Be Skeptical: Science vs. Hype

There are many, many so-called “solutions” to balding or a receding hairline out there, but it is always wise to be skeptical about any claim unless there are published studies supporting that claim. In addition, the studies should be done by an independent source, not just the company selling or promoting the product. Furthermore, even for the legitimate, science-based solutions, it is important to know what type of solution is appropriate for each situation. For example, even though Rogaine (minoxidil) is a well-known and effective hair loss solution for men, relying on Rogaine alone to stop hair loss may not work in some cases. In addition, there are certain things it may not be able to do when it comes to hair loss, such as grow new hair on some completely bald spots. Even among the good solutions, not every solution targets every problem in hair loss. You need to choose a specific solution for your specific situation.

Among the legitimate solutions, you need to also be careful who you are buying the solution from. Some solutions can be good solutions in general (such as hair transplant surgery), but if the company or surgeon does not have a good reputation or cannot produce good results, you need to avoid that company or surgeon. It is wise to always be skeptical before you dole out your money to someone promising a solution to your hair loss.

www.urah.com.sg
http://www.urah.com.sg

When you come across a new hair loss product or “solution,” a good rule of thumb is to research whether or not any scientific studies or clinical trials have been conducted that support its effectiveness. Make sure you only spend money on something that has good research supporting it.

Hair Loss Products

Products advertised as “hair loss products” include finasteride (Proscar and Propecia), minoxidil (Rogaine), low-level laser therapy (LLLT), “hair omega” pills, Viviscal supplements, Revivogen, saw palmetto, hair thickening shampoos, etc. Not all hair loss products are created equal, however. In order to decide whether or not you want to spend money on something, find out whether or not there have been any peer-reviewed studies demonstrating its effectiveness. If there are no studies showing its effectiveness, it is probably a waste of money. I discuss many of these products on my website here, along with links to various studies, so you can decide for yourself what might be worth using or not.

www.positionlogic.com
http://www.positionlogic.com

Hair Loss Treatments/Procedures

Hair loss treatments involve more expensive solutions such as hair transplant surgery. If you can afford it and have decided to undergo one of these treatments to address your hair loss, be certain you do your homework when deciding on a specific surgeon or clinic.

For hair transplant surgery, there are two essential things the surgeon must have before you trust them with your hair: experience and good results. Check the website to see how many years of experience the person has had specifically with hair transplants. (Being board-certified is definitely important.) Take a good look at Before & After photos of actual patients, and decide if you are satisfied with the results. While pictures are definitely not 100% reliable (and can often be manipulated to create the appearance of good results), at the very least, make sure the pictures aren’t bad!

Why Hair Loss? The Causes

That may be the question that you are asking yourself: Why am I losing hair? Well, don’t worry, there is a well-known biological reason for it, and 34,999,999 other men in the United States experience it too (assuming you live in the United States).

www.dailytelegraph.com.au
http://www.dailytelegraph.com.au

Very rarely (relatively speaking), the cause of hair loss in men could be something abnormal, such as stress, nutritional deficiencies, or some other problem. If you notice your hair falling out rapidly, you need to make an appointment with your doctor. More likely, however, your hairline recession is due to a common process known as androgenetic apolecia, or “male pattern baldness,” which over 85% of men experience. This accounts for more than 95% of men who experience hair loss, so your hair loss is most likely due to this natural process, rather than some disease or abnormal situation.

This type of hair loss (characterized by a receding hairline, losing hair at the crown, and sometimes losing all hair on the top of the head) is due to an enzyme called dihydrotestosterone (DHT), which is a byproduct of testosterone. The genetics of some men causes their body to produce a substance known as 5-alpha-reductase when they reach a certain age. This enzyme reacts with the testosterone in the man’s body, producing a new substance known as dihydrotestosterone. This substance binds to hair follicles and weakens them before they are able to complete their growth phase. Eventually, this causes hair follicles to fall out and balding to occur.

That’s right. The culprit for male pattern hair loss is a single chemical known as DHT. The good news is that some of a man’s hair is permanently resistant to these effects. The hair on the back and sides of your head will most likely remain intact for the rest of your life, even if you experience hair loss. That is why even men who experience the most hair loss still have a “wreath” of hair around their head.

The stages of hair loss in men. Image from www.evolvehairclinic.com.
The stages of hair loss in men, known as the Norwood scale. Image from http://www.evolvehairclinic.com.

It is important to know that DHT is the root cause of hair loss in men, because it means that the solution to hair loss is very simple (theoretically speaking): find a way to either stop the production of DHT or offset the effects of DHT. If DHT stops being produced, it will stop attacking your hair follicles, and your hair will be able to grow normally. Thus, it is very important to realize that:

Any product that does not directly block DHT is probably useless in stopping hair loss. (The exception to this would be products that enhance hair growth enough to offset the weakening effects of DHT.)

The substance that attacks hair follicles and leads to hair loss. Image from hairloss.org.
The substance that attacks hair follicles and leads to hair loss. Image from hairloss.org.

Therefore, any shampoo, supplement, drug, vitamin, food, etc. that does not block DHT will have no effect whatsoever on the root cause of your hair loss (unless it stimulates hair growth and offsets the effects of DHT). This is important to keep in mind when you are buying products to address your hair loss, so that you do not waste money.

Are there any special foods, nutrients, or exercises that will significantly reduce DHT, the culprit of hair loss in men? That doesn’t appear to be the case. This means that even if you eat healthy and exercise often, you could still experience hair loss. You should not trust every claim out there about a certain product or procedure that supposedly will give you hair back or stop balding; it is important to make sure the product being offered has scientific research to back it up.

What types of products have been scientifically demonstrated to block DHT, the cause of hair loss? Surprisingly to some perhaps, Rogaine (or generic minoxidil) is not one of them. Instead, Rogaine works to stimulate hair growth, theoretically counteracting the weakening effect by DHT. Even though Rogaine does not block DHT, studies have shown that it can be effective in increasing hair growth in a mild way. It is worth trying, but because it does not block the source of the hair loss, you may need to supplement it with something else if you have a receding hairline.

The only FDA-approved drug that actually blocks DHT is finasteride, often sold as Propecia or Proscar. Finasteride is available as pills and is definitely effective in slowing/preventing hair loss and promoting hair growth, precisely because it blocks the main cause of hair loss (DHT). The only issue to be aware of is that finasteride can have some internal side effects, because it is taken in pill form. It has been known to cause erectile dysfunction and/or libido loss in some men who take it. It is important to know the risks so that you can make an informed decision as to whether or not you want to try something like this.

The important thing is that once you know what the actual cause of your hair thinning is, you can focus on solutions that address the root of the cause if you want to maintain the hair that you currently have.

To examine your particular hair loss situation and how to address it, click on the following link:

What Particular Stage of Hair Loss Am I At?

Restore Hair that was Lost

Perhaps you have already lost a substantial amount of hair, and want to gain that hair back and have a full head of hair again. Or perhaps you have just lost a small amount of hair and are already taking steps to halt hair loss, but you still want to restore your hairline to where it was previously. Using methods that slow down or stop hair loss (such as finasteride, minoxidil, low-level laser therapy, etc.) will not cause new hair to grow in completely bald areas. Thus, in order to bring your hairline back to where it was originally or fill in the top of your head after it has gone bald, you essentially have two options:

Hair Transplant Surgery. A hair transplant surgery involves extracting hair from the back and sides of the head (where the hair is resistant to the effects of DHT) and transferring that hair to the bald areas of your head. Since the hair comes from a region where DHT cannot affect it (called the “donor site”), the new hair will grow permanently. There are two types of hair transplant surgery: FUT (Follicular Unit Transplantation), which involves harvesting and transplanting strips of hair, and FUE (Follicular Unit Extraction), which takes smaller, individual “packets” of hair. FUT is less expensive, but it leaves a permanent linear scar on the back of the head, which usually can be covered up with the hair that remains.

This is an excellent way to restore hair to areas of your head where hair was lost. However, note that the amount of hair you can use is limited by the amount of hair available on the back of your head. Thus, you may not be able to completely restore ALL of the hair you once had (depending on the stage of baldness you are at), but a hair transplant will most definitely improve the amount of hair you have.

Another thing to be aware of is the possibility of “shock loss.” Shock loss is the shedding of hair that occurs due to the effects of the surgery. Many times, the hair loss is temporary and the hair grows back. You need to be aware of the possibility of shock loss (and that you may permanently lose that hair), and make sure you thoroughly question a potential hair transplant surgeon on your personal risk for that.

Hair Replacement. Hair replacement does not have the same restrictions or risks that a hair transplant does, since hair replacement is non-surgical and there is an unlimited supply of hair available. It involves a hair “system” that is installed on your scalp and grows. The system is composed of real human hair that grows along with your real hair. It requires maintenance at a clinic roughly once every month. This is a great option if you want to completely restore your “full head of hair” look and restore your hairline to exactly where it was before you started experiencing hair loss. However, it is less natural than the hair transplant option, since it does not involve your own hair.  This video shows a good example of someone who has used a hair replacement system to restore his hairline before going mostly bald.

As noted, hair replacement does not have the same risks that a hair transplant surgery does. That is why you need to be more cautious when considering hair transplant surgery than you do if you just want a non-surgical hair replacement. When planning a hair transplant surgery, choose a surgeon with:

Many years of experience specifically in hair transplant surgery.
A good “Before & After” photo gallery with results that YOU like.
Board-certification in cosmetic surgery (at least), member of American Board of Hair Restoration.

Also, check out more than one hair transplant clinic and talk to various surgeons before moving forward. Probably the biggest risk you need to be concerned about is the possibility of permanent “shock loss” of hair you still have after receiving a hair transplant surgery. In many cases, the hair will grow back, but it is still possible that it won’t. Talk to a surgeon about this as well before moving forward.

There are many, many men who have experienced hair transplant surgery and are very satisfied with the results, so this could be a great option if you want to restore some of the hair you lost. If you don’t want the risks of hair transplant surgery and you don’t want any restrictions on the amount of hair needed, you can try the non-surgical hair replacement system. However, it will not be as natural as a hair transplant because it does not contain your own hair growing in your scalp naturally.

Maintain Current Hair (Stop Hair Loss from Continuing)

NOTE: This article discusses low-level laser therapy (LLLT) as an option for treating male pattern baldness.  This treatment is included because several scientific studies have shown that it is effective, which are referenced.  However, in my personal experience, I have only received benefit from using a 272-diode laser cap in conjunction with minoxidil.  I tried the Theradome laser cap (which contains 80 diodes) on its own for six months, and it did not stop the progression of my hair loss.  This suggests that either it is not powerful enough, it is a poor device, or my hair does not respond to low-level laser therapy.

 

There are two ways to address the root cause of hair loss in men: inhibit (block) the production of DHT, the chemical that causes hair loss, and/or stimulate hair growth to offset the effects of DHT. Either method will slow down or stop the process of hair loss, but it won’t create new hair on completely bald spots. To replace hair where it has been lost, you need to get a hair transplant or hair replacement system.

In general, it is a good idea to use at least one inhibitor in combination with at least one “stimulator” in your regimen for countering hair loss, as that will increase the effectiveness of your treatment.  A study showed that men who used both minoxidil (a stimulator) and finasteride (a DHT inhibitor) in combination experienced more benefit for their hair than men who used only one or the other on its own.

Inhibitors

One way to halt the process of hair loss is to slow down or block the production of DHT, the root cause of hair loss.

1.  Topical Ketoconazole.  As of now, the cheapest way to slow down and possibly stop hair loss is to use 2% ketoconazole shampoo 2-4 times per week.  As the link I just posted discusses, scientific studies have demonstrated that it blocks the activity of DHT on hair loss.  Those studies also show that it had a positive effect on hair growth in men experiencing male pattern baldness after six months of use.

There are two other well-tested “blockers” (inhibitors) of DHT out there on the market.

2. Finasteride (generic or Propecia) and dutasteride (generic or Avodart).  Finasteride is a FDA-approved prescription drug that is taken orally. Finasteride has been found to slow DHT production and hair loss, in multiple scientific studies:

Finasteride in the treatment of men with frontal male pattern hair loss

Clinical dose ranging studies with finasteride, a type 2 5α-reductase inhibitor, in men with male pattern hair loss

Efficacy and tolerability of finasteride 1 mg in men aged 41 to 60 years with male pattern hair loss

Finasteride in the treatment of men with androgenetic alopecia

Because there is so much research backing up the effectiveness of finasteride, this product is a good example of something that is science-based rather than hype-based. Thus, it will most likely not be a waste of money in your plan to deal with hair loss.

Note: Finasteride/Propecia may have side-effects of erectile dysfunction or decreased sexual drive. It is up to you whether or not you want to take that risk in order to control hair loss. You can opt to skip finasteride and try other strategies if you want to avoid that risk.*

To obtain Propecia or generic finasteride, simply go to your doctor or to a hair restoration clinic and ask for a prescription.

Dutasteride (generic or Avodart) is another prescription drug that significantly reduces the production of DHT. However, you should be aware of possible side effects, just as with finasteride.  You should also not take both dutasteride and finasteride over the same period of time; only one of the two should be taken at a time.

 

Stimulators

Another way to halt the process of hair loss is to over-stimulate growth in the hair follicles in order to overcome the weakening effects of DHT on hair.  Using a stimulator in combination with an inhibitor will provide an even stronger effect than using only one of the two (as the study I mentioned above suggests).  There are a few stimulators currently available on the market that seem to be supported by scientific studies:

1. Rogaine (or generic minoxidil). This is an FDA-approved over-the-counter topical solution that has been shown to usually enhance hair growth in men with progressive hair loss. It has been shown to effectively regrow hair on the crown of the head, and it may also help a receding hairline.

It has also been shown that the use of Rogaine and finasteride (Propecia) together produces better results than using either one on its own. (However, be aware that finasteride has the possible side effects of erectile dysfunction and/or low libido in some men.)

If you are experiencing a receding hairline, minoxidil may or may not work very well on its own. I recommend adding finasteride and/or laser treatment to deliver a stronger punch.*

2. Low-Level Laser Therapy (LLLT). This involves immersing your scalp in low-energy (safe) lasers that are supposed to increase blood flow and stimulate hair growth. You can obtain laser treatment via a home laser device (the most powerful of which is the Capillus Laser Cap) or at a hair restoration clinic. There are several scientific studies that demonstrate that low-level lasers can increase hair growth:

Low Level Laser Therapy and Hair Regrowth: An Evidence-Based Review

Use of low-level laser therapy as monotherapy or concomitant therapy for male and female androgenetic alopecia

Low-Level Light Therapy for Androgenetic Alopecia: A 24-Week, Randomized, Double-Blind, Sham Device–Controlled Multicenter Trial

Low-level laser (light) therapy (LLLT) for treatment of hair loss.

Hair Regrowth and Increased Hair Tensile Strength Using the HairMax LaserComb for Low-Level Laser Therapy

In addition, Laser Therapy (such as that done via the home device Laser Cap) seems to show some results in hair growth aesthetically (although you should always be skeptical of pictures):

Before & After Photos

A good comparison of many of the in-home laser devices can be found here.

The idea is that the stimulation of hair growth resulting from laser treatment may offset the weakening of the hair follicles caused by DHT. If that is the case, then hair loss will be slowed down or halted and you can maintain the hair you currently have. However, some lasers on the market are less effective than others, so make sure that the laser you invest in has a high number of lasers. The more aggressive your hair loss is, the more powerful of a laser you may need.  The laser devices I am aware of in order of increasing power are the Laser Comb ($295 – $545), the iGrow laser ($695), Theradome ($895), and the Capillus Laser Cap ($799 – $3000, depending on which device you buy).  (Note: I purchased the Theradome and tried it for 6 months, and did not notice any significant positive effect on my hair growth.  See below.)

In my experience, the 80-laser diode Theradome did not help my hair loss.  This might mean that either my particular type of hair loss is too aggressive to be affected by a device with only 80 lasers, or that the device itself is of low quality.  The 272-diode Capillus Laser Cap did seem to have positive effects on my hair growth, although I also used minoxidil at the same time, so it is not possible to draw any definite conclusions for myself.

 

Some treatments such as low-level lasers may stimulate hair growth. Image from www.irestorehairlaser.com.
Some treatments such as low-level lasers may stimulate hair growth. Image from http://www.irestorehairlaser.com.

There are no known harmful side effects of laser therapy, since the laser is not thought to penetrate through the scalp. Always ask a doctor before trying any laser treatment, however.

 

So there you have it.  If you want to slow down or halt the cause of hair loss at its “roots,” use at least one product that blocks DHT production and at least one product that stimulates hair growth.  Finasteride and dutasteride block DHT, but they sometimes give side effects in some men that you need to be aware of.  2% ketoconazole shampoo also seems to reduce the effects of DHT on the hair, but not quite as effectively as the oral medications.  Products that seem to stimulate hair growth include minoxidil and low-level laser therapy (LLLT).

If your hair loss is especially aggressive and you want to keep all of your hair, you may want to try a synergistic approach and use all three treatments: finasteride (or dutasteride), minoxidil, and laser therapy.*  See My Experience and Recommendation for more suggestions.

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*I am not a doctor. You should always consult a board-certified hair restoration doctor before making any decisions about hair loss treatments. The opinions on this blog are solely those of myself. However, I try my best to develop informed opinions by basing them on the results of clinical studies that I reference here on my website.

“Help! I’ve gone completely bald. Is it too late?”

Absolutely not! Whether you want to opt for shaving your head like tons of other successful and respected men have or you want to restore that look of having a full head of hair, there is certainly hope. Actually, everything I wrote in “My Hairline Has Receded Substantially and I am Losing (or Have Lost) the Hair on my Crown” applies to you, with the exception of needing to maintain hair. There are basically two options for restoring hair to your head, if that’s what you want to do:

1. Hair Transplant Surgery
2. Hair Replacement (using a hairpiece)

Hair transplant surgery will probably not bring your hairline back to its original position (since there is a limited hair supply in the back of your head), but it will certainly fill in some gaps and restore a substantial amount of hair. Many men have undergone this surgery and are satisfied with it.

If you want that look of a complete and full head of hair, your only option (at least with current technology) is probably virtual hair replacement, which involves using a hairpiece. There are no limitations to the amount of hair you will want to use or the hair style you would want. It also gives a very natural look, as you can see from these photographs – assuming this clinic is reliable!

So whether you want to go Jason Statham or Bruce Willis, or you want to bring back a full head of hair, there are satisfying options for you! Good luck in your decision.

“My hairline has receded substantially and I am losing (or have lost) the hair on my crown and top.”

This is known as Stage IV or V of Male Pattern Hair Loss, measured by something called the Norwood Scale. This means you have experienced hair loss for some time. Is it too late to do anything about this or to “fix” it? Definitely not. First, there are plenty of men (including famous Hollywood celebrities) who simply opt for going bald, so that is certainly one solution to the “problem.” However, some men may not want to go that route, and if you are one of them and you have it in your budget, there are ways to restore some of your former hairline.

This section corresponds to the middle stage in the above diagram for male-pattern hair loss.  You have lost a substantial amount of hair, but there is still some on the top.  Image from www.theprivateclinic.co.uk.
This section corresponds to the middle stage in the above diagram for male-pattern hair loss. You have lost a substantial amount of hair, but there is still some on the top. Image from http://www.theprivateclinic.co.uk.

The first thing you want to do is make sure you can maintain the hair you still have left on the top of your head. The way to do that is through the maintenance procedure as outlined in this section. You must consistently apply the well-tested treatments of finasteride, minoxidil, and/or low-level laser light therapy.  (Using a combination of treatments seems to produce the most powerful effect.  See this study, for example.)  If you skip this step, you may lose the remaining native hairs you have on the top and crown of your head.

The second step is to consider replacing the hair you have already lost. The primary way to do this involves filling in the bald spots with your own hair via a procedure known as hair transplant surgery. In short, this involves extracting hair follicles from the back and sides of your head (called the “donor site”) and transferring those hair follicles to the places where there is no hair. Because this hair is taken from the back and sides of your head (which is “protected” from the hair loss caused by DHT), the hair that is transplanted will continue to grow the rest of your life. There are three concerns to be aware of, however:

1. Because you have a limited hair supply in the back and sides of your head, you may not be able to completely fill in every spot of your head that used to have hair. In addition, the new transplanted hair will not be as dense as the previous hair that grew on your head. However, a good hair transplant surgeon can make the results look very close to what you had originally.

2. There are two types of transplant surgeries: FUT and FUE. The FUT transplant procedure involves harvesting hair from the back of the head, so that will leave a thin but permanent scar on the back of your head. However, if you don’t keep your hair too short, it probably won’t be an issue, because the hair will cover up the scar. FUE does not result in any long scar, as it involves taking smaller “bunches” of hair rather than taking a strip of hair. Nowadays, hair transplant surgeons have developed ways to minimize or virtually eliminate scarring.

3. There is a possibility of experiencing “shock loss,” which is the destruction of hair due to the trauma of the hair transplant surgery. Usually, this hair that is lost eventually grows back as your body recovers. However, in some cases, the hair is lost permanently. Just be aware of this risk. In order to avoid this, make sure you find a surgeon with very good Before & After photos and talk to several surgeons about the risk of you in particular experiencing shock loss. There are many successful hair transplant surgeries, so this may very well be fine for you, but it is also good to be aware of the possible risks.

The benefit of hair transplant surgery is that it involves using your own hair and there is no chance of losing that hair again, since the hair strands from the back of the head (which are moved to the places you lost your hair) will always be “immune” to hair loss caused by DHT.

The second option to gain back the hair you lost is via a method known as Hair Replacement, in which human hair (other than your own) is almost “grafted” into your scalp to provide a full head of hair. One example of a clinic that offers this solution is Graff Technology in Riverside, California. The benefit of this is that unlike in hair transplant surgery, there are no restrictions on how much hair you can use or what hairstyle you want to have, since there is a full supply of hair available. Also, you will have a full head of hair, giving a very natural look. And since there is no surgery involved, there are virtually no risks.

The downfall is that it requires maintenance and that it is not your own hair. However, if you want to have hair and cover up bald spots, this is an excellent and satisfying option.

Based on your stage of hair loss, you can choose to either do hair transplant surgery or the hairpiece. The hairpiece has no limitations as to what kind of hair you want, but it is not your own hair; the transplant surgery is limited by how much hair you have lost and how much you have available from your “donor site” (the sides and back of your head), but it uses your own hair, giving the most natural result.

“My hairline has just started to recede or my hair is starting to thin on the crown.”

If you have just noticed your hairline starting to recede (or it’s only been a few years since you started noticing hair loss), then you are still in excellent shape. This is because you likely still have a good portion of your hair on the top of your head, meaning all you have to do is strengthen and maintain the hair you have. In addition, some of the hair you have lost (in “bald” areas) may still be in a miniaturized state (not completely gone), which allows the possibility of reviving those weak hair follicles. It is much easier to deal with hair loss now than it would be if you were already mostly or completely bald.

lts-hairstyles.blogspot.com
lts-hairstyles.blogspot.com

For methods to slow down or stop hair loss and maintain the hair you currently have, see this post.

Another important thing is to try and predict how much at risk you are for further hair loss. Try to match up your pattern of hair loss with someone in your immediate or extended family (your dad or grandpa). Chances are (though it’s not a guarantee), you may have inherited a similar type and pattern of hair loss. This means you can use your dad or grandpa’s current hair situation as a predictor of the hair loss you will have to deal with. If Grandpa has no hair left except around his sides and back, then you can assume that will be the condition of your hair in the future if you do not do anything. Some people, on the other hand, only lose some of their hair. Knowing how much hair loss you would experience or what type of hair loss you will have to deal with can help in your procedure for maintaining your current hair.  Note: This is just a rough way of estimating, and is not necessarily guaranteed.  It may just help provide some perspective in your plan for treatment.

www.gettyimages.com
If your dad, grandpa, or uncle went bald at an early age, you may need to utilize the more powerful solutions (for example, a combination of the methods discussed here, the more powerful lasers with over 200 diodes, etc.) to maintain the hair you currently have. Image from http://www.gettyimages.com

If Grandpa is 70 years old and he’s only lost a little hair on the temples, you may not have to worry about your hair. In fact, you may just decide to let nature take its course. However, if Dad is 35 and his hair is almost gone, and you don’t want to go down that same path, then you need to watch your hair closely and take steps now to prevent future hair loss, perhaps using one or more of the solutions discussed above.

Since you have caught your hair loss in its early stages, you are in excellent shape and will have much better control of the situation. In short, the options you have for maintaining your current hair and stopping (or at least slowing) hair loss are finasteride or dutasteride, minoxidil, 2% ketoconazole shampoo, and low-level laser therapy.  I discuss the scientific studies behind these treatments here.

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* I am not a doctor. You should always consult a board-certified hair restoration doctor before making any decisions about hair loss treatments. However, from what I have researched, minoxidil’s effectiveness to reverse hair thinning at the crown seems to be better documented than it is for hair at the temples. In addition, minoxidil does not block DHT; it only stimulates hair growth, albeit in a somewhat mild manner.

“I haven’t lost any hair, but some members of my immediate or extended family (e.g., dad or grandpa) are going bald.”

If you are young and have not seen any signs of hair loss, but your dad, your grandpa, or uncle (on either side of your family) has experienced hairline recession or balding, then you are still in great shape. However, there is definitely a chance hair loss will begin at some point in the future for you if you do nothing. With that in mind, you can also completely avoid it and maintain the amount of hair you have right now if you are proactive and plan wisely.

So if you are concerned with possible future hair loss, keep an eye out, and if you ever notice it starting to occur (your hairline recedes, or you start losing hair in your crown, or your hair feels or appears thinner), then you can begin a “program” to halt the process and maintain the hair you have.

To know what to do when you just begin to notice slight hair loss, see My Hairline Has Just Started to Recede.

My Hair Loss Stage is…

If you have noticed that you’re losing hair gradually and want to remedy the situation (by maintaining what you have left and/or replacing the hair you’ve lost), it is important to know the stage of hair loss you are currently at. The stage of hair loss determines what options are available to you so that you can develop your plan of attack. Click on the description that most closely matches your hair loss situation.

“I myself haven’t lost any hair, but some members of my immediate or extended family (e.g., dad or grandpa on either side of my family) have experienced hair loss.”

“My hairline has just started to recede.”

“My hairline has receded substantially and I am losing (or have lost) the hair at the crown and top of my head.”

“Help! I’ve gone completely bald. Is it too late?”

Start Here: What You Need to Know

As the subtitle of this website states, baldness can certainly be perceived as manly. However, if you believe you may experience balding or a receding hairline and you do not want to, you do not have to, thanks to modern scientific advancements.

Photo of Jason Statham, an example of an actor who has experienced balding. Image from fastandfurious.wikia.com
Photo of Jason Statham, an example of an actor who has experienced balding. Image from fastandfurious.wikia.com

There are two main issues to examine when it comes to balding:

1. Risk or Level (Intensity) of Hair Loss.

Every man experiences a slightly different type or level of hair loss. Some men go bald at 25; others keep almost of their hair through age 80. Some have just a receding hairline that doesn’t progress very far; others start losing hair and go completely bald. Thus, some men’s hair loss is more or less aggressive than others. (This is determined by genetics.) The aggressiveness of one man’s particular hair loss determines how strong the maintenance tools need to be to stop it.

For example, if on a scale from 1 to 10, the aggressiveness of a particular man’s balding is 8, then he will need stronger tools to counteract that level of aggressiveness, if he wants to maintain the hair he currently has. If the aggressiveness is only 2 or 3, then he won’t need as much or as strong of a tool.

How do you know how aggressive your particular hair loss is or will be in the future? What if you haven’t experienced any balding, or it just started? How fast or aggressive will it be? There are ways to find answers to these questions without having to wait until you’ve lost a significant amount of hair or your hairline has receded a lot.

Generally, the younger a man is when he starts to experience a receding hairline or balding, the more aggressive the balding is and the more pronounced it will be. There may be another way to possibly determine the aggressiveness of one’s hair loss in the future. One can examine the level of hair loss in a relative, especially a parent, grandparent, or uncle. If your father as well as your mother’s father is 80 years old and still have full heads of hair, you may not have balding or a receding hairline in your future.  If your father or grandfather is 35 and almost bald, then you might have to be more proactive.

2. Maintaining Current Hair vs. Replacing Lost Hair.

There are options for you no matter what stage of hair loss you are at. If you just begin to notice a receding hairline or a thinning of hair on the crown, you can stop it in its tracks before it goes any further, and work to maintain your hair. If your hair loss has already reached an advanced stage (e.g., you are almost completely bald on top or your hairline has receded significantly), you may need to look into options for replacing hair through hair transplantation surgery. If you are somewhere in the middle (you’ve lost some hair and you suspect you will continue to lose it because of genetics), you may need to examine both options: halting hair loss and replacing the hair you have already lost. On this website, we will look into the best way (in my opinion) to approach these issues.

To navigate this website, click on any one of the following links:

The Cause of Balding in Men
What Stage Am I At and How Do I Address It?
How to Maintain the Hair You Have and Stop/Slow Hair Loss
My Personal Experience and Recommendation