Alopecia Areata: Successful Outcome with Microneedling and Triamcinolone Acetonide

    January 2014 in “ Journal of Cutaneous and Aesthetic Surgery ”
    BS Chandrashekar, Vani Yepuri, Venkataram Mysore
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    TLDR Microneedling combined with triamcinolone can safely stimulate faster hair regrowth in people with Alopecia Areata.
    In 2013, a study was conducted on two patients suffering from Alopecia Areata (AA), a chronic autoimmune disease causing hair loss. The patients had previously been treated with intralesional injections of triamcinolone acetonide, topical steroid creams, and minoxidil 5% lotion, but showed no improvement. The study introduced a novel method of treating AA using microneedling with topical triamcinolone application. The treatment involved three sessions at three-week intervals, using a derma roller with 192 needles of 1.5-mm length each, followed by topical application of triamcinolone acetonide. Both patients showed improvement with each session, with excellent hair growth after nine weeks. The treatment was painless and there were no adverse effects during or after the treatment. No recurrence was noted in the three-month follow-up. The study concluded that microneedling in combination with triamcinolone is a safe and promising tool for hair stimulation and faster re-growth in AA.
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      in Progress Pictures  23 upvotes 2 days ago
      A user experienced significant hair loss after starting microneedling, despite using dutasteride and topical minoxidil. They are advised to consult a doctor as the shedding pattern is unusual and may indicate alopecia areata or other scalp conditions.

      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 3 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community My hair loss recovery (9 months treatment), androgenic alopecia

      in Progress Pictures  726 upvotes 1 year ago
      A user shared a 9-month hair recovery journey from androgenic alopecia using 1 mg finasteride daily, 5% minoxidil twice daily, and weekly dermarolling with a 1.5 mm roller. Some responders were skeptical about the authenticity of the results, while others confirmed the consistency of the user's appearance and supported the effectiveness of the treatment.

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