What can we do to arrest the ongoing hair loss? 

(1) Diagnosis
A diagnosis should be achieved using a combination of presenting history, physical examination and relevant blood tests. Other diagnoses such as telogen effluvium, alopecia arreata should also be entertained.

(2) Topical Therapy
Topical Minoxidil 2-5% is encouraged as a scalp shampoo to prolong the the growth phase of the scalp hair. 

(3) Low Level Laser Therapy
Low level laser therapy in the form of a comb or helmet can seek to improve overall hair density, commonly seen after usage for at least 6 months. 

(4) Nutrient & Growth Factors Injection To Scalp
This aims to provide the scalp with sufficient nutrients and an ideal environment for hair to grow and recover. 

(5) Hair Transplantation
Should the area of defect be large, a hair transplant can be considered to target severely affected areas. 

How do we address Hair Loss in Men - Androgenetic Alopecia?
The key lies in a combination of treatments, aimed to arrest the progression of hair loss and also to reverse the miniaturisation of the hair follicles. 

(1) Anti Hair Loss Medications
Commonly, these include finasteride and minoxidil. The main consideration here is that it is a ongoing therapy, which means it will be a semi life long decision. If the decision here is to start and stop every now and then, this therapy will result in rebound hair losses rather than arresting the loss of hair. 

(2) Stem Cell Hair Regeneration / Growth Factors 
By utilising fats and hair grafts with technology to give a solution that is then reinjected back into the areas of poorer density. The improvement varies between 10 - 30% increase in density for patients. 

(3) Low Level Laser Therapy
Employing the use of either a specialised helmet or comb that you can use a few days every week, the laser utilises red light to decrease inflammation, thereby allowing increased hair growth. 

(4) Definitive Hair Restoration Using A Hair Transplant
 A Hair Transplant still remains the definitive restoration by taking hair from the occipital region and grafting them to areas that are bald or have poor density. Results are definite and survival rate of the grafts ultimately depends on the team involved in the hair transplantation and also post treatment care. 
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