In scarring alopecia, the treatment consists of stopping the inflammatory process, regenerating the follicles, and trying to contain the progression of the disease that leads to the destruction of the follicle.
INFILTRATIONS WITH MINOXIDIL, TRIAMCINOLONE OR CORTICOSTEROIDS
These infiltrations are performed every 15 to 30 days. A vibratory system is used to reduce and minimise pain, as well as some anaesthesia contained in the infiltration.
INFILTRATION USING PRP
Platelet rich plasma contains many growth factors to stimulate resting follicles.
This involves the removal of fat from an area of the body such as the abdomen or legs. The mesenchymal stem cells mixed with the fat are then filtered and separated. These stem cells are injected into the scalp to regenerate the lost follicles.
LOW POWER OR LED LASER
The low power laser emits a wavelength in the red spectrum, from 635 to 685 nm in length. This type of colour acts as an anti-inflammatory and stops or reduces the progression of alopecia.
ANTI-INFLAMMATORY OR IMMUNOSUPPRESSANTS
On some occasions, when local or topical treatment is not sufficient, anti-inflammatory or immunosuppressive drugs -prednisone, prednisolone or cyclosporine- are administered.
Liquid solutions using specific formulations prepared by your dermatologist.
Treatments are aimed at inhibiting DHT and stimulating the growth of dormant follicles.
There are drugs that act as inhibitors of the enzyme that produces dihydrotestosterone from testosterone – 5 alpha reductase (5AR). These substances can be administered locally by lotion, infiltration and orally by pills.
PLATELET-RICH PLASMA OR PRP
PRP is the platelet-rich plasma fraction, which contains many growth factors. The procedure to obtain it consists of extracting blood from the patient, centrifuging it and then separating the central and upper part, which is the richest in platelets. Platelets are rich in growth factors because they are the cells responsible for clot formation and wound repair.
Exosomes are small vesicles produced by stem cells that are filled with growth factors and other substances to activate the hair. Today they are a backbone of regenerative medicine as they contain more growth factors than PRP itself.
LOW POWER LASERS
Red light around the wavelength of 635 nm is known to stimulate hair growth. Nowadays, it is used in multiple devices for both home and clinical use, as they have a much higher power.
This drug is an arterial vasodilator used in heart failure or high blood pressure. It was first used as a lotion in 1988. Nowadays it is used in infiltration form, as it penetrates 100 times better and is much more effective.
It is a potent inhibitor of the enzyme responsible for the conversion of testosterone to DHT, 5 alpha reductase (5AR). It is taken in capsule form and is a natural product that is not considered a medicine.
Ketoconazole is an antifungal. It is known to have a very similar effect on hair as minoxidil. It is recommended in topical solutions on the scalp and in shampoo formulations.
There is a fabulous drug that stimulates hair growth through 5 alpha reductase (5AR). It is also given in tablet form orally. Nowadays, the preferred route for dermatologists is the infiltration of the scalp.
There is currently no definitive treatment to combat alopecia areata, although certain therapies and medication administration can favour hair growth in a large percentage of patients.
Possibly the most effective treatment for alopecia areata is infiltration with corticosteroids such as prednisone, triamcinolone or prednisolone.
LOW POWER LASER
Another very effective treatment for alopecia areata is the low power laser. The anti-inflammatory effect of red light is very powerful and induces hair growth.
In the most complicated cases, alopecia areata spreads throughout the scalp and to other regions of the body. In this case, we need to administer immunosuppressants such as corticosteroids or cyclosporine orally.
In the past, and still today in many places, scalp irritants such as diphenciprone are administered. The problem with this treatment is that it is tedious and time-consuming, so it is replaced by simpler procedures.
In most cases, telogen effluvium is due to single, isolated causes. For this reason, sometimes no treatment is adequate, and it is necessary to wait for the hair to renew itself.
VITAMIN AND NUTRITIONAL SUPPLEMENTS
Vitamin and nutritional supplements, which will have to be adjusted to each case.
LOTIONS OR SERUMS
It is also beneficial to use lotions or serums that regulate the hair cycle and strengthen the hair.
Medications such as melatonin may also be useful.
PLATELET RICH PLASMA (PRP)
Platelet Rich Plasma (PRP) is another technique that can be useful in selected cases that are resistant to conventional treatment.
The most appropriate treatment for anagen effluvium is to detect the causes that produced it and to take the necessary measures to stop it.
STIMULATION OF THE PILOSEBACEOUS FOLLICLES
The treatment of anagen effluvium consists of stimulating the pilosebaceous follicles to produce hair and prevent them from entering a ketogenic or resting phase.