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Elaina Ricci PA-C

Elaina Ricci PA-C

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As a dermatology physician assistant in Dallas, Texas I am committed to promoting comprehensive skin health and empowering patients through education.

Since I previously worked in the emergency room, I enjoy sharing other important medical information!

08/27/2026

https://www.facebook.com/share/p/1CEgvtmDL9/

When trial findings were presented to cancer researchers, they were reportedly met with a standing ovation.

08/25/2026
One of my favourite hair research studies so far in 2026 is a study by Maas and colleagues published in the British Journal of Dermatology. The very clever study showed that patients using oral minoxidil in the morning had better hair growth than people using it in the evening!🏆 Hair follicles have their own circadian rhythms, and keratinocyte proliferation and hair growth may vary throughout the day. In this interesting study, the authors retrospectively reviewed patients with androgenetic alopecia treated with oral minoxidil from 2020–2025. 329 met the final inclusion criteria. Patients were divided according to daytime (n=68) or nighttime (n=261) dosing. Hair density and calibre were measured using trichometric analysis at a standardized scalp location, with median follow-up of 11.9 months. The 329 patients included 215 women, 113 men and 1 nonbinary patient, with a mean age of 43 years. Most had early AGA (62.1%) or moderate (35.3%) AGA. The median starting LDOM dose was 1.25 mg/day. Concomitant treatments included finasteride, spironolactone, dutasteride, topical minoxidil and PRP. Hair density increased by 24.4 hairs/cm² with daytime dosing vs 16.5 hairs/cm² with nighttime dosing (P=0.04). After adjustment for important differences between groups, daytime dosing remained associated with an additional 7.79 hairs/cm² improvement (P=0.03). Hair calibre improvement was identical at 1.6 μm in both groups (no difference). Overall, the authors concluded that daytime oral minoxidil use was associated with greater hair-density improvement than nighttime dosing. The findings raise the fascinating possibility that circadian biology influences minoxidil response. I really liked this study!! If validated prospectively with further studies, something as simple as changing the time minoxidil is taken could potentially improve treatment effectiveness without increasing the dose. How amazing is that? More controlled studies are needed. REFERENCE Maas D, Spindler A, Zappi I, et al. Increased efficacy of daytime low-dose oral minoxidil dosing for androgenetic alopecia: a retrospective study. Br J Dermatol. 2026. #oralminoxidil #aga 08/22/2026

https://www.instagram.com/p/DcUT5ECyc-i/?igsi=cXZ6ZXVjYTJmazNn

One of my favourite hair research studies so far in 2026 is a study by Maas and colleagues published in the British Journal of Dermatology. The very clever study showed that patients using oral minoxidil in the morning had better hair growth than people using it in the evening!🏆 Hair follicles have their own circadian rhythms, and keratinocyte proliferation and hair growth may vary throughout the day. In this interesting study, the authors retrospectively reviewed patients with androgenetic alopecia treated with oral minoxidil from 2020–2025. 329 met the final inclusion criteria. Patients were divided according to daytime (n=68) or nighttime (n=261) dosing. Hair density and calibre were measured using trichometric analysis at a standardized scalp location, with median follow-up of 11.9 months. The 329 patients included 215 women, 113 men and 1 nonbinary patient, with a mean age of 43 years. Most had early AGA (62.1%) or moderate (35.3%) AGA. The median starting LDOM dose was 1.25 mg/day. Concomitant treatments included finasteride, spironolactone, dutasteride, topical minoxidil and PRP. Hair density increased by 24.4 hairs/cm² with daytime dosing vs 16.5 hairs/cm² with nighttime dosing (P=0.04). After adjustment for important differences between groups, daytime dosing remained associated with an additional 7.79 hairs/cm² improvement (P=0.03). Hair calibre improvement was identical at 1.6 μm in both groups (no difference). Overall, the authors concluded that daytime oral minoxidil use was associated with greater hair-density improvement than nighttime dosing. The findings raise the fascinating possibility that circadian biology influences minoxidil response. I really liked this study!! If validated prospectively with further studies, something as simple as changing the time minoxidil is taken could potentially improve treatment effectiveness without increasing the dose. How amazing is that? More controlled studies are needed. REFERENCE Maas D, Spindler A, Zappi I, et al. Increased efficacy of daytime low-dose oral minoxidil dosing for androgenetic alopecia: a retrospective study. Br J Dermatol. 2026. #oralminoxidil #aga

I’m sooo impressed by how much you’re liking the sports medicine content! It’s something I always wanted to post but was always a bit afraid to, because sadly the algorithm of this app rewards the more sensationalist stuff. But if you keep giving these posts love, we can fight medical misinformation together ♥️ 08/21/2026

https://www.instagram.com/p/DcQ86xMDd0d/?img_index=7&igsi=MWViMWV0OHRjdWxoZw==

I’m sooo impressed by how much you’re liking the sports medicine content! It’s something I always wanted to post but was always a bit afraid to, because sadly the algorithm of this app rewards the more sensationalist stuff. But if you keep giving these posts love, we can fight medical misinformation together ♥️

08/16/2026

Love her 😅

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