Hair Transplantation in Cicatricial Alopecias

January 2013 in “ Hair therapy & transplantation ”

Zekayi Kutlubay Murat Kucuktas

cicatricial alopecia hair transplantation Follicular Unit Extraction FUE excision flap surgery tissue expansion blood flow minoxidil pentoxyphylline hair neogenesis autologous adult hair follicle cells ischemia tissue necrosis infection scarring alopecia hair transplant Rogaine

TLDR Hair transplants can be a treatment for scarring hair loss if there's good blood flow and no active disease.

The document from 2013 reviewed treatment options for cicatricial alopecia (CA), a type of hair loss characterized by scarring. It differentiated between primary CA, with unknown causes, and secondary CA, resulting from trauma or inflammation. The document highlighted surgical treatments like hair transplantation, specifically the Follicular Unit Extraction (FUE) method, as well as excision, flap surgery, and tissue expansion. It emphasized the importance of blood flow in the recipient area for the success of hair transplantation. Additionally, the document mentioned the use of minoxidil and pentoxyphylline to enhance graft survival and the future potential of hair neogenesis using autologous adult hair follicle cells. It also acknowledged complications such as ischemia, tissue necrosis, and infection, recommending that patients without active disease should have access to more therapeutic options.

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Research cited in this study

7 / 7 results

research A New Approach to Treating Scarring Alopecia by Hair Transplantation and Topical Minoxidil

11 citations, January 2010 in “Indian Journal of Dermatology, Venereology and Leprology”

Hair transplant and applying 5% minoxidil solution can effectively treat permanent hair loss, but it may change hair direction in some cases.

research The Surgical Treatment of Cicatricial Alopecia

51 citations, July 2008 in “Dermatologic Therapy”

The document concludes that surgery is a preferred treatment for cicatricial alopecia, with the method chosen based on individual factors and may require multiple sessions and careful postoperative care.

research Management of Primary Cicatricial Alopecias: Options for Treatment

98 citations, May 2008 in “British Journal of Dermatology”

There are many treatments for permanent hair loss disorders, but their effectiveness varies and there's no clear best option.

research Follicular Unit Hair Transplantation

4 citations, January 2005 in “Elsevier eBooks”

Follicular Unit Transplantation is a precise hair restoration technique that requires careful planning and a skilled team, and Follicular Unit Extraction offers a less invasive option.

research The Potential Role of Minoxidil in the Hair Transplantation Setting

31 citations, October 2002 in “Dermatologic Surgery”

Minoxidil helps stabilize hair loss, increase density, and reduce shedding after hair transplant surgery.

research A Comparison of Graft Implantation Techniques for Hair Transplantation

11 citations, June 1999 in “Seminars in Cutaneous Medicine and Surgery”

The best hair transplant method depends on the desired look; faster techniques may not give better results or save money.

research Hair Transplantation Update

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community Diffuse hair loss and scalp biopsies

in Research 692 upvotes 3 months ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

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.

community lost my hair in a single year of treatment at 20 years old

in Finasteride/Dutasteride 90 upvotes 3 months ago

A 20-year-old lost significant hair after one year of treatment, using minoxidil, finasteride, and later dutasteride. They are considering adding RU58841 but are advised to return to finasteride and minoxidil for a year before deciding.

community Exploring Bryan Johnson's Hair Routine In Detail

in Research/Science 65 upvotes 10 months ago

Bryan Johnson uses a custom hair loss treatment that includes topical finasteride, minoxidil, azelaic acid, diclofenac, tea tree oil, rosemary oil, ginkgo biloba, biotin, and melatonin, which have shown varying degrees of effectiveness with minimal side effects. He also undergoes PRP and laser therapy, and has tried dutasteride mesotherapy.

community Finasteride doesn't work for me in 2 years and my bloodtest result just came in.

in Progress Pictures 88 upvotes 1 year ago

A user has been treating hair loss with finasteride for two years without success and is experiencing an itchy scalp with seborrhea. Despite low DHT levels, they are still losing hair, suggesting that DHT might not be the main cause of their hair loss, and they are considering other treatments or causes.

community DHT is about to get smashed ….

in Update 796 upvotes 2 months ago

The conversation discusses hair loss treatments like topical finasteride with minoxidil, oral dutasteride, and essential oils. Oral treatments like dutasteride and finasteride are seen as more effective, though some prefer topicals to avoid side effects.

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