Regardless of age, men tend to have one thing in common: hair is constantly decreasing and bald spots increasing. Hair loss and the onset of baldness increase virtually in both sexes, but experience has shown a bald spot in men being a bigger problem.
Hair transplants came into consideration in cases where medical therapy does not produce the desired effects. It is often the only option that can guarantee visible results. Baldness may also result from injury, surgery and other factors. The most common cause of alopecia is baldness androgenetica (AA), especially the male type.
A rational reason to perform the operation on bald patients with a less advanced bald spot is that the resulting change in the surrounding area is not as striking as in the case for patients in advanced stages of disease. Excessive baldness does not rule out this treatment, if the donor area is sufficient and patient expectations are reasonable.
Relative contraindications to surgery are bald hemorrhagic disease, unstable arrhythmia, chronic obstructive pulmonary disease, immunodeficiency, and hypersensitivity to local anesthetics, a tendency to keloid formation, systemic collagenosis and serious psychiatric illness. A patient with a bald spot should be able to endure time-consuming exercise, as back pain and neck pain can lead to problems during surgery.
Tak jako v jiných oborech medicíny je možno i v operačním léčení pleší očekávat v budoucnu uplatnění nových technologií, např. využití kmenových buněk.