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(Randomized Controlled Trial: Leavitt et al., 2009)

Introduction

Low-Level Laser Therapy (LLLT) has gained significant attention in recent years due to its potential to stimulate hair growth without the need for chemotherapy or surgery. This randomized, double-blind, sham device-controlled trial was conducted to evaluate the efficacy and safety of the HairMax LaserComb device in the treatment of androgenetic alopecia (AGA).

Method of study

  • Participants: 123 men aged 30–60 years diagnosed with AGA grade IIa–V according to the Norwood–Hamilton criteria.

  • Duration: 26 weeks (6 months)

  • Treatment: Use either the HairMax LaserComb device (655 nm wavelength) or a sham device (no laser).

  • Frequency: 3 times a week, 15 minutes each time.

  • Evaluation:

    • Hair density was measured using macroimaging and computer-aided hair counts.

    • Evaluate the satisfaction of users and examining physicians.

Study results

🔹 Efficiency in increasing the number of hairs

  • The group using the HairMax LaserComb had an average increase in hair count of +19.8 strands/cm².

  • While the sham group had an average hair loss of –7.6 strands/cm².

  • The results were statistically significant (p < 0.0001).

🔹 User and physician evaluation

  • Participants in the HairMax group reported thicker, stronger hair and improved scalp health (p < 0.05).

  • 86% of HairMax users saw a hair growth of more than 5 strands/cm².

  • Only 2.8 percent had a decrease in hair volume.

🔹 Safety

  • No serious side effects were found.

  • Minor symptoms include a warm feeling, itchy scalp, or numbness in a small area, which resolves on its own.

  • There was no statistical difference in side effects between the experimental and control groups.

Mechanism of action

Low-energy laser light irradiation at a wavelength of 655 nm can stimulate biological processes at the cellular level, including:

  • Stimulating mitochondria to produce more energy (ATP)

  • Increasing blood flow and oxygen transport to the hair roots.

  • Stimulates the division of cells in the hair root (matrix cells), causing new and thicker hair to grow.

  • Prevention of hair root miniaturization, the main mechanism of genetic hair loss.

Summary of results

From the research of Leavitt et al. (2009) it was found that

  • The HairMax LaserComb is a highly effective and safe LLLT device.

  • It can significantly increase hair density within 26 weeks.

  • It is the first device to be approved by the US Food and Drug Administration (FDA). For the treatment of male genetic hair loss

  • Suitable for those who want a safe, drug-free, and non-surgical treatment.

References

Leavitt M., Charles G., Heyman E., Michaels D. (2009). HairMax LaserComb Laser Phototherapy Device in the Treatment of Male Androgenetic Alopecia: A Randomized, Double-Blind, Sham Device-Controlled, Multicentre Trial. Clinical Drug Investigation , 29(5): 283–292.