植髮雄性禿可能的選擇 @董哥的家 iwanthair's blog

資料來源：（吳唯銘高雄長庚醫院皮膚科主治醫師）；聯合報；2007/01/18

      望著鏡中逐漸稀疏的頭髮，小王（化名）覺得自己似乎老了好多。
上回看過的皮膚科診所建議開始使用藥物來防止繼續掉髮，但醫師說只有大約八成的人有效，且對前額禿髮效果不好，到底該怎麼辦？
      雄性禿（或稱遺傳性雄性禿）是目前最困擾人的疾病之一，男性掉髮中超過95%可歸因於雄性禿，在國外的統計超過35歲的男性中有2/3的人有雄性禿的困擾。28歲的小王不能理解為何自己年紀輕輕卻開始掉髮，但事實上有1/4的人在21歲前就開始出現雄性禿。
       雄性禿擾人，市面上各式各樣的產品應運而生，標榜頭皮修復護理、頭皮清潔洗淨、頭皮顯微鏡檢測、基因檢測、草本治療等等，然而這些說法並無醫學證據。
從古至今，治療掉髮的偏方異術從沒少過，網路就可找到上百個治療雄性禿的方法或藥物，但目前能通過美國食品藥物管理局證實有效的藥物只有兩種，口服的FINASTERIDE和外用的MINOXIDIL。
       至於那些對藥物沒有反應、顯著前額禿髮、禿髮太過嚴重的患者，植髮手術可以說是最後的一線希望。頭髮移植是以自己後腦，這種不掉頭髮地方的頭髮轉植到前額，因為後腦到頭皮的髮根相對而言對雄性激素不敏感，即使轉植，也能持續生長。
       以亞洲人來估計，一次一千株的植髮手術，對頂上全禿的病患約略可提供14%的髮量，對已經需要遮遮掩掩的病患而言，已是吃藥或擦藥幾年也難以到達的境界。如果後腦部位頭髮量多的話，第二次，甚至第三次的手術加倍種植的髮量，可以達到更滿意的效果。

後記

這篇文章簡單的說明植髮的概念，植髮，對於前額掉髮的雄性禿患者來說，的確是可以考慮的方式，但還是有許多地方是要注意的：
1.植髮的細節：植髮前的掉髮情況是否已經控制住了？總共要植幾次？植幾株？整個療程的總花費？植髮的區域？植髮之後的存活率？植髮之後傷口的癒和度？植髮之後的髮相自不自然？
2.術後的保養：不要以為植髮後就可以高枕無憂了，其實植髮後才是更佳考驗對於頭髮保養的功夫是否確實，因為植髮後通常要搭配Minoxidil、柔沛等DHT抑制劑，才能確保頭髮能夠維持植髮後的最佳狀態，否則植髮區域後的頭髮持續掉落，外貌上恐怕會比植髮前更加不自然吧！

頭髮是自己的，不要以為診所或醫師都會詳細的跟你說的那麼清楚，這些都是在植髮前，一定要親自與醫師做最詳細的確認！
否則在植髮之後若是不滿意，恐怕會後悔莫及的，切記喔！

By 絲髮小舖

以下是植髮的步驟：資料來源http://www.hairtransplantnetwork.com/ ，僅供參考，不具其他用途。

Patient is prepared for a hair transplant

During hair transplant surgery hair follicles from the back of the head that are genetically resistant to going bald will be removed and relocated (transplanted) to the balding areas.

Donor area is trimmed

Prior to surgery, the hair in donor area that will be surgically removed is trimmed.

Donor area is prepared for surgery

Once the donor area has been prepared it is given local anesthesia.

Donor tissue is removed

The donor tissue containing the bald resistant hair follicles is then surgically removed.

Donor area is sutured

The donor tissue containing the bald resistant hair follicles is then surgically removed.

Hair combed over sutures

When patient’s hair is combed over the donor area the sutures are not visible. These sutures are typically removed approximately ten days after the hair transplant surgery.

Donor tissue is trimmed into follicular unit grafts

Surgical technicians then use microscopes to view the donor tissue in order to dissect and prepare follicular units hair grafts.

Bald recipient area is prepared

After being given local anesthesia, the balding recipient area is ready for a hair transplant. No trimming or shaving of hair is needed in the top recipient area.

Incisions are made in the balding areas

Tiny incisions are made in the recipient areas in irregular patterns that mimic nature. The follicular unit grafts will then be placed carefully into these tiny incisions.

Grafts are placed into the incisions

Follicular unit grafts are gently placed into the recipient incisions.

Grafts are placed in varying densities

Typically the smallest one and two hair grafts are placed in the very front of the hairline, with three and four hair grafts placed behind them.

Patient immediately after a hair transplant

After having hair transplant surgery, a patient will have hundreds of tiny incisions with short hair stubble showing from the new grafts.

Close up of a hair transplant

The tiny graft incisions heal rapidly. The redness and scabbing in the recipient area normally clears up within about one week.

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