Both male and female androgenetic alopecia is the most common cause of hair loss and occurs as a result of the influence of androgens on the hair follicles that turns the hair progressively thinner, until it reaches such a degree of miniaturization that it becomes like body hair. As Dr. José María Ricart, head of the Dermatology Service and the Capillary Medicine Unit of Quirónsalud Valencia Hospital warns, "an initial symptom of alopecia is that the patient notes that the hair is thinner and lighter followed by its loss of volume and capillary density, this affects 50% of women and 65% of men over 50". "

Genetic inheritance lies behind this loss of hair, but life habits are also essential. "There are life forms that allow the genes to be or not to be expressed in all their fullness. It is clearly demonstrated that if I do not smoke, I do not drink, I take care of my diet and I am not subjected to stress, I will have more hair", clarifies Dr. Ricart.

For a correct diagnosis of alopecia experts in trichology advise to undergo a Trichoscan, technology that allows the objective measurement of thickness and capillary density, key for early diagnosis and monitoring the treatment of patients with alopecia. It is also necessary in some cases to perform hormonal analytical studies to diagnose and correct alterations of the sex hormones that are the cause of androgenetic alopecia in the case of female alopecia. "Nine out of ten patients who diagnose their alopecia early and receive treatment," warns the specialist, "manage to stabilize the problem within ten years thanks to mesotherapy with vitamin cocktails and drugs, as well as platelet therapy (injecting plasma from the own patient on the scalp), until the hair is redensified. "

Advances in hair transplantation and the importance of follow-up

The mechanized manual transplant technique consists of extracting grafts from the donor area one by one, after shaving, leaving a small wound that does not require suturing and that heals spontaneously without leaving a scar. After the extraction of the follicles, we proceed to the implantation in the receiving area, following the design previously agreed upon with the patient. Advanced specialists in this technique offer a variant called Non Shaven FUE, in which the extraction of follicular units is done without shaving the donor area. "This method has helped to eliminate social fear, since many patients feel more comfortable knowing that nobody is going to realize that they have gone through a hair transplant," explains Dr. Ricart.

After the intervention, the dermatologist recommends a medical follow-up of the patient of at least 12 months to ensure that the patient's progress is absolutely satisfactory. "Although the intervention is not risky, it can have complications if it is not done correctly. "It can infect the donor area, with a necrosis of the skin that can leave scars. And let's not forget that if the necessary hygienic measures are not taken, there may be a risk of contagion of hepatitis or HIV due to contamination", says Dr. Ricart.