Off-label treatment of male and female pattern hair loss and is in clinical trials for its effectiveness.

Thinning Hair

Receding Hairline

Bald Spots

Tofacitinib is a Janus kinase (JAK) inhibitor. JAKs are enzymes that work within the immune system and other cells to transmit signals that influence basic cell functions. By inhibiting JAKs in immune cells, Xeljanz can interfere with the immune processes which attack hair follicles causing hair loss. This pill seeks to reverse hair loss caused by alopecia areata which is a common autoimmune skin disease, causing hair loss on the scalp, face and sometimes on other areas of the body.

Tofacitinib and similar medications like dutasteride are not primarily used for treatment of hair loss but have shown to decrease hair minimization. Tofacitinib is available in 5 mg tablets and the recommended dose is 5 mg twice daily. Take the medication as directed by the provider and do not increase intake if a dose is missed.

Tofacitinib

Hair Restoration

Hair

Head

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No special measures need to be taken before treatment.

Before Treatment

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Tofacitinib is available in 5 mg tablets with the typical dosage being 5 mg twice daily. Take medication as prescribed.

During Treatment

tofact3

No special measures need to be taken after treatment with Tofacitinib. Normal activities can be resumed immediately. 

Immediately After Treatment

tofact4

- Results seen after 3 months
- Not certain whether continued use is required for sustained results 

Result Notes

Tofacitinib, also marketed as Xeljanz, can be used as an off-label treatment of male and female pattern hair loss. Here is a quick guide for what to expect before, during, and after hair loss treatment with Tofacitinib.  

Tofacitinib (Xeljanz)

Tofacitinib, also marketed as Xeljanz, can be used as an off-label treatment of male and female pattern hair loss. Currently, Tofacintinib is only FDA approved for the treatment of rheumatoid arthritis and is in clinical trials for its effectiveness in hair loss treatment.

Treatment for male pattern hair loss that leads to increased hair diameter and growth rate but with a lesser hair count.

Finasteride is a type II 5a-reductase inhibitor that decreases serum and scalp levels of dihydrotestosterone (DHT). DHT is an androgen that creates miniaturization of follicles, weakening of hair structures, and overall unhealthy hair. By decreasing DHT production, hair loss is reduced. Since finasteride reduces the production of androgens, which are male sex hormones, side effects from taking the medication may include decreased libido and sexual stamina. Alternative medications for hair loss include dutasteride and tofacitinib. 

Typically, 1 dose is taken per day orally of finasteride to help hair loss. Results can take anywhere between 3-6 months to show. Continued use of the drug is necessary to maintain results.

Finasteride

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Finasteride is usually taken once daily in 1 mg tablets. Take medication as prescribed.

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No special measures need to be taken after treatment with Finasteride. Normal activities can be resumed immediately. 

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- Results can be seen after 3-6 months of consistent use
- Treatment is continued indefinitely to maintain results

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Finasteride leads to increased hair diameter and growth rate, although increased hair counts are also observed to a lesser extent. Here is a quick guide for what to expect before, during, and after hair loss treatment with Finasteride.  

Finasteride (Propecia)

Finasteride is an FDA-approved treatment for male pattern hair loss. The dosage is 1 mg daily. Finasteride leads to increased hair diameter and growth rate, although increased hair counts are also observed to a lesser extent. Increased hair growth is usually seen after 3 months of use.

Hair restoration treatment that uses low level laser therapy and LED light to stimulate hair follicles for thicker hair.

Thinning hair, receding hairlines, and hair loss in general can have a great impact on the self esteem of both men and women. There are a number of hair restoration treatments available to treat hair loss from topical products such as Rogaine, to prescription medications such as Propecia. Advancements in hair loss treatment have seen a rise in at-home low level laser therapies (LLLT) that have little to no side effects and are not only discreet, but affordable. 

iRestore is one of several at-home LLLT devices available to patients who are in the beginning stages of hair loss. The iRestore system has 51 medical-grade lasers and red luminous LEDs. The combination of laser energy and LED lights stimulates cell metabolism and blood flow to the hair follicles, reactivating dormant follicles and extending the growth phase of hairs. 

Treatment sessions are straight forward and do not require any preparation. The iRestore helmet is placed on the head and the unit is turned on. The helmet is worn for 25 minutes. During this time, wearers are able to relax, read, or watch tv. Once the session is over, the helmet is removed and patients are able to resume all normal activities. Treatments should be repeated every other day for at least 6 months to garner full results from the iRestore system.

iRestore

igrow1

irestore2

- Patient places iRestore helmet on the head
- iRestore worn for 25 minutes
- Once treatment time is complete head piece is removed

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- Able to resume all normal activities
- iRestore can be used in conjunction with other hair restoration products, medications, and after hair transplant surgery

irestore4

- Consistent treatment needed every other day for 3-6 months for results
- Continue to use iRestore once weekly after 6 months
- If treatment is not continued, gained hair growth could be lost 

iRestore is a hair restoration treatment that uses a combination of low level laser therapy and LED lights to stimulate hair follicles. Here is a quick guide for what to expect before, during, and after treatment with iRestore.

iRestore is a hair restoration treatment that uses a combination of low level laser therapy and LED lights to stimulate hair follicles to produce thicker, healthier hair in 6 months.

A hair transplant system that removes individual hair follicles to harvest more follicles using FUE technology.

Hair loss is a common occurrence in both men and women. Thinning hair, receding hairlines, and bald spots can develop temporarily due to factors such as anxiety or stress, or be brought on by genetic predispositions such as with male or female pattern hair loss. For those who are bothered by thinning hair and have a healthy, sufficient donor site, follicular unit extraction may be a good solution to restore fuller, voluminous hair. 

Follicular unit extraction, or FUE, is a method of hair transplantation used to relocate healthy hair follicles into balding areas of the head. Unlike FUT (follicular unit transplantation), which surgically removes a strip of hair from the patient's head in order to harvest hair follicles, FUE individually dissects the hairs for a less invasive procedure. The FUE process can be all done by hand--from extraction, to recipient site creation, to transplantation--or semi-automatically. Semi-automized FUE techniques allow for a quicker procedure, with greater extraction numbers, and less surgeon fatigue. 

AccuGraft, like Neograft, is a semi-automatic FUE system. AccuGraft uses a pneumatically pressurized hand piece in order to accurately extract hair follicles. Prior to the procedure, the donor site will be shaved and injections of local anesthesia will be administered for optimal patient comfort. Once the patient is numbed, the procedure will begin. AccuGraft hand piece will extract heathy hairs from the patient, one follicle at a time, taking care to note the angle of projection when removing the hair. Follicles are vacuumed into the hand piece until the extraction process is complete. Next, the recipient site will be scored for transplanting. Each follicle will then be placed back into the head, restoring the appearance of fullness and volume.

AccuGraft

artas1

- Stop using topical hair treatments for 2 weeks
- A prescription shampoo may be recommended
- Stop taking blood thinning medications for 2 weeks
- No alcohol 3 days prior
- No smoking 1 week before and after
- Patients with light hair will dye hair 3 days prior

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- Local anesthesia
- Hair in donor area will be cut short
- Hand held device powered by pneumatic pressure removes donor hair 
- Recipient sites created in the proper orientation, angle, and direction
- Follicular units are carefully separated and implanted

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- Swelling and discomfort
- Do not touch hair with either hands or combs

artas4

- Avoid strenuous exercise
- Light exercise after 2 days
- No alcohol 
- Return to work in 1-5 days

1 Week After Treatment

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- Normal shampooing, brushing, and hair care resumed 10 days postoperatively
- Hair cut after 2 weeks 
- Hair dye permitted after 4 weeks

10 Days After Treatment and Beyond

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- Will take several months to see results
- Grafted hairs will shed and regrow in 3-4 months
- Bulk of hair growth is seen 5-12 months postoperatively
- Between 12-18 months after procedure results often continue to progress

AccuGraft is a hair transplant system that utilizes the FUE technique but is semi-automated, mechanically extracting hairs in order to harvest more follicles, in a shorter time, with less provider fatigue. Here is a quick guide for what to expect before, during, and after an AccuGraft procedure.

AccuGraft is a hair transplant system that removes individual hair follicles from the patient's head. The AccuGraft utilizes the FUE technique but is semi-automated, mechanically extracting hairs in order to harvest more follicles, in a shorter time, with less provider fatigue.

A hair restoration system that uses a combination of PRP injections, low level laser therapy, and Bosely products.

Bosley has been a major name in hair restoration for decades, from hair transplants to topical products. TriGen+ is a combination of treatments designed to reduce hair thinning, strengthen existing hairs, and regrow hair. Treatment consists of three procedures: PRP (platelet rich plasma) injections, at-home low level laser therapy (LLLT), and Bosley products which include shampoos, supplements, and Minoxidil. 

First, the patient will receive PRP injections. Blood will be collected from the patient, placed in a centrifuge, and the components of the blood will be separated. Once the PRP is isolated, the serum can then be injected into parts of the scalp that are experiencing hair thinning. At home, patients will use LLLT therapy either daily or every other day for a period of 6-30 minutes. The patient will also be directed to use specific products on a consistent, daily basis as well including shampoos, supplements, and topical Rogaine.

TriGen+

trigen1

Prior to PRP injection: 
- Avoid blood thinning medications
- Stop consuming alcohol 3 days prior 
- Quit smoking at least 1 week before
- Wash hair the morning of a PRP session
- Other hair loss treatments may be continued before the procedure
- Patients are allowed to color hair up to 3 days prior

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- A small amount of blood is collected from the patient
- Blood is placed into a centrifuge to separate the PRP 
- PRP is injected into the scalp

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- Scalp may feel tight
- Minimal swelling
- Patients resume daily LLLT and topical hair restoration products

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- PRP injections once monthly for 1-3 months
- After 3 months, patients will notice a stabilization of hair loss
- Within 3-6 months patients will see initial results of fuller hair
- After 1 year, patients will see visible results
- Consistent, daily use of LLLT and topical hair restoration products needed for best results

TriGen+ is a hair restoration system by Bosley that uses a combination of PRP injections, low level laser therapy, and Bosley products. Here is a quick guide for what to expect before, during, and after TriGen+ treatment.

TriGen+ is a hair restoration system by Bosley that uses a combination of PRP injections, low level laser therapy, and Bosley products. TriGen+ seeks to stop hair loss, strengthen existing hair, as well as stimulate new hair growth.

A semi-automated hair transplant system which facilitates the harvesting of follicles during an FUE hair transplant.

Neograft uses a partly robotic method of follicular unit extraction which seeks to reverse hair loss created by thinning hair, bald spots and receding hairlines. Other options for hair transplant include the entirely robotic ARTAS system or the strip harvesting method. The NeoGraft hair procedure is a one-day, outpatient procedure that requires only local anesthesia. Most patients experience very little or no discomfort during and after surgery. The scalp will be treated with a local anesthetic, and if needed and previously discussed, the hair in the donor area will be cut short before the procedure begins. Patients rest comfortably, watch TV or nap during their hair procedure.

The extraction procedure is simple but may take some time. Using a wand powered by pneumatic pressure, the Neograft removes donor hair from the back of the head. This is the area where the hair follicles resist falling out if male pattern baldness is the problem. For females, the hair is typically extracted from other areas where it can safely be harvested. The surgeon will create recipient sites in the proper orientation, angle, and direction according to the hair transplantation plan, which would be individualized during the consultation. Finally, the follicular units are carefully separated by size before transplanting the grafts into balding or thinning areas of the scalp. Each extracted graft is meticulously harvested and individually implanted to ensure the best results.

Neograft

Hair Transplant

NeoGraft is a semi-automated hair transplant system that automates the harvesting of follicles, improving the accuracy and speed over manual extraction instruments. Here is a quick guide for what to expect before, during, and after a NeoGraft hair transplant.  

NeoGraft Hair Transplant

NeoGraft is a semi-automated hair transplant system which facilitates the harvesting of follicles during a follicular unit extraction (FUE) hair transplant, improving the accuracy and speed over previously used manual extraction instruments.

Utilizes low laser light therapy to stimulate hair growth and thicken hair by increasing blood supply to affected areas.

Theradome is an at-home treatment that can help individuals suffering from hair thinning or hair loss improve the thickness and health of their hair. Theradome is a helmet that uses laser energy to stimulate the blood supply to damaged hair follicles, improve hair thickness, reduce shedding, and stimulate hair growth. Other methods of hair restoration such as minoxidil, finasteride, and dutasteride can also be used while using the Theradome. 

The ideal time for treatment is right after a shower after towel drying hair. Simply place dome on head and turn the unit on. Treatments last 20 minutes and are FDA approved to be done twice weekly. If patient's choose to use the Theradome more than twice per week, it is recommended to wait at least 12-24 hours between treatments. Regular activities can be resumed immediately after treatment.

Theradome

thunderdome1

- No special measures need to be taken
- Recommended to use after a shower

thunderdome2

- Place dome on head and turn unit on
- Treatments last 20 minutes 

thunderdome3

- No special measures need to be taken 
- Resume normal activity immediately

thunderdome4

- Minimization of hair loss between 4-18 weeks
- Thicker hair within 18-26 weeks
- Renewed hair growth within 26-52 weeks

Theradome is a hair restoration treatment that utilizes low laser light therapy to decrease hair miniaturization, stimulate hair growth, and thicken hair. Here is a quick guide for what to expect before, during, and after Theradome treatment. 

Theradome is a hair restoration treatment that utilizes low laser light therapy to decrease hair miniaturization, stimulate hair growth, and thicken hair by increasing blood supply to affected areas with 80 lasers penetrating 1.5mm to reach hair follicles.

An at-home hair loss treatment that uses low-level laser therapy to stimulate hair follicles.

Hair loss can effect both sexes, any age, for a number of reasons. Sometimes hair loss is predetermined genetically as with male and female pattern hair loss. Other times hair loss is brought on by illness, stress, or as a side effect of medications. For those who have determined their hair loss is not temporary or reversible, it is common to seek out hair restoration treatments. Invasive procedures like FUE or FUT surgeries can be expensive, while certain drug-based solutions can have unintended side effects. Low level laser therapy (LLLT), however, has been clinically proven to improve hair loss conditions with minimal to no side effects. Advancements in LLLT have even allowed for affordable at-home treatment options such as with iGrow, Capillus, and Theradome. 

iGrow uses a combination of both laser and LED light to treat thinning hair. During treatment the patented head piece is worn for a period of 25 minutes. The iGrow system is designed so that the laser and LED components never directly touch the scalp, making it an ideal treatment to use after a hair transplant. After 25 minutes the head piece is removed and normal daily activity can be resumed. Treatment is recommended every other day for at least 3-6 months. Continued use will be needed to sustain results.

iGrow

igrow2

- Patient places iGrow head piece over ears and head
- Head piece rests comfortably at a fixed distance of 3cm from the scalp
- iGrow worn for 25 minutes
- Once treatment time is complete head piece is removed

igrow3

- Able to resume all normal activities
- iGrow can be used in conjunction with other hair restoration products, medications, and after hair transplant surgery

igrow4

- Consistent treatment needed every other day for 3-6 months for results
- Continue to use iGrow once weekly after 6 months
- If treatment is not continued, gained hair growth could be lost 

iGrow is an at-home hair loss treatment that uses low level laser therapy to stimulate hair follicles. Here is a quick guide for what to expect before, during, and after hair loss treatment with iGrow.

iGrow is an at-home hair loss treatment that uses low level laser therapy to stimulate hair follicles. iGrow is completely non-invasive, FDA approved, with noticeable improvement in 3-6 months with consistent use.

A non-invasive, daily hair restoration treatment that uses a low-level laser to increase hair fullness.

Low level laser therapy (LLLT) has been shown to not only stop hair loss but also encourage hair growth for healthier, thicker hair. Capillus, much like Theradome and iGrow, is a hair restoration product that does not involve creams, medications, or surgery. The Capillus system is discreet and looks like a baseball cap. Depending on the exact Capillus system (82, 202, or Pro), between 82-272 laser diodes are used to deliver stimulating laser energy to the hair follicles. This low level laser energy increases capillary blood flow to the dermis of the skin which helps slow down and even reverse hair loss. 

Treatment sessions with the Capillus system are done at home either daily or every other day. The Capillus hat is worn for a period of 6-30 minutes. The Capillus system is portable and can be worn while working, driving, and doing other activities. Wearers may feel a slight warming sensation during a treatment session. Once the treatment time is complete, the Capillus hat is removed and normal daily routines can be resumed. Consistent treatment is necessary to see results.

Capillus

cap1

No special measures need to be taken prior.

cap2

- Capillus hat is worn either daily or every other day
- Capillus hat is worn for 6-30 minutes 
- Capillus hat can be worn doing normal activity
- After treatment time is complete, hat is removed
- Treatment can be done in conjunction with other hair restoration treatments

cap3

No special measures need to be taken after treatment. 

cap4

- Stabilization of hair loss within 3 months
- Within 3-6 months patients will see initial results of fuller hair and a decrease in hair loss
- After 1 year, patients will see visible results
- At 2 years patients will gain the most improvement from Capillus
- Consistent, daily treatments are needed for sustained results

Capillus is a daily hair restoration treatment that uses low level laser therapy (LLLT) to reduce hair miniaturization and increase hair fullness. Here is a quick guide for what to expect before, during, and after hair loss treatment with the Capillus system.

Capillus is a daily hair restoration treatment that uses low level laser therapy (LLLT) to reduce hair miniaturization and increase hair fullness. Capillus is an FDA approved, non-invasive, and discreet treatment for hair loss.

Method of hair transplant surgery that manually plants hair follicles into bald spots from other regions of the scalp.

Follicular unit extraction, or FUE, is a method used for hair transplants to give patients with balding or thinning manes a naturally thicker appearance to hair. Unlike more invasive methods such as follicular unit transplantation, or FUT, this method does not require the removal of a donor strip of scalp to extract individual follicles. The FUE technique is performed manually, from extraction to implantation, by a skilled hair transplant surgeon. Newer methods such as Neograft or the ARTAS system automizes parts of the FUE procedure for quicker treatments and less error. 

Before the dissection of the follicles begins, the donor section of scalp will first be shaved to provide the doctor with better visualization so as not to over-harvest areas.  The donor area will then be cleansed and anesthetized with a local numbing agent.  During the procedure, one of two extraction methods will be used: sharp or blunt dissection. The sharp punch dissection technique limits the depth of the punch insertion in order to avoid follicle transection and provides a more consistent graft. The blunt punch dissection technique uses a dull tip that is less likely to transect the follicles and the tip guides the follicles into the lumen of the punch. This allows for a deeper level of dissection, thereby decreasing manipulation and the force needed for graft extraction. Your hair transplant surgeon will decide what technique is best for your individual needs. 

During the procedure, 2,400-5,000 grafts will be harvested to a particular area on the scalp. If hairs are transplanted to the eyebrows, typically only 150-200 grafts are needed. Your surgeon will be careful to avoid over-harvesting donor areas so as not to cause the body to experience telogen effluvium, a reversible form of temporary hair loss caused by physical or emotional stress.

Follicular Unit Extraction

fue2

- Donor section of scalp is shaved 
- Donor area is cleansed and anesthetized 
- 2,400-5,000 grafts will be individually harvested
- Hairs are implanted into the scalp in thinning areas

Follicular unit extraction is a method of hair transplant surgery that manually removes and implants individual hair follicles from the patient's scalp. Here is a quick guide for what to expect before, during, and after a FUE hair transplant.  

FUE Hair Transplant 

Follicular unit extraction, sometimes referred to simply as FUE, is a method of hair transplant surgery that manually removes individual hair follicles from the patient's scalp. Once extracted, hairs are then implanted to bald or thinning areas around the head.

Used as off-label treatment of male and female pattern hair loss. Studies have shown it more effective than finasteride.

The primary indication for dutasteride is to treat urinary retention issues and enlarged prostates. However, the drug works by inhibiting both type I and type II 5a- reductase—which are most known for conversion of testosterone into dihydrotestosterone (DHT). DHT shrinks hair follicles and its presence is a known cause of balding. Other medications for hair restoration include tofacitinib, which is primarily used as a treatment for arthritis. 

All dutasteride doses tested (0.05, 0.1, 0.5, 2.5 mg) and finasteride 5 mg were significantly better than placebo, but only dutasteride at a 2.5 mg daily dose showed statistically greater hair counts compared to finasteride. Typically, 1 dose is taken per day orally. Results can take anywhere between 3-6 months to show.

Dutasteride

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Dutasteride 2.5 mg tablets are typically taken once daily to treat hair loss. Take medication as prescribed.

dut3

No special measures need to be taken after treatment with Dutasteride. Normal activities can be resumed immediately. 

dut4

- Results seen after 3 months of consistent use
- Treatment is continued indefinitely to maintain results

Dutasteride can be used off-label for the treatment of male and female pattern hair loss. Here is a quick guide for what to expect before, during, and after hair loss treatment with Dutasteride.  

Dutasteride (Avodart)

Dutasteride can be used off-label for the treatment of male and female pattern hair loss. It has been shown in studies to be more effective than finasteride when given at a dose of 2.5 mg daily.

A completely automated hair transplant procedure that utilizes a robotic arm to extract and implant hair follicles.

The ARTAS robotic hair transplant system is unlike other forms of hair transplant methods because it is completely automized. The ARTAS system does not require a surgical removal of a donor site like the strip harvesting method, nor does it require the skill of a hair transplant surgeon for hours on end manually extracting individual follicles one by one as in the FUE method. The entire process from consultation to implantation is completed with the help from the ARTAS machine. 

Before the procedure, the physician will use ARTAS technology to create a simulation of what you could look like following the hair transplant. At this point, the doctor will also be able to estimate the approximate number of grafts that will be needed for transplant depending on your degree of hair loss. On the day of treatment the patient will sit comfortably in a chair as the ARTAS system analyzes the scalp. With the use of multiple cameras alongside software algorithms, the ARTAS system will examine and identify individual follicles that are suitable for transplant. This sophisticated system recalculates hair position every 20 milliseconds to ensure optimal grafts and dissection. The process of extracting the hair follicles will continue until the desired amount of grafts are obtained. If needed, the physician is able to make adjustments to further fine-tune the transplant process. 

When the extraction process is complete, the ARTAS system will use the simulations created during the consultation process as a guide for where to implant the follicular units. The technology ensures best placement for the grafts, taking into account angle and density as well as avoiding inflicting damage to existing healthy hair. Depending on the extent of the hair loss, the procedure will take approximately 5-7 hours to complete.

ARTAS Robotic Hair Transplant

artas2

- Consultation to create simulation of results
- Patient will sit in a chair as ARTAS system analyzes scalp
- ARTAS system will identify individual follicles for extraction
- Hairs are extracted 
- Simulations created during consultation guide ARTAS system for implantation
- Procedure will take approximately 5-7 hours

The ARTAS system is a completely automated hair transplant system that precisely extracts and implants hair follicles. Here is a quick guide for what to expect before, during, and after ARTAS robotic hair transplant.  

The ARTAS system is a completely automated hair transplant procedure that utilizes specialized technology and a robotic arm to precisely extract and implant hair follicles into thinning areas on the scalp. ARTAS does not require surgery and is considered minimally invasive. This method is FDA approved for men with dark, straight hair.

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