Hair loss


Why are you losing hair and going bald?! Understanding hair loss and the conditions that lead to hair thinning and balding is an important part of the restoration process.

A person’s hair can make a first and lasting impression! While hair may seem like a small detail in the scheme of things, it is a natural reflex to make a judgment based on the way someone styles or colors their hair, as well as how much or how little hair they have. As hair can be uniquely styled, it can be a form of personal and self-expression, and it allows a person to feel confident and self-assured. When someone begins losing his or her hair, it can be quite distressing!

For men and women both, hair loss is something that is hard to accept. Thankfully, with the modern advances available today in hair restoration, it can be controlled, often reversed, and many times, restored. Louisville, KY hair loss specialist and hair transplant surgeon, Dr. Nimish Patel, has successfully treated patients from early hair thinning to late stage baldness by providing personalized patient-specific treatments allowing for the best cosmetically pleasing results.


The general medical term given for hair loss is alopecia, and it occurs when these hair growth stages are interrupted.

Some hair loss conditions are temporary while others are permanent. For many men and women, their hair loss is due to androgenetic alopecia (male and female pattern baldness), and is driven by three factors – genetics, androgens (male hormones), and age. Genetic hair loss can come from either side of your family and can skip a generation. Hereditary hair loss is quite common, affecting about 50 million men and 30 million women in the U.S. alone.


Other conditions that can disrupt hair growth cycles or even destroy hair follicles include certain medical and scalp conditions, nutritional deficiencies, medications, hormonal imbalances, physical trauma, and even hair care practices and styles. Once hair loss begins, it is commonly a slow, gradual process that may occur in certain areas of the scalp, or all over. Unfortunately, once hair loss is detected by the naked eye, almost 50% of hair in that region has been lost. This is usually when panic sets in, as the person never realized they were losing their hair, until it became noticeable.



Simply by removing the causal factor(s) and/or by using nonsurgical methods to stabilize hair loss, improve the quality of the hair and regrow them. Other hair loss disorders cannot be treated nonsurgically due to the degree and permanence of hair loss. In these situations, hair transplant surgery may be considered. Hair loss disorders that Dr. Patel treats include:


Male and Female Pattern Baldness (Androgenetic Alopecia)
Alopecia Areata
Telogen Effluvium
Anagen Effluvium
Trichotillomania (early stage)
Traction Alopecia (early stage)


Trichotillomania (late stage)
Traction Alopecia (late stage)


There are many disorders and conditions that can lead to hair loss in both men and women. Some of these conditions are curable using nonsurgical methods where the hair is known to grow back once the condition is cured. Some conditions cannot be treated nonsurgically. If the hair follicle is destroyed, the hair loss will be permanent. In these situations, hair transplant surgery may be considered. Hair loss disorders and conditions that Dr. Patel treats include both non-scarring alopecia and scarring alopecia.


Dr. Nimish Patel treats both men and women who experience hair loss due to alopecia. This is the general medical term used to describe hair loss that occurs during the normal hair growth cycle. There are several types of alopecia, nonscarring being one of them. As the most common type of hair loss, nonscarring alopecia is considered reversible in many situations because it does not permanently destroy the hair follicle. Individuals with this type of alopecia may shed anywhere from 50 to 100 hairs a day, resulting in bald patches, widespread balding, as well as noticeable hair thinning. There may also be inflammation, itchy skin, and peeling at the site of hair loss. Nonscarring alopecia predominantly affects men between the late teenage years and late 40s, and women around age 50 or later.


Androgenetic Alopecia

Telogen Effluvium

Anagen Effluvium

Trichotillomania (early stage)

Traction Alopecia (early stage)


Patients who are diagnosed with nonscarring alopecia experience hair thinning and balding due to a disruption in the cycle of their hair growth that can be caused by a number of influences. The most common influence is genetic predisposition and hormones. This is called androgenetic alopecia, or male and female pattern hair loss. Other causes of nonscarring alopecia include telogen effluvium, anagen effluvium, alopecia areata, early stages of traction alopecia, and trichotillomania, as well as other less common conditions. Sometimes, diseases such as thyroid disorder, fungal infections, psoriasis, seborrheic dermatitis and systemic lupus erythematosus (SLE) can lead to nonscarring hair loss. Nonscarring alopecia can also occur with natural aging, which is known as senescent alopecia. Finally, the overuse of hair care products and the regular use of aggressive hair-styling techniques and chemicals can exacerbate hair loss by destroying hair structure and function. Interestingly, many forms of hair loss can be biphasic, where long term non-scarring alopecia can result in scarring alopecia.


There are many varying types of alopecia, the medical term used to describe hair loss. Scarring alopecia, known as cicatricial alopecia, refers to a group of conditions that destroy the hair follicles, causing permanent hair loss. This type of hair loss is associated with fibrosis and scar tissue that replaces the hair follicles. The destruction of the hair follicles may cause symptoms such as burning, itching and redness. In these cases, the hair loss is usually rapid. Some individuals may have no real symptoms, other than the gradual loss of hair. Those that suffer from scarring alopecia will not have scarring from the hair loss, instead, the scalp will appear smooth and shiny and devoid of any hair follicles. This condition affects both men and women and is not related to genetics. Louisville, KY hair restoration surgeon, Dr. Nimish Patel, will provide a thorough medical examination to determine the cause and create a custom treatment plan to slow down or restore the hair loss.


Trichotillomania (late stage)

Traction Alopecia (late stage)



It is still not quite fully understood what causes this type of alopecia. However, in all cases, there is inflammation located at the upper part of the hair follicle where the sebaceous (oil) glands are located. Once these are destroyed, permanent hair loss occurs and there is no possibility for the hair follicle to regenerate.


In all cases of scarring alopecia there is inflammation located at the upper part of the hair follicle where the stem cells and sebaceous (oil) glands are located. Once these are destroyed, permanent hair loss occurs and there is no possibility for the hair follicle to regenerate. Diseases that can cause permanent hair loss include:





Traction (extensions, cornrows, braids, ponytails)

Chemical (hair straighteners, bleaches, perming solutions)

Trichotillomania (compulsive hair plucking)


Bacterial (chronic staphylococcus folliculitis)

Fungal (tinea capitus)

Viral (shingles)


Lichen Planopilaris

Frontal Fibrosing Alopecia

Folliculitis Decalvans

Dissecting Cellulitis

Central Centrifungal Cicatrical Alopecia

Discoid Lupus Erthematosus




9204 Taylorsville Rd #119
Louisville, KY 40299
Phone: (502)-536- 8455 

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