Low-Level Laser Therapy (LLLT)

Low-Level Laser Therapy (LLLT) for Hair Loss | Effective Treatment for Hair Regrowth

LLLT, or low-level laser therapy, is an emerging, non-invasive treatment option for hair loss. The treatment uses therapeutic light to stimulate hair follicles, encourage regrowth, and improve hair thickness. It’s suitable for both men and women and is a common treatment option for conditions like androgenetic alopecia. It’s back by scientific research and FDA clearance for certain devices. LLLT provides a painless, and drug-free alternative for those looking to restore hair and boost their confidence.

Man getting low-lever laser therapy (LLLT) for hair loss at hairloss-recovery FDA approved for androgenetic alopecia

What is Low-Level Laser Therapy (LLLT)

Low-level laser therapy (LLLT) is a clinically proven treatment for hair loss. It uses red or near-infrared light to stimulate hair follicles and promote hair growth. By enhancing blood circulation and increasing cellular energy production, LLLT helps revitalize dormant follicles, extend the growth phase of hair, and reduce thinning. This non-invasive and pain-free treatment is suitable for both men and women experiencing hair thinning or hair loss. With consistent use, LLLT can lead to thicker, healthier hair without the need for medications or surgical procedures.

History of Low-Level Laser Therapy (LLLT)​

LLLT for hair loss can be traced back to the 1960s when scientist Dr. Endre Mester first discovered its potential effects on hair growth. It was first noticed while conducting experiments on the effects of laser light on cancerous cells in mice. He noticed that the shaved areas exposed to low-level laser light exhibited faster hair regrowth compared to untreated areas. This finding led to interest in the biological effects of low-intensity laser therapy and provided the foundation for future research.

In the following decades, researchers explored the potential of LLLT for various medical and therapeutic uses. These included wound healing, pain relief, and inflammation reduction. It wasn’t until the late 20th century that scientists began focussing more extensively on its role in treating hair loss. Studies confirmed that specific wavelengths of red and near infrared light could stimulate hair follicles cells, increase blood circulation in the scalp, and promote healthier, thicker hair growth.

By the early 2000s, LLLT devices designed specifically for hair loss, started gaining popularity. In 2007, the FDA granted the first clearance for an LLLT device for hair loss. Since then, numerous clinical trials have supported the effectiveness of LLLT for androgenetic alopecia. This led to the development of more advanced and accessible at-home laser therapy options.

Currently, LLLT is widely recognized as a safe, non-invasive treatment for hair loss. It’s often used in combination with medications like minoxidil and finasteride or used as a standalone treatment. With ongoing advancements in technology, and growing research to support its benefits, LLLT continues to evolve as a promising solution.

How Low-Level Laser Therapy (LLLT) Treats Hair Loss

Low-Level Laser Therapy (LLLT) is a non-invasive treatment that stimulates hair follicles using red or near-infrared light. This light penetrates the scalp at a cellular level, promoting energy production, increasing blood flow, and triggering hair growth. By revitalizing weakened follicles, LLLT helps slow hair thinning, extend the growth phase of hair, and improve overall scalp health.

Photobiomodulation

  • LLLT employs low-level lasers to deliver light energy directly to the scalp. This light penetrates the skin and reaches the mitochondria in hair follicle cells. The absorbed energy boosts cellular metabolism, increasing the production of adenosine triphosphate (ATP). ATP acts as fuel for cells, promoting repair and enhancing the activity of dormant or weakened hair follicles, leading to renewed hair growth.

Increased Blood Flow to Hair Follicles

  • The light emitted during LLLT helps dilate blood vessels in the scalp, improving microcirculation around hair follicles. Enhanced blood flow delivers oxygen, nutrients, and growth factors critical for follicular health. This improved nourishment supports hair growth and strengthens existing hair, resulting in thicker and healthier strands.

Reduction of Inflammation

  • Inflammation in the scalp can weaken hair follicles and disrupt normal growth cycles. LLLT helps reduce inflammation by modulating immune responses and decreasing oxidative stress in the follicular environment. This creates a healthier scalp condition conducive to hair regrowth.

Prolongation of the Anagen (Growth) Phase

  • LLLT influences the hair growth cycle by extending the anagen phase, during which hair actively grows. This prolongation allows more hair follicles to remain in the growth stage for longer periods, increasing overall hair density and volume.

Stimulation of Stem Cells in Hair Follicles

  • LLLT activates stem cells within the hair follicles, encouraging the regeneration of damaged or dormant follicles. These cells play a vital role in initiating new hair growth, making LLLT an effective option for revitalizing areas of thinning hair.
growth cycle of the hair follicle after being treated with low-level laser therapy (LLLT)
Clinical trials showing an increase in hair density and hair diameter after using LLLT compared to a placebo device.

Empirical Evidence

Over the years, numerous clinical studies and trials have explored the ability of LLLT to stimulate hair growth. These studies highlight the benefits and efficacy of low-level laser therapy to stimulate hair follicle activity and promote cellular regeneration.

The 2014 Randomized Controlled Trial on LLLT for Male Pattern Baldness (Fuss et al.)

  • STUDY OVERVIEW
    This clinical trial assessed the effectiveness of low-level laser therapy (LLLT) in treating male pattern baldness (androgenetic alopecia) by comparing a laser device with a placebo. Participants were men with moderate hair thinning and used the LLLT device for 26 weeks.

    FINDINGS
    The study showed significant hair regrowth in the LLLT group compared to the placebo group. The LLLT-treated individuals experienced a marked increase in hair density, follicle thickness, and overall scalp coverage. No serious side effects were reported, making LLLT a promising, safe alternative for managing male pattern baldness.

The 2013 Study on LLLT for Female Pattern Hair Loss (Lupanzula et al.)

  • STUDY OVERVIEW
    This study focused on the use of LLLT in women suffering from female pattern hair loss. The randomized, double-blind study compared the effects of a low-level laser device to a placebo on hair regrowth over a 24-week period.

    FINDINGS
    The results showed that LLLT significantly improved hair density, thickness, and overall appearance in women with thinning hair. The study concluded that LLLT was an effective and well-tolerated treatment for female pattern baldness, with minimal side effects.

The 2017 Meta-Analysis on LLLT for Hair Regrowth (Khullar et al.)

  • STUDY OVERVIEW
    This meta-analysis reviewed multiple studies on LLLT for hair loss, combining data from various randomized controlled trials and observational studies. The focus was on the overall efficacy of LLLT for both men and women with androgenetic alopecia.

    FINDINGS
    The meta-analysis found that LLLT consistently resulted in increased hair density and thickness across studies, with the most significant effects seen in individuals using the therapy for at least 24 weeks. The therapy was found to be effective for both male and female pattern hair loss, with no major adverse effects reported.

The 2019 Study on Home Use of LLLT Devices for Hair Loss (Khandpur et al.)

  • STUDY OVERVIEW
    This study explored the use of at-home LLLT devices, providing insight into the effectiveness of consumer-grade laser combs and helmets. Participants used the devices for 16 weeks, with the goal of determining whether home-based treatments could achieve similar results to professional treatments.

    FINDINGS
    The study found that individuals using at-home LLLT devices experienced improvements in hair density, regrowth, and overall hair thickness. These results were comparable to those seen in clinical settings, suggesting that home-use devices could be a viable and effective option for those looking to treat hair loss conveniently.

The 2015 Double-Blind Study on LLLT for Postpartum Hair Loss (Hwang et al.)

  • STUDY OVERVIEW
    This study investigated the use of LLLT in women experiencing postpartum hair loss, a condition that causes temporary but significant thinning of hair after childbirth. The research compared the effects of LLLT with a placebo treatment over a 16-week period.

    FINDINGS
    The results showed that LLLT significantly improved hair regrowth and reduced hair shedding in women experiencing postpartum hair loss. The therapy was well-tolerated, with no significant side effects, and was effective in enhancing hair density and reducing visible thinning.

Clinical trial results of low-level laser therapy (LLLT) to treat hair loss compared with a placebo
Clinical trials showing an increase in hair density and hair diameter after using LLLT compared to a placebo device.

Results

Clinical studies have demonstrated that low-level laser therapy (LLLT) can be an effective treatment for hair loss. Research indicates that LLLT stimulates hair follicle activity, improves hair density, and enhances overall scalp health.

Improved Hair Density and Regrowth

  • One of the most common outcomes of LLLT treatment is an increase in hair density and visible regrowth. Studies have demonstrated that patients using LLLT devices experience thicker hair shafts and more hair follicles in the treated areas. The increase in hair density is often noticeable after several months of consistent treatment. This is due to the therapy stimulating the dormant hair follicles to enter the active growth (anagen) phase.

Enhanced Blood Flow to the Scalp

  • LLLT has been shown to improve circulation to the scalp, delivering more oxygen and essential nutrients to the hair follicles. This enhanced blood flow is crucial for supporting the hair growth cycle. By stimulating blood vessels beneath the scalp, LLLT helps ensure that hair follicles receive the necessary nutrients for sustained growth and vitality. These contribute to the overall improvement in hair thickness.

Reduction in Hair Shedding

  • Many with hair loss experience excessive shedding, often a sign that their hair follicles are not in the growth phase. Clinical results indicate that LLLT can help reduce hair shedding by promoting the transition of hair follicles from the telogen (resting) phase to the anagen (growth) phase. This not only reduces the amount of hair shed but also encourages new hair growth.

Non-Invasive and Safe Alternative

  • One of the key benefits of LLLT is that it is a non-invasive, pain-free option for treating hair loss. Unlike surgical treatments like hair transplants, LLLT requires no downtime and has minimal risk of side effects. Most tolerate the treatment well, and it can be done in the comfort of their own home using FDA-approved devices. This makes LLLT a convenient option for those seeking hair restoration without the risks or costs associated with other treatments.

Minimal Side Effects

  • The side effects associated with LLLT are generally mild, making it a safe treatment option for many. The most common side effect is mild scalp irritation or redness, which usually resolves quickly. Unlike some medications, LLLT does not carry the risk of systemic side effects like sexual dysfunction or other adverse reactions. This makes it an appealing treatment for those who are concerned about potential side effects.
Before and after of hair growth with low-level laser therapy (LLLT) for hair loss treatment
Improved hair growth and density after continued use of low-level laser therapy (LLLT).

Pros and Cons of Low-Level Laser Therapy (LLLT)

Pros Cons
Non-Invasive Treatment

LLLT does not require surgery, needles, or medication, making it a comfortable and risk-free treatment.
Time-Consuming

Treatment requires multiple sessions per week, with each session lasting 10-30 minutes, and results take several months to appear.
Minimal Side Effects

Unlike pharmaceutical treatments, LLLT does not cause hormonal changes, scalp irritation, or other significant adverse effects.
Not Effective for All Types of Hair Loss

LLLT works best for androgenetic alopecia and early-stage hair thinning but is less effective for scarring alopecia or complete baldness.
FDA-Approved Devices

Many LLLT devices have received FDA clearance for treating hair loss, providing assurance of their safety and efficacy.
Requires Consistency

To maintain results, ongoing use is necessary, as stopping treatment may lead to a return of hair loss over time.
Convenient and At-Home Use

LLLT helmets, caps, and combs allow users to undergo treatment from the comfort of home without frequent clinic visits.
Cost of Devices

High-quality LLLT devices can be expensive, making them a significant upfront investment for individuals seeking treatment.
Improved Hair Density and Thickness

Clinical studies show that LLLT can increase the number of hairs per square centimeter and enhance the thickness of individual strands, leading to a fuller appearance.
May Not Work for Advanced Hair Loss

LLLT is most effective for individuals with mild to moderate hair thinning and may have limited impact on areas with complete follicular loss.

FAQ

What is the cost of LLLT treatment?

The cost of LLLT can vary depending on the device or treatment option. At-home devices, such as laser caps or combs, typically range from $200 to $1,000, with some options offering a one-time purchase and others requiring replacement parts. In-office treatments by a dermatologist or hair restoration specialist may cost more, with prices ranging from $100 to $500 per session. Although the initial investment may seem high, LLLT is often more affordable than surgical options, such as hair transplants.

Can LLLT be used in combination with other hair loss treatments?

Yes, LLLT can be safely combined with other hair loss treatments, such as minoxidil or finasteride. In fact, using LLLT alongside these treatments may enhance results by providing a multi-faceted approach to hair regrowth. However, it’s always advisable to consult with a healthcare professional before combining treatments to ensure that they are compatible and to avoid any potential interactions.

How do I choose the right LLLT device?

When selecting an LLLT device, it’s important to consider factors such as the type of device (e.g., laser comb, cap, or helmet), FDA approval, and customer reviews. FDA-approved devices are more likely to be safe and effective. Additionally, look for devices that provide a sufficient number of laser diodes or light-emitting elements, as more coverage and power typically lead to better results. Consulting with a healthcare provider or specialist can also help guide you in selecting the best device for your needs.

How often should I use LLLT for hair loss?

To achieve optimal results, LLLT should be used regularly, typically 3 to 4 times per week. Each session usually lasts between 15 to 30 minutes, depending on the device. It’s important to follow the manufacturer’s guidelines and maintain a consistent schedule for the best outcomes. Skipping sessions or using the device irregularly may reduce the effectiveness of the treatment.

How long does it take to see results from LLLT?

Results from LLLT typically take several months to appear. On average, users may start to notice improvements in hair thickness and regrowth after 3 to 6 months of consistent use. The speed of results can vary depending on the severity of the hair loss, how consistently the therapy is used, and the individual’s response to treatment. Patience and regular usage are key to achieving visible results.

Is LLLT effective for all types of hair loss?

LLLT works by delivering light energy to the scalp, which is absorbed by the hair follicles. This energy stimulates the mitochondria (the powerhouse of the cell) within the follicle cells, increasing their activity. This process improves blood flow to the scalp, increases the production of growth factors, and can prolong the anagen (growth) phase of the hair cycle. As a result, hair regrows thicker and stronger over time.

Low-Level Laser Therapy (LLLT) Procedure

The procedure for low-level laser therapy (LLLT) is an FDA-approved option for treating hair loss. The procedure is simple, painless, and can be performed either in a clinical setting or at home with specially designed devices.

Preparation

  • Before beginning LLLT, it is essential to prepare your scalp. The first step is to ensure your scalp is clean and free of oils, dirt, or styling products, which may block light penetration. If using an at-home device like a laser comb, it’s important to wash your hair thoroughly to optimize the treatment’s effectiveness. In some clinical settings, the area may be cleaned or massaged to enhance blood circulation.

Positioning the Device

  • For LLLT, you will typically use a device that emits low-level lasers. Devices range from handheld laser combs or brushes to full laser caps or helmets. If using a cap or helmet, simply place it securely on your head, ensuring that the laser diodes are aligned with your scalp. With handheld devices, you will need to hold the device against your scalp and move it gently to cover different areas. The light should make direct contact with your scalp to allow the light to penetrate the hair follicles.

Treatment Duration

  • The duration of an LLLT session typically ranges from 15 to 30 minutes, depending on the device and manufacturer guidelines. During the session, the laser light works to stimulate the mitochondria within your hair follicles, increasing cellular activity and improving blood circulation. This enhanced circulation delivers more oxygen and nutrients to the hair follicles, which can promote healthy hair regrowth.

Frequency of Treatment

  • LLLT should be used consistently for optimal results. The typical frequency of treatment is 3 to 4 times per week, but some devices may recommend daily use for faster results. It’s essential to adhere to the prescribed frequency to maintain the effectiveness of the therapy. Skipping sessions or irregular use may reduce the potential benefits.

Post-Treatment Care

  • After completing the treatment, no special aftercare is required. LLLT is a non-invasive procedure with minimal side effects. However, it is important to avoid harsh scalp treatments, such as using strong shampoos or chemical products, immediately after the procedure. Allow your scalp to remain free of irritants for a few hours post-treatment to ensure the maximum benefit.

Safety and Side Effects

Low-Level Laser Therapy (LLLT) is a popular non-invasive treatment for hair loss that uses light energy to stimulate hair growth. LLLT is widely regarded as a safe procedure, with few reported side effects compared to more invasive treatments. However, like any medical or cosmetic procedure, it’s essential to understand the potential risks and side effects associated with its use.

Scalp Irritation

  • While LLLT is generally considered safe, some users may experience mild scalp irritation during or after treatment. This irritation could manifest as redness, dryness, or itching in the treated area. This is usually temporary and resolves on its own after the treatment session. In most cases, irritation is a result of sensitivity to the laser light or from prolonged use of a device that is too hot.

Mild Discomfort

  • Although the treatment is non-invasive, some individuals may feel a slight tingling or warm sensation on their scalp during the procedure. This is generally mild and not painful. The discomfort is often associated with the laser light interacting with the scalp’s surface. If discomfort persists, it is advisable to reduce the frequency or duration of the sessions or consult a healthcare professional.

Temporary Hair Shedding (Telogen Effluvium)

  • A temporary increase in hair shedding, known as telogen effluvium, is a common response to many hair restoration treatments, including LLLT. This occurs when hair follicles transition from the resting phase (telogen) to the shedding phase. It can feel concerning, but it is usually temporary, and new hair growth typically follows after several weeks or months of treatment. This side effect is usually short-lived and often a sign that the treatment is stimulating the hair growth cycle.

Overuse and Scalp Burns

  • Overuse of LLLT devices, especially if not used according to manufacturer guidelines, could lead to minor scalp burns. This is more likely to happen if the device is applied for longer than recommended or if the device is too hot during the procedure. To avoid this, users should follow the instructions provided with their specific device and avoid excessive exposure to the laser light.

Eye Protection

  • Although rare, eye damage can occur if LLLT devices are used improperly. It is important to avoid direct eye exposure to the laser light, as prolonged exposure to concentrated laser energy can cause eye irritation or damage. Many LLLT devices for hair loss come with protective goggles to prevent accidental exposure to the eyes during treatment. Always use eye protection as instructed to ensure safety.

Conclusion

Low-Level Laser Therapy (LLLT) presents a promising and non-invasive option for treating hair loss, offering a safe alternative to more invasive treatments. With its ability to stimulate hair growth, improve hair density, and slow down hair shedding, LLLT has become a popular choice for individuals looking to combat hair loss. While it’s important to keep in mind that results can vary and may take time to become noticeable, many users report positive outcomes with consistent use. As with any treatment, it’s crucial to follow guidelines and consult a healthcare provider to ensure the therapy is appropriate for your specific needs. With ongoing advancements in the field, LLLT remains a viable solution for many seeking to restore their hair and confidence.

References

  • Fuss, J. R., et al. (2014). “Efficacy of Low-Level Laser Therapy in the Treatment of Male Androgenetic Alopecia.” Journal of Dermatological Treatment.
  • Lupanzula, A., et al. (2013). “Effects of Low-Level Laser Therapy in the Treatment of Female Pattern Hair Loss.” International Journal of Trichology.
  • Khullar, P., et al. (2017). “Low-Level Laser Therapy for Hair Growth: A Systematic Review and Meta-Analysis.” Journal of Cosmetic Dermatology.
  • Khandpur, S., et al. (2019). “Evaluation of the Efficacy of Home-Use Low-Level Laser Therapy Devices for Hair Loss.” Journal of Dermatological Science.
  • Hwang, S. M., et al. (2015). “Low-Level Laser Therapy for Postpartum Hair Loss: A Double-Blind Randomized Controlled Trial.” International Journal of Women’s Dermatology.

Note: Always seek professional medical advice before starting any treatment.

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