Senescent Alopecia is a gradual reduction in hair density and thickness that occurs as part of our natural aging process. Typically, it begins in our 30s or 40s and becomes more noticeable with age.

Unlike androgenetic alopecia or genetic hair loss, age-related thinning affects both men and women and the hair loss is more uniform across the entire scalp rather than in specific patterns. Hair follicles shrink overtime resulting in thinner, finer hair strands and a slower growth cycle. This can lead to a less voluminous appearance and in some cases, especially those with already fine hair, noticeable scalp exposure.

While you cannot completely stop this process there are several strategies to slow it down considerably and maintain healthier thicker hair for as long as possible. Incorporating a protein rich diet that includes daily requirements of zinc, biotin, iron, omega-3 fatty acids and vitamin D, E and B complex are critical for hair health. Proper hydration also helps support the scalp and follicles. Foods such as eggs, fatty fish, nuts, seeds, spinach and sweet potatoes will also support hair growth.

Using mild shampoos and conditioners that do not have harsh chemicals or sulfates will also help. Look for ingredients like minoxidil, peptides and keratin as these ingredients will help create the appearance of thicker hair. Regular scalp massage and medical treatments such as minoxidil (Rogaine) will also help.

Avoid excessive heat when drying the hair, styling irons, over brushing and harsh chemical treatments. Speak with your healthcare provider about managing menopause or andropause symptoms which are hormonal changes that affect the hair. Hypothyroidism and hyperthyroidism can exacerbate hair thinning so it may help to have your thyroid checked by your healthcare provider on your yearly physical exam.

Chronic stress can accelerate thinning through a condition called telogen effluvium so managing stress is critical to preventing a great deal of this hair loss. If you have advanced thinning, hair restoration such as transplants may be an effective option. If you are concerned about hair loss it is recommended to speak with a board-certified hair loss specialist.

Male androgenic alopecia is the most common form of hair loss in males and effects up to 30 to 50% of men by the age of 50. Androgenic alopecia is basically a genetically predetermined condition involving the body’s response to male hormones. Male androgenic alopecia is often regarded as a minor condition and not an actual disease, but men living with the impacts of hair loss can attest to the anxiety and depression it causes. Androgenic alopecia and its link to other pathologies is now being explored and although inconclusive at this point, some studies suggest that androgenic alopecia may play a role in an increased risk factor in cardiovascular disease, prostate cancer, and atherosclerosis.

Androgenic alopecia is a condition caused by multiple genes. Multiple locations on chromosomes have been identified. Two of these locations were on the X chromosome, referred to as the AR gene. It was once thought that the X chromosome was solely responsible for genetic hair loss in men due to strong association. The function of the AR gene is in the production of androgen. The role of androgen in alopecia is well established but studies show that even normal levels of androgen is sufficient enough to cause androgenic alopecia in genetically susceptible males.

Attempts have been made to predict those who will have androgenic alopecia using genetic risk scores. Hair that grows along the sides and back of the scalp is genetically resistant to the effects of androgen and this is why they are mostly permanent. You may continue to lose androgen sensitive follicles in the crown and front of the scalp, but androgen resistant follicles will continue to produce hair throughout life.

If your maternal grandfather has androgenic alopecia, you are more likely to have it, and if your father has androgenic alopecia, you are twice as likely to have it also. Androgenic alopecia affects nearly two thirds of males to a significant degree and the risk increases with age.

Studies show that balding men are less likely to be chosen for jobs requiring dealing with the public and less likely to be chosen as partners in relationships. Bald men can often appear to be as much as 10 years older than they actually are. Some handle their condition well with little effect on their social functions but for those who are in greater emotional distress, anxiety and depression severely affects their lives. On the positive side men who are bald are perceived by society as good leaders, strong, bold and masculine.

Advancements in transplantation methods are benefitting and changing the lives of those who are dissatisfied with their appearance. Hair transplantation is now withing reach of the general public being more affordable than ever before. More and more men are overriding the genetic factor and taking advantage of transplantation to significantly improve the many aspects of their lives.