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Case Series
The use of microneedling associated to photobiomodulation in the treatment of male androgenetic alopecia: Case series
1 Graduate Student, Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
2 Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
Address correspondence to:
Christiane Pavani
Programa de Pós-Graduação em Biofotônica Aplicada às Ciências da Saúde, Universidade Nove de Julho/UNINOVE, R. Vergueiro 235/249, CEP 01504-001, São Paulo,
Brazil
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Article ID: 101079Z01NP2019
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Pedroso NM, Mota LR, Pavani C. The use of microneedling associated to photobiomodulation in the treatment of male androgenetic alopecia: Case series. Int J Case Rep Images 2019;10:101079Z01NP2019.ABSTRACT
Introduction: Androgenetic alopecia (AA) is a pathology associated to hormonal imbalance and affects men and women causing reduction and/or absence of hair in a particular region of the scalp. Some of the pharmacological treatments available in the market are inefficient and/or present risks and contraindications. Here, a combination of two minimally invasive techniques (photobiomodulation and microneedling) was proposed as a four-week treatment protocol in the treatment of male AA within a case series.
Case Series: The one-month treatment was performed in three men with AA, being 12 applications of photobiomodulation (three times a week) using low intensity laser (4 J per point, 40 seconds, 660 nm, 10 mW) and two microneedling sessions with a 15-day interval between them. The main outcome was the density of hair strands per square centimeter (n/cm2). The analysis was performed through a dermatoscope that registered scalp images and software was used to count the number of strands. The images were recorded before the beginning of the treatment, after the sixth session (day 15), after the twelfth session (day 30), and thirty days after the end of the treatment (day 60). After four weeks of the end of the treatment, the hair count increased from 111.1 to 140.6 hair/cm2 (pooled data from all patients). The patients reported reduced dissatisfaction with hair loss after the end of the treatment.
Conclusion: The association of microneedling with photobiomodulation is a promising alternative for the treatment of male AA.
Keywords: Alopecia, Low intensity laser, Male androgenetic alopecia, Microneedling
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Acknowledgments
The authors acknowledge the University Nove de Julho for the institutional structure of the Ambulatory for patient care. CP thanks Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) for the Research Fellowship (grant # 311737/2017-0).
Author ContributionsNayá Madeira Pedroso - Acquisition of data, Analysis of data, Drafting the article, Final approval of the version to be published
Lidiane Rocha Mota - Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Christiane Pavani - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Nayá Madeira Pedroso et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
