Not all hair loss is the same
Androgenetic alopecia, telogen effluvium, alopecia areata and inflammatory scalp disorders follow different pathways. Onset, progression, medicines and recent events are part of the history. Examination and dermoscopy can help clarify the diagnosis; additional tests are proposed when useful.
Treatment depends on the cause
Depending on the diagnosis, options include topical or systemic treatments, addressing an identified factor and sometimes referral for hair transplantation. Indications, ongoing use and potential adverse effects are explained. Mention pregnancy or pregnancy plans. This website does not automatically recommend any protocol.
Microneedling, dutasteride and exosomes
For selected indications, following examination, Dr Sami Hamwi offers microneedling with topical Dutexome, containing 0.05% dutasteride and exosomes according to the manufacturer. The androgenetic alopecia dossier explains the rationale, appointments, limitations and precautions. This option does not replace diagnosis and is not suitable for every cause of hair loss.
Assessing progress over time
The hair cycle means that progress is considered over months. Comparable photographs and clinical review support assessment. The costs and practical demands of prolonged treatment should inform the decision. Improvement is not guaranteed, and transplantation does not stop changes in non-transplanted hair.
Choosing an appointment
For recent, unexplained hair loss or without an established diagnosis, start with a medical consultation. If a diagnosis exists and you wish to discuss a complementary procedure, its suitability is reassessed. Bring previous treatments and existing reports; do not send medical information through the website form.
Your questions
Is a single session enough?
Hair treatments are reviewed over time. Timing depends on the cause and treatment, rather than a universal session count.
Are exosomes standard treatment for all hair loss?
No. Evidence, the exact product, its status and route of use need evaluation. This page does not offer a universal exosome protocol.
Can I consult before or after a transplant?
Yes. Dermatological assessment can support hair and scalp care. Monitoring should be coordinated with the transplant team.
References and further reading
- American Academy of Dermatology · Hair loss: diagnosis and treatment (new tab)
- Dhurat et al. · Microneedling in androgenetic alopecia: pilot trial (2013) (new tab)
Manufacturer instructions describe a product; they do not guarantee clinical results. Information on this website does not replace a consultation.

