Effectiveness and safety of the combination therapy of micro-needling and minoxidil in androgenetic alopecia of Indonesian men: a randomized controlled trial

Introduction: Androgenetic alopecia (AGA) is the most common type of hair loss. Treatment options are limited. Microneedling, a minimally invasive technique can enhance hair growth by releasing growth factors. However, standardized protocol regarding the frequency, depth and duration has not been a...

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Main Authors: Kara Adistri, Sondang P. Sirait, Rahadi Rihatmadja, Lili Legiawati, Wresti Indriatmi, Siti R.F. Saldi
Format: Article
Language:English
Published: PAGEPress Publications 2024-02-01
Series:Dermatology Reports
Subjects:
Online Access:https://www.pagepress.org/journals/index.php/dr/article/view/9945
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author Kara Adistri
Sondang P. Sirait
Rahadi Rihatmadja
Lili Legiawati
Wresti Indriatmi
Siti R.F. Saldi
author_facet Kara Adistri
Sondang P. Sirait
Rahadi Rihatmadja
Lili Legiawati
Wresti Indriatmi
Siti R.F. Saldi
author_sort Kara Adistri
collection DOAJ
description Introduction: Androgenetic alopecia (AGA) is the most common type of hair loss. Treatment options are limited. Microneedling, a minimally invasive technique can enhance hair growth by releasing growth factors. However, standardized protocol regarding the frequency, depth and duration has not been available. This study aims to determine the effectiveness and safety of the combination therapy of microneedling and minoxidil in AGA. Methods: This study was a randomized controlled clinical trial conducted over 12 weeks. Intervention group: a combination therapy of 4-weekly microneedling and 5% minoxidil, and control group got topical 5% minoxidil alone. Hair density and diameter were assessed using FotoFinder® trichoscale every 4 weeks. Results: A total of 36 male participants, between 26-51 years old, with Hamilton-Norwood type III-VI AGA were included. At the end of study, a significant increase in hair density was observed in the intervention group compared to control (95.6 vs 52.4 hair/cm², p<0.001), as was in hair diameter (18 vs 6 μm, p=0.004). Side effects, included itching and transient erythema, were well tolerated. Conclusion: The combination of 4-weekly microneedling and topical 5% minoxidil is effective in increasing both hair density and hair diameter, and safe to use in AGA patients.
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spelling doaj.art-a92eade8d7ee4d1b91e9a8cf63f631e52024-02-06T19:00:20ZengPAGEPress PublicationsDermatology Reports2036-73922036-74062024-02-0110.4081/dr.2024.9945Effectiveness and safety of the combination therapy of micro-needling and minoxidil in androgenetic alopecia of Indonesian men: a randomized controlled trialKara Adistri0Sondang P. Sirait1Rahadi Rihatmadja2Lili Legiawati3Wresti Indriatmi4Siti R.F. Saldi5Department of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta; Dr. Cipto Mangunkusumo Hospital, JakartaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta; Dr. Cipto Mangunkusumo Hospital, JakartaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta; Dr. Cipto Mangunkusumo Hospital, JakartaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta; Dr. Cipto Mangunkusumo Hospital, JakartaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta; Dr. Cipto Mangunkusumo Hospital, JakartaDr. Cipto Mangunkusumo Hospital, Jakarta; Clinical Epidemiology and Evidence-Based Medicine Unit, Faculty of Medicine, Universitas Indonesia, Jakarta Introduction: Androgenetic alopecia (AGA) is the most common type of hair loss. Treatment options are limited. Microneedling, a minimally invasive technique can enhance hair growth by releasing growth factors. However, standardized protocol regarding the frequency, depth and duration has not been available. This study aims to determine the effectiveness and safety of the combination therapy of microneedling and minoxidil in AGA. Methods: This study was a randomized controlled clinical trial conducted over 12 weeks. Intervention group: a combination therapy of 4-weekly microneedling and 5% minoxidil, and control group got topical 5% minoxidil alone. Hair density and diameter were assessed using FotoFinder® trichoscale every 4 weeks. Results: A total of 36 male participants, between 26-51 years old, with Hamilton-Norwood type III-VI AGA were included. At the end of study, a significant increase in hair density was observed in the intervention group compared to control (95.6 vs 52.4 hair/cm², p<0.001), as was in hair diameter (18 vs 6 μm, p=0.004). Side effects, included itching and transient erythema, were well tolerated. Conclusion: The combination of 4-weekly microneedling and topical 5% minoxidil is effective in increasing both hair density and hair diameter, and safe to use in AGA patients. https://www.pagepress.org/journals/index.php/dr/article/view/9945Androgenetic alopeciamicro-needlingminoxidil
spellingShingle Kara Adistri
Sondang P. Sirait
Rahadi Rihatmadja
Lili Legiawati
Wresti Indriatmi
Siti R.F. Saldi
Effectiveness and safety of the combination therapy of micro-needling and minoxidil in androgenetic alopecia of Indonesian men: a randomized controlled trial
Dermatology Reports
Androgenetic alopecia
micro-needling
minoxidil
title Effectiveness and safety of the combination therapy of micro-needling and minoxidil in androgenetic alopecia of Indonesian men: a randomized controlled trial
title_full Effectiveness and safety of the combination therapy of micro-needling and minoxidil in androgenetic alopecia of Indonesian men: a randomized controlled trial
title_fullStr Effectiveness and safety of the combination therapy of micro-needling and minoxidil in androgenetic alopecia of Indonesian men: a randomized controlled trial
title_full_unstemmed Effectiveness and safety of the combination therapy of micro-needling and minoxidil in androgenetic alopecia of Indonesian men: a randomized controlled trial
title_short Effectiveness and safety of the combination therapy of micro-needling and minoxidil in androgenetic alopecia of Indonesian men: a randomized controlled trial
title_sort effectiveness and safety of the combination therapy of micro needling and minoxidil in androgenetic alopecia of indonesian men a randomized controlled trial
topic Androgenetic alopecia
micro-needling
minoxidil
url https://www.pagepress.org/journals/index.php/dr/article/view/9945
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