Category: Frequently Asked Questions
What Happens At An Initial Hair Loss Evaluation

What Happens At An Initial Hair Loss Evaluation

You can’t fix a problem unless you know what the problem is. That is why understanding the reasons behind a person’s hair loss is an essential first step in the hair restoration process. By knowing the cause of a patient’s hair loss, our hair restoration physicians can develop the most effective treatment plan specifically tailored to their unique characteristics.

At the Miami Hair Institute, we use a comprehensive methodology when conducting initial hair loss evaluations. While every patient is different, here are some of the things that may be part of your first visit with us.

Thorough Examination

We’ll begin our evaluation by gathering a detailed medical history, performing an in-depth scalp examination using state-of-the-art diagnostic and imaging tools, such as Fotofinder computerized photos and dermoscopy, as well as hair mass measurements.

Battery of Tests

We may also conduct tests to measure hair mass and density. Using trichometry, we can measure hair mass in 10 minutes without the need to cut any hair. The precision and accuracy of this method are superior to other methods available today. It detects the smallest changes in hair number or caliber and can be used to predict baldness years before it becomes apparent.

We also measure hair density to determine how many hairs are present per square centimeter of scalp. We conduct the test by trimming a small area of scalp to the length of 1mm, and then photograph, enlarge, and count the hairs in the area.  

If appropriate, we may also perform blood tests to identify any hormonal imbalances or deficiencies that might be contributing to a patient’s hair loss issues.

Scalp Biopsy

When a follicle scarring process appears to be the cause of a patient’s hair loss, a scalp biopsy is often needed to establish or confirm a diagnosis. We can use the results of a biopsy to make or confirm a diagnosis of alopecia. We can also obtain important information in cases of unexplained hair loss or when the potential for regrowth is in doubt.

When we perform a scalp biopsy, we extract one or two small specimens of scalp tissue and hair follicles for analysis. Each sample is about the size of a pencil eraser. To gather the specimens, we clean a discreet area of the scalp, trim the hair in that area, and administer a local anesthetic. Once we remove the samples, we close the small scar with stitches that we will take out a couple of weeks after the biopsy. The whole procedure takes approximately 15 minutes. After gathering the specimens, we submit them to a skin pathologist specializing in diagnosing hair loss problems.

Call the Miami Hair Institute Today For Your Personal Hair Loss Consultation

The first step in discovering why you are losing your hair and what you can do about it is to schedule a hair loss consultation. We invite you to schedule an evaluation at the Miami Hair Institute. Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years of combined experience. To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

Can You See Your Hair Loss Future When You See Your Family?

Can You See Your Hair Loss Future When You See Your Family?

During the holidays, we tend to get together with extended family members who we may not have seen for long stretches of time. You can learn a lot about your family history during these gatherings from all of those uncles and aunts, grandparents, and cousins. And when it comes to whether you may experience hair loss, you may also be able to see into your future when you see your family.

While your genes aren’t the only things that will play a role in determining whether you will lose your hair, if your family history includes baldness, the odds are pretty good that at least some hair loss may await you. Also called androgenetic alopecia, pattern baldness is a hereditary hair loss condition responsible for 95 percent of all hair loss cases.

But when you look around that family gathering and see a balding parent, grandparent, aunt, or uncle, does that necessarily mean you need to be resigned to the same fate?

The reality is that in terms of your genetic predisposition to pattern baldness, not all relatives are created equal.  For men, their maternal grandfather and their dad will be the ones who can give them an idea of what to expect from their hair as the years go by. 

Many of the genes responsible for baldness and hair loss tend to come from your maternal grandfather, even though genes from both of your parents and all of your grandparents can also play a role. If your maternal grandfather is bald or is losing their hair, you are a likely candidate for hair loss problems yourself.

A maternal grandfather’s genes play an oversized role in predicting hair loss because men only have one set of X chromosome genes instead of two sets of autosomal genes. For the latter, men can have one set that causes hair loss and one that doesn’t, giving them a moderate chance of going bald. However, since males only have that single set of X chromosome genes, shared with their maternal grandfather, a baldness-related gene will be the only game in town. This means a much higher risk of developing androgenetic alopecia.

Call the Miami Hair Institute Today For a Hair Loss Evaluation

While looking at your family’s genetic heritage will provide some clues as to what to expect on your scalp in the years ahead, genes are not definitive, and hair loss is not a foregone conclusion. But if you do start experiencing hair loss, advancements in medicine, technology, and techniques have made hair restoration more available, more effective, and more convenient than ever before.

At the Miami Hair Institute, we offer the most innovative approaches to hair restoration available. Schedule an appointment with the Miami Hair Institute today by calling 305.925.0222.

How To Avoid Holiday Hair Loss

How To Avoid Holiday Hair Loss

The holidays can be a stressful time for lots of folks. But after almost two years of living with the ups and downs and worries and disruptions of a pandemic, even people who in the past have been chipper and worry-free during the holiday season may feel the burn this year. Holiday stress not only can put a damper on what is supposed to be the most wonderful time of the year, but it can also cause health problems, including hair loss.

Increased hair shedding is an annual lump of coal in many people’s stockings during the holidays, and it’s not only because of all of the running around and stress. As fall turns into winter, the dryer, cooler air that accompanies the change in the seasons can also lead to more significant amounts of hair loss.

Here are three common reasons for holiday hair loss and simple tips you can use to keep you and your hair full of holiday cheer.

Holiday Stress and How To Manage It

Holiday stress now seems as much a part of the season as Santa and egg nog. All of the accumulated stress we’ve all been under can become magnified during the hustle and bustle of the holidays and can be a huge contributor to increased hair loss. Also known as telogen effluvium (TE), stress-related hair loss usually appears a few months after a highly stressful event or time.

Finding effective ways to manage and reduce stress is important all year long for many health reasons other than hair loss. While it may take more effort to make time for stress management during the busyness of the holidays, try to take regular breaks from the tumult to take care of yourself. Keep to your regular exercise regimen to the extent possible, set aside short periods for quiet time, meditation,  or reading, and turn off your phone and other gadgets from time to time. All of these simple adjustments can help reduce your holiday stress levels and keep any stress-induced hair loss at bay.

Be Mindful of Your Holiday Eating and Drinking

Our diets impact our health and well-being in several ways, including the strength of our hair follicles. During the holidays, our diets often change, not just in terms of how much we eat and drink, but also in the kinds of things we consume.

When the body lacks the nutrients needed to function properly, some of those functions can shut down. This can include hair growth and regeneration. As you stuff yourself with turkey and ham or devour those holiday cookies, try to make sure that your body is getting enough of these nutrients, vitamins, and minerals necessary for hair growth and overall good health.

Fight Dryness

Even here in South Florida, winter can bring drier air, outside as well as indoors. Hair needs moisture to stay healthy. After you wash your hair with a gentle shampoo that exfoliates and cleanses your scalp, use an ultra-light moisturizing conditioner that can nourish your follicles and soften brittleness that often comes with dry hair.

The Miami Hair Institute: Excellence In Hair Restoration No Matter The Season

Hair loss can be an issue no matter what the season. There is no time like the present if you are ready to do something about your thinning hair. At the Miami Hair Institute, our world-renowned hair restoration physicians diagnose and treat hair loss cases through the most advanced hair transplant surgery techniques and alternative non-invasive treatments available. To receive your personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

Debunking The Most Common Hair Loss Myths

Debunking The Most Common Hair Loss Myths

We are living in a world of misinformation and information. From politics to the pandemic, it can often be hard to separate fact from fiction. Somewhere on the internet, someone is no doubt claiming that 2 + 2 = 5.  Bad information predates the internet, of course, and the subject of hair loss has been the subject of myths and misconceptions for centuries.

If you are currently experiencing excessive hair loss, you may spend a lot of time trying to figure out why. There are several very real reasons you might be losing your hair, from androgenetic alopecia to stress to poor diet, among others. But there are some “causes” of hair loss that you can disregard because they are simply not true. Here are three of the most common hair loss myths and why they are bunk:

Myth #1: It’s Your Mother’s Fault

One of the most enduring myths about hair loss is that you inherit the condition from your mom’s side of the family. People grow up believing that if their mother’s male relatives are bald or have thinning hair, then hair loss is their inevitable fate as well.  This is simply not the case.

The vitality and strength of your hair are indeed related to your genetics. But the genes which play a role in hair loss come from many places, including your dad’s side of the family. This “polygenic” reason for hair loss means that you should shake all the branches of your family tree if you are trying to see into the future of your hair.

Myth #2: Thinning Hair Means You Have Lots of Testosterone

While men experiencing hair loss may want to take solace in the idea that it means they have robust testosterone levels, there is simply no link between baldness and high testosterone. That said, it’s easy to see why this myth remains out there.

Dihydrotestosterone, or DHT, is a testosterone derivative that is, in fact, scientifically linked to hair loss. But it’s not the amount of testosterone that is the issue, but rather the level of DHT fastening to hair follicle receptors in the scalp. Typically, due to genetics or other hormonal changes, hair follicles develop a sensitivity to DHT and start to miniaturize. This process shortens the hair growth cycle and eventually causes new hairs to stop growing.

Myth #3: Hats Will Make You Bald

If wearing hats a lot caused hair loss, every baseball player would be bald. This myth is absolutely false. Wearing hats frequently will not impact the strength of your hair or accelerate the rate at which you lose hair. But if you wear extremely tight often enough, it can cause stress on your follicles and lead to a hair loss condition called traction alopecia. So it’s not the hat that is causing the problem; it’s how you wear it.

Schedule an Appointment for a Hair Loss Evaluation Today

At the Miami Hair Institute, we know the truth about hair loss, and we know how to help men and women restore their hair and confidence. We will determine the actual cause of your hair loss and develop a treatment plan best suited to addressing it

To schedule your personalized hair loss evaluation, contact us online or call our office directly at 305-925-0222.

Is Vitamin D Deficiency Behind Your Hair Loss?

Is Vitamin D Deficiency Behind Your Hair Loss?

Vitamin D is an essential nutrient. It bolsters our immune system, wards off illness, and is critical for bone health. Some studies suggest that insufficient amounts of vitamin D contribute to depression, heart disease, and cancer. But if those weren’t reasons enough to ensure you’re getting enough of the D in your diet, here’s another: a lack of adequate vitamin D intake can contribute to hair loss. If you see increased hair shedding and loss, it may be time to check your vitamin D levels.

Vitamin D Insufficiency Linked To Hair Loss

Multiple studies have made the connection between vitamin D insufficiency and hair loss. A 2017 review published in the International Journal of Molecular Sciences found a link between low vitamin D levels and: 

  • Telogen effluvium, a stress-induced condition that causes excess hair shedding 
  • Alopecia areata, an autoimmune disorder where hair falls out in clumps 
  • Female pattern hair loss

Another study published in 2019 in the Indian Dermatology Online Journal concluded vitamin D deficiency could increase hair loss over time. And another group of researchers in 2016 found that women showed greater vitamin D deficiency among younger people with hair loss.

Research has also found a connection between vitamin D and the promotion of healthy hair follicles and hair growth. A 2014 study published in Molecular Endocrinology found that hair regrew in mice two weeks after introducing vitamin D receptors. Other studies have suggested that a lack of sufficient vitamin D intake may lead directly to hair loss.

How to Up Your Vitamin D Intake

You don’t need to look far for a source of vitamin D; you just have to look up. The sun is our primary source of vitamin D, which is why it is sometimes called the “sunshine vitamin.” But plenty of foods are also rich in the nutrient, such as fish, fish liver oil, eggs, and dairy. Supplements are also an easy way to increase your vitamin D levels.

While vitamin D isn’t a baldness “cure” by any means, but healthy vitamin D levels can strengthen your hair and reduce the chances of excess hair loss. If you are considering increasing your vitamin D intake, you should consult with your doctor before making any significant changes to your diet. Excessively elevated vitamin D levels can create health problems of their own, such as calcium accumulation in the blood, which may cause weakness or problems with the kidneys.

Schedule an Appointment for a Hair Loss Evaluation Today

Of course, changes in diet alone may not stop your hair from falling out or restore your hair to the fullness it once had. At the Miami Hair Institute, our skilled hair restoration physicians diagnose and treat hair loss cases that you can’t reverse on your own. Through advanced hair restoration surgery techniques and alternative non-invasive treatments, we can help you address your hair loss issues and improve your appearance and self-confidence.

To receive a personalized hair loss evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

How to Prevent Fall Hair Shedding

How to Prevent Fall Hair Shedding

As the calendar changes from summer to autumn, the air gets cooler, the sun sets earlier, and leaves gently fall from the trees. But those leaves may not be the only things coming loose from their perches in autumn. The shorter and cooler days which follow the long summer can also cause an increase in hair shedding.

While the reasons for autumnal hair shedding in the fall are not the same as for trees shedding their leaves, they are both perfectly normal results of the change of seasons. But normal as it may be, no one wants to see more hair on their shower floor or stuck in their hairbrush. Fortunately, there are some simple steps you can take that can keep fall shedding to a minimum as you head into the holiday season.

What Causes Autumn Hair Shedding?

Between summer and fall, hair follicles can experience elevated stress levels and naturally enter a resting phase called Telogen. During this phase, the roots of your hair go dormant and fall out at a higher rate for about four to six weeks. This type of seasonal hair loss is a form of telogen effluvium, or stress-related hair loss that happens after events that shock the follicles into an inactive state.

The good news is that autumnal hair loss is usually a temporary phenomenon. After the stress subsides, hair should grow back naturally, and follicles should return to their regular growth cycle.

How to Fight Fall Hair Shedding

Though most hair loss in the fall resolves itself on its own, it can still be an alarming and unwelcome new issue for those already dealing with hair loss. Additionally, increased hair shedding may be an indication of something other than a change of seasons, such as an underlying medical issue medical problem or androgenic alopecia.

If leaves are the only things you want to see falling by the wayside this autumn, try these simple tips to limit your seasonal hair loss:

  • Massage your scalp. A healthy head of hair starts with a healthy scalp. Cooler temperatures can reduce blood flow to the scalp and contribute to hair loss. You can stimulate your sebaceous oil glands and increase blood circulation to your scalp by massaging it every day.
  • Use conditioner. Dryer weather can make your hair more brittle and prone to split-ends or breakage. Weekly deep conditioning treatments can help strengthen your follicles and keep them moisturized heading into the dry winter.
  • Watch those stress levels. Stress is a big culprit when it comes to increased hair shedding, and the upcoming holiday season can be an extremely stressful time for many people. To avoid telogen effluvium (TE), or stress-related hair loss, find effective ways to reduce stress. That could be mean exercising regularly, setting aside short periods for meditation or reading, or simply turning off your screens and gadgets for a spell – whatever works for you.

Fall is A Great Time to Schedule a Hair Loss Evaluation at The Miami Hair Institute

Hair loss can be a problem no matter what season. If you are experiencing hair loss that may be more than a seasonal phenomenon and are ready to do something about it, please contact the Miami Hair Institute.  Our skilled physicians diagnose and treat hair loss cases through advanced hair restoration surgery techniques and alternative non-invasive treatments.

To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

What Is a Hair Graft and How Is It Created?

What Is a Hair Graft and How Is It Created?

In hair restoration surgery, we transplant living, healthy follicles from your donor area – usually the back and sides of your scalp – into thinning areas. These follicles comprise the “grafts” that are at the core of hair transplant surgery.

Strip Graft Harvesting v. One-At-A-Time

We form hair grafts by removing tissue from the donor area because that tissue can support hair growth. We then take that viable tissue and the follicles that they contain and carefully transplant them to areas of the scalp that no longer support hair growth on their own.

There are two main techniques for creating, harvesting, and transplanting hair grafts. When using the Follicular Unit Transplantation (FUT), the surgeon will remove strips of tissue containing many follicles and transplant that strip all at once. In Follicular Unit Extraction (FUE), however, the grafts are harvested one by one. The surgeons at the Miami Hair Institute were pioneers of the FUE technique, which has now become a worldwide approach to hair restoration.

How We Create, Preserve, and Transplant Grafts Using FUE

During an FUE procedure, we use high-resolution digital imaging to identify, select, and remove grafts with extraordinary care and precision. The objective is to harvest grafts with the best chance of growing in the transplant area and leave most of the donor area hair in place and undisturbed so that it retains its natural look.

Given that goal, we try to remove as few grafts as possible to achieve the desired result. Equally important, we want as many grafts as possible to survive the extraction and transplant process. If removed grafts are not preserved in the most effective manner possible, they could lose their viability, leaving even fewer grafts available for transplantation.

Keeping hair follicle cells from dying during that period between removal and transplantation involves storing the hair in a preservative solution. We use a HypoThermosol + ATP solution in our hair transplant procedures because it provides the highest possible survival rate of the grafts and follicles we extract until they are ready to be transplanted. It is part of our ongoing commitment to using the most advanced techniques in hair restoration to help our patients achieve optimal results.

FUE transplants have a 90-95 percent hair graft survival rate compared to the older FUT method’s approximately 75 percent survival rate. The precision harvesting of FUE minimizes trauma or transection of the grafts during the harvesting process.

Schedule an Appointment for a Hair Loss Evaluation Today

If you are ready to take the first step towards addressing your hair loss issues, we invite you to schedule a personalized evaluation at the Miami Hair Institute. Our Drs. Nusbaum and Rose are internationally acclaimed hair restoration surgeons with more than 40 years of combined experience. To receive a personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.

How To Handle a Bald Spot

How to Handle a Bald Spot

A bald spot on the crown of the head is one of the defining features of male pattern hair loss. It is also often the first way people realize that they have a hair loss issue. It can be disconcerting to watch what was once a full head of hair slowly give way to a growing patch of bare skin. While there is no cure for male pattern baldness, the good news is that there are plenty of ways to handle a bald spot that can make it less prominent or restore hair to the affected area.

At The Miami Hair Institute, we offer several surgical and non-surgical treatment options for individuals with bald spots or other hair loss issues.  Here are just a few of the safe, effective, and proven hair restoration treatments that we use to handle bald spots:

Low-Level Laser Therapy (LLLT)

Low-level laser therapy (LLLT) is an increasingly popular non-invasive approach to hair restoration. LLLT involves the use of specially designed caps and combs that direct pulses of energy into inactive hair follicles, stimulating them back into a regrowth phase by promoting increased circulation and cellular respiration.

The FDA-approved Capillus272 laser cap device contains 272 small, professional-strength lasers but is otherwise indistinguishable from any regular baseball cap, so you can go about your life while you strengthen your hair follicles and reduce the size and prominence of your bald spot.

Platelet-Rich Plasma (PRP)

Platelet-rich plasma therapy takes the body’s natural healing and growth processes and turbocharges them. In PRP therapy, we take a blood sample from the patient and place it in a centrifuge that separates the platelets from other elements of the blood. We then inject the PRP into the treatment area, stimulating the repair and healing that the body is already engaged in. 

Stem Cell Therapy

Full heads of hair result from hair follicles that continually regenerate, due in part to the presence of stem cells. But stem cells can shrink and deteriorate as we age, which causes hair to stop renewing and ultimately fall out. That’s why reintroducing an individual’s own stem cells back to the follicles has the potential to create a nourishing effect that may foster regrowth in balding areas.

In stem cell therapy, we take fat cells from the belly, flanks, or love handles using a liposuction tool and extract the stem cells that can foster hair growth. We then inject this concentrated stem cell sample onto the scalp. The procedure is fast and minimally invasive.

Hair Restoration Medications


Hair loss medications such as Propecia and Rogaine® (Minoxidil) are proven, popular and non-surgical ways to treat bald spots caused by pattern hair loss. Both drugs, for certain patients, can stop or slow down hair loss and even stimulate new hair growth.

Hair Transplant Surgery

Of course, the Miami Hair Institute is a world leader in advanced hair transplant surgery. Our surgeons have been pioneers in the development of the most influential and widely used surgical techniques and have used their skills, experience, and artistry to perform successful procedures on thousands of patients from around the globe.

Call the Miami Hair Today For Your Personalized Hair Loss Evaluation

If you have a bald spot or are experiencing any other kind of hair loss issue, we welcome the opportunity to help. Schedule an appointment with the Miami Hair Institute today by calling 305.925.0222.

Help, My Hair is Thinning! What Should I Do?

Help, My Hair is Thinning! What Should I Do?

It can be a jarring moment that can quickly become an ongoing and serious concern. You start to notice an unusual amount of hair in your shower drain, or on your pillow, or on your hairbrush. Then the same thing happens the next day, and the day after that, and the day after that. You look in the mirror and see the impact in areas of your scalp that have less hair than they used to. You know that it’s normal to lose about 50-100 hairs each day, but this is clearly more than that.

Your hair is thinning, suddenly, and for reasons you can’t figure out. You want to know why this is happening and what you can do about it, starting right now. Instead of wallowing in worry and self-pity, starting taking action to address your hair loss; one way or another, there are almost always things that you and a hair restoration physician can do to fix the problem or at least slow down your hair loss.

Consider taking some or all of these steps after you discover that your hair is thinning:

  • Schedule an evaluation with a hair restoration physician. You can’t fix a problem without first knowing what the problem is. Hair loss can occur for several different reasons, such as genetics, hormone imbalances, diet deficiencies, reactions to medications, or autoimmune conditions. Understanding the why behind your thinning hair is the first step in determining how to remedy the situation. Only a professional can get you the definitive answers you need.
  • Stop smoking. Smoking limits blood flow in your body and reduces the amount of essential nutrients that go to your hair follicles. Without a sufficient supply of those nutrients, your follicles will grow weak instead of just growing and will ultimately fall out.  
  • Get enough sleep. Getting sufficient rest sleep is critical for our health overall, as we expend enormous amounts of energy each day and our bodies need the time to recharge so they can function like they are supposed to. A lack of quality sleep prevents our bodies from repairing and regenerating hair follicles. This causes hair to stop growing, weaken, and eventually fall out more than it otherwise would. Even hair that doesn’t fall out will noticeably suffer, losing volume and shine.
  • Manage your stress. Overproduction of stress hormones contributes to adrenal fatigue, which occurs when the body produces too much cortisol. This excessive production of cortisol leads to a corresponding underproduction of hormones like androgens and aldosterone. Since we need these hormones for healthy hair growth, an insufficient supply will cause thinning or balding hair. Find methods to alleviate day-to-day stress that work best for you.
  • Stop wearing destructive hairstyles. Some hair loss issues are caused by the way we style, treat, and wear our hair. Tight ponytails, braids, or pigtails can lead to a condition called traction alopecia. Constant and severe tension on hair follicles because of such hairstyles will damage and weaken those follicles and eventually kill them, causing them to fall out. Avoid these styling habits and avoid hairstyles that require hair to be tightly wound for a prolonged period or hairpieces and weaves that must be affixed or clipped to the hair.
  • Get more vitamin D. Research suggests that vitamin D, along with the receptors in the skin that bind to the nutrient, plays a significant role in promoting healthy follicles and hair growth. In contrast, a lack of the vitamin may lead directly to hair loss. A 2014 study published in Molecular Endocrinology found that hair regrew in mice two weeks after introducing vitamin D receptors. Other studies also have made the connection between hair loss and vitamin D.
  • Increase your iron intake. As with vitamin D, an insufficient amount of iron is one of the more common causes of dietary-related hair loss. Low iron levels limit proper blood flow – something hair follicles need to receive and absorb growth-stimulating nutrients.
  • Use conditioner. If you don’t regularly use conditioner, your hair can become dehydrated, brittle, and damaged. Try incorporating a lightweight conditioner into your hair care routine to help moisturize your hair and keep it strong.

Schedule an Appointment for a Hair Loss Evaluation Today

As noted, the first thing you should do after noticing thinning hair is to reach out to a physician who can help you determine the cause and develop the solution for your condition. At the Hair Institute of Miami, we evaluate each hair loss patient with a comprehensive and proven methodology, obtaining a detailed medical history, performing an in-depth scalp examination using state-of-the-art diagnostic tools and, if indicated, blood tests to detect any underlying imbalances or deficiencies that may be contributing to the hair loss problem. With this information, we can determine the cause of hair loss and the most effective treatment option.

To schedule your personalized hair loss evaluation, contact us online or call our office directly at 305-925-0222.

Why is My Hair Falling Out?

Why is My Hair Falling Out?

If you start noticing more hair in your shower drain or on your hairbrush, it can be a cause for concern. If you look in the mirror and see a hairline that keeps moving farther back, you may feel upset or worried. If you feel bare patches on your scalp or areas where hairs suddenly seem few and far between, it can be easy to start freaking out and ask yourself in dismay, “Why is my hair falling out???”   

It is not only an understandable question, but an important one. That’s because understanding the “why” behind your hair loss is the first step in doing something about it. At the Miami Hair Institute, every patient’s hair restoration journey begins with determining the reason behind their hair loss through a thorough, holistic evaluation. Knowing the cause of your hair loss allows us to develop and implement a course of treatment best suited to addressing your condition and restoring your hair to its full, robust appearance.

If your hair is thinning or falling out, there is a good chance it is for one of the following common reasons for hair loss:  

Genetics

By an overwhelming margin, androgenetic alopecia – pattern baldness –  is the most common cause of hair loss in men and women alike. This hereditary hair loss condition is the culprit behind over 95 percent of hair loss cases, affecting over 80 million Americans every year. Androgenetic alopecia causes hair miniaturization, a phenomenon in which hair follicles become finer and thinner each time they go through the hair growth cycle. Eventually, those follicles die and fall out.

Immune System Issues

Sometimes, the immune system doesn’t work as it is supposed to and winds up attacking the body’s normal functioning, including the hair growth cycle. Alopecia areata is a hair loss condition that involves just such an assault on hair follicles by the immune system and white blood cells. This attack shrinks the follicles and subsequently slows down hair growth. In turn, this leads to sudden hair loss in quarter-sized patches that can progress across the scalp quickly and unpredictably.

More extreme cases of alopecia areata include alopecia totalis (Complete loss of hair on the scalp) and alopecia universalis (total loss of hair on the scalp and body). Hair follicles are not destroyed by alopecia areata and can typically regrow as soon as the inflammation caused by the condition recedes.

Though not as common as androgenetic alopecia, alopecia areata still affects two percent of Americans or roughly 6.8 million people.

Damaging Hairstyles

Your hair follicles may be strong, but they’re not indestructible. If you apply constant tension and stress to them, they will eventually experience damage, weaken, and ultimately die and fall out. This condition is called traction alopecia.

The primary causes of traction alopecia all relate to how hair is styled, treated, or worn and include:

  1. Wearing unnecessarily tight pigtails, ponytails, or braids for extended periods.
  2. Trichotillomania, a psychological disorder characterized by constant (and often unconscious) hair twisting, plucking, or pulling.
  3. Hairstyles that require hair to be tightly wound for a prolonged period.
  4. Hairpieces and weaves that must be affixed/clipped to the hair.
  5. Helmets, particularly compression helmets like those worn while playing football, snowboarding, skiing, horseback riding, etc.

Your Lifestyle

Stress, a traumatic event, or a lack of sufficient sleep cause changes to our body chemistry that can have a range of adverse health effects, including damage to our hair follicles that can lead to thinning or hair loss. Fortunately, such “shock loss” is almost always a temporary phenomenon.

Hormonal Imbalances

Hormone imbalances are a common contributor to hair loss. Several hormones can impact the growth, strength, and health of our hair. The most frequent problems with hormone imbalances that can contribute to hair loss and shedding include thyroid imbalances such as hypothyroidism and hyperthyroidism and the dramatic hormonal changes that accompany menopause and pregnancy.

No Matter Why You’re Losing Your Hair, The Miami Hair Institute Can Help

Our world-renowned hair restoration physicians at the Miami Hair Institute diagnose and treat hair loss cases no matter the underlying cause. Through advanced hair restoration surgical techniques, technology, and alternative non-invasive treatments, we can help patients suffering from hair loss regain their hair and self-confidence.

To receive your personalized evaluation and treatment plan, contact us online or call our office directly at 305-925-0222.