Emergency Call Manhatten, NY 10065 800 A Fifth Avenue Suite 301
631-418-4173 Long Island, NY 11797 135 Crossways Park Drive, Suite 108, Woodbury


Madnani Facial Plastics is your premier center for surgical and non-surgical facial rejuvenation and reconstruction procedures. Led by board-certified facial plastic and reconstructive surgeon, Dr. Dilip Madnani, the medical professionals at Madnani Facial Plastics are proud to offer cutting-edge cosmetic treatments including hair and brow transplants to men and women in The Bronx, Queens, Brooklyn, Long Island and the neighboring communities in New York.


Hair loss is a challenge for both men and women who struggle with hair loss and want to maintain a fuller looking head of hair. The most effective treatment to solve this problem permanently is performing a hair transplant from the back of the head to the areas that are thinning. Dr. Madnani and his team of experts are specialized in the latest Hair Transplant Technology offering Follicular Unit Transplant (FUT) or Follicular Unit Excision (FUE) for male and Female patients.

Hair Science

We also offer medically advance prescription grade hair products to minimize hair loss and improve results pre-and post-operatively.

Downtime: 5-7 days
Cost: starting at $5,000*


  • A permanent solution for balding and thinning hair loss
  • Re-create your natural hairline and growth patterns
  • These transplanted hairs are resistant to the hormone that causes hair loss — dihydrotestosterone (DHT).
  • In-office treatment
  • Minimal downtime


  • We offer two methods of harvesting for hair restoration surgery: follicular unit transplantation (FUT), in which the surgeon makes a seamless incision to remove a strip of hair from the donor site.
  • Another method is follicular unit excision (FUE). FUE harvesting is the more popular option—likely because there’s no significant scarring, just tiny dots that are easily covered as hair grows.
  • You may begin to notice new hair growth about 3-4 months after the procedure and results will continue to improve up to a year after the procedure.
  • The transplantation is customized to each indivduals needs and desired results.
  • The procedure is performed with local anesthesia and we offer pain relievers during the procedure.

Causes of hair loss in men

Most causes of hair loss in men can be attributed to one of the following reasons:

  • Male pattern baldness (Androgenetic Alopecia)
  • Hereditary (family history of hair loss)
  • Medical conditions and medications
  • Changes in your hormones
  • Scarring from accidents, surgery, and chemical/thermal burns
  • Hair loss due to hair pulling (braiding/weaving)

While knowing the cause of your hair loss isn’t going to fix it by itself, recognizing the type of hair loss you have is the first step in determining your ideal treatment plan.

What is DHT?

Dihydrotestosterone (DHT) is an androgen. An androgen is a sex hormone that contributes to the development of what are thought of as “male” characteristics, such as body hair. But it can also make you lose your hair faster and earlier. There are treatments meant to slow the onset of male pattern baldness by specifically targeting DHT.

DHT’s connection to balding

Hair everywhere on your body grows out of structures underneath your skin known as follicles, which are essentially tiny capsules that each contain a single strand of hair. The hair within a follicle goes through a growth cycle that lasts about two to six years. Even if you shave or cut your hair, the same hair will grow back out of the follicle from the root of the hair contained within the follicle.

At the end of this cycle, the hair enters what’s known as a resting phase before finally falling out a few months later. Then, the follicle produces a new hair, and the cycle begins again.

High levels of androgens, including DHT, can shrink your hair follicles as well as shorten this cycle, causing hair to grow out looking thinner and more brittle, as well as fall out faster. DHT can also make it take longer for your follicles to grow new hairs once old hairs fall out.

Some people are more susceptible to these effects of DHT on scalp hair based on variations in their androgen receptor (AR) gene. Androgen receptors are proteins that allow hormones like testosterone and DHT to bind to them. This binding activity typically results in normal hormonal processes like body hair growth.

But variations in the AR gene can increase androgen receptivity in your scalp follicles, making you more likely to experience male pattern hair loss.

Male Pattern Baldness (Androgenetic Alopecia)

As its name implies, male pattern baldness usually displays a predictable pattern, with hair loss beginning at the hairline above the temples and gradually receding. Male pattern baldness is also the most common cause of hair loss in men, accounting for more than 95% of all hair loss cases.

Male pattern baldness causes your hair follicles to shrink slowly over time until they stop regrowing. Without proper attention, it can eventually progress to the point where only hair on the sides and rear of the head is left. With timely treatment, this outcome can be prevented.

Patchy Hair Loss (Alopecia Areata)

Much less common than male pattern hair loss is patchy hair loss and spot baldness, also known as Alopecia areata. Alopecia areata is an autoimmune disease that occurs when your body’s immune system attacks your hair follicles, leaving a smooth, round patch of hairless skin. Patchy hair loss can happen in otherwise healthy people.

Hair Loss Classifications: The Norwood Scale

Since male pattern baldness is the most common and predictable form of male hair loss, a visual scale was developed by Dr. James Hamilton (and later updated by Dr. O’Tar Norwood) to help men identify the level of their hair loss. Using the Norwood scale as a guide, we can identify your individual hair loss classification. The sooner you address your hair loss, the greater the chance you can preserve or save your hair.

  • Class 1 represents a head of hair with no visible hair loss.
  • Class 2 is characterized by the beginning of a receding hairline and some recession in the temple region.
  • Class 3 patients exhibit a more significant decline in hair above the temples as well as receding from the forehead. In the 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 forehead.
  • Class 5 hair loss affects the front and back of the scalp, with only a small area of the front hairline remaining and a rather large area of hair loss on the top.
  • Class 6 advanced hair loss occurs when the hair bridging the two sides of the head is fading away or completely gone. There may still be sufficient donor hair for transplantation; however, results may be limited.

Causes of hair loss in women

The most common causes of hair loss in women are:

  • Female pattern hair loss (Androgenetic alopecia)
  • Traction hair loss (traction alopecia)
  • Crash dieting
  • Birth control pills
  • Extreme stress
  • Iron deficiency
  • Hormonal imbalance like pregnancy and menopause
  • Medications
  • Major surgery
  • Endocrine conditions that affect thyroid function
  • Systemic diseases like lupus
  • Scars from burns or major surgery

The effects of hair loss in women

Losing your hair can be an upsetting and traumatic experience for anyone. For women, hair loss can especially have a negative affect on your sense of self and emotional well-being.

A full head of hair is usually associated with beauty and a positive self-image, so there’s a psychological toll that can come from hair loss.

Despite what you might think, hair loss in women is actually quite common. In fact, nearly 40% of people with at least some visible hair loss by age 40 are women. While there are close to 30 different conditions that can cause hair loss in women, just a few are responsible for the majority of cases. Fortunately, most can be resolved with proper treatment.

Female Pattern Hair Loss (Androgenetic Alopecia)

By far the most common type of hair loss in women is female pattern hair loss. Known as androgenetic alopecia (the same term used to describe male pattern hair loss), this hereditary condition can be passed down from either or both sides of your family.

Women’s hairlines rarely recede like men’s. Instead, it usually begins with hair loss radiating from the top of your head. This diffuse thinning slowly spreads across your scalp.

Prompt treatment is recommended when you experience noticeable thinning. For the best treatment results, don’t wait for it to get worse.

Traction Hair Loss (Traction Alopecia)

Hairstyles that pull women’s hair tight, such as braids, can cause stress to the scalp and eventually lead to hair loss. Known as traction alopecia, this type of hair loss happens slowly over time. It can be caused by a number of other factors, such as wearing wigs, hairbands, braids or excessively tight headgear. It can sometimes even be caused by women pulling their hair with their hands, a disorder known as trichotillomania.

Other Causes Of Hair Loss In Women

Less commonly, other lifestyle factors or medical conditions can lead to hair thinning or hair loss in women, including those listed above.

If you’re unsure of the cause of your hair loss or whether it can be treated, it’s always best to first visit your healthcare provider so he or she can confirm or rule out any possible medical causes of your hair loss.

Female Hair Loss Classification: The Ludwig Scale

Female pattern hair loss is traditionally classified using the Ludwig scale, which divides the stages of genetic hair loss into three types.

  • Type 1 is the earliest stage of female hair loss, with hair loss beginning on the front and top of the scalp. While you may not even notice your hair loss at this level, parting your hair down the center of your scalp will usually make your hair loss more visible. Treatment options may include low-level laser treatment, minoxidil or platelet-rich plasma, in addition to hair restoration procedures.
  • Type 2 hair loss is more significant, with areas of the scalp showing through thinning hair. By this time, you might notice thinning, shedding and decreased hair volume. Women with moderate hair loss are usually good candidates for a hair transplant procedure.
  • Type 3 is the most s evere level of hair loss. You may have complete hair loss on the crown of your head. Extensive hair loss represents a significant challenge in creating enough grafts to treat the affected area. Often, however, significant improvement of your appearance can be achieved with proper treatment.

The hair growth cycle consists of three distinct stages: anagen, catagen and telogen.

Each hair follicle is independent and goes through the growth cycle at different times — otherwise all your hair would fall out at once! Instead, you only shed a certain number of hairs a day – 80 to 100 hairs on a healthy head of hair.

Hair loss, hair thinning and problems with hair growth may occur when your growth cycle is disrupted. This can be triggered by conditions such as metabolic imbalances, illness or improper nutrition.

For instance, 6 weeks after restrictive dieting or a high fever, you may experience telogen effluvium (sudden diffuse hair fall). This occurs when your anagen (growth) phase is cut short, and many hairs enter the telogen (shedding) phase at the same time.

If your hair growth cycle is constantly challenged, or not supported with good nutrition, you may find that your hair will not grow as long as it used to. This is because your hairs are never allowed to stay in the anagen phase long enough to reach the desired length.

Anagen Phase

Your hair grows around half an inch a month [about 6 inches a year]. The growth phase, or anagen phase, lasts an average of 3-5 years — so a full-length hair averages 18 to 30 inches. The anagen phase is generally longer in people of Asian descent, and can last as much as 7 years — meaning your hair may be able to grow up to 3 feet long!

Catagen Phase

At the end of the anagen phase, your hair enters the catagen phase. This short transitional phase lasts approximately 10 days.

Telogen Phase

Finally, your hair enters the telogen phase, a resting phase when strands are released and falls out. The follicle then remains inactive for 3 months, before the whole process is repeated.

Madnani Facial Plastics is proud to offer advanced surgical and non-surgical facial rejuvenation and reconstruction procedures to patients located in Long Island, The Bronx, Brooklyn, Queens and the neighboring communities in New York state. Contact us  to schedule your one-on-one consultation with Dr. Madnani today.

    * Pricing subject to change.

    **Individual results may vary.
    **All photos are real patient images and not altered in any way.