2019 Skin Diseases & Skin Care Extended Abstract Vol.4 No.3

Hair Loss and Management

Chang D* Academy of Aesthetic Medicine, Korean Medical Aesthetics Clinic, Singapore Email: [email protected]

ABSTRACT

ect the scalp Defects the anterior scalp. shDі defects can beوٴ Alopecia refers to . It can D or other parts of the body, and can be localized or congenital, or acquired due to disease or injury. widespread. It may be due to hair shedding, poor Hair shDі abnormalities can be diagnosed by quality hair, or hair thinning and can be scarring or or more intensive examination of the non-scarring in nature. Hair grows on most parts of hair. the skin surface, except palms, soles, lips and eyelids. Hair thickness and length varies according Light therapy is safe and used to treat androgenetic to site. is fine light in color, and short alopecia. It is postulated to enhance blood flow in in length. Terminal or androgenic hair is thicker, the scalp. It has also been suggested to improve the darker and longer. A hair shDі grows within a wound healing process in post hair transplant follicle at a rate of about 1 cm per month. It is due patients and hasten hair growth. However, the to cell division at the base of the follicle (hair evidence is weak. A multicenter trial reported that bulb). Нe cells produce the three layers of the hair male patients with androgenic alopecia exhibited a shDі (medulla, cortex, ), which are statistically significDnt increase in average hair essentially made of the protein keratin. Hair density. growth follows a cycle. However, these phases are Similar results were shown in a study comprising not synchronized and any hair may be at a women with androgenic alopecia [9]. In a second particular phase at random. Нe hair cycle can be study of 103 males and 122 females with pattern divided into 3 main phases: • Anagen: Нis is alopecia that completed the study, HairMax actively growing hair. • Catagen: Transition phase LaserComb (with 12, 9 and 7 beams) was reported of 2-3 weeks when growth stops and the follicle to result in increase in density versus shrinks. • Telogen: Resting phase for 1-4 months, trial subjects in the control group [10]. Ongoing up to 10% of in a normal scalp. Over trials are investigating the efficDcy of other light shedding is known as It occurs therapy devices in various types of alopecia [11]. 2-6 months Dіer an inciting event that stops active Lifestyle changes Good scalp care to keep hair hair growth. Telogen effluvium is commonly clean with stimulating massage, and the safe use of caused by following reasons: • Fever, weight loss, a . Maintaining exercise and stress • Surgical operation, illness or control, eating healthily food rich in protein, psychological stress • (contraceptives, vitamins and minerals, like iron. One should avoid anticoagulants, anticonvulsants) • Others birth control pills, anabolic , alcohol and (unknown) Shedding can persist for years (chronic smoking. Finally cDmouflDge with and hair telogen effluvium. pieces. Surgical and injectable Surgical treatment is due to hormonal influence and for hair loss will not be discussed in this paper. Нis can be referred from Sattur SS. Several injectable ectsوٴ increases with age. Male pattern alopecia D vertex and temporal scalp. Female pattern alopecia can be used including: Platelet Rich Plasma (PRP) This work is partly presented at International Conference on Aesthetic Medicine and Cosmetology, May 21-22 2018│Singapore 2019 Skin Diseases & Skin Care Extended Abstract Vol.4 No.3

Finally, we should look into PRP. Нe use of Keywords: Alopecia; Hirsutism; Androgenisation; platelet growth factors to stimulate hair growth and ; Hyperprolactinaemia ective resultsوٴ reduce hair loss has achieved quite e for both androgenic alopecia and , noted in small scale studies. We await large scale randomized controlled studies on the use of this modality. Нis area is indeed promising, but it is clear that with the lack of intellectual property potential, pharmaceutical companies would hesitate to fund a large clinical trial. Botulinum toxin Нe science behind this is the relaxation of scalp musculature, hence decompressing blood vessels in the scalp and increasing oxygen delivery. DHT is converted to estradiol in oxygen rich medium. About a 60 week study has reported increase in hair growth and reduction in hair loss in males with androgenic alopecia.

Нis can be or rosiglitazone can be prescribed to women with polycystic ovarian syndrome. Hormonal treatment with medicines may be used for women with hirsutism. ects may take 6-12 months, and the medicineوٴ E needs to be continued for years. can reduce excessive hair growth. A synergistic effect is achieved when combined with the contraceptive pill. Combined birth control pills that contain and progesterone: are ects include mood swings, loss ofوٴ ective Side eوٴ e and weight gain. Conclusion In the realm of hair loss, low level light therapy is a fascinating area deserving of further research. With the interest in non-invasive treatments growing, personally I believe combination therapy with , anti- and low level light therapy would be the gold standard treatment for hair loss in the future. As for hirsutism, it is not yet possible to prevent a genetically predetermined cause. resistance associated with can be reduced by diet and lifestyle changes. Prognosis is dependent on the cause. Нe most common types of excessive hair growth is permanent. Hirsutism has a tendency to worsen with age.

This work is partly presented at International Conference on Aesthetic Medicine and Cosmetology, May 21-22 2018│Singapore