Our care plans

Pilaris is a dermatology clinic dedicated to women’s hair restoration. Treatment of women is different than men - proper assessment and treatment takes significant time and expertise not always available elsewhere.  Some causes of female hair loss require specialized work up by a specialist in hair. At Pilaris, we invest the time in each individual and realize that there is no one-size-fits all. Tailoring your treatment plan to you is what we do best. 

 

Female pattern hair loss 12 month medical treatment plan

Female pattern hair loss, or androgenetic alopecia, is by far the most common type of hair loss experienced by women characterized by diffuse thinning behind the frontal hairline and top of the scalp.  


For medical management, we regularly utilize medicines that block the hormonal factors responsible for hair loss.  We start patients at low doses and escalate on a scheduled basis depending on hair density responses and side effects experienced. 

Treatment options include:

 

  • Topical minoxidil

  • Oral spironolactone

  • Oral finasteride

  • Oral flutamide

  • Oral contraceptives

  • Scalp platelet-rich plasma injection

  • Surgery (follicular transplantation)

  • Low-level light therapy 

  • Wellness

  • Scalp micropigmentation

  • Clinical trials

Consultation

All treatment plans begin with a consultation.  We will conduct a ScalpSurvey with photographs and measurements that you observe firsthand. This is paired with an educational session to inform you about the diagnosis, the latest medical knowledge relevant to your condition, and all the treatment options available to you.  We provide reading materials and utilize visual displays to make sure you leave our clinic with all your questions answered.  We don’t end the consultation - the patient does.

First season (3-4 months)

Hair behaves in 3-4 month cycles, like seasons of the year. The beginning is always the hardest, and many patients experience shedding while starting therapy.  We’re with you during this challenging part of the journey.  Typically, we will start with 2-3 treatment options to see your initial response.  


Second season  (3-4 months)

In the second season,  it will seem as though nothing is happening! But you have to give your hair a chance to respond and grow.  There are no quick fixes when it comes to hair.  As a Pilaris patient, we’ll schedule your first follow up appointment approximately 3-4 months after starting your treatment plan.  We will evaluate your hair density via ScalpSurvey and decide how to proceed.  We may increase dosages or add additional therapies.


Third season  (3-4 months)

This is when your hard work starts paying off! New sprouts can be seen on the scalp and in your hair.  We will further refine the dosages and treatments based on how your hair is responding.  We may use up to 4 or more treatments designed to target the hair follicle in multiple ways. 


4th season (4+ months)

Entering a year into therapy, we typically see the results more visibly and quantitatively. We will have found the best effective doses safe for you to continue, along with routine follow up with our doctors. We’ll review your photographs, numbers, and treatments and agree on a plan for the future.

Alopecia areata treatment plan

Alopecia areata (AA) is a common form of hair loss caused by an autoimmune attack on the hair follicle.  A large spectrum exists of disease severity, from small patches to entire scalp (alopecia totalis) to whole body hair loss (alopecia universalis).  We are one of the few clinics that regularly performs treatment with topical immunosensitizers - a proven treatment option with success rates similar to newer medicines such as oral tofacitinib. At Pilaris, we take the time to explain the pros/cons of each and have the expertise to know which one to recommend.

Treatments include, but are not limited to:

 

  • Topical minoxidil

  • Topical immunosensitizers (anthralin, squaric acid, DPCP)

  • Topical JAK inhibitors

  • Topical corticosteroids

  • Oral minoxidil

  • Oral methotrexate

  • Oral JAK inhibitors

  • Scalp triamcinolone (steroid) injections

  • Scalp platelet-rich plasma injections

  • Intramuscular triamcinolone (steroid) injections

  • Microblading eyebrows

  • Camouflage

 

Treatment selection and duration vary; recurrence is not uncommon and needs to be monitored.  We can assess whether your hair is responding usually within 3-4 months of any particular therapy, although some medicines need longer for a full evaluation.  We diagnose and treat children/adolescents/teenagers as well.

Scarring (cicatricial alopecia) treatment plan 

Lately, we’ve seen an epidemic of scarring hair loss all across the country - we can no longer consider these conditions rare! Frontal fibrosing alopecia (FFA) and lichen planopilaris (LPP) are inflammatory conditions that are trichologic (hair) emergencies that need to be addressed as soon as possible because permanent hair loss can result. Central centrifugal cicatricial alopecia (CCCA) and traction alopecia (TA) are common forms of hair loss in our African-American patients and are treatable! We hope to get the word out that the earlier you act, the better the results! 

 

When scarring hair loss is active, we take an aggressive approach of using multiple treatments including, but not limited to:

 

  • Topical tacrolimus

  • Topical minoxidil

  • Topical corticosteroids

  • Scalp triamcinolone injections

  • Oral doxycycline

  • Oral finasteride

  • Oral hydroxychloroqine (plaquenil)

  • Oral minoxidil

  • Oral acetretin/isotretinoin

  • Oral JAK inhibitors (tofacitinib)

  • Advanced anti-inflammatory oral medications

  • Scalp triamcinolone injections

  • Scalp platelet-rich plasma injections

  • Scalp micropigmentation

  • Eyebrow microblading

  • Camouflage

Treatment selection and duration vary; recurrence is not uncommon and needs to be monitored.  We can assess whether your hair is responding usually within 3-4 months of any particular therapy, although some medicines need longer for a full evaluation.  We diagnose and treat children, adolescents, and teenagers as well.

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245 5th Avenue • LINA • Suite 311 • New York, NY 10016

contact@pilaris.com

P: 929.376.8660 F: 844.469.14.74

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