About Hair Loss

Nonscarring Alopecia – Hair Restoration – Plano, TX

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Plano, TX hair restoration surgeon, Dr. Joseph Yaker, treats both men and women who experience hair loss due to alopecia. This is the general medical term used to describe hair loss that occurs during the normal hair growth cycle. There are several types of alopecia, nonscarring being one of them. As the most common type of hair loss, nonscarring alopecia is considered reversible in many situations because it does not permanently destroy the hair follicle. Individuals with this type of alopecia may shed anywhere from 50 to 100 hairs a day, resulting in bald patches, widespread balding, as well as noticeable hair thinning. There may also be inflammation, itchy skin, and peeling at the site of hair loss. Nonscarring alopecia predominantly affects men between the late teenage years and late 40s, and women around age 50 or later.


Patients who are diagnosed with nonscarring alopecia experience hair thinning and balding due to a disruption in the cycle of their hair growth that can be caused by a number of influences. The most common influence is genetic predisposition and hormones. This is called androgenetic alopecia, or male and female pattern hair loss. Other causes of nonscarring alopecia include telogen effluvium, anagen effluvium, alopecia areata, early stages of traction alopecia, and trichotillomania, as well as other less common conditions. Sometimes, diseases such as thyroid disorder, fungal infections, psoriasis, seborrheic dermatitis and systemic lupus erythematosus (SLE) can lead to nonscarring hair loss. Nonscarring alopecia can also occur with natural aging, which is known as senescent alopecia. Finally, the overuse of hair care products and the regular use of aggressive hair-styling techniques and chemicals can exacerbate hair loss by destroying hair structure and function. Interestingly, many forms of hair loss can be biphasic, where long term non-scarring alopecia can result in scarring alopecia.


Treatment will depend on many factors, including the cause of nonscarring alopecia, how much hair loss has occurred, and what the aesthetic goals are for the patient. Dr. Yaker offers a complete nonsurgical management approach to hair loss for patients who have thinning or balding and who wish to slow, stop and even reverse hair loss. Nonsurgical treatment includes:

  • Hair & Scalp Therapy using Dr. Yaker's TCHR Volumizing Glycolic Acid Shampoo and Conditioner
  • Nutritional modification, including dietary changes and Aminoplex hair repair supplements
  • Medication such as Finasteride (brand name: Propecia®) and Minoxidil (brand name: Rogaine®)
  • Low Level Laser Therapy  
  • Platelet Rich Plasma (PRP) with Placenta-Derived Extracellular Matrix Therapy
  • Scalp Micropigmentation
  • Camouflaging Hair Products

Surgical Treatment

For general hair loss that is related to nonscarring alopecia, surgical treatment can help regain a full head of hair. Hair transplant technology has made significant advancements and allows men and women to restore their hair loss in a perfectly natural way. There are two surgical approaches to consider:

Follicular Unit Transplantation (FUT):

  • Known as the “strip method", which uses an incision to remove a strip of hair and tissue from the back of the scalp and dissect the strip into individual hair grafts. The grafts are then transplanted to the areas of thinning and balding.

Follicular Unit Extraction (FUE):

  • This technique uses advanced technology to remove individual hair grafts (1-4 hairs) and then transfer these hairs to the areas of balding and thinning.

Both surgeries are widely used by hair transplant surgeons and create similar outcomes for patients. The difference between the two is in the way the hair is removed from the donor site (the back of the scalp).

Seek Treatment Today

If hair loss runs in your family or if you are experiencing ongoing hair thinning or balding and are ready to either stop or restore your hair loss, we invite you to call our office today so that you can receive a proper diagnosis and custom treatment plan.