Hair loss diagnosis is conducted externally first where the doctor collects medical history in detail and does a physical examination of the area of the hair loss. The examining consultant checks for family history, lifestyle, diet, allergies and careful examination of the scalp. Hair styling techniques, duration of hair loss, recent illnesses, and medications taken etc., are recorded.
A bunch of hair may be pulled on during the examination process to assess the strength of hair, and plucked hairs counted to asses the strength and loss of hairs.
About 50 to 100 hairs are plucked and examined under the microscope. Trichograms are used to quantify different types of hair roots(anagen, catagen, telogen) based on their hair cycle-specific morphological characteristics and ratio is used to differentiate the cause.
A sample of the skin of the scalp may also be examined to know the pathology in undiagnosed cases.
TrichoScan is a computerized method to determine hair thickness, density, quality and the status of hair roots. It helps to collect records and calculates responses to treatment in patients with pattern alopecia.
Sometimes blood tests are also conducted if required such as Serum Iron, serum ferritin, S. Vitamin B12, Testosterone, Prolactin, Androstenedione, TIBC, TSH, and CBC.
Medications as needed are prescribed according to diagnosis. Finasteride and Minoxidil help treat hair loss in androgenic alopecia. Finasteride is a tablet which has to be taken daily. And Minoxidil is a topical application which has to be rubbed onto the scalp twice a day. Vitamin supplements can be given. Corticosteroids may also be injected into the scalp when hair loss is caused due to inflammation in the body. For women, a list of anti-androgens may be prescribed, the pros and cons of which have to be discussed with the surgeon before their intake.Various other medications are available according to diagnosis, but medication should always be taken after consultation of the Doctor.
Minimally Invasive techniques
Various therapies are available to support the medication in hair loss management. Examples are PRP, Mesotherapy, LLLT, etc.
A small amount of Blood is drawn from the patient, and The blood is spun in a centrifuge and the PRP is separated and removed from the rest of the blood.
The PRP is taken from your body and is specially prepared by spinning down the blood cells to a high concentration. After centrifugation, the platelets and other vital growth proteins rise to the top of the tube. Under a topical anesthesia, a special micro needling roller device is used to stimulate the dermis of the scalp. This micro needling stimulation causes microtrauma to the dermis that induces other healing and growth repair cells into action. The highly concentrated platelet rich plasma (PRP) is then injected into the scalp and topically.
The PRP contains many growth factors that stimulate the hair follicle’s growth. PRP can be used preoperatively, intraoperatively, or post operatively. PRP can be done at interval of 4 to 8 weeks to stimulate the hair growth.
LLLT(Low level laser therapy):
Yet known to be the best management of hair loss, a FUE – FUT hair transplant will help put all natural hair back into place. Read more about it in our website.
The skin of the scalp is kept stretched for about four weeks with instruments to stretch the healthy areas of the scalp. This is usually done before scalp reduction.
The bald patch of scalp is surgically removed and the healthy parts of the scalp which have hair are brought closer to each other.
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