SURGICAL TREATMENT OF ANDROGENIC ALOPECIA IN CLINICAL PRACTICE

Background. The significant prevalence of androgenic alopecia in the male population poses challenges to continuously improve and look for new treatment options for this disease. According to independent sources up to 80% of Caucasian men note the presence of symptoms of various stages of severity with continuous progression. Purpose. To analyze the current directions of treatment according to the literature data for 2020-2024 with actualization of surgical method and consideration of it as a priority in the clinical practice of a doctor. Materials and methods. The review was performed in accordance with the international PRISMA requirements in open databases (eLibrary, PubMed, Web of Science, Cyberleninka) with the analysis of 107 sources by keyword combinations with the application of 41 of them as a reference list, as well as our own clinical examples from practice. The etiology, classification and treatment methods of androgenic alopecia were considered with the formation of methodological guidelines for choosing conservative or surgical method. Results. Conservative therapy can be used in a narrow list of indications, or as one of the components of complex therapy of androgenic alopecia. The main option, which can be used also as an isolated one, is the autotransplantation of hair follicles according to the FUE method. Conclusion. FUE hair autotransplantation seems to be the most promising and effective method of treatment of androgenic alopecia today. This method is able to provide a stable, natural and durable result, significantly improving the quality of life of patients and reducing their dependence on constant medication.