Female Hair Loss, Acne, and Photoaging: A Comprehensive Dermatology Visit in Katy and Houston, Texas
Many patients experience multiple skin and hair concerns at the same time, requiring a thoughtful and personalized dermatology approach. At Reena Jogi, MD, we routinely evaluate and treat hair loss, acne, and signs of skin aging in a single visit. This case highlights a 33-year-old female who presented for evaluation of hair loss, facial acne, and photoaging, with an individualized treatment plan created for each concern.
Patient Presentation
A 33-year-old female, new patient, presented with several dermatologic concerns:
Generalized hair loss on the scalp, moderate in severity, gradual in onset, and present for several years
A history of scalp bumps
Growths on the neck, new and untreated
Photoaging of the face, with long-standing sun damage
She denied a history of anemia or thyroid disease and was currently using topical minoxidil and Nutrafol® supplements.
Physical Examination
A focused examination of the scalp with hair inspection was performed. The patient appeared well developed and well nourished, was alert and oriented, and in no acute distress.
Scalp examination demonstrated diffuse, non-scarring hair thinning, consistent with female pattern hair loss. A hair pull test was negative.
Diagnosis and Management
Female Androgenetic Alopecia
The patient’s clinical presentation and history were most consistent with androgenetic alopecia (AGA). Prior laboratory testing performed at an outside dermatology office was reported as normal. She denied menstrual irregularities.
Given that the patient was not preventing pregnancy and planning family expansion, oral treatment options such as spironolactone and oral minoxidil were avoided.
Hair Loss Treatment Plan
After extensive counseling, the following options were reviewed:
Continued topical minoxidil (Rogaine® 5%)
Nutrafol® supplementation
Low-level laser therapy using caps or helmets
Platelet-rich plasma (PRP) therapy
The patient elected to pursue PRP therapy at a future visit. Risks, benefits, expectations, pricing, and maintenance requirements were discussed in detail. Educational handouts were provided.
Acne Vulgaris (L70.0)
The patient also presented with comedonal and inflammatory acne on the face.
Acne Treatment Plan
She was counseled on gentle, non-comedogenic skin care and prescribed:
Tretinoin 0.025% topical cream, applied nightly
Detailed retinoid counseling was provided, including gradual use, moisturization, and expected dryness during initiation.
Photoaging of the Face
The patient expressed concern about sun-damaged skin and early signs of aging. The benefits of topical tretinoin for collagen stimulation, texture improvement, and pigmentation were reviewed, and this therapy was incorporated into her acne and photoaging treatment plan.
Patient Counseling and Education
The patient received extensive counseling regarding:
The chronic and progressive nature of female pattern hair loss
Realistic expectations for hair regrowth and maintenance therapies
Consistent use of topical treatments
Sun protection and long-term skin care strategies
She expressed understanding and agreement with the treatment plan.
Follow-Up
PRP treatment to be scheduled at a later date
Follow-up as needed for acne, hair loss, or cosmetic concerns
Comprehensive Dermatology Care in Katy and Houston, Texas
At Reena Jogi, MD, we provide personalized dermatologic care for hair loss, acne, and skin aging using evidence-based and cosmetic treatment options. If you’re experiencing hair thinning, acne, or sun-related skin changes, expert care is available in Katy and Houston, Texas.
