Alopecia: methods of treatment

Baldness is a “folk” word. In medical terminology, this phenomenon is called “androgenic alopecia”. It refers to the most common forms of hair loss and is found in both men and women. Marina Gavrilova, a cosmetologist and head of the cosmetology department of the Clinic for Aesthetic Medicine Medlayf, tells us why we are losing hair and how to deal with it.

Hair loss is one of the factors of psychological stress, leads to an underestimation of self-esteem and the development of depression. Hair loss occurs against the background of follicular dystrophy, a decrease in the activity of stem cells of the follicle and low-grade cells of the papilla. Alopecia can be of 2 kinds:

  • Androgenetic hereditary hair loss under the influence of sex hormones androgens in genetically predisposed men and women;
  • Androgenic as a result of excessive levels of androgens in the body.

At the same time, androgens constantly affect the hair follicle, in particular, its vascular apparatus, there is a disturbance in nutrition, a shortening of the anagen phase (the birth of the hair), and an extension of the catagen phase (hair loss). As a result, “follicular miniaturization” occurs. A vascular apparatus in the hair follicle has an increased sensitivity only in certain areas of the head frontal and parietal. Therefore, hair loss in both cases occurs only in the fronto-parietal region.

There are not so many methods of treating alopecia. Among them, the leading place is occupied by the local application of minoxidil and the oral administration of finasteride. Minoxidil prolongs the growth phase of the hair follicle. Finasteride blocks the enzyme involved in the chain of transformation of certain forms of the hormone testosterone. But the one and the other drug have side effects and contraindications.

Injections of platelet-enriched autoplasma are a simple, convenient and effective method of treating hair loss in androgenic alopecia both as monotherapy and as an additional method of treating this disease. Platelet plasma has long attracted the attention of plastic surgeons, orthopedists, cardiosurgeons, dentists, dermatologists, cosmetologists due to its potential in skin rejuvenation, accelerating wound healing, reducing infection of wounds and preventing the formation of hypertrophic and keloid scars. It is known that growth factors secreted by platelets activate the proliferation and differentiation of hair follicle cells, including stem cells, and contribute to the formation of new hair follicles.

Mesotherapy, in particular with the use of micro-puncture action with the help of mesoroner, improves microcirculation in the scalp due to the use of vasoactive drugs, and thanks to the effect of the needle. Targeted introduction of medicinal preparations into the deep layers of the skin in the projection of the hair follicles allows to substantially adjust their trophic and to purposefully influence the processes of hair formation and development. Microtrauma by the needle of the dermoroller is the starting point for the development of a local inflammatory reaction, as a result of which pronounced vasodilation (vasodilation) is observed, which contributes to the normalization of the trophism of the scalp.

You can add hair to your head with trichopigmentation. This is a masking of the alopecia areal with thin strokes that imitate hair. When carrying out trichopigmentation, special needles are used, which can be applied with microscopic strokes. To create a clear contour, special pigments are used, which are ideal for working with delicate and thin scalp.

The most effective method of treatment of androgenic alopecia is hair transplantation. Hair is taken from other parts of the head, where there is no testosterone effect, and are implanted in the skin of the fronto-parietal region.

Only an experienced doctor after the results of tests can prescribe the correct treatment autoplasm, classical mesotherapy with the use of a dermoroller, hair transplantation. For each of these methods there are contraindications, so a specialist’s consultation is necessary.