最近來了一位有二次植髮需求的男士,他之前雖然已在他院做了植髮手術,但認為頭髮密度不如預期、無法完全遮蓋頭皮,轉而求診。實際診療時發現這位男士有嚴重的頭皮問題,不僅頭屑、皮脂過多,還伴隨著紅腫、發炎等症狀,未接受植髮的區域毛髮也非常細軟。植髮後效果不彰或再度脫髮這樣的例子並非少數,因為即便透過植髮手術來重新分配頭皮毛囊分佈,但只要掉髮原因未獲得改善,頭髮掉落的情形仍會持續發生。
為什麼植髮後還會掉髮?原因各不同
植髮術後大約三個月頭髮會開始經歷脫落期,此時掉髮增加是正常反應,之後進入生長期,術後約8~14個月外觀開始穩定,若是頭髮持續掉落,就必須檢視是否有其他落髮因素。導致頭髮掉落的原因很多,例如雄性禿患者沒有持續服用阻斷男性賀爾蒙的合適藥物,或是因長期焦慮、壓力過度等心理因素的精神性脫髮在情緒上未獲得緩解;另外頭皮清潔不完善,使植髮或未植髮區域頭皮發炎;維持晚睡、嗜辣等不良生活作息等,皆會影響植髮術後成果。。
植髮前後頭皮養護至關重要,決定術後成效
植髮的成功率,大多數人均認知與術前評估以及醫師技術有莫大關連,但術前術後的頭皮照護卻很容易被忽略。在禿髮問題的診療過程中,多數都有油脂阻塞、毛囊炎以及皮膚敏弱等頭皮問題,導致毛囊提早進入休止期甚至脫落。若沒有改善頭皮狀況,即便進行了植髮手術,不健康的頭皮環境還是會讓毛囊發育受阻,影響頭髮生長期的發展,讓術後成效打折;而原生髮也可能因不健康的頭皮狀況持續萎縮,影響整體密度。
穩定的頭皮狀況,提升植髮預期效果
因此完整的植生髮計畫,除了選擇合適的手術術式,同時也需要導入育髮療程與手術前後的頭皮養護。在國外盛行的育髮輔助療程包括以自體生長因子促進膠原增生、強化周邊血液循環與組織,以及非侵入性、非化學性的的低能量雷射帽,能改善頭皮血液循環並刺激弱化毛囊再生;同時透過頭皮理療與潔皮養護去除多餘油脂與老舊角質,保持頭皮與毛囊的穩定性。於植髮術前術後提供皮膚良好的代謝循環,才能期待縮短植髮後的毛髮休止期,並在成長期有健康的生長狀態。
*本文中提及儀器或療程名稱與仿單不同(部分為技術方法介紹,或口語化提供民眾理解),僅供參考。
【療程介紹】
落髮治療-https://essenangelo.com/hair-loss/
生髮療程-https://essenangelo.com/hair-growth/
FUE微創美型植髮-https://essenangelo.com/fue-hair/
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