Hair Loss Services
Alopecia, also known as hair loss, affects both men and women. By the age of 30, 25% of men and 12% of women have hair loss. This increases to 50% for men and 25% for women by the age of 50. At Central Minnesota Dermatology, we diagnosis and treat all forms of alopecia. The first step in treating any medical illness is getting a diagnosis. During your visit with one of our providers, they will perform a medical exam and may recommend labs and/or a biopsy to help determine the cause of your hair loss. It is important to realize that treating hair loss is a journey that often does not have an end. Some forms of hair loss require chronic treatment. Most forms of alopecia are best treated with a multi-pronged approach. Therapies include hair nutritional supplements, topical therapies, oral therapies, hair re-growth procedures such as platelet-rich fibrin (PRF) injections or Alma TED treatments, and hair transplantation. Your provider will review and explain all treatment options during your visit.
Hair Nutritional Supplements
There are several well-known supplements that stimulate hair growth, including collagen, biotin*, zinc, vitamin A, vitamin B, vitamin C, vitamin D, omega-3 fatty acids, saw palmetto, ashwagandha (Indian ginseng), cayenne, horsetail, rosemary, stinging nettle and turmeric. There are several over-the-counter hair supplements available, including but not limited to, Nutrafol, Viviscal, Votesse, Protervis, and Hair La Vie. At Central Minnesota Dermatology, we have partnered with Nutrafol to offer their Women’s Hair Growth (for women ages 18-44), Women’s Balance Hair Growth (for women ages 45+), and Men Hair Growth supplements. These products are available for purchase at our Brainerd and Pine River offices.
*Of note, the FDA has recently received reports that high doses of biotin can falsely lower cardiac troponin levels and lead to a misdiagnosis of a heart attack. Biotin can also falsely elevate thyroid function tests. It is recommended that you stop taking biotin one week before your lab testing. We recommend that you discuss this with your primary care provider.
Topical therapy for hair loss depends on the specific type of alopecia and can range from medications that decrease inflammation or suppress the immune system (corticosteroids, calcineurin inhibitors, Jak inhibitors) to ones that stimulate hair growth (minoxidil, minoxidil/finasteride compound).
Oral therapy for hair loss also depends on the specific type of alopecia. Some medications are used to stimulate hair growth and/or prevent further hair loss such as spironolactone, low dose minoxidil, finasteride and dutasteride. Other medications are used to prevent inflammation or suppress your immune system to re-grow hair, prevent further hair loss, and avoid scarring in the scalp. These include minocycline, doxycycline, a short course of prednisone, hydroxychloroquine, methotrexate, mycophenolate mofetil, cyclosporine, tacrolimus, finasteride or dutasteride, pioglitazone, and tofacitinib.
Hair Loss Treatments
We are excited to offer treatment options to help patients that suffer from alopecia. We understand that treating hair loss often requires more than one treatment method to obtain the best results and we have strategically added treatment options that are more aggressive than shampoos, supplements, and medications alone but not as invasive as surgery.
Despite the difference between PRF and TED treatments, they both offer the same goals of increasing hair density by:
Stimulating dormant hair follicles to start growing hair
Extending the growing phase of the hair follicles
Increasing the thickness of the hair shaft
Decreasing hair shedding
For patients that have suffered with hair loss for years and have areas of complete baldness, the PRF and TED treatments are not as effective. These patients would benefit from a hair transplant procedure, which are not services offered by Central Minnesota Dermatology.
We do not offer refunds on services rendered. Results for aesthetic services can vary significantly from person to person. We will do our best to achieve your desired result, but outcomes cannot be guaranteed. Patients are responsible for any additional treatments that may be needed to achieve and maintain desired outcomes. If a package is purchased and the patient would like a refund for unused treatments, the refund amount will be calculated as the package price less the number of treatments used at the individual treatment price.