Hair loss in men
What is still therecan be kept.
Four in five men experience hair loss at some point, and for almost a third it starts before their thirtieth birthday. The mechanism behind it is well understood. What matters is when you act: a follicle that is still working can be protected. One that is gone cannot.
of men are affected at some point in their livesAndrogenetic alopecia, all stages
notice the first changes while still in their twentiesHamilton-Norwood stage II and above
is the average age at the first visible signWhat follows varies from man to man
procedures carried out by Dr Rosenthal herselfNever handed over to assistants
Causes
Not too much DHT. But follicles too sensitive to it.
A common misunderstanding: men affected by this almost never have raised hormone levels. What is sensitive are individual hair roots, and that sensitivity is inherited. They shrink a little with every cycle until only vellus hair is left. More than 95 % of all cases come down to this.
Sensitivity to DHT
Affected roots respond to dihydrotestosterone by shrinking. It shows as a receding temple line, a thinning crown, or both at once. Because the pattern is so characteristic, it can be graded on the Hamilton-Norwood scale and compared over time.
The time factor
Even without an inherited predisposition, the growth phase shortens with the years. New hairs come through finer and overall density slowly falls. This is not a disease, but it compounds every other process already under way.
Stress and daily life
Sustained stress can trigger telogen effluvium. The delay is characteristic: shedding only begins two to four months after the phase that caused it, which is why the connection is so often missed. Sleep, diet and exercise all have a measurable effect on the cycle.
Underlying conditions and medicines
A thyroid disorder, an autoimmune process or certain medicines are equally plausible triggers. Before anything is treated, we need to know what is actually going on. A blood test is part of the work-up here.
Treatments
What actually helps at which stage.
Inhibition
Dutasteride mesotherapy
The drug reaches the scalp locally rather than being swallowed every day. DHT activity falls where it arises.
Read moreStimulation
PRP therapy
Plasma drawn from your own blood and concentrated with platelets. The growth factors it carries wake dormant roots.
Read moreNutrients
Mesotherapy
Vitamins, amino acids and trace elements delivered straight to the root, without the detour through the gut.
Read moreRegeneration
Regenera Activa
Regenerative cells are recovered from a tiny tissue sample and returned. One session, no downtime, assessed after three to six months.
Read moreSapphire
FUE with a sapphire blade
V-shaped channels opened with a 0.25 mm blade. No strip scar, up to 55 grafts per cm², short haircuts stay an option.
Read moreBy hand
Manual FUE
Extraction and placement are done by Dr Rosenthal herself. Three decades of surgical experience, and no step passed on.
Read moreDutasteride therapy
The drug stays where it is meant to work.
To halt the loss without taking a tablet every day: that is the request men bring to us most often, and the worry about side effects behind it deserves to be taken seriously. There is a second route. In mesotherapy, dutasteride is not distributed through the bloodstream but placed in minute quantities exactly where the hair loss happens.
How it works
Both enzyme types, not just one
Dutasteride blocks 5-alpha-reductase type 1 and type 2, whereas finasteride blocks only type 2. DHT levels fall further as a result, and it is that hormone which drives affected roots to shrink.
The difference
A depot, not the bloodstream
Instead of a daily tablet, the drug is introduced into the scalp in microfine quantities and forms a depot at the follicle. Correspondingly little of it passes into the bloodstream.
The course
Three to four appointments to start
The starting phase usually runs to three or four sessions, four to eight weeks apart, after which maintenance appointments are enough. An appointment takes around 20 minutes and you go straight back to your day.
Combination
Most effective alongside PRP
Dutasteride slows the loss, PRP encourages growth. After a transplant, this combination also protects the native hair between the placed grafts.
Tablet and mesotherapy, schematically
The usual route
Tablet, daily
- Doses
- 365 × per year
- Distribution
- Whole body
- Duration
- Open-ended
Systemic exposure high
At derma utoquai
Mesotherapy, local
- Appointments
- 3–4 plus upkeep
- Distribution
- Scalp
- Per appointment
- approx. 20 min
Systemic exposure low
A schematic illustration of the principle; the bars do not represent measured values. Dutasteride is not licensed for use as a mesotherapy, so this is an off-label application and requires individual medical assessment. Side effects can never be ruled out entirely. We discuss the benefits and the risks openly with you before any treatment begins.
This is not a decision you make on your own.
Dr Rosenthal goes through the findings, your history and your plans with you personally. Plans for children are part of that, as is everything else you take. By the end you will know whether this therapy makes sense in your case, and if it does not, she will tell you that too.
One procedure a day. No appointment is handed on.
No production line. Every procedure by the doctor herself.
Dr med Sussan Rosenthal
Common questions
What patients want to know first
Consultation
It starts with the diagnosis.
Dr Rosenthal examines your scalp herself at Utoquai 39, grades the stage and tells you which treatment is worth it in your case. And which one you can skip.
The information on this page is general in nature and does not replace a consultation with a doctor. Treatment results vary from person to person and cannot be guaranteed. Dutasteride is not licensed for mesotherapy; the application is off-label, and the benefits and risks are assessed individually by a doctor before treatment begins.
