Question 1

What causes hair loss?

Accepted Answer

Hair loss often results from a combination of factors rather than a single cause. Contributors may include genetics, hormonal changes, DHT sensitivity, thyroid disorders, menopause, PCOS, pregnancy and postpartum shifts, stress, chronic inflammation, nutrient deficiencies, autoimmune conditions, aging, poor circulation, and oxidative stress. Identifying and addressing the root causes is an important part of a comprehensive plan.

Question 2

Does PRP work for hair restoration?

Accepted Answer

PRP (platelet-rich plasma) is used to support the scalp’s natural regenerative processes in areas of thinning hair. Research in this area continues to evolve, and individual responses vary. PRP is best considered as part of a comprehensive, individualized plan rather than a guaranteed standalone solution. Your physician will review realistic expectations with you.

Question 3

Is PRP painful?

Accepted Answer

Comfort varies from person to person. A topical or local anesthetic may be used, and techniques such as an automated mesotherapy device can improve comfort. Most patients tolerate the treatment well. Your physician will discuss what to expect and how any discomfort is managed.

Question 4

How many PRP sessions are needed?

Accepted Answer

The number of sessions is individualized. Many treatment plans involve an initial series of sessions spaced over several months, followed by periodic maintenance treatments. Dr. Masghati will recommend a personalized schedule based on your evaluation and goals.

Question 5

What is microneedling?

Accepted Answer

Microneedling uses fine needles to create controlled microchannels in the scalp. This may stimulate the body’s natural healing response, support circulation and collagen, and enhance the absorption of physician-recommended topical therapies.

Question 6

What is an MP injection gun?

Accepted Answer

An MP (mesotherapy) injection gun is an automated device that helps deliver PRP evenly across targeted scalp regions. Potential advantages include consistent injection depth, precise dosing, uniform coverage, improved comfort, and efficient treatment sessions.

Question 7

What is DHT?

Accepted Answer

DHT (dihydrotestosterone) is a hormone derived from testosterone. In susceptible individuals, DHT can contribute to androgen-related hair thinning by affecting the hair follicles. Evaluation and physician-guided treatment can help address DHT-related hair loss when medically appropriate.

Question 8

Does minoxidil regrow hair?

Accepted Answer

Minoxidil is a well-studied topical (and sometimes oral) therapy that can support hair growth for some individuals. Benefits, possible side effects, and whether it is appropriate for you should be determined through a proper medical evaluation and physician supervision. It is not recommended without individualized medical guidance.

Question 9

How long before results may be noticed?

Accepted Answer

Hair growth is a gradual process. Many people begin to notice changes over a period of several months, and results vary from person to person. Consistency with the recommended plan and follow-up is important. Individual results cannot be guaranteed.

Question 10

Can hormones affect hair?

Accepted Answer

Yes. Hormones such as testosterone, DHT, estrogen, progesterone, thyroid hormones, cortisol, and factors like insulin resistance can all influence hair health. Individualized hormone evaluation may be incorporated into your treatment plan.

Question 11

Can thyroid disease cause hair loss?

Accepted Answer

Thyroid disorders, both underactive and overactive, can contribute to hair thinning and shedding. A complete thyroid evaluation is often part of a comprehensive hair loss assessment.

Question 12

Which supplements support healthy hair?

Accepted Answer

Nutrients commonly associated with healthy hair include protein, iron, ferritin, vitamin D, zinc, selenium, biotin, omega-3 fatty acids, vitamins A, C, and E, B-complex vitamins, magnesium, silica, collagen peptides, and amino acids. Supplementation should be individualized based on laboratory evaluation and your nutritional needs.

Question 13

Can stress cause hair loss?

Accepted Answer

Yes. Significant physical or emotional stress can trigger a type of shedding known as telogen effluvium. Stress management is often an important part of a comprehensive approach to supporting healthier hair.

Question 14

Is hair restoration safe?

Accepted Answer

PRP-based hair restoration uses your own blood, so the risk of allergic reaction is low. As with any medical procedure, there are potential risks. Your physician will review the benefits, risks, and alternatives, and treatment is always tailored to your individual health.

Question 15

Is there downtime?

Accepted Answer

Most patients resume normal activities shortly after treatment. Your physician will provide individualized aftercare guidance, including any temporary precautions for the treated scalp.

Question 16

Who is a good candidate for hair restoration?

Accepted Answer

People experiencing hair thinning or hair loss from a variety of causes may be candidates. Candidacy is determined individually after a comprehensive evaluation that considers your health history, hormones, labs, and goals.

Question 17

Does insurance cover hair restoration?

Accepted Answer

Hair restoration treatments such as PRP are generally considered elective and are typically not covered by insurance. Dr. Masghati’s practice operates on a transparent, membership-based model, and specific costs are reviewed during your consultation.

Question 18

Can hair loss be reversed?

Accepted Answer

Some types of hair loss respond well to treatment, especially when addressed early and when root causes are identified. Others are more resistant. A comprehensive evaluation helps clarify what may be achievable in your situation. Outcomes vary and cannot be guaranteed.

Question 19

What is female pattern hair loss?

Accepted Answer

Female pattern hair loss is a common form of hair thinning in women, often influenced by genetics and hormones. It typically presents as diffuse thinning, especially along the part line. Individualized evaluation helps guide an appropriate treatment approach.

Question 20

What is telogen effluvium?

Accepted Answer

Telogen effluvium is a temporary form of increased hair shedding that can follow stress, illness, surgery, childbirth, rapid weight changes, or nutritional deficiencies. Identifying and addressing the underlying trigger is central to recovery.

Question 21

Why do many women lose hair after pregnancy?

Accepted Answer

Postpartum hair shedding is very common and is related to the hormonal shifts that follow childbirth. For many women it improves over time, and a supportive evaluation can help address any contributing factors such as thyroid or iron status.

Question 22

Can menopause cause hair thinning?

Accepted Answer

Yes. The hormonal changes of menopause — including shifts in estrogen and the relative influence of androgens — can contribute to hair thinning. Hormone evaluation and a comprehensive plan may help support hair health during this transition.

Question 23

How is PCOS related to hair loss?

Accepted Answer

PCOS is associated with elevated androgen activity, which can contribute to scalp hair thinning in some women. Evaluation of hormones, metabolism, and insulin resistance is an important part of addressing PCOS-related hair concerns.

Question 24

What is DHT-modulating therapy?

Accepted Answer

DHT-modulating therapies aim to reduce the effect of DHT on susceptible hair follicles. These options are considered on an individualized basis, with careful discussion of benefits, possible side effects, and the importance of physician supervision.

Question 25

Can nutrient deficiencies cause hair loss?

Accepted Answer

Yes. Deficiencies in iron, ferritin, vitamin D, zinc, and other nutrients can contribute to hair thinning and shedding. Laboratory evaluation helps identify deficiencies so that supplementation can be individualized.

Question 26

How does inflammation affect hair?

Accepted Answer

Chronic inflammation and oxidative stress can affect the scalp environment and follicle health. A functional medicine approach considers strategies to reduce inflammation as part of supporting healthier hair.

Question 27

Is PRP for hair the same as PRP for skin?

Accepted Answer

Both use platelet-rich plasma prepared from your own blood, but the application differs. For hair restoration, PRP is applied to and introduced into areas of thinning hair on the scalp to support the follicular environment.

Question 28

Can men receive hair restoration treatment?

Accepted Answer

While Dr. Masghati’s practice focuses on women’s health, hair restoration principles such as PRP, microneedling, and root-cause evaluation apply to male pattern hair loss as well. Candidacy is always determined individually.

Question 29

What laboratory tests are used to evaluate hair loss?

Accepted Answer

When clinically appropriate, evaluation may include a complete thyroid panel, iron studies, ferritin, vitamin D, CBC, CMP, hormone testing, testosterone, DHEA, estrogen, progesterone, cortisol, insulin, HbA1c, and nutritional or inflammatory markers.

Question 30

How is a personalized hair restoration plan created?

Accepted Answer

Dr. Masghati begins with a comprehensive functional medicine evaluation of your history, hormones, labs, and lifestyle. From there, she develops an individualized plan that may combine regenerative treatments, hormone optimization, nutrition, and physician-guided therapies.

Question 31

Can telehealth be used for a hair loss evaluation?

Accepted Answer

Yes. Initial evaluation and planning can often begin virtually via telehealth. Dr. Masghati currently serves patients in New York, New Jersey, Maryland, Virginia, Florida, Nevada, and California. Certain procedures require an in-person visit.

Question 32

Are results permanent?

Accepted Answer

Hair restoration typically requires ongoing care. Even with a good response, periodic maintenance treatments and continued attention to root causes are usually recommended to help sustain results over time.

Question 33

Does hair restoration guarantee regrowth?

Accepted Answer

No. No responsible provider can guarantee hair regrowth. Hair restoration is an individualized approach focused on identifying root causes and supporting healthier hair growth, and responses vary from person to person.

Question 34

How do I get started?

Accepted Answer

The best first step is to schedule a consultation with Dr. Salome Masghati to discuss your hair concerns, health history, and goals, and to determine whether a personalized functional and regenerative approach may be appropriate for you.

Hair Restoration

Understanding Hair Loss

Functional Medicine Hair Restoration

Functional Medicine Evaluation

Hormone Optimization

Nutritional Optimization

Regenerative Medicine

PRP Therapy

Microneedling

Medical Scalp Treatments

Lifestyle Modifications

Targeted Supplementation

Prescription Therapies

Platelet-Rich Plasma (PRP) Hair Restoration

Blood Draw

PRP Preparation

Local Anesthesia (if used)

Microneedling

PRP Application & Injection

Recovery

Treatment Timeline

Maintenance Sessions

Microneedling for Hair Restoration

Precision PRP Delivery with the Mesotherapy (MP) Injection Gun

Hormones and Hair Loss

DHT and Hair Loss

Nutritional Support for Healthy Hair

Functional Medicine Laboratory Testing

Conditions That May Be Associated With Hair Loss

Frequently Asked Questions

Meet Dr. Salome Masghati

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