During this procedure, surgeons remove a narrow strip of scalp and divide it into hundreds of tiny grafts, each containing just a few hairs. Each graft is planted in a slit in the scalp created by a blade or needle in the area of missing hair. Hair grows naturally this way, in small clusters of one to four follicles, called follicular units. As a result, the graft looks better than the larger "plugs" associated with hair transplants of yesteryear.
Both minoxidil and finasteride require a lifelong commitment, but for users looking for a treatment with permanent results, hair transplant surgery may be the solution. Over the years, surgeons have developed techniques to deliver natural-looking results that are a far cry from early hair transplants, which had a cornrow-like appearance. These procedures are costly and may require multiple sessions depending on the patient.
I agree everyone should at least try Finasteride to see if they experience side effects, personally I tried it and it gave me side effects even taking 1/4th of a pill, I also tried avodart and wow that REALLY gave me side effects, it gave me retrograde ejaculation, some ppl are just sensitive to androgen suppressors, if you are then your best bet is to stay away from anything that suppresses your androgens, your hair loss may suffer from this though. Currently I’m on lipogaine and Nizoral, I throw in Emu Oil too, I’m going to give the dermaroller a chance. You can still fight hairloss without Finasteride, give it a chance if you experience sides come off of it immediately, weigh the pros and cons, obviously my sex life is more important than hair so I chose to come off of it, but not everyone will experience side effects like I did.

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.

The most unique ingredient in this tablet formulation is solubilized keratin. It is a breakthrough supplement proven to help reduce hair loss and promote regrowth. The tablets also contains a blend of 23 essential vitamins essential for micro-circulation of blood within the roots of the hair. The product is suitable for both men and women and has been shown to effectively combat the balding. 

In clinical testing, nearly nine out of 10 men noticed results. The solution is intended for men only and is easy to use on a daily basis. Simply dispense 1/2 capful of foam in your hands, part your hair, and apply in the area where your hair is thinning. Use your fingers to massage throughout the hair loss area twice a day and you should notice regrowth in as little as two months. Results last only as long as you use the medicine.
The Lipogaine for Men one month intensive treatment is intended for men only. It features the best combination of natural ingredients and effective Minoxidil to aid in hair loss, hair regrowth, and beard growth. It can also reduce DHT level, provide follicle nutrients, strengthen the hair you have, improve the scalp health, and fill in thinning areas around the scalp and frontal hairline. The comprehensive and holistic approach has made Lipogaine the first hair growth formula that combines Minoxidil with Biotin and a proprietary herbal blend of natural DHT blockers with saw palmetto, beta-sitosterol, fatty acids, and many other vitamins. The advanced liposome delivery system can deliver ingredients precisely to the target area for maximum results.
Thanks for your response and awesome article! Do you recommend sticking with minoxidil for a period of time (i.e. 6 months) before starting finasteride or do it all at once? I would be on finasteride now if I wasn’t nervous about the potential side effects so my plan was to wait to see if minoxidal does anything for me over the next 3 months or so (at that point I will have been on it ~ 6 months). My shedding has certainly reduced so hopefully it is starting to work. I’m in the very early stages of hair loss. No one would notice (except me and my wife). Just looks my hair part on the top of my head even though it really is thinning.

What is your opinion on laser combs? I went to the Men’s Club yesterday and they recommended I spend ~$800 to buy a laser band, comb or hat. What is your opinion on how those work? Sounds like snake oil to me. They also recommended I go to my dermatologist to get a prescription to reduce sebum in my hair. I have been on Fin for 11 months, Minox foam 1x/day yet hair shed hasn’t stopped. I do have a prescription for Ketoconazole shampoo but rarely use it. I read in your article that this shampoo does help with Sebum build up so I will try that. Any other recommendations for sebum reduction?
During this procedure, surgeons remove a narrow strip of scalp and divide it into hundreds of tiny grafts, each containing just a few hairs. Each graft is planted in a slit in the scalp created by a blade or needle in the area of missing hair. Hair grows naturally this way, in small clusters of one to four follicles, called follicular units. As a result, the graft looks better than the larger "plugs" associated with hair transplants of yesteryear.
The majority of American men and women are affected by hair loss, known as alopecia, at some point in their lives, according to experts. Androgenetic alopecia (AGA), commonly referred to as male- or female-pattern baldness, accounts for about 95 percent of hair loss in the U.S., according to Better Nutrition magazine. Experts say pattern baldness is genetic and inherited equally in men and women. However, the hair-loss gene can only express itself when dihydrotestosterone (DHT), a male hormone, is present. Because estrogen usually suppresses male-hormone production, women don't typically experience pattern baldness until after menopause has begun; although, even the slightest hormone shift can cause hair loss in women.
I have to say I was skeptical about seeing any results with this product. After my last baby I had a lot of thinning in my crown area. Since using this product as recommended two times a day, I have honestly seen so much baby hair come out, that I am genuinely excited to keep buying and using this product. I have also increased my daily vitamins including biotin, Hair Skin and Nails & fish oil, but I think with this product combined, it has made a real difference!

Retin-A, or topical tretinoin, is sometimes used as a combination therapy with minoxidil for androgenic alopecia. It’s important to use this type of medication under the guidance of your doctor. In some circumstances, tretinoin can actually cause hair loss. Some people who have used it at home report that topical retinol creams, serums, and lotions may make hair loss worse.

Dr. Melissa Piliang, a dermatologist at the Cleveland Clinic, said that Rogaine works better on the top and crown (for reasons not fully understood, the frontal hairline tends to be more resistant to treatment) and ideally should be started as soon as women notice thinning. “Any regrowth you get is a minimal amount,” Dr. Piliang said. “So the more density when you start, the better results you get.”

Working just like a precise microsurgical extension of the human hand, SmartGraft’s all-in-one ergonomic handpiece and storage system was designed to help accurately separate, extract and store FUE grafts during hair transplantation. Fewer steps, less handling, and manual transferring of grafts allows the FUE procedure to be accomplished at a faster speed, reduced risks of graft failure and poor growth quality as well as with improved patient comfort.
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Use dropper to apply directly onto scalp on the top and/or crown of head each morning and evening. Apply to towel dry or dry hair (does not need to be freshly shampooed). Allow one to two minutes to dry before applying other treatments or styling products (may apply other treatments, leave-in conditioners or styling product after applying Regrowth Treatment), style as usual.
The easy-to-use spray bottle allows you to apply the serum directly to your scalp, or you can spray it onto your hands to rub into parts of your scalp. Each bottle offers a three month supply and should be used twice daily. It has outstanding reviews online, partly because it does not leave a sticky residue or cause preliminary hair shedding like most other regrowth treatments.

In either sex, hair loss from androgenetic alopecia occurs because of a genetically determined shortening of anagen, a hair's growing phase, and a lengthening of the time between the shedding of a hair and the start of a new anagen phase. (See "Life cycle of a hair.") That means it takes longer for hair to start growing back after it is shed in the course of the normal growth cycle. The hair follicle itself also changes, shrinking and producing a shorter, thinner hair shaft — a process called "follicular miniaturization." As a result, thicker, pigmented, longer-lived "terminal" hairs are replaced by shorter, thinner, non-pigmented hairs called "vellus."
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.
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SOURCES: George Cotsarelis, MD, director, Hair and Scalp Clinic, University of Pennsylvania School of Medicine, Philadelphia. Andrew Kaufman, MD, assistant professor, department of dermatology, University of California, Los Angeles; medical director, Center for Dermatology Care, Thousand Oaks, Calif. Tom Barrows, PhD, director of product development, Aderans Research Institute Inc., Atlanta. Cotsarelis, G. and Millar, S.E. Trends in Molecular Medicine, July 2001; vol 7: pp 293-301. American Society for Dermatologic Surgery web site. American Academy of Facial and Reconstructive Plastic Surgery web site. American Hair Loss Council web site. Springer, K. American Family Physician, July 1, 2003; vol 68: pp 93-102. Hair Loss Help web site, "Interview with Dr. Ken Washenik from Bosley." Fuchs, E. Developmental Cell, July 2001: vol 1: pp 13-25.
Eventually, these follicles close completely and stop producing any new hair at all. In other instances, men will start to notice hair loss because of lifestyle and environmental factors. For example, being overly stressed for extended periods of time can cause for a man’s hair to start falling out in clumps. And if a man isn’t getting proper vitamins and nutrients to nourish his hair, the strands could possibly grow increasingly weaker until they start breaking off and thinning out. Luckily, there are many hair growth products for men on the market today which can help men in these situations to grow their hair back.
3. Scalp tonic. Serums with peptides or procyanidins (a class of antioxidants) such as niacinamide can help support overall scalp health and reduce inflammation, which is a major component of hair loss, says New York City dermatologist Doris Day. Try René Furterer Triphasic Progressive Concentrated Serum ($82), Julien Farel Magnifique Delay the Gray Hair & Scalp Serum ($135), or Day’s own Rapid Regrowth Serum ($55) once daily before massaging a minoxidil product into the scalp (there’s no need to wait for it to dry in between). “In addition to being anti-inflammatory,” Day says, “scalp tonics help minoxidil penetrate the scalp better and can minimize potential irritation from it.”
I’m 33 and I still have quite a full hair line. I was facing mild hair loss until recently I’m noticing a lot of shedding, I’ve been on Propecia for the past year though. I’m not sure if Propecia is not effective on me anymore or it was kind of limiting hair fall until now. I’m even doubting that it could be MPB but do you think The Big Three would also help even if it wasn’t an MPB case?
“While nutritious eating isn’t going to bring your hair back by any means, eating plenty of protein-rich foods and healthy fats can make the hair that you still have look thicker and shinier.” Skimping on the B vitamins in particular can interfere with the formation of hair cells and, therefore, hair growth. The best sources of Bs are protein-packed foods like chicken, fish, eggs, and pork, as well as leafy greens such as spinach. (These foods are also good for melting belly fat, so it’s a win win).
Thinning hair in women is worth investigating for more than its impact on physical appearance. While many conditions that lead to temporary hair loss will go away without treatment or with simple lifestyle measures, others may be signs of potentially irreversible loss or health conditions. Others yet may respond well to treatments to promote regrowth, so starting sooner rather than later is key.
The good news: Hair transplants don't look like dolls' hair anymore. The bad news: You won't be able to go anywhere to show off your new 'do because you'll be broke. The average recipient of a follicle transplant receives several thousand grafts -- strips of hair removed from bushier parts of the head -- at a cost of several thousand dollars. The cost continues to mount when patients come back for added thickness over the years.

Topical treatments like Rogaine use the active ingredient minoxidil -- originally used to treat high blood pressure. After researchers discovered that it also promoted hair growth, it was the first drug approved by the FDA to treat male pattern baldness. It is used topically on the scalp, and the success of treatment is dependent on the user's extent of hair loss. Researchers at the AHLA find its efficacy to be marginal in the long run since it has no effect on the hormonal process. 
The easy-to-use spray bottle allows you to apply the serum directly to your scalp, or you can spray it onto your hands to rub into parts of your scalp. Each bottle offers a three month supply and should be used twice daily. It has outstanding reviews online, partly because it does not leave a sticky residue or cause preliminary hair shedding like most other regrowth treatments.
Also known as Rogaine, this over-the-counter (OTC) medication can be used for men or women with alopecia areata or androgenic alopecia. This drug comes in foam or liquid form and is spread on the scalp each day. It may cause more hair loss at first, and new growth may be shorter and thinner than before. You may also need to use it six months or more to prevent further loss and promote regrowth.
Hair loss is part of the natural aging process but can also be genetic or caused by a medical condition. It’s crucial to choose a treatment that won’t dry out your hair, will give it volume, and will keep your scalp healthy. If hair loss is caused by hereditary baldness, the FDA has approved minoxidil (Rogaine) at 5%, which is available over the counter. Other hair loss treatments for women contain natural ingredients like tea tree oil and flower extracts. Some products need to be used daily, but others can be used less often. Some take weeks to show results while others help hair growth within days. Some hair loss treatments are more suitable for certain types of hair (dry, oily, combination, or colored).
That’s why I created this guide. I want to help steer you in the right direction. There are many new treatments and possibly even cures on the horizon, but for now, stick to what is proven to work. After all, the best way to treat hair loss is to start managing it early on. It’s much easier to keep your remaining hair compared to growing it back. And worst case scenario, you will slow it down to a degree it may take several years to show any further recession.
Castor oil, as some might already know, is one of the most popular all-natural "panaceas." Go ahead, Google it: What you'll find is article after article about how the viscous oil can help with shedding, breakage, and regrowth. But unlike rosemary oil and vitamin B5, both of which have studies that back up their aid in hair growth, scientific evidence surrounding castor oil is lacking. (Any testimonials about castor oil for hair growth are anecdotal, coming mostly from blogs, Reddit, and YouTube.)

1. Minoxidil. It’s the only FDA-approved topical nonprescription medication that can claim to regrow hair — and it should be part of any hair-loss plan if you have serious thinning, says Rogers. Minoxidil has loads of research to back it, but it requires commitment. If you quit using it, your hair will start to lose ground again. Use a 5 percent strength, like Women’s Rogaine 5% Minoxidil Foam ($30), once daily to see results in three to four months, says Rogers.

Defy hair loss with ROGAINE®, the #1 dermatologist-recommended, FDA-approved brand with a clinically proven formula to regrow hair. Unlike thickening shampoos that temporarily coat the hair, ROGAINE® penetrates deep into your scalp to revive follicles and increase protein production so you can grow new, fuller, thicker hair. The revolutionary formula begins to work on contact with patented Tricho-Prime™ Technology, a proprietary combination of ingredients that primes your scalp for optimal hair regrowth.
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