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Hair loss, or androgenic alopecia, is a common medical condition characterized by a receding hairline, hair thinning, and baldness. According to the American Hair Loss Association, over 65% of men will experience hair loss at some point in their lives, with around 85% of men experiencing hair thinning by age 50. The most important first step once you notice hair thinning is to consult an experienced board-certified dermatologist, such as Dr. Green in NYC. Dr. Green offers a host of medical treatments for hair loss at her private dermatology office in Manhattan’s Upper East Side. She creates a personalized treatment plan for each patient with a unique combination of topical serums, oral medications, and in-office treatment options to combat their specific type of hair loss.

Hair loss can drastically influence a person’s appearance and affect self-esteem and confidence. Though the exact cause of male pattern baldness is unknown, one primary cause is genetics, so those with a family history of baldness are more likely to see signs of male pattern baldness. Male pattern hair loss is also associated with androgens, a sex hormone that is particularly tied to hair growth, hence the name androgenetic alopecia. The major androgen that contributes to hair loss is dihydrotestosterone (DHT). DHT is converted from testosterone and is essential in developing secondary sex characteristics, such as body hair. However, as an adult who is genetically predisposed to baldness, DHT can bind to androgen receptors in your scalp and cause the hair follicles to stop producing new hair. High DHT levels cause the miniaturization of hair follicles, causing hair to become thinner and fall out faster. If you are suffering from hair loss and thinning, Dr. Michele Green is here to help.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience diagnosing and treating hair loss. Dr. Green takes a holistic approach to hair regrowth, customizing each patient’s hair loss treatment plan to suit their particular needs and goals best. She is consistently identified as one of New York’s best dermatologists by Castle Connolly, New York Magazine, and Super Doctors for her dedication to her patients and expertise. Dr. Green offers a myriad of cosmetic and medical treatments that can promote hair growth and prevent further hair loss. Medically approved treatment options often include topical hair serums like minoxidil (Rogaine), topical Propecia, and oral medications like Propecia (finasteride). Additional drugs and treatments include dutasteride, platelet-rich plasma injections (PRP), steroid injections, and the Laser Cap. Dr. Green was one of the first dermatologists in NYC to incorporate Platelet-Rich-Plasma (PRP) into her Upper East Side New York City dermatology office and has helped countless men and women to achieve thicker, fuller, healthier hair that lasts.

What causes Men’s Hair Loss? Common Causes of Hair Loss in Men

Male pattern baldness can largely be attributed to male hormones and genetics. Male pattern baldness is characterized by a receding hairline and hair thinning at the crown. Each hair strand sits within a hair follicle on the scalp. The hair follicles’ shrinkage over time and sensitivity to certain male hormones, like DHT, is what tends to cause hair loss. Men with androgenic alopecia have increased levels of male hormones in their bodies, like dihydrotestosterone (DHT). DHT leads to the shrinking of the hair follicle, which causes the hair to become weaker and shortens the hair’s life span. Eventually, the hair follicles cease to grow new hair altogether.

Certain lifestyle habits, such as chronic or intense stress or illness, can also trigger male pattern hair loss. There is a bidirectional link between hair loss and sustained feelings of anxiety or depression. Stress and disease may cause a type of hair loss called telogen effluvium. In a normal, healthy person’s scalp, around 85 percent of our hair follicles are in a growth phase (anagen), and 15 percent are in a resting phase (telogen). When you experience a shock, up to 70 percent of your hair follicles can go into a resting (telogen hair) state. To stimulate new hair growth after an incidence of telogen effluvium, it’s best to pinpoint what stressors may have triggered the episode and to focus on healthy habits like proper hydration and adequate sleep. Trichotillomania, fungal infections, nutritional deficiencies, and other underlying medical conditions are other factors that contribute to hair loss.

Additionally, rapid weight loss or a restrictive diet can cause hair loss. Patients who have lackluster diets often need to catch up on the nutrients required to support healthy hair growth. A healthy, well-rounded diet consisting of fatty fish, eggs, leafy greens, fruit, and nuts helps promote healthy hair growth and prevent further hair loss. Additionally, protein powders or excess testosterone sources found in bodybuilding supplements can worsen hair loss by stimulating additional hair follicle sensitivity to male hormones. Current clinical research suggests that creatine supplements can increase dihydrotestosterone in the bloodstream, which can, in turn, lead to weakened hair follicles. When you consult with Dr. Green at her private dermatology office in NYC, she will collect a thorough medical and family history, evaluate your hair and scalp, and potentially order certain laboratory tests to determine the underlying cause of your hair loss and create a personalized hair loss treatment plan to promote new hair growth and prevent further hair loss.

JS 26 6 Months Before and After PRP Hair MGWatermark

6 Months after PRP hair treatment

Is Male Hair Loss Genetic? Where does the alopecia gene come from?

Yes, male pattern balding is mostly genetic. This type of hair loss is caused by a person’s natural sensitivity to dihydrotestosterone and other male hormones, often occurring gradually and in predictable patterns. One popular myth is that hair loss in men is passed down from the mother’s side of the family, while hair loss in women is passed down from the father’s side. However, the truth is that the genes for hair loss are actually passed down from both sides of the family. The hair loss genes can be inherited from both the mother’s and father’s sides. Nevertheless, there are medical treatment options that can reduce the effects of androgenetic alopecia, promoting hair regrowth and preventing further hair loss. As soon as you notice hair thinning, schedule a consultation with Dr. Green, who will work with you to create a customized hair loss treatment plan composed of a unique combination of topical serums, oral medications, and in-office procedures best suited to meet your needs.

Types of Alopecia in Men

There are several different forms of alopecia in men. The most common form of male hair loss is androgenetic alopecia or more commonly called male pattern baldness. The second most common type of hair loss is a telogen effluvium, typically from illness or stress. Lastly, autoimmune disorders are associated with different kinds of hair loss, such as alopecia areata, lichen planus, and lupus.

Male Pattern Baldness/Androgenic Alopecia

Male pattern baldness, or androgenic alopecia, is the most common type of hair loss in men, affecting 50 million men in the United States. Male pattern baldness is related to genetics and male hormones and can start as early as your teens, often first presenting as a pattern of hair loss above the temples and at the crown (top of the head). Over time, the receding hairline forms a characteristic “M” shape. This pattern of hair thinning then typically continues until the hair recession and bald spot meet, leaving a horseshoe-shaped pattern of hair in the back and sides of the head and ultimately resulting in partial or complete hair loss.

A variety of genetic and environmental factors cause male pattern baldness. The main culprit is the conversion of the male hormone testosterone into dihydrotestosterone (DHT). DHT plays a major role in developing male sex characteristics such as facial and body hair. However, as an adult who is genetically predisposed to hair loss, DHT can bind to androgen receptors in your scalp and cause the hair follicles to shrink and stop producing new hair. This ultimately results in hair loss around your crown (top of head), hair thinning, and a receding hairline. If you have a closely related relative with hair loss, you are at an increased risk of developing it.

Treatment options for androgenic alopecia include topical products like minoxidil (Rogaine), oral medications like dutasteride and finasteride, and cosmetic procedures like platelet-rich plasma injections. Hair loss is often multifaceted, and some combination of these treatment options is commonly used to promote hair growth and prevent further hair loss.

Alopecia Areata

Alopecia areata is an autoimmune disorder that causes hair loss in clumps or small patches. This type of hair loss occurs due to your immune system attacking your hair follicles and can result in bald patches wherever hair grows, like on your scalp, arms, and legs. This disorder is often unpredictable and can begin at any age. About half of the people with this condition regrow their hair within 12 months without treatment, but the cycles can be completely random for years. The exact cause of alopecia areata is still unknown, although there is a greater chance of getting it if someone in your family has it.

Common symptoms of alopecia areata include significant hair loss in a short period, small bald patches on your scalp and other parts of your body, and fingernails and toenails that become red, brittle and pitted. You are also more likely to get alopecia areata if you have medical conditions like asthma, thyroid disease, and vitiligo, among others. If you suspect you may have alopecia areata, see a dermatologist so they can diagnose and treat you immediately.

Treatment often includes steroid injections as well as topical and oral medications. Steroid injections in the areas affected by this type of hair loss can suppress the immune system cells that are attacking the hair follicles and give your hair time to regrow. Other treatment options include topical steroids like clobetasol or corticosteroid cream and oral medications like prednisone. Recently, oral antihistamines have shown promise as an adjuvant treatment for alopecia areata.

Telogen Effluvium

Telogen effluvium (TE) is a common form of hair loss that occurs when there is a change in the number of hair follicles producing new hair. Healthy hair growth is defined by a cycle of four phases: the anagen or new hair growth phase, the catagen or transition phase, the telogen or rest phase, and the exogen or shedding phase. In a normal, healthy person, most of our hair is in the anagen or new growth phase. However, when a person experiences an incidence of TE, most hair follicles shift to the telogen or resting phase, resulting in hair loss.

Telogen Effluvium is often temporary and can be caused by factors like stress, diet, pregnancy, illness, surgery, hormone changes, and even some medications. If you experience a particularly stressful event like the death of someone close to you or a car accident, the shock may result in increased hair loss in the subsequent months. According to the American Academy of Dermatology Association, COVID-19 can be linked to noticeable hair loss. Certain nutritional deficiencies like iron and zinc can also contribute to TE. There are also some medications, like antidepressants, that can trigger hair loss. It is important to note that TE can also be a symptom of another medical condition like thyroid disease.

Treatment options include lifestyle adjustments and certain over-the-counter (OTC) products. If you are constantly under stress, telogen effluvium is more likely to occur, so try adjusting how you deal with stress or minimize it in your life to encourage new hair growth. Be sure to obtain plenty of nutrients, especially zinc and iron, in your diet. Over-the-counter products like topical minoxidil can also help by prolonging the anagen or active growth phase of the hair follicle and promoting hair regrowth.

A.H 34 6 months Before and After PRP Hair MGWatermark

6 Months after PRP hair treatment

What is Involved in the Consultation for Male Pattern Hair Loss?

Consulting a board-certified dermatologist is the first step once you notice hair thinning or loss. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will begin by collecting a thorough medical, surgical, and family history. It is important to see if there are any medications you are taking, or products you are using that may be impacting your hair growth. A medical review can also determine if there are any underlying conditions or recent events that may be contributing to your hair loss. You will be asked to bring bloodwork from the past year so Dr. Michele Green can see if there are any deficiencies or abnormalities that may be contributing to your hair loss. If you do not have any recent bloodwork, Dr. Green may order lab work so she can better determine what factors are impacting your hair health. She may also decide to take a biopsy of your scalp and send a hair sample to an outside laboratory to gather more information and determine what the best hair loss treatment plan for you will be.

Afterward, Dr. Green will go over possible treatment options with you, often recommending a unique combination of treatments. Hair loss is usually multifaceted, so taking advantage of a variety of treatment options is more likely to yield better results. Treatment options often include topical hair serums like minoxidil (Rogaine), supplements like Nutrafol, oral medications like Propecia and dutasteride, cosmetic procedures like PRP injections, steroid injections, and a Food and Drug Administration (FDA) approved device called the laser cap. Dr. Green also has a line of specially formulated topical hair serums that have yielded great results for many of her patients.

How to prevent men’s hair loss

Male pattern hair loss is genetic and, therefore, can develop even despite taking advantage of preventative treatment options. However, certain preventive measures, like adjusting your diet and nutrition, can help stave off rapid hair loss. A diet rich in antioxidants can help fight the signs of oxidative stress, which damages hair follicles. Foods rich in antioxidants include berries, legumes, and leafy green vegetables like kale and spinach. Foods that contribute to oxidative stress include sugar, processed fats, preservatives, and alcohol. Other nutrients like zinc, iron, and B vitamins are beneficial for hair health, so if you have nutritional deficiencies in these areas, be sure to get adequate amounts of them either through your diet or through supplements.

In addition, you should be mindful of how you treat your hair. Try to use a shampoo that is mild and suited for your hair to avoid unnecessary damage to your hair. Some hair care products contain harsh ingredients that can harm your hair’s health. High-heat hair styling tools like hair dryers can also damage your hair by leaving your hair follicle dehydrated and vulnerable to damage. Also, avoid chemically treating or bleaching your hair.

Furthermore, utilizing standard hair regrowth treatments such as minoxidil or platelet-rich plasma (PRP) injections can help to slow the process of male pattern hair loss and prevent further hair loss for a longer time. These treatments can also promote hair regrowth. If you have a family history of hair loss or have noticed hair thinning, schedule a consultation with board-certified dermatologist Dr. Green. Dr. Green will work with you to create a hair loss prevention plan that includes a combination of treatment options suited best to your needs, goals, and lifestyle.

JA Before and after 3 PRP treatment sessions 4 months apart FRONT MGWatermark

3 PRP treatment sessions, 4 months apart

What to do for men’s hair loss: Treatment for Male Pattern Baldness

Men’s hair loss can be treated with various hair loss treatment options, with both non-invasive and surgical treatment options available. When you work with Dr. Green, she can assess the condition of your scalp and hair, medical history, and individual needs and goals to determine a hair loss treatment plan that best suits your situation.

Many patients choose to take advantage of supplements like Nutrafol. Nutrafol is an oral herbal supplement that targets the six root causes of hair loss, which are hormones, stress, lifestyle, metabolism, nutrition, and aging. It is an all-natural but clinically proven way to encourage hair growth with minimal side effects. Nutrafol is often taken alongside other oral medications like finasteride (Propecia) and dutasteride (Avodart). Topical products like minoxidil (Rogaine) are also used in conjunction with Nutrafol and oral medications. Minoxidil often comes as a liquid or foam and can be used every night. Dr. Green also has a line of specially formulated topical hair serums that can promote new hair growth and prevent further hair loss.

The most popular in-office hair loss treatment option is platelet-rich plasma (PRP) injections. This procedure utilizes the patient’s blood to increase blood circulation to the scalp, nourishing the hair follicles and stimulating new hair growth. PRP works because your plasma has a high concentration of epidermal growth factors that improve cell turnover and blood vessel formation. The best hair loss treatment plan should be a personalized combination of treatment options selected for you by an experienced board-certified dermatologist, such as Dr. Green in NYC.

Platelet-rich plasma (PRP) Injections for Hair Growth

Platelet-rich plasma (PRP) treatment for hair loss is a popular non-invasive therapy for restoring healthy hair follicles. PRP entails collecting a sample of the patient’s blood and spinning it in a centrifuge to separate the red blood cells from the plasma. The plasma has a highly concentrated volume of platelets that are packed with growth factors. Injecting the plasma into the scalp helps to revitalize hair follicles, improve small blood vessel count near the injection sites, and boost new hair growth. PRP includes growth factors like the Epidermal Growth Factor to improve cell, collagen, and blood vessel formation, Fibroblast Growth Factor-2 to aid in the development of specialized cells, and Insulin-like Growth Factor-1, which acts as a protein regulator for the cells, among others. These growth factors, when injected into the scalp, can rapidly revitalize hair follicles and lead to exciting new healthy hair growth.

For patients with male pattern hair loss, PRP therapy is an excellent treatment option. According to clinical trials published in Aesthetic Plastic Surgery and the Journal of Cosmetic Dermatology, patients treated with PRP injections for hair loss experienced a vast improvement in hair regrowth. According to another study in the Journal of Cutaneous and Aesthetic Surgery, PRP therapy has boosted hair growth, hair count, and hair thickness. The American Academy of Dermatology also deems PRP to be a safe and effective hair loss treatment that can help improve hair regrowth. Dr. Green’s review of PRP therapy for hair restoration has also indicated incredible success in hair regrowth. She offers unique expertise and knowledge on hair loss treatment to her patients.

Topical Treatments for Hair Growth

Topical minoxidil, popularly known as Rogaine, is an FDA-approved, over-the-counter treatment for hair loss and hair thinning. It is often available as either a topical liquid or a foam and can be applied to your scalp once a night, where it begins working immediately. Although minoxidil starts working immediately once used, it typically takes a few months to see any noticeable new hair growth. Minoxidil works by shortening the telogen or resting phase of your hair’s growth cycle and moving your hair into the anagen or active hair growth phase. Over time, minoxidil stimulates hair regrowth and improves the thickness, density, and overall appearance of your hair.

Dr. Green has her line of hair serums, which contains 7% minoxidil and topical Propecia. This specialized male hair serum is formulated with both a high concentration of minoxidil and finasteride, which stimulates hair regrowth. Over time, you will notice an improvement in your scalp health and your hair follicles in the form of reduced shedding and thicker, fuller-looking hair. A recent review in the Journal of Cosmetic Dermatology uncovered that a combination of topical minoxidil and topical finasteride enhances hair re-growth. In addition, topical finasteride had reduced potential for systemic side effects that are common with oral finasteride. Dr. Green’s hair serum line is one of the only products on the market that combines both topical minoxidil and topical finasteride to provide the ultimate formulation for hair restoration.

Oral Finasteride for Hair Growth

Oral finasteride, known commonly as Propecia, is an FDA-approved prescription medication for hair loss. It is one of the most reliable and effective treatment options that has been shown to improve hair regrowth in adult males. Propecia works by blocking the conversion of the male hormone testosterone into dihydrotestosterone (DHT) in the body. This results in lower levels of DHT and, therefore, stops and prevents more damage to hair follicles caused by DHT.

Many men who take finasteride notice improvements after three to four months of regular usage, although final results may take up to a year. Finasteride is often used in conjunction with minoxidil, as studies have shown that they are more effective in stimulating hair growth when used together. Finasteride does have some rare side effects, including erectile dysfunction and reports of depression.

R.O 3 month Before and After Cortisone Injection for Hairloss Under chin 3 photos MGwatermark

3 Months after Alopecia Areata treatment in chin area

Oral Dutasteride for Male Pattern Baldness

Oral Dutasteride is a prescription drug commonly known by its brand name, Avodart. It blocks the action of an enzyme called 5-alpha-reductase and is part of a class of medications known as 5-alpha-reductase inhibitors. This class of drugs prevents your body from converting the male hormone testosterone into an androgen hormone called dihydrotestosterone (DHT), which has been linked to male pattern baldness. Studies have shown that oral dutasteride outperforms every other male hair loss treatment and is much better at treating androgenetic alopecia than oral minoxidil.

A systematic review of 23 trials analyzing the efficacy of orally and topically administered minoxidil, dutasteride, and finasteride found that dutasteride had the highest probability of being the most efficacious hair loss treatment. 0.5mg/d of oral dutasteride was the best performer to treat male pattern baldness. Dutasteride was followed by 5mg per day of oral finasteride, followed by 5mg per day of oral minoxidil (Rogaine). The next best-performing medication was a 1mg dosage of oral finasteride, followed by 5% topical minoxidil, 2% topical minoxidil, and, lastly, 0.25mg per day of oral minoxidil.

Although studies with dutasteride have shown promising results in reducing hair loss in male pattern baldness, it is currently not FDA-approved to treat hair loss. The only medications currently on the market for male pattern baldness are finasteride (Propecia) and minoxidil (Rogaine). However, dermatologists like Dr. Michele Green in NYC may prescribe dutasteride for use when they determine it is medically appropriate for their patients.

Dutasteride usually takes at least three months to see results but can take up to 6 months or more, depending on the person. Most current studies are limited to 6 months but have shown dutasteride increases hair growth and restoration in men with androgenetic alopecia. The side effects of dutasteride are comparable to the side effects of finasteride. Side effects of both medications are rare. However, the most common side effects that may require medical attention include chills, cold sweats, and faintness or dizziness when getting up from a lying or sitting position. Other side effects have been reported, such as decreased sex drive, erectile dysfunction, and ejaculation disorder. Rare side effects include unusual drowsiness, back pain, headache, and stomach ache.

Oral Minoxidil to Treat Hair Loss

Topical minoxidil, commonly known by the brand name Rogaine, has been a popular treatment option for hair loss since it was FDA-approved for men in 1988. Many are familiar with topical minoxidil in the form of a foam or serum. Oral minoxidil has recently gained traction as a new treatment option for hair thinning and loss. While oral minoxidil is an FDA approved for hypertension, a low dose of the medication is currently considered an “off-label” use for treating different types of hair loss, including male pattern hair loss, female pattern hair loss, and telogen effluvium, among others. Nearly 80% of patients in clinical trials observed their hair becoming thicker and longer while taking oral minoxidil. For many patients, oral medication is a convenient alternative to the topical version, as it does not leave any residue on the scalp, it’s easier than applying a solution, and it can safely be used in conjunction with other hair loss treatment options. To begin your treatment with oral minoxidil, the first step is scheduling a consultation with board-certified dermatologist Dr. Michele Green.

Keravive HydraFacial for Hair Loss and Scalp Health

The HydraFacial Keravive scalp treatment is designed to revitalize an unhealthy scalp. It uses HydraFacial vortex technology to cleanse, exfoliate, and infuse the scalp with growth factors to stimulate hair growth and replenish the overall health of your scalp. During the cleansing and exfoliation stage, dirt, oil, and other impurities are extracted, leaving your scalp clean and stimulating improved blood circulation in the area. Afterward, a peptide complex solution rich in growth factors and skin proteins is infused to hydrate the scalp and encourage new hair growth. Keravive scalp treatments can be safely combined with other hair loss treatments like PRP, minoxidil, LaserCap, and other oral medications.

Female Pattern Hair Loss

Female pattern hair loss (FPHL), also known as female androgenetic alopecia or androgenic alopecia, can affect around 40% of women by age 50. This is caused by a reduction in hair volume, combined with shedding from resting hair follicles. FPHL can be a frustrating condition for many women, particularly those with early signs of hair thinning. Overall, the presentation of female pattern hair loss is very different than that of male pattern baldness. Male pattern balding is usually noticeable via a receding hairline or bald patch atop the head, forming an “m”-shaped pattern. Within FPHL, hair shedding is more evenly distributed, though it can often begin with diffuse hair thinning, as well as a widening part line. For others, it may be hair thinning near their temples that is seen first – generally, the thinning is more widespread than for males.

For some women, an increase in male hormones can cause hair loss. In others, it can be caused by a decrease in estrogen levels. FPHL is more common after menopause, suggesting estrogen may also play a role in its development. There are similarities between how female and male pattern hair loss are treated. Both male and female hair loss patterns can be treated with minoxidil, neutral, and PRP. However, finasteride is typically not recommended for women. An alternative oral medication that is used is spironolactone. Spironolactone is an aldosterone receptor antagonist and is generally prescribed to treat high blood pressure, heart failure, and hyperaldosteronism. Recently, spironolactone has been increasingly prescribed to treat androgenic alopecia. Spironolactone effectively slows down the production of androgens like testosterone and thus halts hair loss and encourages hair regrowth. Many women have noticed an improvement in hair loss after taking spironolactone in the form of reduced shedding, increased hair growth, and thicker hair. Similarly to those with male pattern baldness, female patients with hair thinning or loss should schedule a consultation with a board-certified dermatologist for prompt evaluation, diagnosis, and treatment. Dr. Green in NYC is an expert in female and male pattern baldness, and she will work with you to promote new hair growth and prevent further hair loss.

Frequently Asked Questions & Answers

What causes hair loss in young men? How can I prevent balding at a young age?

Suppose you have a family history of male pattern balding. In that case, it is best to see a dermatologist early on to prevent further hair loss and develop an appropriate hair loss treatment plan. Male pattern hair loss is largely genetic and, therefore, can progress even when taking preventative measures. However, certain lifestyle adjustments can be beneficial for preventing further hair loss. A diet rich in antioxidants can help fight the signs of oxidative stress, which damages hair follicles. Foods rich in antioxidants include berries, legumes, and leafy green vegetables like kale and spinach. Foods that contribute to oxidative stress include sugar, processed fats, preservatives, and alcohol. Other nutrients like zinc, iron, and B vitamins are beneficial for hair health, so if you have nutritional deficiencies in these areas, be sure to get adequate amounts of them either through your diet or through supplements.

In addition, you should be mindful of how you are treating your hair. Try to use a shampoo that is mild and suited for your hair type to avoid unnecessary damage to your hair. Some hair styling and care products contain harsh ingredients that can be extremely detrimental to your hair health. High-heat hair styling tools like hair dryers can also damage your hair by leaving your hair follicle dehydrated and vulnerable to damage. Also, avoid chemically treating or bleaching your hair. Furthermore, routine hair regrowth treatments such as minoxidil or platelet-rich plasma (PRP) injections can help to slow the process of male pattern hair loss and prevent any further hair loss that would otherwise occur. These treatments can also promote hair regrowth. See a dermatologist like Dr. Green at the earliest onset of observable hair loss to have the best chances of preventing hair loss and restoring hair growth.

prp male hair loss patient

Why am I losing my hair at 18?

Though it is less common, male pattern hair loss occurs in around 25% of men before the age of 21. This can present as a receding hairline, hair loss at the back of the head, or hair thinning overall. A strong genetic predisposition or family history of hair loss is usually the main reason why you may have hair thinning or balding at such a young age. Additionally, poor hair care, as well as certain hairstyles, can increase hair loss in young adults. Keravive is a great scalp treatment that nourishes the scalp and encourages hair regrowth. Lastly, if you are struggling with hair loss, you may consider avoiding drying hair styling products, as well as tightly bound hairstyles. Cornrows and buns can all pull on scalp hairs at the root, which in turn can damage hair follicles and lead to traction alopecia.

Why am I losing hair in my 30s, 40s, and 50s?

It is common for men to lose hair in their 30s, 40s, and 50s due to a variety of reasons, from genetics to hormones, diet, illness, and stress. According to the American Hair Loss Association, over 65% of men will experience hair loss at some point in their lives, with around 85% of men experiencing hair thinning by age 50.

For 30-year-olds without a family history of hair loss or hair thinning in their family, it is possible that a specific trigger contributed to the hair loss. One major contributor to hair loss at a young age is stress. Excess stress can take a toll on your body and push your hair out of the growth phase and into the resting phase. These resting hairs eventually fall out. Increased shedding is usually noticeable three months after a very stressful event and can last up to six months. Stressful events include but are not limited to illness, surgery, death in the family, job loss, breakups, change in medication, and weight loss. Another factor is dieting. Crash diets can stress out your body and have negative effects on your hair by pushing your hair from a growth phase and into a resting state. It can also mean your body is not getting all the nutrients it needs. Nutritional deficiencies in protein, iron, zinc, niacin, and fatty acids can cause hair loss.

Once you are in your 40s and 50s, hair loss is a common occurrence. If you had poor haircare practices like chemically treating your hair and using heat styling tools, the detrimental effects would show. However, the most common reason for hair loss is still genetics. Although eating a balanced diet, getting enough sleep, and healthily managing your stress can help, you will likely need to see a healthcare professional for regular preventative care. A dermatologist may recommend topical minoxidil (Rogaine), oral finasteride (Proscar, Propecia), dutasteride (Avodart), Nutrafol, Platelet-Rich-Plasma (PRP), and Keravive.

Is it normal for your hair to fall out and shed?

Yes, it is completely normal for men’s hair to fall out. Everyone experiences a regular amount of daily hair shedding, losing between 50-100 hairs a day. Hair loss can affect anyone, be permanent or temporary, and be due to hormone changes, genetics, or aging. While anyone may be affected by hair loss, it is more common in men. The older you get, the more common it is that you will experience some form of hair loss. Over time, your hair fibers naturally become thinner and fall out, and they never regenerate. The natural pigment in your hair changes as you age as well, and your hair will become light, fine, and gray/white. If you notice increased hair thinning or have a family history of hair loss, it is best to see a dermatologist early on to prevent further hair loss and develop a hair loss treatment plan that suits your needs.

What causes hair loss in patches?

The most common answer for what causes hair loss in patches is a medical condition known as alopecia areata. Alopecia areata is an autoimmune disorder that causes your hair to fall out in clumps or small patches. This occurs as a result of your immune system attacking your hair follicles and can result in bald patches wherever hair grows, like on your scalp, arms, and legs. This disorder is often unpredictable and can begin at any age. About half of the people who have this condition regrow their hair within 12 months without treatment, but the cycles can be completely random for years. The exact cause of alopecia areata is still unknown, although there is a greater chance of you getting it if someone in your family has it.

Additionally, if patients experience a period of intense or chronic stress, telogen effluvium can occur. Telogen effluvium is a hair loss condition in which the majority of the hair follicles shift to the telogen or resting phase. Hair is essentially lost faster than the hair growth cycle can replace the lost hair, resulting in shedding and TE hair loss. TE is often temporary and can be caused by numerous different factors like stress, diet, and even some drugs. If you experience a particularly stressful event like the death of someone close to you or a car accident, the shock may result in increased hair shedding in the subsequent following months. Consulting a board-certified dermatologist, like Dr. Michele Green in NYC, is the best way to determine which type of hair loss you’re dealing with and the best way to treat it.

What causes hair loss in men’s legs?

Many patients tend to think of hair loss occurring exclusively on the top of the head, but alopecia can lead to hair loss on other parts of the body as well. Alopecia Areata Universalis is an autoimmune condition in which the whole body experiences hair loss and can lead to hair loss on the legs. Additionally, if you’ve experienced rapid hair loss on the legs, it’s best to schedule an appointment with your healthcare provider or trusted dermatologist right away. Patches of hair loss on your legs can be a symptom of other medical conditions, including diabetes, thyroid conditions, fungal infections, peripheral artery disease, and skin irritation due to eczema, psoriasis, or various other skin conditions. Dr. Green is extremely knowledgeable in medical conditions that can lead to hair loss, particularly eczema and psoriasis, and can work with you to heal your skin and, in turn, improve your hair.

What causes baldness in men? Is baldness reversible?

The best way to treat male pattern baldness is preventative treatment at the first onset of observable hair loss. As long as the hair follicle is not dormant, hair regrowth is possible in patients dealing with balding. In cases of alopecia areata, androgenetic alopecia, and telogen effluvium, hair restoration is possible through the use of oral medications, topical treatments, nutritional shifts, and in-office treatments like PRP to stimulate new hair.

22 yo female before and after two sessions of PRP MGWatermark

2 sessions of PRP before and after

When is it too late for hair loss treatment?

It is always possible to start hair loss treatments as long as you have some healthy hair follicles left. The key is early diagnosis and intervention to prevent further hair loss and the unwanted shrinking of hair follicles. The sooner you can start treatment, the more healthy hair follicles you are likely to have remaining, and the better the results you will get. A combination of different therapies like topical hair serums, oral medications, Nutrafol, and PRP can help stabilize hair loss and allow for regrowth to occur. Schedule a consultation with a board-certified dermatologist like Dr. Green as soon as you notice hair thinning or loss. Dr. Green will work with you to develop a hair loss treatment plan that promotes new hair growth and prevents further hair loss.

Do lasers work for hair loss?

Yes, laser and light treatment can be beneficial for combatting hair loss. The LaserCap is an FDA-approved prescription-strength laser that is safe, all-natural, and scientifically proven to promote hair regrowth in men and women. It uses Low-Level-Laser Therapy (LLLT) to re-energize inactive hair follicles. This product contains no chemicals and has no side effects. It only needs to be used for thirty minutes, three times a week, and it can be done in the comfort of your own home or on the go. Results can be maximized if used in combination with other treatments like minoxidil and finasteride. In one study, minoxidil, finasteride, and low-level lasers were all effective in promoting hair growth (J Am Acad Dermatol).

Which vitamins/supplements are good for hair loss?

The best supplements for hair loss include biotin, iron, vitamin C, vitamin D, and zinc. If you have nutritional deficiencies in any of these, you may experience hair thinning or dull-looking hair. You must have adequate amounts of these nutrients, but excess quantities of these nutrients can be harmful. Biotin can be found in egg yolks, whole grains, and meat. Iron can be found in red meat and leafy greens. Vitamin C can be found in leafy greens and citrus fruits. Vitamin D can be taken as a supplement or found in fortified foods like milk. Zinc can be found in beans, nuts, and shellfish. Vitamins and minerals can also be incorporated into hair loss supplements such as Nutrafol, which Dr. Green highly recommends to maintain healthy hair growth.

Does biotin help men’s hair loss?

Biotin is one of the most popular vitamins recommended for hair growth. It is naturally occurring in a variety of foods, including eggs, oats, onions, nuts, and sweet potatoes. Biotin is essential in hair growth since it plays an important role in keratin synthesis. Keratin is the main protein that makes up our hair and is also a major component of a strong, healthy hair shaft. Low biotin levels can lead to poor hair growth and hair loss. If you have a biotin deficiency, be sure to consume adequate amounts of biotin.

Does lack of estrogen cause hair loss?

Lack of estrogen can contribute to female hair loss and is of less concern in men since it is not a predominant hormone in the first place for male individuals. Men typically have lower estrogen levels than women. When levels of estrogen and progesterone drop in women, hair grows more slowly and is much thinner. The lower levels of estrogen and progesterone can also mean there are higher circulating levels of the male hormone testosterone that can be converted into androgens like DHT. These androgens shrink hair follicles, resulting in hair thinning and hair loss.

Surgical Options for Hair Loss Treatment: Hair Transplantation

When it comes to hair loss treatments, some patients may opt for surgical treatment options to restore a healthy head of hair fully. Hair restoration treatments like hair transplant surgery are typically suggested for patients who have not had success with any more conservative treatment options. Hair transplants use a “donor site” of hair follicles from the back of the scalp that is surgically moved to the balding area or “recipient site” of the scalp. The most modern method of hair transplant surgery relies on follicular extraction, during which individual hair follicles are transplanted into the donor area one by one, which typically takes 4-8 hours, depending on the size of the treatment area and the number of surgical assistants available for the procedure. After the process, new growth typically takes 6-9 months, and PRP injections are often paired with this procedure to maximize the effectiveness of the surgery.

Do any men’s hair loss products work?

Yes! There are several hair loss products for men that work to stop shedding and promote new hair growth, the most notable being 5% Minoxidil. Saw palmetto is a common ingredient in many men’s hair loss shampoos that has been shown to improve hair density with regular use. To create a completely customized and targeted treatment approach for your hair loss, it is always recommended to consult with a board-certified dermatologist like Dr. Michele Green in NYC. Dr. Green has the expertise and experience required to advise you on the unique combination of in-office procedures, specially formulated topical products, and prescriptions to suit your needs best.

What causes sudden, rapid hair loss in males?

Unfortunately, hair loss is a condition that affects many men for a host of reasons, including genetics, hormones, the natural aging process, or secondary to another medical condition, among others. Some nutritional deficiencies may induce sudden and rapid hair loss. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380979/

Additionally, a type of temporary hair loss called Telogen Effluvium may cause sudden and rapid shedding. Telogen Effluvium may be related to illness, significant emotional or physical stress, sudden and dramatic weight loss, pregnancy, or even changes in diet. If you have noticed that you are suddenly or rapidly losing hair, it is important to consult with an expert, board-certified dermatologist such as Dr. Michele Green in New York City. Dr. Green is an internationally renowned expert in the field of dermatology, with over 25 years of experience providing the best non-invasive treatment options available, including for hair loss.

How to stop men’s hair loss

The best way to stop hair loss is to work with a board-certified dermatologist to create a personalized hair loss treatment plan that suits your individual needs. During your initial consultation, Dr. Green will work with you to best understand the underlying causes of the hair loss. Some types of hair loss, such as those induced by feelings of chronic stress or illness, may cease after recovering from the condition. Other types of hair loss will not resolve on their own and require intervention to stop. A board-certified dermatologist, such as Dr. Michele Green in NYC, will collect a thorough medical history, physically assess the scalp and hair, and help you develop a customized treatment plan for stopping hair loss that is catered to your unique needs. Typically, it is recommended to take advantage of a combination of multiple treatment modalities, including topical treatments, oral medications or supplements, and in-office procedures, in order to stop hair loss as quickly and effectively as possible and stimulate hair growth.

How to prevent men’s hair loss

The most important aspect of preventing hair loss is consulting with an expert as soon as you notice hair thinning. Getting the right hair loss treatment plan in place early on will help you achieve and maintain optimal results. A board-certified dermatologist such as Dr. Green can order various laboratory tests to evaluate for the underlying causes of hair loss. A unique combination of oral medications, topical serums, and in-office procedures may be recommended to you, depending on Dr. Green’s assessment of your condition, medical and family history, and the results of your labs.

AD 33 yr old male before after PRP hair injections MGWatermark

What helps men’s hair growth?

Dr. Green provides her patients with various medical treatment options for promoting hair growth, including topical solutions, oral medications and supplements, and in-office procedures. The treatment options recommended to you may vary depending on the type of hair loss you have. It is important to start treating hair loss early on to get the best results and regrow as much as possible. As soon as you notice hair loss or thinning, schedule a consultation with a board-certified dermatologist like Dr. Green in New York City. Dr. Green has over 25 years of experience diagnosing and treating various forms of hair loss, and she will work with you to create a personalized hair loss treatment plan for promoting healthy, new hair growth and preventing further hair loss.

Can low testosterone cause hair loss in males?

Testosterone is a male hormone that is converted to DHT, which can affect the hair follicles. While low testosterone levels may correlate to less DHT being produced, the main cause of hair loss is a genetic sensitivity of the hair follicles to DHT. Testosterone levels might affect the growth of body hair and facial hair, but low levels of this male hormone do not necessarily cause hair loss. Conversely, high levels of testosterone may accelerate male pattern balding if there is a genetic predisposition to hair loss. Testosterone levels do not directly impact hair loss, but rather, the sensitivity of hair follicles to DHT.

What causes early baldness?

Early baldness can be influenced by factors like restrictive diets, heredity, hormone changes, aging, certain medical conditions or medications, surgery, childbirth, illness, and smoking, among others. The main cause of hair loss, however, is largely genetic, and genetic hair thinning can start as early as the end of puberty. Having a family history of baldness does increase the likelihood of developing hair loss. The most important step to make if you are experiencing early hair loss or balding is to schedule a consultation with a board-certified dermatologist like Dr. Green in NYC. Dr. Green has over 25 years of experience diagnosing and treating hair loss. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side, she will collect a thorough medical and family history and physically assess your scalp and hair to develop a personalized treatment plan for your hair regrowth.

What causes a receding hairline in males?

A receding hairline is a characteristic symptom of male pattern baldness, the most common type of hair loss affecting men. In addition to a receding hairline, male pattern baldness often results in a bald spot at the crown- the top of the head. Male pattern baldness can be influenced by genetics and male hormones and affects many individuals as early as their teenage years. Male pattern baldness is often caused by the sensitivity of hair follicles to male hormones. If you have a family history of hair loss, you may be more susceptible to developing a receding hairline. Over time, the receding hairline will form a characteristic “M” shape. This pattern of hair loss tends to continue until the receding hairline and bald spot meet, leaving hair at the back and sides of the head and ultimately resulting in partial or complete hair loss. Women are less likely to develop hair loss with a receding hairline and more likely to experience diffuse hair thinning and a widening part.

How to Stop Hair Loss Today?

Hair loss can be a devastating medical condition for men and women alike and, for many, can cause feelings of self-consciousness or low self-esteem. A wig or hairpiece can camouflage hair loss, but various medical treatments can help prevent additional hair loss and promote hair regrowth. The best course of action when you notice hair thinning is to schedule a consultation with an experienced board-certified dermatologist, such as Dr. Michele Green, in New York. If you are suffering from hair loss and thinning, whether you are in your 20s or 60s, Dr. Michele Green is here to help.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive treatment options, including for hair thinning and loss. Dr. Green takes a holistic approach, customizing each patient’s hair loss treatment plan to cater best to their particular needs and goals. She is consistently identified as one of NYC’s best dermatologists by Super Doctors, Castle Connolly, and New York Magazine for her dedication to her patients and expertise. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will work with you to create a personalized hair loss treatment plan that best promotes new hair growth and prevents future hair loss. To get started today, schedule a consultation with Dr. Green by calling the NYC office at 212-535-3088 or contacting us online.

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