Hairloss is a multifactorial condition that can be caused from vitamin deficiency, stress and/or hormonal
imbalancy. Furthermore it has a strong genetic backround and can worsen after major surgeries, severe
illness or chemotherapy.
The evolution of hair is divided in 3 phases:
Anagen: The phase where the hair growths and usually lasts 2-6 years.
Katagen: The transitional phase where the hairfollicle is prepared to fall and lasts 2-6 weeks.
Telogen: The phase where the hair is about to fall and lasts 2-4 months.
Usually we loose about 100 hair every day and this is normal.
The most common conditions are androgenetic alopecia, caused from the sensitivity ofour hairfollicles to
the hormones, telogen effluvium caused from the abrupt transition of multiple hairfollicles to the telogen
phase and alopecia areata caused from auto–antibodies against our hairfollicles. Other conditions are lichen
follicularis, frontal fibrosing alopecia, syphilidic alopecia, anagen hairloss from chemotherapy of
The evaluation of hairloss consists of history taking, clinical examination, dermoscopy and trichogram.
Furthermore a blood examination and a skin biopsy might be needed in order to specify the causes of the
Depending on the condition several treatments can be administered:
1. Local or systemic agents with minoxidil and/or finasteride. The treatment will be prescribed
form the doctor. The doctor will explain to you the treatment duration and way of application until
the follow up appointment.
2. Injectable PRP treatment. With PRP the growth factors from the patients blood are injected in the
hairfollicles. At the beginning we take around 10 ml blood from your veins. Then we centrifuge the
blood in order to separate the growth factors from the rest of the blood. Afterwards the growth
factors are injected with a tiny needle in the hairfollicle. Depending on the problem 2-4 sessions
might be needed.
3. Genetic Testing: Genetic testing is performed in cases where a targeted treatment is inficated
according to the function of different genes. A swab test is taken from your mouth in order to specify
which genes are functional and which not.