What is the Treatment for Alopecia

In 1959, hair transplant started in the United States. In a publication, Dr. Orentreich described the hair transplant procedure by using 4-6mm plugs. Since that time hair transplant have evolved and become more advanced.

Dr. Bernstein did pioneering research as well as publications on Follicular Unit Extraction and Follicular Unit Transplantation. The field is now revolutionized and modern techniques are used by physicians to restore hair worldwide.

Before & After Hair Transplant
Hair Loss in men

Androgenetic alopecia is the technical term for male pattern baldness and it’s very common. Its main cause is genetic traits which are passed down through inherited DNA. These genes can come for either of the parents. There are twelve classes of hair loss which are described using the Norwood Classification. Age and the stage of hair loss play a role in the classification. This system is used to treat the hair loss and to determine if the patient is a candidate for hair transplant surgery. The physician can use the classification to design the hair transplant so it’s aesthetically pleasing once completed.

Male hair loss is diagnosed by looking at the distribution of the hair loss and by looking at the family history of the patient and hair loss. An optical instrument is used to examine the area of baldness. The instrument is called a densitometer. This instrument can help the physician look for miniaturized hair in areas where thinning has occurred. In genetic balding the miniaturization of hair occurs where the diameter and the length of the hair decreases. If this is seen in the patient then a correct diagnosis of androgenetic alopecia is given. Treatment options are looked at once the diagnosis is given and hair transplant may be started.

Hair Loss in women

Hair loss in women is a bit more complex. In women a diffuse pattern is usually seen and this can be caused by issues which are non-androgenetic. Some issues might include birth control pills, pregnancy, thyroid disease, or gynecologic issues. Many medical issues can mimic a diffuse pattern which is seen in genetic hair loss. For female patients, a proper diagnosis is essential to determine if it’s a medical problem causing the hair loss and not a genetic one.

In women the genetic baldness is easier to classify as there are only three main stages or patterns present in their hair loss. For hereditary hair loss the Ludwig Classification is used. The main types of diffuse hair loss are called type I, II, and II or mild, moderate, and extensive.

The diagnosis of female hair loss is done in about the same manner as that for males. There’s usually thinning hair at the top or front of the scalp. There’s usually a family history of baldness and the physician will use a densitometer to look for thinning hairs on the scalp. Medical issues can complicate the diagnosis, as well as drug use which is common with scarring alopecia. Excessive hair styling can cause traction alopecia. Due to many issues that impact the diagnosis of female hair loss other testing is usually done to get the right hair loss diagnosis.

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