ARTICLE | hair research | specifically, this treatment method can combine
the use of minoxidil, finasteride and FUT for treatment efficacy (Figure 9). The use of a 2% minoxidil solution before and after hair transplantation will reduce the postoperative hair-loss and improve the transplanted hair regrowth (22). The prescription of 5% minoxidil and finasteride 1 mg 3months before and during the 6months after the FUT, and especially after the FUL technique, has shown a number of benefits (23), including a decrease of the hair-loss of the transplanted and remaining hair, which usually occurs 2–3 weeks later; and a quicker regrowth of the remaining hairs and the transplanted hairs, which often occur 2–3 months after treatment.
Figure 12 Crown androgenetic alopecia, before (a) and after (b) one session follicular unit long hair (FUL)
Other techniques There are a number of other techniques that can be used in the treatment of male and female pattern baldness and aGa, but that have fewer indications and efficacy, including: ■ 2 mm punch-transplants harvested with a power punch. This treatment has few indications ■ automatic hair implanters may have a limited diffusion ■ Lasers — the positive trichogenic effect of lasers needs a more objective evaluation ■ Dermo-pigmentation or tattooing is sometimes indicated for scars or eyebrows.
Figure 13 Fronto-vertex androgenetic alopecia, before (a) and after (b) 2 sessions of follicular unit long hair (FUL)
Indications For men Male baldness, particularly with regard to aGa, has a specific topography and evolution. in 1976, a simplified classification was proposed (24), which borrowed from the hamilton classification (Figure 10): ■ stage 1: a = lateral frontotemporal recession; b = with crown alopecia ■ stage 2: a = complete frontotemporal recession; b = with crown alopecia ■ stage 3: complete baldness of the fronto-vertex area. The FUT or FUL or FUe indications for these types of
male baldness are : ■ For stage 1: a = 1000 hairs (Figure 11); b = 2000–3000 hairs in 1–2 sessions (Figure 12) ■ For stage 2: a = 2000–3000 hairs in 1–2 sessions; b = 4000 hairs in 1–2 sessions ■ For stage 3: 6000 hairs in 2–3 sessions (Figures 13 and 14).
Figure 14 Fronto-vertex androgenetic alopecia, before (a) and after (b) 3 sessions of follicular unit long hair (FUL)
Figure 15 Beard
alopecia (a) 54 ❚
and four days after (b) one session
May 2011 |
prime-journal.com
Beard and moustache alopecia can
be the result of scarring after injuries such as burn, car accident, acne, or cleft lip . More frequently is it apparent that an aesthetic correction for ethnic or religious reasons is needed for beards and moustaches.
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