Hair Loss FAQs

1. Why does hair fall out?

Hair loss is an extremely common occurrence and affects most people in varying degrees at some point in their lives. Hair loss can occur due to one or a mix of the following: severe stress, genetics, illnesses such as thyroid disease and anemia, nutritional changes, hormonal changes related to puberty, pregnancy and menopause, vitamin D deficiency, or side effects of strong medication (such as chemotherapy).

For more information about hair loss causes, click here.

2. Why does hair become thin?

Hair thinning in male pattern hair loss can be attributed in a percentage of males to genetics and hair follicle sensitivity to dihydrotestosterone (DHT). Female pattern hair loss which has similarities to male pattern hair loss in terms of miniaturization of hair follicle has no known cause.

3. What is the daily average hair loss count?

It is normal to lose about 100 – 150 hair strands every day.

4. How does hair loss differ in men and women?

Both men and women can experience androgenetic alopecia, which is triggered by hormones and genetics. Hair loss often occurs faster and more extensively in men. In fact, hair loss may manifest as early as adolescence with the onset of hair recession near the temples, and the appearance of the characteristic “M” shaped hairline. Women, on the other hand, experience diffuse thinning at the top of the head, which shows at the part line. Diffuse thinning can occur as early as their 20s and 30s, due to hormonal changes and aging. In some cases, hair thinning and baldness in women may also be caused by treatable illnesses such as thyroid disease or anemia.

Click the links for more information on male and female pattern baldness.

5. Is emotional stress or work-related stress enough to cause hair loss?

This depends on the amount of the stress you’re experiencing and how much effect it has on the normal functions of your body. Normally, the mild stress we experience on a day-to-day basis is not enough to cause hair loss. However, severe stress that is a result of serious or traumatic events, such as divorce, a drastic change in diet, surgery, or extreme weight loss, may cause a physiological imbalance in your system. This physiological change often leads to hair loss because it “shocks” your body’s normal routine. Thus, many of its natural functions are disrupted, which includes your natural hair cycle. The sudden physiological changes in your body may trigger a larger amount of hairs on your head to go into a “resting phase”, and thus it may seem that you’re only losing hair and that there is no growth.

6. Can excessive shampooing and hairstyling cause hair loss?

The act of shampooing merely only loosens hair that is about to fall out. Excessive hairstyling may weaken or damage hair, and lead to hair breakage. However, both methods have not been proven to be direct, underlying causes for hair loss.

7. Is pattern baldness curable? Is there a permanent solution for it?

Medical treatments include topical and oral medicines, like minoxidil (Rogaine) and finasteride (Propecia). It is important to note that these treatments require continuous maintenance. Many people continue to lose hair despite using these treatments.
For more information on limits of hair loss drugs, click here.

TrichoStem® is a significant solution for pattern baldness. It successfully helps hair loss and exhibits favorable results in as early as 30 days. It has shown to be 99% effective in men and women. For more information on TrichoStem®, click here.

8. I am a woman in my 30s and losing lot of hair. Should I start taking any medication? Would stem cell treatment be right for me?

Identifying the cause of your hair loss is the first and most important step you should consider before taking any kind of medication. In order to diagnose a case such as this, several biopsy points must be taken from the scalp, which will then be sent to a respected university pathology department that specializes in hair to ensure a correct diagnosis.

The most common diagnosis of hair loss in women is androgenetic alopecia, for which there is a 99% success rate in treating with stem cell based therapy; while in alopecia areata and lupus, there’s about 50% success rate. It must be noted, however, that stem cell based therapy may have limited benefit for patients with a scarring type of alopecia or conditions like lichen planopilaris.

9. I’m an 18-year old male, and I have aggressive pattern baldness. Should I consider a hair transplant?

In our experience, it is not advisable for someone young, who has aggressive hair loss, to undergo a hair transplant. Since the donor area is limited and the area needing transplant is large, there is a mismatch in the patient’s expectations and the actual feasible results. If a young person were to go ahead with a hair transplant, the end result would not likely look as good as they would want. According to the Rule of Decades, in a group of men in their 20s, 20% are likely to have hair loss. This means that 80% of men in their 20s still have good hair. With that said, any form of hair transplantation will not be able to achieve the same full volume that so many of their contemporaries have and will have throughout their 20s, due to the fact that hair transplants are also very limited by nature. It is advisable that someone this young should wait at least 10-15 years in order to properly determine the full extent of his pattern baldness, after which he may consider having a hair transplant.

Young men dealing with hair loss may also consider two FDA-approved drugs to help: minoxidil and finasteride, although in our clinical experience, younger patients do not respond very well to minoxidil and finasteride.

A good option for young men to consider as a treatment for hair loss is TrichoStem® Hair Regeneration. There is a significant improvement reported in the regression of thinning hair, and in the span of 3-5 years, there has not been any significant trends of people needing multiple sessions.
For more information on hair loss solutions, click here.

10.Is it possible for hair grafts to fall out after a hair transplant?

It is not unusual for a few hairs to be shed after hair transplantation. Sometimes, when a scab flakes off, it can cause hair breakage without affecting the actual grafts. Keep in mind that the grafts are deeply embedded under the skin and must be physically cut out in order for it to be non-viable. It is also important to remember that it is highly unlikely that the follicle or the dermal papilla (the key part of hair) will fall out.

11.What is the difference between hair transplants and hair weaving? Which treatment should I opt for?

Hair weaving refers to the superficial attachment of synthetic or human hair to a person’s existing hair, in order to achieve the appearance of longer or thicker hair. Hair transplantation refers to a procedure wherein grafts of a person’s own hair is surgically removed from their head, and is transferred to another area where hair is lacking.

12.Are hair transplants a temporary or permanent answer for my baldness?

By definition, hair transplants are taken from the “permanent” zone in the back of the scalp therefore, the hairs which survive the transplant are not likely to thin or fall out. With the follicular unit transplantation method (FUT), hair is taken from the donor area of the back of the head that has hair follicles genetically resistant to hair loss, so these improve their rate of survival. In many cases of follicular unit extraction method (FUE), hair is often taken outside of the permanent zone, so at least some of the transplanted hair is susceptible to hair loss. While the donor area can be harvested for hair grafts again after some time, it is a limited source of hair.

Other factors can cause transplanted hair grafts to fall out, such as blood pressure during transplantation (“popping”), not enough blood supply reaching transplanted follicles, or having the hair follicles remain outside the body too long before being transplanted.

Hair transplants also do not prevent the loss of native hair that surround transplanted hair. The loss of native hair around transplanted hair is what results in the “pluggy look” of hair plugs. When Trichostem® Hair Regeneration is used in conjunction with hair transplants, it stops the future loss of native hair, increases survival of transplanted hair grafts, and thickens native hair.

13. I’ve recently just had a hair transplant and my hair started falling out 5-10 days after surgery. Is this normal? What should I do?

The general term used for grafts falling out during the early post-operative period is “shock loss”. This occurs because the grafts and the adjacent hairs have been subjected to swelling and trauma from the actual procedure. Sometimes, a patient may experience a period (roughly 4-6 months after the surgery) wherein his existing hairs look a little thinner, or that the grafts are not growing or cannot be seen anymore. Keep in mind that hair is quite resilient and that it usually takes approximately one year to 15 months to see improvement. There is a lot of variability between the hair growth cycles of individuals, as well. Some people’s hair grows faster, while others slower. On the other hand, if something had gone wrong with the surgery, the manifestations would be noticed earlier on and would be a lot more obvious.

14.How do I address the scabbing on my scalp after a hair transplant?

After hair restoration procedures, patients are afraid of doing anything that might hurt their grafts. The scabs and crusts are basically dead skin cells, mucus and other products of the healing process. To keep hair healthy, they have to be properly scrubbed off with a proper moisturizer and a good shampoo. The scabs usually disappear after a couple of weeks.

15.What precautions can I take to secure my hair from various hair diseases?

On a superficial level, there is no harm in having a well-balanced diet and consuming an adequate amount of vitamin B and iron. Getting regular checkups to diagnose and address any underlying causes, such as anemia or thyroid disease, is another mode of prevention one should consider.


Schedule An Appointment Today!

To schedule a consultation with Dr. Amiya Prasad or a TrichoStem® doctor, submit the form below or call our Manhattan office at (646) 461-8547 or Garden City Long Island Office at (516) 535-9479. Our phones are open 24 Hours a Day / 7 Days a Week. Virtual consultations through Skype or through sending your hair loss details are also available. Patient Financing options available for qualified candidates.