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Topical Treatments

There are only three medically proven methods of dealing with hair loss... hair restoration surgery (hair transplantation), minoxidil, and finasteride. Hair restoration surgery is the only method that provides a permanent solution. Both minoxidil and finasteride require continued use to become and remain efficacious; once discontinued, hair loss ensues.

Despite the availability of these proven methods, there is a large segment of the balding population that tries unproven hair loss remedies. Numerous products claiming to be "natural," "safe," "drug free," and effective against hair loss are heavily marketed in the media. These "buzz words," coupled with the virtual anonymity of purchase, are attractive and are garnering huge attention.

Historically, there have been two dramatic influxes of these types of products. The first began in 1988 and was spurred by the 1988 FDA approval of minoxidil, marketed as Rogaine®. Copycat products could not offer clinical statistics to substantiate their claims and, eventually, the Federal Trade Commission (FTC) stepped in to regulate these products.

In 1996, the introduction of Rogaine 5% and Rogaine's new over-the-counter status raised further public awareness, in addition to the 1997 introduction of Propecia® (finasteride). The expiration of the patent on Rogaine in December 2000 started the next big increase of hair loss products. Minoxidil (marketed as Rogaine), which had been sold over the counter since 1996, now was in the public domain and available to other manufacturers.

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Dominic A. Brandy, MD & Associates
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