Hair loss at the top of head
Hair loss at the top of head


If you notice hair loss on the top of your head, it is likely you have experience either acute (sudden) or chronic (long-term) increased hair shedding.  Eventually this increase in hair loss becomes noticeable as the hair you have left gives you less coverage.  If the hair loss is confined only to the top of your head this may be androgenic alopecia, if it is more widespread you are more likely to be experiencing diffuse hair loss.

Some hair loss is a natural part of ageing, but there are other factors which can increase hair loss and prevent the normal regrowth of hair.  We are all born with around 100,000 hair follicles which are all at a different stage of a normal hair growth cycle.  At any one time, around 90% of follicles should be actively growing whilst the others are resting in preparation to be shed.  Hair loss starts to become evident when you have less than 70% of hairs actively growing.

When hair loss occurs, it is generally due to a variety of factors such as genetics, hormonal balance and nutritional deficiencies.  Sometimes stress, infection and inflammation can contribute to thinning hair.  If you start to notice your parting is getting wider, or you can see much more scalp there are a number of ways to help reduce hair shedding and encourage hair regrowth.


If you can see hair loss at the top of your head it is likely hair is going into the resting phase too early.  When this happens you will start to lose more hair in your hair brush and on your pillow.  If you are not sure if you are shedding too many hairs you can perform a hair pull test to see how many hairs are being released.

To perform a hair pull count simply pull a section of hair (40-60 hairs) and if you lose more that 6 you may be shedding excessively.  For this test to be more accurate you can repeat this test daily for one week as the amount of hairs shed will vary depending on how often you wash your hair.  If you find you are in fact losing too much hair there are steps you can take to manage the problem.


  1. Increase blood flow to the scalp – Vasodilators can increase blood flow by by dilating the blood vessels and allowing more blood to enter the capillaries that feed the hair follicle.  Minoxidil is a popular vasodilator, and has been shown to be effective when combined with nutritional therapies.
  2. Scalp massage –  Clinical trials show 4-minute daily scalp massage can help support the growth of thicker, fuller hair
  3. Get a blood test – Vitamin and mineral deficiencies are commonly found in cases of hair loss.  Having a blood test can help establish the cause of your hair loss.  Blood tests can identify contributors to hair loss such as low thyroid function, liver abnormalities or iron deficiency.  Have your tests analysed by a trichologist or hair loss expert to detect causes of hair loss in cases where blood tests come back as ‘normal’.
  4. Increasing blood volume – Increasing levels of haemoglobin and albumin will increase total blood volume in the body resulting in a greater increase of blood to the scalp.  Supplements like zinc and iron can help support and increase in blood volume in the right conditions.

If you are suffering with hair loss at the top of your head, it is important to seek help sooner rather than later.  The earlier you get to the root cause of hair loss, the easier it will be to reverse.