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By Parsa Mohebi MD


Baldness or alopecia is a state of lacking hair where it normally grows. Baldness can be seen in both men and women and the common form of it is called pattern baldness. Male pattern baldness is the most common cause for men to seek a medical or surgical hair restoration procedure. The common baldness in men, which is called androgenic alopecia, or male pattern baldness (MPB), is classically a progressive thinning condition of hair. The nature and severity of baldness can vary to a great extent.

Medical treatment

There are currently only 2 FDA approved medication that could be recommended for treatment of baldness. Minoxidil is a topical medication and its mechanism is not fully known. It should be used at least once a day. Its effectiveness in pattern baldness in men has been shown. It does not have a permanent effect and patient will resume hair loss after discontinuation of medication.

The only FDA approved pill for treatment of baldness is Propecia. Propecia has initially used as for treatment of prostate cancer. It has been effective in some cases of male baldness. Its effectiveness is the most when it is used in early stages. The problem with Propecia is that patient needs to use it everyday and it has minimal or no effect in sever case. Discontinuation of Propecia like Minoxidil will cause return of hair loss that in some cases is more intense than before the treatment.

Hair Transplant Surgery

Hair transplant surgery is one of the relatively new branches of cosmetic surgery. Using hair transplantation and other surgical techniques for hair restoration, thousands of people have been able to successfully bring back their youthfulness and attractiveness. Hair transplantation has been evolved in last few decades with the discovery of Follicular Unite Transplantation (FUT) as a principle for modern hair-restoration. Thanks to these new developments, the cosmetic outcome of surgical hair restoration is now much more sophisticated and natural.

Although delicate and time consuming, hair transplantation surgery is a very safe procedure. It is conducted with local anesthesia and minimal or no sedation, meaning the patient is awake for the whole procedure. The first stage in this procedure is preparation of the graft. This leaves a gap in skin, which is closed with suture or staples. Donor skin is then cut into unites of hair follicles or follicular unites. Follicular unites contain between 1 to 6 hair follicles. Follicular unites are kept in a physiologic solution. While hair grafts are being prepared, surgeon works on the recipient site by creating small incisions to implant hair follicles. Designing the hairline is very crucial in the eventual appearance of the hair. Hair unites are then implanted into recipient sites delicately ensuring not to injure the hair follicles.

After transplantation, patients can go home and resume their normal activity the same day. Dressing of the donor area can be removed a few hours after surgery and sutures or staples are removed in 7 to 10 days. Patients usually loose newly grafted hair, but follicles stay alive and generate new hairs. Optimum result of hair transplantation may not be seen until 6 months after the procedure.


About the Author:

Parsa Mohebi a physician with particular interest in hair loss treatment. He has done some hair loss research at Johns Hopkins Medical School. He is the publisher of a web site on hair loss and hair loss treatment(www.ushairrestoration.com).




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