I'm interested to know if anyone has experienced a temporary or long-term worsening of hair shedding following microneedling treatment of the scalp for alopecia. I've seen mention with some other therapies that shedding can worsen initially before improvement is seen, for example minoxidil causes a lot of hair loss initially (not willing to go through that, and I can't stand the headaches and greasy hair from it anyway), and possibly laser therapy too.
I have had chronic shedding for over 5 years that is very severe at times. I have lost more than 75% of my hair volume in that time. I am able to control it to some degree using topical estradiol and that virtually halted the hair loss almost immediately (within a week) without any "dread shed" or rebound hair loss.
However, I'm having worsening hormonal imbalance problems that is making the hair loss a lot worse again and I'm seeking additional strategies. Since I'm interested in dermarolling for my skin, I thought this would be well worth a try!
With the hormonal hair loss, I get oily hair and some kind of pimples on the scalp, lots of them. Sometimes it's just hard bumps, and it always goes together with increased hair loss and oily skin and scalp, and comes and goes with my monthly cycles, which is how I know it's hormonal. But with the scalp lesions coming more intensely and frequently, it occurred to me I could be getting some scarring, suggesting needling could be doubly suitable.
I'm not interested in using minoxidil, however I've been interested in trying bimatoprost on the scalp. I'm thinking that microneedling could amplify the absorption to the point that it could be cost effective. Also, I'm only planning on using bimatoprost on a smaller area about 3"/7cm diameter at the front where the thinning is most apparent.
Has anyone seen a noticeable reduction in hair shedding and/or hair regrowth since commencing microneedling the scalp?
Thanks.