Bald with hair on the sides: Do you have a solution?

When alopecia has advanced considerably, the sufferer usually ends up being bald with hair on the sides. This tends to cause large complexes that can even accompany a lack of self-esteem and psychological problems. When this happens, or simply to look better, we look for a solution to baldness in order to recover the hair we have lost. However, at this point, is there really a solution? Why does baldness occur, but does the hair on the sides remain?

Why am I bald with hair on the sides?

Although irreversible hair loss can occur due to various factors, depending on the experts from Hospital Capilar, the most common type of alopecia whose pattern of hair loss makes the patient bald with hair on the sides is androgenetic alopecia. It is a type of alopecia of hormonal and genetic origin, which affects both men and women, being the alopecia that most affects the population.

In cases of androgenetic alopecia, hair loss is due to a hormonal alteration in patients with a genetic predisposition to it. Specifically, the 5 alpha reductase enzyme increases its activity by converting testosterone, the male sex hormone, into what is known as dihydrotestosterone. This is the hormone that attacks the Hair follicles by mistake causing its miniaturization and subsequent irreversible loss. When the follicle is detached, hair will no longer grow in that area.

The pattern of hair loss in men with androgenetic alopecia responds to what is known as Hamilton-Norwood scale. It is a tool with which the different stages or degrees of alopecia are measured depending on its progress. In the early grades, the missing hair is from the receding area and the crown of the head begins to thin. As this disease progresses, the lack of hair becomes visible on the top of the head joining the front part with the crown. However, the area on the sides and back often remains with hair, creating the “bald with hair on the sides” effect. This is because those areas that still have hair are considered immune to alopecia, so advanced degrees of androgenetic alopecia only keep an area of ​​hair on the back, and baldness is accentuated especially on the upper part of the hair. head.

On the other hand, the reason for being bald with hair on the sides can also occur when androgenetic alopecia has not yet advanced enough to attack the hair follicles in those areas. In these cases, we could be in time to put a solution to baldness.

What to do if I'm going bald?

It is important to identify the first signs of baldness to put a solution to it as soon as possible, since the earlier the treatment is received, the more successful the result is. In any case, if we are already bald with hair on the sides, we could still be in time to recover the hair that has fallen due to alopecia.

FUE hair graft

El FUE hair transplant It is currently the only method by which it is possible to have hair again in the areas where it stopped growing naturally. It is an outpatient surgery that consists of extracting healthy follicles from the receiving area, the one that is not affected by alopecia, and implant them in the area with baldness. The results are natural, it does not leave visible scars and, with a correct postoperative and subsequent treatments, will last a lifetime.

This intervention requires a capillary study previous to know if we are suitable for the capillary implant. That is, not all people can undergo this hair surgery. The most frequent reason is when the baldness is excessively advanced, in which cases there is not enough hair in the receiving area to cover the entire area with alopecia. This is why it is essential to consult a specialized hair clinic to receive a personalized diagnosis.

oral drugs

On the other hand, it is necessary to understand that androgenetic alopecia is a disease that has no cure as such, but drugs and treatments to slow its progress. This is why, whether or not we have undergone a hair implant, It is fundamental and basic to receive a pharmacological treatment so that the hair stops falling out.

Among the most widespread drugs to treat this type of hormonal alopecia is Finasteride and Minoxidil. The first one is an antiandrogen that inhibits the action of dihydrotestosterone, the hormone responsible for hair loss. On the other hand, Minoxidil is a powerful vasodilator that improves hair thickness, reduces and prevents miniaturized hair and promotes the quality of the native hair. Normally, both drugs are combined for better results.

Infiltrated capillary treatments

At present there are infiltrated hair treatments with which to stop the advance of alopecia, improve the quality of the hair and promote its growth. The most effective are Platelet Rich Plasma and capillary mesotherapy.

Platelet Rich Plasma, or Hair PRP, is a treatment that promotes hair regeneration and hair growth, in addition to stopping hair loss. It consists of extracting blood from the patient, centrifuging it and applying the enriched plasma obtained to the scalp.

Furthermore, the hair mesotherapy combines the infiltration of vitamins with drugs, specifically the dutasteride. This also inhibits the hormonal alteration that occurs in cases of androgenetic alopecia, so it stops hair loss and improves its quality thanks to vitamins.