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A hair prosthesis (or cranial prosthesis) is a custom-made wig specifically designed for patients who have lost their hair as a result of medical conditions or treatments, such as alopecia areata, [1] alopecia totalis, trichotillomania, chemotherapy, or any other clinical disease or treatment resulting in hair loss. [2]
Three medications have evidence to support their use in male pattern hair loss: finasteride, dutasteride and minoxidil. [15] They typically work better to prevent further hair loss than to regrow lost hair. [15] They may be used together when hair loss is progressive or further regrowth is desired after 12 months. [16]
While most toupées are small and designed to cover bald spots at the top and back of the head, large toupées are not unknown. Toupées are often referred to as hairpieces, units, or hair systems. Many women now wear hairpieces rather than full wigs if their hair loss is confined to the top and crown of their heads.
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No loss of body function occurs, and the effects of alopecia areata are psychological (loss of self-image due to hair loss), although these can be severe. Loss of hair also means the scalp burns more easily in the sun. Patients may also have aberrant nail formation because keratin forms both hair and nails. [citation needed]
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Hair loss, also known as alopecia or baldness, refers to a loss of hair from part of the head or body. [2] Typically at least the head is involved. [4] The severity of hair loss can vary from a small area to the entire body. [7] Inflammation or scarring is not usually present. [4] Hair loss in some people causes psychological distress. [3]
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