What is the difference between male and female
Male hair loss and baldness is more common. Hair at
the temples can recede and at the crown it also begins
to thin. Eventually a horse shoe pattern around the
sides of the head appears.
Female baldness can start at around age 30 and becomes
more noticeable by age 40. It usually involves overall
thinning rather than a bald patch on the top of the
For both men and women, the hair follicles simply shut
down, often due to the effect of hormonal changes.
What about hair transplantation (surgical)?
If you are prepared to pay up to $15,000 and wait
between one and two years this is worth considering.
It is the only method which can be considered
Hair follicles on the sides and back of the scalp are
redistributed in balding areas. About 12 to 20 hairs
are plugged into a small cylindrical hole in the
balding region of the scalp. 50 to 60 plugs can be
made in each session. At least 3 months are allowed to
elapse between sessions.
What about scalp reduction (surgical)?
This method is recommended for men with bald spots
less than 3 inches in diameter. A section of bald
scalp is removed and the sides of the scalp are lifted
and sewn together. This can cost over $1,500 for each
What about tissue expansion (surgical)?
Hair-bearing skin is stretched by having silicone bags
inserted underneath which are then gradually filled
with a saline water over a six week period.
This hair-bearing skin is thus stretched and later can
be lifted and moved to a balding area.
Many find this procedure embarrassing due to the
"balloons" on their heads.
The cost for this procedure averages out at around
What about anti-androgen therapy?
This involves an oral therapy using various male
hormones called androgens.
It must be used within the first two years of the
onset of hair loss and baldness.
The treatment must continue for at least one year and
two years are required before any improvement can be
In the male, sex drive may be affected and the pitch
of the voice may become higher.
The side effects cause less problems for females.
What about Rogaine?
This drug is best suited for males between the ages of
20 and 30 who have begun to suffer hair loss within
the last five years.
It is more suitable if the young man is not completely
bald or not bald at the temples.
This topical solution must be applied twice a day,
every day, to the balding area, works best on small
areas and involves a lifetime commitment.
These can be made from artificial or real hair. They
are kept in place by adhesives. Some can look quite
What about hair weaving?
Human hair or synthetic fibers can be woven or braided
into existing thinning hair.
Only those with plenty of healthy hair should consider
this method as it can stress existing hair, causing it
to fall out.
The extensions may need to be repositioned every three
to four weeks as the hair grows out.
What about camouflage?
Consulting with your hairdresser may result in a hair
style that minimizes the visual effect.
For example, letting the hair at the temples grow
longer while trimming the forward part short can help
offset the effect of a receding hairline.
Hair loss and baldness become less noticeable when
dark hair is lightened, thus reducing the contrast
between the remaining hair and the scalp.
Avoid using gels as these cause hair to stick together
thus emphasizing empty areas of the scalp.