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Economists may not be your typical hair loss researchers, but a team from Appalachian State University’s Department of Economics has produced some interesting reading on the subject.

Three students carried out the amusingly-titled ‘Willingness Toupee’ study, investigating how much men would pay to get more hair. What they discovered in addition to these monetary aspects, was some of the most common ways men are trying to hide the signs of Male Pattern Baldness.

As they write, “The gut-wrenching suffering and panic from hair loss has been happening since the beginning of time. Of course, men have not sat passively by while their former manes wisp away like dandelion seeds. From the modern day “hair piece”, or toupee, to the Neanderthal’s “stone piece”, men have been fighting back.

Thinning hair male pattern baldness mens hair thinning on top

It is clear from the battery of products available that mask hair loss (e.g., toupee, hair-in-a-bottle), regrow hair (e.g., minoxidil or finasteride) or methods used to trick others into believing a full head of hair still exists (e.g., the comb-over), balding men are engaged in significant economic activities to fight hair loss.”

Styling methods for hiding hair loss

Through surveying 151 men, who were each paid $0.70 to complete the 5 minute questionnaire, the North Carolina, USA, team found men employed various hair hacks in a bid to distract from their thinning hair.

The vast majority of participants were aged between 18 and 35 years of age (71%), whilst 24% were between 36 and 55 years, with 5% being over 56.

The top styling methods for hiding hair loss were found to be…

  • a combover (36%)
  • brushing the hair forward to help hide a receding hairline (26%)
  • wearing a hat (23%)

How much men would pay to have more hair

The extent of each man’s hair loss was measured using the Norwood-Hamilton Scale. They were then given the option of increasing their hair density by moving down the scale by just one point – from a Norwood 3 to a Norwood 2, for example. Continues below…

When it came to how much value men place on their hair, or having hair, in monetary terms, the researchers found that as the price of hair restoration – whether surgical or pharmaceutical – increased, the men’s likelihood to say yes decreased proportionally.

However, when information regarding the efficacy of hair loss treatment options was provided, those which were deemed more effective had an increased chance of uptake from the participants.

After modelling the figures, the American team found that the amount men were willing to pay to increase the amount of hair they currently have by just one point on the Norwood-Hamilton scale, came to $5,324 using a mixed logit model and $5,812 using a latent class model. Based on these figures, this would mean spending over $10,000 if they wanted to fully restore their hair.

Professional hair loss advice

On a very simple level, this data is no huge surprise as it backs up what many of us want – the best possible product for the best possible price.

It also showed that the worse a man’s hair loss gets, the more he is willing to pay more money for products which are known to be less effective.

Belgravia always recommends seeking professional advice as soon as signs of hair loss – including regular, excessive shedding or a drop in hair density – become apparent, even if you then decide to take your time to properly explore all the available options.

As Male Pattern Baldness is a permanent, progressive condition, if it is left to run its course without intervention, from clinically-proven treatments for example, the hair thinning process of follicular miniaturisation will continue. This can lead to baldness and, once the skin takes on a smooth, shiny appearance, the hair follicles will no longer be able to produce hair growth – even with assistance – so the hair loss will then be permanent.

In some cases a hair transplant may be a viable option but this depends on the quality and quantity of the donor hair – hair at the back and sides of the scalp which is not affected by genetic hair loss – as well as the individual’s medical suitability. However, even if surgical hair restoration is applicable, a pharmaceutical course featuring one or both of the only authorised hairloss treatments will generally be required on an on-going basis afterwards in order to preserve the results of surgery.

One aspect the Appalachian students picked up on was that educating men about what causes hair loss and what can be done about it would be widely beneficial, given the importance hair has to many men’s self-esteem. They suggest government-subsidised information programmes may be useful to men’s welfare but, for now, anyone concerned about losing their hair can find personalised advice and, where appropriate, treatment recommendations, by speaking with a hair loss specialist.


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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At first glance, the news that a treatment for hair loss caused by regularly wearing the hair in a ponytail, is to become available in China would seem to be good news.

This shedding, which is often concentrated around the hairline and temples, is caused when excessive strain is repeatedly placed on the hair follicles. It is known as Traction Alopecia and, in extreme circumstances, can cause permanent hair loss.

On closer inspection of information regarding this novel, topical hair loss solution – marketed as a treatment for Traction Alopecia – all may not be quite as it first seems.

Preventing hair loss

Thinning Hair - Thin Ponytail - Women's Hair Loss

Details provided in a 12th February 2019 Applied Biology press release state that the innovation, created by the Hairmore Group and newly licensed to Applied Biology for sale in China, states that the company’s scientists “discovered a novel TAAR receptor agonist that when applied to scalp reduces the force exerted by the ponytail on hair follicles; thus reduces the likelihood of development of ponytail alopecia“.

It also advises, “While cessation of styling the hair in a ponytail avoids the development of this condition, a large majority of Chinese women continue to wear a ponytail hair style; thus, a prophylactic treatment that prevents the development of ponytail induced alopecia is of great clinical importance“.

As such, the product seems to be designed to help prevent this very specific type of hair loss by supporting the follicle to better keep it in place, rather than to actually promote hair regrowth in cases of Traction Alopecia.

If this is the case, it does not appear to address cases where there is existing hairloss. Rather it is something of a preventative measure than a ‘treatment’.

Numerous other problematic hairstyles

It is interesting that this new solution is only aimed at Traction Alopecia when it is caused by wearing ponytails too frequently.

There are many problematic hairstyles which can cause this hair loss condition, including wearing hair extensions or tight hairstyles such as braids. However, the reason for concentrating exclusively on women who wear their hair in a ponytail may be two-fold.

Firstly, the information provided in the official press release explains the potential audience they are targeting the product to, “A recent study conduct by Dr. Goren et al. demonstrated, that approximately 79% of women wearing a ponytail hair style four or more times per week for a period of at least ten years are at high risk for developing ponytail induced alopecia“.

Secondly, as Belgravia hair loss specialist, Rali Bozhinova notes, “Ponytails do not apply as much tension to the follicles as braiding or extensions.”

Additionally, Belgravia superintendent pharmacist prescriber, Christina Chikaher, points out that preventing hair loss from tension exerted by a ponytail would be tricky whilst the person affected is still repeatedly wearing the hairstyle causing the issue – something the company seems to allow alongside use of its product.

As long as the traction force is still being exerted – in this case, the repeated wearing of the hair in a ponytail – the only way to stop the traction is to change the hairstyle and remove this source of tension. At Belgravia we always recommend Traction Alopecia treatment clients with tight hairstyles, or hair extensions that are causing or significantly contributing to their hair loss, remove them or at the very least reduce the frequency with which they wear the problematic styles in order to assist their recovery.”

Whilst there does seem to be a lack of clarity surrounding this new hair loss product, we very much look forward to seeing how women in China respond.

For people who regularly wear tight hairstyles or extensions who are currently concerned about thinning edges or shedding around their hairline, the first step is – as Christina advises – to abandon any hairstyle that involves tension. This includes taut buns, high ponytails, braids and plaits, as well as extensions or weaves.

Wear the hair naturally to remove the source of tension then consult a specialist hair loss clinic where a professional diagnosis can be made and a personalised course of treatments and hair growth supporting products can be recommended.


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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Losing their hair during chemotherapy can be incredibly traumatic for cancer patients, not least because this visible side effect effectively announces their illness to others.

Whilst there are devices known as cold caps, or scalp cooling systems, which can be worn during chemo sessions to help prevent hair loss, these still have their limitations.

Researchers at Northwestern University in Chicago, USA, have announced they will be carrying out clinical trials to find out whether oral minoxidil may benefit cancer survivors with a diagnosis of permanent hair loss following chemotherapy.

pill tablet oral medication

Currently high strength minoxidil the only MHRA-licensed and FDA-approved genetic hair loss treatment for men and women when administered topically.

Low dose oral minoxidil treatment

Low-dose oral minoxidil therapy will be explored during a small clinical trial involving 25 cancer survivors aged 18 and over.

Each participant, male and female, must have completed their chemo treatment more than six months prior to the study, and have a professional diagnosis of permanent chemotherapy-induced hairloss.

All participants will be instructed to take a 1.25mg dose of minoxidil every day for 90 days by splitting the 2.5mg tablets provided, in half.

Changes to their hair regrowth and quality of life will be assessed every 12 weeks, over a total period of 48 weeks. There is no control group for this study which is due to start in March 2019.

Results are expected in December 2020 and the findings will be published here on Belgravia’s hair loss blog once they are released.

Does chemotherapy always cause hair loss?

One question many cancer patients want to know before starting treatment is “does chemotherapy always cause hair loss?”.

There isn’t a definitive answer on this as, whilst the on-going chemo sessions do generally cause hair fall and thinning, the extent of this depends on a number of factors and can differ from person-to-person.

Some people may experience negligible amounts of shedding, whilst others may lose all their hair. This can vary depending on aspects such as the type of medication used and the duration of treatment.

Hairloss from this type of cancer treatment can be permanent but is usually temporary, regrowing naturally within 12 months of the survivor’s last chemo appointment. In some cases hair regrowth may come through slightly different to how the individual’s hair looked before chemotherapy, for example curly instead of straight, but this often rights itself within a few months’ time.

Anyone whose hair does not grow back of its own accord may be able to follow an appropriate treatment course. However, at Belgravia , in addition to a consultation with one of our dedicated hair specialists, we also require written confirmation from the patient’s oncologist that they are medically-suitable for treatment before we can dispense any medications.


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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When it comes to treating genetic hair loss, the medication finasteride has only been prescribed to medically-suitable men aged 18 and over.

It is one of only two clinically-proven, MHRA-licensed and FDA-approved treatments for Male Pattern Baldness when prescribed in 1mg per day oral doses.

Its purpose is to inhibit the formation of the testosterone by-product dihydrostestosterone (DHT). In cases of androgenetic alopecia, this protein binds to the hair follicles located along the top of the scalp, from crown to hairline and temples, causing thinning hair and hair loss.

Recently, however, its applications in relation to women’s hair loss have become an area of great interest. Numerous studies have been, and continue to investigate whether oral or topical finasteride may benefit women with hair disorders, particularly those with Female Pattern Hair Loss.

Finasteride 1mg Aindeem tablets

The International Journal of Dermatology published a report on 3rd January 2019 detailing the findings of researchers from the University of California’s Department of Dermatology who carried out a systematic review of the efficacy and use of finasteride in women.

Efficacy and use ‘varies widely’ for women

Study authors Allison Hu, Lance Chapman MD and Natasha Mesinkova MD, noted the reason for this review of current uses of finasteride for women, as follows:

“Physicians are beginning to use finasteride as treatment for hair loss, hirsutism, and various other dermatologic conditions in women. However, the reported efficacy and use of finasteride in the female population varies widely. The purpose of this study is therefore to better define the efficacy and use of finasteride in women and identify research gaps that require further investigation.”

The systematic review took in literature from January 1997 to July 2017 inclusive, which comprised 65 studies into finasteride for women, involving a total of 2,683 participants.

The Irvine-based team found that almost half of all randomised controlled trials (48.7 per cent) involved exploring finasteride as a treatment for excessive hair growth (hirsutism) in women. At 34.7 per cent, the next most common RCTs used finasteride to treat Female Pattern Hair Loss.

Additional research was shown to have considered the potential of finasteride as a treatment for various other hair loss conditions. These included Frontal Fibrosing Alopecia, the autoimmune disorder Alopecia Areata, and Lichen Planopilaris; these studies were not supported by actual clinical trials.

In terms of administration, dosing and the duration of treatment, it was noted that these varied considerably across the board: “Overall, doses of oral finasteride ranged from 0.5 to 5 mg/day, in females aged 6–88, over a duration of 6–12 months (57.6%), as monotherapy (88.9%), and for continuous use (96.4%).”

Whilst the Californian team found that finasteride may have a positive effect when used to treat Female Pattern Hair Loss and Frontal Fibrosing Alopecia, due to the varying doses, durations and array of conditions being studied, they made clear that far more investigation was still necessary to find the safest, most effective way to administer finasteride therapy, and to whom.

Current women’s hair loss treatment options

Finasteride is not currently available for prescription to women in topical nor oral forms in the UK. The only women’s hair loss treatment that is currently authorised by both the UK and USA’s medical regulatory bodies – the MHRA and FDA – is the topical product high strength minoxidil.

This vasodilator comes in a range of formulations, all of which are applied directly to the scalp where needed, either once or twice daily as directed, in order to encourage hair growth in cases of Female Pattern Hair Loss.

It can be used alone or in conjunction with appropriate hair growth supporting products. These include low-level laser therapy (LLLT) delivered by FDA-cleared devices such as the HairMax LaserComb or LaserBand, which is an ergonomic aid that stimulates the follicles. Highly-targeted food supplements, such as Hair Vitalics for Women which contains an exclusive blend of nutrients, including biotin, zinc and selenium for the maintenance of normal healthy hair growth, may also be used alongside pharmaceutical treatment.

Anyone who has noticed hair thinning or a drop in the volume of their hair – often noticeable as an increasingly wide parting and/or ponytails feeling thinner than normal – who is worried about losing their hair now should consult a specialist.

A consultation with an expert from a dedicated hair loss clinic – whether in-person or online – can be a simple way to gain a diagnosis, professional advice and personalised treatment recommendations for consideration.

At present [February 2019], Belgravia does not offer finasteride to women due to its current experimental uses and lack of official MHRA and FDA authorisations. However, we are keeping abreast of all relevant trials and research and will publish updates here on our hair loss blog as and when these become available.


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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Hereditary hair loss is essentially decided by a person’s genetics, however, there are many other influential factors involved.

A range of environmental and lifestyle issues are known to exacerbate, or even prematurely trigger, Male Pattern Baldness, in those with the relevant inbuilt susceptibility to the effects of DHT.

Diet can play an important part in the health of our hair, as well as our body in general, with biotin and zinc being two of the most notable vitamins and minerals necessary for the maintenance of normal healthy hair growth.

blood-testing-research-hair-loss

In November 2018, researchers from the Department of Pharmacology and Toxicology at Basra’s College of Pharmacy found that women with Female Pattern Hair Loss had lower levels of zinc and iron; now a study carried out by the Faculty of Medicine at Egypt’s Benha University has discovered that men with genetic hair loss also present with lower nutrient levels – in this case, zinc and biotin.

Concerns regarding zinc and biotin levels

The Egyptian team’s aim was to establish the biotin and zinc levels in those with genetic hair loss in comparison to those without, in order to determine whether it may be beneficial for appropriate food supplements to be recommended alongside clinically-proven male hair loss treatments.

Researchers studied 60 men with Male Pattern Baldness, and 60 men without, who were all matched in terms of age and body mass index. Each had their blood levels checked for serum zinc and biotin amounts.

A positive correlation between serum zinc and serum biotin levels was noted, though the relationship between participants’ age and how long the men had been losing their hair for was considered “nonsignificant”.

A “non-significant relation” was observed between the level of the men’s hair loss and their zinc and biotin levels.

“We recommend future biotin evaluation in serum combined with its metabolites in MAGA [Male Androgenetic Alopecia] patients’ urine,” the paper, published in the Journal of Cosmetic Dermatology on 3rd February 2019, states.

Overall, participants in the men’s hair loss group were found to have significantly lower “subnormal” levels of zinc and “suboptimal” levels of biotin compared to those in the control group of men without Male Pattern Hair Loss.

Supplements alongside hair loss treatment

In concluding their research, Benha University study authors state that “adding zinc supplement in MAGA treatment is recommended… Biotin supplement in MAGA treatment may add value to hair quality and texture.”

This is very much in-keeping with the approach Belgravia hair specialists often recommend to men looking for advice on regrowing hair and preventing baldness.

Although biotin and zinc are not in themselves hair loss treatments, they have both been shown to contribute to the maintenance of normal healthy hair growth, as has the trace mineral selenium. This is why all three nutrients are included in Belgravia’s exclusive and highly-targeted food supplement Hair Vitalics for Men (as well as the Women’s version).

Whether it be a receding hairline or a thinning crown, men presenting with genetic hairloss are often recommended a customised course comprising the optimum products for their level and pattern of shedding, as well as their medical profile.

The hair loss solutions included within these programmes will generally revolve around either one or both of the only two MHRA-licensed and FDA-approved medications – one oral, one topical. These are generally used alongside the most appropriate selection of hair growth supporting products, such as FDA-cleared low level light therapy devices to stimulate follicles, including the HairMax LaserComb or LaserBand, and Hair Vitalics one-a-day supplements.

Belgravia superintendent pharmacist prescriber and senior hair loss specialist, Christina Chikaher advises, “Biotin and zinc are both substances essential for many reactions and processes in the body, including supporting healthy hair.

almonds nuts nutrition diet food biotin zinc
Almonds are a good food source of both biotin and zinc

Neither of them on their own would promote hair growth, but almost certainly a deficiency of either would result in hair loss. If you maintain  a healthy diet, it is very unlikely that you would suffer from a deficiency of either zinc or biotin.

Often, however, our lifestyle prevents us from always eating as we should. Other factors such as illness or stress may also contribute to a deficiency of these vital substances.

At such times we can support our diet by taking carefully considered supplements, bearing in mind that trace elements such as zinc and biotin are only required in small amounts to have a therapeutic effect.”

It is important to remember that food supplements are not intended to replace a balanced diet and if you are concerned that you may be deficient in any nutrients, your doctor should be able to arrange a blood test.

If it is thinning hair that is concerning you, a consultation with a hair loss specialist can provide a professional diagnosis and personalised treatment recommendations, as well as the peace of mind that comes from having an expert explain everything to you and answer your questions.


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.

Related Stories


It’s no secret that the men in Britain’s Royal Family are prone to Male Pattern Baldness.

Indeed, one look at a family portrait will show that, from Prince Phillip to Prince Charles and both his sons – William and Harry – hair loss is rife throughout their family tree.

prince william hair meme
One of a number of popular memes about Prince William’s hair loss

Both the brothers have joked about their thinning hair over the years, with Prince William‘s starting from around 23 years of age. The elder brother and father of three now has extensive baldness in all the areas which can be affected by this hereditary condition – along the top of the scalp, from hairline to crown – which he wears well.

Harry seemed to start showing signs of hair loss a little later in life than William. A drop in the volume of his traditionally thick ginger hair became noticeable when he was around 28 years old, followed by general thinning, particularly at the crown.

Since pictures of his rapidly growing thinning crown were published in November 2018, many media outlets have been reporting on how quickly Prince Harry, Duke of Sussex, has been losing his hair since marrying Meghan Markle in May 2018. The following photos of the Duke and Duchess of Sussex are from 2nd February 2019. Continues below…

Here we look at a number of possible reasons that could account for, or be contributing to, the Prince’s rapid hair loss.

1 Stress

One of the key influencing factors when it comes to accelerating the rate of shedding in cases of Male Pattern Hair Loss is stress. This can be emotional stress as well as physical strain, such as that caused to the body when there is an underlying or additional health issue such as an illness or nutritional deficiency.

Whilst stress in itself can lead to thinning hair and exacerbate genetic balding, it can also lead to increased bad habits which can have further negative effects on the hair. Smoking has established links to hair loss, making hair dry, thin and also potentially turning it prematurely grey.

Prince Harry was a smoker but is believed to have given up before his wedding. As any former smoker knows, though, stressful times can make it easy to slip back into this unhealthy habit.

The numerous Markle family dramas, as played out in the British and American tabloid press, a rumoured rift with his brother William, and the way mixed-race Meghan has been treated by some sections of the UK media, have been cited by many correspondents as causes of intense concern for the newly-married Royal.

Add in the pressure of being part of one of the world’s most well-known families, his international schedule of royal duties and charity work, as well as the anxiety of being an expectant family, and it’s easy to see why Harry may be experiencing stress-related hair loss.

2 Lifestyle changes

Harry is understood to have made a number of positive lifestyle changes both since meeting Meghan Markle and to support her during her pregnancy. These include giving up drinking, less caffeine, eating better with more fruit and vegetables and less meat, as well as exercising regularly and trying out yoga for relaxation.

As long as his new lifestyle changes are moderate and sensible, they are unlikely to have any effect on his hairloss – and certainly not any negative ones.

All of these are highly laudable efforts and should, in theory, help the Duke to maintain a generally healthy lifestyle. Where things may become problematic is if Harry throws himself into things too hard – as he did in his partying days.

Any extremes, particularly over a significant period of time – such as frequently over-exercising, severely restricting calories or nutrients, or anything which causes rapid weight loss – can reflect in the hair. As the body reacts to any sudden changes by diverting its resources away from non-critical functions, such as hair growth, to ensure the critical organs are protected, hair follicles can suffer. In these instances temporary hair loss often ensues, making Male Pattern Baldness worse for at least six months.

3 Stopping hair loss treatment

Another theory is that that the Prince may have stopped using hair loss treatment in order to start a family; Meghan and Harry are expecting their first child in April 2019.

If Prince Harry had been taking finasteride 1mg – one of only two MHRA-licensed and FDA-approved male pattern hair loss treatments – he would have had to stop taking this around one week in advance of trying for a baby.

Once hair loss treatment is ceased, the regained hair will start to shed again within around three to six months, then continue to thin. Harry and Meghan married in May 2018, so, if he stopped using treatment after the wedding, the 34 year old could expect his hair loss to become noticeable again by November of that year – the month the photos of his increased hair thinning were published in the media.

Although he has allegedly dallied with different hair loss solutions, from something thought to be high strength minoxidil, to food supplements for hair growth, in the past, whether or not Harry has ever tried used a clinically-proven pharmaceutical approach to his thinning hair remains unconfirmed.

It was previously noted by Royal watchers that Prince Harry’s hair had been looking fuller than usual on and in the run up to his Wedding Day, however, this could have been down to cosmetic products, such as microscopic fibre concealers.

Whatever the reason for the ups and downs of Harry’s hair, how he chooses to deal with going bald is his own personal decision – just as it is for all men affected by this common condition – and we’re sure he will have plenty of advice for where to turn, should he require the advice of dedicated hair loss specialists on the available options.


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.

Related Stories


When people – women, in particular – lose their hair to extensive Alopecia Areata, one of the decisions they face is whether or not to wear a wig.

Rugby player, Heather Fisher has been vocal in the past about her choice not to wear one, opting to boldy display her bald head. Her hair loss, caused by Alopecia Universalis, means the 34 year old’s body has rejected her hair follicles from head to toe, leaving her entirely hairless.

heather fisher rugby tries wig

Taking nothing away from the courage it takes to make such a statement in an increasingly image-obsessed society, Fisher thought she might fancy a change occasionally – for the warmth if nothing else! She took to social media to share her trying out a custom wig for the first time, and the reasons behind her slight change of heart.

Not trying to hide

In a frank Instagram post Fisher explained that she wasn’t trying out a wig in order to hide, but just to see what it was like, making it clear that whether someone decides to wear a wig or not does not matter – both options are ok.

“…always been almost afraid of a wig because it isn’t real.. and for those of u who know me know I’m true to me.. so on this bases it didn’t feel right to wear one or consider one .. but sometimes it would just be nice to know I can dress up and still be me,” she wrote in the accompanying caption.

After having the wig cut and styled by a hairdresser, the rugby union and sevens star said, “Gonna take some getting used to but love it !”

Opportunity to blend in – or stand out

Fisher is known for her positivity and refreshing honesty in discussing the autoimmune disorder which caused her to start losing her hair aged 25. She has admitted how, even despite her mental toughness, coping with such extensive hair loss has been a real struggle at times.

Although new options for all forms are in development, Alopecia Areata treatment currently tends to only have significant success rates when treating the scalp-only version of the condition.

As such, one of the draws a wig offered the amiable flanker was giving her the ability to blend in, should she choose to.

“I never knew that wearing a wig would bring emotions of anger and frustration but it does .. trust me .. so this stage of having a custom made piece just gives me the opportunity to sometimes blend in!! Although , don’t the best people always stand out…”


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.

Related Stories


The full results for Yale University’s clinical trial investigating whether topical tofacitinib could prove a safe and effective method of treating mild-to-severe Alopecia Areata were published on 30th January 2019.

Alopecia Areata is an autoimmune disorder which causes the body to attack its own hair follicles, leading to anything from rounded patchy bald spots on the scalp to full baldness from head-to-toe. Tofacitinib is a drug from a suite known as Janus Kinase inhibitors – or JAK inhibitors – which are being trialled to address these currently largely untreatable conditions, as they appear to prevent the immune system response against the follicles.

The small-scale trial was first registered with the clinicaltrials.gov website in June 2016, with a summary of its findings being made available in October 2018.

One of the key takeaways from this research is the apparently minimal side effect profile the JAK inhibitor showed during this study. This is something which had been a potential cause for concern given the adverse effects previously associated with the oral form of this medication, currently only authorised for prescription use as a treatment for rheumatoid arthritis.

No serious adverse effects reported

The Yale University research was led by the Ivy League college’s Associate Professor of Dermatology, Dr. Brett King, who is a well-known and respected specialist in the field of autoimmune alopecia.

Of the US-based Phase 2 trial’s 10 participants, 8 were Caucasian and 2 were Asian; 4 were women and 6 were men, all of whom were 18 years of age or older, with a mean age of 36.9 years.

The group’s mean SALT score (the measurement using the Severity of Alopecia Tool) was 77.7 – meaning an average amount of hair loss per volunteer of just over three quarters of the scalp.

The recruits each had extensive Alopecia Areata or one of its more extreme phenotypes which each cause total baldness of the scalp, as well as affecting other hair-bearing areas of the head and/or body – Alopecia Totalis and Alopecia Universalis.

All ten test subjects were treated for up to six months with topical tofacitinib ointment, and assessed every four weeks.

The efficacy of the medication, for which the dose information was not provided, was evaluated on the changes in hair growth at the end of treatment compared to the individuals’ baseline measurements from just before the study commenced.

Whilst little data is provided, even in this final outcome report, it appears that a mean average of 10 per cent decrease in participants’ SALT score was recorded (where the lower the SALT score corresponded to the more hair growth that occurred) over the six months period. It was also stated that 30 per cent – or three – of the volunteers who responded well to this treatment were then analysed.

Of all the ten patients who took part, it was notable that none reported any serious adverse events over a 12 month period. This includes the six months during which they were using topical tofacitinib and the following six months afterwards when they were not.

The only side effects users complained of were considered mild, with 2 out of 10 experiencing headaches, 4 having an upper respiratory infection, 1 having a sinus infection, 1 developing folliculitis and 4 noting skin irritation of their scalp.

Importance of developing severe Alopecia Areata treatments

Despite research finding that Alopecia Areata is less distressing than Male and Female Pattern Hair Loss is to those affected, it is well established that the sudden hair fall and visible nature of the condition can have traumatic effects. A number of mental health disorders, including depression and anxiety, have been shown to be triggered following the onset of these autoimmune diseases.

Although Alopecia Areata treatment can be beneficial for the patchy, scalp only form – which in most cases will clear up naturally within 12 months – the options are far more limited and often less successful when it comes to the more severe phenotypes.

Because of this ‘unmet need’, the American medical regulatory board, the FDA, has granted fast track status to a number of potential therapies for all types of Alopecia Areata, which are all in the latter stages of development.

In a news article on the Yale Medicine website, Dr. King explains the reasons behind his pursuit of JAK inhibitor treatment for Alopecia Areata in all its forms – for both adults and children.

“Some may argue it’s just hair,” he says. “But hair frames the person you see in the mirror. It’s a sign of youth and vitality—of life. Patients have told me that without hair, eyebrows and eyelashes, they feel like ghosts.”

“For us, this is about giving people back normalcy and giving them the opportunity to achieve everything they have the potential to become.”

JAK inhibitors are not currently available for prescription as a hair loss treatment outside of clinical trials, in the UK, USA nor any other country that we are aware of. However, in March 2017 Dr. King estimated JAK inhibitors may be ready for release – assuming the relevant medical authorisations from organisations such as the MHRA and FDA are forthcoming and granted in a timely manner – by 2021.

With a number of trials in the Phase 3 stage already, we would assume that – again, if everything goes to plan – these should be available from 2021-2022, and will publish any new information regarding this timeline here on the Belgravia hair loss blog.


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 Treatment Before and After Results - New Success Story
ALERT SUCCESS STORY male pattern hair loss treatment before and after the belgravia centre rds 30 01 2019

A new entry has just been added to Belgravia’s Male Hair Loss Treatment Success Stories gallery.

This client says the results of his custom treatment course have exceeded his expectations, with his hair now “thicker and fuller”. Read his full review in his Success Story, or find out more about treating Male Pattern Baldness by clicking the buttons below…

(Results may vary and are not guaranteed)

VIEW SUCCESS STORY

Treatment information


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.

Football players and cricketers are perhaps the most high profile sports stars that come to mind when it comes to hair transplant surgery.

Now, former All Blacks rugby player Israel Dagg joins the ranks of Wayne Rooney and Shane Warne after going public with the results of his own hair restoration.

Two thousand grafts in eight hours

Thirty-year old Dagg opened up about his hair loss, discussing the “big procedure” he underwent in 2018, during an interview broadcast on New Zealand’s The Hits radio station.

The Crusaders fullback admitted to the radio show hosts that he had “had some hair treatment done”, before explaining his experience of the hair transplant process.

“They take little hair follicles from the back of your head, replant them into your head, and then it takes

like seven months for it to grow,” he advised.

Israel Dagg Hair Transplant

The procedure lasted for eight hours and involved a total of 2,000 hair follicles being harvested from his donor area and replanted into areas of thinning hair.

The reason donor hairs – those follicles which are taken and moved to thinner areas – are taken from the back of the head, or the sides, is that hereditary hair loss only affects the top of the scalp, from crown to hairline.

For people with Male Pattern Hair Loss, follicles in this susceptible area have a genetic sensitivity to a substance known as DHT, which causes the gradual thinning, receding and eventual balding associated with this common condition.

The hair follicles located beneath this area, around the back and sides of the scalp are immune to DHT’s effects. As such, once they are surgically removed and grafted into areas of the scalp traditionally susceptible to DHT, they are able to grow hair normally due to this immunity.

As Dagg puts it, “it’s normal hair, it just grows – it’s going to grow forever”.

Hair transplant aftercare

One crucial element of post-hair transplant care which Israel Dagg does not mention in his interview is the on-going role that hair loss treatment plays.

Original follicles in the whole vertex area remain susceptible to DHT.

This binds to them, slowly causing them to produce increasingly thinner hair through a process known as follicular miniaturisation, which also slows down hair growth.

This does not affect transplanted follicles but the original ones are still subject to this process.

As such, the hairs surrounding these grafts may continue to thin over time unless preventative steps are taken.

This is why many surgeons and hair loss specialists recommend using clinically-proven medications for preventing baldness and the unnatural results that shedding around the grafts may cause.

For anyone experiencing unusual levels of shedding or a drop in the normal volume of their hair, whether they are considering surgical intervention or not – after all, it is not necessary in many cases of men’s hair loss – a consultation with a specialist can provide not only a professional diagnosis, advice and personalised treatment recommendations – it can also provide peace of mind.


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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