Male and female alopecia

Hair loss is not a topic reserved for people of the mature age. Hair loss due to genetic stress, burns, head injuries or illness (e.g. thyroid) affects both women and men even before the age of 30. This problem is not only an aesthetic but also a psychological issue due to the worsening of the patient's well-being or self-esteem. Currently, the treatment of alopecia is one of the fastest growing areas of Dr Samir Ibrahim's practice.

Causes depending on the patient’s sex

Almost 20-25% of all patients suffering from hair loss are women. Up until now, no clear cause for this condition has been identified in the case of women. Hair loss is most commonly associated with severe hormonal changes and may become more apparent:

  • after childbirth
  • around menopause

  • following an ovarian disease
  • after total hysterectomyIn men, the most common form of alopecia is androgenetic alopecia. It is caused by an active form of testosterone called DHT (Dihydrotestosterone), which leads to miniaturization of hair follicles. The gradual effect of DHT is initially revealed by increasingly shorter, thinner hair, loss of colour, and then eventually their death. Unfortunately, this kind of baldness is chronic but also progressive, which means it eventually leads to increased hair loss.Regardless of the sex of the patient, we also see head hair loss due to: burns, scalp diseases (such as psoriasis, seborrhoeic dermatitis, dandruff), thyroid problems, but also poor diet, anaemia or long-term stress.

Types of baldness

The course of balding and its appearance are gender-dependent. 
Women suffer from hair thinning at the forehead area (behind the hairline), crown or tip of the head, hairline recession in the temples, but also hair loss in the eyebrow area (thin eyebrows or lack thereof) or eyelash area (thin or short eyelashes or lack thereof).
In most cases, unlike male baldness, hair loss in women usually does not cause complete balding of the area.

Hair loss in men is characterized by thinning of hair on the temples and on the tip of the head. Over time, the hair on the temples continues to fall out, leaving only the central strand of hair at the front of the hairline, while the tip of the head is becoming increasingly bald. Finally, one large bald spot is formed. Depending on the progress of the hair loss what remains is only a hair band around the side and back of the head.

Treatment options depending on the sex of the patient

Clinical trials have not yet identified the specific causes of hair loss in women; therefore there is no single treatment regimen. The past illnesses, the history of hair loss, hair analysis (also using a microscope), and laboratory tests – all this is necessary to find the cause of hair loss. Our specialists will select the best treatment methods to maintain and strengthen the hair. Some women will only need non-invasive treatment, but sometimes surgical procedures are necessary. After a complete and thorough evaluation, you will receive instructions on how to treat and prevent hair loss and improve its condition.

Non-invasive methods of hair loss treatment:


Propecia (finasteride) – works to prevent and reverse hair follicle miniaturization by blocking the conversion of testosterone into DHT. Propecia is safe, easy to take and effective. In clinical trials, Propecia stopped hair loss in over 80 percent of cases and stimulates hair growth in over 66 percent of cases. 
Minoxidil – a drug produced under various trade names and its exact mechanism of action is still unknown. We know that it stimulates hair follicles (in the anagen phase), causing thickening of the hair. Minoxidil is helpful in slowing down the rate of hair loss in about 70% – 75% of patients, and in about 50% of patients, we see re-growth of hair.

Aesthetic medicine treatments:
PRP mesotherapy
This is a procedure of injecting medicinal and nutritional substances into parts of the body under treatment. This substance in the case of alopecia is a PRP preparation, i.e. a platelet-rich concentrate obtained from the patient’s blood. The concentrate contains an increased amount of platelets that are responsible for regeneration processes and growth factors. The treatment stimulates regeneration, deeply nourishes the scalp, and consequently the hair itself.

Carbon dioxide therapy – carboxytherapy
Carboxytherapy is a type of needle mesotherapy. It consists in direct delivery of a medicinal substance to the scalp, in this case, carbon dioxide, using needles. As a result, blood vessels in the scalp expand, causing oxygenation, nourishment and faster regeneration. Thus the hair follicles are strengthened.

Laser therapy
Low-Level Laser Therapy (LLLT) is a treatment for both male and female alopecia. This method stimulates the metabolism of follicle cells to stimulate the growth phase. At the same time, the condition of the hair improves.

There are two methods of hair transplantation.

STRIP method

The procedure is performed under anaesthesia. The procedure involves harvesting a donor strip from an area of the non-balding scalp at the back or sides of the head, the so-called follicular units (grafts). Grafts may vary in size and contain between 1 and 4 individual hairs. 
The duration of the procedure depends on the number of grafts, usually – with the number of 1000 grafts the procedure lasts about 2-3 hours; in the case of 1500 grafts about 3-4 hours, above 2000 grafts the procedure may last approx. 5-6 hours.
In the case of this method, the so-called expanders may be used. An expander can be compared to an implant placed under the scalp to stretch it. It is used to speed up the process of reduction of the balding area, especially in the case of burns or injuries.

FUE method
In the first part of the procedure, the doctor anaesthetizes the donor area, from which the individual follicular units will be extracted (as well as the back and the sides of the head). Each of them is viewed under the microscope to know the exact number of healthy, undamaged hairs. Then selected hair is transplanted. During one procedure you can transplant up to 3,000 hairs. It should be noted that the FUE method involves the need to shave the head, which can be particularly problematic for some patients. Meanwhile, one of the biggest advantages of the procedure is lack of scars.

Treatment of alopecia is always individualized. Once we know the cause of hair loss, we can determine the best way to stop further loss. For most patients, this means using several treatments: non-invasive – to protect the remaining hair and a transplantation to restore the loss. In some patients, the desired effect can be achieved by a non-invasive treatment. Each therapy starts with a consultation with our specialist. Dr Samir Ibrahim is a member of the International Society of Hair Restoration Surgery (ISHRS). In his career, he has done over a thousand transplantations. We provide our patients with expert care and the latest treatment methods.


  • support of qualified specialists, with the experience of over 16,000 transplants
  • treatment designed for your needs, we use many techniques in the clinic to support the convalescence process

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