For as long as men have been fretting over their expanding foreheads, they've been scrounging for hair loss treatments. From hippo fat pomades to the urine of young foals, history is full of just-so-crazy-they-might-work concoctions. They didn’t work. And a quick Googling reveals that most of the products and services marketed today are only slightly less absurd.
Dull hair will be the next one on the list of common hair problems that are mentioned in this article. The dull hair will not only make you uncomfortable but also make you look older than your real age. Dull hair can be caused by chemical damage, heat styling damage, improper styling techniques, and sometimes environmental soils as well as stresses, which can roughen the hair’s cuticle.
Scalp reduction is the process is the decreasing of the area of bald skin on the head. In time, the skin on the head becomes flexible and stretched enough that some of it can be surgically removed. After the hairless scalp is removed, the space is closed with hair-covered scalp. Scalp reduction is generally done in combination with hair transplantation to provide a natural-looking hairline, especially those with extensive hair loss.
I always advise clients to allow freshly washed hair to air dry until half dry at least once a week. By blow drying for just 50% of the time, you reduce the impact of heat styling without compromise on finish. Small change big difference over a year. We say, “Go Low Low” – use low heat and low speed, it’s the best way to work with a curl to achieve definition and the best route to a frizz free finish on a sleek straight look. Pick a hair dryer that works harder for you too – beyond just drying. My Infrared PRO hairdryer dries from the inside out, so it locks in moisture to keep that glossy finish, while the speed at which it dries minimizes the disturbance to the follicle and thus keeps frizz at bay too.
Common types include: male-pattern hair loss, female-pattern hair loss, alopecia areata, and a thinning of hair known as telogen effluvium. The cause of male-pattern hair loss is a combination of genetics and male hormones, the cause of female pattern hair loss is unclear, the cause of alopecia areata is autoimmune, and the cause of telogen effluvium is typically a physically or psychologically stressful event. Telogen effluvium is very common following pregnancy.
2. Pyrithione zinc shampoo. Traditional volumizing shampoos will give the hair you have a lift so it looks fuller (we like the sulfate-free L’Oréal Paris EverPure Volume Shampoo, $8). But some research suggests shampoos with the antidandruff ingredient zinc pyrithione can mitigate hair loss that’s caused by conditions like dandruff, says Mirmirani. Try Head & Shoulders Deep Moisture Shampoo ($6), and use a conditioner without silicones — they can make hair appear limper, especially if it's applied near the roots (we like Love Beauty and Planet Coconut Water & Mimosa Flower Conditioner, $9).
Minoxidil (Rogaine): This topical medication is available over the counter, and no prescription is required. Men and women can use it. It works best on the crown, less on the frontal region. Minoxidil is available as a 2% solution, 4% solution, an extra-strength 5% solution, and a new foam or mousse preparation. Rogaine may grow a little hair, but it's better at holding onto what's still there. There are few side effects with Rogaine. The main problem with this treatment is the need to keep applying it once or twice daily, and most men get tired of it after a while. In addition, minoxidil tends to work less well on the front of the head, which is where baldness bothers most men. Inadvertent application to the face or neck skin can cause unwanted hair growth in those areas.
Has your doctor told you that your blood sugar levels are too high? Low thyroid is one potential cause of diabetes, and it may be your red flag to have your thyroid re-evaluated. When my doctor once mentioned that my blood sugar was at the high pre-diabetic level and suggested starting diabetes medication, I asked for 6 months to try replacing my regular multivitamin with this one Designs for Health Metabolic Synergy (created by a nationally prominent doctor specializing in blood sugar) and by my follow-up appointment my blood sugar was completely normal and diabetes medication was not needed (what a relief).
Women with androgenic alopecia may consider trying prescription ketoconazole at a strength of 2 percent. This drug comes in the form of a shampoo and also goes by the name Nizoral. It’s an antifungal agent and may help reduce the body’s production of testosterone and other androgens that lead to hair loss. You can also find 1 percent strength at your local pharmacy, but it may not be as effective.
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.
Congenital triangular alopecia – It is a triangular, or oval in some cases, shaped patch of hair loss in the temple area of the scalp that occurs mostly in young children. The affected area mainly contains vellus hair follicles or no hair follicles at all, but it does not expand. Its causes are unknown, and although it is a permanent condition, it does not have any other effect on the affected individuals.
Hair changes about as fast as grass grows, which is to say it’s extraordinarily slow and not visible to anyone checking impatiently in the mirror every day. But during regular follow-up appointments, Harklinikken uses high-tech equipment to photograph and magnify the scalp and count new hairs and active follicles, which motivates users to adhere to the regimen. Too many people give up on treatments like Rogaine and low-level-light devices before they’ve had a chance to work, Dr. Senna said.
Hair loss vitamins such as Biotin, Niacin (Vitamin B3) and Vitamin C, and minerals for hair loss such as Zinc and Iron, provide essential hair nutrients to nourish healthy and longer hair. Eating enough of these key hair growth vitamins can help prevent hair loss in both men and women. Although some causes of hair loss, such as chemotherapy, illness and medication, may only be moderately affected by a good hair loss diet, in many cases men and women can see great results after only 3-4 months eating more vitamins and minerals for hair growth.
There are two types of identification tests for female pattern baldness: the Ludwig Scale and the Savin Scale. Both track the progress of diffused thinning, which typically begins on the crown of the head behind the hairline, and becomes gradually more pronounced. For male pattern baldness, the Hamilton–Norwood scale tracks the progress of a receding hairline and/or a thinning crown, through to a horseshoe-shaped ring of hair around the head and on to total baldness.
Giovanni Mele, a stylist who owns Giovanni and Pileggi in Center City, said many women with thinning hair try to wear their hair long. He thinks they're much better off with short, pixie-like styles with light layering on top. He recommends that lighter-skinned women choose colors that are a little darker than blond or gray. He is a fan of a hair-thickening product made by Nioxin.
"This is an oral, prescription-only medication with the brand name Propecia that’s also FDA approved to treat hair loss," says Spencer. Male pattern hair loss occurs when a hormone called dihydrotestosterone (DHT) prevents hair follicles from getting the nutrients they need. Finasteride works by blocking the production of DHT, which protects the follicles.
“For hair loss, I routinely recommend multiple vitamins, and especially evening primrose oil. If there’s any sex pattern to it — if a woman is losing hair in partly a male pattern – -then, the problem is there is excessive conversion of testosterone to dihydrotestosterone (DHT) at the level of the hair follicle. Evening primrose oil is an inhibitor of that conversion. So almost anybody with hair loss probably will benefit from evening primrose oil.”
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.
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.
Contact immunotherapy. Another drug that can be administered for cases of alopecia areata is contact immunotherapy and is recommended for severe cases. Diphenylcyclopropenon (DPCP) is applied on the scalp every week, and the dosage of the drug is increased over time until a mild allergic reaction is observed, which signals that the drug is taking effect. Regrowth may be observed within three months from the beginning of treatment.
It’s become “trendy” to not wash your hair for several days; in fact, some believe it’s beneficial for the hair. While you shouldn’t over-wash your hair, under-washing—washing your hair once or twice a week—and camouflaging dirt and grime with dry shampoos isn’t good for your hair either. “Overuse of dry shampoos leads to clogged follicles, which, over time, can cause permanent damage leading to hair loss,” warns Halasz. “To prevent this from happening, try to wash your hair a minimum of every three to four days.” Learn all the tricks you need to know when using dry shampoo.
Hair loss can be caused by factors ranging from illness, medication, poor diet, hormones and over-styling. Any one of these causes can interfere with the hair growth cycle, and can prevent hair follicles from growing new hair. We lose on average 100-150 hairs per day, and hair grows at an average of ½ inch per month. But when you notice more extreme hair shedding or slowed hair growth than this, it could be a hair loss symptom. For women, your hair loss symptoms may be thinning hair or gradually more exposed scalp on the top of your head. For men, you may find a growing bald spot on top of your head. About 50% of people have some kind of hair loss by the age of 50. For hair loss symptoms due to aging or hormones, women’s loss tends to be temporary while men’s is most often permanent. But never fear, if men take action early and take supplements for hair growth like Viviscal Man, they can nourish thinning hair to prevent further hair loss symptoms.
Drinking warm water with lemon every morning and before meals has definitely helped increase my stomach acid. I drink it through a straw (I purchased an inexpensive set of stainless steel straws) to prevent damage to the enamel of my teeth. You can also try adding one or two tablespoons of Bragg Organic Unfiltered Apple Cider Vinegar with the ‘Mother’ mixed in water before meals.
One hard truth: Hair loss is mostly out of your control. “Baldness comes down to your genes,” says Frederick Joyce, M.D., founder of Rejuvenate! Med Spa and a member of the International Society for Hair Restoration Surgery. “If you have the baldness gene, there are some natural remedies that may make your hair stronger and healthier to slow your hair loss slightly—but they won’t prevent you from going bald. Still, maintaining hair health by eating well and using the right products—combined with medical-grade treatments—can really work all together to help you have a fuller, thicker head of hair.”
Other causes for hair loss or hair thinning can be stress, illness, poor diet, hormone imbalance or your body going into shock. Certain diseases and intensive medical treatment such as chemotherapy are also likely to result in hair loss, but it is best to consult your GP if you go bald at an alarmingly fast rate, especially if you have no family history of male pattern baldness.
There are few scientifically proven and FDA-approved treatments for hair loss. There are thousands of unproven claims and products to help with hair regrowth. Many conditioners, shampoos, vitamins, and other products claim to help hair grow in some unspecified way. Nioxin has been a popular brand of shampoo for hair loss, but there is no compelling evidence showing it is any more effective than regular shampoos. These products are usually harmless but generally not scientifically proven and therefore potentially useless. To slow down hair loss, there are at least four potentially effective, basic options. These include medications like Minoxidil, and Propecia, which are for long-term use. Stopping these drugs does not seem to worsen or exacerbate the prior hair loss. The patient will simply revert to the state he would have been in had he never started treatment.
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Egg mask. Eggs are one of the riches sources of protein, which is the building block of keratin, as well as other minerals like zinc, iron, selenium, phosphorous and iodine. Mix an egg white with a tablespoon of olive oil and honey to make a paste. Apply it on your hair and leave on for 20 minutes. Rinse and shampoo using cold water. You can apply this egg mask on your hair once a week.
And though this treatment appears to be safe and somewhat effective, it’s hard to tell who will react well to this low-level light therapy, which is why the doctors I spoke with were hesitant to fully endorse it. “We’re not sure what the optimal power is, what the optimal wavelength is, we don’t even really know the mechanism of action of how this is working,” says Rieder. Plus, it doesn’t work on everyone. “There are subpopulations of patients who do respond to low-level laser light, but this is not easily predictable,” explains McMichael, though she adds that the risk of using the LaserComb is low.
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.
Finasteride (Propecia) is used in male-pattern hair loss in a pill form, taken 1 milligram per day. It is not indicated for women and is not recommended in pregnant women. Treatment is effective starting within 6 weeks of treatment. Finasteride causes an increase in hair retention, the weight of hair, and some increase in regrowth. Side effects in about 2% of males, include decreased sex drive, erectile dysfunction, and ejaculatory dysfunction. Treatment should be continued as long as positive results occur. Once treatment is stopped, hair loss resumes.
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 loss doesn't happen fast, our strands grow in cycles, which means it can take up to 3 months for hair to fall out after a trigger has caused it. "If you notice excessive daily hair shedding for longer than 3 months, see a trichologist or your GP, there could be an underlying factor that needs to be addressed", Anabel advises. "Very importantly, try not to panic. Telogen effluvium (excessive shedding) is almost always self-eliminating and hair will start to grow back as usual once any internal imbalance is put right".
"Despite some of the claims, a shampoo or conditioner won’t be able to stop or slow hair loss, nor help with a receding hairline or thicken hair that’s becoming thinner," says trichologist Anabel Kingsley from The Philip Kingsley Trichology Clinic in London. "At best, a thickening shampoo will make hair temporarily thicker for a short period of time, but they certainly won’t help with hair loss or thinning."
While there is no catch, finasteride doesn’t completely cure male pattern baldness. Instead, it blocks the hormone linked to hair loss in men (DHT) and is only effective for as long as you take the medication. No matter how successful your treatment is and regardless of how much hair you’ve managed to grow back, if you stop taking finasteride abruptly, you’re not going to like the result. More often than not, the hair you grew back will fall out and the balding process as a whole will resume where it left off.
Certain foods have also been found to aggravate or worsen hair fall, such as sugar, which triggers the overproduction of the male hormone, androgen, which in turn causes the hair follicles to shrink in size and for hair to fall out or stop growing. Fish products that are known to contain high levels of mercury like tuna, mackerel and swordfish can also cause hair weakening and excessive hair fall. Studies have also found that fried foods are associated with the production of high levels of DHT.
I took a saliva test (where I took samples of my saliva at 4 different times over the course of one day) that tested my cortisol. Cortisol production varies throughout the day with levels normally highest in the morning and lowest in the evening before bed (did you know that too high cortisol at night can be a cause of insomnia!). The advantage of saliva testing is that it takes cortisol levels at different times of the day and lets you know how your cortisol levels vary during the day. My results showed that my cortisol levels were below normal throughout the day. I was obviously struggling with adrenal fatigue and I’m so fortunate to have discovered this.
Ms. Imhof, who lives in Land O’Lakes, Fla., was skeptical. The company’s before and after photos seemed too good to be true. But she went for a consultation and made the cut. (Harklinikken’s products are not available to anyone with autoimmune illnesses like alopecia or baldness from scarring, or anyone who is unlikely to see at least a 30 percent increase in growth.)
Androgenic alopecia. In this condition, hair loss begins at the crown of the head, the top and center, forming the popular horseshoe shape. Because hair thinning seems to follow a particular path, the condition is also commonly referred to as pattern baldness. It is more common among males than females, and is generally thought to be due to genetics/heredity and the natural aging process (about 40% of men start to have noticeable hair loss in their 30s and lose about 65% of hair by the time they reach 60.).
Periods of prolonged or severe illness can affect the hair. “As with extreme stress and extreme diets, this also comes down to the body preserving its energy balance and shutting down non-essential functions in order to battle the illness more effectively,” Berg says. “In fact, physicians have used an inspection of the fingernails and hair quality as part of standard examinations of overall health for many years. Changes in these features provide some clues about the length and severity of illness.” Other diseases, such as diabetes and lupus, can also cause hair loss. Check out these other things your hair can reveal about your health.
Just as pregnancy hormone changes can cause hair loss, so can switching or going off birth-control pills. This can also cause telogen effluvium, and it may be more likely if you have a family history of hair loss. The change in the hormonal balance that occurs at menopause may also have the same result. “The androgen (male hormone) receptors on the scalp becoming activated,” explains Mark Hammonds, MD, a dermatologist with Scott & White Clinic in Round Rock, Texas. “The hair follicles will miniaturize and then you start to lose more hair.”
Finasteride is available on private prescription in a tablet form. It prevents the hormone testosterone being converted to another hormone called dihydrotestosterone (DHT), which is known to shrink hair follicles. Blocking this action can help the hair follicles to return to their normal size. It usually takes three to six months of daily use to see an effect, and the process starts again if treatment is stopped.
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.
Gray hair will be one of the common hair problems that are mentioned in this article. It is normal for hair to turn gray when you get older. Dr. Anthony Oro at Stanford University stated that 50 % of the population has half of their hair getting gray in their 50s . However, this hair problem sometimes happens earlier in people’s 20s and becomes a big worry. These premature graying is proved due to the vitamin D3 deficient in the body, according to a study of Father Muller Medical College and Hospital in Indian . There are also plenty of factors that can trigger greying early such as malnutrition, using electric dryers, a hormonal imbalance, hypothyroidism and hyperthyroidism, pernicious anemia and concentrated hair dyes, chemotherapy, radiation, and genetic disorders. Some studies also point out that graying early can happen as the result of the lack of some copper, vitamin B, iodine, and iron in the daily diet as well as mental stress. Among these common hair problems, the early greying can be determined by genes, which means if your parents have premature graying, you should start to worry about it.
While you won’t find a miracle shampoo on the market, nioxin and some other products can help keep your scalp in tip-top shape to improve the look of any hairs you do have left on your head. In fact, feeding your hair with the proper nutrients both inside and out can make it appear healthier, so you might consider using products with natural herbs, such as rosemary and mint.
Beyond that, things get more controversial, with some doctors saying there's inadequate evidence for other treatments. Saxena thinks there is enough scientific evidence to support some of the alternatives and recommends them to patients. But they are not for women on tight budgets. There's Nutrafol, a "nutraceutical" that costs about $80 a month. Women can also get injections in the scalp of platelet-rich plasma made from their own blood. The first four treatments cost about $2,000 at Saxena's practice in Fort Washington or Lansdale. Maintenance injections, done every three to six months, cost $515 each. Women can also buy Theradome, a light-emitting helmet, for $895 online. Saxena, who has hair loss herself, said she has had the injections and currently uses minoxidil, spironolactone, and Nutrafol.
Propecia (finasteride) is a 5 alpha-reductase inhibitor. It works by inhibiting the conversion of testosterone into 5 alpha-dihydrotestosterone (DHT), a hormone that plays an important role in hair loss. Propecia is a prescription medicine and is only approved for use in men. There are other 5 alpha-reductase inhibitors on the market but Propecia is the only one approved for androgenetic alopecia.
Enriched with the goodness of natural ingredients such as henna, brahmi, baheda, fenugreek, jojoba oil, amla, bhringaraj, olive oil, wheat germ oil, sesame oil, this nourishing hair oil helps fight and prevent hair fall. It encourages new hair growth by stimulating the follicles, while also strengthening the hair, and reducing thinning with regular use. While on the pricier side, this oil is worth the money because of how effective it is.
All men and women will be affected by patterned hair loss at some stage in their lives. While the majority of men have developed temporal recession by their mid 20s and noticeable balding by their mid 50s, for most women, hair loss is mild and only occurs later in life. However, when hair loss is premature or severe, it can cause distress. A range of treatments is available to slow or reduce hair loss, and stimulate partial regrowth
Promote natural hair growth by eating a good hair loss diet. Here are five of the top foods for hair growth, including nuts (which contain omega-3 fatty acids, biotin, vitamin E and copper), oysters (rich in zinc), sweet potatoes (omega-3 fatty acids, magnesium, phosphorus, potassium, sodium, zinc, and vitamins A, B, C, K and E), eggs (a good source of protein, plus biotin, other B vitamins, zinc, selenium, sulfur and iron), and spinach (iron, beta-carotene, folate, vitamin A and vitamin C).