Cosmetic Approach for Men: Dermatological Needs and Treatments

January 2017 in “ Clinical approaches and procedures in cosmetic dermatology ”

Daniela Alves Pereira Antelo, Maria Cláudia Almeida Issa

From the encyclopedia

Minoxidil →

An essential vasodilator with some anti-androgenic effects

Finasteride →

Frontline, gold standard treatment for combatting androgenic alopecia

Microneedling →

technique to create small wounds in skin to activate collagen production and hair growth

Studysummary This chapter reviews differences in dermatological treatments and conditions between male and female patients, particularly noting the impacts of sex steroids on various skin processes, but presents no new clinical findings.

Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer

The 2017 document outlines the cosmetic dermatological needs and treatments for men, noting that men's skin is thicker, oilier, and more sensitive to UV radiation compared to women's. It reports that men are increasingly seeking dermatological care to maintain a youthful appearance and prefer treatments with quick, visible results. The document discusses the impact of sex steroids on skin, the prevalence of androgenetic alopecia (AGA), and the psychosocial effects of hair loss. It mentions treatments for oily skin, acne, and hair loss, including oil-control products, sun protection, topical retinoids, oral antibiotics, and oral isotretinoin for acne. For AGA, treatments such as minoxidil, finasteride, microneedling, low-level laser/light devices, and dutasteride are discussed. The document also covers the management of pseudofolliculitis of barbae and the use of botulinum toxin and dermal fillers, emphasizing the need for higher doses in men and consideration of masculine facial features. It concludes with recommendations for daily skincare regimens, diet and hormone management for acne, proper shaving techniques, and appropriate use of cosmetic procedures to maintain a masculine appearance.

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Research cited in this study

12 / 12 results

research Response to Microneedling Treatment in Men with Androgenetic Alopecia Who Failed to Respond to Conventional Therapy

68 citations , May 2015 in “Indian Journal of Dermatology”

This case series found that adding microneedling to conventional finasteride and minoxidil therapy for androgenetic alopecia improved new hair growth and patient satisfaction in poor responders.

research Topical Minoxidil Fortified with Finasteride: Maintenance of Hair Density After Replacing Oral Finasteride

32 citations , January 2015 in “Indian Dermatology Online Journal”

This study found that a combination of topical minoxidil and finasteride helped maintain hair density in patients with androgenetic alopecia after initial oral finasteride treatment.

A Novel Finasteride 0.25% Topical Solution for Androgenetic Alopecia: Pharmacokinetics and Effects on Plasma Androgen Levels in Healthy Male Volunteers

research A Novel Finasteride 0.25% Topical Solution for Androgenetic Alopecia: Pharmacokinetics and Effects on Plasma Androgen Levels in Healthy Male Volunteers

50 citations , July 2014 in “International Journal of Clinical Pharmacology and Therapeutics”

This study found that both topical and oral finasteride significantly reduced plasma DHT after one week, with lower finasteride plasma exposure for the topical formulation.

research Folliculitis Keloidalis Nuchae and Pseudofolliculitis Barbae

49 citations , March 2014 in “Dermatologic clinics”

This article discusses the causes, development, treatment, and prevention strategies for pseudofolliculitis barbae and folliculitis keloidalis nuchae, but reports no new clinical results.

research Effects of Dermatological Medications on Male Fertility

55 citations , July 2013 in “Dermatologic therapy”

This review explores the impact of various medications on male fertility, highlighting reversible negative effects from methotrexate, finasteride, and ketoconazole, while reporting no adverse fertility effects for oral retinoids and certain immunosuppressants.

research A Randomized Evaluator Blinded Study of Effect of Microneedling in Androgenetic Alopecia: A Pilot Study

136 citations , January 2013 in “International Journal of Trichology”

This study found that adding microneedling to minoxidil treatment significantly improved hair growth in men with androgenetic alopecia compared to minoxidil alone across all assessed measures.

Efficacy, Safety, and Tolerability of Dutasteride 0.5 mg Once Daily in Male Patients with Male Pattern Hair Loss: A Randomized, Double-Blind, Placebo-Controlled, Phase III Study

research Efficacy, Safety, and Tolerability of Dutasteride 0.5 mg Once Daily in Male Patients with Male Pattern Hair Loss: A Randomized, Double-Blind, Placebo-Controlled, Phase III Study

92 citations , June 2010 in “Journal of The American Academy of Dermatology”

This study found that 0.5 mg of dutasteride significantly improved hair growth compared to placebo and was well tolerated over six months in men with male pattern hair loss.

research Mesotherapy in the Management of Hair Loss: Is It of Any Use?

25 citations , January 2010 in “International Journal of Trichology”

This commentary reviews the controversial use of mesotherapy for androgenetic alopecia and emphasizes the need for documented evidence, without reporting new clinical results.

research Alopecia Secondary to Mesotherapy

49 citations , July 2009 in “Journal of the American Academy of Dermatology”

This report highlights two cases where patchy alopecia developed after mesotherapy for androgenetic alopecia, indicating potential risks associated with this treatment.

research Comparing the Therapeutic Effects of Finasteride Gel and Tablet in Treatment of Androgenetic Alopecia

57 citations , January 2009 in “Indian Journal of Dermatology, Venereology and Leprology”

This study found that both topical and oral finasteride had similar therapeutic effects in treating male androgenic alopecia, with no significant differences in hair thickness, counts, or bald area size.

research Gender Differences in Skin: A Review of the Literature

152 citations , December 2007 in “Gender Medicine”

This review discusses recent advances in understanding gender differences in skin and their implications for dermatologic diseases, but it reports no new experimental results; ongoing research is necessary for translating these insights into clinical practice.

research Pseudofolliculitis Barbae: Overview and Treatment Modalities

19 citations , May 2007 in “Dermatologic therapy”

The document concludes that various treatments, including laser therapy, are effective for managing pseudofolliculitis barbae, especially in darker skin types.