A Systematic Review of Outcomes and Patient Satisfaction Following Surgical and Non-surgical Treatments for Hair Loss

Rosati, Paola; Barone, Mauro; Alessandri‐Bonetti, Mario; Giorgino, R; Panasiti, Vincenzo; Coppola, Rosa; Tambone, Vittoradolfo; Persichetti, Paolo

doi:10.1007/s00266-019-01480-9

Cited by 8 publications

(6 citation statements)

References 65 publications

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“…Scarring alopecia from secondary causes such as burn, surgery, and trauma are mostly amenable to hair transplantation 2 . In our study, trauma, burns, surgical excision of adjacent skin, radiotherapy and leishmaniasis were the major causes in the medical history leaving scar in scalp, beard, eyebrow, and moustache regions.…”

Section: Discussionmentioning

confidence: 99%

“…Hair loss is still a significant problem worldwide resulted into enrolling more than 600,000 surgical hair restoration procedures in 2016 1 . Hair loss can happen temporary or permanent and can be local or diffuse due to physiologic, as noted in normal aging, or iatrogenic as observed www.wjps.ir in burns, trauma, chronic diseases, iron deficiency, thyroid disorders, high fever, consuming some medications, chemo-and radiotherapy, exposure to chemicals, hormonal changes, androgenetic factors, and drastic diets 2 . Hair loss can occur due to generalized or local skin diseases, such as Lichen planopilaris, lupus, and alopecia areata 2 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Head and Neck Restoration in Scar Alopecia: Hair Transplantation in Scalp, Eyebrows, Beard and Mustache

Noori

Rabiee

Mehrabani

et al. 2021

WJPS

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Head and Neck Restoration in Scar Alopecia: Hair Transplantation in Scalp, Eyebrows, Beard and Mustache

Noori

Rabiee

Mehrabani

et al. 2021

WJPS

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“…In women with AGA, antiandrogen agents include systemic therapies through spironolactone and cyproterone acetate. Procedural options include hair transplantation 49 as well as emerging surgical treatments such as platelet-rich plasma injections, 50,51 low-level laser therapy, 52,53 microneedling 54 or autologous fat transfers. 52 Minoxidil has long been used topically for the treatment of AGA.…”

Section: Treatment Modalitiescurrent and Emergingmentioning

confidence: 99%

Alopecias in humans: biology, pathomechanisms and emerging therapies

Willems

Sinclair

2021

Veterinary Dermatology

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Background The hair follicle is a complete mini‐organ with a complex biology. Recent discoveries have shed light on the pathogenesis and genetic basis of a number of hair loss conditions, offering novel treatment alternatives. Objective To explore the biology and physiology of hair growth, the pathomechanism behind alopecias and emerging therapies. Conclusion and clinical importance Hair growth is influenced by numerous physiological moderators. Greater understanding of the biology and physiology of the hair follicle and the pathomechanisms of hair disease facilitates development of targeted treatments. Sublingual minoxidil is a promising therapy in humans where optimised drug delivery enhances efficacy and reduces systemic adverse effects. Janice kinase inhibitors, which disrupt the inflammatory cascade, help maintain the hair follicle, preserve immune privilege, and regrow hair in alopecia areata. As the pathomechanisms of other forms of alopecia become better understood, new targeted therapies with greater efficacy will emerge.

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“…Commercial biases increase the difficulty in ascertaining the most successful, safe and evidence‐supported responses to AGA. Two reviews found that 27% 9 and 68% 5 of dermatological and AGA studies referenced interventions (e.g., drugs or transplants) without any meaningful discussion of their limitations. Comprehensive, evidence based guidance for AGA interventions may not be widely disseminated.…”

Section: Introductionmentioning

confidence: 99%

AGA practitioner challenges: A mixed‐methods pilot survey

Jankowski,

Kranz

2023

J of Cosmetic Dermatology

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BackgroundAndrogenetic alopecia (AGA) practitioner care may be hampered by commercial biases and hair loss' omission from most medical curricula.Aim and MethodBetween November 2020 and September 2021, 34 AGA professionals (86% British; 62% trichologists), participated in a pilot, mixed‐methods, survey. Practitioner views on: 1a–1j) AGA's commercial influences (e.g., participants were quantitatively assessed on their understanding of a popular, commercially‐funded, AGA study) and 2a–2h) constraints on evidenced‐based AGA responding (e.g., ethical dilemmas) were assessed. Quantitative responses are reported descriptively whilst qualitative responses are categorized alongside illustrative quotes.ResultsOn average, (1a–1d) 42% of participants were misled by the popular AGA study and (1e) participants underestimated the extent of commercial biases in AGA research as 25%; (2a–2e). Participants also indicated that AGA treatment limitations and misinformation ethically challenged them (e.g., “[It's difficult to know when] to treat or not without being able to confirm the outcome”). (2c) Most (77%) indicated society played a powerful role in exacerbating AGA distress (e.g., “Society is hyper critical of appearance”) and 30% indicated greater “treatment” accessibility was needed: (e.g., “hair loss product [should] give clear indication of what the active ingredients are and how effective they are”).ConclusionsDespite the limited sample size, these finding cohere with previous identified challenges of the AGA practitioner role. Evidence based guidance and research scrutiny tools would help practitioners overcome such challenges.

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A Systematic Review of Outcomes and Patient Satisfaction Following Surgical and Non-surgical Treatments for Hair Loss

Cited by 8 publications

References 65 publications

Head and Neck Restoration in Scar Alopecia: Hair Transplantation in Scalp, Eyebrows, Beard and Mustache

Head and Neck Restoration in Scar Alopecia: Hair Transplantation in Scalp, Eyebrows, Beard and Mustache

Alopecias in humans: biology, pathomechanisms and emerging therapies

AGA practitioner challenges: A mixed‐methods pilot survey

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