New patients coming for hair loss to Dr. Reena Jogi are encouraged to watch this video about hair loss PRIOR to their first appointment for a better experience.
If you have trouble with the video below you can click this direct youtube link https://youtu.be/XuqMJw8TVXE
There are many different types of hair loss in both men and women. Therefore it is very important that a board-certified dermatologist evaluate your scalp and your hair before you undertake any treatments. Dr. Jogi is an expert in hair loss and hair disorders.
When you see Dr Jogi, who is a double board-certified dermatologist (internal medicine and dermatology), she or he will first ask about the details of your hair loss and complete a full examination of your scalp. If needed, bloodwork might be checked to rule out underlying conditions. In addition, in certain situations a scalp biopsy may be necessary.
Once she has determined the cause of the hair loss, a plan may include topical medications, oral medications, steroid injections, or platelet rich plasma therapy. If you are interested in PRP for hair loss then please schedule an appointment.
Hair Loss Causes
Hair loss disorders can be divided into three categories. Having a doctor that can help identify these patterns can be important.
(1) Cicatricial (scarring) alopecias
Discoid lupus erythematosus
Frontal fibrosing alopecia
Classic pseudopelade of Brocq
Central centrifugal cicatricial alopecia
Keratosis folliculars spinulosa decalvans
Dissecting cellulitis of the scalp
- Mixed inflammatory disorders
Acne keloidalis nuchae
Erosive pustular dermatosis of the scalp
Cicatricial alopecia needs to be treated early because they are characterized by irreversible damage to the hair follicle that results in permanent hair loss.
(2) Nonscarring alopecias
These are conditions in which the hair follicle is not totally destroyed. The most common causes are
- Focal Hair Loss
Temporal triangular alopecia
Pressure-induced (postoperative) alopecia
- Patterned Hair Loss
Male pattern hair loss (androgenetic alopecia in men)
Female pattern hair loss
- Diffuse Hair Loss
Loose anagen syndrome
Atrichia with papular lesions
Most cases of alopecia areata or telogen effluvium hair loss have spontaneous or treatment-induced hair regrowth.. Recognition of distribution of hair loss is useful for the diagnosis of nonscarring alopecias
(3) Structural Hair Loss
- Richorrhexis nodosa
- Bubble hair loss - heat induced
- Menkes disease
- Trichorrhexis invaginata
Platelet Rich Plasma (PRP) is a newer cosmetic treatment that has shown great promise in the management of pattern hair loss.
An oral prescription of this prescription drug blocks the conversion of testosterone to dihydrotestosterone (DHT). It is approved for use in men only but can be used off-label in women in some instances as it has teratogenic effects.
Topical minoxidil 5% can reduce the rate of hair loss. It is available over the counter.
Wigs and hairpieces can be found locally or online. Hair fibers such as Toppik are also frequently used to mask areas of sparse hair growth.
The idea is to move multiple punched out grafts of hair follicles (taken from the androgen-insensitive parts of the scalp close to the neck line) and move them to the balding androgen-sensitive parts of the scalp.