Men Hair Loss

You can stop it now!

On average, each person’s hair consists of 100.000 to 150.000 hairs and loss of up to 100 hairs every day, is considered normal. In fact, many of the falling hairs grow again and are replaced by new ones, in a recycling three – phase’s cycle (anagen, catagen and telogen phase). If more than 100 hairs are lost, on a daily basis, then hair loss is considered abnormal or pathological and its etiology, must always be investigated.

The most common cause of hair loss in men is inherited androgenetic alopecia (cause in 95% of the cases). It is also called, male – pattern alopecia and begins as a change, from healthy condition to gradual hair thinning and weakening and eventually in permanent hair loss, without new hair regeneration. It begins on the top of the head, alongside the forehead line and the temples. If there is family history of hair loss or baldness in your family, then hair loss chances are increased for you, even as early on as, during adolescence.

The causes of androgenetic alopecia are:

  • A hereditary predisposition. If some of your close relatives (from your mother’s or father’s side) have lost their hair, then there is a much greater chance, that the same will happen to you too, as the main cause of male hair loss, is caused by certain genes, passed down to us, by our parents.
  • Androgens. Testosterone is the main male hormone. When it reaches the hair follicle, through the blood stream, it binds to an enzyme (5a reductase) and converts to dihydrotestosterone (DHT). This conversion occurs in all men, but men suffering from androgenetic alopecia, inherit a “genetic vulnerability” to the hormone dihydrotestosterone (DHT). This leads to a gradual thinning and weakening of the hair, with eventual loss. This does not mean, that men with hair loss, have more androgen, than those who do not experience hair loss. It simply means, that their hair follicles are “more sensitive” to androgens (with normal androgen levels).

The diagnostic steps involve:

  • Dermatological examination of the scalp and hair quality and density
  • Digital trichoscopy. In Derm & Plastic Surgery Clinic, we use the latest medical equipment and software programs.
  • Nutrition history and checking levels of vitamins and minerals
  • Diagnostic blood tests (e.g. hormonal tests), if and when necessary
  • Specialized genetic tests, which reveal the presence of certain genes in the patient’s DNA, which are responsible for male-pattern hair loss. This test is easily done, by the isolation of the genetic material, with a drop of blood and the results are available one week, after receiving the blood sample.

Through these tests, the medical team and the patient himself, get a clear picture of the severity of the problem.

The treatments aim at preventing and reversing further hair loss and also gradually promoting new hair regrowth.

Patients should be informed, that no medication can restore lost hair totally and that the treatments are effective, only when they are systematically done.

  • Pills Treatment
  • Hair Lotions Treatment
  • Autologous Mesotherapy treatment
  • Scalp Micropigmentation
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  • Finasteride
    It is administered orally and is a 5a reductase II inhibitor, reducing serum DHT (dihydrotestosterone) up to 65%. It is indicated for androgenetic alopecia, as it blocks the enzyme and it reduces DHT. Therefore, the hairs continue to stay in the anagen phase, instead of going the telogen phase and thus, they do not undergo miniaturization and eventual loss.
  • Dutasteride
    It is administered orally and it inhibits both types of 5a reductase (I and II). It is 3 times, more potent than finasteride, as a 5a reductase II inhibitor and 100 times more potent, as a 5a reductase I inhibitor, reducing DHT up to 90% in blood serum. It acts in the same way as finasteride, but it can block DHT to a greater extent. Both these oral treatments are successful, for as long as, the patient is taking them, as their effect stops, if the patient discontinues.
  • Minoxidil
    The use of local application of 5% minoxidil solution has been approved for the treatment of hair loss since 1997. Treating hair loss with minoxidil, works by causing blood vessel dilation and an increase of blood flow to the scalp, thus, prolonging the anagen phase of hair growth. After 3 months of minoxidil treatment, the rate of hair loss is noticeably reduced and also you have some hair regrowth. Younger patients, as well as those, in the early stages of hair thinning, seem to benefit more, of the minoxidil treatment, as opposed to older patients and patients with established thinning, for several years. It is a successful treatment, as long as the patient keeps applying it and when the patient stops, its beneficial action is lost.

Autologous Mesotherapy hair loss treatment is a new, innovative and totally safe treatment, which is very effective in hair loss. It uses the patient’s own blood , rich in blood cells and growth factors. Growth factors are proteins, present in our body, which have the capacity to stimulate certain types of cells, such as multipotent mesenchymal cells, involved in the healing process. By this treatment, the follicle function, in the application area is restored, resulting in new hair regeneration, from previously inactive follicles, which are stimulated after autologous mesotherapy.

This treatment, involves the injection of autologous mesotherapy, at the problematic areas. Apart from its great results for androgenetic alopecia, this treatment can also produce excellent results, in case of alopecia areata and in all kinds of diffuse alopecia. At the same time, autologous mesotherapy works preventively against hair loss (when it is applied before the problem has become severe), strengthening the existing hair.

The treatment is done under local anesthesia. Autologous Mesotherapy method usually requires 4 – 6 sessions, which must be repeated every 4 – 6 weeks, for the first 6 months and after that, once every 6 months, for maintaining the good results. The results are really impressive and totally natural, while there are no side effects, as long as, the procedure is performed by an expert. We have to mention though, that not all mesotherapy treatments are the same. The Autologous Mesotherapy uses specific centrifugation to isolate the very concentrated blood cells, achieving concentration of growth factors, which is 4-6 times greater, than it is possible in other mesotherapy, offering increased regenerative results.

Scalp Micropigmentation (SMP) is the most modern, medical tattoo technique and is an innovative method, providing a reliable choice to men, who cannot or would not like to undergo hair transplantation. It is a permanent medical tattoo, mimicking hairs, as they look in short – haired scalps.

The SMP technique, is extremely demanding for the doctor, in order to produce a perfect outcome, which looks identical to the natural hair. The doctor must have a high aesthetic perception and an appreciation, of what looks natural and harmonious. The doctor should have manual dexterity and talent, in order to be able to expertly handle the tattooing device, at a specific angle and in a highly skillful way to produce perfect results. The whole process, should be repeated hundreds of times to cover the whole area. The SMP technique, should be performed by physicians, already experienced in hair transplantation, who have been additionally trained to Scalp Micropigmentation.

The pigments used in SMP, are medically tested and selected to match the skin and hair color of each individual. The whole process, is done under local anesthesia and with proper medical sterilization and usually requires 2 – 3 sessions, in order to provide the final result, with 4 – 5 day intervals, for the best absorption of pigments, at each session.

When the technique, is performed by an experienced doctor, it has amazing results and provides solutions to:

  • Scarring alopecia of the head, due to trauma or burns
  • Is an excellent method of correcting post-operative scars, e.g after a previous, not correctly done, strip method
  • In patients with thin hair, in order to provide the optical illusion of density, if these patients, are not good candidates for or they do not want, a hair transplantation
  • In combination to a hair transplantation, when there is no sufficient donor area, to provide the proper density, to the recipient area

Scalp Micropigmentation is:

  • Painless
  • Requires zero downtime
  • Allows an immediate return to one’s daily activities
  • Provides visible results, after the very first session
  • Provides permanent coverage
  • Absolutely natural results, identical to natural hairs


Are there other causes of Hair Loss?
Androgenetic alopecia, as we have seen so far, is responsible for the 95% of hair loss cases. In the remaining 5%, the causes are listed below and should always be investigated.

Hair loss in men is an indication or a symptom of specific diseases. The pathological causes related to hair loss are:

  • Iron deficiency anemia
  • Diabetes
  • Chronic Infections
  • Systemic lupus erythematosus
  • Cancer (chemotherapy)
  • Secondary Syphilis
  • Scleroderma
  • Psoriasis
  • Severe seborrheic dermatitis
  • Severe eczema
  • Alopecia areata
  • Lichen Planopilaris, LPP

Hormonal imbalances
These are due, to over or under production of hormones, in the endocrine glands or inability of the organ to respond to them:

  • Hypothyroidism
  • Hyperthyroidism
  • Over secretion of cortisol (the stress hormone)
  • Epinephrine endocrinopathy (Cushing’s disease)

Patients, who receive certain medications, may suffer hair loss, as a side effect. Hair loss in these cases, is temporary and when the patient stops receiving the medications, hair loss stops.

Medications related with hair loss, are mostly:

  • Chemotherapy Drugs
  • Anti-epileptic drugs
  • Anti-depressants
  • Retinoids
  • Antimitotic drugs (Colchicine)
  • Antiplatelets (blood thinners, but is rare)
  • Heavy Metal Toxicity

As we age, there is an increased chance, that hair loss will become a problem, as the hair follicles show age-related degeneration and stop reproducing.

Stress and Psychological Trauma
Stress or anxiety has a negative effect, on every aspect of our life. Especially, an intense psychological event (divorce, the death of a loved one etc.) may be responsible for the following types of hair loss:

Alopecia areata
In this case, our own immune system attacks the hair follicles and an irregular pattern of hair loss is developed, in bald patches of 1-5 cm, on the scalp. Similar patches of hair loss might also develop, in various other parts of the body (eye brows, fall of eye lashes, armpits, pubic hair).

Telogen effluvium
In this case of hair loss, we have a disruption of the normal hair evolution cycle and those hair, which have reached the 85% of their anagen phase, abruptly and abnormally enter the telogen phase and as a result they fall in about four months, after the occurrence of the psychological factor, which caused the hair loss. One of the most common contributing factors is a stressful life event. In most cases, this hair loss problem is reversible and lasts for about a year, while in other cases, it may be a precursor for the development of Androgenetic Alopecia.

It is a compulsive behavior, where the person pulls their own hair, from certain parts of their body. People, who are under intense stress (anxiety, psychological problems), find a psychological release of their anxiety, by pulling their own hair.


Call us today or book an appointment to get informed, about all treatments and choose the one that suits you.



She was the only dermatologist up until then, who gave me a definite answer. She knew exactly what to do for stopping the hair loss and how long it will take...

Nikos Malliatsis

After the age of 30, I began to notice signs of hair loss. While my diet and my lifestyle in general were good, I was overwhelmed by the stress of my job...

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after having several blood tests and other tests that they did, I had the Autologous Mesotherapy treatment. The results are better than I had imagined. I'm sure, I will...

Christos Madesis

I had a positive family history of hair loss. My father had lost most of his hair, at the age of 35. Having that in my mind and concerned about myself...

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The treatment took, as long as she told me and I had the results that she promised me. Our cooperation was excellent. An amazing doctor! I strongly recommend her...

Martin Jurgen

At first, I thought the hair loss I noticed was seasonal. I was waiting to overcome the problem and I was washing my hair with an anti-hair loss shampoo, which I have...

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