Hair loss is one of the most common frustrations women face, especially after 40, and it’s often tied to stress, hormonal changes, or genetics. Dr. Shereene Idriss, a board-certified dermatologist and cosmetic expert, has opened up about her personal hair loss journey and the strategies that helped her restore her hair’s fullness, shine, and strength.
Over the past few years, Dr. Idriss experienced significant hair shedding due to a combination of factors—postpartum changes, stress from IVF treatments, building businesses during a pandemic, and even multiple bouts of COVID-19. Recognizing the toll this had on her hair, she made it her mission to understand which products and treatments truly work for hair thinning and hair loss, sharing insights for women facing similar challenges.
1. Over-the-Counter Treatments: Minoxidil and Medicated Shampoos
Dr. Idriss recommends starting with proven over-the-counter solutions. Topical minoxidil—commonly known as Rogaine—remains one of the most effective treatments for androgenic hair loss in both men and women. Originally developed as a blood pressure medication, minoxidil increases blood flow to the scalp and prolongs the hair growth phase, resulting in thicker, fuller strands. Dr. Idriss emphasizes consistency: results take 3–6 months, and stopping the treatment causes hair to shed again.
For a gentler approach, Dr. Idriss uses ketoconazole anti-dandruff shampoo, which acts as a mild anti-androgen. This medicated shampoo can slow down hair thinning by blocking the effects of dihydrotestosterone (DHT) on hair follicles. She recommends applying it directly to thinning areas for a few minutes a few times a week to maximize benefits without affecting hair color.
2. Serums and Scalp Treatments
For additional density and scalp care, Dr. Idriss uses products like the Living Proof Scalp Care Density Serum, which helps improve hair appearance without leaving it greasy or weighed down. She also recommends lightweight repair masks like K18 Leave-In Molecular Repair Hair Mask, formulated to stimulate hair follicle activity and maintain healthy strands without heavy conditioners that can flatten hair.
3. Supplements and Nutrition
Oral support is just as important as topical treatments. Dr. Idriss highlights prenatal vitamins, particularly during postpartum or IVF periods, and emphasizes nutrients such as iron, vitamin D, zinc, folic acid, and calcium. She also recommends Neutr, a supplement designed to support hair growth while reducing inflammation and stress hormone impact. Contrary to popular belief, she cautions against unnecessary biotin supplementation unless there’s a proven deficiency.
4. Oral Minoxidil for Advanced Hair Restoration
For those who struggle with irritation from topical minoxidil, Dr. Idriss turned to oral minoxidil, which she found highly effective in promoting hair growth. She stresses that this should be used under medical supervision, especially for anyone with heart conditions, as oral minoxidil was initially a blood pressure medication. Her routine includes careful dosing, often a few nights a week, which allows her hair to thicken while minimizing unwanted hair growth elsewhere.
5. In-Office Treatments: PRP and Microneedling
For targeted, professional interventions, Dr. Idriss highlights PRP (Platelet-Rich Plasma) therapy, which uses a patient’s own blood to stimulate dormant hair follicles. PRP can improve hair thickness and prolong growth phases but is not a permanent solution. Microneedling is another option to stimulate follicle activity, though it requires caution to avoid breakage, particularly with longer hair.
6. Protecting Hair During Styling
Healthy hair requires daily protection. Dr. Idriss stresses the importance of heat protectants to shield hair from damage caused by styling tools. She also shares unconventional tips, like using a dual-barrel crimper with heat protection for effortless beachy waves without compromising hair health.
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The Bottom Line
Dr. Idriss emphasizes that hair loss treatments require patience, consistency, and a personalized approach. There’s no one-size-fits-all solution, but combining topical treatments, supplements, professional procedures, and proper hair care can dramatically improve hair density, strength, and appearance. Her journey demonstrates that even with stress, genetics, and hormonal challenges, it’s possible to restore hair health and confidence with the right routine and long-term commitment.
