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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2025-8-121-125</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4374</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Вопросы пересадки волос при андрогенетической алопеции</article-title><trans-title-group xml:lang="en"><trans-title>Hair transplantation issues in androgenetic alopecia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5044-5265</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Круглова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kruglova</surname><given-names>L. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Круглова Лариса Сергеевна, д.м.н., профессор, заведующий кафедрой дерматовенерологии и косметологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Kruglova Larisa S., DM Sci (habil.), professor, head of Dept of Dermatovenereology and Cosmetology</p><p>Moscow</p></bio><email xlink:type="simple">kruglovals@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0238-6563</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шатохина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shatokhina</surname><given-names>E.  A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шатохина Евгения Афанасьевна, д.м.н., профессор кафедры дерматовенерологии и косметологии; ведущий научный сотрудник отдела внутренних болезней</p><p>Москва</p></bio><bio xml:lang="en"><p>Shatokhina Evgeniya A., DM Sci (habil.), professor at Dept of Dermatovenereology and Cosmetology; leading researcher at Dept of Internal Medicine</p><p>Moscow</p></bio><email xlink:type="simple">e.a.shatokhina@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8562-1778</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Терентьева</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Terentyeva</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Терентьева Лада Владимировна, к.м.н., доцент кафедры дерматовенерологии имени академика Ю.К. Скрипкина</p><p>Москва</p></bio><bio xml:lang="en"><p>Terentieva Lada V., PhD Med, associate professor at Dept of Dermatovenereology named after Academician Yu.K. Skripkin</p><p>Moscow</p></bio><email xlink:type="simple">t.lada@inbox.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3190-7460</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Круглова</surname><given-names>М.  С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kruglova</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Круглова Мария Сергеевна, студентка 4 курса лечебного факультета</p><p>Москва</p></bio><bio xml:lang="en"><p>Kruglova Maria S., 4th year student at Faculty of Medicine</p><p>Moscow</p></bio><email xlink:type="simple">kruglovamashulka@gmail.com</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central State Medical Academy of the Administrative Department of the President of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской Федерации; Медицинский научно-образовательный центр ФГБОУ ВО «Московский государственный университет имени М.В. Ломоносова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central State Medical Academy of the Administrative Department of the President of Russia; Medical Research and Education Center of the Lomonosov Moscow State University, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России (Сеченовский университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>04</day><month>06</month><year>2025</year></pub-date><volume>0</volume><issue>8</issue><issue-title>Дерматология (1)</issue-title><fpage>121</fpage><lpage>125</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Круглова Л.С., Шатохина Е.А., Терентьева Л.В., Круглова М.С., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Круглова Л.С., Шатохина Е.А., Терентьева Л.В., Круглова М.С.</copyright-holder><copyright-holder xml:lang="en">Kruglova L.S., Shatokhina E.A., Terentyeva L.V., Kruglova M.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/4374">https://www.med-alphabet.com/jour/article/view/4374</self-uri><abstract><sec><title>Актуальность темы</title><p>Актуальность темы. Проблема выпадения волос у мужчин остается одной из наиболее актуальных в современной трихологии и эстетической медицине. Андрогенетическая алопеция (далее АГА), характеризуется постепенным истончением, поредением и дальнейшей потерей волос у мужчин в лобно-теменной зоне. Разной степени выраженности косметический дефект достаточно сильно влияет на качество жизни пациентов, вызывая психологический дискомфорт и социальную дезадаптацию.</p></sec><sec><title>Цель работы</title><p>Цель работы. Провести оценку эффективности и безопасности применения ручного метода пересадки волос (HFE) при андрогенной алопеции у мужчин, включая анализ приживаемости трансплантатов, косметических результатов и удовлетворенности пациентов в краткосрочной и долгосрочной перспективе.</p></sec><sec><title>Результаты исследования</title><p>Результаты исследования. В данной статье оценивается эффективность мануального (ручного) метода трансплантации волос HFE в сравнении с другими: Strip (FUT) и FUE Machine. Mетодика HFE (Hand Follicular Extraction) – современное решение в терапии андрогенетической алопеции у мужчин. Особенность метода заключается в максимально щадящем извлечении и пересадке волосяных фолликулов без использования автоматизированных систем, что обеспечивает: высокую точность манипуляций, минимальную травматизацию окружающих тканей, минимальное повреждение волосяного фолликула, естественный результат, сокращение периода реабилитации. Метод HFE позволяет врачу полностью контролировать процесс экстракции и имплантации фолликулярных единиц, учитывая индивидуальные особенности кожи головы и структуры волос каждого пациента. Это важно при АГА, когда требуется деликатный подход к истощенным и ослабленным фолликулам.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Relevance</title><p>Relevance. The problem of hair loss in men remains one of the most pressing in modern trichology and aesthetic medicine. Androgenetic alopecia (hereinafter AGA) is characterized by gradual thinning, thinning and further loss of hair in men in the frontal-parietal zone. Cosmetic defect of varying severity significantly affects the quality of life of patients, causing psychological discomfort and social maladjustment.</p></sec><sec><title>Objective</title><p>Objective. To evaluate the efficacy and safety of the manual hair transplantation (HFE) method for androgenetic alopecia in men, including an analysis of graft survival, cosmetic results and patient satisfaction in the short and long term.</p></sec><sec><title>Research results</title><p>Research results. This article evaluates the efficacy of the manual hair transplantation method HFE in comparison with others: Strip (FUT) and FUE Machine. The HFE (Hand Follicular Extraction) technique is a modern solution in the treatment of androgenetic alopecia in men. The peculiarity of the method is the most gentle extraction and transplantation of hair follicles without the use of automated systems, which ensures: high precision of manipulations, minimal trauma to surrounding tissues, minimal damage to the hair follicle, a natural result, and a shorter rehabilitation period. The HFE method allows the doctor to fully control the process of extraction and implantation of follicular units, taking into account the individual characteristics of the scalp and hair structure of each patient. This is important in AGA, when a delicate approach to depleted and weakened follicles is required.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>андрогенетическая алопеция</kwd><kwd>пересадка волос</kwd><kwd>HFE метод</kwd><kwd>трансплантация волос</kwd><kwd>мужская алопеция</kwd><kwd>трихология</kwd><kwd>эстетическая медицина</kwd><kwd>реконструктивная хирургия волос</kwd></kwd-group><kwd-group xml:lang="en"><kwd>androgenetic alopecia</kwd><kwd>hair transplantation</kwd><kwd>HFE method</kwd><kwd>hair transplant</kwd><kwd>male alopecia</kwd><kwd>trichology</kwd><kwd>aesthetic medicine</kwd><kwd>reconstructive hair surgery</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Oiwoh S.O., Enitan A.O., Adegbosin O.T., Akinboro A.O., Onayemi E.O. Androgenetic Alopecia: A Review. Niger Postgrad Med J. 2024 Apr 1; 31 (2): 85–92. DOI: 10.4103/npmj. npmj_47_24. 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