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Non-surgical hair replacement: Toupee's, wigs, hairpieces, hair loss medications.….how do they compare?


The most common type of hair loss, androgenetic alopecia, also called male-pattern hair loss and female-pattern hair loss, is inherited. Treatment is designed to prevent hair loss, promote hair growth, and cover bald areas of the scalp. Unfortunately, treatment is not effective for everyone, and people should not expect to suddenly grow a full head of hair.

The main types of treatment for androgenetic alopecia include surgical and non-surgical hair replacement. Non-surgical hair replacement includes the use of toupees, wigs, hairpieces, and/or hair loss medications. The pros and cons to employing either method of hair replacement can be broken down to the following categories:
  1. Cost- Surgery to treat hair loss can be expensive and often is not covered by insurance. Medications vary in cost, but some can also be quite expensive. Over time, the costs of medication may build up to be similarly expensive to surgery. Of course, the cost of a hairpiece is typically minimal compared to the alternatives, although they can be initially expensive as well.
  2. Risks-Surgery is always a risky decision. Although hair replacement surgery has advanced by leaps and bounds over the years, the element of risk still exists that not all hair follicles will remain healthy after surgery. The potential for scarring has been reduced due to new laser techniques. Medication may pose health risks as well. For newer medications, there is little knowledge of their long-term side effects. Hair pieces pose almost no risk at all, except for the potential risk of them falling off and causing embarrassment.
  3. Effectiveness- Surgery can be the most effective if successful, and medication work mainly on those just beginning to have their hair thin. Hair pieces are the least effective because it is hard to make them look natural.


Posted on May 29, 2004 at 10:05 PM

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