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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Ed

Question: Can you get finasteride without a prescription? I want to use it to stop my hair thinning which I’m sure is Male Pattern Baldness because it runs in my family. I just don’t want to ask my doctor about it so want to know how else I can get it.

Answer: Hi, Ed. Oral finasteride 1mg is a prescription-only treatment for Male Pattern Hair Loss. It should only be given to appropriate candidates who are aged 18 years and over.

finasteride DHT blocker 1mg mens hair loss treatment tablet

Finasteride is not available on the NHS as a hair loss treatment and is currently only available via a private prescription.

It cannot legally be sold in the UK without a prescription, but if you do not wish to visit your GP, there are alternative options so you can obtain the necessary advice and, if you are deemed medically suitable, prescription.

For example, at Belgravia each patient’s finasteride prescription is authorised by a qualified pharmacist prescriber, overseen by an experienced doctor, at the dedicated, licensed hair loss pharmacies in each clinic.

This applies to clients who come in to one of our London hair loss clinics in person to collect their products, as well as those whose treatment is posted to them and whose initial consultation takes place online.

Should you wish to start using finasteride or any other form of Male Hair Loss Treatment, it is vital you purchase these from a reputable, licensed source after being deemed suitable by a medical professional.

The UK watchdog, the Medicines and Healthcare products Regulatory Agency (MHRA) has been very clear in its numerous warnings regarding purchasing medications from unlicensed retailers.

Firstly, without the proper professional medical advice, you will not know if the medication is suitable for you. Secondly, if you buy medication from an unlicensed or unofficial source you have no way of knowing exactly what you are getting.

The drugs you buy believing they are ‘finasteride 1mg’ may be counterfeit, expired or something completely different to what they are sold as; packaging is easy to replicate so don’t let that fool you. Illegal and fake drugs, as well as those that are mis-sold, can have many negative possible consequences, from wasting good money on an ineffective product, through to potentially fatal side effects.

If you are concerned about thinning hair it is wise to consult a specialist who can determine the treatments, and any hair growth supporting products, which may be best-suited to your situation and medical profile.

They are used to seeing many, many people every day with the same issues you are experiencing so there is no need for embarrassment. They will provide reassurance and support in addition to realistic hair loss advice, which will hopefully make you feel comfortable as well as fully informed.


The Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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Belgravia Centre hair loss specialists answer hair loss questions advice information hairloss solutions

Name: Harry

Question: My hair is starting to thin but there’s no male pattern baldness in my family so I want to know what happens when there’s hair loss but it’s not genetic? Can you tell me what causes it and can you still treat it?

Answer: Hi, Harry. There are many factors that can cause hair loss, especially when it presents as thinning.

Areas of scalp affected by genetic hair loss and telogen effluvium temporary permanent baldness diagram

The most common is Male Pattern Baldness – androgenetic alopecia – which, as you know, is inherited. The genetic predisposition can come from either side of the family and it is even possible for it to ‘skip generations‘, yet still be passed on.

This happens where the genes are present but inactive, so the individual does not show any outward signs of hair loss but still has the relevant genes which can therefore be passed on.

Because of this, you may need to look further back in your family tree to determine whether there is any Male or Female Pattern Hair Loss further back.

Another quick way to tell if you have Male Pattern Hair Loss is to find out whereabouts on the scalp the thinning hair is, and where hair fall is coming from. Hereditary hair loss only affects the top of the head – the vertex area – from the crown to the hairline and temples. Any shedding below this is likely to be the result of a different hair loss condition.

Other non-genetic hair loss conditions which can cause thinning hair include Telogen Effluvium or, it’s chronic form, Diffuse Thinning. These both cause temporary shedding from all over the scalp.

They are usually caused by an underlying medical or lifestyle issue, including thyroid problems, anaemia, nutritional deficiencies and side effects of certain prescription medications.

Up to approximately 30 to 40 per cent of hair on the scalp may shed around three months after being triggered and normal hair growth should resume naturally within six months, depending on the severity. Treatment can be sought to help accelerate this hair regrowth.

Furthermore, hair breakage – often the result of too-frequent heat styling – can give hair the appearance of being weak and thin, but is not actually a hair loss condition as it does not involve the follicle. It is simply the result of weakened hair snapping along the shaft, and can generally be resolved by getting a good hair cut to tidy up the damaged hair.

If you are seeing thinning edges, also known as a receding hairline, this could be Male Pattern Hair Loss or, if you regularly wear your hair in tight hairstyles such as braids or a man bun, Traction Alopecia. Again, this can be treated but the source of the tension which places excessive strain on the follicles, should also be removed.

If you would like to see precisely how these different hair loss conditions can present, you can take a look at our men’s Hair Loss Treatment Success Stories in case any look similar to what you are experiencing.

As you can see, it’s difficult to provide an exact diagnosis on just the information you have provided so we recommend having an in-person or online consultation with a hair loss specialist. This will provide you with a confirmation of your condition as well as personalised recommendations for appropriate hair loss treatments, as well as any beneficial hair growth supporting products.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Key

Question: I’m losing my hair – just a NW1 hairline at the moment but I want to stop it receding any further as soon as I can – but there’s no hair loss clinic near where I live so how can I get treatment?

Answer: Hi, Key. The good news is, you don’t need to have a hair loss clinic near you in order to get treatment! You don’t mention whereabouts you are based but if you are based in the UK but outside London, or if you are in many other countries around the world, we are often able to send out hair loss treatment by post or via a courier service.

There are two clinically-proven Male Pattern Hair Loss medications which are both MHRA-licensed and FDA-approved; these are the oral DHT inhibitor, finasteride 1mg, which can be used by medically-suitable men aged 18 and over, and topical applications of high strength minoxidil to help accelerate hair growth.

Some formulations of this dose-dependent hair loss drug are available over-the-counter, whilst others are available only with a prescription; finasteride is prescription-only. Both can be used on their own or together as an on-going way to help in preventing baldness.

As you are particularly concerned about a receding hairline, which is a stubborn area of the scalp as hair grows slower in that region, Belgravia hair loss specialists would generally recommend a combination approach featuring both minoxidil and finasteride.

This is so the one-a-day pill can reduce the amount of DHT in your system – which is what hair follicles along the top of the scalp from crown to hairline become sensitive to, leading to thinning hair and receding in cases of Male Pattern Baldness – while the topical solution can actively encourage localised hair growth.

These men’s hair loss treatments can be further augmented by additional hair growth supporting products, including the FDA-cleared LaserBand device and/or Hair Vitalics for Men food supplement, which was specially developed by Belgravia hair experts to support the maintenance of normal healthy hair growth.

In order to determine which hair loss products are most suited to you, taking into account your condition, level and pattern of shedding, medical profile and any lifestyle needs, the first step is to have a professional consultation.

belgravia-centre-hair-loss-clinic-london-online-consultation

This can be done online using the website’s online consultation service which allows you to upload photos which will help your specialist to diagnose your condition and recommend the optimal treatments in line with their findings.

Once your form, including any photo attachments, has been submitted, it is sent directly to a hairloss specialist for review. They will then contact you to discuss their diagnosis and recommendations, which will also be emailed to you, for your consideration along with the relevant prices and payment options.

Should you decide to proceed with treatment, you are then allocated your own dedicated treatment advisor who will have your course components sent out to you at your address of choice. From then on you can contact them at any time throughout the process for advice on things like application reminders and general support, plus they will check in with you regularly for progress updates and to ensure everything is going as well as is possible.

As you are currently at an early stage of haiross, as a Norwood 1 classification represents, there is plenty of time for you to ensure you get all the details you need to make an informed choice. I hope this information is helpful but if you have any further queries, please do let us know.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Basil

Question: I am losing hair from my body as well as my head – my scalp hair has been thinning for a while then I started to see a couple of bald patches on top. Now I notice less hair on my arms and chest too. Male Pattern Baldness runs in my family but I don’t think anyone of them has experienced body hair loss, just their heads. Does it cause body hair loss too sometimes? Can you give me advice for treatments?

Answer: Hi, Basil. We would need to assess your scalp and take a few more details in order to provide you with a confirmed diagnosis. However, we can give you the following generalised advice regarding your query.

From what you say, it is possible you may have two separate hair loss conditions.

You mention you have had on-going hair thinning for a while and this is a key sign of the hereditary condition Male Pattern Baldness, which you have already advised runs in your family. This causes thinning hair to the top of the scalp only, from the hairline to your crown, and can also present as a receding hairline. It is not known to affect body hair, nor other areas of the scalp.

Male Statue body hair loss

Secondly, you note bald patches developing on your scalp plus further hair loss from your body. These symptoms suggest autoimmune-related shedding from a form of Alopecia Areata. This is a condition whereby the body mistakenly attacks its own hair follicles, which can be temporary or permanent, but its duration is currently impossible to predict.

The Alopecia Areata phenotype which is known to cause shedding of body hair is Alopecia Universalis. This tends to cause total baldness from head to toe, so it is extremely important you see a professional trichologist to get an accurate diagnosis, given you do not mention your scalp or body hair falling out completely.

Male Pattern Baldness is a genetic condition where hair loss appears gradually as the result of a biological sensitivity to the hormone dihydrotestosterone (DHT), whereas Alopecia Areata – and Alopecia Universalis – are autoimmune disorders which come on suddenly.

Both Male Pattern Hair Loss and Alopecia Areata can present simultaneously, and whilst Belgravia offers hairloss solutions for the former, we cannot treat Alopecia Areata when it affects the body. This generally requires hospital-based therapies, such as steroid injections or immunotherapy, and your doctor should be able to refer you.

With regards the genetic thinning, there are two clinically-proven, MHRA-licensed and FDA-approved male pattern hair loss treatments available – one oral and one topical. These can be used individually or, as our hair loss specialists advise, together, and additional hair growth supporting products can be used alongside this pharmaceutical approach.

However, should you be diagnosed with Alopecia Universalis, it is unlikely to be worthwhile using hairloss treatment for Male Pattern Baldness as the area of your scalp affected by the genetic condition may become hairless as a result of this condition. This is not something we can diagnose or predict without a thorough consultation.

There are other causes of body hair loss which should also be considered; for example, body hair – specifically leg hair – is known to get thinner with age, and thyroid problems have been shown to lead to hairloss from the body as well as the scalp.

Hair growth can also be negatively impacted by certain skin conditions and as a side effect of some medications, too.

To determine if hair loss treatment is appropriate in your case, and – if so – the optimal selection of hair loss products for your specific condition(s), we reiterate the need for a professional consultation, ideally in-person if possible.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Nathan

Question: I bought some minoxidil treatment for my receding hairline but I know MPB can affect other areas of the scalp too. Do I just apply the treatment to my hairline or should I apply it all over the whole scalp as a preventative measure?

receding hairline man afro hair type working stressed concentrating phone

Answer: Hi, Nathan. If you are treating a receding hairline as a result of MPB (Male Pattern Baldness) then it is likely you may have signs in the other areas this condition affects.

This is not your entire scalp but along the top of it – the area known as the ‘vertex’ which runs from the crown to the hairline and temples.

Although thinning hair at the temples may be more obvious – after all, the hairline is far more immediately obvious to us given we see it a lot more than the top of our head! – you should check for other signs of hair loss, too.

These can include increased hair fall, thinning on top, a thinning crown, and a general decrease in how thick your hair feels when you run your hand through it. These additional symptoms may appear singularly or you may have a few, or even all, of them simultaneously.

As Male Pattern Hair Loss is a permanent, progressive condition, they may not all present at once to start with, but may develop over time; we presume this is where your extremely valid concern regarding preventing baldness comes from.

If, after checking, your only hair loss concern is your hairline, you should still start treatment by applying minoxidil to the temple and frontal hairline areas that are thinning or receding but also using it to cover the rest of the vertex. Keep to the dosage advised in the directions which you should find printed on the packaging and/or in the patient information leaflet.

Ensure you follow the instructions provided with your product, strictly and, if you have any queries about these, we recommend you contact the vendor or manufacturer for further advice, given you are not a Belgravia patient.

Using additional medication on other areas of your scalp even if you do not notice any further signs of shedding or decreased hair density can be a preventative measure.

It is not unheard of for Male Pattern Baldness to develop in all affected areas but only be visible in one or two – in this case the hairline – initially. This is a phenomenon that has been dubbed ‘invisible hair loss‘.

It is important to note that you will be using the same amount of medication per application regardless of whether you are using it to treat the entire vertex or just the hairline. The dosage should not be increased, it should remain the same and simply be spread over the larger surface area.

Do not increase the high strength minoxidil dosage as over-using your medication will not make it more effective and may lead to an increased risk of your developing adverse events.

We hope this information is helpful but should you require a second opinion on your current hair loss treatment or details of which additional hair growth supporting products may be best-suited to your specific level and pattern of shedding, you are welcome to have a consultation with a dedicated specialist, either online or at one of Belgravia’s City of London or Central London hair loss clinics.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Joey

Question: My friend has thinning hair and he’s using peppermint oil and dermarolling to get his hair back to normal. It seems to be working. I have Male Pattern Baldness too and am wondering if I can use peppermint oil to treat my receding hairline – do you think it would work?

Answer: Hi, Joey. There are a number of different hair loss conditions which can cause thinning hair and, if your friend is seeing good hair regrowth results from his routine of using peppermint oil and dermarolling, the chances are his is not caused by genetics.

Peppermint Oil

A recent study showed that peppermint oil may help to treat hair loss from conditions such as Telogen Effluvium and Diffuse Thinning (Chronic Telogen Effluvium).

These differ from Male Pattern Baldness (MPB) in that they are not hereditary, are temporary and affect the entire scalp, whereas MPB only causes shedding along the top of the scalp, from the hairline to the crown.

These temporary conditions will also generally clear up of their own accord within a few months once the underlying cause – often stress-related – has been dealt with. Therefore it is likely to be difficult to tell whether or not your friend’s hair regrowth is the result of his peppermint oil hair routine, or it is simply the normal hair growth cycle resuming.

Whilst the stimulating effect of peppermint oil, or menthol, on the scalp can benefit localised blood flow, as well as soothing the scalp, relieving any itching symptoms – one of the reasons it is included in some of the clinical therapy sessions at Belgravia – there is no scientific evidence to support any claims that its use can inhibit the formation of dihydrotestosterone (DHT). This is the testosterone-derivative which binds to androgen receptors in DHT-susceptible hair follicles in people with Male Pattern Hair Loss – namely those in the areas along the vertex and frontal scalp, outlined previously.

Over time the DHT will weaken the affected follicles, causing increasingly thinning hair, a receding hairline and more hairloss; it can also lead to baldness in these areas.

For those interested in preventing baldness, there are a number of hair loss solutions available, ranging from clinically-proven, MHRA-licensed and FDA-approved hair loss treatments, to supplementary hair growth supporting products.

When treating a receding hairline we generally to advise on a combined approach – using both high strength minoxidil and taking the one-a-day DHT-blocking tablet, finasteride 1mg – as this is the most stubborn part of the scalp, where hair growth tends to be the slowest. This can be augmented with the use of low level laser therapy (LLLT) delivered at home via an FDA-cleared device such as the LaserBand, three times per week.

Ensuring you have a balanced diet and lifestyle, appropriately managing any stress, is also beneficial for your hair’s condition, something a good quality, highly-targeted nutritional supplement can also help with though this is not intended to replace a healthy diet.

The first step to dealing with hair loss of any kind, however, is to have a professional assess your scalp in order to get a confirmed diagnosis of your condition.

Once that has been properly established, bespoke treatment recommendations can be made based on factors including your pattern and level of shedding, age and general medical profile. If you wish to try using peppermint oil and/or a dermaroller as part of your regime, this can also be discussed with your hair loss specialist, so they can advise you further on what is likely to be best for your specific situation.

There are a couple of things to be aware of regarding the topical use of peppermint oil, should you decide to try this. Firstly, if you have any health problems or are taking any medication, speak to your GP to ensure peppermint oil is not contraindicated for these as it is not suitable for everyone. Secondly, if you are using any essential oils on your skin, it is crucial to ensure they are properly diluted before application. Otherwise they can cause irritation, rashes and, in severe cases, burns, so always buy from a reputably supplier then read, prepare and use the oil in-line with the instructions provided with the product.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Mikey

Question: I’m using hair loss treatment and have got dandruff, I don’t know if it’s the minoxidil foam but it’s definitely been worse since I started around two months ago. What can I do to treat my dandruff without it interfering with my treatment? I don’t want to stop treatment so I just need a way to sort out the flaking.

Answer: Hi, Mikey. Although we have not examined your scalp, it is highly unlikely you would need to stop your hair loss treatment course in order to effectively deal with your dandruff.

Dandruff and Diet

There are, however, a number of steps you can take and one does involve potentially switching the type of hair loss solution you are currently using. We understand you are not a Belgravia patient so you may wish to discuss our advice with your current treatment provider in this regard.

The first step we recommend is to wash your hair every day, alternating between using a good quality gentle shampoo – anything that is not full of harsh chemicals and drying to the scalp – and a specifically-targeted dandruff shampoo.

Ideally you should use a good quality medicated shampoo which contains ingredients known to combat dandruff inc ketoconazole, pyrithione, climbazole, coal tar or birch tar. Belgravia offers clinical therapy sessions to patients to help ease these types of issues, but these are only available to our clients. Our exclusive B4 shampoo, which was specifically formulated for the purpose of treating a range of scalp issues, is, however, also available to non-clients by visiting or calling our London hair loss clinics.

You mention using minoxidil foam to treat your hairloss; it may be worth considering switching to a different formulation, such as liquid minoxidil.

Liquid formulations of high strength minoxidil are often easier to apply, given drops can be applied straight to the scalp whereas with a foam, it is often the case that people accidentally apply more to the hair their actual head. This can not only be a messy, ineffective application method but the optimal amount of the hair loss product may not be absorbed by the scalp.

It is also important to ensure you are applying minoxidil properly – following the instructions to the letter. It should be applied to a dry scalp (the hair should also be dry) to avoid any dilution of the medication, and should be given sufficient time to absorb – a minimum of half an hour but ideally at least one hour – before coming into contact with water, for example taking a shower or going swimming.

Furthermore, ensure that, if you blow dry your hair, you do so before applying your solution, otherwise it is likely to evaporate.

Belgravia Centre B4 Medicated Shampoo treatment shampoo

Sometimes people do experience mild scalp irritation from minoxidil so we would recommend both trying the above shampooing routine and speaking to your treatment provider in order to determine the best course of action.

Then, if after a couple of weeks you don’t notice any improvement, you would do well to consult a dermatologist regarding your scalp condition, or a hair loss specialist if you wish to both review your treatment regimen and have your scalp issues professionally diagnosed.

There are certain scalp-drying situations which may make the flaking worse, so by being aware of these, you may be able to take steps to help you avoid them. These include being in an environment where there is constant central heating or air-conditioning, or taking flights – especially long haul.

Do also try to avoid scratching your scalp as this can aggravate the skin, may lead to an infection and, should it be a repeated behaviour on an on-going basis, could lead to permanent hair loss if the area becomes scarred.

If your dandruff is self-diagnosed it may be worthwhile getting a professional opinion as a flaky scalp can indicate a number of issues, not just dandruff. These include seborrhoeic dermatitis and eczema, both of which have a number of treatments available, including prescription medication, but which – in mild cases – should also be cleared up using the medicated shampoo routine previously outlined.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Ash

Question: Hi. I’ve been bald for a few years now but am starting to miss my hair so my question is can minoxidil revive dead follicles?

Answer: Hi, Ash. We’re answering this query based on the assumption the reason for your baldness is Male Pattern Hair Loss, however, if this is not the case, we recommend a consultation with a specialist, trichologist or a dermatologist to determine why you went bald.

Bald male pattern baldness shaved head

As you may already know, minoxidil is one of only two clinically-proven male hair loss treatments that is both MHRA-licensed and FDA-approved. Topical solutions of high strength minoxidil are known to encourage hair growth and can be used on their own or accompanied by an oral DHT-blocker.

DHT – full name, dihydrotestosterone – is the testosterone byproduct which causes hair loss in those with a genetic predisposition to Male Pattern Baldness. During puberty it helps men to develop their sexual characteristics but after that time it is understood to attach to hair follicles located around the top of the scalp, from crown to hairline and temporal regions.

In men predisposed to hereditary hair loss, the DHT binds to receptors in these follicles, slowly weakening them, causing gradually thinning hair, receding and often eventual baldness. This process is known as follicular miniaturisation.

Those taking steps towards preventing baldness will need to do so whilst the hair follicles are still active – even if the hairs that are present are thinning this is a sign of life! – if they wish to pursue non-surgical hair loss treatment options, such as minoxidil.

Once the follicle have been destroyed and baldness has set in – signified by the smooth, shiny appearance of the scalp – these are no longer capable of producing hair growth, even with stimulation.

In some cases bald men may be able to have hair transplant surgery to get their hair back, however, this depends largely on the size of the area involved and the amount of good quality donor hair they have available.

Donor hair is found in the areas of the scalp that are immune to the effects of DHT, namely the back and sides, roughly from in line with the top of the ears down to the nape.

A highly-skilled surgeon should be consulted before embarking on such a delicate procedure, especially where there is a large area to be covered. They can not only advise you on whether or not you are a good candidate for a hair transplant, but can advise as to the type of surgery that best suits your situation, and whether natural-looking results are possible and how long it is likely to take for you to achieve your preferred look.

Additionally, choosing a reputable surgeon who is local to you ensure proper after care which is especially valuable should anything go wrong afterwards. Whilst hair transplants abroad may be cheaper than in the UK, there are significant dangers associated with this type of medical tourism – which it is important you make yourself aware of before considering such a move.

Although a hair transplant is not often seen as a ‘big deal’ now, it is still an invasive operation and requires a high degree of skill, precision and professional medical training to be done correctly – not to mention good quality, sterile equipment and proper aftercare.

Scalp Micropigmentation
An Example of Scalp Micropigmentation

There are cosmetic options, where non-surgical hair loss solutions are no longer possible and a hair transplant does not appeal. One of the most popular new services is called micropigmentation and involves medical-grade fine tattooing of the area where hair would normally grow. Many dots are applied in a number of different shades over several sessions, mimicking the natural appearance of hair in a buzzcut style, such as that worn by Vin Diesel.

As with hair transplants, this is not a service we offer at Belgravia, but, again, it also requires a highly adept and specially-trained professional to carry it out, not a regular tattoo artist nor beautician. Getting it wrong can not only be a costly and painful error when laser-removal is necessary, but the results can look extremely unnatural as various YouTube videos can attest to.

Whichever route you choose, it is so important to do your homework first to ensure you are happy with not only the option you select, but also that you feel comfortable and safe with the person carrying it out, and understand them to be both properly qualified, trained and licensed to perform this for you.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Nathan

Question: I have thinning hair on top and it’s been like this for a few years now so I suspect it’s Male Pattern Baldness and I know that’s pretty much normal. What I’m worried about is that I now have hairs coming out from my donor areas. When I brush my hair I notice I’m losing around 10 hairs each time (every day) from the back and sides of my head. I want to keep my donor hair healthy in case I ever consider a hair transplant so can you tell me what I can do to maintain this hair please and is it normal to be losing this much hair from the areas that don’t have MPB?

Areas of the scalp affected by male pattern hair loss baldness - Belgravia Centre
Areas of the scalp that can be affected by male pattern hair loss

Answer: Hi, Nathan. The hair loss you describe from the back and sides of your head sounds absolutely normal; in fact, it is common for everyone to lose around 100-150 hairs per day as a regular function of the hair growth cycle.

Shedding 10 hairs per day from these healthy areas does not signal a hair loss condition or anything to be worried about.

The thinning on top that you mention does sound likely to be Male Pattern Baldness given the length of time it has been present and the fact that it only affects the areas affected by DHT in those with a genetic susceptibility. These are the top of the scalp (vertex), crown and hairline including the temples.

Waiting until you lose your hair in these areas before proceeding straight to surgery is quite a drastic approach and we would definitely advise you to have a consultation with a hair loss specialist or even an experienced hair transplant surgeon now.

The reason for doing this is to find out whether it is likely you may be a suitable candidate for surgical hair restoration or not; and, if so, at what point this may be most appropriate – as well as when this operation would not be possible.

It is always best to be fully informed of your options and have the details you need ahead of time so you can make the best decision about if, when and how to tackle your hairloss.

If you would like to explore non-surgical ways of preventing baldness, there are clinically-proven medications that are both MHRA-licensed and FDA-approved for this purpose, as well as an array of non-pharmaceutical hair growth supporting products, which can help.

Depending on your age and medical profile, there are oral and topical options which can be used individually or, as Belgravia specialists usually recommend, together as part of a combination hair loss treatment course, to encourage accelerated hair growth and to inhibit the formation of DHT.

DHT (dihydrotestosterone), as you may know, is the testosterone-derivative which, following puberty, attacks susceptible hair follicles in the areas outlined above. By binding to their receptors, it causes increasingly thinning hair that gradually becomes weaker over time and can lead to baldness through a process known as follicular miniaturisation.

Adjunctive follicle-stimulating low level laser therapy (LLLT), delivered via an FDA-cleared device such as the HairMax LaserBand can further assist in preventing hair loss and promoting stronger hair growth, whilst highly-targeted food supplements. Whilst not a replacement for a balanced diet, these can ensure the hair receives optimum amounts of key vitamins, minerals, amino acids and botanicals, including biotin, selenium and zinc which contribute to the maintenance of normal hair growth.

These latter options in particular can also help what you refer to as your ‘donor hair’, keeping it in optimum condition.

Other day-to-day tips for healthy hair include washing your hair every day, or every other day (unless your hair type is Afro, in which case washing once a week is fine), to ensure your scalp is kept clean and in good shape; avoiding heat styling as much as possible or taking a sensible approach to this to prevent dryness and hair breakage, having a healthy lifestyle and diet – including getting enough sleep – so as to avoid emotional and physical stress and any dietary deficiencies which can cause hair loss all over the scalp.


Belgravia Centre Hair Loss Clinic Hair Loss Specialist Free ConsultationThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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HairlossANSWERS - Click to Submit Your Query to Our Hair Loss Experts

Name: Sally

Question: I have been having thinning hair for a while which has been upsetting me so went to my doctor who said I have Female Pattern Hair Loss. They weren’t very helpful and I felt they were quite dismissive of my problem even though it is worrying me greatly and affecting my confidence. I didn’t feel comfortable asking them some of the questions I had so wondered if you might be able to help me instead. I wanted to know if this diagnosis means I will eventually go bald? And also I am obviously interested in hearing about ways to prevent this from happening as well as helping to thicken my hair. Many thanks.

Answer: Hi, Sally. Just to put your mind at rest and so you have a good knowledge of the basics of this condition, let me run through a brief overview of genetic hair loss before getting to your questions.

Female Pattern Hair Loss is an extremely common condition which affects the top of the scalp from the hairline and temples to the crown in those with the relevant genetic predisposition. It is permanent but can generally be well-managed using clinically-proven treatments.

It can present any time following puberty, though women generally start to notice the first signs of this type of hair loss – such as their hair having less volume, their ponytail looking thinner than usual, and/or a widening of the parting – from their 30s or 40s.

There is also anecdotal evidence to suggest the trend is moving more towards premature hair loss increasing, with women in their 20s often seeing these signs; this is thought to be down to the increasing pressures of modern life and our diets, given stress and elements such as nutritional deficiencies are established triggers of hairloss. At Belgravia we certainly have many Female Pattern Hair Loss treatment clients in their 20s.

Over time it causes gradually thinning hair in individuals with an inherited sensitivity to the hormone dihydrotestosterone (DHT). This is the result of DHT binding to the follicles located at the top of the scalp, slowly weakening them, resulting in increasingly finer hair being produced.

Although some people use the term Female Pattern Baldness, based on the men’s equivalent, Male Pattern Baldness, this is not actually accurate for women’s hair loss.

Whilst this condition in men has the same effects, it can lead to defined areas of complete baldness, such as either side of a receding hairline, at the crown or all the way along the vertex (top of scalp) from the crown to hairline.

It is rare to see this extreme in women; female hairloss tends to stop short of causing baldness though it can lead to significant thinning where the scalp becomes clearly visible in advanced cases. So, in answer to your question about if you will go bald from Female Pattern Hair Loss, in our experience it is highly unlikely.

With regards what you can do to treat female pattern hair loss and prevent further shedding, as before, this is a permanent condition but, although there is no cure for genetic hair loss, there are clinically-proven hair loss treatments available.

Minoxidil is applied topically and is both MHRA-licensed and FDA-approved specifically for this purpose. Using a tailored hair loss treatment course comprising high strength minoxidil can help to successfully manage your symptoms by promoting hair growth as well as helping to prevent hair loss in the future with on-going use.

In addition to this hair loss solution, additional hair growth supporting products such as low level laser therapy (LLLT) home-use devices – for instance the FDA-cleared HairMax LaserBand – which help to stimulate the follicles and strengthen the hair, may be useful, as may highly-targeted nutritional supplements designed to support the maintenance of normal healthy hair growth, such as Hair Vitalics for Women.

What we recommend is having a consultation – either online or in-person – with a dedicated hair loss specialist who can assess your scalp. They can then talk you through their diagnosis, appropriate treatment recommendations based on your medical profile, and additional considerations which may also need to be checked in some cases of women’s hair loss. These can include getting a blood test from your GP to ensure there is no underlying issue with zinc or iron levels, your thyroid function or various other common health problems which can cause excess hair fall.


Circ - Belgravia Centre Hair Loss Clinics LondonThe Belgravia Centre

The Belgravia Centre is an organisation specialising in hair growth and hair loss prevention with two clinics and in-house pharmacies in Central London, UK. If you are worried about hair loss you can arrange a free consultation with a hair loss expert or complete our Online Consultation Form from anywhere in the world. View our Hair Loss Success Stories, which includes the world’s largest gallery of hair growth comparison photos and demonstrates the levels of success that so many of Belgravia’s patients achieve. You can also phone 020 7730 6666 any time to arrange a free consultation.

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