The Patient With Minimal Hair Loss: Planning and Decision-Making

October 2022 in “ Hair Transplantation ”

androgenetic alopecia hair transplant surgery pattern hair loss donor density hair caliber

TLDR Choose hair transplant candidates carefully and use a conservative approach for long-term results.

The chapter addressed the management of patients with early androgenetic alopecia, emphasizing the importance of setting realistic expectations and selecting appropriate candidates for hair transplant surgery. Factors such as age, hair loss pattern, gender, donor density, and hair caliber were crucial in determining candidacy for surgery. Due to the progressive nature of pattern hair loss, it was recommended that a conservative surgical approach be taken to ensure satisfactory long-term cosmetic outcomes, even in cases of minimal hair loss.

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Research cited in this study

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An Observational Retrospective Evaluation of 79 Young Men with Long-Term Adverse Effects After Use of Finasteride Against Androgenetic Alopecia

research An Observational Retrospective Evaluation of 79 Young Men with Long-Term Adverse Effects After Use of Finasteride Against Androgenetic Alopecia

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Finasteride caused long-term sexual and non-sexual side effects in young men with hair loss.

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research The Effectiveness of Finasteride and Dutasteride Used for 3 Years in Women with Androgenetic Alopecia

32 citations , January 2014 in “Indian Journal of Dermatology, Venereology and Leprology”

Finasteride and dutasteride effectively stop or reverse hair loss in women with androgenetic alopecia, with dutasteride being more effective for women under 50.

research The Growth of Human Scalp Hair Mediated by Visible Red Light Laser and LED Sources in Males

117 citations , September 2013 in “Lasers in Surgery and Medicine”

Red light therapy at 655 nm significantly improved hair growth in men with hair loss.

research Long-Term Multinational Experience with Finasteride 1 mg in the Treatment of Men with Androgenetic Alopecia

20 citations , April 2002 in “PubMed”

Finasteride 1 mg/day for five years effectively improves hair growth and slows hair loss in men with male pattern baldness, and is safe for long-term use.

research Finasteride in the Treatment of Men with Frontal Male Pattern Hair Loss

187 citations , June 1999 in “Journal of The American Academy of Dermatology”

Finasteride effectively treats frontal hair loss with few side effects.

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community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

nkrata in Research 830 upvotes 1 year 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.

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Scalp tension from the occipitalis muscle is theorized to contribute to hair loss, but most believe DHT and genetics are the main causes. Treatments like finasteride and minoxidil are considered more effective than addressing scalp tension.

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Male androgenetic alopecia is commonly treated with topical minoxidil and oral finasteride, both requiring continuous use. Other options include hair restoration surgery, dutasteride, light therapy, and camouflaging agents.

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A user shared progress on hair regrowth using 5mg oral minoxidil and 0.5mg oral dutasteride daily, noting small hair growth and no significant side effects except bushier eyebrows. The conversation includes encouragement, personal experiences with hair loss treatments, and discussions on the effectiveness of microneedling.

community If you aren't happy with your results but haven't tried microneedling: why not?

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