The hair restoration market has expanded significantly with telehealth, making it possible to access clinician-supervised hair loss treatment entirely online. But not all platforms offer the same quality of care, medication options, or clinical oversight. This guide explains what to look for when comparing providers.
What Separates Good Hair Restoration Providers
1. Medication Range
The best programs offer both finasteride and minoxidil — ideally in multiple formulations (oral finasteride, topical finasteride, oral minoxidil, topical minoxidil). Platforms that only offer a single medication or only topical minoxidil (OTC equivalent) provide limited clinical value over what you could do independently.
2. Clinician Credentials
Hair loss treatment should be supervised by a licensed dermatologist, physician, or prescribing NP/PA. Dermatologists with hair loss specialization (trichologists) provide the highest level of expertise. Verify that a licensed clinician reviews your case — not just an algorithm.
3. Intake Process
A responsible intake process includes: health history review to screen for contraindications (finasteride is contraindicated for women of childbearing potential), photography or video assessment of hair loss pattern, and discussion of treatment goals. Platforms that prescribe immediately without meaningful intake provide inferior care.
4. Follow-Up and Monitoring
Hair loss treatment requires patience — results take 3–6 months minimum and protocol adjustments are often needed. Programs that offer structured follow-ups at 3 and 6 months provide meaningfully better care than one-time prescription services.
5. Pricing Transparency
Look for clear all-in pricing that specifies what is included (consultation, medication, shipping, follow-ups). Watch for platforms that advertise low headline prices but charge separately for consultations or follow-up visits.
Telehealth vs. In-Person Dermatology
| Factor | Telehealth Program | In-Person Dermatology |
|---|---|---|
| Convenience | High (no travel) | Requires appointment + travel |
| Cost | $30–$150/month typically | $200–$400+ per visit |
| Medication range | Good (most offer fin + min) | Full range including PRP |
| Scalp examination | Photo-based | Direct, including dermoscopy |
| Advanced treatment access | Limited (medications only) | Full (PRP, laser, referral for transplant) |
For most people with straightforward androgenetic alopecia seeking finasteride and/or minoxidil, telehealth programs are a cost-effective, convenient option. Complex cases — significant alopecia areata, suspected scarring alopecias, or evaluation for transplant candidacy — benefit from in-person dermatology assessment.
Questions to Ask Before Enrolling
- What medications do you prescribe? Are both finasteride and minoxidil available?
- Is topical finasteride available as an alternative to oral?
- What does the initial intake involve, and who reviews my case?
- What is the follow-up schedule and how are concerns handled between visits?
- What pharmacy fills the prescriptions and are they FDA-registered?
- What is the cancellation policy?
Frequently Asked Questions
Is a dermatologist required for hair loss treatment?
Not strictly — licensed physicians, NPs, and PAs can prescribe finasteride and minoxidil. However, a dermatologist provides greater diagnostic accuracy and can identify non-androgenetic causes of hair loss that require different treatment. For straightforward pattern hair loss in an otherwise healthy individual, a telehealth prescriber is appropriate.
How long before I see results from a hair restoration program?
Most people see the first signs of reduced shedding within 2–3 months of starting finasteride. Visible regrowth typically takes 6–12 months of consistent treatment. Initial minoxidil use may cause a temporary increase in shedding as follicles cycle — this is expected and resolves.
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