Medical Treatment

In the consultation process we perform a medical history and examination to determine the cause and appropriate treatment of hair loss. Upon identification, patients with dermatologic, endocrine, and immunologic causes of hair loss are referred for appropriate treatment. In such cases medical treatment may resolve the problem or at least stabilize it so that transplanting can be successfully performed.

Men who present with early or partial hair loss can usually benefit from medical treatment with Minoxidil and or Finasteride (Propecia/Proscar) to help control their progression of balding. Patients may also experience some regrowth of hair. Those with extensive or mature balding patterns are very likely to get any benefit from medical treatment. If medical treatment is begun it must be continued indefinitely or all effects will be lost.

- Minoxidil is available over the counter. Generics are as effective as brand names. 5% concentrations of Minoxidil are more effective in the first 6 months however; the less expensive 2% solutions are just as effective after 6 months. Adding agents such as Tretinoin does not have any proven scientific benefit. Higher concentration levels produce more side effects.

- Finasteride must be prescribed by a medical doctor. It is essential, for safe and effective use, that a baseline exam, and testing, be performed by a medical hair loss professional. While the studies indicate that the drug is generally safe and well tolerated, side effects such as decreased libido and breast enlargement can occur. (Propecia is not safe or effective for women). Finasteride, creams have no proven value. Men over the age of 35 need to have a prostate exam and PSA test before starting Propecia.

- There are thousands of other products for which claims are made as to helping hair loss. Unfortunately, no accepted scientific evidence supports their benefit.

- We offer all our patients appropriate scientifically based medical treatment and monitoring as part of an integrated approach to hair loss.  It is our policy to keep abreast of all scientific developments and offer those of proven value and safety to each patient.