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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      community C’est terrible - at my wits end

      in Female  446 upvotes 1 year 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.

      community microneedling and tretinoin efficiency

      in Microneedling  2 upvotes 1 month ago
      Microneedling combined with tretinoin is discussed for its effectiveness in treating hair loss. Minoxidil, finasteride, and RU58841 are also mentioned as potential treatments.

      community Anyone here who stopped microneedling and maintained or lost the gains?

      in Microneedling  9 upvotes 1 month ago
      Microneedling's long-term effects on hair loss are uncertain, with concerns about scarring and the need for continued use of minoxidil and finasteride to maintain gains. Finasteride does not sustain minoxidil-regrown hair without ongoing minoxidil use, and microneedling alone shows limited evidence of effectiveness.

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