Stopping hair loss: which treatments help before and after a hair transplant

Why treating hair loss is decisive

A hair transplant redistributes existing hair roots — it does not create new follicles. Anyone who does not treat their existing hair loss risks the non-transplanted hair thinning further. The combination of a transplant and accompanying treatment secures the result over the long term.

Medication: minoxidil, finasteride and dutasteride

• Minoxidil (topical): widens the blood vessels and promotes hair growth. Available as a solution or foam (2–5%). The effect is visible after 3–6 months. It has to be used permanently.
• Finasteride (oral): inhibits the conversion of testosterone into DHT — the main trigger of hereditary hair loss. Approved for men. Possible side effects: sexual function (rare).
• Dutasteride: a stronger preparation than finasteride, used off-label in some countries.

Supplements: what really helps

A lack of nutrients can make hair loss worse. Sensible supplements where a deficiency has been shown:

• Iron (particularly in women with exhaustion)
• Vitamin D (very often deficient in central Europe)
• Zinc and biotin (with diffuse hair loss)
• Omega-3 fatty acids (anti-inflammatory)

More on nutrition and hair growth: hair transplants and nutrition.

Low-level laser therapy (LLLT)

LLLT devices for home use (combs, helmets) stimulate the scalp with red light (650–670 nm). Clinical studies show moderate positive effects on hair density and thickness. It is particularly useful as a supplement to minoxidil or after a hair transplant.

Microneedling and the derma roller

The derma roller (needle depth 0.5–1.5 mm) creates minimal wounds in the scalp that stimulate the production of growth factors. Combined with minoxidil, microneedling shows better results in studies than minoxidil alone. Caution: do not use on transplanted tissue in the first 6 months.

PRP: growth factors from your own blood

PRP (platelet-rich plasma) stimulates the hair follicles with the body's own growth factors. It is particularly effective as a supplement to a hair transplant and for patients who want to preserve their existing hair.

When to start treatment?

The earlier the better. Anyone who notices hair loss should first see a dermatologist to establish the cause. A hair transplant makes sense when the loss is stable. GO Medics advises you free of charge: Request a first consultation.