Men’s Hair Loss & Male Pattern Baldness

Male Pattern baldness (androgenetic alopecia) and other types of hair loss in men, such as telogen effluvium and alopecia areata, are very common. According to the American Hair Loss Association, over 65% of men will experience hair loss at some point in their lives. The earlier hair loss treatment starts, the better it works to stimulate new hair growth and prevent further hair loss. As soon as you notice signs of hair thinning, or if you have a family history of male pattern baldness, consult an experienced board-certified dermatologist, such as Dr. Green in NYC. At her private dermatology office in Manhattan’s Upper East Side, Dr. Green creates personalized hair loss treatment plans 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.

Some of the most popular hair loss treatment options include topical minoxidil solution, oral minoxidil, finasteride, dutasteride, platelet-rich plasma injections, Keravive scalp treatment, corticosteroid injections, and hair transplants. The combination of treatment options recommended for you should be selected by an expert like Dr. Green, depending on a professional assessment of your condition, your medical and family history, and the specific type of hair loss you have. Male pattern baldness occurs when the scalp hair follicles shrink, eventually ceasing hair growth. This type of hair loss typically occurs in a predictable pattern, with a receding hairline and hair loss at the top of the head. Telogen Effluvium is a temporary type of hair loss that is usually stress-induced and involves diffuse thinning. Alopecia areata is an autoimmune disorder that occurs when the immune system attacks the scalp hair follicles, resulting in patchy hair loss. Dr. Green is an expert in hair loss and will work with you to ensure your hair loss treatment plan is best suited to your unique needs.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience diagnosing and treating different types of 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. 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 is Male Pattern Baldness or Androgenetic Alopecia?

Male pattern baldness, or androgenic alopecia, is the most common type of hair loss in men. In fact, it affects approximately 50 million men in the United States. Signs of male pattern baldness can appear as early as one’s teens, and over half of all men over 50 have some degree of male pattern baldness. The classification system for the severity of male pattern baldness is called the Norwood scale, which has seven stages. Stage 1 is the least severe, with no observable hair loss. Stage 7 is the most severe, with a mostly bald scalp. In stage 7 male pattern baldness, there may be a band of thin, fine hair going around the sides of the head. The Norwood scale is a valuable tool for dermatologists to understand the severity and progression of a patient’s hair loss and to recommend the appropriate treatment options.

Male androgenetic alopecia is caused by a combination of various risk factors which are still being studied. However, it has been determined that in men, this type of hair loss is related to genetics and male hormones called androgens. It often first presents as hair loss above the temples and at the vertex and crown of the scalp. 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.

Some of the most popular treatment options for male androgenetic alopecia include topical products like minoxidil solution (Rogaine), oral medications like dutasteride and finasteride, and in-office procedures like platelet-rich plasma injections or hair transplant surgery. Hair loss is often multifaceted, and Dr. Green often recommends some customized combination of these treatment options to promote hair growth and prevent further hair loss.

6 Months after PRP hair treatment

What is the cause of male pattern baldness?

The exact cause of male pattern baldness remains unknown and is still being studied by researchers. However, it has been identified that this type of hair loss in men is related to a combination of genetics and male hormones called androgens. Those who have a family history of hair loss are more likely to suffer from male pattern baldness. Men with androgenic alopecia also tend to have increased sensitivity to dihydrotestosterone (DHT). DHT is a male hormone that plays a major role in developing male sex characteristics such as facial and body hair. In adults who are genetically predisposed to hair loss, DHT can bind to androgen receptors in the scalp hair follicles, resulting in a shrinking of the hair follicles. Follicular minimization causes the hair to become weaker and shortens its life span. Eventually, the hair follicles cease to grow new hair altogether.

Other common types of hair loss in men

While male pattern baldness is the most common cause of hair loss in men, other types can also affect them. Telogen effluvium is another common type of hair loss in men, typically caused by illness or stress. Autoimmune disorders, such as alopecia areata, lichen planus, and lupus, are also associated with different kinds of hair loss in men.

Telogen Effluvium

Telogen effluvium (TE) is a common type of hair loss that occurs when many of the hairs in the growing phase enter the resting or telogen phase. Hair growth happens in four distinct phases: the anagen/new hair growth phase, the catagen/transition phase, the telogen/rest phase, and the exogen/shedding phase. Normally, most of our hair is in the anagen or new growth phase. However, with telogen effluvium, most hair follicles shift to the telogen phase, resulting in hair loss.

Telogen Effluvium is often temporary and can be caused by factors like emotional or psychological stress, diet, pregnancy, illness, surgery, hormone changes, and even some medications. For example, a stressful event like the death of someone close to you or a car accident may result in increased hair loss in the subsequent months. According to the American Academy of Dermatology Association, COVID-19 can be linked to this type of hair loss. Certain nutritional deficiencies like iron and zinc can also contribute to TE. Some medications, like antidepressants, may also trigger telogen effluvium. 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. Healthy stress management and maintaining a balanced diet can help encourage new hair growth in cases of telogen effluvium. Over-the-counter products like topical minoxidil can also help prolong the anagen phase of the hair follicle and promote hair regrowth. Patients with prolonged or severe telogen effluvium may opt for platelet-rich plasma injections to stimulate new hair growth more quickly

6 Months after PRP hair treatment

Alopecia Areata

Alopecia areata is an autoimmune disorder that causes hair loss in small patches. This type of hair loss occurs because the immune system attacks the hair follicles in areas of the scalp, beard area, arms, and legs. Another symptom of alopecia areata is brittle, pitted nails. Alopecia areata can be unpredictable and begin at any age. About half of the people with this medical condition observe hair regrowth within 12 months without treatment. Still, most people will experience more than one episode of hair loss in their lifetime. The exact cause of alopecia areata is still unknown. However, there is a greater chance of getting it if there is a family history of it. You are also more likely to get alopecia areata if you have medical conditions like asthma, thyroid disease, and vitiligo, among others.

Treatment options for alopecia areata include corticosteroid injections, topical medications, and oral medications. Steroid injections in affected areas can help reduce inflammation around the hair follicles and encourage new hair growth. 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.

How to stop men’s hair loss

The earlier hair loss treatment starts, the better it works to prevent further hair loss and promote new hair growth. As soon as you notice hair thinning or loss, schedule a consultation with an experienced board-certified dermatologist like Dr. Michele Green in NYC. Dr. Green customizes each patient’s hair loss treatment plan to suit their unique needs. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will collect a thorough medical and family history, physically assess the affected areas, and review any previous hair loss treatments you may have tried. Then, she will recommend a personalized combination of topical treatments, oral medications or supplements, and in-office procedures to help you stop your hair loss and achieve thicker, healthier, fuller hair.

Finasteride

Finasteride is an FDA-approved oral prescription medication used to treat male pattern baldness. It is one of the most reliable and effective treatment options for hair loss in adult males. It is a 5-alpha-reductase inhibitor and an antiandrogen that blocks the conversion of testosterone into dihydrotestosterone (DHT), resulting in lower levels of DHT. Many men who take finasteride notice improvements after three to four months of regular usage, although results may take up to a year. Finasteride is often used in conjunction with topical or oral 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, which stop within two weeks after stopping the medication. Finasteride is also used to treat men with symptoms of benign prostatic hyperplasia and reduce the risk of prostate cancer.

3 PRP treatment sessions, 4 months apart

Dutasteride

Dutasteride is an oral prescription medication commonly known by its brand name, Avodart. Like Finasteride, it is a 5-alpha-reductase inhibitor that blocks the conversion of testosterone into DHT, which has been linked to male pattern baldness. Whereas Finasteride only blocks the type 2 form of 5-alpha-reductase, dutasteride blocks types 1 and 2. Finasteride and Dutasteride are both effective oral treatment options for hair loss in men. It can take 3-6 months or more to see noticeable results from taking Dutasteride. The side effects of dutasteride are rare and comparable to those of finasteride.

A systematic review and meta-analysis 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. 0.5 mg/d of oral dutasteride was the best performer to treat male pattern baldness, followed by 5mg per day of oral finasteride and 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 FDA-approved to treat male pattern baldness are finasteride and topical minoxidil. However, dermatologists like Dr. Green may prescribe dutasteride if it is medically appropriate for their patients.

Topical Hair Loss Treatments

Topical minoxidil, popularly known as Rogaine, is an FDA-approved, over-the-counter treatment for hair loss and thinning. It is available as a topical liquid solution or foam to be applied directly to the affected areas of the scalp once or twice daily. Minoxidil shortens the telogen/resting phase of the hair growth cycle and pushes it into the anagen or active phase. Like other hair loss treatments, it takes a few months to see any noticeable new hair growth from topical minoxidil. Over time, minoxidil improves the thickness, density, and overall appearance of your hair.

From Dr. Green’s proprietary line of products, MGSKINLABs, inc., the male hair serum contains 7% minoxidil and topical finasteride. A recent review in the Journal of Cosmetic Dermatology revealed that a combination of topical minoxidil and finasteride enhances hair regrowth results. Additionally, many patients enjoy using topical finasteride to avoid encountering any of the potential systemic side effects of oral finasteride. Dr. Green’s hair serum is one of the only products on the market that combines topical minoxidil and topical finasteride to provide the ultimate formulation for hair restoration.

Oral Minoxidil

Oral minoxidil is an FDA-approved treatment for hypertension but has also been found to stimulate new hair growth. Low-dose oral minoxidil is an “off-label” treatment for several types of hair loss, including male pattern baldness, 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. Many patients prefer oral minoxidil to the topical version, as it does not leave any residue on the scalp, it’s easier than applying minoxidil solution, and it can safely be used in conjunction with other hair loss treatment options. To get started with oral minoxidil for hair loss, schedule a consultation with board-certified dermatologist Dr. Michele Green in NYC.

Platelet-rich plasma injections

Platelet-rich plasma (PRP) is an innovative hair loss treatment that relies on autologous growth factors to promote new hair growth and prevent further hair loss. The procedure involves 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, including 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. Dr. Green injects the PRP into the areas of the scalp affected by hair loss and thinning, which revitalizes hair follicles, improves small blood vessel count near the injection sites, and stimulates new hair growth.

Patients with male androgenetic alopecia can benefit greatly from a series of platelet-rich plasma injections. According to clinical trials published in Aesthetic Plastic Surgery and the Journal of Cosmetic Dermatology, patients treated with PRP injections for hair loss saw vast improvement in hair regrowth. According to another study in the Journal of Cutaneous and Aesthetic Surgery, PRP therapy has been shown to increase the number of hair follicles and create thicker, stronger hair strands. The American Academy of Dermatology also deems PRP to be a safe and effective hair loss treatment that can help improve hair regrowth. Platelet-rich plasma can be used with other hair loss treatment options to create a comprehensive plan and provide patients with thicker, fuller, healthier hair. It is one of the most popular hair loss treatments at Dr. Green’s private dermatology office in NYC.

Keravive

The HydraFacial Keravive scalp treatment uses vortex technology to cleanse, exfoliate, and infuse the scalp with growth factors, stimulating hair growth and replenishing its overall health. During the cleansing and exfoliation stage, dirt, oil, and other impurities are extracted, leaving the scalp clean so that the peptide complex used in the next step can be more easily absorbed. These first steps also promote enhanced blood circulation in the scalp, meaning more nutrients and oxygen are brought to the area via the blood. The next step involves the infusion of the peptide complex solution, which is rich in growth factors and skin proteins, to hydrate the scalp and encourage new hair growth. Keravive scalp treatments can be safely combined with other hair loss treatment options like platelet-rich plasma injections, minoxidil, LaserCap, and other oral medications. Most patients have a series of at least three Keravive treatments, each spaced approximately one month apart, to get the best hair growth results. It can take up to three months after the last Keravive treatment in the series to observe the final results. Many patients have maintenance treatments of Keravive on a bi-annual basis to get ongoing hair growth benefits or as needed to promote scalp health.

How to prevent men’s hair loss

While several types of hair loss in men can have a genetic component, there are ways to delay them and prevent other types. Male pattern baldness, the most common cause of hair loss in men, does involve genetics and, thus, can’t be prevented entirely. However, it is possible to retain thicker, fuller hair for longer and slow hair thinning by taking advantage of treatment options such as finasteride, topical or oral minoxidil, and PRP injections. Suppose you are a male with a family history of male-pattern baldness. In that case, you may consider consulting a board-certified dermatologist like Dr. Green for a preventative hair loss treatment plan. Engaging in healthy lifestyle behaviors, including stress management, adequate sleep, and having a balanced diet, can help prevent flare-ups of other types of hair loss, like telogen effluvium and alopecia areata. It is important to keep in mind that alopecia areata is also an autoimmune disorder that can not be cured, only managed. 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. Regardless of the type of hair loss you’re dealing with, consulting an expert like Dr. Green is always the best first step. A unique combination of oral medications, topical serums, and in-office treatment options may be recommended, depending on Dr. Green’s assessment of your condition, medical and family history, and the results of your labs.

3 Months after Alopecia Areata treatment in chin area

Which hair loss treatment is best?

The best hair loss treatment plan is a personalized combination of treatment options that are selected for you by an experienced board-certified dermatologist based on your medical and family history, the type of hair loss you have, and your specific needs and goals. Dr. Michele Green in New York City is an internationally renowned board-certified dermatologist with over two and a half decades of experience diagnosing and treating different types of hair loss in men and women from around the world to provide them with thicker, healthier, fuller hair. Some of the most popular hair loss treatment options for men include platelet-rich plasma injections, Keravive scalp treatment, corticosteroid injections, topical minoxidil solution, oral minoxidil, Finasteride, Dutasteride, and Dr. Green’s hair serum for men.

Hair Loss Treatment and Prevention with Dr. Green

As soon as you notice signs of hair thinning or loss, schedule a consultation with an experienced board-certified dermatologist like Dr. Michele Green. The earlier hair loss treatment starts, the better it works to preserve hair and prevent further hair loss. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will collect a thorough medical, surgical, and family history and review any previous hair loss treatments you may have tried. You will be asked to bring bloodwork from the past year so Dr. Green can see if any abnormalities may be contributing to your hair loss. If you do not have any recent bloodwork, Dr. Green may order lab work. Depending upon her assessment, she may also 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.

Depending on her evaluation of your condition, Dr. Green will recommend a unique combination of hair loss treatment options. Hair loss is usually a multifaceted condition, 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. Depending on the treatment options incorporated into your hair loss treatment plan, you may be asked to follow up to check on your progress in one, three, or six months. Dr. Green will work with you to establish a timeline for your treatments that suits your needs.

FAQs:

How many men experience hair loss?

Hair loss is a very common condition in men. In fact, hair loss in men is so common that by age 35, two-thirds of men have some type of hair loss. Over 65% of men experience some type of hair loss in their lifetime. Male pattern baldness is the most common type of hair loss in men, affecting 30-50% of men by 50 years of age and approximately 50 million men in the United States. While male pattern baldness can affect anyone who is assigned male at birth, men of Chinese and Japanese descent are less likely to be affected. There is a hereditary component to male pattern baldness, and those who have a family member with the condition are more likely to have it themselves.

Is male hair loss a hereditary condition

Where does the hair loss gene come from?

While the exact cause of male pattern balding remains unknown, it has been found to have a genetic component. Individuals with a family history of male pattern baldness are more likely to have it themselves. Male pattern baldness is also related to a person’s natural sensitivity to the male hormone dihydrotestosterone, which can bind to the androgen receptors of scalp hair follicles, causing hair loss. One popular myth is that male pattern baldness is passed down from the mother’s side of the family, while female pattern hair loss 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 cosmetic and medical treatment options that can reduce or delay the effects of androgenetic alopecia by promoting hair regrowth and preventing further hair loss. If you have a family history of hair loss or 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 treatment options best suited to meet your needs.

What causes thinning hair, alopecia, and baldness in men?

It is common for men to lose hair due to a variety of reasons, including genetics, abnormal levels of male hormones, obesity, nutrition deficiency, high-fat diet or dieting, illness, stress, and even certain medications. 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 some hair thinning by age 50. Excess stress can take a toll on your body and push your hair out of the growth phase and into the resting phase, which eventually falls 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 involved with hair thinning and loss 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 cause of hair loss is still genetics.

What causes hair loss and baldness in young men?

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.

What causes sudden, rapid hair loss in men?

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.

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, occurring as a result of your immune system attacking your hair follicles. It 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.

Is it normal for hair to fall out? What causes hair to fall out in men?

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 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, which can lead to hair loss on the legs. Additionally, if you’ve experienced rapid hair loss in 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 male pattern baldness and hair loss?

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 shrink over time and are sensitive to certain male hormones, like DHT, which tend 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.

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. Obesity has also been proven to have a negative impact on the hair, causing thinning and loss. 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.

When does men’s hair start to thin?

Hair thinning and loss can affect men as early as their teens, although they tend to progress with age. In fact, 1/4 of men notice the first signs of hair thinning by the time they are 21. By 50 years old, at least half of men have some noticeable type of hair loss. While hair thinning and loss in men is very common, the most important consideration when it comes to preventing further hair loss is to schedule a consultation with an experienced board-certified dermatologist, such as Dr. Michele Green, as soon as you notice the first signs. If there is a family history of hair loss, consider scheduling a consultation for preventative hair loss treatment in order to keep hair thicker, healthier, and fuller for longer.

What causes early hair loss and baldness in men?

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.

Why is my hair thinning on the sides?

The most common reason a male has hair thinning on one or both sides of the frontal scalp is male pattern baldness (androgenic alopecia). This hereditary condition progresses with aging and is characterized by hair loss above the temples and at the vertex and crown of the scalp (top of the head). Over time, the receding hairline forms a characteristic “M” shape, eventually leading to baldness. The most important thing to do as soon as you notice hair thinning is to schedule a consultation with a board-certified dermatologist, such as Dr. Michele Green, in NYC. The earlier hair loss treatment begins, the better it works to stimulate new hair growth and prevent further hair loss. Dr. Green has over two and a half decades of experience providing men and women from around the world with the best non-surgical hair loss treatment options and will work with you to create a personalized plan that suits your needs.

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. It is always recommended to consult with a board-certified dermatologist like Dr. Michele Green in NYC to create a completely customized and targeted treatment approach for your hair loss. 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 helps male pattern baldness?

The FDA recognizes finasteride and topical minoxidil for the treatment of androgenetic alopecia in men. Other popular treatment options include oral dutasteride and minoxidil, Nutrafol supplements, and Keravive scalp treatments. Platelet-rich plasma (PRP) injections are the most popular in-office hair loss treatment. Most patients have a short series of at least three PRP treatment sessions, spaced approximately one month apart, to achieve the best results in terms of stimulating new hair growth. Many patients choose to have regular maintenance treatment sessions on a quarterly, bi-annual, or annual basis. When you have PRP injections with Dr. Green for hair loss, she will work with you to establish a timeline for your treatment sessions that suits your needs. The best hair loss treatment plan is always a personalized combination of treatment options selected for you by an experienced board-certified dermatologist, such as Dr. Green in NYC. Dr. Green takes a holistic approach to hair restoration, customizing each patient’s hair loss treatment plan depending on their medical and family history, their condition, and their unique needs.

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.

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.

Can men’s hair regrow naturally?

Hair regrowth in men may occur naturally, depending on the type of hair loss one is experiencing. For example, Telogen effluvium is a type of hair loss that is often temporary and can be caused by factors like stress, diet, 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. With other common types of hair loss, such as male pattern baldness and alopecia areata, spontaneous hair regrowth is unlikely. Since hair loss treatment is more effective the earlier it starts, it’s recommended to consult with a board-certified dermatologist like Dr. Green as soon as you notice it. That way, your condition can be evaluated and treated appropriately to ensure that you get the best results.

Which vitamins and 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. It would be best if you had 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, please make sure you consume adequate amounts of biotin.

2 sessions of PRP before and after

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).

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. It 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 hair loss patterns 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

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.

Hair Transplant Surgery

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.

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.

How to treat and prevent hair loss today

Hair loss can be devastating 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.