Hair Restoration For Her

Many women are not aware they are candidates for hair surgery or even that their hair loss requires a thorough disease specific medical evaluation. Our culture has accepted male hair transplantation but somehow the message has not reached enough women that their hair loss can be treated. This fact is confirmed by recent research conducted by the International Society of Hair Restoration Surgery. In their recent studies they estimate more women are being treated for hair loss than in the past decade. In 2008, 15% of hair surgery patients were women up from 11% in 2004.

At Orange Coast NeoGraft Hair Restoration Center we recognize that our female patients require a different approach for female hair and eyebrow transplantation. Compared to men, hair loss in women manifests in different patterns and is generally more diffuse and can occur at any age. In men there is a strong genetic pattern whereas in women other underlying conditions play a role.

Female pattern balding affects the whole top of the head. It has a more diffuse pattern whereas men lose hair on the temple, the crown, the bald spot in the back. Also, the hormone and enzyme receptor sites are on different areas of the scalp -- another reason doctors now believe the loss patterns are caused by different precipitating factor. There is evidence that many other types of enzymes, and hormone receptors and blockers may be at work in women.

Establishing the Correct Diagnosis

Every female patient seen in our office undergoes a routine hormonal and medical evaluation for hair loss. The work up and evaluation of female hair loss is quite different than men. We take your hair loss seriously by performing a disease specific medical evaluation. A compete history and physical is the first step in evaluating a women with hair loss and this is done at your initial consultation with Dr. Williams.

Diffuse hair loss is caused by a variety of conditions other than "hereditary balding." A disease specific work up is important because it establishes whether hair loss treatment is managed by medical, surgical, or a combination of both treatment options. The final decision to have surgery is generally dependent upon whether your hair loss appears to have stopped, your loss is mainly at the hairline, and balding is concentrated in one or two areas.

When should I consider hair transplantation?

In male pattern baldness the sides and back are still covered with hair. Men who have this balding pattern usually have successful hair transplant surgery. The donor hair from the back of the scalp survives the procedure and continues to grow on the area it is transplanted on the scalp.

DHT is what's responsible for the balding pattern on the top of men's heads. DHT, however, does not have any adverse effect on the hair follicle on the sides and back of the head. Typically, these areas of the head have healthy hair follicles, and the hair in these areas is excellent for use in hair transplant surgery. Referred to as stable sites, the hair follicles in these areas don't shrink or affected by DHT.

Women, on the other hand, typically don't have these stable sites wherein balding-resistant hair follicles can be found. Unlike men, women are likely to go bald not just on the top of their head but also on the sides, back and front. All areas of a woman's head are affected by DHT.

This makes women not good candidates for hair transplant surgery. Since the hair follicles in basically all areas of a woman's head are affected by DHT, any attempt to move them to the balding areas of the head is futile; the transplanted hair is simply going to fall out. Since the hair follicle is already damaged by the DHT in the first place, transplanting them to the balding area on the head is not going to solve the problem of baldness.

Note also that unlike men, women typically don't have to deal with receding hairlines. Instead, baldness in women occurs in a more diffuse manner, with uniformly thinning all over the head. In the case of female pattern baldness, the problem is more of how much hair is left on the head than where the baldness is occurring.

That said, a small percentage of women (approximately 5%) with baldness problems that can benefit from hair transplant surgery. These women tend to have areas (donor sites) in their head that have healthy hair follicles.

Who Is a Candidate For Hair or Eye Brow Restoration?

  • Some women with thinning scalp hair and virtually all women with thinning eyebrows
  • A person who has lost some but not all hair as a result of burns or other scalp injuries.
  • Women who want to restructure their hairline.
  • Women who have suffered hair loss due to mechanical or traction alopecia (non-hormonal).
  • Women who have a distinct pattern of baldness, similar to that of male pattern baldness-hairline recession, vertex thinning (on the crown or top of the scalp), and a donor area that is not affected by Androgenetic Alopecia.
  • Women who suffer hair loss due to trauma, including burn victims, scarring from accidents, and chemical burns.
  • Women who have had previous cosmetic or plastic surgery and are concerned about hair loss around the incision sites.
  • Women diagnosed with traction alopecia or alopecia marginalis.
  • Women who want to thicken or restore eyebrows.
  • Women who experienced hair loss after face lifts or other cosmetic procedures.

Who Is Not a Candidate for Hair Replacement?

  • Women with a diffuse, or wide-spread, pattern of hair loss.
  • Those who do not have sufficient "donor" sites (hair-bearing portions of the head from which hair-bearing skin is taken)
  • Women who form keloid scars or thick fibrous skin tissue that can result from trauma, burns, or radiation injury

Hair Replacement Procedures

Hair grafting, also called hair transplant surgery, is an outpatient surgical procedure performed in a surgeon's office. Gone are the days when a hair transplant made a scalp look like a field of newly planted corn. New technology and improved surgical techniques are transforming the hair transplant industry.

OC NeoGraft offers our community and female patients who suffer from hair loss with the industry’s premier hair loss procedure-Automated FUE using NeoGraft. Using this new technology for women who suffer with hair loss, receding hairlines or thinning eyebrows, our patients are receive excellent aesthetics results.

There are basically two types of surgical procedures available for women who want desire thicker hair or fuller eyebrows. For those women who are eligible to have surgery, the procedures available are the Strip method, and a simpler and less invasive surgical method called Follicular Unit Extraction (FUE).

Of the two procedures, FUE is the most desirable cosmetic procedure because it does not leave a large linear scar at the back of your scalp. Compared with the Strip method, FUE is more desirable because no sutures or staples are involved, healing is less complicated, and the risk of bleeding and nerve damage is virtually non-existent. This procedure is also performed in the safety and comfort of a small outpatient office surgical setting.

Hair loss occurs in three primary types

  • Localized hair Loss
  • Patterned hair Loss
  • Diffuse Hair Loss

Localized Hair Loss

Local hair loss occurs from scaring and non-scaring diagnoses. Alopecia Areata is a genetic condition and is the most common non-scaring etiology of hair loss. Scaring hair loss is seen in Lupus, Lichen Planus, or local radiation. Baldness from injuries, or from local medical problems that have been cured, are usually amenable to hair transplantation.

Patterned Hair Loss

Some women have a hair loss pattern similar to men. Women with male pattern loss typically have thinning in the frontal hairline and the top of the scalp, while the sides of the scalp remain relatively spared. Women with this hair loss pattern make excellent candidates for surgical restoration.

Diffuse Hair Loss

Diffuse thinning of the scalp is the most common form of female hair loss. Diffuse thinning involves a reduction in the diameter and thickness of the hair shaft. The medical term for this type of thinning is "Diffuse Un-patterned Alopecia". These women have thinning that involves the donor area so that women with this type of hair loss are generally not good candidates for surgery.

In order to treat female hair loss, we need to examine the causes. We have three main treatment routes:

a) Medical Treatment
b) Hair Transplant
c) Combination of Medical and Surgical Treatment

The best way to diagnose the female hair loss type is with a personal consultation. The diagnostic procedure most likely will include blood tests to determine whether hair loss is secondary to Androgenetic Alopecia, hormonal imbalances or blood deficiencies. The final diagnosis will determine the benefits of a medical treatment regime and whether a hair transplant is a viable option for resolving the problem.

The following steps are taken before deciding to proceed with hair transplantation:

  • Personal consultation to examine if you are a good candidate for hair transplantation
  • Examination of the donor area to determine the how many follicular units can be obtained
  • Examination of the recipient area to determine the final number of grafts needed to cover it
  • Cost of the procedure

When the decision is made:

  • Explanation of pre operative instructions
  • Medical history report
  • Photographic record of recipient area for evaluating the result
  • Make surgical date for hair transplantation surgery

 

 

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