DHT (like those sold by Hims in their Rx Hair Kit). Rieder is skeptical that you’re going to see any tangible benefits by rubbing DHT blockers into your scalp. “I find it very difficult to believe that something that’s applied to the scalp and rinsed off is going to have any appreciable effect.” All four doctors also shut down any suggestions that hair-growth supplements or vitamins, like biotin, could help promote hair growth or stop hair loss — though a couple hypothesized that vitamins or supplements could lead to hair regrowth if your hair loss was a result of a nutritional deficiency. But otherwise, if you’re dealing with regular old male-pattern baldness, “There is no such thing as a ‘hair vitamin,’” says McMichael.
A good daily multivitamin containing zinc, vitamin B, folate, iron, and calcium is a reasonable choice, although there is no good evidence that vitamins have any meaningful benefit in alopecia. Newer studies suggest that vitamin D may be somewhat helpful and worth considering. Specific vitamin and mineral deficiencies like iron or vitamin B12 may be diagnosed by blood tests and treated.
Women lose hair on an inherited (genetic) basis, too, but female pattern hair loss tends to be more diffuse, with less likelihood of the crown and frontal hairline being lost. Although some women may notice hair thinning as early as their 20s, the pace of hair loss tends to be gradual, often taking years to become obvious to others. There seems to be a normal physiologic thinning that comes with age and occurs in many women in their early to mid-30s. More women have underlying causes of hair loss than men. These include treatable conditions like anemia and thyroid disease and polycystic ovary syndrome (PCOS). These conditions are diagnosed by blood tests along with a historical and physical evidence. Although a few studies have suggested that baldness may be inherited through the mother's family genes, these theories require further testing. Current studies are inconclusive. Although not indicated for female pattern balding, spironolactone (Aldactone) has had some success in treating this condition.

The cause of female-pattern hair loss is unknown, but doctors said there is a strong genetic component. The risk can come from male or female relatives. Though it looks as if the hair is falling out, that's not really what's happening. Cotsarelis said hair follicles are becoming smaller and producing hairs that may be so small that you can't see them.  Women tend to retain more normal, thick hairs than balding men do.

If you do decide to start treatment to save your hair, a good place to start is with minoxidil, more commonly known as Rogaine. Don’t expect this hair-loss treatment to create luscious locks; minoxidil is better at slowing down or preventing more loss rather than promoting hair growth. But, according to Dr. Amy McMichael, professor and chair of Wake Forest Baptist Medical Center’s Department of Dermatology, it is effective “if used as recommended, with evidence of improvement seen around six to nine months.” Simply massage the foam or solution into your scalp once or twice daily, and for best results, use a formula with 5 percent concentration.
Hair transplantation is usually carried out under local anaesthetic. A surgeon will move healthy hair from the back and sides of the head to areas of thinning. The procedure can take between four and eight hours, and additional sessions can be carried out to make hair even thicker. Transplanted hair falls out within a few weeks, but regrows permanently within months. Hair transplants, takes tiny plugs of skin, each which contains a few hairs, and implants the plugs into bald sections. The plugs are generally taken from the back or sides of the scalp. Several transplant sessions may be necessary.[33]
Trichotillomania (pronounced: trik-o-til-uh-MAY-nee-uh). Trichotillomania is a psychological disorder in which people repeatedly pull their hair out, often leaving bald patches. That can leave areas of baldness and damaged hairs of different lengths. People with trichotillomania usually need help from a therapist or other mental health professional before they can stop pulling their hair out.
Laser treatments. Low-level laser therapy (LLLT) is used for the prevention and reversal of hair loss. Also known as red light therapy, cold laser, and soft laser, it is a form of light/heat treatment (therefore generally safer) that is used on cases of pattern baldness and alopecia areata. The procedure uses a device that emits light that penetrates into the scalp. The more commonly used lasers are the excimer, helium-neon and fractional erbium-glass. The procedure can increase the blood flow in the scalp to stimulate the follicles that are in resting or dormant phase to go into anagen, and at the same time, prevent the production of DHT, which destroys the hair follicles.
A little farther up the follicle is the mysterious feature called the bulge. That's where follicle stem cells live. When they get the right set of chemical signals, these self-renewing cells divide. They don't divide like normal cells, in which both halves become new cells that keep splitting and developing. Only one half of the follicle stem cell does that. The other half becomes a new stem cell, and stays put for future regeneration.
"I recommend that everyone [with any hair loss] take finasteride," says Robert M. Bernstein, MD. Bernstein is associate clinical professor of dermatology at Columbia University and founder of the Bernstein Medical Center for Hair Restoration. "To patients who are younger,” he says, “I also recommend minoxidil. But the mainstay is finasteride. The data show that, over five years, it significantly retards hair loss in 85% of users." 

Minoxidil (Rogaine). This is an over-the-counter (nonprescription) medication approved for men and women. It comes as a liquid or foam that you rub into your scalp daily. Wash your hands after application. At first it may cause you to shed hair as hair follicles. New hair may be shorter and thinner than previous hair. At least six months of treatment is required to prevent further hair loss and to start hair regrowth. You need to keep applying the medication to retain benefits.

It can be proven that Follixin truly is a revolutionary hair loss product simply by looking at the results of clinical trials or the opinions from tablets’ users who took them on a daily basis. Follixin rejuvenates clogged pores and widens the hair follicles, strengthens them at their root and thickens the sheath of each hair follicle. As a result the tablets restore previously lost hair and protect existing hair internally.

Jenn Sinrich is an experienced digital and social editor in New York City. She's written for several publications including SELF, Women's Health, Fitness, Parents, American Baby, Ladies' Home Journal and more.She covers various topics from health, fitness and food to pregnancy and parenting. In addition to writing, Jenn also volunteers with Ed2010, serving as the deputy director to Ed's Buddy System, a program that pairs recent graduates with young editors to give them a guide to the publishing industry and to navigating New York.When she's not busy writing, editing or reading, she's enjoying and discovering the city she's always dreamed of living in with her loving fiancé, Dan, and two feline friends, Janis and Jimi.
Finally, if these tests come back normal, your dermatologist may suggest a scalp biopsy of a couple of two-millimeter sections taken from your scalp under local anesthesia ($400 and up). It can determine whether genetic hair loss, telogen effluvium (a condition in which hair falls out from stress or rapid weight gain), or a disease (such as lupus) is the cause of your shedding, and your dermatologist can treat you accordingly.
Observe proper hair care practices. The right hair care practices promote a healthy hair growth at the same time as it reduces and prevents hair damage such as breakage. Washing your hair with a mild, preferably natural, shampoo and conditioner with biotin should be an important part of your hair care routine. Go for cool showers instead because hot water can dehydrate your hair strands and lead to dry, thin hair that is easy to break. Lower temperature can help lock in moisture. Limit the use of the blow-dryer.
One is how much emphasis the company places on compliance, the major stumbling block in the efficacy of any treatment, said Dr. Senna, an author of studies on the subject. Prospective users are questioned about their ability to stick to a regimen because the extract must be applied every day, and they are told that the more conscientious they are, the better. Users are also reminded and encouraged with regular check-ins.
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