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Baldness can be classified into cicatricial and non-cicatricial.

Cicatricial baldness tends to cause permanent hair loss due to the destruction of the hair follicle, thus hair loss is irreversible. Some examples of the above are:

• Infectious diseases such as funguses, bacteria, viruses or parasites.
• Trichotilomania: due to permanent hair traction by the patient himself. It is the most frequent reason for baldness in children.
• Burns.
• Injuries: scalp avulsion: the act of pulling out the scalp, whether partially or totally, mostly common in long-haired individuals whose hair gets trapped in a traction mechanism and suffer the trauma.
• Autoimmune diseases, neoplasias, hereditary disorders such as lupus, pseudobaldness and others of unknown origin like lichen planus pilaris, all of which are infrequent.

Non-cicatricial baldness is the most frequent. In this category we can find:

• Androgenetic alopecia: caused by hormonal and hereditary factors, is the most common cause of baldness, 95% in men and 65% in women.
• It results from the interaction of testosterone (the main male hormone) and some receptors located in the hair root causing a progressive weakening and subsequent loss of hair.
• Not all roots in the scalp are affected; those in the back and sides are spared, thus enabling the hair from that area to be used in hair transplant since it does not fall.
• Telogen effluvium: hair loss resulting from physiological or pathological stress situations (childbirth, divorce, death, moves, etc)
• Autoimmune: the best-known cause is alopecia areata, characterized by circular baldness, in the shape of one or multiple patches.
• Endocrinopathies: hyperthyroidism or hypothyroidism as well as diabetes may cause hair loss.
• Deficiency: rarely found nowadays, may be due to an iron, zinc and vitamin B complex déficit.
• Medication ingestion: may be caused by anticoagulants, anticonvulsants, antithyroid agents, etc.

Procedure:
Hair transplant consists in the resection of a strip of scalp from the back-side region (about 7 millimeters wide by 20-25 centimeters long). The wound is closed by stitching, which is removed between 12 and 14 days after the transplant. Once the strip is excised, the roots to be used in the procedure are fragmented; microincisions are made where the roots with a 3-millimeter hair shaft will be placed. After the procedure, the area will present scabs that will disappear approximately 7 to 10 days later.

The transplanted hair generally begins to grow within 12 weeks and keeps growing for the rest of the patient’s life. The procedure takes between 3 and 4 hours and a local anesthetic is used.  Depending on the degree of baldness, as many as 3 procedures may be necessary to achieve the expected results.

Patients may experience a slight swelling in the forehead region and hardly ever in the eyelids. t is worth emphasizing the natural and masculine results of this procedure since it respects the height of the forehead as well as the hairline.

The amount of hair will never be the same as it originally was, but harmony and naturalness, based on both male and female beauty parameters, will certainly be achieved.

Important:
In order to undergo the procedure, the patient must go through a pre-surgery test consisting of a blood test and an ECG evaluating surgical risk. Those patients with disease antecedents must undergo all the necessary tests to reduce risk and potential complications.

Diagnosis:
Accurate diagnosis is based on:

• Thorough medical record: when did hair loss start? Coinciding events, such as serious accidents, medication ingestion, diseases).
  • How long has the patient been losing hair? Length of loss and concomitant peculiarities.
  • How? Degree of loss, slight, excessive, broken hairs, hair and root loss.
  • Where? Typical model (distribution) of hair loss.
• Physical test: carefully examine scalp (skin and hair) as well as overall skin and nails.
• Complementary tests: blood test, skin biopsy, hair trichogram.

Please click here to request additional information from Dr. Marcelo Alejo Rodríguez

We are fully equipped to perform the following:

Medical Treatment:
Hair loss treatment means long-term planning; results cannot be seen overnight. A long-term therapy, whose goal is satisfactory and long-lasting results, always requires doctor-patient confidence. The best drug used in the treatment of male androgenetic alopecia is finasteride; women mostly require a combined treatment, i.e. topical substances that have a similar effect to that of finasteride or minoxidil at 2% or other drugs prescribed according to the cause of baldness.

Hair Transplant:
Since the dawn of surgery innumerable procedures have been undertaken to treat baldness, which has become a matter of utmost concern in a society in which appearance plays a highly relevant role in human behavior. In the 1970s the trend was the “punch”, which was given up because the hair looked like a doll’s; in the 1980s flaps, an esthetically unacceptable procedure, were in. In the 1990s the use of follicular units is introduced in hair transplant. Such procedure has been enhanced since then and has now become the most successful treatment for almost every type of baldness.

Please click here to request additional information from Dr. Marcelo Alejo Rodríguez

Dr. Marcelo Alejo Rodríguez, MD

Birth date : 6-25-68
Birth place : Ciudad Autónoma de Buenos Aires.

Qualifications

• Medical Doctor – School of Medicine, University of La Plata
• General Surgeon – degree issued by the Ministry of Public Health from Buenos Aires province.
• Plastic Surgeon – University of Buenos Aires (U.B.A.)

Scientific Papers

• Hair transplants in alopecia due to burns and scars – lecturer at the Argentine Dermatology Congress (Mar del Plata 2004).
• Hair transplants: corrective tactics in non-esthetical designs – lecturer at the Argentine Dermatology Congress (Mar del Plata 2004).

Please click here to request additional information from Dr. Marcelo Alejo Rodríguez