Receding Hairline

You're losing your hair (if you prefer a less-scary term that dermatologists use to describe losing your hair, you can call it "hair fall" or, what about "follicularly challenged"?).  Hair loss is one of the most common problems worldwide; affecting a third of the population. Hair loss is a natural process.  Most people have about 100,000 hairs on their head and lose around 100 to 125 hairs per day.  Noticeable hair loss affects approximately 30 million women in the United States.  The global hair care industry is expected to increase to 102.28 billion dollars in 2024.  Many products promise fuller, younger-looking hair, without clinical evidence.  

Women suffer from diffuse hair loss, as opposed to the characteristic frontal and crown pattern hair loss of men.  Some of the reversible medical causes of female hair loss include a thyroid hormone imbalance, anemia, low vitamin D levels, post-partum hormone changes, stress and menopause.  Polycystic ovary syndrome (PCOS) has been related to female hair loss.  Certain medications have been associated with female hair loss as well.  By middle age, approximately 40% of women show signs of male pattern hair loss (androgenic alopecia).  This is often devastating!  The good news is that there ARE solutions to either slow down your hair loss and some methods to actually get your hair back. These 10 TIPS won't give you more hair tomorrow but will help to SLOMO the hair loss process or even give you more hair.   


Too much alcohol and not enough water equates to a whole lot of dehydration which is a known contributor to certain forms of hair loss. 
There is little doubt that sufficient water intake is needed for hair cells to transport nutrients and vitamins to the hair root. This process is responsible for keeping your hair hydrated from the inside out, which directly affects hair growth, thickness and retention. If you have been experiencing hair breakage and shedding, or you haven’t seen noticeable hair growth in several months, you may be dehydrated. 

Every day you lose water in several different ways.  You lose water when you breath, sweat, pee and poop.   Because our bodies are so heavily dependent on water, major organs like your brain, heart, kidneys, blood, and lungs get first dibs on the available water in your body. Your hair gets what's left over.  If you are not properly hydrated, that probably isn't a whole lot.

Increasing your water intake is arguably the simplest way to improve your overall health and lifestyle, yet it’s something many don't do. That Cause Forehead Wrinkles.  They are all neuromodulators and they use naturally occurring bacteria to relax the muscles of the face. That relaxing effect minimizes and softens wrinkles, worry lines and other signs of aging.  Using neuromodulators to soften wrinkles and lines has been the gold standard, non-surgical solution for over a decade. Sylvana Med Spa in Frederick, MD is recognized as a leading provider of neuromodulator injections in the Frederick County region. We were also the first in the area to introduce Xeomin and we are known for our experience, artistry and natural-looking results.

How Much Water DO You Need?
How much fluid does the average, healthy adult living in a temperate climate need?   The National Academies of Sciences, Engineering, and Medicine determined that an adequate daily fluid intake is:

About 15.5 cups of fluids for men ( .92 Gallon) About 11.5 cups  of fluids for women ( .72 Gallon)

These recommendations cover fluids from water, other beverages and food. About 20 percent of daily fluid intake usually comes from food and the rest from drinks.


When it comes to a hair growth shampoo, you have two options: prescriptions or over-the-counter treatments. Prescription shampoos like ketoconazole shampoo or, over-the-counter growth shampoo.

How Do Ketoconazole Shampoos Work?  Ketoconazole is an effective topical, anti-fungal agent that is used in shampoo to treat conditions such as dandruff.  It works by killing fungus and yeast that grows on your scalp. It does this by interfering with the fungal synthesis of ergosterol, an element of fungal cell membranes and other enzymes.  

Ketoconazole is an antifungal medicine obtained synthetically, which is used to cure fungal infections as well as skin and scalp conditions. It also acts as a weak antiandrogen and can determine a reduction of testosterone and other androgen hormones production. Given this property, it can be used successfully in treating hair loss in women. It is available on the market as an ingredient in Nizoral, a shampoo beneficial both for hair loss and dandruff, or other skin problems at the level of the skull.

Side Effects of Ketoconazole Treatment  Fraxel affects a fraction of tissue at a time with thousands of microscopic laser columns — each just one-tenth the diameter of a hair follicle. The laser columns stimulate a natural healing process that works from the inside out. Due to how deep the Fraxel laser penetrates, it is able to replace damaged tissue with healthier skin.


Believe it or not,  drying wet strands with a bath towel can seriously damage your hair.  This one mistake can be the cause of major hair problems. Vigorously rubbing wet hair with a towel can lead to excessive hair breakage and hair fall. Its thick absorbent fibers when rubbed with the hair actually do more harm than good.

Your hair has a protective layer called the hair cuticle.  The hair cuticle consists of  overlapping cells, like downward facing fish scales.  Your hair cuticle hold your hair in the hair follicle by means of a velcro-like bond.  When your hair is healthy, your outer hair cuticle gives your hair shine and shields the inner layers of the hair from damage.

When your hair is wet, it swells and the cuticle lifts up; but, when your hair dries is goes back down to it's original position.  When your hair is wet and the cuticle is slightly lifted, it's susceptible to things that come in contact with it, like vigorously rubbing against it when toweling dry.  When your hair cuticles are weakened to a certain point, they being to erode and your hair falls out.
Hair conditioner coats each strand of hair so the cuticles are protected from towel drying. And, rather than rubbing your wet hair with a towel, try patting it dry.


Heat-styling is a well-documented way of damaging the hair, and while not a hair loss condition in itself, it can certainly lead to hair breakage, which can give the appearance of a thinner-than-normal head of hair.

To protect your hair and to help prevent hair loss from heat damage, don't just treat it AFTER it happens.  Stay on top of your hair care routine and make sure your hair is properly moisturised each time you wash.

To take good care of your hair and prevent hair loss from heat damage, don’t just treat it after it’s happened. Prevent hair damage by staying on top of your hair care routine and making sure your hair is moisturized properly throughout the seasonal changes. 

Hair experts advise that styling tools such as straighteners, curling irons and crimping irons are set at a temperature no higher than 180 degrees and that you use a heat protecting mist spray beforehand to reduce damage.

For this reason, experts advise that these styling tools, which include hair straighteners, curling irons and crimping irons, are set at a temperature no higher than 180-degrees, and that a heat-protecting misting spray is also used beforehand to reduce damage. As a general rule, however, all heat styling treatments should be kept to a minimum if hair health is important to you – or if you want to keep your hair from falling out.


Not only does scalp massage promote relaxation, it opens up the blood vessels.  When blood vessels are open, blood flow is increased, bringing nutrients and oxygen to the hair follicles that are necessary for healthy hair growth.  A scalp massage can also condition the scalp and help strengthen the roots of your hair, maximizing their growing potential and making it more difficult for them to fall out.




Stress impairs the proper function of many areas of your body with includes your hair follicles. Cortisol, the "stress hormone" sends signals to your hair follicles to slow down in response to this heightened state.  The disruption of the hair growth mean that follicles enter a resting state and stop producing new hair.  The massaging action on the scalp warms your skin up and stimulates the production of endorphins, the "feel good" chemicals that reduce stress.  SO, relax, have a nice scalp massage and feel your hair grow!


Even though there are many causes for hair loss, changing your diet can certainly help.  A proper diet can slow down hair loss and help your hair to become thicker and healthier.

Here are some nutrient rich foods that have been shown to keep hair full and healthy:

SALMON:  Even though your body can do a lot of amazing tricks, the one thing it can't do is make omega-3 fatty acids. When your body is low on fatty acids, your hair becomes dull.  Omega-3 fatty acids, found in cold water fish like salmon and mackerel, feed the oil glands around hair follicles, adding luster, and is an anti-inflammatory, helping to reduce inflammation that causes hair shedding.

Male-pattern baldness is often associated with insulin resistance.  Salmon is a food that help your body process insulin more efficiently.

Go for two 3.5-ounce portions per week (the amount recommended by the American Heart Association). If you don't like fish, there are many fish oil supplements that will help boost your omega-3 level.

CHICKEN:  Notice how your muscles don’t get bigger when you’re not getting enough protein?   The same thing might happen to your hair. Without sufficient protein your body won't replace the hair that you naturally shed on a daily basis which equates to volume loss and sparseness.  To help build your hair count back up, it's important to take in enough protein.  

To get protein from meat, pick organic lean options like chicken, fish, grass-fed beef or lean pork loin. They have less saturated fat.  A 4-ounce serving of chicken packs 35 grams of protein, over 50% of a man's recommended daily intake. 

QUINOA:  If you are a Vegetarian, Vegetarians try quinoa.  Quinoa has a high protein content.  Quina is a seed that contains 8 grams of protein per cup and is considered a "complete protein" which means that it has all nine essential amino acids that you body needs.  

LENTILS:  Lentils are full of protein, zinc, iron and biotin.  Lentils also have plenty of folic acid which supports healthy red blood cells.  Healthy red blood cells supply your hair and scalp with oxygen.  Folic acid is also found in lentils which is good for healthy sperm.


There are supplements that may reduce hair loss and may promote hair growth.  Supplements should be used in addition to a healthy diet.  Eating a well-balanced diet that contains the 13 essential vitamins can help maintain the health of your hair. Essential vitamins include A, C, D, E, K, and the B-complex group.  Also make sure you are eating enough protein and omega-3 fatty acids.

Here is what is commonly found in hair-loss supplements

and why they may work:

BIOTIN:  Biotin is a B-complex vitamin (also known as vitamin H) that strengthens the protein infrastructure in hair, skin and nails.

VITAMINS A & C:  Vitamin A and vitamin C both help your body produce sebum, the natural oil that protects your hair and keeps it strong.  They also help scavenge free radicals that attach to the follicular bulb of the hair.

FLAX SEED OIL:  Flax-seed oil has omega-3 fatty acid that feeds the oil glands around your hair follicles so they retain water and produce sebum.  Omega-3 fatty acid is also anit-inflammatory.  Reducing inflammation helps to reduce hair shedding.

FOLIC ACID: Also known as B9, folic acid helps with tissue regrowth and improves circulation, which helps your hair follicles function properly.

ZINC & SELENIUM:  Zinc and selenium are trace minerals.  These trace minerals are important for maintaining scalp health through cell reproduction, tissue growth, and repair.


Many commonly prescribed prescription medications, like anti-depressants, cholesterol lowering medications, anti-anxiety medications and hight blood pressure medications, can cause temporary or even permanent hair loss.

According to studies, medications can induce hair loss in two ways:  1) they can affect the hair follicles while they are in the growing phase (anagen phase). This phase typically lasts 3 to 5 years.  OR, 2) in the resting phase (telogen phase) which usually takes about 3 to 4 months.  About 90% of your hair is in the anagen phase while 10% are in the telogen phase.  Strands that are in the telogen phase fall out in order to make room for new hair to grow in.

Sometimes medication can push more hair into the telogen phase where hair goes into a resting phase and fall out too early.  Under this condtion, you may lose 300 hairs per day rather than 100 to 150.

Medication induced hair loss during the anogen phase is generally caused by medication that prevents the matirx cells (cells that produce new hair) from dividing normally.  This type of medication induced hair loss is most common in people who are having chemotherapy and is often severe.

Drug-induced hair loss is usually reversible after treatment has stopped but the prevalence and severity of hair loss depend on the medication as well as on your own chemical make-up.


Your doctor may not mention hair loss as a side effect of some medications, so don't forget to do your own research and read the drug manufacturer's complete warnings. Your pharmacist can provide you with this information before you fill a prescription.


Minoxidil is the most popular medication for hair loss, most commonly sold under the Rogaine brand.  It does work, but not for everyone.  Minoxidil (Rogaine) 5% is the only topical medication approved by the FDA for female-pattern hair loss. The once daily use foam treatment has been shown to regrow hair in about 81% of women who have tired it.  

Liquid options of 2% and 5% solutions are available over the counter. Minoxidil works by prolonging the growth phase of hair -- providing more time for hair to grow out to its full density.

Patience is required since noticeable results usually take three to four months.  The product is to be used once a day and tends to work better if started at the early onset of hair loss. 

Clinical trials have shown the effectiveness of minoxidil when used as directed. Applications need to be placed on the entire thinning area of the scalp, not the hair,  twice a day.  Minoxidil comes in a foam or lotion and doesn't have many side effects.


PRP, also known as platelet - rich plasma therapy, combined with stem cells can renew the function and homeostasis of hair follicles.  
PRP:  is a dramatic, all-natural, medical treatment for adults.  PRP is a therapy that physicians have been using for over 10 years to promote the healing process.  As a result of this success, PRP is now used successfully for the promotion of hair growth

Stem Cells:  are undifferentiated cells in our bodies that have the capacity to change into any healthy cell in our body. They have the ability to substantially replicate other cells such as hair and skin cells.  

Why Combine PRP and Stem Cells?: The study of using PRP as a framework for stem cells to grow in has been researched for many years.  Combining stems cells with platelet rich plasma therapy as a means to accelerate tissue regeneration has safely shown significant results with no serious side effects. 

What is the Procedure Like? During this treatment, the clinician draws your blood and spins it in a centrifuge to separate the platelets and plasma.  Plasma and stem cells are combined, then injected into the scalp which helps repair blood vessels, promotes cell growth, promotes hair growth, pushes dormant hair follicles into the anagen phase and stimulates collagen production.    

If you are concerned about a Receding Hair Line or Hair Loss

  Please call Sylvana TODAY to schedule your

Complimentary Consultation.


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