Scalp Biopsy Technique for the Hair Surgeon

September 2013 in “ Hair transplant forum international ”

Róbert Haber

scalp biopsy hair transplant hair loss scarring alopecia

TLDR Dr. Robert S. Haber concluded that hair transplant surgeons must master scalp biopsy techniques to quickly diagnose and treat hair loss conditions.

In 2013, Dr. Robert S. Haber emphasized the importance of scalp biopsy techniques for hair transplant surgeons in diagnosing hair loss etiologies. He argued that surgeons should be comfortable obtaining biopsy specimens to diagnose conditions that may preclude surgery. The article provided a guide on how to perform a scalp biopsy, highlighting the importance of selecting the correct biopsy location. It also discussed various scalp conditions that usually require biopsy, such as different forms of scarring alopecia, and conditions that infrequently or rarely require biopsy. The article included four case studies to illustrate the biopsy process and its diagnostic value. Dr. Haber concluded that mastering the biopsy technique is crucial for proper patient care, as it can expedite diagnosis and treatment initiation.

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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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in Chat 33 upvotes 3 years ago

Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

community Derms are so useless, how did they even get to be in these positions with all these academic years when random internet dwellers know more than them?

in Chat 104 upvotes 3 years ago

The conversation is about frustration with dermatologists not effectively treating hair loss and the difficulty in obtaining prescriptions for Minoxidil and Finasteride. Some users suggest seeing specialists or general practitioners for hair loss treatment, while others share their own experiences with dermatologists and the importance of doing personal research.

community Dermarolling and Min are proven to be the absolute best way to get new hairs, there is no comparison.

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Fin and minoxidil, in combination with dermarolling, as an effective path for hair growth. The post also provides advice about needle depth and frequency, as well as other treatments (foam and oral) which may be beneficial.

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

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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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Dutasteride and finasteride are not effectively stopping hair loss for some users, despite long-term use. Some are considering or using RU58841, pyrilutamide, and other treatments like microneedling, while also managing seborrheic dermatitis with diet and topical solutions.

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