Male seborrheic alopecia before and after surgery

  Many men unintentionally notice that they are losing a lot of hair, their hairline is moving back, their forehead is getting bigger, and then they may also notice a gradual thinning of the hair on the top of their head. Women, on the other hand, often find that the hair on the top of their head is thinning out and eventually exposing their scalp. This is when you may be suffering from seborrheic alopecia.  Seborrheic alopecia grading Patients with seborrheic alopecia look older than their actual age, which seriously affects one’s aesthetics, undermines your self-confidence and lacks attractiveness to women in appearance. Older men may think that hair loss indicates the beginning of aging and are psychologically scared, their previously vigorous career spirit gradually declines, and they appear to lack the self-confidence at work that they had back then. Patients suffering from seborrheic alopecia are heartbroken whenever they see their lost hair, and some even collect the hair they have lost. Those who don’t have hair loss can’t imagine how much these hair loss patients treasure their hair. Most hair loss sufferers will seek multiple medical attention and use many kinds of medications and anti-hair loss shampoos to treat their hair, but ultimately end up with significant baldness. Most baldness patients feel that they have not been cured after using so many medications, so it seems that there is no cure and gradually lose their confidence in treatment.  Seborrheic alopecia is the result of a combination of multiple factors, including genetics, immune regulation, and also involving changes in hormones, local microinflammatory responses, growth factors and cytokines in the body. The pathogenesis of seborrheic alopecia is not yet completely understood by Western medicine, and more ideal drugs are still not available. There are two FDA-approved drugs for the treatment of seborrheic alopecia, namely finasteride and minoxidil, both of which require long-term application, with many adverse effects, and hair loss will recur soon after discontinuation. And the drugs can only slow down the rate of hair loss and cannot regenerate the already shrunken hair follicles. Chinese medicine compound tonics also have certain efficacy, but from the current clinical efficacy of Chinese medicine on seborrheic alopecia, Chinese medicine compound tonics have long treatment period and poor patient compliance. It can only slow down the rate of hair loss and cannot fundamentally cure hair loss.  In fact, the best way to treat seborrheic alopecia is not medicine, but autologous hair transplantation.  If we look closely, we can see that the frontal and top hair loss of seborrheic alopecia patients, but the hair in the back of the occipital and both sides of the temporal area grows luxuriantly and does not decrease in any way. This is because the frontal and top hair follicles are extra sensitive to androgens, which cause the hair follicles to shrink, resulting in thinning and loss of hair, while the hair follicles in the occipital and both temporal areas are not sensitive to androgens, and the hair follicles here are not affected by androgens. After transplanting occipital and temporal hair follicles to the forehead and top, they still maintain their original physiological characteristics – they are not sensitive to androgens, so they will not fall out. This is the most important theoretical basis for the use of hair transplantation in the treatment of seborrheic alopecia.  (1) The density of normal hair is much greater than the density distinguished by the human eye, and with less than the normal number of hairs, it is still possible to achieve the effect of “thick hair” if it is evenly distributed.  (2) The aesthetic effect of hair is closely related to the forehead hairline, and a good hairline can partially satisfy the patient’s demand for “thick hair” psychologically.  The current state-of-the-art technology can divide the hair in the donor area into individual follicular units, or even into single hairs for transplantation. Due to the small size of the graft, the transplanted hair follicles are able to receive sufficient nutrition from the surrounding tissues to survive. Therefore, the follicular unit transplantation (FUT) technique, which uses the follicular unit as the graft, can guarantee the survival of more than 95% of the grafts.  In addition to the traditional technique, we now use the most advanced electric hair follicle extraction machine in the world, which can extract hair follicles directly from the back of the occipital area, and has the advantages of minimal tissue damage, quick recovery, only slight pain after surgery, and no scarring compared to the traditional method of scalp flap removal. In addition, this method basically does not damage the hair follicles. It is ideal for patients with seborrheic alopecia who have limited hair follicle resources.  Hair transplantation is an outpatient procedure and patients do not need to be hospitalized, and only 2-3 days of prophylactic antibiotics are required after extensive hair transplantation. The surgery involves only the scalp and superficial subcutaneous tissues, and the trauma is minimal. Post-operative pain and swelling are mild, and the swelling usually subsides in 2-5 days. Hair transplantation does not affect work after the procedure.  Hair transplantation is currently the only treatment with lasting effect on permanent hair loss. The transplanted hair follicles can grow normally after survival and are indistinguishable from other hairs. The application of hair transplantation allows patients with hair loss to grow healthy, thick hair. Hair transplantation is a very delicate surgery, more delicate than any other cosmetic surgery, the surgeon is like an old farmer who works hard to satisfy the desire of beauty with little by little labor. Transplanting a single hair is hardly visible, but the continuous accumulation eventually results in thick hair.