Microneedling As An Adjunctive Treatment For Trichotillomania

    September 2022 in “ Dermatologic therapy
    Rachel E. Christensen, Marie A. Schambach, Mohammad Jafferany
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    TLDR Microneedling helps reduce hair-pulling and promotes hair regrowth in trichotillomania patients.
    This case series explores the use of microneedling as an adjunctive treatment for trichotillomania, a disorder characterized by compulsive hair pulling. Three female patients (ages 15, 30, and 33) with trichotillomania were treated using a dermaroller with 0.5 mm needles and daily topical 5% minoxidil foam. Over 6 to 12 months, all patients reported good adherence and showed significant clinical improvement in hair regrowth, confirmed by trichoscopy. Microneedling not only stimulated hair growth but also mimicked the sensation of hair pulling, potentially satisfying the behavioral urge and acting as a competing response. The study concludes that microneedling is a promising treatment for trichotillomania, though further controlled trials are needed.
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      in Female  450 upvotes 2 years ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

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      in Microneedling  15 upvotes 1 week ago
      A 26-year-old uses topical minoxidil, oral finasteride, and Nizoral shampoo for hair thinning and is considering microneedling but is unsure about the best approach. Users suggest using a 1.0mm dermaroller once a week, cautioning against overuse due to potential scarring, and some recommend combining microneedling with minoxidil for better absorption.

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      in Microneedling  52 upvotes 2 weeks ago
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