Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.
- Presentation
Surgical and Alternative Treatments for Alopecia
Description
In a lecture on surgical and alternative treatments for alopecia, the speaker emphasizes the role of dermatologists in performing hair transplantation, arguing that their expertise in aesthetics makes them well-suited for the procedure. The presentation outlines surgical techniques such as strip excision and follicular unit extraction (FUE), while stressing the importance of understanding hair follicle characteristics. The potential for hair transplantation in patients with conditions like scarring alopecia is discussed, noting that inflammation must be controlled prior to surgery. Alternative treatments, including stem cell therapies, platelet-rich plasma (PRP), and microneedling, are explored as effective methods for stimulating hair growth. The speaker asserts that dermatologists should lead in hair treatments, as they are uniquely qualified to manage both the medical and surgical aspects of hair loss, highlighting the necessity of keeping abreast of advancements in the field to provide comprehensive care for patients with alopecia.
View moreConclusions
- Dermatologists have the necessary skills for hair transplantation, often better than non-dermatologists.
- Candidate selection is crucial for successful outcomes in hair transplantation.
- Donor area assessment is important, and ongoing hair loss should be managed before surgery.
- The shape and caliber of hair follicles are important factors in hair transplantation procedures.
- Scarring alopecia can be treated with hair transplantation, provided inflammation is controlled.
- Medical therapy can stabilize hair loss, enhancing surgical outcomes.
- Combination therapies, such as PRP with microneedling, show improved results over monotherapies.
- Stem cell therapies and exosomes hold promise for hair regeneration and should be further researched.
- Dutasteride and mesotherapy are effective but require more data to establish their efficacy compared to traditional treatments.
- Future directions in hair loss treatment include bioregenerative and non-surgical solutions rather than relying solely on hair transplantation.
- Gentile et al 2019. "Advances in Regenerative Stem Cell Therapy in Androgenic Alopecia and Hair Loss: Wnt Pathway, Growth-Factor, and Mesenchymal Stem Cell Signaling Impact Analysis on Cell Growth and Hair Follicle Development" Cells 8
- Yuan et al, Qiong Bian, Jian-Qing Gao, Current advances in stem cell-based therapies for hair regeneration, European Journal of Pharmacology
- Zanzottera et al. Journal of Cosmetics, Dermatological Sciences and Applications 2014
- Gkini, Margo, Mario Goisis, and Sara Izzo. "Hair and Scalp 29." Outpatient Regenerative Medicine: Fat Injection and PRP as Minor Office-based Procedures (2019): 295.
- Dutasteride Mesotherapy Skin Appendage Disord 2020 Nov; 6(6): 338-345, PMCID: PMC7706484, doi: 10.1159/000510697, PMID: 33313048
- Jha AK et al. "Platelet-rich plasma and microneedling improves hair growth in patients of androgenetic alopecia when used as an adjuvant to minoxidil." J Cosmet Dermatol. 2019 Jan 28. doi: 10.1111/jocd.12884. [Epub ahead of print]