The most common cause is androgenetic alopecia (male or female pattern baldness), which is hereditary. Other significant causes include hormonal changes (e.g., postpartum, menopause, thyroid issues), nutritional deficiencies, extreme stress or trauma (telogen effluvium), certain medications, and autoimmune conditions like alopecia areata. A proper diagnosis from a dermatologist is the essential first step.

It depends on the cause. Hair loss due to temporary factors like stress or nutrient deficiency is often reversible. Hereditary hair loss (androgenetic alopecia) is progressive, but it is highly manageable. With the Mandel Hair Loss Protocol, we can effectively stop or significantly slow down the progression and stimulate partial to substantial regrowth, especially when caught early.

Diagnosis is critical for effective treatment. Our specialists typically begin with a thorough history and physical exam. This is often followed by advanced tools like trichoscopy (a microscopic examination of the hair and scalp), blood tests to check hormone and nutrient levels, and occasionally, a small scalp biopsy.

The most effective non-surgical treatments are those that work synergistically. These include FDA-approved oral medications (like minoxidil and finasteride) and topical solutions, combined with in-office procedures like Platelet-Rich Plasma (PRP) injections and advanced technologies such as TED ultrasound therapy.

While results can often be seen after one session, most patients achieve optimal improvement after a series of 2–4 treatments spaced several weeks apart, depending on the condition and severity.

While generally well-tolerated, all medications carry potential side effects. Our dermatologists carefully evaluate your health history and risk factors before prescribing. For example, finasteride is not prescribed to women of childbearing age, and oral minoxidil may rarely cause temporary increased body hair or swelling. We use the lowest effective doses to maximize results while prioritizing safety.

For most forms of hereditary hair loss, the benefits of treatment are maintained only as long as the treatment is continued. If you stop therapies like oral medications or regular PRP/TED sessions, your hair loss will likely resume its natural, progressive course over time. We work with patients to establish a sustainable long-term maintenance plan.