8 Types of Drugs That Could Cause Hair Loss

Table Of Content

• Products & Services
• How To Diagnose Drug Induced Hair Loss
• What are the treatment options for hair loss?
• More articles like this
• Anagen effluvium

It can also cause other hair-related effects, such as curling, graying, and changing the appearance or texture. Fortunately, hair loss caused by antifungals is reversible, and complete regrowth can be expected within three to six months after stopping or reducing the dosage. Many commonly prescribed medications can cause temporary hair loss, baldness, and even permanent hair loss. Most of the time, the hair loss is reversible, with hair growing back a few months after stopping or reducing the medication. Where possible, the best way to treat drug-induced alopecia is to stop taking the medication responsible for the hair loss. However, people should not stop taking a medication without their doctor’s agreement.

Products & Services

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Although statins were designed to lower cholesterol levels by reducing the production of cholesterol by the liver, there’s a small chance they can lead to hair loss. Two particular drugs to look out for are simvastatin (brand name Zocor) and atorvastatin (brand name Lipitor). Another group of antihypertensives are called ACE inhibitors, which help relax veins and arteries to lower blood pressure. Examples include lisinopril (brand names Prinivil and Zestril), captopril (brand name Capoten), and enalapril (brand name Vasotec). If you’ve recently noticed an increase in the volume of hair tangled in your brush or lining the shower drain, then it might be time to look into what’s causing it. If you think your hair is thinning or you’re shedding excessively, one of the first places you can look for answers might be your medicine cabinet.

How To Diagnose Drug Induced Hair Loss

A 2013 review looked at spironolactone as a medication for female pattern hair loss. Research showed it to be an effective treatment for reducing hair loss, especially when combined with minoxidil. Also, a 2023 review showed that topical spironolactone was an effective treatment for androgenic alopecia and was safe for both men and women.

What are the treatment options for hair loss?

In addition to medications, certain vitamin and mineral supplements may also be helpful for managing hair loss and hair regrowth. This is because some vitamin and mineral deficiencies can contribute to losing your hair. Tinea capitis, or scalp ringworm, is hair loss caused by a fungal infection. It is characterized by hair falling off in circular patches, which can grow back over time.

Addressing shortfalls through diet and supplements: Does it help hair growth?

If a certain medication is causing the hair loss, your doctor may advise you to stop using it for a few months. With chemotherapy-related hair loss, being gentle with hair may help. Some people choose to cut their hair short or wear wigs during treatment.

Propecia is known to affect blood levels of prostate-specific antigen (PSA), a lab value that is looked at during prostate cancer screening. Lower levels of PSA may present an unclear picture to your healthcare provider and cause inaccurate readings. You're likely to first bring your concerns to the attention of your family doctor. He or she may refer you to a doctor who specializes in the treatment of skin problems (dermatologist). If your hair loss is due to a medical condition, the cost of a wig might be covered by insurance. Hair loss can occur if you wear pigtails, braids or cornrows, or use tight hair rollers.

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Types of Drugs That May Cause Hair Loss

This dermatologist is using a dermatoscope to examine a patient’s scalp. You can search by location, condition, and procedure to find the dermatologist that’s right for you. It can smooth out deep wrinkles and lines, but the results aren’t permanent.

What makes alopecia worse?

It typically only affects hair on the scalp and is diffuse in nature, meaning that the hair loss is spread across the scalp as opposed to patchy. Hair may fall out when shampooing or brushing hair, but it does not fall out in clumps. Drugs cause hair loss by interfering with the normal cycle of scalp hair growth.

Anagen effluvium

Anticoagulant medications such as heparin and warfarin have rare side effects of causing hair loss. Research is promising regarding the effectiveness of popular hair loss medications. However, more research is needed overall, particularly on the long-term effects of using hair loss treatments. The AAD writes that dermatologists can recommend OTC and prescription medication for hair loss, including minoxidil. The step is to identify what's causing your hair loss and consult your healthcare provider before stopping your medication.

Other early signs of alopecia include a noticeable increase in the number of shed hairs in hairbrushes and shower drains and on pillows. Medications that prevent seizures, like valproic acid (Depakote) and trimethadione (Tridione), can lead to hair loss in some people. Some statin drugs like simvastatin (Zocor) and (atorvastatin) Lipitor have been reported to cause hair loss. Anticoagulants like heparin and warfarin are used to thin the blood and prevent blood clots and certain health concerns in some people (like those with heart conditions). High doses of vitamin A and medications derived from it can cause hair loss.

There are several steps to make a diagnosis of drug-induced alopecia and decide on the appropriate course of action. A person can use this service to search for the lowest pharmacy prices for a wide range of medications. Hers offers free online visits, free shipping, and unlimited messaging with Hers doctors for follow-up questions. Online consultations cost $25, which typically covers the doctor’s evaluation and the prescription.

User experiences and results will vary from person to person and you may not see the same results as someone else using the same medication. There’s a range of treatment options for hair loss, but the best option for you will depend on what’s causing your hair loss. With an accurate diagnosis, many people who have hair loss can see hair regrowth. If you need treatment for regrowth, the earlier you start, the more likely you are to see regrowth. Medications that alter the levels of hormones in the body may also be linked to hair loss in some patients.

So, while some people taking weight loss drugs have reported hair loss, that loss could be due to malnutrition. Weight loss medications like phentermine can cause hair loss, but the side effect isn’t often listed. This is because dieters who lose their hair are often also nutrient-deficient or may have underlying health conditions contributing to their hair loss. One type acne of vitamin A-derived medication, isotretinoin (Accutane) and tretinoin (Retin-A) can cause hair loss. Because there can be other serious side effects as well, you may want to discuss other options with your dermatologist. Hair loss, or alopecia, is a condition both men and women may experience during their lives as a result of health-related issues, genetics, and medications.

Hair loss Diagnosis and treatment

Table Of Content

• The role of vitamins and minerals in hair health: Essential nutrients for strong and healthy hair
• How do I know which type of hair loss I have?
• How Jojoba Oil Can Promote Hair Growth
• Anagen effluvium
• From Mayo Clinic to your inbox

Hair shedding usually starts within seven to 14 days of the first administration, and hair loss becomes evident one to two months after. In some cases, especially in those who take multiple cycles of chemotherapy, hair loss may be almost complete. After stopping the medication, hair regrowth may take up to three months. The incidence of hair loss with these medications may depend on your dose, age, and duration of treatment.

The role of vitamins and minerals in hair health: Essential nutrients for strong and healthy hair

While many different medications are labeled with hair loss as a potential side effect, with the exception of chemotherapy treatment, it’s quite rare with most of those medications. This means typically, normal hair growth will resume when people stop taking the drug. In rare cases, however, people can experience permanent hair loss. There are two main types of drug-induced hair loss, which include anagen effluvium and telogen effluvium. Telogen effluvium is the most common form of drug-induced hair loss.

How do I know which type of hair loss I have?

Meanwhile, “the goal of a serum is to target the hair follicle directly by delivering compounds that may allow for improved or optimal hair growth,” says Dr. Mirmirani. These ingredients are those that aren’t typically found in the diet, such as minoxidil and plant-based compounds. If you have alopecia, you can help hold onto your tresses by avoiding behaviors that are known to contribute to temporary and permanent hair loss, Mirmirani says. If you have healthy hair on the back or side of your head, a doctor can surgically remove hair strands from those areas and graft them into your scalp in a bare area. It’s another expensive treatment that isn’t generally covered by insurance, but it tends to be a long-lasting solution. It’s usually genetic, but it can also be triggered by diseases or disorders that attack the hair follicles.

How Jojoba Oil Can Promote Hair Growth

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Chemotherapy drugs may be the best-known cause of drug-induced alopecia. However, hair loss is a possible side effect of many different medications. After chemotherapy treatment, the hair usually grows back in very quickly, but it may change in texture. In rare cases, the hair will stay thin even after treatment has been stopped.

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Oral contraceptives (birth control pills) and hormone replacement therapy both generate hormonal changes that may cause hair loss or thinning. Estrogen and progesterone, specifically, have been linked to telogen effluvium and female pattern baldness. A dermatologist may recommend over-the-counter (OTC) topical minoxidil as a first treatment option.

What can you do about drug-related hair loss?

This type of hair loss typically resolves on its own once the underlying cause is addressed. Many types of wigs, including ones that can be custom-made for you, are available. If you’re looking for a concealer, such as a spray or powder that can hide hair loss, you’ll find many products available online. With endless choices, it can be helpful to have a dermatologist guide you in selecting one.

Anagen effluvium

Since it may take weeks or even months after the trigger event for hair loss to begin, it’s often hard to know the exact cause. But when the body experiences a trauma, sudden, substantial shedding can occur. Triggers can include an acute illness, stress, a severe nutritional deficiency, rapid weight loss — or a drug that proves toxic to hair follicles. Drugs can be the culprit for a condition known as drug-induced telogen effluvium, which leads to increased shedding on top of the scalp a few months after exposure. Drug-induced alopecia––hair loss that develops as a side effect of medication––often occurs within three months of starting a new drug. The exact timeline depends on the drug and the type of hair loss.

From Mayo Clinic to your inbox

The most accessible hair loss treatments are those made with minoxidil. Brands like Rogaine are widely available over the counter at pharmacies and online retailers. If you experience any side effects while taking hair loss medications, notify your doctor or pharmacist immediately.

This salt then shortens the telogen phase of the hair and causes the hair to enter the anagen stage. People using minoxidil may start to see their hair growing back within 3–6 months. Prescription drugs used to treat hair loss — finasteride, spironolactone, and dutasteride — are more accessible with subscription-based telehealth platforms like Hims, Keeps, and Roman.

Over-supplementation of some nutrients, such as vitamin A, vitamin E, and selenium, may also cause hair loss. If you aren’t ready to meet with a doctor just yet, there are over-the-counter treatments you could consider using, but those results may take several months to see. If you’re interested in prescription-strength products, such as oral finasteride, Hims can connect you with a healthcare professional from your own home. When it comes to hair loss, spironolactone is specifically used for women because it targets certain hormones. This is true for damaged hair follicles from too-tight hairstyles, damaged hair follicles from chemicals applied to the hair, and damages caused by certain autoimmune diseases. Hair loss can also be a side effect of some medications, especially chemotherapy medications to treat cancers.

This medication works by blocking the action of an enzyme that converts the hormone testosterone to another hormone, dihydrotestosterone, that causes hair loss. Minoxidil formulas typically consist of liquids, foams, and shampoos. In studies, minoxidil was applied to hair that was completely dry. Most manufacturers suggest you apply it to dry or towel-dried hair.

Anabolic steroids for muscle-building and testosterone replacement therapy, which is often used to treat low testosterone, have both been linked to hair loss in males. A common question is whether blood pressure medication can lead to hair loss. However, there are other cases where hair loss occurs prematurely, and that can happen as a result of major illness, poor diet, significant weight loss, childbirth, or even medications. A 2019 mouse study suggests that topical application of the many fatty acids present in pumpkin seed oil can promote hair growth.

Male-pattern hair loss is what causes a receding hairline and baldness in men. In women, female-pattern hair loss typically affects the crown or top of the head first, Mirmirani says. Women may notice that their part is becoming wider or that their scalp is more visible. When using any topical products or taking oral medications, there may be side effects or possible interactions. If you are concerned about certain side effects or want to know if you can take a hair loss medication with other drugs, consult your doctor or pharmacist. This is considered the most effective treatment for people who have a few patches of alopecia areata, a condition that causes hair loss.

Minoxidil is FDA-approved as a treatment for androgenic alopecia. According to 2021 research, experts believe it shortens the hair’s resting phase — called the telogen phase — and extends the growth phase, called the anagen phase. Baldness typically refers to excessive hair loss from your scalp. Hereditary hair loss with age is the most common cause of baldness.

When hemoglobin is too low, you can become anemic and lose hair as a result. Normal levels of vitamin B are also critical to maintaining healthy hair. Here are some of the types of medications that can cause hair loss as a side effect. The most important step is to test your serum before using it for the first time. “Apply the serum to a small spot on the scalp for a few days to ensure that there is no irritation before applying it more broadly,” says Dr. Mirmirani. “A measured approach is best.” To that end, get comfortable with the fact that you’ll need to be both consistent and patient in your usage, as the results can take time.

As such, it may offer an alternative option for treating hair loss. Hair loss that occurs during the telogen phase usually resolves within 6–9 months after ceasing the medication. This is due to the normal length of the telogen phase being between 3–6 months. However, depending on the length of hair, it may take several months for the overall hair volume to gradually return to normal. Connecting with a doctor as soon as you see the early signs of hair loss may result in an early diagnosis and both of you can discuss which options are available.

45 Charming Bride's Wedding Hairstyles For Naturally Curly Hair

Table Of Content

• Add a Headband
• Loose Updo
• Hair Accessories
• Drying and Setting Your Curls
• Salon of Curls

Bring a prominent change in your look by adding chunky blonde highlights on a dark chestnut mane creating a two-toned appeal. Opt for a puffy half-up hairstyle with a delicate crown for a princess appeal and add tight curls sparing the face-framing fringe at the front. Low ponytails and messy braids are welcome to make your look amazing. A curly and messy low ponytail is a refined and very chic idea, it’s perfect for a modern wedding.

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Add a Headband

You don’t need very curly hair to pull it off – just an ample amount of volumizing mousse or gel and hairspray. In this enchanting updo by @kellgrace, the main attraction is the dainty and ultra-feminine flower headband. Curly styles for weddings can be uncomplicated as long as you have that special accessory to complement your hair texture and your overall look.

Loose Updo

By considering your hair type, length, and desired look, you can find the perfect curly hairstyle that will make you feel confident and beautiful on your special day. For added glamour and sparkle, choose one of our embellished options like sparkling crystals or flower crowns—your friends won’t believe their eyes when they see how gorgeous these styles can be! No matter what kind of modern bride style you’re after this season, take a few minutes out today and get inspired by these truly showstopping looks, especially with bouncy natural waves. For brides with curly hair looking for easy yet elegant wedding hairstyles, the beauty lies in simplicity. Think about a soft bun that gathers your curls at the nape of your neck, offering a look of effortless grace.

Hair Accessories

The team currently works on the bridal realm and other beauty projects with great passion and enthusiasm. Moreover, Sung assesses the unique facial features of each bride and uses her experience & knowledge to create customized, flawless looks. In the months leading to your wedding, Hsu recommends that you really step up your hair care game. “Start using the right products [such as] shampoo, conditioner, serums, and masques based on your hair type,” she advises.

Use a curl fining cream and fragrance-freestyler to activate and style your curls. Then feed in some hair serum and curl moisturizer for some glossy touch. If your hair is kinky, use a curling custard and follow through with a lightweight curl-defining gel.

To get the look, start with a gentle detangling spray, like Dove Absolute Curls Leave-In Detangler, onto your curls. Then, using a paddle brush, carefully brush your curls into a high bun. To add some interest onto your bun, add in a flower crown for a soft and romantic finish. Traditional veils work well with most wedding hair styles, but the trendy birdcage veil seems to go especially well with tight curls, as the netting shows off the texture of the hair.

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Drying and Setting Your Curls

They also help show off tiaras and other jewelry beautifully so everyone knows who the leading lady of the night is. Specializing in special occasion hair and makeup, from weddings to red carpets to galas, Skyla Arts Makeup & Hair can make you look stunning. Liz Chang, the founder & lead artist, has been offering high-level bridal beauty services since 2009. They have various packages which include consultation, bridal makeup & hair, airbrush foundation, touch-up kit, and men’s grooming. Also, their stylists create custom makeup packages to ensure that the look you choose suits your style and comfort. Nothing compares to those moments when you’re planning everything and trying out different dresses and hairstyles that you’ll wear on one of the most important days of your life.

Natural Twisted Updo

Leading up to your wedding, ensuring that your hair is as healthy as possible and capable of being styled is essential. Here’s what to keep in mind to ensure that your locks are in tiptop shape for the big day. You absolutely love your curls and want to show them off at your wedding? When a well-meaning older relative learned of my engagement last spring, she became excited thinking of how I would look on the big day. No, she wasn’t dreaming of a beautiful white dress or my glowing face on a lovely fall morning—she was excited that she would finally get to see me wearing straight hair. This sleek, low ponytail highlights the bride's beauty yet celebrates her curls.

Salon of Curls

And let’s not forget the ever-romantic half-up style, which perfectly frames your face while letting your curls dance freely down your back. These hairstyles are not only easy to create but also ensure you look breathtakingly beautiful on your big day, without any fuss. I Love Lulu Hair Cafe is a unique hair salon that provides services and products to help grow and maintain healthy hair.

The last thing you want is a headache or an accessory that feels uncomfortable on the big day, so test it out before committing to the look. Chances are that you put a lot of thought into your wedding venue, and the setting of your celebration plays a major role in the overall feel of the day. Think an elegant updo for a more formal occasion, and casual, cascading waves for a more laidback celebration. We tend to think that only long hair gives us a plethora of styling options, but short hair can do the same. Rock your spiral-like curls short and use a bobby pin or two to secure a portion of your hair on one side of the head for a super elegant wedding look. They are romantic, they can be created very fast and very easily by you yourself, you may go for side braids and twists, for a braided halo or just a simple half updo.

When it comes time to select your wedding day hairstyle, there’s a lot to consider. From vendors to ‘dos to products to accessories, Zola is your one-stop-shop for selecting the best day-of look for your special day. As long as you stay true to your personal aesthetic, and follow these dos and don’ts, you’ll look and feel as radiantly special as possible on your big day and beyond. A hair and makeup trial is one of the most essential moves you can make when getting ready for your wedding.

35 Wedding-Worthy Hairstyles for Natural Curly Hair

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• Jyz Makeup + Hair
• Luxe Hair Lounge & Day Spa
• Best Wedding Hair and Makeup in Long Beach, CA
• Hair Accessories
• Crimped Hair: 3 Easy Ways to Get The Look

When it comes to romantic hairstyles for weddings, you can’t go wrong with pairing sweet, bouncy tendrils with a few scattered flowers. This style would be best suited for a bohemian wedding with a not-so-flashy lace or chiffon dress. One larger pin surrounded by smaller pins creates a work-of-art hairstyle fit for a bride. Instead of fighting humidity and frizz, let your curls fall naturally on your wedding day. You won't have to worry about a falling updo or losing a bobby pin on the dance floor. For defined curls, try a gel tasked for the job, like this DevaCurl Ultra Defining Curl Gel.

Jyz Makeup + Hair

Braids are extremely trendy to rock, so you may go for all kinds of braids and twisted braids to add boho and gypsy vibes to your hair. Ideal for ladies with long curly locks, this half-up, half-down bridal hairdo is destined to make you look like royalty on your big day. Be sure to curl the hair from top to bottom in tight spirals (gently loosening and teasing with a flat brush) and secure with a statement-making barrette. Create three or four small ponytails and then flip and pull through to create small twists for an elegant updo.

Luxe Hair Lounge & Day Spa

Leaving some loose tendrils on the forehead or at the temples adds softness and elegance. I didn’t have the faintest clue about wedding hair styles that would give me the elegant look I wanted without having to straighten my hair. While heat styling tools can help achieve certain looks, it’s important to use them wisely to avoid damaging your hair. Set your tools to a low heat setting and always use a heat protectant spray before styling. Additionally, limit your use of heat styling tools in the weeks leading up to your wedding to keep your curls healthy. Curly tendrils are perfect for this effortless vibe, as illustrated by this exuberant bride who left out a side bang for added fun.

Best Wedding Hair and Makeup in Long Beach, CA

For the hairstyle, you can choose from braids, soft waves, elaborate updos, curls, and more. The bridal package also includes trial sessions and consultations to keep the right styles ready for the day. LeeCe Stylz by Alicia Lau, a standout in Bay Area’s wedding beauty scene, offers unparalleled hair and makeup services for your special day.

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From intimate affairs to grand celebrations, they excel in managing weddings of all sizes, ensuring impeccable attention for every member of the wedding party. Dedicated to turning your wedding dream into reality, Dreamcatcher Artistry is an award-winning hair and makeup service. Since 2011, they have done hair and makeup for hundreds of brides – browse their portfolio to check out their incredible work.

Beyond traditional services, the team also offers textured styling, tanning, and more. The wedding packages include trial runs, and you can either book them for on-site services or walk-in to their studio. Committed to perfecting your unique style, Nini is a professional beauty specialist with over a decade of experience. Her goal is to ensure each bride leaves feeling comfortable, satisfied, and outstanding. The Emerald is a complete bridal day plan which includes makeup & hair, airbrush makeup (optional), custom lashes, and makeup & hair change for the reception. On the other hand, the Diamond package includes makeup & hair, airbrush makeup (optional), and custom lashes.

Why this bridal hairstyle is more popular than ever - Harper's Bazaar UK

Why this bridal hairstyle is more popular than ever.

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Styling curly hair may be a task you already struggle with, so the thought of finding the perfect wedding updos for curly hair can be a bit of an unnerving experience! However, your curls can definitely be styled into beautiful yet easy styles, as knots, high buns and uncomplicated chignons always look stunning on curly hair. Even better news is that these styles tend to require minimal to no heat styling, allowing you to show off your curls without the unwanted damage. So, whether you’re the bride or the maid of honor, here are nine wedding updos for curly hair types you’ve got to try for your upcoming wedding. Before diving into wedding hairstyles, it’s important to understand the different curly hair types and textures. Curly hair is classified into Type 2 (wavy), Type 3 (curly), and Type 4 (coily).

San Jose’s Top 19 Best Wedding Hair and Makeup Artists

To care for natural coils and kinks, it's best to limit the amount of time you shampoo, opting to refresh your tresses with a co-wash instead. You should also detangle wet hair with a wide-tooth comb, and protect your curls by drying them with a microfiber towel instead of a coarse terry cloth. While most curly girls tend to wear hairclips, this gorgeous bride proves that long curls and pearl headbands go together effortlessly. Headbands are also the perfect accessory to pair with a simple tulle veil, to create a look that's at once stylish and modern.

Her thick spirals add a gorgeous texture that ups the ante, and we especially love how she paired her locks with a fierce side part and a cluster of face-framing curls. We went on the hunt looking for the best salons for healthy hair in your area from expert curly hair cuts to protective updos, we got you. Perhaps you always envisioned walking down the aisle with a different hair color than the one you currently have, or you would like to rock a shorter cut or completely new style. If you want to drastically change up your look, both experts agree to test out your new look no later than six months before your celebration, but ideally much sooner. It often takes a while to train your hair, so chat with your hairdresser as far in advance as possible to ensure that you have plenty of time to get used to your new ‘do. Curly hair updo is considered more elegant, sophisticated, and formal, all of which is ideal for weddings.

If you decide to incorporate curly hair extensions into your wedding-day hairstyle, we recommend bringing them to your stylist for a hairstyle “trial-run” before the day of the big event. A wedding is not only a major milestone in your life but is the one day where as a bride, all eyes are on you. As a naturalista there is nothing more essential than making sure your hair is on point for the big day. Finding the perfect wedding day look isn’t a matter of pattern or texture, it’s all about creating a look that compliments your curls.

Trust us when we say that guests at your ceremony won’t be able to take their eyes off you as you gracefully walk down the aisle wearing such an elegant hairdo – one sure to last all night long. Sections on the sides are twisted back and adorned with flowers in the back, while pieces fall around the bride's face. These healthy-looking curls are defined without looking weighed down by product. If you prefer to wear your hair down while still having it off your face, a half up, half down hairstyle is the perfect choice. This versatile option allows you to showcase your curls while incorporating a stylish updo element. This stunning bride proves that long spirals (and a curly full bang!) look delightful with a whimsical flower crown and cascading veil combo.

To get the look, simply use Nexxus New York Salon Care Exxtra Hold Sculpting Gel to slick your curls off to the side. If your curls can get on the thick and unruly side, you’ll want to be careful about how you style your look. For an easy hairdo that won’t cause any breakage, trying out an accented high bun style is always recommended.

Turn around some heads by considering a deva haircut that styles each curl individually to frame the face with the curly fringe falling over the forehead flawlessly. Dye the curls in a rusty red hue to complete this jaw-dropping wedding hairstyle. Another easy-to-achieve hairstyle for brides who like to keep it simple. Tease the shoulder-length golden blonde mane all around the head creating a curly mess that contrasts with the straight and sleek bangs at the front.

Perch the veil slightly past the crown of the head and let the birdcage netting rest on the forehead. The top of the veil, which usually contains a decorative ornament, adds to the glamour. Brides with curly hair (particularly when the hair is coarse and curly) will look stunning with this style, which relies on your natural texture to create tons of volume and drama. Add a whimsical and natural touch to your braids or twists by incorporating fresh flowers or floral accessories.

A finger-wave style is in vogue with Downton Abbey fans, or for a more modern look small pearl or flower hairpin accessories can peek out in just the right places. Consider topping your natural curls with a tiara, or go for a vintage look with an offset pillbox hat and short veil. Use a rhinestone crystal hairpiece to feel like a princess with your natural hair. This is what I ultimately did, working with an amazing stylist to create a voluminous half-up, half-down style.