Q: How does hair restoration compare with drugs like Rogaine?

Over the counter products (such as Rogaine) are best used to slow balding and retain what hair is left on the head, but Rogaine is not considered a viable solution for those looking to restore hair on the top of the head or at the hairline. Unfortunately, it does not cure baldness. While it can delay the loss of additional hair due to androgenic alopecia, any hair retained or regrown with Rogaine will be lost within a few months after the drug is stopped. The manufacturer Johnson & Johnson have noted that Rogaine is not effective in the frontal area, which is the area of most concern to most patients, especially the frontal hairline. They claim that approximately 8-10% of users achieve cosmetically effective growth and another 20% get vellus (or peach fuzz) growth.

Hair restoration is a permanent and relatively simple procedure that actually restores hair. It achieves a natural look. The Bosley hair transplant procedure takes hair follicles from the very back and sides of the head and artfully transplants them to thinning or balding areas. Our skilled physicians take hair from where you have more than you need (the back of head) and put it where you need it most (front of head). It’s the ideal solution to baldness because it uses your own hair.

“Is Propecia More Effective than Rogaine for Combatting Hair Loss?”


Bosley hair transplants can help people experiencing virtually every level of hair loss, at any age (over 21) depending on whether the patient has enough hair in the donor area. First we would determine which class of hair loss a patient is in. Class 2 is characterized by the beginning of a receding hairline and a “widow’s peak” on the forehead. Class 3 patients exhibit a more significant decline in hair above the temples as well as receding from the forehead. In Class 3 Vertex, hair loss is starting to become significant on the crown. Class 4 hair loss may become more noticeable on the crown or patients may have significant hair loss above the temples and/or front anterior areas. Class 5 hair loss approaches significant levels with most hair loss occurring on the top of the vertex and crown. Hair transplantation for this Class and higher Class levels may require more grafts to provide coverage and density. Class 6 patients show major hair loss, but still have areas with donor hair available. Transplanting this hair can still have excellent results. Class 7 patients show the most significant loss of hair. There may still be sufficient donor hair for transplantation; however, results may be limited.

Hair restoration at Bosley is a relatively simple outpatient procedure. Many of our patients go to work the very next day. And side effects of hair transplantation are almost minor. Infection occurrences after a hair transplant procedure are rare. In the very few cases where infection does occur, it is often due to the patient’s failure to fully follow post-operative instructions. Unlike Rogaine and other over the counter hair loss treatments, the hair transplantation procedure provides a permanent solution to hair loss that involves re-growing your own natural hair.

Learn More:

Hair Restoration Options

Hair Loss Treatment for Men and Women

Bosley Hair Restoration Results – Interactive Gallery

Can Alopecia sufferers regrow hair?

People with alopecia can experience dramatic regrowth of their hair; however, the rate at which regrowth occurs differs depending on individual. So while some individuals may experience some hair re-growth after total hair loss, there are individuals who would never experience hair re-growth. And unfortunately, the longer that a person has had alopecia areata, alopecia totalis or alopecia universalis the poorer the prognosis for significant regrowth. Inherited hair loss (androgenic alopecia or male pattern baldness) cannot be prevented, but there are many hair loss treatments available to slow down the process of hair loss and balding, or to permanently restore hair to the bald spots on your head.
Products like Rogaine are best used to slow down balding and retain what hair is left on the head, but Rogaine is not considered a viable solution for those looking to restore hair on the top of the head or at the hairline. It does not cure or fix baldness. While it can delay the loss of additional hair due to androgenic alopecia, any hair retained or regrown with Rogaine will be lost within a few months after the drug usage is stopped. Propecia (an FDA-approved tablet taken once a day and available by prescription only) is another option that promotes hair growth by inhibiting the formation of the DHT hormone that weakens hair and halts its growth.

“Bosley Medical Dr. Washenik – Propecia vs Rogaine Effectiveness”

For those with more advanced hair loss who are looking to restore hair and not merely retain their existing hair, surgical hair restoration is the best bet. If you would like to learn more about the causes of hair loss and available treatment options, you can schedule a free consultation with a Bosley professional. Bosley physicians can inform you if there is a problem, what the condition causing your hair loss could be, and offer the appropriate treatment or solution. You can find much more information about what could be causing your hair loss and the available treatment options at Bosley.

Learn More:
Why Choose Hair Transplantation?
Hair Loss Treatments for Men and Women
Bosley Restoration Results – Interactive Gallery

Q: Is There a Minimum Age for Receiving a Hair Transplantation?

People often ask us: “What is the minimum age for receiving a transplant?” There isn’t a specific age minimum for receiving a hair restoration; however, most practices, Bosley included, would not recommend the procedure to someone under the age of 21. This is because most people’s hair loss pattern will continue to mature as they age. So the younger they are when they receive the transplant, the less predictable the hair loss condition will be as these people age. However, in cases where hair loss is permanent and not progressive, the procedure can be performed to someone under the age of 21. Since hair loss varies by individuals, Bosley cannot give recommendations without having the physicians’ diagnosis of each person’s hair loss condition. We always recommend the patients take advantage of Bosley’s free consultation, to learn more about the treatment options available, as well as if hair restoration is the right solution for their hair loss.

In general, there are several reasons why a person shouldn’t undergo hair restoration surgery too early, and without a hair restoration physicians’ comprehensive analysis:

• The extent and rate of hair loss is more difficult to predict
• A diagnosis of a disease or infection might be missed
• Restoring the hairline to its original position will look unnatural as the patient ages
• Restoring a patient’s original density, of course, is not a realistic goal of a hair transplant, which services only to redistribute existing hair.

Overall, we think it’s best to consult a physician on this topic, especially since female hair thinning at the age of twelve is a completely different medical problem from the more common male pattern baldness.

Options to combat hair loss

There are roughly 80 million men and women in the world suffering from hair loss. Hair loss is caused by a number of different factors. Male pattern baldness is the most common form of hair loss and is estimated to affect 90 percent of men by age 50. That said, pattern baldness (or genetic hair loss) isn’t specific to men; women suffer from female pattern baldness as well.

Why people lose their hair
Male pattern baldness (clinically known as androgenetic alopecia) is the most common reason for hair loss.  It’s related to Dihydrotestosterone (DHT), a naturally occurring hormone present in all men. DHT has a detrimental effect on the hair follicles. It slows down hair production and causes new hairs to be shorter and weaker than usual. The hormone can even completely stop hair growth, gradually depleting your stock of hair. There are a number of other reasons why people go bald, including other forms of alopecia, the treatment of terminal illnesses and diet, just to name a few. Surgical hair restoration, like Bosley hair transplantation, is the only permanent solution to male pattern baldness, as it is the only solution that can fully restore one’s lost hair and hairline.

Misconceptions About Hair Loss
By default, men typically blame mom for hair loss, as it was widely understood that hair loss is simply inherited from their mother’s side.  This is just one of a number of common hair loss misconceptions:

  • Hair loss is inherited from your mother’s father— not true. Baldness is inherited, but from both your mother’s and father’s genes.
  • Hair loss slows and eventually stops as you age— not true. Hair loss is a progressive trait that doesn’t stop; in fact, it gets worse with age.
  • Hats or helmets can cause hair loss— not true. Wearing something on your head has no effect on hair loss. Although hairpieces and weaves that pull and strain your hair may cause traction alopecia.
  • Brushing or massaging the scalp reduces hair loss— There isn’t sufficient evidence to conclude that brushing or massaging the scalp prevents or reduces hair loss.
  • Too much sun causes hair loss— not true. Though excessive sun exposure is damaging to your hair, there isn’t evidence to conclude that it causes permanent hair loss.

Hair Loss Treatments
There are various hair loss treatments which have been proven to slow down hair loss, and in some cases even regrow lost hair. Of the non-surgical hair treatments, Propecia and Minoxidil seem to be effective in slowing down hair loss and regrowing hair, in certain cases where the users have a mild to moderate case of baldness. New, alternative methods of laser treatments have also been developed.  First, there was the LaserComb, which employs low-level laser light technology to coerce hair follicles to regenerate.  The handheld device requires people to spend 20 minutes a day running the comb through their hair.  Recently, the technology has been further developed, evolving into a more effective, less intensive treatment.  In the new laser treatment, a laser light helmet is used to aim high concentrations of laser light at affected areas of the scalp.

Unfortunately, there is no way to prevent male pattern baldness, since it’s driven by genetics. One can slow down its progression, but not reverse it. So, if you are experiencing significant hair loss, or have male pattern baldness, hair restoration surgery might be your best and only bet in having your lost hair restored.

Hair Restoration

Over the past century, hair restoration has become one of the most popular cosmetic surgeries among men and women alike.

Hair restoration surgery involves transplanting healthy hair follicles from the donor areas of the head—typically the back and sides—to the bald or thinning areas if the head. These are called grafts.  Each graft can contain between 1 to 4 hairs.  Because the donor hairs are from areas of the head that are not prone to balding, they are considered permanent when transplanted to balding areas, such as the scalp.  The result is a lasting, natural looking head of hair.

Q: What are the costs of a Bosley Hair Transplantation Procedure?

A lot of people are curious about the cost of a Bosley hair transplantation procedure. Naturally, this is one of the deciding factors for many men and women in terms of whether or not to move forward with a hair restoration surgery.
Most places that do follicular unit transplantation procedures (like Bosley) charge on a per-follicle basis; and generally, the higher the number of follicles the lower the “per-follicle” charge. So, for instance, if you choose to do 1600 follicular transplants instead of 800, it doesn’t double the cost.

If your situation only requires a low (usually under 1,000) number of hair transplants to cover your bald spot, the cost is $9.50 per follicle. At the other end of the scale, you pay about $5.50 per follicle if you need a lot of transplants. Bosley also offers financing, with a number of different terms. There are a lot of options, so I’ll give you some examples: If you get, say, 600 grafts, you’ll pay $9.50 per graft. The cost of the procedure is $5,700. On a 60-month term, the monthly payment is around $118. If you double that, and get 1200 grafts, you’ll pay $8.00 a graft. The total cost of the procedure would be $9,600, and the monthly payment on a 60-month term would be about $199. At the other end of the spectrum, let’s say you get 3000 grafts (this will likely take more than one sitting, by the way). You’ll pay $5.50 a graft, and the total cost would be $16,500. The lowest monthly payment on this amount would be approximately $342. You could also go for a shorter term on the financing, in which case your payments go up (of course).

When I first learned of the costs associate with hair transplantation, I was a bit surprised. However, having gone through the procedure myself, I feel that I understand the value. I had 1900 grafts done during my procedure, which took an entire day. During that day, I had Dr. Winans and an entire team of nurses and technicians dedicated to the success of my hair restoration. In total, there were 7 or 8 trained professionals devoted to my procedure for an entire day. Also, all of the anesthetic and pain medications are included – as are a number of post-operative hair and scalp care products. So overall, I felt like I understood why the price was somewhat high.
The other side of the coin, of course, is – how much would you pay to have a full head of hair for the rest of your life?

It all depends on your perspective, and your own personal desire regarding your hair and hair restoration. The good news is, now you have options if you don’t want to be bald!