If you are suffering from hair loss, the first step is to determine the cause of your hair loss by visiting a dermatologist. In most cases, the cause of hair loss can be determined with a complete history, examination and blood test. Sometimes it is necessary to take samples. Your hair loss can have more than one cause.
The two most common types of hair loss are androgenetic (hereditary) hair loss and telogen effluvium.
Hereditary hair loss:
(Androgenetic alopecia)
Androgenetic alopecia is a genetic disorder that is characterized by the gradual transformation of terminal and thick hair into fluffy and thin hair and eventually baldness. It is a very common disease that affects both men and women.
Only two drugs are currently approved by the US Food and Drug Administration (FDA) for the treatment of androgenetic alopecia: minoxidil and finasteride.
Androgenetic alopecia is a very common disorder that affects both men and women. In general, the incidence of androgenetic alopecia is higher in men than in women.
Although some evidence suggests that apparent differences in incidence may reflect differential expression in males and females.
Symptoms of androgenetic alopecia include the following:
- Gradual onset
- Increased hair loss
- Change from large, thick and pigmented end hairs to thinner, shorter and fluffier hairs and finally to Short velvety hair without pigment
- The end result can be a hairless area.
This varies from patient to patient and usually. It is more pronounced in the vertex and front of the head.
Diagnosis:
History and physical examination are the most important aspects of diagnosis in patients with androgenetic alopecia.
However, the following laboratory tests can be helpful: DHT, DHEA-S, testosterone, Iron, TIBC, TSH, FSH, LH, VIT D, Zinc level
Telogen effluvium:
In this type of hair loss, a large number of hairs enter the shedding phase (telogen) at the same time. Usually, the patient goes to the dermatologist with this complaint: I see hair on the pillow, there is always a lot of hair on the floor of my room and on my desk, when brushing ,the brush is full of hair, at the end of the bath, the amount of hair is so much. I have to clean the bathroom drain every time.
The common causes of telogen hair loss are the following:
- History of febrile illness in the previous 1-3 months
- History of recent weight loss
- History of recent surgery and anesthesia
- Severe stress
- Taking some medications
- Deficiency of some vitamins and anemia
- Some diseases such as hypothyroidism or hyperthyroidism
Treatment:
In addition to drug treatments, procidure such as mesotherapy,PRP, Hair Filler accelerate recovery and improve response to treatment.
About 40-60% of patients with hereditary hair loss may respond to treatment, and the amount of treatment is not the same in all of these people.
In people who do not respond to the treatment, depending on the genetics of the person, they may need hair transplant in the future.
PRP (Platelet Rich Plasma):
We have known about the benefits of PRP for the past decade. PRP is taken from your own blood cells (platelets).
to be These cells are concentrated to produce higher amounts of growth factors. This suspension is injected into the facial tissue and scalp. This stimulates collagen production and growth of target tissue.
What skin problems can PRP injection solve?
- Reduction of wrinkles and lines such as crow’s feet, lip lines and smile lines
- Improvement of skin laxity and dark circles around the eyes
- Loss of elasticity and sagging skin of the face and neck
- Improvement of skin color, face color and texture
- Rejuvenation of the neck and décolleté
- Improvement and rejuvenation of the skin on the back of the hand
- Regeneration and regrowth of hair
- Tightening of the skin
The most predictable results of PRP are actually hair loss. This treatment can be helpful for the management of hairloss in women snd men. PRP injection once every 4 to 8 weeks for 4-6 sessions, after that a maintenance program is done every 14 to 20 weeks.
How effective is PRP injection for hair loss?
The highest level of evidence for PRP is in the management of male and female pattern hair loss. Studies have shown that PRP combined with mesotherapy can not only control hair loss, but also increase the number, thickness and density of hair.
In the field of alopecia (hair loss), 4 to 6 sessions are performed at an interval of one month, followed by maintenance treatment every three to six months.
For hair loss disorders, PRP can reduce male and female pattern hair loss, but the end results may take 6 to 9 months to become clinically visible.
Mesotherapy:
Mesotherapy is a broad term used to describe the transfer of active ingredients to the skin and hair roots. Hair mesotherapy is the injection of various compounds including plant extracts, growth factors, vitamins and minerals into the deep layer of the skin, fat and hair follicle, which is used to control hair loss and improve hair growth.
This method was first reported by the French. In the past decade, the term mesotherapy has expanded to include the delivery of various molecules to the skin using a range of techniques, some of which have excellent scientific evidence.
Hair Filler:
The hair filler contains anti-inflammatory substances and proteins that are effective in strengthening the hair, which are based on hyaluronic acid.
How effective is hair filler injection for hair loss?
Hair filler injection is effective in male and female pattern hair loss and telogen effluvium hair loss. Hair filler in combination with PRP and hair mesotherapy can control hair loss and can even increase the number, thickness and density of hair.
In the field of alopecia (hair loss), 2 to 4 sessions are performed at an interval of 2 to 4 weeks, followed by treatment.
Maintenance is done every three to six months
