Table 1.
Advantages and disadvantages of various treatments for androgenetic alopecia
Therapy method | Therapeutic effect | Advantage | Disadvantage | Reference | |
---|---|---|---|---|---|
Surgical therapy | Hair Transplantation | Different degrees of shedding in the early postoperative period, no obvious effect can be seen until 6–9 months after the operation | Effective, Security | The high cost, Limited hair follicles | [66] [67] |
Microneedle | Hair density and diameter increased | Security, well tolerated | The pain is intense, a risk of infection | [68] | |
Drug therapy | Finasteride | Take orally 1 mg daily. Generally, hair loss decreases after 3 months | The incidence of adverse reactions was low and mild | Individual patients appear libido loss, impotence and ejaculation reduction, easy to relapse after drug withdrawal | [69] |
Minoxidil | Hair growth is significantly increased, hair loss is reduced, 5% formula is more effective | Effective promotion of hair regeneration, high safety | Dermatitis, headache and hypertrichosis as well as poor dependence, easy to relapse after drug withdrawal | [70] | |
Herbs therapy | Oral and Topical | Prevent and slow hair loss | High compliance, less side effects, wide spectrum of activity low price, wide range of use | Active ingredients are uncertain, plants and formulations are not standardized | [57] |
Other therapy | Platelet plasma rich | After 6 months of subcutaneous injection, the average number and thickness of hair increased significantly | Minimally invasive, fewer safety issues and side effects | Preparation methods, frequency of treatment, and area of treatment have not been standardized | [71] |
Laser therapy | Promote hair regeneration alleviate hair loss, hair luster significantly improved | The laser comb is convenient and easy to operate | Transient hair loss during the resting period may occur at the beginning of treatment | [72] | |
Stem cells | Promotes the proliferation of hair follicle cells | Economy, effective | Large, more robust double-blind controlled clinical trials are lacking to further evaluate the exact mechanism, therapeutic potential and safety of stem cell-based hair treatments | [12] |