Androgenetic Alopecia can be treated with topical and oral treatments Androgenetic Alopecia can be treated with topical and oral treatments. Custom-made formulations containing minoxidil that are associated with anti androgens are available for topical treatments. Oral treatment will contain finasteride. This drug reduces levels of dihydrotestosterone which is responsible for hair loss. This way, the hair growth cycle is normalized and the loss of hair is stopped. At least 3 months of treatment are required to begin to see changes. Only one tablet a day is needed and it may be taken with or without food.
The treatment must take between 3-6 months to see results. If you stop taking it, you will probably lose the hair you have gained within 9-12 months after treatment discontinuation. It is important that you tell your urologist that you are taking this drug.
Minoxidil treatment can also be effective. It is preferred to administer this drug twice a day by applying 20 drops on the scalp and then performing a massage. Let your dermatologist know if you have a heart condition. Modifying the formula to your specific needs can solve possible problems like dryness, oily scalp or allergic itching.
Mesotherapy with platelet-rich plasma is still experimental.
Laser treatment gives good results as an adjunctive therapy as it stimulates hair growth.
In our institution we have performed hair transplants for many years. The area to be treated must be abundant in hair follicles for a successful outcome. The micro grafts transplanted into the donor area will last forever. Art in the implementation of micro grafts is crucial. In our institution, the specialist performing this procedure is not only a dermatologist, but also hair transplant facial artist who will guarantee a good aesthetic outcome as well. The operation is performed under local anesthesia with little pain. The patient may go back to work at 48h post intervention.