Procedures in Cosmetic Dermatology: Hair Restoration

Minoxidil, finasteride, and dutasteride

Key points Androgenetic alopecia is the most common cause of alopecia in both men and women; however, approved therapeutic treatment options are limited. Patients should be counseled that treatment of androgenetic alopecia is directed toward prevention of further hair thinning…

Micropigmentation and microblading

Key points Androgenetic alopecia is a frequent cause of hair loss and hair thinning for both men and women, and it has the potential to negatively affect self-esteem, psychosocial functioning, and quality of life. Micropigmentation, also known as medical tattooing…

Wigs and hair prosthetics

Key points Patients with androgenetic alopecia and other types of alopecia may turn to hair prosthetics when other medical and procedural interventions have been aesthetically unsatisfying and hair loss negatively affects their quality of life. When recommending a wig style…

Hair cosmetics, styling, and processing

Key points Hair cosmetics, styling, and processing play key roles in counseling patients with hair loss. Hair and scalp health must be maintained for medical and aesthetic reasons. This includes regular shampooing, conditioning, and limiting unnecessary heat styling and processing.…

Nutritional supplements

Key points There are shortcomings in U.S. Food & Drug Administration (FDA)–approved treatments for androgenetic alopecia (AGA) that are currently available. There is a growing body of double-blind, placebo-controlled, randomized studies that demonstrate both qualitative and quantitative benefits of nutritional…

Diagnosis and treatment of scarring alopecia

Key points Scarring alopecia is characterized by inflammation that leads to destruction of the pilosebaceous unit and ultimately the replacement of subcutaneous tissue with fibrous tracts. As a result, the hair loss can be disfiguring and cause significant distress in…

Ethnic differences in hair

Key points Understanding the differences in hair structure and haircare practices in African Americans compared with white, Hispanic, and Asian patients is essential when evaluating and treating hair concerns in this population. Structural characteristics of Afro-textured hair include a retroverted…

Medical workup for hair loss

Key points Although most patients seeking hair restoration have androgenetic alopecia, there are several other potential etiologies of hair-loss disorders. It is important to exclude other causes of hair loss resembling androgenetic alopecia before considering cosmetic treatment. The comprehensive initial…