植发雄性秃可能的选择

　　资料来源：（吴唯铭高雄长庚医院皮肤科主治医师）；联合报；2007/01/18

　　望着镜中逐渐稀疏的头发，小王（化名）觉得自己似乎老了好多。

　　上回看过的皮肤科诊所建议开始使用药物来防止继续掉发，但医师说只有大约八成的人有效，且对前额秃发效果不好，到底该怎么办？

　　雄性秃（或称遗传性雄性秃）是目前最困扰人的疾病之一，男性掉发中超过95%可归因于雄性秃，在国外的统计超过35岁的男性中有2/3的人有雄性秃的困扰。28岁的小王不能理解为何自己年纪轻轻却开始掉发，但事实上有1/4的人在21岁前就开始出现雄性秃。

　　雄性秃扰人，市面上各式各样的产品应运而生，标榜头皮修复护理、头皮清洁洗净、头皮显微镜检测、基因检测、草本治疗等等，然而这些说法并无医学证据。
从古至今，治疗掉发的偏方异术从没少过，网路就可找到上百个治疗雄性秃的方法或药物，但目前能通过美国食品药物管理局证实有效的药物只有两种，口服的FINASTERIDE和外用的MINOXIDIL。

　　至于那些对药物没有反应、显著前额秃发、秃发太过严重的患者，植发手术可以说是最后的一线希望。头发移植是以自己后脑，这种不掉头发地方的头发转植到前额，因为后脑到头皮的发根相对而言对雄性激素不敏感，即使转植，也能持续生长。

　　以亚洲人来估计，一次一千株的植发手术，对顶上全秃的病患约略可提供14%的发量，对已经需要遮遮掩掩的病患而言，已是吃药或擦药几年也难以到达的境界。如果后脑部位头发量多的话，第二次，甚至第三次的手术加倍种植的发量，可以达到更满意的效果。

　　后记

　　这篇文章简单的说明植发的概念，植发，对于前额掉发的雄性秃患者来说，的确是可以考虑的方式，但还是有许多地方是要注意的：

　　1.植发的细节：植发前的掉发情况是否已经控制住了？总共要植几次？植几株？整个疗程的总花费？植发的区域？植发之后的存活率？植发之后伤口的愈和度？植发之后的发相自不自然？

　　2.术后的保养：不要以为植发后就可以高枕无忧了，其实植发后才是更佳考验对于头发保养的功夫是否确实，因为植发后通常要搭配Minoxidil、柔沛等 DHT抑制剂，才能确保头发能够维持植发后的最佳状态，否则植发区域后的头发持续掉落，外貌上恐怕会比植发前更加不自然吧！

　　头发是自己的，不要以为诊所或医师都会详细的跟你说的那么清楚，这些都是在植发前，一定要亲自与医师做最详细的确认！

　　否则在植发之后若是不满意，恐怕会后悔莫及的，切记喔！

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.

植发 雄性秃可能的选择

植发雄性秃可能的选择