Looking to regrow your own hair for thick, full hair with a natural hairline?

Today there are more options than ever to help you regrow your hair, fuller and thicker than ever before! But how do you know which treatments actually work, and which are just false claims and scams? This page breaks down the science behind which treatments actually help restore hair and the science behind how they work. To learn more about why you might be experiencing hair loss or thinning, please visit our Hair Loss / Thinning Page.

How do Hair Regrowth Treatments Work?

Hair restoration treatments work in these 4 ways:

  1. Helps wake up hair follicles that haven’t been producing hair, and get them to start growing hair again
  2. Thickens individual hair follicles that have grown thin and smaller (more like peach fuzz) over time
  3. Provides the building blocks for hair growth (the right nutrients for hair to grow)
  4. Block bad hormones or other chemical imbalances that are inhibiting hair growth
  5. Hair is transplanted from areas of thicker growth into areas of sparser growth, to create more coverage where it’s needed

Some treatments do only 1 of these things, and several. Since most patients have more than 1 of these problems, hair regrowth plans typically combine more than treatment. Depending upon your needs, your cosmetic physician at Reflections will give you a set of recommendations to ensure you’re getting the very best results.

BEFORE & AFTER PHOTOS

Best Hair Restoration Treatments

There are a lot of hair growth remedies on the market, including some creams, oils, combs, and even LED caps, which have shaky science (if any) behind them. The treatments listed below are proven to provide real results, in clinical studies, and are the treatments we make use of in our practice and recommend to our patients:

PRP Injections for Hair Regrowth

hair Regrowth Treatment for women

Patient shown 4 weeks after 1 treatment with PRP injections for hair regrowth

Platelet Rich Plasma (PRP) Injections have gained a lot of popularity over the past couple of years as a treatment for hair loss. What’s great about this is that there is some really good, hard science behind this treatment that proves it is very effective, in addition to it being an easy and affordable procedure with no real downtime.
What patients love most about this treatment is that it allows them to regrow hair naturally using nothing but the healing and growth potential of their own bodies, harnessed in a targetted way, to benefit their hairline. PRP, or platelet-rich plasma, is a procedure through which we isolate and concentrate the growth and healing factors from your own blood, and then inject them into your scalp. The effects are twofold: it not only stimulates the growth of new and dormant follicles, but also the diameter of hair in the treated area has been shown to increase significantly, to give the appearance of thicker, fuller hair. Results are all your own, and thus, completely natural.

One of the factors that not many people are discussing is that there is a definite correlation between the number of platelets and hair growth seen from the treatment. This has to do with the individual’s platelet count and overall health. As you might guess, those with higher platelet counts see better results. This also partly has to do with how the platelets are concentrated – not all PRP systems concentrate and isolate the platelets, in fact, there’s a big range in the products on the market. This is something our physicians are very concerned about, and are doing their best to ensure we get the highest and purest concentrations for our patients. Many people ask why PRP is so expensive, and this is part of the answer. Better PRP concentration kits tend to be expensive. They are at least as expensive as a dermal filler to our practice, and that is why what seems like a simple procedure can be somewhat costly (and why some practices offer cheap alternatives that won’t get you nearly as good of a result for your money).

Visit our PRP Injections for Hairloss page to learn more.

Nanofat Stem Cell Therapy for Hair

Nanofat ALMI Injections for Hair Restoration NJNanofat, sometimes also referred to as “microfat” or “micronized fat”, is a procedure which harnesses the stem cells and growth factors from your own excess fat stores in your midsection, and uses them to stimulate the growth of new cells, or in this case, new hair growth. Very little fat is needed for this procedure, and unlike fat transfer, we’re not adding volume with this procedure. Nanofat is performed using only local anesthesia as an outpatient procedure, and most of our patients go to work the next day. The difference between PRP and Nanofat is that Nanofat makes use of the best stores of stem cells as well as growth factors in the adult body, your excess belly fat (or love handle fat), whereas PRP can only ever offer growth factors. This usually means the result is more significant with a single session of Nanofat vs. PRP injections.

Visit our Nanofat page to learn more.

Extra-Cellular Matrices (ECM) like Acell and BioD-Restore

Extra-Cellular Matrices (ECM) are an interesting area of new understanding and application in medicine. What we now know is that our bodies have these ECM that exist outside of our cells and work as a communication network of sorts, calling in the right cells and building blocks to keep our bodies healthy and repair any damage. When combined with PRP, ECM greatly magnifies the body’s response, restoring the necessary cells (progenitor cells) responsible for healthy hair growth.

ECMs are always used in combination with PRP because of the strong synergistic effect. ECMs strengthen androgenically miniaturized follicles whereas PRP activates the adult stem cells present in the scalp to grow new hair follicles and reactive those that have gone dormant. These two products work together to create much more comprehensive, impressive and long-standing result in a single treatment than PRP can alone.

BioD-Restore and ACell MatriStem® are the 2 most popular brands of ECMs.

As with PRP, hair regrowth treatment with PRP and ECM does have to be repeated in order to maintain the results long-term. After an initial series of 3-4 monthly PRP treatments, this procedure should be repeated every 3-6 months (depending on the individual’s rate of hair loss). When ECM is coupled with PRP, this increases the longevity of effect so only one treatment is required to start, with a maintenance treatment then advised in 10-14 months. One of the other things to consider when comparing PRP vs. PRP with ECM is how quickly results will appear. Results from PRP with ECM start to materialize in 3 months, but aren’t usually noticeable (beyond microscopic examinations) until 6 months, with full results showing up around 10 months, and the results lasting until around month 12 or 14 at full level. With PRP, patients typically start having visible results around 4-6 weeks out from first treatment, but need to continue with treatments to see as big of a result as with ECM, and will have to have more frequent treatments to maintain that result as well.

Both PRP and ECM are not effective for those with areas of complete baldness. In that case, Hair Transplantation Surgery is the only option shown to be effective.

Microneedling for Hair Growth

Microneedling has been used for thousands of years to stimulate the skin to remodel and restore itself. For the scalp, this helps to stimulate a bigger response by the body, which leads to more activation of dormant follicles and a greater regrowth of hair. Microneedling is sometimes used to help the PRP or Nanofat penetrate the scalp, but we are big advocates of injecting these products deep into the scalp, in addition to microneedling, for more comprehensive results.

Visit our Microneedling page to learn more.

Laser Therapy for Hair Growth

lasercap laser for female hair growthLasercap® is a Low-Laser Light Therapy device that’s worn 30 minutes 3 times per week, with results starting to be noticeable within about 12 weeks. This is the same low-level laser red light we use in our practice to promote healing and growth. LaserCap is only available from authorized physicians for patients who meet candidacy requirements. To find out if you are eligible, please contact us for a free consultation.

Topical and Oral Prescription Medications

How to get Finasteride PrescriptionWhat we have found, and what science backs up, is that the medications (as well as the supplements listed below) are often limited in capability when used alone. They need to be combined with other treatments, such as PRP with ECM, Nanofat, and/or hair transplantation surgery to have the best results.

Minoxidil, also branded as Rogaine, is a topical medication that comes in 2% and 5% strengths in the marketplace. The 5% strength is much more effective. It sometimes gets a bad rap because it is greasy in the formulations you’ll find most commonly, and because for about 30% of patients, there will be an allergic reaction to these formulations. When you talk about applying a greasy, itchy product to your scalp twice a day, you can imagine why even those patients who have the best of intentions don’t usually end up being all that consistent with this medication.

That’s why we’ve had a special formulation of this product made just for our patients, called 82M Minoxidil. It’s much less greasy and doesn’t seem to cause allergic reactions in nearly as many people. If you’re interested in this product, you will need to be seen for a free evaluation for medical clearance by our physicians first.

Discontinuation of Propecia(Finasteride) or Minoxidil(Rogaine) results in loss of any positive effects of treatment (hair growth) in 12 and six months, respectively.2,3

Finasteride(Propecea) is an androgen blocker that seeks to rebalance hormones that cause hair loss. It has a well-studied ability to prevent future hair loss and increase the number of hairs in areas of balding8. Unfortunately, the drug spikes fear in the hearts of men because 3.8 percent of men on Propecia reported one or more adverse sexual consequences, including low libido or erectile dysfunction. In studies, 80 percent of men taking Finasteride 1mg preserved their original hair follicle counts and 64 percent experienced some regrowth after two years of continued use.

Medical-Grade Products for Hair Regrowth: Vitamins & Supplements

Unfortunately, there are a lot of supplements, shampoos, and creams that claim to help in hair loss, but have no clinical evidence to support their claims. These three are backed by clinical evidence, and in our practice, we find them to be highly effective, especially when used in combination with other treatments, and as part of the long-term maintenance plan for patients who have already undergone hair restoration treatments.

Supplements

Nutrafol results for women's hair regrowth
Nutrafol is a new supplement with some exciting clinical results. A new study that came out in May 2018 shows amazing results3:

  • 81% Saw improvement in hair growth
  • 77% Saw noticeable growth of new hair
  • 81% Saw improvement in hair thickness

Viviscal Pro is backed by over 20 years of clinical research, and contains vital nutrients essential for healthy hair growth. A less potent version of Viviscal called Viviscal Extra Strength is available over-the-counter, but Viviscal Pro is only available in approved clinical environments, such as doctors offices. Viviscal Professional contains more of the groundbreaking, proprietary marine complex AminoMar® than Viviscal Extra Strength. Viviscal Professional also contains Apple Extract, L-Cysteine and L-Methionine, three ingredients not found in any other Viviscal product. In studies, women with thinning hair showed a 50% increase in normal hair(as opposed to vellus or baby hair) over three months7.

Nutrafol and Viviscal Pro are available for purchase at our practice, after a free consultation with the physician to ensure candidacy and medical clearance.

Hair Regrowth Shampoo

Ketoconazole, (Nizoral) shampoo is available over-the-counter at most supermarkets and big box stores. Just be sure to check the strength, as some formulations are weaker than others. It is not yet FDA-Approved to treat hair loss because it was originally developed to treat fungus and yeast infections, and now that the drug has become available widely (and cheaply), there is little money to be made from a new FDA clearance (something that is very expensive to obtain). But new studies do suggest that Ketoconazole both effectively treats the Pityriasis (also called Malassezia) fungus that commonly inhabits the scalp4, and reduces the androgen hormones that are responsible for hair loss in men (no studies have been done on women thus far)4.

One study in 1998 compared ketoconazole shampoo 2% to the proven hair loss drug minoxidil in men with androgenic alopecia concluded that hair density, size, and proportion of anagen follicles were improved almost similarly by both ketoconazole and 2% minoxidil regimens5.

Hair Transplantation Surgery

Hair Restoration NJ Treatment ResultsHair transplantation surgery can be very effective at camouflaging areas of baldness, but is typically only recommended for those with the most severe forms of hair loss because it is a surgical procedure which does have significant downtime, can leave behind visible scars, does have some risks associated with it, doesn’t have a 100% survival rate, is typically more expensive, and the results of hair transplantation surgery aren’t stable (or long-lasting).
The results of hair transplantation surgery often appear to diminish over time, because while the transplanted hair may survive, the surrounding hair has already been shown to be predisposed to thinning and follicle death, making the treated area appear to thin over time unless proper preventative measures are taken. We typically recommend those who do undergo transplant surgery also be seen on a regular basis for maintenance care in the form of vitamins, supplements, prescription medications, and/or PRP injections, for the best and longest-lasting results.

Hair Restoration in NJ

We offer a full range of hair restoration treatments, in addition to free consultations, at each of our locations:

The Role of Severity of Hairloss in Choosing a Proper Treatment Plan

severity scale for male pattern baldness

The Hair Loss Severity Scale uses the visible ratio of hair to skin to quantify the hair within a localized area of the scalp. The scale is defined as:(A) minimal, (B) mild, (C) moderate, and (D) severe. ¹

The amount of hair loss or thinning an individual has already experienced plays a key role in determining which of these treatments might be suitable to not only provide a result but to provide a result the patient will be happy with.

This is why we do offer free one-on-one consultations with our cosmetic physicians so that they can provide you with the information you need to make an informed decision about your care.

The following video features Dr. Mitchell Chasin discussing who should consider which treatment for their hair loss symptoms. We have a page that specifically addresses this topic in more detail, which you can read here, but it’s important to remember that being an informed consumer is good but cannot replace the consultation and recommendation of an experienced physician.

Frequently Asked Questions About Hair Loss Treatments

How much does hair restoration cost in NJ?

Because we recommend a combination of the treatments listed above for each patient, and the way we combine these does vary quite a bit, it’s impossible to give an accurate cost estimate for any individual without having the doctor review your medical history and examine you. What we can tell you is that on average, patients can expect to spend around $2600 – 4000 for the initial treatment series, and then reduced costs long-term to maintain results. This can be financed

How do I know which type of treatment is right for me?

That’s a complex question and one that’s honestly best left up to a physician who can properly diagnose the underlying cause(s) of your hair loss, and then pick the right treatment options for you. We do offer free consultations with our physicians for this treatment because we believe every patient deserves the information they need to make an informed decision about their care, even if that means you don’t treat with us.

What about shampoos, pills, and over-the-counter products for hair regrowth?

There are some good over-the-counter products, but the majority of products being marketed for this are not proven to be effective – and they’re pretty expensive. So let’s cover the ones we believe are worthwhile:

  • Nutrafol and Viviscal Professional Vitamins
  • Formula 82M Minoxidil or 5% Minoxidil

You can read more about these in the vitamins and topical medications sections on this page (scroll up).

It’s important to note that these products need to be used along with PRP, Nanofat, and/or ECM to have the kind of noticeable effect most patients are looking for (vs. simply preserving what hair remains).

Does Biotin work for hair regrowth?

Biotin provides the proper building blocks for hair, as do other vitamins, but unless you stimulate the growth of the hair follicles and reduce the hormones that are preventing them from growing, these nutritional building blocks won’t be put to good use by the body.

Will I have to continue treating my hair loss forever? Is there a cure for hair loss?

Unfortunately, there is no cure for hair loss, but the treatments to slow hair loss and regrow hair do work! Perhaps in the future new treatments will come about that solve the issue permanently, but the current treatment options do require at least some maintenance over time to ensure your results continue. The sooner you fight hair loss with injectable solutions, the more effective the treatment, the better the ultimate prognosis and the happier you will be.

Sources

  1. Cohen, Bernard M.D.; The Cross-section Trichometer: A New Device for Measuring Hair Quantity, Hair Loss, and Hair Growth Published in Dermatologic Surgery Journal; Volume34, Issue7, July 2008, Pages 900-911
  2. Kaufman KD, Olsen EA, Whiting D, et al. Finasteride in the treatment of men with androgenetic alopecia. Finasteride Male Pattern Hair Loss Study Group. J Am Acad Dermatol. 1998;39(4 pt 1):578–589.
  3. Olsen EA, Weiner MS. Topical minoxidil in male pattern baldness: effects of discontinuation of treatment. J Am Acad Dermatol. 1987;17(1):97–101.
  4. G. Alon, MD; FAAD, S. Kogan, MD; A 6-Month, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy of Nutrafol Nutraceutical to Promote Hair Growth in Women; Journal Of Drugs In Dermatology: Volume 17, Issue 5, May 2018
  5. A. W. Rafi and R. M. Katz; Pilot Study of 15 Patients Receiving a New Treatment Regimen for Androgenic Alopecia: The Effects of Atopy on AGA ISRN Dermatol. 2011; 2011: 241953. Published online 2011 Apr 11. doi: 10.5402/2011/241953
  6. Piérard-Franchimont C1, De Doncker P, Cauwenbergh G, Piérard GE.; Ketoconazole shampoo: effect of long-term use in androgenic alopecia. Dermatology. 1998;196(4):474-7.
  7. Viviscal Studies
  8. eyden J, Dunlap F, Miller B, Winters P, Lebwohl M, Hecker D, Kraus S, Baldwin H, Shalita A, Draelos Z, Markou M, Thiboutot D, Rapaport M, Kang S, Kelly T, Pariser D, Webster G, Hordinsky M, Rietschel R, Katz HI, Terranella L, Best S, Round E, Waldstreicher J.Finasteride in the treatment of men with frontal male pattern hair loss.J Am Acad Dermatol. 1999 Jun;40(6 Pt 1):930-7.