Hair Loss is a complex medical condition, and those who experience their hair falling out, thinning, or appearing in large amounts on their comb should consult a dermatologist.
With the help of Los Angeles Dermatologist Peter Goldman, MD, a diagnosis can be made and the appropriate hair loss treatment can be discussed. Dr. Goldman will assess your individual case and discuss which treatments are best for you.
Watch Dr. Goldman talk about hair loss and treatment options on “The Doctors.”
If possible, Dr. Goldman will prescribe at home treatments to help with your hair loss problems. However, in more severe hair loss patients, a hair transplant procedure may be necessary. Learn more about treatment options available and see hair loss before and after photos.
The medical term for hair loss is alopecia. The most common type of hair loss is male pattern hair loss (MPHL). MPHL is characterized by hair receding from the lateral sides of the forehead, commonly known as a “receding hairline.” Generally, receding hairlines are seen in males about the age of 20, but can also be seen as early as in the late teens. In some cases, a bald patch may develop on the top of the head.
MPHL is caused by a genetic sensitivity of the hair follicles to the hormone, dihydrotestosteron (DHT), which causes the follicles to shrink. As sensitive follicles are exposed to DHT, hair growth slows and a weaker, shorter hair is produced. The exposure to DHT ultimately shortens the lifespan of the follicle and prevents them from producing hair normally.
The Norwood-Hamilton Scale illustrates the standard stages of MPHL:
Females with permanent hair loss usually experience hair loss that is limited to thinning at the front, sides or crown. Women usually maintain their front hairline and rarely experience complete baldness. Through various techniques, Dr. Goldman has become an expert at treating hair loss in women.
Alopecia Areata is the medical term for temporary hair loss. Hair loss usually occurs in small, round, smooth patches about the size of a quarter. Usually the disease doesn’t extend beyond a few bare patches on the scalp, but it can cause patchy hair loss on any area that has hair, including eyebrows, eyelashes and beard. In rare cases, it can progress to cause hair loss over the entire body. Soreness and itching may precede the hair loss, but symptoms are often minimal.
Telogen effluvium is a type of hair loss occurs suddenly, most often after a significant illness or major life stress. Handfuls of hair may come out when combing or washing your hair or may fall out after gentle tugging. This type of hair loss usually causes overall hair thinning and not bald patches.
Contact a doctor if you notice sudden or patchy hair loss or more than usual hair loss when combing or washing your hair. Sudden hair loss can signal an underlying medical condition and may require medical treatment.
A: There are a number of things that can cause excessive hair loss. It can be related to genetics, a major illness, stress, or hormone imbalances. Hair loss may occur in males or females.
A: Depending on the type of hair loss, treatments are available. It is important for the doctor to determine what is causing your hair loss so that an appropriate treatment plan can be administered.
A: Dihydrotestosterone (DHT) is produced from the male hormone testosterone by the enzyme 5-alpha reductase. DHT is thought to be the hormone most responsible for male pattern baldness. DHT has a very high affinity for the androgen receptor and is estimated to be five to ten times more potent than testosterone.
A: Results should appear in two to three months, although sometimes it takes longer. The best results are seen after the two-year mark because hair follicles undergo a relatively long dormancy period in between hair growth cycles. Since it takes several growth cycles for the hair to get thicker, stronger and longer, it takes time to see the full results. A Los Angeles hair loss doctor can better help you understand which treatment options may work well for you.
A: The number of visits depends on the patient’s personal hair restoration objectives. For non-surgical treatments, we recommend that patients come in monthly for the first five months. At the end of this time period, Drs. Dubow and Goldman will reassess your situation and determine a future treatment plan. For surgical hair restoration, most people only require one surgery. However each case is different, so it is difficult to assess how many treatments you will need without meeting with you in person.
Results are usually seen within three to six months, although sometimes it may take longer. Most rethickening is seen between the one to two year mark.
A: Each patient’s needs are different; therefore there is not one best hair loss treatment. After assessing your individual situation, Dr. Goldman will create a hair loss treatment plan that is best suited to your particular needs.
Click here to learn more about treatment options available and see hair loss before and after photos.
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