| hair research | ARTICLE
Pierre Bouhanna reviews the range of techniques available for the treatment of alopecia, as well as a discussion of research currently underway in this area
ABSTRACT Both male and female hair-loss and baldness can be treated using a range of methods. The indications consider a range of parameters included in multifactorial classifications. Minoxidil and finasteride have shown some efficacy as treatment methodologies. The newest molecules and cellular therapies are currently under investigation. However, the newest follicular unit transplantation, carried out via extraction (FUE) or with long hair (FUL), provides a definitively aesthetic and natural looking hair transplantation for the majority of scalp alopecia, or for a better correction of the eyebrows, the eyelashes, the pubis, the beard and the moustache.
M
En And woMEn hAvE soughT remedies for baldness for more than 5000 years. with today’s emphasis on youth, virility or femininity exemplified in large part by a full head of hair, the prevention
or reversal of baldness has become more important than ever before. indeed, interest in the reversal of baldness as a
specialty has been enhanced by a precise multifactorial classification of each individual to effectively reverse male and female androgenetic alopecia (aGa) in selected patients. The diversity of hair transplant techniques allows a
definitive aesthetic solution for most instances of vellus or hair alopecia. The indications consider a range of parameters of the thinning hair — aetiology, location, widness or evolution — and the specificity of each patient, such as age, sex, ethnic origin, self-motivation for hair transplant of the scalp, beard, moustache, eyebrows, pubic vellus and eyelashes. The ‘follicular unit long hair’ (FUL) allows for an
immediate visualisation of the result. With this procedure, the surgeon has an easier approach for the best choice and the orientation of each graft, and the patient can immediately imagine the future result. The FUL and conventional segmentation (FUs) techniques provide a natural aspect as a result of the a fine implantation of 1–4 hairs at a time, during one session of 1000–4000 hairs. The follicular unit extraction (FUe) sometimes has pertinent indications for those patients who routinely shave their scalps. Whichever method is used by the surgeon, simple
postoperative care is followed by a definitive hair regrowth. combining hair transplantation and hair medical treatments (minoxidil, finasteride) improves the result and postoperative evolution. The most recent research with regard to cellular
therapy with follicular cell implantation, platelet rich plasma (PrP) infusion, or adipose-derived stem cells are still currently under investigation.
Background in societies in which a full head of hair is considered beautiful, feminine or virile, balding or the sudden loss of hair can be very distressing. Two out of every three men experience some degree of balding (1). a number of medical treatments have been shown to be at least partially effective in retarding or reversing hair loss.
PIERRE BOUHANNAis a dermatologist, hair surgeon specialist, expert for the French Ministry of Health, and Assistant at Saint-Louis Hospital, Paris
email
pierrebouhanna@yahoo.fr
KEYWORDS alopecia, hair classification, hair transplant, minoxidil, micrograft, stem cells, cloning
prime-journal.com | May 2011 ❚ 45
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