There are many options to stop or retard loss and even regrow your own hair. It is important to consult Dr. Shah or Dr. Sameea, who are hair specialist and will devise a medical plan to address your specific type of hair loss.

Platelet Rich Plasma

There is a lot of talk in orthopedics, sports medicine, dentistry, neurology, ophthalmology, and cosmetic surgery about platelet-rich plasma (PRP). Your platelets are small particles in the blood that when stimulated, adhere to damaged tissue (like blood clot, or traumatized tissue) and release a number of different factors, including growth factors (i.e, vascular endothelial growth factor, platelet-derived growth factor, transforming growth factor, fibroblast growth factor, epidermal growth factor, connective tissue growth factor, keratinocyte growth factor etc). The process includes taking about two vials of whole blood, in a fashion identical to any other standard blood draw. That blood is spun in two stages and the platelet rich portion is purified into about 3 cc of a yellowish material (Liquid Gold!). The PRP is then injected into the affected areas of concern. It is used commonly for sports injuries, where it speeds healing of the joint or tendon injury. PRP has been used on professional sports figures with injuries; anything to get them back on the field. However, my interest in PRP is purely cosmetic. A number of physicians are using PRP in cosmetic surgery. The two most common uses have been for stimulating collagen in the skin and stimulating hair growth on the scalp. For wrinkle reduction, animal studies show that sun damaged skin treated with PRP had fewer wrinkles, thicker dermis, and greater proliferation than controls. In humans, physicians inject PRP and look for improvement of wrinkles in about one month and it can continue to improve for up to 2 months. The procedure would be repeated until full correction is achieved. The final results can last for 18 months. One company has tried to create an easy kit that they call a Vampire Lift. For hair growth, PRP has been shown to decrease the hair sleep time and stimulate growth (prolonged anagen phase). One study showed that scalps treated with PRP and then implanted with hair grafts had a higher density of hairs compared to the side of the scalp only getting the grafts without PRP pre-treatment. One study followed both men and women with male and female pattern alopecia and showed that after three treatments of PRP (every 2 months), their hair shedding was reduced. However, more advanced hair-loss was not helped by PRP. Another study found PRP effective for alopecia areata, which is very exciting and opens new ways of treating this difficult condition. I feel this is an exciting tool. I feel it can help stimulate collagen in skin, especially around the eyes and lips. For hair, it gives a third option after Rogaine and Propecia. I like to use PRP before placing hair grafts and I feel the grafts survive and thrive better.


fat transfer to scalp

“Stem Cell” Therapy

Autologous fat transplantation into the scalp

“Stem Cell” Therapy refers to mesenchymal stem cells that are harvested by suctioning fat from the abdomen, which has a high concentration of stem cells and mixing the fat cells and breaking it up into small particles. This mixture is either injected by itself or mixed with PRP for reintroduction into the scalp. It is thought that mesenchymal cells release growth factors that might stimulate hair growth. The procedure is done in the office under local anesthesia. It takes 30 minutes to do. After the procedure, avoid getting the area wet for 2 days. The donor area can be tender for a few days. The procedure can be repeated every 6 months.

Scalp Micro-Pigmentation

Scalp micropigmentation is a tattoo process, where Dr Shah uses his artistic eye and hand to blend and thicken areas of scalp that do not have hair with dots of pigmentation injected into the surface of your scalp in a hair-like pattern. A special pigment is applied to the scalp and microneedles are used to deliver the pigment in precise amounts. The needle is very small, so there is less pain than you would experience with a tattoo. The final look mimics a stubble look. The procedure is done under local anaesthesia and can take one hour per square inch. The area will be presentable within 24 hours and look its best in a few days. A touch-up procedure is usually needed to blend the area into normal scalp. Scalp micropigmentation is used for multiple purposes, including patchy alopecia, scar cover from previous hair transplantation, an alternative to hair transplantation and in conjunction with hair transplantation to give shadowing.

Red Light Treatment

Red light therapy is the longest of the visible wavelengths and can penetrate the skin the deepest. Studies are showing the red light can stimulate dermal papila cells to produce proliferative chemicals. A few clinical trials have shown the success. The process involves sitting under a red light LED system for 15 minutes 3x per week. Results are variable and can take up to three months to show. The process does not hurt and the light is safe.

Topical & Oral Medications

Medical treatment for male and/or female pattern alopecia:
FDA approved treatments:

  • Finesteride
  • Minoxidil

Off-label treatments:

  • Ketoconazole
  • Spironolactone
  • Flutamide
  • Dutasteride
  • Cyproterone
  • Oral contraceptives

Unproven treatments:

  • Prostaglandin F2a (Latisse)
  • Capsaicin
  • Caffeine1
  • Stem cell therapy
  • saw palmetto (Serenoa repens)
  • stinging nettle (Urtica dioica)
  • turmeric (Curcubita pepo), curcumin
  • black cohosh (Actaea racemosa)
  • dong quai(Angelica sinensis)
  • false unicorn (Chamaelirium luteum)
  • chasteberry (Vitex agnus-castus)
  • red clover
  • biotin
  • melatonin
  • L-arginine
  • Boswellia serrata
  • L-Carnitine
  • ginger,
  • grape seed extract,
  • green tea,
  • lycopene,
  • pumpkin seed oil
  • resveratrol
  • Pygeum africanum