EVALUATION

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

1. 1. Lymphocytic

      1. Discoid lupus erythematosus

      2. Lichen planopilaris

      3. Frontal fibrosing alopecia

      4. Classic pseudopelade of Brocq

      5. Central centrifugal cicatricial alopecia

      6. Alopecia mucinosa

      7. Keratosis folliculars spinulosa decalvans

   2. Neutrophilic

      1. Dissecting cellulitis of the scalp

      2. Folliculitis decalvans

   3. Mixed inflammatory disorders

      1. Acne keloidalis nuchae

      2. Acne necrotica

      3. 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

1. Focal Hair Loss

   1. Alopecia areata

   2. Traction alopecia

   3. Alopecia syphilitica

   4. Temporal triangular alopecia

   5. Pressure-induced (postoperative) alopecia

2. Patterned Hair Loss

   1. Male pattern hair loss (androgenetic alopecia in men)

   2. Female pattern hair loss

   3. Trichotillomania

3. Diffuse Hair Loss

   1. Telogen effluvium

   2. Anagen effluvium

   3. Loose anagen syndrome

   4. Atrichia with papular lesions

   5. Hypotrichosis simplex

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

1. Richorrhexis nodosa

2. Trichoptilosis

3. Bubble hair loss - heat induced

4. Menkes disease

5. Monilethrix

6. Trichothiodystrophy

7. Trichorrhexis invaginata

TREATMENT OPTIONS

PRP

Platelet Rich Plasma (PRP) is a newer cosmetic treatment that has shown great promise in the management of pattern hair loss.

CLICK HERE FOR MORE DETAILS ABOUT PRP FOR HAIR LOSS

FINASTERIDE

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.

ROGAINE

Topical minoxidil 5% can reduce the rate of hair loss. It is available over the counter.

ALDACTONE

This is an anti-androgen (spironolactone) which can bind to androgen receptors and block the action of DHT. This is also used in the treatment of acne.

CAMOUFLAGE

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.

HAIR TRANSPLANT

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.