Microneedling For Hair Loss - New Insights! (Our Study)

My team and I just published a literature review on microneedling for hair loss. Right now, this study is one of the most up-to-date resources in the world on the topic. So, I wanted to make a video to share the findings with everyone - and explore if microneedling is a viable hair loss treatment.
First, we'll dive into the history of microneedling: what it is, how it works, and its evidence as a potential treatment for skin and hair disorders.
Then, we'll reveal our positions on popular questions, like:
-Does microneedling work?
-Can dermarolling (by itself) regrow hair?
-What are the best needling lengths?
-What's the best session frequency?
-Are automated pens better than microneedling rollers or stamps?
-How does microneedling stack up against platelet-rich plasma (PRP)?
I hope this video helps everyone looking to start microneedling or add in dermarollers / automated needling pens in hopes of improving their hair growth.
Our microneedling study:
link.springer.com/article/10....
Find more of our research here:
perfecthairhealth.com/
--
0:00 - Intro
1:19 - What is microneedling?
2:34 - History of use (skin)
3:55 - History of use (hair loss)
6:16 - What is a literature review? Our design
8:46 - Study results (overview)
11:25 - Problems with data quality
12:10 - Problem #1: No untreated control groups
13:28 - Problem #2: Study durations less than 52 weeks
15:09 - Problem #3: Heterogeneous data
17:11 - Key takeaways
17:41 - #1: Microneedling is as effective as PRP
18:50 - #2: Microneedling by itself can regrow hair
22:04 - #3: Microneedling enhances other treatments
23:32 - #4: Microneedling enhances the "staying power" of minoxidil
24:11 - #5: Microneedling: best needle length? It depends!
26:06 - #6: Microneedling: best needle length?
27:08 - #7: Microneedling: best session frequency?
27:45 - Final notes
About Rob English:
-Editorial board member of Dermatology and Therapy
-Medical editor specializing in hair loss disorders
-Peer-reviewed publications: perfecthairhealth.com/publica...

[@jumpander]

I've used derma-rollers for 3 and a half years now. My balding stopped and my hair slowly grew and still grows back to this day. The hair regrowth is very slow but I'll take it. Even if it takes 10 years to get back to 75% of the hair I had before balding it is still worth it.

[@Idle_Koala]

What is your routine? Needle length/time etc?

[@jumpander]

@@Idle_Koala I've been microneedle-ing my hair for about 3 years now. The intervals differ a lot because I do it whenever my scalp starts to feel "itchy". You may know this weird kind of itchy that's probably caused by inflammation. So there have been times I've done it only every 3 months but also times where I've done it every week. It depends on how you and your scalp feel. The length is 0,5mm but it could be longer (1mm) because I sometimes put quite the pressure on it. I microneedle the parts of my head where the male pattern baldness is most prevalent and in addition also my eyebrows (which have grown as well). After every microneedle session I treat my scalp with eucalyptus oil, apple cider vinegar, french brandy and another kind of oil like coconut or avocado oil, so that my scalp stays hydrated and doesn't get infected. I disinfect my scalp everyday for about 5 to 7 days after the treatment until my scalp starts to get dandruff because it renews itself. After the dandruff I wait for at least about a week before the next treatment because your scalp has to HEAL in order to get healthier. In addition to that I also massage my scalp the way this channel "Perfect Hair Health" suggests (but I only started with that a week or so ago). The results of my microneedle-ing (and almost only rye flour as shampoo, no unnatural hair products and a healthy diet with lots of exercise) are that my balding stopped and my hair grew and still grows back to this day. I'll probably never have a juvenile hairline again withoout surgery but I will lose my "going bald at the temples" in approximately 2 to 4 years from now. Growing my hair back takes a considerable amount of time! But it's an investment I'll happily work for because I love (my) hair! I can't guarantee that this routine will work for you but you can at least give it a try. If it worked for me it may also work for other people. Use my experience and knowledge at your own discretion.

[@Idle_Koala]

@@jumpander Wow thanks so much for the write up! I think we fall in the same boat in terms of preferring a natural approach when possible for hair loss. So it’s really encouraging to hear of your progress. I have a needling device which I used for 10 weeks and saw progress, just been lazy with my application as of late. I also started scalp massages recently too. Hopefully the combination will help. I’m not noticeably balding to others as of right now, but my hair is so much thinner than it was 3 years ago when I noticed increased shedding and the temples and crown are starting to go which I why I want to be proactive. Do you apply the ACV right after needling? I bet that hurts. Also, how do you apply the oils to your scalp. Do you massage them in and let it sit over night then rise out? Every time I’ve tried scalp oils my hair looks so greasy. Thanks again!

[@jumpander]

​@@Idle_Koala Proactivity is way better than reactivity. Because if you care for your hair reactively you'll lose some hair that you'll never be able to get back. If I would have cared for my hair the way I do now only 5 years earlier I would still have a juvenile hairline today, no exaggeration. (I envy my children in the future who'll I nurture and educate with this knowledge.) To your apple cider vinegar question. I do apply it right after. But the burn is a good kind of burn. Just like microneedle-ing does hurt but it's also a very intense and good scalp massage at the same time. The pain from ACV is a relieving one. The oils I just massage onto my scalp. The places where my balding is most prevalent I focus on, the other parts of the scalp I'll more lightly oil and massage as they do not need as much care. I let the oils sink in over a night or two, depending whether I have an urgent appointment the next day where my hair needs to look good. But I preferably only use as much oil as it won't let my hair look that greasy. However, I do have to wash my hair after every treatment and more often in the following days after this treatment than I would do normally. But that's a low price to pay in my opinion. (Things to know: I am a 24 year old male, with relatively long hair. My hair goes down to my chin. My hair thickness and density is below average by birth. My balding started probably when I was 15 to 17, but I first really noticed when I was 18 to 20 and I first took action when I was 20 to 21 years old. The balding affect-ed/-s my temples and generally only my forehead region (from juvenile to mature hairline in the front). The backside and top of my head wasn't noticably affected by balding yet, thank goodness.)

[@CutTheKam]

@@jumpander so you microneedle your head and your eyebrows once a week? im balding a bit but i want to grow my eyebrows as well

[@bamzerdaniel1997]

It’s so refreshing to finally seeing a channel that cares about the scientific method properly

[@collinsx62]

You should be very proud of this video, the quality is astounding and blows other hairloss channels out of the water, Congrats!

[@woulddrow540]

W comment

[@amypellegrini1732]

I like how you give some scientific background regarding the information you are sharing. Other sources just say stuff like "studies show..." or "studies suggest..." without even quoting which studies. Misinformation is rampant today so this is really appreciated.

[@sonnyaugust4128]

This is the most informative hairloss channel I've ever found. You should have more views. More people need to see this

[@Kugelschrei]

Just watched the video, I have to say that your transparency and thoroughness regarding the scientifoc method in order to shed some light on this muddy study field is something I am not used to within my bubble. Kudos!

[@Zenvinu]

The amount of research that you guys have done is just incredible 🔥👍. Kudos to you.

[@Cstank5]

One of the only youtube channels that I will sit and watch through the entire 30min video

[@leonardweisensee9558]

This man is amazing, his delivery and science is very believable, I truly appreciate all his efforts.

[@danielrony4169]

I tried Microneedling about a year ago for 4 months, I did not use a combination of Min or Fin though. Unfortunately it didn't do anything. This video gave me hope to give it another try, this time I will do it with Derma Pen and be very consistent. I will update in couple of months.

[@EriPages]

It's been 17 hours. Update us NOW.

[@RexMixovic]

@@EriPages 🤣🤣🤣

[@danielrony4169]

@@EriPages Hahahahah! I promise, I won't be like others who disappear. In couple of months I will give an update. I also suffer from retrograde alopecia (I am heading to aggressive norwood 6-7). So I am needling my nape area as well, currently doing 1.5mm\week. Will give an update! Wish you all the best.

[@EriPages]

@@danielrony4169 thanks Daniel. Same to you. See you in August!

[@MohondhaY]

@@EriPagesdude! 🤣

[@nontologicalbeing]

Rob, you and your team's content is the absolute best anywhere on the internet. I really appreciate the level-headed and open-minded perspectives and assessments you give. Hair loss research and treatment is surprisingly dogmatic for being such an incomplete and changing field, but it's honestly comforting to know there are people with the means and drive to dig through all these unanswered problems and questions for the benefit of everyone.

[@PerfectHairHealth]

I really appreciate the kind words, and your perspective. Thanks for watching and I hope the content continues to help you out!

[@ivanfranco2363]

Rob and team really rock!!!

[@tikhon1996]

This channel doesn’t receive nearly the attention that it should. These are world class videos. Would love to see an opportunity to support with a patreon subscription in the future. Maybe even adding patreon contributors to join a discord with Rob to suggest future video topics and to ask questions. Great work!

[@arsenyturin]

Great work, Rob! Currently, people rely on anecdotal data and obscure studies without any kind of proof of legitimacy. Thanks for reviewing tons of material and being skeptical about the results.

[@PerfectHairHealth]

Thanks for the kind words, and for checking out the channel!

[@FrankPloegman]

Thank you very much for doing this research, explaining the research and the scientific method so well, sticking to the scientific method, and making such a high production quality video. Superb job!

[@jasonw.bournejr6694]

Yes and yes and yes, it works. I started scratching my almost fully balded scalp with a metalic brush(ofcourse gently)it was painful and i bled, but was so worth it. So a tool designed for the cause to cover ground evenly must work and am getting one. Thanks bud, u did me a favors and saved me from looking like my dad at different age differences PS. Am not paid to write here but felt obliged to support this guys content

[@sonic5d]

The video presentation on micro-needling and its impact on hair growth, particularly when combined with topical treatments, was nothing short of compelling! The caliber of the content was so exceptional that it compelled me to subscribe immediately 😊 As an educator in AP Statistics, I found the numerical data and statistical analysis presented in the studies to be both comprehensive and accessible. The depth of the statistical analysis was truly remarkable, and it was a delight to observe such a thorough application of statistical principles to real-world scenarios. The way you highlighted the potential biases that often infiltrate clinical trials was a masterstroke. These are the very same biases I caution my students against, and to see them so eloquently pointed out was a sight to behold 🙏🏾. But beyond the statistical analysis, the video was a revelation in terms of my understanding of micro-needling. The efficacy of this technique was illuminated in a way that has significantly enhanced my comprehension. In essence, this video was not only a testament to the beauty of rigorous scientific analysis, but also a valuable resource in understanding the practical applications of micro-needling. I do wonder if any of these trials were based on different hair types since I have very coarse hair: C4. Anyway, thank you so much 😊

[@PerfectHairHealth]

Thanks a ton! I appreciate the kind words. If you liked this video, you might also like our latest video about evidence quality and clinical trial manipulation: kzbin.info/www/bejne/haOVlJRjiqqoesUsi=FJi4mfVxmL7OByRn

[@OGAesthetics]

damn this channel is pure gold. why does he only have 3.8k subs?????? content deserves atleast 300k subs

[@lilytea3]

0:00: 📚 A new peer-reviewed study on microneedling for hair loss has been published, providing up-to-date information and addressing key questions about its effectiveness and safety. 4:11: 🔬 Microneedling has shown positive signals for hair follicle proliferation and health. 8:48: 🔍 A systematic review of 17 studies on microneedling for hair loss reveals key findings and recommendations for future research. 12:58: 😕 The video discusses the importance of having an untreated control group in hair growth studies and highlights the issue of short study durations and seasonality effects. 17:30: 📚 Microneedling is found to be just as effective as platelet-rich plasma therapy (PRP) in regrowing hair. 21:31: 🔬 Microneedling shows promise in improving hair count and enhancing the effectiveness of other hair loss treatments. 25:26: 📌 The optimal needle depth for microneedling to promote hair growth is between 0.6 and 0.8 millimeters. Recap by Tammy AI

[@matsa2620]

Thanks for the effort, both regarding the academic work behind this and regarding the work on the video itself (to make it pedagogical). I learned a few things about needle length here, that was precisely why I watched this video to begin with.

[@tonylovesotis7662]

one of the best videos I've yet seen on KZbin. totally credible.

[@TheKnightGoesBrrrrrr]

The video I didn't know I needed. Great info, very much needed research , thanks a bunch!

[@nickmontanaro9638]

Best hair health channel by far on KZbin.

[@John-457]

Fantastic video 👌 been looking forward to this one, great to have some deep dive insights to these kinds of subjects.

[@MKBinDC]

This channel is a godsend for anyone wanting to cut through all the misinformation and marketing claims coming from the hair-loss industry and from chiropractors masquerading as MDs on KZbin.

[@Crazy09starkillor]

Fantastic analysis and video! It is so hard to find good and concise information about microneedling for hair growth especially information more grounded in science, thanks!

[@petrichor100]

Hi Rob! Thanks a lot for sharing your team's study with us. I appreciate how you do not look at these studies as gospels like most KZbinrs do. I have started massaging my scalp using the technique you detailed in one of your videos and I think you are on to something there with scalp's tightness being a big contributor to hair loss. I do microneedling with and without minoxidil and I am a believer in its efficacy not just on hair count but hair diameter. For future videos, can you please share your opinion on stem cells therapy. It is very popular in Asia and the Middle East and known sometimes by the name of Regenera Activa or Regenera. It is a very expensive treatment and wondering if it is worth it.

[@hassanjaved4091]

Thank you very much. We need more researchers like you to share research with the general audience.

[@hassanjaved4091]

And the cool thing about your presentation is that you go into a lot of details about the experiment designs to give the overall picture.

[@hello-music121]

Best content. Most reliable source of information. Good job man!!

[@glicerinaldehid]

I like your style it is very professional, I am happy that there is someone who takes this so seriously. Keep up the good work. Please make one overall review of all techniques/tools/medicine and if these work better together.

[@haoyingjin4450]

Thank you really so much Rob. You bring BOTH logic and evidence in every sentence you say and that is rare nowadays. Are you at all interested in Eastern medicine and treatments? A lot of it involves bloodflow and recovery. Some of it is outdated and needs filtering, and I feel like you would be the perfect person to combine modern science with treatments passed down from thousands of years ago. I believe that bloodflow is the fountain of youth within us and blood cells will ever be better than any nanomachines that scientists will be able to make. Thank you for bringing more light to non-invasive treatments, you are improving the world with every video.

[@HelloTiggs1]

World class videos, but more important, world class information!👍

[@NickD461]

So informative, clear, concise and well put together - great job! Thank you!

[@dahsk7872]

What do you mean? Consise? He could of said this all in a 1 minute video

[@franklincaramonte7081]

Based on your video I decided to give it a go with wonderful results. I have tried the PRP Method with some results and I did go in on a laser helmet that also helped somewhat. But the returns on this imho wasn't enough. So I bought a 1.5mm roller and 5% minoxidil and in 3 months the results are very telling. I microneedled once a week and applied the solution to the affected areas twice a day. My hairline is recovering and the thinning areas have recovered faster than with the other methods previously tried. Thank you for this video.

[@PerfectHairHealth]

That's awesome! Congratulations on your success!!

[@HammerOfJustice124]

Day 1: I’m 50 years old. Started thinning at 30 and saw no effects from minoxidil so I gave up. So 20 years of not being happy with how I look. I got my derma roller today. I will try to remember this channel in 6 months and give an update on how it goes.

[@augustgphs]

Please do update!

[@arnobaert8339]

its too late for you

[@HammerOfJustice124]

@@arnobaert8339 hey if you’re bored why don’t you go play in traffic?

[@arnobaert8339]

@@HammerOfJustice124 i already did when i was a todler, lost both of my legs but not my hair

[@HammerOfJustice124]

@@arnobaert8339why don’t you try derma rolling your little nubs. Maybe it’s not too late.

[@viyugunmj359]

Really detailed explanation and thank you . Good video without annoying ad

[@radimm5936]

Been doing microneedling on and of for over a year just not to get any more receding hairline without any noticeable changes, but it might have helped in stopping progression for sure. Then about two weeks ago I watched pretty cool video about lack of oxygenation of the scalp and it's consequent release of DHT into the area, arguing that pretty much basic scalp massage can prevent you from deployment of DHT into the area in general. I also suffer with psoriatic condition in the area of my hairline, where it gets red and I get scaly and scabby skin flakes there especially after more strenuous workouts. So I've done some soft tissue work in my forehead area of the scalp every other day and I have to say that those psoriatic symptoms pretty much disappeared and my hair already looks healthier and feels stronger. I pretty much did techniques similar to fascia release and scar tissue massages and I was surprised that that scalp was pretty hard to move with at first but now it feels elastic and loose. It the video they spoke about this as a main cause of balding and in the same time consequence of straining mimic muscles which make the scalp skin less elastic, oxygenated etc., resulting in deployment of DHT into the area, it is also supported by some studies, for example with one by using botulotoxin into mimic muscles of subjects so they stop overworking those muscles and on majority their hair got significantly thicker. So I think that it might eventually be just as simple as massaging your hairline every other day for most people..

[@sindrestokke79]

I also has psoriasis with redness and white flakes in the scalp. How long do you massage your scalp for?

[@radimm5936]

@@sindrestokke79 Just a couple of minutes at a time when I have nothing to do, I'm still figuring out how to go about it, wouldn't be too bad to focus on relaxation techniques of frontalis muscle as well perhaps.. Still I think I will keep doing microneedling with that at least once a month to boost the effect.

[@darnelljones0425]

How is the scalp massages? Does it work?

[@donjuantrumpetajohnson]

None of that is truly backed up by science. So far none of it proven.

[@deshawnman3790]

@@donjuantrumpetajohnsonwhy would they do studies on that when pharmaceutical companies that fund these trials won’t make a penny from this solution.

[@j00f]

A key point from this video for me: Manual rollers only penetrate 50-70% of their said lenght. Optimal lenght for a roller is between 1-1,5mm.

[@FPL_Habesha]

no wonder I haven't seen result using .5 roller 😆😆

[@TaLeng2023]

​@@FPL_Habeshadid you switched to a different size?

[@FPL_Habesha]

@@TaLeng2023 yes to 1.5mm 3 months ago and I have seen pretty good growth. I also use minoxidil.

[@selfimpovingprophecy5970]

This is so good holly molly, God bless you and your team.

[@eugenetswong]

Congratulations on publishing your paper!

[@richardduckworth5583]

Very informative and well presented!

[@Omido.official]

Absolutely professional. Thank you so much for your work!! I‘d donate for that

[@jackwhitetron]

Sir, thank you for the thorough explanation. I appreciate the transparency.

[@tubejuanso]

Amazing. Absolutely amazing. Thank you!

[@tyronewong6337]

The visual significance is another issue to address. Going from 1 hair per sq. cm. to 2 hairs per sq. cm is a 100% increase. So initial density needs to be taken into account in the statistics. Pictures definitely help. Would be good to know when to apply 5% minoxidil as well.

[@tyronewong6337]

Actually, the video says that absorption is better after the skin is wounded.

[@jcrider392]

Didn't he say 12-24 hours after microderming?

[@ronlevine8873]

By profession I do analysis of clinical studies and I was impressed by the methodologic rigor with which you conducted your video. That may bore some of your audience, but it is important to show why many studies are overoptimistic about the results and often cause disappointment among the viewers when they judge their own outcomes. You earned my respect by the the single before/after (microneedling only) study you chose to include here: the results showed some observable changes (+15% in haircounts) but were not dramatically improved, which is realistic, in my view.

[@mckarambo5216]

15% is still a lot, when you have done HT and depleted the donor area. S1 telling u can get 10-15% by doing microneedling is encouraging

[@ron101346]

Is 15% “a lot?” I don’t think so. If you had 20 hairs on your vertex region and microneedling increases hair density by 15%, you would have 23 hairs. Is that worth your time and effort?

[@mckarambo5216]

@@ron101346 Yes it is! So lets take ur example. the density increase is usually reported by a square centimeters. So on the micro surface 3 hairs might seem not like much but if you take that upon a bigger surface you get ur worth out of it. Besides that it allows you to strengthen ur existing hair. the 15% is just an average either way in the clinical studies an average of 20 new hairs per square centimeter were reported. It depends on the individual if its worth the time and effort in my case its worth it since my camouflage density got increased.

[@jcrider392]

Call me a nerd, but I was engaged the entire time, nothing boring at all to me.

[@thomasb3190]

im just saying.. if a certain part of my body was 15% bigger... i think we would all go "yeah i would like 15% more plz" if you know what im saying...

[@RememberTrueStyle]

Wow! Thank you so much Rob. Getting Microneedling now

[@LSmith-qu1eq]

Thanks for this useful information and congratulations for the paper.

[@Hondeer]

This is so helpful! Been doing Fina + Mino + Derma with who knows what kind of efficacy because of the varied study data, and now the massage methods you covered which I never knew how much tension was in my scalp until there wasn't! This is really straightforward and as an engineer, I greatly appreciate your methodology for data collection.

[@SaisukeMutsu]

in which video does he talk about the massage methods?

[@Hondeer]

@@SaisukeMutsu He has one a while back, it's on their site as well talking about stretching, pinching and pressing for 20 minutes a shot, 12hrs apart. I'm doing it only once a day for 10 minutes but it's helped my eye and neck tension at work.

[@lalitkumarbhagwate1760]

Whats the result now of ur scalp massage..... Could you give me the update (btw sorry for the poor English) Bro i am losing my hairs and confidence too 😔

[@Hondeer]

@@lalitkumarbhagwate1760 Dude, derma rolling and the scalp massage works! It's not an over night cure but with 1mm rollers and doing scalp massages 2-3 times a week, the wife is commenting all the time on how amazing that it's getting thicker, coming back, lots of new 'baby hairs'. Stuff is legit. I'm also taking collegen supplements to help break up the scar tissue he talks about.

[@lalitkumarbhagwate1760]

@@Hondeer does scalp massage stop hair fall immediately within few days or hair loss continuous even after massage? And which collagen supplement you consume?

[@N330AA]

It's definitely a cheap and low risk option that is worth adding i think.

[@ivanwu365]

Dude you explain things clear. 👍🏼

[@dexterousx92]

*This is the most in-depth video i have seen on this topic. Lots of great information here. I have been using a .25 needle but i think after seeing this i might go for a bigger needle. Thanks for this video. Its great information on the topic!*

[@maste-a5661]

What size is best in your opinion?? 🤔

[@dexterousx92]

*I currently use a 1.5 roller. Every hair type, hair thickness and balding situation will be different. my thinning was very minor and after 1.5 years of rolling i have zero thinning. i only roll twice a week. I would maybe buy a kit that has various sizes. The .25 needle i started when wont do much if you have very think hair. I hope this helps!*

[@Mistrzdan]

Hi Rob! I bought your ebook some years ago but I concentrated on other things in my life and now my balding exceeds so I came back to hair loss subject and found your KZbin channel:) I am starting minoxidil + micro needling regiment but my question is do you still recommend resigning from all shampoos and conditioners while doing the regiment? Does your take on that have changed through last years? Greetings from Poland 🇵🇱

[@jaylaw6970]

Make your own. Olive or coconut oil castile. Plenty of vids show how..... Makes a massive difference!

[@stokedupart4078]

You can use the roller as a pen too. There's a video on it. Worth checking out. As for me, I've only done microneedling 4 time using a .5mm cuz I'm a novice to this. So far it's good. Hairs are sort of regrowing.

[@user-pd7il3xz5j]

Can you copy and share that link here? T.Y.

[@stokedupart4078]

@@user-pd7il3xz5j kzbin.info/www/bejne/opjQlKGZZaqVeK8

[@bena2591]

I think you mean one can use it as a stamp.

[@FPL_Habesha]

the link to the video please

[@anunknowndude]

Absolute best channel on the topic. I can't believe there's an actual channel doing this kind of work. This should be hitting mainstream media, tv, netflix and so on. World class channel

[@moodwithfood5]

Its perfect channel for hair growth..... And as i have wriitten the first line i saw that the name of the channel is also the same to my first line it means channel name complements the work in it....

[@Andreatuzze]

I've read that microneedling can enhance your peppermint oil usage based on a study done with Rogaine. My question is should you do the microneedling right before using the peppermint oil or it doesn't matter if you do it before after or even at days distance?

[@mehditalib]

I think about the needle length! You should get a good slightly burning redness and you should feel it also on the next day when washing you hair! If you’re bleeding it might be to much!

[@AnnamPrasanth]

This is by far the most comprehensive list of research I’ve seen on hair growth. I have a question, could you please lemme know what’s the right order of using micro needling, rogaine & rosemary oil?

[@alm8538]

I just learned about you! I'm following you! 🎉

[@SL-bu6qj]

Thoughts on MN with copper peptides or growth stem cells? Wondering if results are from the needling not the product. Thanks for the great content!

[@jaipalcse]

For once i thought i am taking data analysis class 🤣. jokes apart it is very deep analysis which really matters. Thanks

[@elishagabriell6529]

I love the skull and the scream... oh yes, and the article is first class! Congrats!

[@himprabalkaushik4637]

God bless u man, seriously this guy is a blessing,

[@ddjchoi]

Great content! Thank you. May I ask what is a trustworthy medical grade brand for microneedling?

[@dezertson2011]

Microneedling over the top of thinning hair needs a deeper needle length because of the buffer that existing hair puts between the scalp and the needling device.

[@mahinkhan4782]

Wow what an effort I can foresee your channel blowing up soon Bests

[@PerfectHairHealth]

Thanks for watching!

[@erenesay5831]

6800 views but this video has the quality of one that should have 6800000 views. Wow!

[@xy-pc9nh]

Thanks Rob, very detailed and precise analysis of the studies! I would like to know your opinion and/or researched data on microneedling together with topical oils like rosemary oil etc.? I dont want to use Minoxidil or Finasteride so I wonder if oils might work just as well as these known medical treatments. I do microneedle with a pen but it feels like it doesnt have much of an effect..

[@PerfectHairHealth]

Thank you! There's no clinical data comparing microneedling with natural topicals, but hypothetically, microneedling should help to improve transdermal absorption for any topical you're applying. It also works through mechanisms separately than what most topicals can evoke. Based on what we know, I think there's potential upside to the combination approach.

[@ahmedalaa9736]

Strict to the point really , great video. I just have one question regarding Derma roller as some videos i watched it says that it might scar the sculp due to its angle of penetration, while derma pens are better , can you give me an insight to this claim , as i bought a 1mm derma roller used it once a week for 4 weeks and then stopped as i thought it would damage my sculp more than fixing my hair loss progression.

[@PerfectHairHealth]

Thanks! We haven't seen clinical evidence of scarring from microneedling rollers or pens when done within the parameters discussed in this video. In fact, we've seen the opposite! One study showed reductions to facial scars following recurring microneedling sessions using a 3.0mm needle length. I think if you keep the needle lengths under 2.0mm and adhere to proper usage frequencies, the data so far suggest you should be okay.

[@lglomo]

Man I wish I knew about your channel before. Wow this is helpful.

[@MrFrankfurt13]

Avoiding the placebo effect for microneedling would be a tricky one. I guess maybe a device that buzzes but doesn't penetrate the scalp. But then perhaps the vibration might impact things...

[@snarkygnome619]

Scalp massage is a thing and apparently it works. And also patients will know if their scalp is not being poked with needles unless the scalp is under local anesthesia.

[@AustinAdams]

Been 2+ months and my temples are filling in nicely from micro-needling along with minoxidil and finasteride. Very promising.

[@biggdogg99848]

It's the minoxidil not the needling doing that does jackshit

[@BadRussian77]

As soon as you quit applying minoxidil you'll lose more hair. Once minoxidil always minoxodil.

[@biggdogg99848]

@@BadRussian77 fuck minoxidil

[@ronburgundy4375]

@@BadRussian77 not if you go get stem cell injections lmao that's shy the hair follicles die they go dormant

[@mysteriousjz]

@@BadRussian77 no, not really. Microneedling along with diet, and topical oils such as castor oil, almond oil, olive oil, rosemary oil etc. Just two or even less times a week will probably have incredible results and without continuing minoxidil

[@Crushin123]

I shaved my head (when I still had a full head of hair) for over 10yrs...I have decided to grow it back recently, and it isn't as full as I remember...It has receded quite a bit and much thinner, wispy at the front. I was wondering about either natural shampoo to clean the scalp properly or a medicated shampoo? I tend to get dandruff easily, as well as a sebum build-up. I would like to clean the scalp regularly without this sort of build up. Thanks for all this great info - you change lives.

[@shweta703]

Hi Rob, Thanks for sharing this, you are doing great work. I am wondering if brushing scalp very hard with a plastic brush can have similar effects?

[@GasperBregar]

How long can you use the derma roller before replacing it with new one? Some say after 1 month while the others say you can use it as long as the needles are not bent or rusty. Your thoughts?

[@garyabblott5815]

It depends on how hard you press, depends on that needle material. Generally I would recommend changing after 3-4 uses (using once a week) But really, If you disinfect and dry properly and the needles are in good health I would say use as long as possible.

[@GasperBregar]

@@garyabblott5815 Thank you.

[@merdovamusic]

Rob, I use a derminator 2 automated pen that doesn't have the ability to set depths of 0.6 - 0.8mm but rather jumps from 0.5 - 1.0mm I've been using it on 1.5mm once per week in combination with minoxidil & finasteride. I know you mentioned that the differences in hair outcomes are minuscule, but would you recommend I switch to 1.0mm since that is closer to the best needle depth penetration these studies show?

[@PerfectHairHealth]

There were several studies showing that 1.5mm automated pens also worked, so I would stick with whatever you’re comfortable doing / whatever is getting results. I don’t think switching down to 1.0mm would make that big of a difference since that is still slightly over the threshold depth for the bulge.

[@TheRealJohnnyL]

Not sure which one you have, my Derminator 2 can go to .75mm. It clearly says it on the website. "Depth setting. From 0 to 2.5 mm in steps of 0.25 mm. The position of the upwards-pointing white triangle corresponds with the set depth. With a "trick", the single needle can also be made to go up to 3.5 mm."

[@Goozoozoo117]

The fact that a Pen should not be used as deep as a roller is so important. Great info

[@Jaycutler709]

This is such a wildly good video.

[@stockholmpublishings2937]

Great input. Thank you for this video. I was actually on of the first ones doing dermarolling. Started at 2011 lmfao, could've never known it would become this big.

[@uunz4435]

Did it work?? 😂

[@stockholmpublishings2937]

@@uunz4435 lol yes, however, I used it more on my face than scalp/to regrow hair. And today people get surprised that I'm as old as I'am. And that's after drinking heavily and smoking for years.

[@diemme568]

GREAT! perfectly in line with my personal experience: MXDL 5% twice a day (2 ml each application, thus total ca. 4 ml/day) enhanced thru dermaroller 1 or 1,5 mm (I have 2 of them, used alternatively) *directly* on MXDL-wet scalp. I leave some sessions off. let's say one in 4 or 5. -- Procedure: draw the roller without too much pressure, one direction every pass (don't roll back and forth ! ) total time ca. 3-4 mins, every "pass" takes less than 5 s (1 s pure "pass", break between passes ca. 4 s) so 12 passes/min or around 40 passes in total, in multiple directions. -- Treated area: ALL of the upper crown (vertex), down to temples and frontal region. -- History: procedure has evolved thru time: initially, only MXDL with some micro-needling from the very beginning. Started with 1X week on dry scalp, away from MXDL application, then 2X week after some months, then 4-5 X week the following year, sometimes just after or before MXDL. -- Results: gradually from moderate to very good: throughout 2 degrees on Norwood scale, from 4-5 to 2-3. Now, after 1 more YR of this practice, applying the MXDL and then the roller on wet scalp: around *twice* the initial improvement due to MXDL with less dermarolling on dry scalp. -- Subject: MALE, 56 YO, noticed first signs of AGA in my 30's but didn't care, began treatment at 52. I monitored results thru photos, and since I am a Dr. in engineering, I'm well aware of typical problems while doing research: reproducibility, biases, other systematic factors like seasonality... etc.. so data is solid. hope this helps other viewers, too :-)

[@SpoonFinder]

I really wish someone did a study to try and understand if Minoxidil goes systemic when applied roughly at the same time of microneedling, because it seems anedoctally that this is how you get the best results but I don't know if i want to take the risk of having big doses go systemic. Maybe I should just try

[@diemme568]

@@SpoonFinder maybe ! ;->

[@Trader7535]

Great. After how much time you dry your hair after the procedure?

[@diemme568]

@@Trader7535 I don't dry it; it dries by itself within a few minutes. I leave the MXDL on, so when I happen to be hot, and sweat, there's perhaps a chance some of it going into the scalp (femtograms, probably.. ) all the time. And... when I say "wet" microneedling, I mean WET from the MXDL ! Not from water! I wash my hair every ... 4 or 5 days, maybe ?

[@Trader7535]

@@diemme568 Ok, I understood wet from water. I wash my hair everyday, with Biorga Minoxidil hair seems dirty. I'll give a try to your protocol, maybe washing a little more 'cause I make a lot of fitness.

[@republiccooper]

Excellent video. Thank you very much.

[@hakim.a78]

Thanks for the very nice and insightful video. One question though: there seems to be some people discussing about a potential difference between titanium and stainless steel needles, is there any tangible knowledge or feedback about that ? Keep the good work 👍😊 Cheers from France 🇫🇷

[@charlesmartino4252]

Very informative, I started micro needling last week with a 1 mm. Will do it weekly for the next 4 month and hope for the best.

[@ZzzZzz-gk4bo]

Does blood come out of you during use? Even a little?

[@charlesmartino4252]

@@ZzzZzz-gk4bo Yes in some spots because it is hard to keep the same amount of pressure as you are doing it. I would say done right it should look a little like a sunburn spot after you are done

[@ZzzZzz-gk4bo]

@@charlesmartino4252 Is 0.5mm enough and good ?

[@charlesmartino4252]

@@ZzzZzz-gk4bo I use a 1.0 the first week and switch to 1.5 since than. I did that because I heard another person said they had better results using it. After using it I think it may be better because it requires less pressure. I found myself pressing harder with the 1.0. There hasn't been any thing I watched that said a .5 works. I bought all 3 and use the .5 for on my face as some say it help with wrinkles. I figure if I am doing one I might as well to the other. I also started taking Stinging Nettles for it's ability to stop Testosterone into dihydrotestosterone. Along with using a Hairmax laser band. 4 weeks in the only thing I see is less hair in the sink, no growth yet

[@mithanshurai]

Any update

[@lfd3cg]

Hi Rob, Thanks a lot for your video. It made me start microneedling. I'm on month two, doing it once a week. Currently I'm doing it as monotherapy because I don't want to use any drugs or topicals at the moment. To not keep it as monotherapy I'm thinking of also doing 15 minute massages daily. I would use a motorised massager that I have that doesn't vibrate, it rather has four heads that go in circles. Do you think this is okay? I'm concerned that by massaging I might not let the microwounds fully heal. So I was thinking of doing the massages on the third (or two days?) day prior to the microneedling session. I would really appreciate your advice. Thanks!

[@venkyswhanika7599]

I wish your query is answered. How are your results though?

[@Raziel132]

Microwounds heal extremely fast, so far research shows great results at 1.5mm weekly

[@krzysztoww]

Great content! Thanks.

[@skyclad89]

I'm here because I was whining to Adam Fields about my genetic hair loss. He suggested I find you, so here I am to learn something new and hopefully NOT go bald like my mother did at this age.

[@25taylor91]

I just wanna know how to actually use the roller. No one says how, just that they use. Over my whole head? Just the bald spot? 10 runs over? Constantly for 10 mins? 5 mins?

[@jansen8304]

Hey Rob, I have a full set of hair, but started receiding at the the temples and thinning a little bit at the crown. I always hear its important to prevent before it gets worst. So I was just wondering if a derma stamp from Dr. Pen and a couple months minoxidil 5 % sounds like a good idea to you ? Its really just to prevent, because my hair still looks really good, but I can see its starting to lose a little bit of thickness at the temples and crown. Also, I was wondering if it was dangerous for the existing hair bulbs to be microneedling around them ? Could it make it worst ? Thanks for all your work man, we appreciate it !!

[@courtneyderouen]

Stay away from minoxidil, you’ll be on it for life or lose your hair when you stop using it. The Dr Pen works, I’ve seen several different vids from people who experienced results. Personally I used .25 and .5 derma rollers and increased overall thickness and around my front hairline. That’s without any topicals. When inexperienced hair shedding, I diluted my organic shampoo with a little water, I add some strong brewed green tea and a few drops of rosemary and peppermint oils and let it sit for 5 mins when I shampoo. Hope this helps!

[@runebdrim6733]

Start taking minoxidil foam once every day 2 caps/ ml, you will get your hair back in 6 months up to a year, but you need to keep applying it if you want to keep the gains, or lose hair.

[@Shafeek258]

@@runebdrim6733 do you have to take it for whole life

[@cristian15154]

Psychological conditions can indeed lead to hormonal imbalances, which can in turn contribute to hair loss in men. Stress, anxiety, and depression can disrupt the normal functioning of the endocrine system, affecting the production of hormones involved in hair growth, such as DHT. The bidirectional relationship between psychological conditions and hormonal imbalances highlights the complex interplay of factors in the development and progression of male pattern baldness. Therefore, when exploring the causes of hair loss in men, it is important to consider both psychological and hormonal factors and their potential interactions.

[@martyparsons9419]

Thanks for the detailed vid, Rob! Having just watched your vid with Paul Saladino, do you have new studies / results on combining scalp massaging with micro-needling and finasteride?

[@LucasAlexK]

Hey Rob! Could you talk about Rosemary oil and peppermint oil? Some studies suggest they might be as effective as minoxidil 😅

[@unassailable6138]

Peppermint oil is volatile and harmful to your lungs. You can develop permanent damage on your alveoli from essential oils

[@sskinedGUY]

Maybe but adding more oil on an already oily scalp is going to result in more hairloss unless your scalp is normally dry.

[@abe8885]

Rosemary is only as effective as 2% which is not that much when standard over the counter minoxidil uses 5% and get double the results.

[@env0x]

they're not that good at stimulating hair growth but they are good for anti-microbial properties that can help prevent hairloss due to microbes, and create a healthy scalp to assist in hair growth. make sure you dilute them in a carrier oil, emu and ostrich oil has the best absorbent properties as they have a similar acidity profile to that of humans.

[@Anthro777]

@@sskinedGUY essential oils aren't "oily" like carrier oils...

[@ST-wh7et]

Hi Rob, from my experience and from others, the demo roller pluck and pulls out healthy hair during the process, while actually a demo pen seems more efficient accurate and cancels that side effect of plucking out. I have noticed less total hair after a microneedling session, now I know why, the microroller can make more damage than improvments, and is much less efficent if we have a thicker or longer hairline.

[@ST-wh7et]

So microneedling yes, dermoRoller not always, other tools or devices rae probbaly more efficent.

[@Sifat_Rashid]

@@ST-wh7et use dermaroller, just dont roll it, use it to poke, ok?

[@diemme568]

you should NOT go back and forth with the dermaroller: just draw in one direction, detach it, and run again parallel, many times, then change inclination and run again only in one direction - always detaching it from the hair/scalp between parallel runs - for several times, then repeat till you cover up all the region. it does not pull or pluck any hairs, especially if they're wet with MXDL lotion, for example, or any other topical solution.

[@JDMumma]

"bias statistician"? I can guess what you mean, yet prefer for you to explain. Thanks for the very thorough video and kudos to your epistemological virtues!

[@petesantana7302]

Fantastic information and great project this video

[@travissimpson7829]

I've been microneedling once a week with a 1.5 for 6 months. I've definitely noticed an improvement

[@camelcurrency9978]

isn't once a week too much for 1.5 mm? the scars are supposed to heal don't they? I'm a bit confused about this

[@travissimpson7829]

@@camelcurrency9978 I'm not getting any scars at all

[@TheNotoriousB.E.N.]

How long do you do it for? Like 5-10 mins or do you just stop with the way your scalp reacts

[@travissimpson7829]

@@TheNotoriousB.E.N. I just use it for about 2 minutes

[@camelcurrency9978]

@@travissimpson7829 thank you, I really need to give it a try

[@catalinn6924]

Hey Rob ! Off topic but do you think topical minoxidil can cause high AST/ALT levels ? Thank you !

[@ElenaHaskins]

Thank you for video/information excellence.

[@averageskyfatherworshipper9342]

I’ve been using a derma roller once a week and minoxidil twice a day for about three months. I’ve had excellent results. My hair went from almost nonexistent on my crown to nearly thick enough to cover my scalp. I can tell the improvement just by touching it. I would highly recommend it, especially considering how affordable it is.

[@SamungVirtua]

What size is your derma roller?

[@haulandhurry]

Micro needling works but takes time . Use it carefully without scaring your scalp and use other natural stuff with it . You won’t get your hair you had at 20 years old but it works and help regrowing your hair.

[@limo-swine6537]

I'm 22 and already lost more than half of my hair 🥲

[@felixkfriju2649]

how old are you?

[@jcmediaoffl]

Yes, that's true.. but this Rob, promoting chemical products.. i think he is getting commission from some where pharmaceutical companies.😃

[@vilaskaul29]

Use ayurvedic hair oils along with micro needling. No side effects and hair grows back.

[@SweetenedCondensedMilk]

@@vilaskaul29 what oils? Like rosemary?

[@SpoonFinder]

I heard somewhere that you can use smaller needle lengths inbetween sessions. So if my target is 1.5 mm every 2 weeks, I can do a session first day of week 2 at 0,75mm to increase frequency of stimulation without damaging deeper, unhealed parts of the scalp. Anyone knows if there's any science behind this?