Procedural
Options for Male & Female Pattern Baldness
Protocol for Female Baldness:
Microtechnology
Hair Transplantation
Women
experience baldness frequently in different patterns than men.
However, female baldness can often be treated with the same
techniques and with excellent results.
Nutrition, hormonal imbalance and trauma from hair styling are
more likely to be factors in thinning hair among women. Medical
evaluation by your regular doctor is advisable prior to exploring
hair transplantation.
Women
who have hair loss in the Ludwig's pattern usually maintain
a good hairline. The hair behind the hairline gets sparse. Usually
the hair loss occurs at times of hormonal change such as contraception,
childbirth, or menopause. It is uncommon for women to thin beyond
the Ludwig's class II and very rare for complete baldness to
occur.
Often
the hair loss occurs in the early twenties and does not worsen
over time. The hair on the back of the head retains its original
density and can be used to create hair transplants. Transplants
are placed throughout areas of thinning hair. One or more procedures
over time can produce considerable thickening of the hair.
It
is less common for women to go bald in a pattern similar to
men. Most often the balding occurs either in the temple resulting
in a "male shaped" hairline, or the hair thins in
a triangle pattern in the center of the front. Both conditions
are usually repairable as sufficient donor supply remains on
the back of the scalp. Feminine hairlines can be recreated.
Balding in women can occur in different patterns.
Gradual
thinning throughout the top of the head behind the hairline
(see Ludwig's classification shown above).
Androgenic
alopecia which follows the same patterns of male balding.
Angular
alopecia in which hair is lost on the sides only.
Diffuse
alopecia (DA) in which the hair thins throughout the entire
scalp.
Patient
C.F. before and after 1 procedure
of 1,000 total grafts.*
Patient
D.E. after 2 hair transplants for a
total of 900 grafts.*
Women
who have DA (Diffuse Alopecia, as described below) are not suitable
candidates for hair transplantation. There is not sufficient donor
hair to accomplish meaningful restoration. Fortunately, most women
with hair loss fall into the other two groups and are candidates
for hair transplantation.
Women can also permanently lose hair from repeated use of tight
braids (Traction Alopecia) or styling agents (relaxers). Both
can be treated successfully with transplants.
The scars from face or brow lifts can also be hidden with transplants.
Example of a feminine hairline.
Patient M.D. before and after 2 procedures of 917 total grafts.*
Example
of repair brow lift.
Patient
J.D. after 2 hair transplants for a
total of 662 grafts. *
* This is
a typical result but results may vary.
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2003, Elliott & True
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