This before and after highlights a male patient treated at Refine by Tulsi for male pattern hair thinning, a common form of androgen-driven hair loss affecting the crown and mid-scalp.
The before image demonstrates significant scalp visibility, miniaturized hair follicles, and reduced density, consistent with progressive male hair loss. Following a non-surgical, regenerative hair restoration protocol, the after image shows improved hair density, thicker hair shafts, and reduced scalp exposure, all achieved without hair transplantation or surgery.
Understanding Male Pattern Hair Loss
Male hair loss is typically driven by a combination of:
Androgen sensitivity (DHT-mediated follicle miniaturization)
Reduced blood flow and nutrient delivery to the scalp
Shortened anagen (growth) phase of the hair cycle
Progressive weakening of follicular signaling over time
Effective treatment requires more than topical solutions—it requires biologic stimulation of the hair follicle under medical supervision.
Treatments Used in This Male Hair Restoration Case
This patient underwent a physician-directed hair restoration protocol designed to reactivate dormant follicles, strengthen existing hair, and slow further loss, overseen by Dr. Tulsi Kotecha.
Platelet-Rich Fibrin (PRF) Hair Restoration
PRF is a next-generation regenerative treatment derived from the patient’s own blood, containing a high concentration of platelets, growth factors, and fibrin matrix.
In hair restoration, PRF works by:
Stimulating dormant hair follicles
Prolonging the hair growth (anagen) phase
Improving scalp circulation and follicle nourishment
Supporting thicker, healthier hair regrowth
GHK-Cu Peptide Therapy for Hair Growth
GHK-Cu (Copper Tripeptide-1) is a clinically studied peptide known for its role in hair follicle signaling, tissue repair, and anti-inflammatory effects.
When used alongside PRF, GHK-Cu helps:
Enhance follicular regeneration
Improve scalp health and microcirculation
Support stronger, more resilient hair growth
Reduce inflammation around the hair follicle