What is the best treatment for hairline hair loss in women? (Photo)

Question

I’m 30 and have always had thin and brittle hair that doesn’t grow past the shoulders. Lately I feel that my temple and hairline is truly balding. There have been no changes to my health or lifestyle at all. I don’t want to waste my time with expensive treatments that don’t work. What is my best option? Thank you!

J. Timothy Katzen, MD, FACS · Answer

Hi there! Thank you for your question about hairline hair loss in women. Platelet-Rich Plasma, or PRP, treatments to the scalp is a great treatment option for hair loss and thinning hair. PRP injections in the scalp are safe for your age and safe for all genders. PRP helps to stimulate hair growth and strengthen hair follicles. When you come in, you will have your blood drawn. The blood will then be spun down in a centrifuge for about 10 minutes at a very high speed. The result will be a separation in blood components - red blood cells sink to the bottom, and the PRP rises to the top. PRP will be drawn up into several syringes, then it will be injected into the scalp. The PRP treatment takes about 30 minutes and there is minimal downtime from this procedure. Some patients experience mild tenderness in the treated areas for 1-2 days. Tylenol can be taken for any discomfort. You should plan at least 3 treatments, 1 month apart to start.

Jeff Donovan, MD, PhD · Answer

It’s important in situations like this to have a proper evaluation. It would appear that androgenetic hair loss is the reason for the changes but other causes really need to be ruled out. A physician can listen to your story and ask more questions about shedding patterns, symptoms in the scalp, eyebrow, eyelash and body hair loss, overall health and medications. Blood tests are mandatory for all women and the exact tests will depend on the information uncovered during questioning. Certainly CBC, TSH, ferritin, testosterone, DHEAS will be part of the tests but others need to be considered based on your exact information. Oral and topical minoxidil together with oral or topical antiandrogens provide good options for many women. But what is right for you will depend on health status, risk tolerance, considerations for pregnancy in the future, and ability to use treatments lifelong. Hair transplants could be an option depending on the final diagnosis and the donor reserve (quality of hair) at the back of the scalp. I would suggest to start with a local physician specializing in hair loss who can get appropriate tests ordered and confirm the diagnosis.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hello, thank you for your question and photos. Unfortunately, it is difficult to assess your scalp through photos provided on a forum. I advise you to seek out a board certified dermatologist to get an appropriate diagnosis. They should be able to use a dermoscope to look at your scalp closely and determine if there are any signs of inflammation or hair loss related to genetic predisposition. From there, they will be able to discuss appropriate treatment options with you. Hope this helps and take care!

What is the best treatment for hairline hair loss in women? (Photo)

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Answers (3)

More Hair Loss Treatment Questions

Can I use minoxidil 5% to grow hair and stop when my vitamin D levels get back to normal?

Change from Oral 1.25 finasteride to 0.1ml finasteride topical - could I be losing my regrowth?

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WE SEND PRETTY
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