Hair loss and hair thinning can be devastating for both men and women. The key to treatment is identifying the underlying cause of your hair loss. Dr. Michele Green is an expert in hair loss and has been at the forefront of innovation in treating thinning hair in NYC for over two decades. With the newest innovations, such as platelet-rich-plasma injections and Keravive™ Hydrafacials for hair loss, Dr. Green is at the forefront of hair loss treatment. There are many medical conditions which are at the basis for hair loss. Dr. Michele Green is rated one of the best dermatologists in New York for her evaluation, management, and treatment of the different types of alopecia in men and women. Dr. Green treats all types of hair loss, in both men and women. She is an internationally recognized expert in the Upper East Side of Manhattan for cosmetic and medical hair loss issues.
Dermatologist exam for Hair loss New York
There are many different causes why a male or female patient could be losing hair, ranging from autoimmune, stress, hormonal issues, nutrition, metabolic or genetic. If you are experiencing hair thinning or hair loss, the first step is to set up a consultation with a board certified dermatologist, like Dr. Michele Green. Dr. Green will begin her examination by first taking your complete medical history which includes all of your past medical conditions, surgeries, travel, and medications. Next, she will examine your skin, hair, scalp, and nails, to ascertain the reason behind your hair loss. Baseline photographs will be taken for your private medical record, to track your progress during treatment.
Depending on the type of hair loss, a complete panel of blood work including hormonal, autoimmune, and metabolic tests may be ordered in order to help confirm and identify the etiology of your hair loss. The skin and scalp, as well as the hair itself, can give clues as to the reason for your hair loss. A biopsy or fungus culture of the scalp, skin, nails, or the hair itself, may be needed in order to arrive at the correct diagnosis for your hair loss and formulate the correct treatment plan. Alopecia can be a complicated issue and it is important that a full analysis be performed to ascertain the causes of hair loss.
What are the causes of hair loss?
The following is a more complete list of the more common causes of hair loss:
- Hormonal such as thyroid disease and Polycystic Ovary Disease (PCOS)
- Bacterial infection
- Fungal infection
- Lichen Planus
- Secondary Syphilis
- Iron deficiency anemia
- Hair styles
- Autoimmune disease
- Radiation therapy
- Extreme weight loss
Which medications cause hair loss?
- Blood Pressure Medications (beta blockers and ACE inhibitors) like captopril, lisinopril, and metoprolol, have all been reported to cause hair loss in one percent of patients who take them.
- Chemotherapy drugs- can cause an anagen effluvium and affect the hair of the scalp, eyelashes, eyebrows, and body.
- Antidepressants such as Paxil, Zoloft, Elavil, and Prozac have been associated with hair loss.
- Antibiotics – can cause a decrease in vitamin B and hemoglobin, which causes decreased hair growth.
- Cholesterol-lowering medications such as atorvastatin (Lipitor) and simvastatin (Zocor).
- Psoriasis treatment – Acitretin
- Acne medication – Accutane for treating cystic acne.
- Weight loss drugs – Phentermine can cause hair loss.
- Gout medications – such as allopurinol (Zyloprim and Lopurin) have been known to contribute to hair loss.
- Anticoagulants – such as Warfarin (Coumadin)
- Birth Control Pills – while some birth control pills can help treat hair loss, it can cause hair loss in other patients.
- Anti-arrhythmia drug – Amiodarone (Cordarone) has a rare side effect of hair loss.
- Antacids – like Cimetidine (Tagamet) causes hair loss.
- Testosterone – An excess of testosterone in female patients can lead to hair loss and a lack of testosterone in men (due to taking anabolic steroids for extreme weight lifting or muscle building) can cause hair loss.
- Anti-fungal medications such as Ketoconazole have been described to cause hair loss.
- Immunosuppresants – such as methotrexate, cychophosphamide (Cytoxan) and etanercept (Enbrel) all can cause hair loss.
Male Pattern Baldness NYC
In the past, the loss of hair in men was accepted and attributed to the genetics of male pattern baldness. Thanks to recent advances in dermatology in the treatment of hair loss, we understand that male pattern baldness is not an eventuality. There are many ways to prevent this cycle of hair loss in men and combat the shedding and to re-grow hair. One of the most effective and exciting treatments which can be used to combat male pattern baldness is Platelet Rich Plasma (PRP).
PRP is a practical solution when you are looking for a natural method for stimulating hair growth. PRP injections is a revolutionary treatment which stimulates new hair growth in men who suffer from androgenetic alopecia. PRP treatment works by using your own blood cells to extract the growth factors, which stimulates hair growth. In addition to PRP, there are several alternative options available for treating male pattern baldness, including oral medications such as Propecia, along with topical treatments such as Minoxidil, Dr. Green is a firm believer in proper diet, exercise, nutrition, and vitamin supplements, such as Nutrafol or Viviscal, to help re-grow hair.
Dr. Green also recommends the LaserCap RX, which is an FDA approved prescription laser cap for hair regrowth. The LaserCap uses low level laser therapy to promote hair growth in the comfort of your own home.
Male 35-44 years old, PRP treatments 15 months after
Female Pattern Baldness NYC
Female pattern baldness may indicate a more serious underlying health concern. Dr. Green will do a thorough history and examination to reveal the etiology of your hair loss. Female hair loss may be due to a myriad of symptoms. Some women suffer from hormonal changes such as hypothryroidism, PCOS, menopause, poor diet, nutritional deficiencies, autoimmune diseases, or stress. Hair loss, particularly in women, can even be as a side effect of certain oral medications. Other signs of hair loss may be associated with eczema, psoriasis, lichen planus, or lupus erythematosus. Dr. Green will do an analysis to determine the cause of your hair loss. Often a blood test or scalp biopsy may be necessary to make a complete diagnosis. One treatment which has been proven to work well in cases of female pattern baldness, is Platelet Rich Plasma (PRP) – this non-surgical approach uses a patient’s own blood cells, injected into the scalp to initiate hair re-growth. PRP is highly effective and is one of the main treatment options which Dr. Green recommends to her New York City patients, due to its impressive hair growth results.
Menopause and Hair Loss NYC
Menopause has many side effects and hair loss and thinning which are very distressing. As a consequence of menopause, estrogen levels decrease and testosterone levels rise. Since estrogen is the hormone most responsible for hair growth, the fall in estrogen levels causes hair shedding and thinning. Simultaneously, the increase in testosterone levels also interferes with hair growth. The combination of the changes in both of these hormones, causes hair to become thinner and for women to lose volume and luster. At the same time, the rise in testosterone contributes to the thinning of your hair and the increased growth of facial hair. To treat the hair loss caused by menopause, a combination of proper nutrition, exercise, PRP injections, hair vitamins, LaserCap, and hormonal replacement therapy may be necessary to reverse the hair loss. In severe cases, a hair transplant may be an effective solution.
Unlike more common forms of hair loss, alopecia areata is a more sudden and unpredictable hair loss issue which starts with one or more circular non-scarring, bald patches. Non-scarring alopecia is the result of the reduction or slowing of the hair growth without damaging the hair follicle. Non-scarring alopecia can be caused by multiple reasons, including androgenetic alopecia (male or female pattern hair loss) stress or medications as in (telogen effluvium) psoriasis, or a fungal infection of the scalp (Tinea Capitis), among other reasons.
Alopecia areata affects approximately 6.8 million people in the United States. It usually begins as hair loss that occurs in just one or two patches on the scalp, the size or a quarter. The area of alopecia can appear in other areas of the body or face, such as the eyebrows, or beard area. Alopecia aerata may progress to total loss of all hair on the scalp (alopecia totalis) as well as complete hair loss on the body (alopecia universalis). Both men and women can be affected with this disease, and most cases occur in younger patients, before 30 years of age. There is a strong genetic component to alopecia areata, and there is anecdotal evidence that stress can contribute to this condition. Some patients recover and re-grow hair spontaneously, while others progress to have complete hair loss.
Male patient treated with steroid injections for Alopecia Areata (after 8 treatments)
Is there a cure for alopecia areata?
There is currently no cure for alopecia aerata. However, there are many treatments available to keep alopecia areata under control, help restore your hair loss, and prevent its spread.
- Intralesional cortisone injections – The most common treatment used are intralesional cortisone injections directly into the areas of hair loss. If these patches of hair loss are treated early, they seem to be more responsive to the positive effects of the injections.
- PRP injections – Injections of Platelet Rich Plasma, encourage hair growth since they are replete with all of the growth factors which occur naturally in the body.
- Topical Minoxidil (Rogaine)- Minoxidil both stimulates new hair growth and helps maintain the current hair thinning or shedding.
- Anthralin (Dritho-Scalp) – is a topical medication that is used to control inflammation at the base of hair follicles. It is a man-made version of a natural substance found in goa powder, which is from the araroba tree.
Tinea Capitis is a disease caused by a superficial fungal infection of the skin, scalp, or eyebrows. The infection typically attacks the hair follicles of the scalp. Initial symptoms may be dry, pruritic, scaling patches which appear almost like dandruff. Over time, the hairs are broken off at the scalp surface, and you are left with smooth areas of hair loss. A typical pattern of hair loss is in a “moth-eaten” distribution. Over time, if left untreated, hair loss progresses and a kerion can develop. A kerion is an extremely inflamed mass, which appears as an abscess. Tinea Capitis needs to be identified rapidly to prevent the spread of this fungal infection. A fungus culture of the hair and its root can provide the correct identification of the fungus. Oral and topical fungal medicines are needed to remediate this contagious condition. Tinea Capitis is more common in younger children than adults.
Scarring alopecia, also known as cicatricial alopecia, is the result of the active destruction of the hair follicle, which can cause permanent hair loss and scarring. There are several diseases which can cause scarring alopecia. The patches may start small and increase in size over time. Burning, pruritus, and erythema, and pain, can often accompany the hair loss. Scarring alopecia may be triggered by lichen planus and referred to as Lichen planopilaris. Discoid lupus may also present with scarring alopecia as one of its symptoms. Treatment consists of treating the underlying conditions, as well as topical and oral steroids, steroid injections, and topical Minoxidil. Since scarring alopecia can be progressive, it is vital to initiate therapy early to attempt to minimize the hair loss and formulate a treatment plan. Hair may grow back around the scarred area, in nearby hair follicles, which can help your cosmetic appearance.
Traction alopecia is a form of alopecia caused primarily by tightly pulled hair styles. Typically traction alopecia is seen in patients who frequently wear their hair too tight in ponytails, buns, hair extensions, weaves, cornrows, dreadlocks, or braids. The main symptom is missing or broken hairs, especially along the front of the hairlines or sides of the scalp. Typically patients notice a receding hair line, around the forehead, temple, or the nape of the neck. There may be irritation, redness, itching, ulcers, or pimples in this area as well. The appearance of the scalp can be that of an infection of the scalp, or a folliculitis.
If traction alopecia continues, the hair loss becomes permanent since the hair follicles become so scarred that new hairs cannot form. Traction alopecia is common in ballerinas and gymnasts who wear their hair in a tight bun on daily basis for their profession. This condition is also common in African American patients due to hair styles, such as braids or cornrows, which are too tight. Any individual, of any ethnicity, can suffer from traction alopecia. The older you are, the more vulnerable you become to having permanent hair loss from traction alopecia.
To avoid traction alopecia, it is best to wear your hair loose and avoid any constricting hair styles which will pull you hair. It is also best to avoid chemically processing your hair, flatirons, excessive heat, weaves, extensions, rollers,or any of the hair styles which can contribute to this condition and further weaken the hair. The main treatment for traction alopecia is to change your hair style, avoid any hair styles which are too tight, and avoid further processing of your hair.
In cases where there is an active infection, due to traction alopecia, Dr. Green will prescribe oral antibiotics. Some patients may need oral or topical steroids if there is a great deal of irritation or swelling of the scalp. In order to re-grow hair, Dr. Green may recommend a combination of PRP, hair vitamins, and topical minoxidil (Rogaine) to maximize hair regrowth.
Telogen effluvium is a condition in which stress can temporarily cause you to lose hair. The hairs are pushed into the resting (teologen) phase for two to fours months, before the hair falls out. A few months later, these hairs fall out several months after the stressful event has occurred. Clinically, there will not be bald patches, but a general thinning of the hair, which is particularly noticeable after washing your hair. Causes of Telogen Effluvium are serious illnesses, childbirth, extreme dieting or weight loss, anexorexia, nutritional deficiencies, withdrawal of hormonal therapy, or surgery. Telogen Effluvium usually lasts no more than six months and often grows back on its own when the stress is removed. Other than removing stress, a healthy diet rich in proteins and the amino acid lysine are crucial for proper hair growth. Hair vitamins, containing the B-vitamin, Bitoin, is very important in helping to regrow thinning hair.
Hair Transplant Surgery
Hair restoration is reserved for patients, both men and women, for whom other more conservative treatments have failed. Hair transplantation is a surgical procedure where hair follicles are removed from the ‘donor site’, typically in the back of the scalp, and are transplanted to the balding area of the scalp, known as the ‘recipient site’. In the past, dermatologists would remove a strip in the posterior scalp, called the follicular unit strip (FUSS), and close the donor site with sutures. The surgeon would then divide that strip into tiny hair follicles and transplant them into the areas of hair loss. A newer method of hair transplant surgery involves having a follicular extraction procedure (FUE), where hair follicles are removes one by one, and the donor area heals with small dots. These single hair follicles are then transplanted into the donor areas of hair loss. Each hair follicle is surgically implanted by first creating a tiny hole or slit with a scalpel. The procedure itself can take 4 to 8 hours, depending on how many grafts are used and the number of assistants helping the surgeon. You will leave with a bandage over your head and need oral antibiotics and anti-inflammatory drugs for the week following the procedure. Depending on your hair loss, you may require a repeat procedure in the future. New growth takes between 6 and 9 months. Many surgeons prescribe topical minoxidil as well as PRP injections, to maximize the cosmetic results of the hair transplant surgery.
Hydrafacial Keravive Scalp Treatment NYC
Dr. Green has been using the Hydrafacial technology to help rejuvenate the skin. Now, the Hydrafacial technology has created Keravive, which is a unique office 3-step office procedure to cleanse, stimulate, and hydrate the scalp. Keravive removes impurities and dead skin cells from the hair follicles and replaces vitals nutrients, such as antioxidants, peptides, and hyaluronic acid, into the scalp. This 3-step process consists of:
Step 1: Cleansing and Exfoliating which uses Hydrafacial Vortex Technology to clean the oils and impurities from the scalp and the hair follicles, and stimulating circulation.
Step 2: Stimulating and Nourishing the scalp utilizing a unique Peptide Complex Solution. This advanced solution stimulates and nourishes the scalp and its hair follicles with proteins and growth factors.
Step 3: Extend and Enhance the results at home with the Hydrafacial Keravive Complex Spray, which nourishes and scalp and hair follicles on a daily basis.
Hydrafacial Keravive in-office treatment is recommended once a month for three months in conjunction with the Keravive Complex spray for healthier-looking, fuller, hair. The effects of Hydrafacial Keravive are both immediate and long lasting.
The LaserCap is a highly effective prescription-strength laser therapy, which is FDA approved, for hair regrowth in both men and women. The LaserCap re-energizes inactive hair follies using Low-Level-Laser Therapy (LLLT), which is a safe, and natural, proven way to increase hair growth. It is particularly effective as a maintenance device for hair growth, and is a drug-free alternative for patients who do not want to take oral medications. The LaserCap is available at the office of Dr. Michele Green and has been proven more effective than other advertised lasers on the market.
Hair Loss Treatments
There are many hair loss treatments by dermatologists today. One of the most popular hair loss treatments currently available at Dr. Michele Green’s NYC office is PRP injections for hair loss.
Platelet Rich Plasma (PRP) for Hair Loss
Dr. Michele Green was one of the first dermatologists in NYC to treat hair loss with Platelet Rich Plasma (PRP) injections. PRP is a holistic, straightforward and highly effective treatment. After a simple blood draw, your blood is spun in a special PRP separating tube, extracting the platelet rich plasma. The PRP has all of the important growth factors, which are injected into your scalp, to re-grow your hair. PRP has been used for years by professional athletes, in conjunction with injections into their joints, to naturally ,speed up healing. Patients typically benefit from 5 treatments of PRP, spaced one month apart, and annual maintenance treatments to sustain your hair and prevent future hair loss.
Treatment Options for Hair Loss in NYC
The treatment for hair loss really depends on the types of hair loss which you are suffering from.
- Hormonal Replacement – is reserved for patients who have lost hair secondary to menopause, PCOS, or hormonal irregularities.
- Spirinolatone – is commonly used for patients with PCOS to regrow hair and correctly balance your hormones.
- Stress Reduction – Stress causes hair loss in many situations and reducing stress has a positive influence on hair regrowth.
- Vitamins – Hair vitamins are very helpful in treating hair loss, especially the B-vitamins, such as Biotin. Viviscal and Nutrafol are two brands which Dr. Green commonly recommends to her patients to treat hair loss and maintain good hair growth.
- PRP injections – PRP injections, for both men and women, are extremely effective for all different types of hair loss.
- Exercise -It has been documented that exercise reduces stress, creates endorphins, and helps maintain positive hair growth.
- LaserCap – Many patients with male and female pattern baldness benefit from the laser cap. Used three times a week, for 30 minutes, it helps maintain and restore hair growth. Its effective low level laser therapy (LLLT) re-energizes inactive hair follicles.
- Propecia – Propecia is commonly used both to slow the progression of hair loss but to regrow hair, both in men and menopausal women.
- Nutrition – Good nutrition is essential for proper hair growth. Extreme dieting, or a poor diet, will influence and cause hair thinning and shedding.
- HydrafacialKeravive – can help stimulate the circulation in the scalp and stimulate hair follicles to grow. It can be used with both male and female pattern baldness and Telogen Effluvium.
How much does hair loss treatment cost in NYC?
The cost of treating hair loss in New York depends on which treatment option you will need. Dr. Michele Green will consult with you about your individual hair loss, take a complete history, and a full examination. Based on the consultation and examination, the best treatment plan for your individual needs will be created. We will review all of the prices and procedures with you during your consultation.
How to prevent and stop hair loss?
Dr. Michele Green believes that the key to preventing hair loss is a healthy lifestyle. Eliminating stress, proper nutrition, relaxation, sleep, and hair vitamins, all play a part in healthy hair. It is important to avoid hair processing or hair styles which will exacerabate hair loss. If you notice hair thinning, or excess shedding, it is important to consult a board certified Dr. Green as quickly as possible, to prevent hair loss from progressing. Proper identification of the type of hair loss, and its cause, is the best combination for an effective treatment for hair rejuvenation.
Dr. Michele Green is an expert in hair loss in NYC and has helped thousands of men and women with their hair loss problems. If you’re frustrated by thinning hair and hair loss, our practice is here to help. Contact us online today or call 212-535-3088 to learn more about Dr. Green’s personalized approach towards hair loss treatment.