I've been diagnosed with Androgenic Alopecia after Accutane, what is the best treatment?

Question

I have tried Genesis natural treatments including shampoo, conditioner, vitamins and serum. I also went through 3 rounds of PRP within the past 8 months. I see a good deal of regrowth but I am ALSO still losing a lot of hair every morning when I shower and comb it out. I just started using a laser light helmet again about 3 weeks ago, I was using it for several months then stopped. My hair looks horrible right now. What else can I do?

Jason Emer, MD · Answer

y0ou should start treatments for genetic hair loss or telogen loss which occurs with isotretinoin sometimes. I suggest seeing an expert.  Best, Dr.  Emer.

Jeff Rapaport, MD · Answer

You  need to consult with a hair loss expert. They will review your history, do  an examination including magnification, and possibly blood work and biopsy. Androgenic hair loss can be accelerated with Accutane. If you are seeing regrowth and a decrease in shedding with monotherapy using PRP, adding minoxidil (oral or topical)  and finasteride may be helpful. Additional treatments include nutraceutical vitamins and topical peptides. Good luck.

Jeff Donovan, MD, PhD · Answer

The ideal treatment depends a bit on your whole story. In general, treatment for AGA precipitated by Accutane is the same as AGA not accelerated by Accutane. Antiandrogens, minoxidil are likely superior to laser and PRP but they are all options. The risks and benefits and costs need to be factored in to a solid decision on how to proceed.

Jon Ver Halen, MD, FACS (license suspended) · Answer

Dear Huiss2c,Hello and thank you for your excellent question. I suggest that you start Finasteride and Minoxidil, as they are the only two medications for hair loss approved by the FDA. For women of child-bearing age, I use spironolactone instead of finasteride. Both medications have different mechanism of action, and I usually recommend both medications to my patients. Other adjuncts include low-level laser light therapy, PRP, stem cell, or other regenerative medical treatment. Also, you will want to ensure that you are not taking any medications that could be contributing to your hair loss. The main objectives with the combination treatments are to stabilize your hair loss, increase your existing hair fiber diameter, and stimulate some hair regrowth. After those options are completed, I recommend hair transplant, including FUE or FUT. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!
  
Best,
  
Jon Ver Halen, MD FACS
  
Harvard educated plastic surgeon
  
Texas “Top Doc” 2017, 2018
  
RealSelf100
  
America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018
  
BeautyAdvisor Top Contributor

William Rassman, MD (retired) · Answer

You did not state your age and that is important. With men, a Master Plan is critical in determine what are your options. I usually start off with a HAIRCHECK test and and Miniaturization analysis to determine what is your stage of genetic hair loss. The hair check test allows me to have a somewhat precise measurement on the degree of hair loss you have and then knowing your age, I can work my way methodically through that plan

I've been diagnosed with Androgenic Alopecia after Accutane, what is the best treatment?

Answers (5)

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