What forms of hair loss in men are there and what do to prevent this, read here. Plus: With robots, hair transplantation, Laser & Toupee against the impending baldness

When looking in the mirror receding hairline and approaches shows a bald head, it's over with good humor: For many men, hair loss is like losing one's Potzenz. Even in the Bible Samson lost his superhuman strength when they cut off his hair. Thus it is not today guys to migrate annually around 200 million euros for hair care products on the cash desks of the cosmetics business.

Half of men over 20 years must expect to have hair. The loss of a day up to 100 hairs is, but normally no need to panic. Only when this amount is considerably exceeded over a longer period, it is called in medicine of pathological hair loss. So you do not - remaining - have to fight hair, we've selected the best methods, drugs and remedies for hair loss in men for you, and inform you of the latest scientific findings for laser therapy for hair loss, hair transplant and toupee technologies.

In this article:
  • 1. Genetically-related hair loss in men (Androgenetic Alopecia)
  • 2. Circular hair loss in men
  • 3. Diffuse hair loss in men
  • Finasteride in hereditary hair loss
  • Minoxidil with hereditary hair loss
  • Topical immunotherapy in patchy hair loss
  • Mesotherapy in diffuse and angrogenetischen hair loss
  • Laser hair loss
  • hair transplant
  • Toupee - even for athletes an option
  • Attractive despite hair loss


The three most common forms of hair loss in men

1. Genetically-related hair loss in men (Androgenetic Alopecia)

The doctors call it androgenetic alopecia, for those concerned, it is a receding hairline and the circular tonsure at the back, slowly but surely to develop each other - in short, male hair loss. The male mind? The reason for the continuous hair loss is the male sex hormone testosterone or its degradation product dihydrotestosterone (DHT), testosterone is metabolized in the skin to dihydrotestosterone head. It provides for a reduction in the growth phase of the hair until the follicles, the growth engines for hair, finally die. The consequence: The hair thins out.

With 95 percent probability DHT is the most common cause of hair loss in men and is usually an already aged 20 to 30 years. Depending on personal genetic make up the scalp hair thins only at the front or at the back. Rarely a bald developed, often remains a fringe of hair at the back are made.

Want to know how you look in old age? Then helps to look into the portrait gallery: Often the own hair loss is similar to the scheme with father or grandfather. Three factors determine the course of the disease: heredity, age and the sensitivity of the follicle compared to the male hormones. The statistics indicates that "should expect 60 percent of all Europeans with thin hair or a bald head," says dermatologist Hans Wolff of the Ludwig-Maximilians University in Munich.

By the way: The extent of hair loss is not related to the natural level of the male hormone testosterone: bald men are not more potent than full-haired. However, they usually tend to increased body hair.

2. Circular hair loss in men

To an extensive and rapid loss of hair occurs in the so-called Alopecia Areata, the circular hair loss. Its distinctive features are about coin-sized, circular gaps in the hair. It occurs in one to two percent of hair loss and can even make children. Particularly insidious: It sets in complete health, and sometimes not only the head is affected, but also the body hair, beard, eyelashes or pubic hair. If you are unlucky, stands there quite hairless at once.

The good news: In alopecia areata, the follicles do not die, only their growth rests. Hair can at any time and also completely regrow without treatment. It is believed that a dysregulation of the immune system plays a role in alopecia areata. Immune cells are misguided and are directed against components of the hair. The result is that the hair roots are paralyzed.

genes play a role here: Circular hair loss occurs in affected families heaped upon, often with eczema, hay fever, vitiligo (vitiligo) or thyroid disorder.

3. Diffuse hair loss in men

Regardless of age and hormone levels of diffuse hair loss (effluvium diffusum) may occur. Typical of him is a rapid start without specific localization. Receding hairline and circular bald spots do not exist here, the hair becomes thinner all over the head.
The causes that drive the hair from growth in the resting phase and after a few weeks from the head are not scientifically clarified 100%. Among the possible causes include fevers (over 39 degrees Celsius), common colds or chronic inflammation, which usually precede the hair loss by several months. In addition to the health and constant malnutrition such as lack of protein or trace elements may be able in the long term with important nutrients to an undersupply of the hair roots - especially iron or zinc - lead. Likewise, the intolerance of drugs can force the hair to escape from the scalp. In addition, psychological causes are triggers of diffuse hair loss. Many sufferers report that stress led to the loss of the mop head.

Characteristically, sets the clearing an upside only a few months after the triggering event. So if you want to know what his sudden hair loss is already detective instincts must develop.

Other causes of hair loss in men

  • Not only androgens, the male hormones, can provide clear-cutting. Even when anabolic doping for performance enhancement or muscle growth you can have hair.
  • Fungal infections of the scalp disturb the hair growth.
  • They suffer greatly from stress? Get more rest. Even stress can lead to (mostly temporary) hair loss
  • Unilateral, vitamins and nutrient-poor diet affects to the hair roots. Especially important for hair growth: iron, zinc, biotin, omega-3 fatty acid, vitamin A, C and E and B3, B6 and B12. In practice this means: Lots of vegetables, often times not forgotten fish and fruit. Poitive side effect: Your health benefits from it.

stop hair loss

Not only are there different forms of hair loss in men, there are also many causes. Before you rush into the drugstore or in the pharmacy and invest a lot of money in promising hair restorer, the exact cause should be ascertained for your hair loss. The best places for this are the Hair Hair consultations with doctors. They investigate a detective, among others the scalp under a microscope, the hair roots analyze (trichogram), examine tissue samples (biopsy scalp) and create a hormonal status. to take their services is not always covered by health insurance. Nevertheless, it is useful to have an accurate diagnosis with a specialist to begin a perfectly matched therapy. And as early as possible! Because even the best therapies may, for example, usually only stop hereditary hair loss.

Typical course of genetic hair loss in men
Every man wants to make the hair loss reversed

© Nauma / Shutterstock

What helps against hair loss in men

Not every remedy for hair loss delivers what it promises. The following substances and methods for preventing hair loss, however, are scientifically proven.

Finasteride in hereditary hair loss

The scientifically proven effective in hair loss drug finasteride is considered the erfolgversprechensten for men with hereditary hair loss. In higher doses, it is also used to prostate enlargement. The drug affects the male hormone levels: From less testosterone dihydrotestosterone (DHT), which attacks the hair Roots and finally leaves die off (see above) is caused by the ingestion. By taking finasteride men can slow down hereditary hair loss and prevent (for women the drug is not approved). But patience and perseverance are prerequisites for success. Because until the effect is visible a few months may elapse. And as soon as finasteride is discontinued, the hair loss continues. Finasteride is only available on prescription and should be taken only in consultation with a physician. Possible side effect may (but need not) be a loss of libido.

Minoxidil with hereditary hair loss

Minoxidil was in the 70s as a drug to treat high blood pressure on the market. Common side effects: increased hair growth. The pharmaceutical industry took advantage of and developed a 5% minoxidil solution, the men enter twice daily on thinning hair - with scientifically proven success in many, though not all cases. Today-the-counter in pharmacies minoxidil products (as Regaine men) are among the best-selling anti-hair loss products (a daily dose costs about 1 Euro). Possible side effects include dizziness and hypotension. Those who start the therapy, first of all needs strong nerves: Before the hair growth resumes, there will be an increased hair loss. As a consolation: This s.g. Shedding shows that the therapy abuts. But: Once minoxidil is discontinued, the hair loss continues.

Topical immunotherapy in patchy hair loss

The District laps hair loss, the body's defense system is aimed against its own hair follicles. The hair growth stops, the hair root remains. In topical immunotherapy is a targeted contact sensitization of the scalp with Diphenylcyprone (DPC) or squaric acid dibutyl ester (SQADBE). The chemicals are applied to the scalp and to have an allergy, a s.g. Contact eczema trigger. The inflammatory reaction produced thereby is to "kick" the immune system so that the hair root can produce hair again. The maximum of 2% DPC solution is applied once a week in the doctor's office on the scalp, side effects are slight redness and flaking on the treated areas.

"This treatment method is scientifically recognized and is now considered the most successful form of therapy for patchy hair loss," says dermatologist and hair expert Dr. Frank Matthias Schaart from Hamburg, "The cure rate of this treatment is around 40%." A DPC treatment usually takes 1 to 1.5 years, and is set down gradually. The cost of about 230 euros per quarter are not covered by all health insurance companies.

Cortisone hair loss in men

Cortisone suppresses immune responses and is therefore used as a remedy for alopecia areata. Hair doctors inject it into the hair root or prescribe it in pill form in order to stop hair loss. However, the relapse rate is very high, once it is issued.

Mesotherapy in diffuse and angrogenetischen hair loss

"In this form of therapy to be injected with micro-fine needles potent growth factors into the cooled head skin to stimulate hair regrowth" explains Schaart. the procedure is carried out twice a week over a period of up to 6 weeks. The method promises good results especially for men with diffuse and hereditary hair loss. However, usually only the private health insurance pay the treatment costs about 150 euros per session.

Laser hair loss

The therapeutic possibilities of lasers has increased in recent years immense. Hair physicians Schaart treated men with in his Hamburg practice diffuse and hereditary hair loss successfully with the diode laser. In this case, laser light is irradiated from the infrared wavelength range in the scalp. Thus, the blood flow to the hair roots and thus their nutrient and energy supply increases. "On one hand, so the hair loss counteracted, on the other hand a strong activation of the regrowth of hair reaches" says Schaart. A single laser session lasts about 30 minutes and costs about 55 euros. Overall, you should expect 6-12 month treatment with first two sessions a week later dates every 2 weeks.

at Patchy hair loss turns to the doctor's Fractional laser at. Schaart: "With his help is' maximum stimulated by microfine injury stimuli deep beneath the scalp, the activity of tiny, complex motor, hair roots and thus stimulates the regrowth of hair." Treatments must be performed every 4 weeks, the cost depending on the size of the area between 50 and 350 euros (whole head).


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Hair loss, more and more men are opting for a hair transplant
In a hair transplant hairs are inserted from the fringe of hair on the top of the head

© sezer66 / Shutterstock

hair transplant

Since men like Jürgen Klopp and Wayne Rooney officially confess to their hair transplants, transplanting of natural hair for many men with residual fringe of hair (and lush account) for serious option has become.

Since hair less sensitive at the back to hormones, they remain mostly preserved despite hair loss. About half of the hair from the crown of hair can be taken from without the loss is obvious. The surgeon (recently can also be a robot) transplanted healthy hair roots from hairy areas at the back forward. "The hair transplantation is usually an outpatient procedure under local anesthesia and lasts 3 to 6 hours," said Dr. Frank Neidel, president of the Association of German Hair Surgeons. The cost is 3,000 to 10,000 euros (not covered by health insurance, as a rule).

There are two common Hair Transplant Methods: The removal of the hair roots of a narrow strip of skin with hair root separating the microscope (Strip Method) As well as the removal of single hair roots (by means of thin hollow needlesFollicular Unit Extraction, FUE method). Both methods have advantages and disadvantages. "Be careful with vendors who advertise only one method," warns Neidel. "An experienced surgeon masters all techniques, the best is to find out for you and be able to justify his decision."

Since 2015, the FUE method (single extraction) can also be done using a robot system. The advantage of this system is the precise automated removal of individual hair follicles from the crown of hair. As with any individual collection technique (FUE) has to the removal area over a large area to a hair length of 1 mm to be shaved short. Neidel: "For this technique differs in most women or managers and executives who do not" want ad hoc "appear to be bald to work, is usually sufficient. Especially young men aged 20-30 years who wear "Undercut" or "bald", benefit from this technology. "

Meanwhile, 20% of all hair transplants are performed after the FUE extraction technique worldwide, 80% of patients can be treated by removing strips.
Visit a specialist who recognized by the Medical Council (approved) and makes hair transplants possible each day. "Seek advice, ask for education and training," advises Neidel. Get at uncertainty a second opinion. Are you still not entirely convinced you wear better toupee - or bald!

Toupee - even for athletes an option

Remember André Aggassi, as he played with a long, wild mane of hair and headband his Grand Slam tournaments? What no one knew at that time: the hair was fake, the tennis pro wearing toupees. How that felt during aerobic games, he describes impressively in his biography "Open", as well as his fear of losing the hairpiece during a match. How good that the toupees have evolved in recent years, so that wearing toupees can even be pleasant for athletes. And has many advantages: no health risk such as at a hair transplant, zero side effects such as possibly in tablets or tinctures for hair loss. These two methods produce astonishingly real effects:

  • Artfully braided The creation of an invisible wig begins with a plaster cast of your head. On the basis of this impression finished specialists on a fine mesh, which is like a second skin on the head. This ensures that the hair replacement fits like a glove. In the network of thousands of hair are woven with a color pattern is exactly matched to your hair color. In Germany, this technique is known as under the name SkinLight unf Sensi graft.
  • Waterproof glued The company Contactskin produces customized hairpieces, which are applied invisible and durable certified dealer, or hairdressers on the hair gaps. 4-6 weeks keeps a hairpiece on the wearer's head, after which it is released by an expert, discarded, and a new attached. The toupee keeps itself in the water, you can swim with it, ride a bike, go to the sauna, have sex, sleep. The price of hairpiece loves at about 350 € plus service costs.
  • When Folium step-by-step method specifically for men of hair dreams a small toupee is glued initially, which precipitates every month when replacing larger, so that the transition to again more hair volume is unobtrusive and the impression that the hair grow after.

Most men suffer psychologically under your hair loss
© Kalmykov / Shutterstock

German men suffer psychologically most from hair loss

Compared to its European neighbors, the Germans suffer mentally much stronger among their hairy problems, a survey of the institute GALLUP below 1500 European men. Thus, while 62 percent of Europeans say that hair loss affects their self-esteem. but in Germany it is even 76 percent. And while the hair loss throughout Europe agrees average of 21 percent of those affected depressed, there are in Germany 43 percent.

Many perceive hair loss as a Flirt brake par excellence: 46 percent feel inhibited to address women by their bright hair. Also believes more than every third German to be less attention flirting because of his hair loss (38 percent). 68 percent say hair loss make them unsafe.

Attractive despite hair loss

it is unlikely to happiness that the combed into bangs à la Donald Trump ever become trend. These tricks contrast, let look much more attractive despite sovereign and progressive hair loss:

  • Drag a side parting. Although he emphasizes the Receding Hairline on the one hand, by a Great on the other side still creates a sense of fullness.
  • Wear baseball caps or hats, cover the advanced hair loss. Among them, however, the remaining hair should be no longer than 5 to 6 millimeters long.
  • Combine your bare skull with a sheared to the same length three-day beard.

Before you jump into the adventure hair transplant or spend a lot of money to let the hair grow back, you should at least once have thought about whether bald for you really were an optical disadvantage. Not every type of man is a bald head, no question. But more and more men to stand their sparse hair. And more and more women find men sexy bald. Not least because stars like Jude Law, Bruce Willis or pep Guardiola prove that you can put a receding hairline and baldness cool and attractive way.