Hair transplantation issues in androgenetic alopecia

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.

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.

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.

1. 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. Epub 2024 Jun 3. PMID: 38826011

2. Enitan A.O., Olasode O.A., Onayemi O.E., Ajani A.A., Oninla O.A., Olanrewaju F.O. et al. Androgenetic alopecia: What impact does it have on the quality of life? Niger J Med 2022; 31: 455–61.

3. Oiwoh S.O., Akinboro A.O., Olasode O.A., Onayemi E.O. Androgenetic alopecia: Prevalence and clinical characteristics in a South-West Nigerian population. Niger J Med 2021; 30: 507.

4. Sibbald C. Alopecia Areata: An Updated Review for 2023. J Cutan Med Surg. 2023 May-Jun; 27 (3): 241–259. DOI: 10.1177/12034754231168839. PMID: 37340563; PMCID: PMC10291119

5. Patent No. RU2691338C1_20190611. Method of autologous hair transplantation: No. 2018113796: declared 2018.04.16: published 2019.06.11. Oksana Nikolaevna Schneider – 18 p. (In Russ.).

6. Sethi P., Bansal A.. Direct hair transplantation: a modified follicular unit extraction technique. J Cutan Aesthet Surg. 2013 Apr; 6 (2): 100–5. DOI: 10.4103/0974–2077.112672. PMID: 24023433; PMCID: PMC3764754

7. Gómez-Zubiaur A., Valenzuela C., Andrés-Lencina J.J., Rodríguez-Villa A., Ricart J.M. Algorithm proposal for hair transplantation in fibrosing alopecia pattern distributidon. J Cosmet Dermatol. 2022 Nov; 21 (11): 5543–5545. DOI: 10.1111/jocd.15124. Epub 2022 Jun 7. PMID: 35621250

8. Zito, Р.M. Hair Transplantation. Р.M. Zito, B.S. Raggio. Text: electronic. StatPearls. 2023. URL: https://www.ncbi.nlm.nih.gov/books/NBK547740 (access date: 19.10.2023).

9. Kerure, A. S. Challenges in hair transplantation practice as a beginner. A.S. Kerure, N. Deshmukh, S. Agrawal. DOI 10.25259/IJDVL_281_20. Text: electronic. Indian J Dermatol Venereol Leprol. 2021. Vol. 2 (87): 303–305. URL: https://ijdvl.com/challenges-in-hair-transplantation-practice-as-abeginner/ (access date: 19.10.2023).

10. Follicular unit extraction hair transplant harvest: a review of current recommendations and future considerations / L.M. Bicknell, N. Kash, C. Kavouspour, R.M. Rashid. DOI 10.5070/D3203021754. Text: electronic. Dermatol Online J. 2014. Vol. 3 (20): 1–12. URL: https://escholarship.org/uc/item/1954f4vv (access date: 19.10.2023).