Efficacy of combination of Skin Micro-incision, Pressure Wave Stimulation, Electrostimulation and Photostimulation in the treatment of Pattern hair Loss

This is a hospital based uncontrolled trial. Patients with AGA or FPHL will first be examined after getting relevant consent. Photographs will be taken of the front, vertex, lateral and back of the scalp. The severity will then be assessed by Hamilton-Norwood scale for AGA and Ludwig scale for FPHL. Hair pull test will be done and hair count, density, thickness and colour will be noted. Patient will then be subjected to the study device. The guide has been trained in Italy on the proper usage of the device and will train the principal investigator regarding the same. The device consists of 2 probes. The first probe will deliver pressure and micro-incisions by tapping. The micro-incisions are upto a depth of 0.25mm, which will not penetrate into the dermis. This is followed by electric stimulation with activation time of 300 micro seconds and a frequency of 2Hz, which will be delivered by another probe. This probe also simultaneously provides photostimulation at a wavelength of 632nm (Red). Pain experienced during the procedure will be graded using Numerical Rating Scale (NRS). Other side effects, if any, will be noted. The sessions will be repeated once every 3 weeks for a total of 4 sessions. Following 4 sessions, improvement in patient satisfaction, grade, hair pull, count, density, thickness and colour will be assessed. Photographs will be taken as above and compared. Analysis will be done using SPSS Software 21.0.