male pattern baldness

Should DHT Shampoos Be Part of Your Hair Restoration Strategy?

Products are constantly being developed to address people’s needs. When it comes to common cosmetic issues, there is no lack of merchandise which promises to get rid of wrinkles,  large pores, brown spots and even treat hair loss. There are shampoos, for example which are intended to diminish DHT levels on the scalp.  Should they be included in your plan for restoring your hair?

DHT And Hair Loss

A marketing tactic that is often seen in beauty and grooming products is to include scientific terms on the labeling. This, of course is done to establish a sense of legitimacy. It may feel good to buy something that feels promising.  But what ultimately matters is whether the purchase will lead to the improvements that are suggested on the packaging.

Consumers need to be savvy and ask questions. This includes understanding: what an endorsed term actually means on a product label, what it does and how it plays out in the issue they want to solve.  

What Is DHT?

DHT stands for Dihydrotestosterone.  It forms as a byproduct from the break down of testosterone.  At the bottom of each hair follicle are derma papilla cells. When they divide, they will differentiate and form new follicles.  In men, there are more protein receptors on these cells than in females.

In individuals who have the gene for pattern baldness, the DNA code provides instructions for creating receptors that are weak and sensitive to DHT.  DHT will reduce the ability of the derma papilla cells to take in the nutrients that it needs.  This will compromise the health of the follicles. Their resting phases become longer. And their growth phases become shorter as a result.  The weak androgen receptors will not be able to offer much protection from these effects.

Should DHT Shampoos Be Part of Your Hair Restoration Strategy

The effects of DHT are central to the development of male pattern baldness which can be effectively addressed through hair transplant procedures

Will DHT Shampoos Lead To Hair Restoration?

DHT can be present on or near the surface of the scalp. But as you’ve already learned, much of its action takes place at the base of the hair follicle. It is quite logical to see that the effects of the DHT shampoos are not likely to have a significant enough effect that would noticeably reverse the signs of hair loss.

Instead, individuals who are experience progressive baldness should consult with a physician about using FDA approved products. These include:

(1) Rogaine

  • topical product
  • available over the counter
  • works by increasing circulation to the scalp

(2) Propecia

  • oral prescription
  • available through a prescription
  • works by blocking the enzyme which converts testosterone into DHT

For more information about these drugs, click here.

FUE Hair Restoration for Younger Patients

Typically, hair clinics will not perform FUE hair restoration (or any other hair transplant surgery) on candidates under the age of 24. This is due to the fact that male pattern baldness is progressive in nature and a premature hair loss would undermine the long-term results. The implanted hair would stay put as the continuation of baldness would persist in surrounding areas, yielding an unnatural-looking island of hair.FUE hair restoration

There are sometimes extreme cases, which create an exception to this general rule of thumb. These exceptions exists for the following reasons:

  • The candidate understands that a second, or even third procedure will be necessary in the future and accepts this likelihood (with has the financial stability to pursue multiple FUE hair restorations)
  • The candidate has already experienced almost all of his hair loss at a young age and is unlikely to progress further
  • The candidate is reconciled to the need for more surgeries in the future and has a good head and nonhead donor reserve to cover for even the most extreme future hair loss. This supposes that a competent clinic capable of harnessing nonhead hair has assessed the patient. It is alos advisable to be conservative in patients that are in their earlier stages of hair loss

Discerning Premature Treatment

Most clinics look to a few telling factors in order to determine if a candidate is too young for surgery. The first of these is the patients Norwood level of baldness, the second is how quickly the balding has progressed thus far, and the third is the family history.

At DermHair Clinc, Dr Umar specializes in the use of nonhead hair and head hair for the restoration of even extreme bald states. The totality of the 3 factors mentioned above is used by him in determining the candidacy of a young patient for a hair transplant. A clinic that is incapable of utilizing nonhead donor hair is most likely to turn away most patients on the basis of a young age of presentation.

Example of Early FUE Hair Restoration

This patient presented to DermHair Clinic at the young age of 23, with extreme balding, and a very limited supply of scalp donor hair. He also had no body hair.  After the necessary questioning and testing, Dr. Umar decided this patient was an exception to the rule. He used FUE hair restoration with a very small graft count to give global coverage to the patient’s buzz cut.

FUE is an ideal procedure for young patients because it produces nominal scarring and minimal damage to the donor area, leaving enough donor hair to supply a future surgery.

Body Hair Transplant with uGraft Restores Extreme NW 7 Hair Loss

body hair transplantAt and extreme NW 7 on the scale of male pattern baldness, this patient would be turned away by any other hair restoration clinic in the world as a hopeless case. That was his experience before he visited Dr Umar at DermHair clinic in Redodo beach Caifornia. He was forced to use a hairpiece to conceal the badly balding top half of his head. When he came to DermHair Clinic, he was wearied of his confinement to the hairpiece and wanted the freedom of permanent, real hair. Body hair transplant (BHT) the uGraft methods was the solution he was looking for, and Dr. Umar the best surgeon for the task.

Body Hair Transplant at DermHair Clinic

As an exclusive advanced FUE surgeon with years of experience, and as a developing doctor of body hair transplant, Dr. Umar is known for his remarkable work in these severe cases. His uGraft tool and protocols enables the safe and proficient removal of prime donor follicles from the head and body. Severely bald patients with an insufficient supply of head hair would be poor candidates without these non-head donor sources.

This patient’s goals were to have moderate global coverage and a high, natural-looking hairline. Over the course of two sessions, Dr. Umar harvested 10,500 grafts combining head and beard hair for a remarkable restoration. The results video footage, recorded by the patient himself, show the outcome at only six months following the second session. Body hair transplant results generally take up to two years for the hair to completely grow in and mature, so he still has even more improvement coming his way.

Body Hair Transplant for You

People with advanced male pattern baldness used to be turned away from clinics because of low donor supply. If you’re struggling with extreme hair loss, you are no longer inoperable, due to the advent of Dr Umar’s BHT and the uGraft. He is also able to perform this technique on people who’ve lost their hair to burns, surgical scars, or illness. Don’t hesitate to fill out our free online consultation or contact our office for more information.

Variables Affecting Hair Loss

A full head of hair represents youth and vitality in society. When hair loss occurs, people can experience negative self-esteem and decreased self-confidence. One of the most important factors in order to treat hair loss, hair thinning or balding is to first understand the underlying cause.

Different factors contribute to hair loss, which distinctly affect men and women. Men tend to lose hair based solely on genetics. Women typically experience temporary hair loss due to psychological factors and permanently due to aging and hormonal imbalance.

The most common factor in hair loss for men and women is androgenic alopecia, or pattern baldness. This genetic condition makes recipients more sensitive to the hormone dihydrotestosterone (DHT), which miniaturizes follicles. Those with genetically weak androgen receptors thus suffer hair loss.

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The Norwood Scale showing the hair loss stages of male pattern baldness.

Hair Loss Differences Between Men and Women

Men prone to hair thinning and baldness experience it at a much younger age than women and at a higher percentage. Nearly 40 million men in the U.S. suffer from some degree of hair loss, according to the American Health Journal.

Pattern baldness is characterized by a well-defined pattern in men. Hair loss begins above both temples, followed by a receding hairline and crown loss. For those who experience baldness, 95 percent of them have pattern baldness as the cause. Two-thirds of men will suffer from it by the age of 35, 85 percent by the age of 50. Additionally, 25 percent of these men will experience hair loss from pattern baldness by the age of 21.

Pattern baldness is the also the leading cause of hair loss in women. The female variant causes hair thinning over the entire head rather than baldness or a receding hairline. Approximately 21 million women in the U.S. experience a form of hair loss, according to the American Health Journal. It affects 50 percent of women over the age of 40.

Triggers For Hair Thinning and Loss

When hair loss is not due to pattern baldness, the causes can range from poor circulation to lupus. Non-genetic factors also increase hair loss in women more than men, whether temporary or permanent.


  • Trichotillomania
  • Lupus
  • Traction/scarring alopecia
  • Alopecia areata, totalis, universalis


  • Severe stress
  • Pregnancy
  • Sleep deprivation
  • Illness
  • Drug use
  • Poor circulation
  • Malnourishment
  • Iron/folic acid deficiency
  • Telogen effluvium
  • Hormone imbalance
  • Untreated hypothyroidism

Treatment regimes and surgeries

Once an assessment is made for the cause of hair loss, treatments range from lifestyle adjustments and dietary changes to medications and surgery. It is best to first consult with a medical professional for substantial hair loss, namely pattern balding, with the following options for course of action:

  • Rogaine (minoxidil)
  • Propecia (finasteride)
  • Hair transplant

Dr. Umar’s advanced method of follicular unit extraction (FUE), along with body to hair transplant (BHT), produces superior results and allows more patients to have full hair restoration. Contact his office for a consultation on hair replacement options.



Hair Transplant: What’s The Right Age?

Hair transplants can be tricky. It seems almost instinctual that anyone experiencing hair loss would run to fix the problem. Young men who have an earlier onset of male pattern baldness—which can begin as early as late teen years—will likely be Propecia regulars and Rogaine pros throughout their 20’s. But at what point do these temporary solutions become an exhausting inconvenience? And when will DHT overpower the strength of minixidil and finasteride? What is the right age to seek a permanent solution through surgical hair restoration?

In this way, hair loss is yet crueler than we tend to realize. We think, Yes! Hair transplant is the permanent solution! And while it is, it comes with certain prerequisites. The biggest catch is that, even though hair loss has started, that does not mean it’s finished. A hair transplant restores lost hair, but it can’t keep future hair from falling out.

What Happens When Hair Transplant Is Done Too Early?

Many have gone after this wonderful solution too early. And as male pattern baldness continues to progress, the newly implanted DHT-resistant hair stays in while the hair around it falls out. This creates hairline and temple-point recession preceded by a strange, surviving wall of hair still framing the face.  It creates a “halo” effect at the vertex, with mid-crown density surrounded by a circle of baldness. And while these deformities can now be corrected through follicular unit extraction, or body hair transplant (in extreme cases), they are nonetheless avoidable.

If you don’t want to have to undergo the emotional and financial cost of hair transplant surgery more than once, you must be patient. You must wait until you are at an age where your prospective surgeon can determine where your hair loss is heading and thus decide the best overall implantation design and pattern to suit you.

How Old Is Old Enough?

Hair Transplant at a Young Age

A younger hair transplant recipient with successful results.

The standard age for hair transplant is no less than 24 years old. Anyone younger is usually not yet a practical candidate. There are always exceptions to the rule, though; every now and then there are particularly young patients with successful long-term results (or who are preemptively willing to undergo a second procedure later). However, on the flip side of this, there are surgeons who require even greater age to qualify, possibly depending on the area of baldness. For example, one surgeon who is recommended on the Hair Transplant Network will not restore crown density on anyone under the age of 35.

If you have begun losing your hair at an early age, you may very well progress to a NW 6 or 7, which could continue developing well into your 30’s. Being the right age for a hair transplant requires the patience and foresight to recognize the dangers of undergoing surgery too early. Plan a free consultation with a known and respected hair restoration surgeon to find out what the right age is for you.

Psychological Effects Of Hair Loss On Men

Mens Hair Loss Going bald is considered a painful process by many. It may seem so common to the majority of us that we don’t think twice when we see a man with a thinning crown or receding hairline. It seems normal and they appear to be okay with the condition. But what many aren’t aware of is the adverse emotional affects hair loss silently has on millions of men.

Approximately two-thirds of men in the U.S. will experience some degree of hair loss by the age of 35. This number increases to 85% by the age of 50. And for 25% of these sufferers, hair will start to thin before the age of 21. Male pattern baldness, or androgenic alopecia, is the cause of 95% of hair loss. The genetic origin of this condition means there’s not much one can do to change his fate. And once hair loss sets in, most will go to great lengths to cover it up, stop it from progressing, and (hopefully) reverse it.

Social Psychology Of Hair Loss

Bountiful hair has been a social, cultural, and sexual sign of likeability, success, and virility for a long time. Many men associate hair loss with the end of their youth and go through a range of emotional responses, including denial, loss of confidence, low self-esteem, and shame. It is common to experience stress and anxiety, which, in extreme cases, can lead to depression and mood disorders. Some men may develop a social phobia that causes them to avoid parties and social gatherings.

Hair Loss In The Work Place

The range of adverse emotions one may feel when suffering with male pattern baldness can easily bleed into the work place. One may skip out of meetings and dodge interactions with co-workers. It is even possible for productivity to go down because of this added stress. Studies show that it is not uncommon for a man to alter his career path due to loss of hair.

Hair Loss Help

If you are suffering with hair loss, you’re not alone. It may be helpful to remember that baldness has also been a historical, social, and cultural sign of intelligence and stability. However, if you are suffering from hair loss due to an accident, disease, or severely botched hair restoration surgery, Hair Peace Foundation is an excellent resource to help you during such a traumatic time.

Those who are experiencing androgenic alopecia and are after a cure have many treatment options, but the only permanent solution is hair transplantation. Contact Dr. Umar through his free online consultation for more info.

How Does Propecia Work?

Propecia, a finasteride drug, is among the most commonly used products on the market in the face of hair loss. An embarrassing problem at best, male pattern baldness starts with thinning hair on the scalp, which can lead to a balding crown and/or a receding hairline.

Dihydrotestosterone, or DHT, is the main cause of male hair loss. The purpose of Propecia is to restore the hair and to stop testosterone from converting into DHT, thus preventing hair loss. Propecia is typically taken orally once a day at 1 mg. It is contraindicated in women and children. Because the hair follicles’ genetic vulnerability to DHT is the cause of male pattern baldness, Propecia should, in theory, be an effective method of treatment.

Ideally, Propecia will also stop DHT from binding to the receptor sites of the hair follicles, which is another aid in preventing hair loss. It may slow down, and even reverse hair loss, as Propecia can stimulate the hair growth process for men with only mildly thinning hair.

In most cases, users of Propecia will see an improvement. However, Propecia is not always strong enough for men with severe hair loss. Men who suffer from extreme crown hair loss or hairline recession may resort to other alternatives, like hair transplantation surgery (of which there are many types). A leader among such hair loss solutions is body hair transplantation (BHT) using follicular unit extraction (FUE). This procedure itself is minimally invasive and results in a scar-free, healthy, and natural-looking head of hair.

Comb-over No More with Follicular Unit Extraction: 2,500 Grafts Using Head and Nape Hair

Before this patient came to Dr. Umar, he tried a common approach to hiding his male pattern baldness – combing his hair over the problem are and hoping no one noticed. Using the advanced technique of Follicular Unit Extraction, Dr. Umar transplanted 2,500 individual grafts of hair from the nape of the patient’s neck and from his head to restore his receding hairline.

Take a look at the results yourself, in this video shot one year after surgery.

Have more questions about your hair loss options? Contact Dr. Umar for a free online consultation today.

Male Pattern Baldness: What are the odds?

Androgenic alopecia, more commonly referred to as male pattern baldness, is caused by the enzyme 5-alpha-reductase converting testosterone into dihydrotestosterone, or DHT. DHT, dominant in the scalp, attaches to the receptor sites of hair follicles, causing them to atrophy and die. Hence, we have male pattern baldness. However, the determining factor that leads to one’s hormonal balance and production of DHT is genetic.

Is Male Pattern Baldness Genetic?

Ultimately, male pattern baldness is a genetic condition, stemming predominantly from the maternal X-chromosome. This chromosome carries our androgen receptors, which are significant in deciding hair loss probability. Male pattern baldness comes from Mom due largely to the fact that women carry two X chromosomes and men carry one X and one Y. Therefore, women carry—and pass on—the genetic odds twice. However, this also eradicates the belief that male pattern baldness only comes from the mother. The androgen receptors lie within Dad’s genes 50% less than Mom’s, but he’s still got them. Research shows that a person whose father suffers male pattern baldness also has a greater chance of experiencing genetic hair loss.

What Else Contributes To Male Pattern Baldness?

Genetics greatly indicate the hair loss of men within a family, but do not guarantee male pattern baldness. Just like any other gene, baldness can skip a generation. Some factors that increase the odds of male pattern baldness in those who are genetically susceptible include:

  • Emotional stress
  • Stress caused by sleep deprivation
  • Poor diet
  • Bad blood circulation
  • Drug abuse
  • Infection

When genetics strike and you are left with male pattern baldness, there are several treatment possibilities. For more information on genetic hair loss, a free online consultation with Dr. Umar of the DermHair Clinic is just a click away.

Male Pattern Baldness – What Is It?

Hair loss can occur for various reasons. Stress, diet, health, sleep, drug use, etc. But male pattern baldness, scientifically termed androgenic alopecia, is the most common cause of hair loss.

Male pattern baldness technically starts in the womb. Your predetermined genetics will manifest in male pattern baldness 20 to 40 years later depending on whether your mother passed it down to you through her X chromosome. Men whose mothers’ fathers suffer male pattern baldness have a much higher chance of experiencing the condition. And men whose fathers suffer male pattern baldness are also more likely. This is due to the fact that women have two X chromosomes while men have an X and a Y. The androgen receptors, which determine the fate of your hairline, reside within the X chromosome specifically. So both parents have the capacity to pass the gene down, it is just 50% more likely to come from the maternal side of the family.

Receding hairline due to male pattern baldness.

Receding hairline due to male pattern baldness.

Empty crown due to male pattern baldness.

Empty crown due to male pattern baldness.

Once your genetic fate is decided, the mechanism of your inevitable male pattern baldness is actually hormones. Testosterone, in combination with the enzyme 5-alpha-reductase, turns into dihydrotestosterone, or DHT. DHT is a powerful hormone in the scalp that wreaks havoc on hair follicles, causing them to weaken and break off.

Is There A Cure For Male Pattern Baldness?

There are different treatment options for male pattern baldness, which depend on a few variables. The only solution that reverses hair loss permanently is hair transplantation. For more information on this solution to male pattern baldness, schedule a free online consultation with Dr. Umar of the DermHair Clinic.