Male alopecia: it is better to wear hair than to wear a wig

Male hair bald patients may also fall off after a few years of hair

This newspaper (reporter Wu Junyi correspondent Hu Yingyi) is known as the "second face" of the hair. Many men have no choice but to shed their hair and "the grass is not born", gradually forming an ugly baldness. Thus, a cosmetic surgery called "plant hair" came into being. Medical experts said that hair transplants need to be treated with drugs. Otherwise, the hair that is planted will fall off due to the "soil", and the hair after hair transplant may fall off after a few years. It is better to wear wigs .

Male baldness is difficult to regenerate

Li Qilin, director of the dermatology department of the Guangzhou Red Cross Hospital, said that a normal person will lose 70 to 100 hairs per day, but at the same time there will be as many new hair growths, with a growth rate of about 0.27 to 0.4 mm per day. Some people suffer from autoimmune diseases, or their mental stress is too high, their rest is not good, their hair will fall off more, and even form alopecia hair loss (alopecia areata), or the entire scalp hair will fall off (full baldness). The hair follicles of this patient are still using hormones to suppress excessive immune response, or to relieve mental stress, pay attention to rest, and the hair can be re-growth.

More troublesome is male baldness, it is difficult to grow hair again after being bald. Li Qilin introduced that males secrete more androgen, mainly testosterone, which is converted into more active dihydrotestosterone by the action of 5α-reductase in the body, while there are more males in the scalp hair follicle cells of the forehead and the top of the head. Hormone receptors, when combined, cause malnutrition or even atrophy of hair follicles, leading to permanent hair loss. This receptor in the scalp of the back of the head is less and less sensitive, so this part of the hair generally does not fall off. These patients' scalp often excretion of sebum is too strong, so it is also called seborrheic alopecia. Some studies have suggested that excessive oil can block hair follicles, causing dystrophic hair follicles, causing hair follicles to shrink, leading to hair loss and baldness.

Baldness can affect a person's image and even impair mental health, so patients will look for a variety of treatments. Li Qilin said that patients with male alopecia need to take finasteride to inhibit 5α-reductase to reduce hair loss. During treatment, patients should pay attention to light diet, eat less greasy, spicy, fried foods, and can also supplement some B vitamins adjuvant therapy. Patients can usually comb their hair and beat the scalp, which can increase the blood circulation of the hair follicle and help the hair growth.

Hair transplant to cut the scalp

If the hair follicle has deteriorated, the patient can consider hair transplant. Li Qilin said that hair transplant is to cut a very thin banded scalp with hair on the back of the head. There are about 10,000 hair follicles on the back, which are divided into small units by machine, and there are two hair follicles on each unit. Holes are planted to the bald area according to the direction of hair growth. The doctor will also stretch the scalp of the back of the head, just like before the operation.

Dr. Stephen Barrett, co-founder of the National Anti-Health Fraud Committee, said that hair transplant surgery also has scalp extension, scalp expansion, flap transplantation, etc. These procedures are expensive and often have a risk of failure, sometimes being removed from the hair. The area cannot be renewed. Even if the hair transplant is successful, the effect is not permanent.

Li Qilin said that the "soil" of the hair after transplantation is still not good, there are androgen receptors in the hair, and the hair will fall off again. Generally, the bald hair transplant needs to be planted two or three times, and combined with drug treatment, it will have a good effect. Since the hair is scattered in the hair, there is a certain distance between the hair follicle and the hair follicle, so the hair density is reduced, and it will be found sparse in the near future. Moreover, hair follicles have a limited life span, and transplanted hair may gradually fall off over time.

Barrett believes that the image of weaving hair, wearing a wig or accepting baldness may be a better choice than hair transplant. Li Qilin said that many patients now choose to wear wigs, which is not only convenient to use, but also avoids the pain and trouble of doing surgery.