Category: Hair Loss Research
Vitamin D For Your Hair.

You Need More Vitamin D. So Does Your Hair.

Vitamin D For Your Hair. Vitamin D is a critical nutrient. It bolsters our immune system and wards off illness. It is vital for bone health. Some research suggests that insufficient amounts of vitamin D contribute to depression, heart disease, and cancer. Vitamin D also plays an important role in the strength and growth of hair, and a lack of this nutrient has been linked to alopecia, also known as spot baldness.

Our primary source of vitamin D is the sun (which is why it is sometimes referred to as the “sunshine vitamin”). We can also get vitamin D from foods rich in the nutrient, such as fish, fish liver oil, eggs, and dairy, as well as through supplements.

New Study Suggests Global Vitamin D Problem

While we have known about the importance of vitamin D for a while, a new study is raising alarms about widespread vitamin D deficiency around the world. “The Big Vitamin D Mistake,” a paper by Finnish researchers, argues that current recommended levels of vitamin D are too low, and that “actions are urgently needed to protect the global population from vitamin D deficiency.”

The Vitamin D Council agrees and says that “the current recommendations for vitamin D supplementation (600-800 IU) are far too low to help the majority of individuals to reach healthy vitamin D levels. That is why we recommend supplementing with between 5,000-10,000 IU per day in order to achieve healthy vitamin D levels (40-80 ng/ml).”

Vitamin D and Hair Loss

The key to resilient, strong hair less prone to falling out lies in the follicles. When hair follicles become traumatized, damaged, or otherwise inactive, the growth of new hair stops and pattern baldness begins.

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 while 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.

While we are not yet at the point where we have developed a Vitamin D-based “cure” for baldness, we are definitely at the point where we can say that healthy levels of vitamin D help promote the strength of your hair and reduce the chances of significant hair loss.

Make sure you consult with your physician before making any significant changes to your diet or your vitamin D levels, as too much vitamin D can create other health problems, such as calcium accumulation in the blood which may cause weakness or problems with the kidneys.

Whether as an adjunct to hair restoration treatments or just as part of a healthy lifestyle, a balanced diet rich in key nutrients such as vitamin D can help boost hair growth in addition to improving your overall health and sense of well-being.

Schedule an Appointment for a Hair Loss Evaluation Today

Of course, dietary improvements alone may not stop hair loss or restore your hair to the fullness it once had. At the Hair Transplant Institute of Miami, our skilled physicians diagnose and treat hair loss cases that can’t be reversed at home. Through advanced hair restoration surgery techniques and alternative non-invasive treatments, we can help patients suffering from hair loss.

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

Dr. Paul Rose, MD, JD Published In Dermatologic Clinics


Dermatologic Clinics Dr. Paul RoseAdvances in Hair Restoration
by: Dr. Paul T. Rose

Key points in this article:

• Selection of hair transplantation methodology depends on patient’s goals, type of hair loss, and quality of hair.

• Robotic hair transplantation is the latest frontier in hair restoration.

• Platelet-rich plasma, low-level laser therapy, and stem cells can be used together with hair transplantation to enhance graft survival.

Download full article here:




How to Grow Fuller Hair with Stem Cell Hair Therapy

Researchers Succeed in Growing Hair From Embryonic Stem CellsOur bodies are finely-tuned, intricate machines. Like all machines, they need regular maintenance and occasional repair. Stem cells are the all-purpose handymen of our bodies, available to help restore healthy functioning throughout, including the hair and scalp. Full heads of hair are the result of hair follicles which are constantly regenerating, due in part to the presence of stem cells. But when those stem cells shrink and deteriorate as we age, hair stops renewing and ultimately falls out. That’s why reintroducing an individual’s own stem cell back to the follicles has the potential to create a nourishing environment which may foster regrowth and fight the battle against hair loss.

That is why stem cell therapy for hair loss has become an increasingly popular treatment.

What Does Stem Cell Treatment for Hair Loss Involve?

Safe and effective, the minimally invasive stem cell procedure involves isolating a few ounces of adult stem cells from fat in the abdomen, flanks, or love handles and reintroducing them to the scalp.

Those fat cells are removed from the midsection using a “mini” liposuction procedure. Prior to this approximately 20-minute-long outpatient procedure, a mild oral sedative and local anesthesia is administered, minimizing any pain or discomfort.

Following the liposuction, the medical professionals performing the procedure will isolate the stem cells while you rest. Once isolated, they will then be injected into targeted areas of the scalp, where they will begin their work stimulating hair growth.

What Happens After the Treatment?

The whole treatment process should last approximately three hours. As an outpatient procedure, you will be able to go home shortly thereafter. However, since you will have been under mild sedation, you should arrange for someone else to drive you home. While you may experience some mild soreness after the procedure, you should be able to go back to work the next day.

When Can I Expect to See Results?

It may take a few months before you notice any results, and as this is a relatively new procedure, it is not yet clear how long results will last. However, the team at the Hair Transplant Institute of Miami is optimistic of long-term hair regrowth potential, particularly with ongoing treatment. Stem cell treatment can be used in conjunction with hair transplant surgery, platelet-rich plasma (PRP) injections, topical treatments or low-level laser therapy (LLLT) to increase your odds of success.

To consult with Dr. Bernard Nusbaum and Dr. Paul Rose about whether Miami stem cell treatment may be right for you, call our office at 305-925-0222 or contact us online to book your appointment.  

New Hair Loss Gene Discovered- APCDD1

New Research Reveals Over 250 Genetic Signals for Hair Loss

New Hair Loss Gene Discovered- APCDD1While male pattern baldness affects most older men, research on genetic predisposition to baldness has been minimal – until now. In a recent study published in the journal PLOS Genetics, a Scottish research team from the University of Edinburgh found nearly 300 genetic ties to hair loss, helping identify potential chromosomal markers of male pattern baldness.

The study analyzed over 52,000 male participants between the ages of 40 and 69-years-old. This is the largest genetic report on male pattern baldness to date.

“We identified hundreds of new genetic signals,” said Saskia Hagenaars, co-lead author of the study, in a news release. “It was interesting to find that many of the genetics signals for male pattern baldness came from the X chromosome, which men inherit from their mothers.”

Based on the genetic variants between a discovery sample (40,000 subjects) and a target sample (12,000 subjects) that distinguished patients with no hair loss and severe hair loss, the team developed an algorithm to forecast who may develop male pattern baldness. The higher the patients genetic (polygenic) score, the more likely they were to suffer from male pattern baldness. Among participants with a sub-median score, 14 percent showed severe hair loss while 39 percent had no hair loss. Meanwhile, 58 percent of patients who scored within the top 10 percent showed moderate-to-severe hair loss.

genetic hair loss

Fig 3. Distribution of hair loss by male pattern baldness polygenic score decile in the independent sample. Source: PLOS Genetics

For the most part, the genes identified are associated with hair structure and development. These findings could support early diagnosis and better treatment of male pattern baldness in the future.

 “We are still a long way from making an accurate prediction for an individual’s hair loss pattern,” said principal investigator Dr. Riccardo Marioni. “However, these results take us one step closer.”

As noted in the report, male pattern baldness affects approximately 80 percent of men by age 80. Balding can lead to substantial emotional issues, including diminished self-confidence, social isolation and depression. Past research has also linked baldness to an increased risk of prostate cancer and cardiovascular disease.

Download and read the full study here.

Researchers Succeed in Growing Hair From Embryonic Stem Cells

Can Stem Cells Treat Hair Loss?

Researchers Succeed in Growing Hair From Embryonic Stem CellsThanks to stem cells, hair follicles are constantly regenerating. When they stop renewing, hair loss ensues. In the effort to target hair loss at the root, research shows that re-introducing a patient’s own stem cells to the follicle creates a nourishing environment to foster regrowth and fight the battle against hair loss.

In addition to hormonal changes associated with androgenetic alopecia, stem cells begin to shrink and deteriorate as we age. Per a recent Japanese study¹, stem cells that help promote hair renewal begin to wear and tear overtime, limiting the potential for follicle restoration. In addition, the follicles face miniaturization or shrinkage, making it difficult for new hair to grow. Aside from getting older, sun damage and chemical exposure can expedite stem cell damage.

Stem Cells for Hair Loss Treatment in Miami

The minimally invasive stem cell procedure involves a mild oral sedative and local anesthesia, making the process quick with little discomfort. Using a liposuction tool, we derive fat cells from the belly, flanks or love handles and extract the stem cells that will later foster hair growth. We then inject this concentrated stem cell sample onto the scalp.

Although stem cell treatment for hair growth is a relatively new procedure, the team at the Hair Transplant Institute of Miami is optimistic of long-term hair regrowth potential, particularly with ongoing treatment. Stem cell treatment can be used in conjunction with hair transplant surgery, platelet-rich plasma (PRP) injections, topical treatments or low-level laser therapy (LLLT) to increase your odds of success.

To consult with Dr. Bernard Nusbaum and Dr. Paul Rose for Miami stem cell treatment, call our office at 305-925-0222 or book your appointment using our online form. For non-Miami residents, we partner with area hotels to minimize lodging costs for our patients. To receive an exclusive Miami hotel discount, contact us after scheduling your procedure for a corporate rate code.



Adrenal Glands, Stress Hormones, and Hair Loss

The Science Behind Stress-Induced Hair Loss and Telogen Effluvium

Adrenal Glands, Stress Hormones, and Hair LossThe unwelcome feelings of stress and anxiety creep up when you least expect them. While intermittent feelings of worry are relatively normal, damaging stress levels are on the rise. These feelings of despair and anguish sometimes provoke thinning or shedding on the scalp. Stress-induced hair loss, called telogen effluvium (TE), can be short-lived or long lasting. Thinning or shedding inadvertently caused by anxiety and trauma is not only frustrating, but worrisome. In addition, trichotillomania is a less common but very serious hair loss condition perpetuated by stress. Unlike TE, patients suffering from trichotillomania actively pull hairs out habitually when facing stress and anxiety to cope.

A 2014 national poll from NPR in partnership with the Robert Wood Johnson Foundation and the Harvard School of Public Health found more than one in every four Americans suffered great deals of stress the month prior to the survey. Half of those adults, or 115 million people, experienced a major stressful event that year. [1] Per the Anxiety and Depression Association of America, anxiety disorders – often explained as chronic high stress and worry – are the most common mental disorder in the United States. Anxiety affects 40 million adults in the U.S., or 18 percent of the total national population. [2]

The American Hair Loss Association says TE and stress-induced hair loss is likely the second most common form of hair loss seen by dermatologists. [3] Although little research has been done to help physicians understand why some patients see hair loss because of stress while others do not, three possible cause and effect scenarios exist:

TE Scenario 1: Environmental factors shock the hair follicle into a resting state. Because the follicles are not actively producing more hair to replace ordinary shedding, patients see diffuse patterns of thinning on the scalp. The effects of environmental “shock” show up two to three months after a major life event. Depending on the duration of the event, follicles can return to their normal healthy state without surgical intervention. Patients usually see their condition clear up in less than six months with full regrowth.

TE Scenario 2: Hair follicles enter their resting state as normal but do not regenerate properly, resulting in gradual hair loss. Rather than return to the anagen phase of hair growth, the follicles remain in the telogen state for prolonged periods of time. Thus, fewer anagen, or active, hair follicles are available. Because this scenario is prolonged, patients may not see immediate thinning. This is more common in individuals with chronic anxiety conditions.

TE Scenario 3: A less discussed form of telogen effluvium occurs when hair follicles go through truncated cycles. This results in persistent shedding and thinning hair.

Many short-term hair loss cases are considered normal. For instance, many women experience short-term hair loss after giving birth due to fluctuating hormone levels – a condition called postpartum alopecia. Most women regrow their hair normally a few months later. Certain vaccines, antidepressants, extremely low-calorie diets and physical trauma are also common environemntal triggers of TE. Chronic illness, particularly chronic stress and nutritional deficiencies, are alternative instigators. Research shows a link between tension, hair follicle biochemistry changes and increased resting (telogen) hair follicles.

Treating Stress-Induced Hair Loss and TE

Luckily, treatments for telogen effluvium are available. Assuming your hair loss is stress-induced, regular exercise, therapy and meditation can help. When a specific cause is not determined and stress relief does not reverse telogen effluvium, doctors resort to treatments such as low-level laser therapy (LLLT). In cases where stress-induced hair loss transforms into an enduring condition, many patients turn to hair loss surgery.

At the Hair Institute of Miami, we welcome patients suffering from stress-induced hair loss to undergo a comprehensive evaluation. Our treatment plans include low-level laser therapy (LLLT) caps and advanced follicular unit transplant (FUE) procedures. Either alone or in conjunction with one another, LLLT and FUE helps patients suffering from lingering telogen effluvium regain their confidence and sense of well-being. Call us today at 305-925-0222 to schedule your personalized hair loss consultation in Miami.






What is Alopecia Areata?

Hair-Transplant-Surgery-for-Women-Rapidly-Increases-in-UKNot to be confused with androgenetic alopecia, or hereditary hair loss, alopecia areata is an autoimmune disorder. It can lead to unpredictable hair loss, and unfortunately modern medicine hasn’t figured out exactly why it occurs.

Alopecia areata is more common than you might assume, affecting 2 percent of Americans, or roughly 6.5 million people. Unlike hereditary hair loss which generally manifests later in life, alopecia areata typically occurs before the age of 30.

Alopecia Areata Causes

Alopecia areata can be frightening. Hair loss progresses abruptly and rapidly. One in five patients who suffers from alopecia areata has a family member with the same condition. In addition, individuals who have a personal or family history with other autoimmune disorders could be more prone to developing alopecia. Medical scientists do not believe the condition is caused by stress, but high anxiety could trigger alopecia to begin. Individuals who suffer just a few patches of hair loss often undergo a full recovery. Unfortunately, total hair loss is more difficult to bounce back from.

Essentially, this condition is caused by the immune system and white blood cells attacking the hair follicles, causing them to shrink and subsequently slow down hair production. Alopecia begins in hair loss of quarter-sized patches. The hair follicles are not destroyed and can regrow strands as soon as the inflammation dwindles.

Symptoms and recovery

For most people, the condition doesn’t progress past this point, but many patients see total hair loss across the scalp, face and body. Total hair loss on the scalp driven by this autoimmune disorder is referred to as alopecia totalis, while total hair loss across the body is called alopecia universalis. Both of these more severe conditions affect about 10 percent of individuals suffering from alopecia.

Some patients say they have itching or burning prior to losing hair. Other symptoms sometimes become apparent in the nails with dents, white spots, lines, rough texture, dullness, and thinning or splitting.

Around 30 percent of patients suffer alopecia long-term or experience repetitive cycles of patchy hair loss. Half of patients recover within the first year, although multiple episodes are common. Sometimes, the recovered hair is white instead of the patient’s natural color.


Unfortunately, there is no cure for alopecia. However, doctors can prescribe corticosteroids to suppress the immune system. The most common way to take these anti-inflammatory drugs is through local injections, but can also be taken via ointment or oral tablets.

Doctors may recommend Minoxidil, or Rogaine, as a treatment method. While topical treatments can help to an extent, it will not stop your body from creating new bald patches. Some patients turn to homeopathic medicines and acupuncture, but medical evidence does not fully support these methods.

For more information on alopecia areata and other types of hair loss that could be treated with hair restoration or low-level laser therapy, contact the Miami Hair Transplant Institute at 205-448-9100.

What Causes Hair Loss

What is Hereditary Hair Loss?

What Causes Hair LossThe majority of people notice hair loss as they age – beyond the standard 50-100 strands per day. Unfortunately, forecasting future hair loss because a grandparent or parent suffers from shedding or thinning locks isn’t always possible. In some cases, when hair loss takes shape, the condition is due to genetics. Male-pattern baldness and female-pattern baldness manifest in different ways, but both are classified as heredity conditions. However, predicting the severity of your impending hair loss can’t be done through looking at old photographs.

Hereditary Hair Loss

Hereditary hair loss typically begins in 20s and 30s. For women, the most apparent hair loss happens after menopause. Female-pattern hair loss is typically referred to as androgenetic alopecia, which is technically the same categorization as male-pattern baldness. However, male-pattern baldness takes a characteristic shape, which is why such phrasing is more commonly used.

Hair loss after a stressful life event or during pregnancy is short-term and therefore, not due to genetics. But hereditary hair loss that starts widespread and takes an obvious form is permanent.


There are many treatments for hereditary hair loss, including minoxidil (Rogaine) and Finasteride (Propecia), but both are temporary solutions. Once use is discontinued, the regrowth effects disappear and patients lose the hair retained or restored from the medications.

The only permanent solution for hereditary hair loss is surgery. In the past, hair restoration surgery transplanted plugs of skin with up to 15 hairs. We do the procedure differently at the Miami Hair Transplant Institute through modernized techniques to achieve the most natural-looking results.

One such technique known to enhance results is Mosaic Hair Restoration. Through this process, qualified surgeons design the recipient site to mimic the unique follicular unit arrangement pattern natural to the scalp.

Follicular Isolation Technique (FIT) was co-developed by Dr. Rose and involves removing groupings of hair, called follicular units, individually. Using a tiny punch device, each donor hair is isolated and extracted. FIT eliminates an obvious linear scar and allows for faster healing methods compared to alternative methods of extraction. FIT is typically designated for patients who prefer to wear their hair short and who do not require many grafts.

Follicular Unit Grafting (FUG) is commonly referred to as “single strip harvesting” because the donor tissue is removed in one piece to preserve the follicular units and prevent damage to the individual hair follicles. Dr. Rose developed the LEDGE closure technique to minimize scarring from donor strip sites which we have now been practicing for years.

Through a personalized consultation, Dr. Rose and Dr. Nusbaum will determine which technique works best for you and your lifestyle. To get started on the path toward permanent hereditary hair loss reversal, contact us at 205-448-9100 or request an appointment online.

Choosing a Hair Transplant Procedure

Can LLLT Help Hair Transplant Success?

Choosing a Hair Transplant ProcedureLow-level laser therapy, also called LLLT, is used often in conjunction with hair restoration surgeries. While LLLT has been shown to work alone, laser therapy cannot completely reverse a balding area on its own. Instead, individuals suffering from severe male-pattern baldness opt to use both treatments to increase their success.

What is LLLT?

Low-level laser therapy is a non-surgical treatment used to treat hair loss. With consistent, long-term use, patients can expect their hair to increase in volume and thickness. LLLT is especially beneficial for women with diffuse hair loss who aren’t candidates for surgery or prescription medication.

LLLT nourishes follicles by sending pulses of energy into inactive follicles. This process is said to “spark” the follicle back into its regrowth phase after it stops working properly. Using LLLT prompts proper circulation and cellular respiration to restore cell function.

Post-surgery, LLLT helps bring blood, oxygen, and nutrients to balding areas, promoting stronger effects. Although hair transplants are often successful on their own, some follicles are stubborn at re-entering the growth cycle. LLLT provides the extra push that these follicles need to get back to business. Since hair loss is a progressive, long-term condition, undergoing long-term treatment after a hair restoration surgery can limit additional thinning as well.

How is Laser Therapy Implemented?

Patients can undergo low-level laser therapy through a few different methods. Laser domes, laser combs, and laser caps. Laser domes are professional pieces of equipment that require a visit to the doctor to receive treatment. Laser combs have limitations since treatment is performed primarily at-home and the application is cumbersome. Laser caps, on the other hand, are portable, hands-free, and effective.

The Hair Transplant Institute of Miami offers the Capillus272 laser cap, a device cleared by the FDA for the treatment of androgenetic alopecia. Capillus272 caps have 272 professional-strength lasers to make it the most powerful at-home device for thinning hair.

For more information on LLLT as part of your hair restoration treatment plan, contact us today.

Scalp Inflammation

How Do Hair Restoration Techniques Differ?

How do different hair restoration techniques work?When implementing hair restoration surgery, physicians will opt for techniques that provide the most natural, optimal results. In the modern era of hair loss restoration, multiple methods exist to help patients achieve their aesthetic hair goals.

Mosaic Hair Restoration

Often, hair restoration surgeons opt for predetermined zones composed of one, two or three hair follicles to extract. But, follicular units contain varying numbers of hairs, and certainly aren’t limited to the scalp alone. Follicular units actually have a mixed configuration. No two patients have exactly similar hair follicle patterns, which is why Mosaic Hair Restoration allows for a more personalized approach. Mosaic Hair Restoration replicates the unique follicular unit arrangement pattern at the recipient area, rather than applying a one-size-fits-all approach. In order to best carry out the process, surgeons at the Hair Transplant Institute of Miami take hair from multiple donor sites and analyze the arrangements to determine the best implantation pattern for each patient.

Follicular Isolation Technique

Follicular Isolation Technique (FIT), also called Follicular Unit Extraction (FUE) is another popular process. Because hairs grow in follicular units, consisting of one to four hair follicles each, FIT involves removing a group of follicles (in one unit) with a one millimeter punch device. The donor hairs are isolated with a head positioning device developed by Dr. Rose. With FIT, linear scars aren’t readily visible and the donor area tends to heal faster as compared to other surgical methods. This allows individuals to wear shorter hairstyles without worrying about unconcealed scars. FIT is best on young men who don’t require many grafts who also plan to wear short hairstyles in the future. It’s also a great practice for patients with limited donor areas that aren’t good candidates for further strip harvesting.

Follicular Unit Grafting

Follicular Unit Grafting (FUG) transfers entire follicular units from the permanent donor zone on the back of the scalp to the balding areas. This is referred to as single strip harvesting and requires donor tissue to be removed in one piece. FUG keeps follicular units intact and prevents damage to the individual hair follicles for increased growth. The LEDGE closure technique developed by Dr. Rose is a virtually non-scarring method to minimize donor strip site visibility. It can be used in Follicular Unit Grafting procedures with a single layer closure to minimizes tissue trauma.

Microscopic Dissection

Microscopic Dissection involves donor tissue via single-strip harvesting being separated into individual follicular units with a stereo-microscope. The bald skin surrounding each follicular unit is removed to allow for a tiny graft. Compared to non-microscopic techniques, this process increases the number of follicular units and hair as much as 25 percent. The biggest benefit with microscopic dissection is small recipient sites, as the bald tissue is removed and doesn’t need to be transplanted unnecessarily.

To discuss your personalized hair restoration plan and determine which surgical technique might work best for you, contact Dr. Nusbaum and Dr. Rose toll-free at (877) 443-9070.


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