Hair Loss in Men and Women: Medical and Surgical Treatments for Androgenic Alopecia

    April 2019 in “ Advances in Cosmetic Surgery ”
    Gorana Kuka Epstein, John H. Epstein, Justin D. Cohen
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    TLDR The document concludes that ongoing medical therapy is crucial for preventing hair loss, and surgical options can restore hair, with future treatments for hair loss being promising.
    The document from June 1, 2019, provides an overview of medical and surgical treatments for androgenic alopecia (AGA) in men and women, emphasizing the progressive nature of the condition and the importance of preventive medical therapy as the first line of treatment. Medical therapies discussed include minoxidil, finasteride, laser light therapy, and platelet-rich plasma injections, with the need for ongoing treatment to maintain results. Surgical options, such as follicular unit excision (FUE) and follicular unit transplantation (FUT), are presented as methods to restore hair, with FUE being more popular due to its less invasive nature. The document also addresses the need to treat underlying medical conditions that can affect hair loss, particularly in women. It does not provide specific numbers of people involved in studies but references several studies and clinical trials. Additionally, it covers Low-Level Laser Therapy (LLLT), Platelet-rich plasma (PRP) therapy, Microneedling (MN), and regenerative cell therapies, including the STYLE study with 71 subjects showing improvements in hair count. The document concludes with the importance of preoperative planning and technique in hair transplantation, and the potential for future therapies in AGA treatment.
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      community I cry every day, everything is very depressing

      in Finasteride/Dutasteride  52 upvotes 1 week ago
      A user is experiencing hair loss despite using dutasteride and oral minoxidil, feeling hopeless and considering a hair system. They are advised to try ketoconazole, seek a second opinion from a dermatologist, and consider treatments like finasteride, RU58841, and hair transplants.

      community What else is good. Besides the big 3.

      in Chat  35 upvotes 5 months ago
      Key treatments for hair preservation include minoxidil, finasteride/dutasteride, and microneedling, with additional options like specific shampoos, oils, biotin, zinc, tretinoin, clascoterone, and low-level laser therapy. Maintaining a healthy lifestyle, reducing stress, and addressing nutrient deficiencies can also support hair health.

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

      in Will treatment work for me? 2 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.

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