Khalitya or Hairfall is explained under the heading of Kshudra roga or Shiroroga. In current scenario it is affecting both teenagers and adults irrespective of their gender. Main reason for that could be changed ways of sedentary lifestyle, stress, Dietary habits. Hair loss can be prevented by modifying lifestyle, Prachhana karma and Ayurvedic medications. In this single case study with Ayurveda Medicines, Modified method of Prachhana Karma was done. Whole procedure was done with the help of derma roller. It is skin needling device, features a cylindrical body attached to a long handle. The cylinder of the derma roller is covered in many little needles that individually prick the surface and creats micro-injuries. Shodhana karma, Prachhana karma, Application of lepa and Ayurvedic medication are beneficial in case of Hair fall. A Male Patient of 37 year old presented with complains of loss of hair over frontline, parietal region, thinning of hair and white hair since 1-2 years. Prachhana karma with Derma roller, Shirolepa and certain Ayurvedic medications. Treatment results were found to be very effective in this case. Thus Ayurveda may play a major role in managing cases of Khalitya by using treatment principles of Ayurveda and its formulations