Medi Tresse Hair Care Products

When it comes to shampoos and conditioners, there are certainly many options available, and many will even make claims of regrowing hair.  The truth is that shampoo and conditioners will not regrow hair as the ingredients are not on the scalp long enough to be absorbed, but good quality shampoo and conditioners combined with proper leave in products can really repair damaged hair and provide really healthy hair and scalp.  With that, we are excited to announce the arrival of our Medi Tresse Hair Care line, which consists of two sets of shampoo and conditioners, a leave in conditioner, and a hydrating serum that are all paraben free and safe for color and chemically treated hair.

Revive Shampoo and Conditioner

This stimulating, aromatic cleansing shampoo and moisturizing conditioner, includes Peppermint and Lavender Oils that revitalize both hair and scalp, while creating a calming, spa-like experience. The rich lather of the shampoo removes excess oils and product build-up and strengthens hair while improving body and shine. Vital vitamins and botanical extracts in the conditioner protect sensitive skin and scalp, while proteins strengthen the hair shaft. The shampoo and conditioner are safe for colored, straightened, and chemically treated hair.

The Revive Shampoo and Conditioner are great for all patients, except those with fine hair or who feel some shampoo or conditioners weigh their hair down too much.  For those patients we would recommend the Volumizing Shampoo and Conditioner.

Volumizing Shampoo and Conditioner

A rich shampoo that infuses weightless volume while delicately freeing hair and scalp of surface impurities. ProVitamin B5 strengthens the hair while adding shine and thickness. Combined with a volumizing conditioner, infused with Keratin, that leaves hair nourished while maximizing volume and body. Safe for colored and chemically treated hair.

The Volumizing Shampoo and Conditioner are great for patients with fine hair or those looking for more volume.

Keratin Deep Conditioner

We recommend using a deep conditioner once a week and this Keratin-infused deep conditioning treatment, super-charged with proteins and extracts, restores moisture, strengthens, reduces breakage and stops frizz. Great for all hair types. Safe for colored, straightened & chemically-treated hair.

Hydrating Serum

Many of the things we do to style our hair can dry out and damage the outer cuticle of the hair so it is so important to add moisture back into the hair.  This hydrating serum enriched with Moroccan Argan Oil, is fast-absorbing, deep-penetrating and produces a luxurious shine and silky smooth texture with enduring results. Safe for colored, straightened & chemically-treated hair.

Reach out to our offices to learn more about the Medi Tresse Hair Care line.

Posted by your Medi Tresse Team

Myths about Washing Your Hair

One of the most important parts of any hair care routine is the washing your hair.  However, with the thousands of shampoos and conditioners available, there is a lot of misinformation about this vital part of any hair care routine.  Let’s review some of the most common.

 Washing your hair causes hair loss.

While many women may notice what appears to be excessive shedding when they wash their hair, washing your hair does not cause hair loss.  Shedding 50-100 hairs a day is normal, however, when you wash your hair every other day or every third day, you are essentially collecting two to three days-worth of hairs that have shed all at once.  Washing your hair less than every third day is not advisable as cleansing the scalp is important to remove dirt, oil, and products that can impair healthy hair growth.

 Shampoos with the right ingredients can regrow hair.

While many shampoos claim to regrow hair, unfortunately, rinse off products like shampoos have limited ability to leave anything behind, therefore, shampoos really can only clean, and cannot really repair the follicle.  Shampoos leave the hair clean and ready to receive the benefit from conditioners.  However, good shampoos can act as a thickening and strengthening agents for the hair strands.

You need a sulfate free shampoo.

There is a big movement towards more “natural” products which is why sulfites/sulfates and other chemicals like parabens are being taken out of shampoos.  This concern arose out of sensitivity to sulfates in foods.  However, they really don’t necessarily damage hair, and have less toxicity when used topically.  Sulfate/sulfite free products are actually less able to “remove” the dirt, but for people with sensitive skin and sulfate sensitivity, it may still be better to avoid them.

 A conditioner is not that important.

A good conditioner is one of the most underrated parts of a hair care routine especially as we age.  As women get older, less oil is produced, and the scalp and hair dry out much easier.  While rinse off conditioners also have less ability to repair damage than leave in conditioners, they do have a lot of benefit.  Conditioners can help repair damage from weather, sun, chemicals and heat.  Also look for products that make it easier to comb the hair and detangle, in order to minimize damage.

Dry shampoo is not good for your hair.

While it is true that you should practice moderation with dry shampoo, using this time method every so often (even once a week) is not a problem.  The problem with over-using dry shampoo is that your follicles miss out on the washing and rinsing you get from normal shampoo and water.  This not only has the potential to dry out hair, which could cause breakage, but your hair and scalp can get a buildup of natural oils and dirt as well.  However, using dry shampoo for the occasional lazy morning or last-minute dinner date should not be an issue.

It is important to remember that everyone’s hair is different and there is no one size fits all routine out there.  If you have any questions about your hair care routine, do not hesitate to reach out to our staff.

Posted by your Medi Tresse Team

Ketoconazole Shampoo

We receive a lot of questions from patients about shampoos and there is one in particular that comes up often, ketoconazole shampoo.  It is important to understand that most shampoos are not going to significantly regrow hair, regardless of what they advertise.  Many of these products will have ingredients that are known to help with hair loss, like DHT blockers or proteins, but it is not known how much of this is really absorbed in scalp.  This does not mean that there is no benefit to these shampoos.  While they will most likely not regrow hair, there is the potential to get healthier hair, less dry hair, or even increased volume.  In terms of what should be in the shampoo, ones that have panthenol and proteins can make hair appear thicker. Some shampoos have dihydrotestosterone (DHT) blockers in them, which brings us to ketoconazole shampoo.

Ketoconazole shampoo is a potent DHT blocker and is sold under the brand Nizoral. Excessive DHT has been found to be one the causes of androgenic alopecia.  It is important to note, that you would not want to use ketoconazole shampoo every day, and most people would only use it once or twice a week. Ketoconazole shampoos come in two strengths, over the counter, which is 1% strength and prescription, which is 2%.  When would we recommend these types of shampoos?  The over the counter Nizoral can be a good option for anyone with androgenic alopecia, also known as Female Pattern Hair Loss.  It is believed that ketoconazole shampoos may also have anti-inflammatory benefit, which could possibly help with other types of hair loss.  The over the counter strength can also be used for patients with a dry scalp or dandruff.  We often prescribe the 2% strength ketoconazole shampoo to patients experiencing severe dryness or seborrheic dermatitis.  Ketoconazole shampoos have been known to dry out hair, so it is really important to use a good conditioner with it.

In short, ketoconazole shampoo with an added conditioner once or twice a week is a good choice for any woman with known androgenic alopecia.  As always if you have any questions, we recommend consulting with a female hair loss specialist.

Posted by Your Medi Tresse Team

 The content contained herein is for education only and should not be considered medical advice.  Medical advice may only be given through a one-on-one, private consultation with an appropriate licensed medical provider.

Over the Counter Hair Loss Treatments

Over the past year we have received many questions from patients wondering about our thoughts on the many over the counter hair loss treatments now available.  While there are too many options available to specifically give guidance on each one, there are really just a few main categories that all of these treatments fall into.

Shampoos and Conditioners

It is important to understand that most shampoos and conditioners are not going to regrow hair, regardless of what they advertise.  Many of these products will have ingredients that are known to help with hair loss, like DHT blockers or proteins, but it is not known how much of this is really absorbed in scalp.  This does not mean that there is no benefit to these shampoos and conditioners.  While they will most likely not regrow hair, there is the potential to get healthier hair, less dry hair, or even increased volume.  In terms of what should be in the shampoo, ones that have panthenol and proteins can make hair appear thicker. Some shampoos have saw palmetto which is a mild DHT blocker. Ketoconazole (Nizoral) shampoo is a potent DHT blocker but does dry out hair and must be used with a good conditioner. There is a lot of talk about sulfates in shampoos being harmful to hair, but at a recent international conference on hair loss, it was noted that there are no scientific studies to support this.  In terms of conditioners it is important to use a light conditioner if dealing with fine hair to prevent weighting it down and making the hair appear flat.


Minoxidil is the only over the counter treatment that is FDA Approved for the treatment of hair loss.  You may notice a lot of websites advertise their own FDA Approved treatment, but that just means they are offering minoxidil or a product with minoxidil in it.  While not everyone is familiar with minoxidil, most people are familiar with Rogaine, which minoxidil is the active ingredient.  Minoxidil can be a great supportive treatment for hair loss, but there are a few things to note about the over the counter versions.  Most of the studies on minoxidil were completed on 5% minoxidil solutions and many of the over the counter treatments only contain 2% minoxidil. The chief complaints of minoxidil is that it can irritate the scalp and make your hair greasy.  If you have those issues, there are specially compounded minoxidil prescriptions that can minimize those side effects.  Lastly, you cannot just stop minoxidil as it can cause shedding.  You really need to use it consistently for it to work and if you want to stop it you need to taper off.

Low Level Laser Therapy

There has been a significant increase in the number of Low Level Laser Therapy (LLLT) devices on the market in the past few years.  We are seeing laser caps of all different sizes and made with different light sources.  The studies on LLLT show that the proper devices can give excellent results, however, many of the devices on the market do not match the specifications from the studies.  The studies were completed with 650 nm low level lasers and enough lasers to produce 4 joules/cm2 of power.  However, many devices on the market today do not contain low level lasers and instead have red lights.  The number of diodes is also important based on the size of the device.  There are many devices with only 80 or 100 diodes, but that is not enough diodes to produce 4 joules/cm2 of power.

If you are deciding to purchase a treatment over the counter, it is important to understand that no treatment will work unless it is being used for the appropriate reason.  If you think that you are in need of a hair loss treatment you should really meet with a specialist that can diagnose the cause of your hair loss and ensure that you are receiving proper treatment.

Posted by Your Medi Tresse Team

Can Hair Styling Cause Hair Loss?

One question I hear from almost every woman I meet with is , “Does coloring or styling my hair cause or worsen my hair loss?” The answer to that question is “sometimes, but certainly not all the time.”

There is no evidence that coloring our hair causes hair loss. Having said that, I have seen women who have processed their hair excessively over a short period of time and have experienced severe shedding or damage to their hair. This is rarely permanent, and usually with careful styling and fewer chemicals the hair can recover. I have seen very severe loss from bleaching and stripping of color, but invariably there is recovery. If the scalp is severely burned from chemicals, resulting in blistering, there can be permanent scarring, but that is extremely rare.
If you are using chemicals which cause a burning sensation of the scalp, it is probably a good idea to stop using that particular product.

I would also avoid perming hair, because those chemicals are very strong. Chemical straighteners, or relaxers are particularly damaging to hair and the scalp. It is believed that these particular chemicals may be responsible for a higher likelihood of Scarring Alopecia in African American women, which can lead to permanent loss. This is why I encourage women to go to a professional salon, and ask for very gentle products and let the stylist know about your hair concerns.

In terms of styling hair, chronic pulling of the hair into tight braids, ponytails, corn rows, or dreadlocks can cause loss of hair due to stress on the hair follicles. Over time the damage can be permanent. This is known as Traction Alopecia. We recommend not keeping the hair in that type of style for very long. The hair follicles need to rest.

In general, I recommend trying to be as gentle as possible to your hair and scalp, especially if you are experiencing thinning. Washing your hair daily is usually not necessary, but doesn’t cause hair loss. It does dry out the hair, which causes breakage, but not thinning or loss. This is also true of hair dryers and hot combs. Condition your hair with every wash to keep in the moisture, don’t over process or over style your hair, and you will be rewarded with stronger healthier hair!

Posted by Dr. Mary Wendel

Tricomin® Products Reformulated

We are excited to announce that one of our favorite products at Medi Tresse, the Tricomin® Clinical product line, has been reformulated to provide even better hair health.  Tricomin®, which offers a follicle spray, shampoo, and conditioner, has long been the standard for hair loss shampoos and conditioners.  Tricomin ® products are fortified with patented Triamino Copper Complex™, a proprietary peptide blend of copper and amino acids.  Copper is not only important for the health of the hair, but copper peptides can help with healing in the body.  Amino acids are key building blocks for protein, and hair is made of the protein keratin.

So how have the Tricomin® products been reformulated? The great part of about the reformulation is that it is a relatively minor change to the products, which is important because the products were already really beneficial for hair health.  However, the product line now has Pinoxide, which is a micro-circulation booster for the hair follicle.  This means increased blood flow around the follicle, which not only helps in repairing the follicle, but should keep the follicle healthy longer.

If you are interested in learning more about these products do not hesitate to reach out to one of the hair loss specialists at Medi Tresse.

Posted by Your Medi Tresse Team

Recent News Stories About Hair Care Products Causing Hair Loss


You may have heard one of the many stories in the news recently about claims being made that certain hair care products are causing hair loss. Many of these products are sold to consumers with the promise to achieve thicker, stronger and more beautiful hair. From these news stories it can be very difficult to know for sure if these products are actually the source of the hair loss. It is always possible that these products had some form of irritant in them that could cause hair loss. There is also the possibility that a number of consumers who purchased these products were already suffering from hair loss, and purchased them hoping to stop their loss, but over time their loss has just continued. Regardless of the cause of the hair loss, these types of news stories highlight some important questions that we should be asking ourselves, what is in our hair care products, and could our hair care products cause hair loss?

Unfortunately, the answer is yes it is possible that your hair care product could be a cause of hair loss. So how can you avoid this, and what do you do if this happens to you? The answer is to be savvy about hair care. If you start using something that creates a change in the way your scalp feels for the worse; such as tingling, burning, itching, redness, or general irritation STOP USING IT! Your body (or more specifically, your follicles!) are telling you that this is not the good kind of stimulation, and that it may even be harmful. Do not ignore these signs thinking things like “pain is beauty” or “if it tingles that means it’s working”. Although there is a lot of research out there supporting the use of products free of harsh sulfates and parabens, we also need to be more in tune with our bodies as well. Certainly shampoos and hair products that are lacking in these proven harmful ingredients will more than likely be better for your follicles, it doesn’t mean you need to drop your Pantene and switch to Castor Oil and Avocados. I personally love more natural products that are free of chemicals, harsh sulfates, and parabens, but I also promote products that are aimed to treat hair loss, that are scientifically proven by good ol’ fashion clinical research, such as our Tricomin Products for female hair loss treatment. These products are specifically designed to treat the follicle and encourage hair regrowth.

Overall, if you think you may be experiencing hair thinning or loss, whether due to a new hair product, treatment, or styling technique, it is important to do a little investigating to see if you can find a direct correlation or cause. When in doubt, it is always recommended to seek an expert’s opinion to help identify any potential causes for what’s going on with your hair.

If you are curious to find out ways to prevent and or treat hair thinning or hair loss, get in touch with us, or come see our female hair loss treatment specialists here at Medi Tresse. We are dedicated to helping you preserve and promote growth of strong, healthy hair!

Posted by Your Medi Tresse Team

Q&A with the Director of Clinical Services - Lacey Sellati, RN, PA-C

mother-daughter-700x463344aCan you tell us a little about yourself and your training?
Of course! So I am a Registered Nurse and a board-certified Physician Assistant. I graduated from Simmons School of Nursing and obtained my Masters in Physician Assistant Studies from Massachusetts College of Pharmacy and Health Sciences. Prior to joining Medi Tresse, I was the former owner of Eden Spa, a beauty and wellness spa in Brookline, Massachusetts. Early on in my PA career I developed a passion for treating patients that were struggling with hair loss. During my training I held a clerkship with Brigham and Women’s Dermatology Alopecia Clinic, as well as received hair loss-specific medical training with one of the leading hair regrowth and restoration clinics in New England. Through those experiences I established a specific interest in treating women who were experiencing hair thinning and loss so it was only natural for me to become a member of the Medi Tresse team.

What is a PA and what do they do?
Actually, a lot of patient’s are not very familiar with the role of the Physician Assistant (PA)! PAs are similar to Nurse Practitioners (NPs) in that we are considered mid-level practitioners. Like an NP, a PA is a nationally board certified and state-licensed medical professional.

PAs practice medicine as a part of a healthcare team that includes physicians, nurses, and other medical professionals. Most PA training programs are approximately 3 years, have the same prerequisite courses as medical schools, and require students to have healthcare training and experience prior to attending.

In Massachusetts, a PA is able to be the primary care provider for patients and may be the sole practitioner a patient sees during their entire healthcare experience.

PAs meet with patients, conduct physical exams, diagnose and treat medical conditions, order and interpret labs or tests, develop treatment plans, counsel patients, perform minor surgical procedures, write prescriptions, and follow a patient throughout the entirety of their care.

A PA will collaborate with their supervising physician regularly in order to provide the best treatment regimen for patients.

What led you towards being a PA that treats women’s hair loss?
Well, over the course of my training to become a PA I have developed a passion for hair loss, specifically in women. On multiple occasions I had the pleasure of witnessing the incredible potential of today’s medical technology to restore a women’s confidence through hair restoration and regrowth. Early in my clinical year, I sought out opportunities to work with hair loss patients. From the initial patient consultation, I had an immediate affinity for this area of medicine. It was fascinating and inspiring to take part in such innovative practices involving treatments such as Platelet Rich Plasma Therapy. Also, I truly believe that medicine is about caring for people holistically. Creating a positive shift in a woman’s self perception by helping her feel more confident about her hair is a professional goal of mine.

What are your expectations for the future treatments for hair regrowth?
My hope is that there will be continued research towards finding new effective treatments to treat hair loss, in both men and women. Because there are often other reasons for which a women will experience hair loss that a man would not necessarily experience, I would hope there would be clinical advancements made towards studying women’s hair loss specifically.

Learning new hair loss treatments to stay on the cutting edge of surgical and non-surgical approaches is something that I am both excited by and dedicated to. Being a part of a leading hair loss practice puts me in a place where I will be able to apply new treatments if and when they become available. As with anything in medicine though, research takes time. However, there are new studies on the horizon; whether they involve a new medicine or a new procedure, so that is very encouraging!

Posted by your Medi Tresse Team

Is Styling Your Hair Causing Hair Loss?

From washing to blow-drying to coloring, we devote a lot of our waking hours towards primping and preening our hair. Ever wonder how much time you spend styling your hair throughout the course of a year? According to a survey by beauty product retailer, a woman spends an average of 10 days per year styling her hair! With all the styling we do to our hair, it is important to ask the question “How does styling affect the health of my hair?” Although coloring and other styling techniques seem to improve the aesthetic appeal of our hair, unfortunately over-styling can actually damage your hair and potentially lead to hair loss.

Many of the products we put in our hair for coloring or bleaching can dry out the hair or irritate the scalp. Excessive use of these products can be so irritating to the follicle and scalp that it can actually lead to hair loss! Using chemicals to straighten or curl can also be very damaging, as it dries out the hair leaving it brittle and prone to breakage. There have also been reports of scalp burns from the chemicals in perms and processing, which can lead to dramatic and sudden hair loss. Although this is often the result of improper color application or overly aggressive processing, it is important to have your hair done by a trained professional in order to minimize the risk of damaging your hair. Also, ask your stylist about the different product options they offer, and which options are most follicle friendly (we recommend always using ammonia-free or low-ammonia hair dyes and never bleach your hair!).

Unfortunately, it is not just the products we use that can cause damage to our hair. Many of the techniques we use to style our hair can also cause damage and hair loss. Extreme heat from the constant use of a flat iron or blow dryer can dry out the hair and lead to breakage. Ponytails, braids, extensions, and weaves put a lot of stress on the roots of the follicle and over time can lead to traction alopecia, a form of hair loss that is often times permanent.

This does not mean we should immediately stop styling our hair! The key is to use the right products, a professional stylist, and practice moderation with your styling techniques. Make sure you work with your stylist to select the most follicle friendly hair dyes. Ask them about the risks associated with using any product or styling technique. Lastly, if you are ever concerned about a product or hair styling technique causing hair loss, speak with a hair loss specialist that can guide you through best practices for styling your hair. Medi Tresse embodies your local Boston area hair loss specialist team.

Posted by Lacey Sellati, RN, PA-C