Application and Approach to Hair Transplantation in Females

Hair transplantation for females has become a much more viable treatment option because of recent improvements in technique employing micrografts and minigrafts as well as multiple-strip donor harvesting. The author describes how these new techniques are applied to the various types of transplantation in women, such as for androgenetic alopecia, traction alopecia, eyebrows, inactive inflammatory dermatosis, hair loss, and postrhytidectomy scarring. “Pearls,” to emphasize the contrast in the approach to the treatment of women with that of their male counterparts and the importance of assessing for realistic expectations, are described. A review of 827 females seen in consultation over the last 10 years showed that 70% of women with androgenetic alopecia were candidates for hair transplants.

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Asymmetry of the Receding Hairline in Men With Early Androgenetic Alopecia

Journal of Cutaneous Medicine and Surgery ◽

10.1177/1203475416658470 ◽

2016 ◽

Vol 20 (6) ◽

pp. 546-549

Author(s):

Reza Pashmineh Azar ◽

Alexander Horst Thomas ◽

Marcus Maurer ◽

Gerd Lindner

Keyword(s):

Hair Loss ◽

Classification System ◽

Quantitative Methods ◽

Frontal Region ◽

Androgenetic Alopecia ◽

Hair Transplantation ◽

Technical Improvement ◽

Quick Assessment ◽

Male Pattern

Background: The Norwood classification system is commonly used to ascertain the progress of androgenetic alopecia (AGA) with a robust and quick assessment, but it lacks precision in the frontal region, notably during the onset of male pattern hair loss. Objective: Due to the ongoing technical improvement in restorative hair transplantation practices, we aim to develop simple quantitative methods for measuring the progression of AGA. Methods: Here, we used a quantitative system to evaluate the progress of AGA of the frontal receding hairline in a case study with 41 patients. Results: We found subtle differences in the extent of frontotemporal regressions that were not captured by the Norwood classification system. The majority of patients exhibited significantly larger right-sided frontotemporal regressions. Conclusion: These results indicate that the quantification system used is a valuable tool in complementing the Norwood classification system to more precisely determine the recessing hairline characteristics in early stages of hair loss. Our findings also suggest that hairline regression in AGA-affected patients is asymmetrical, a hitherto unnoticed disorder-associated phenomenon with unknown biological causality.

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Update Treatment of Male Androgenetic Alopecia

Berkala Ilmu Kesehatan Kulit dan Kelamin ◽

10.20473/bikk.v33.1.2021.63-71 ◽

2021 ◽

Vol 33 (1) ◽

pp. 63

Author(s):

Damai Trilisnawati ◽

Sarah Diba ◽

Yuli Kurniawati ◽

Suroso Adi Nugroho ◽

Rusmawardiana Rusmawardiana ◽

...

Keyword(s):

Hair Loss ◽

Self Esteem ◽

Androgenetic Alopecia ◽

Clinical Documentation ◽

Prostaglandin Analog ◽

Hair Transplantation ◽

Hormonal Factors ◽

European Consensus ◽

Topical Minoxidil

Background: Male androgenetic alopecia (MAGA), also known as androgenetic alopecia, is the most common hair loss in males who have a genetic predisposition. The pattern of baldness in MAGA starts from the frontal area in a triangular pattern, followed by progressive thinning of the vertex until baldness occurs. Generally, the diagnosis of MAGA is established by clinical examination. FDA has approved a combination of topical minoxidil and oral finasteride for MAGA treatment. Currently, there is another treatment option like dutasteride, a prostaglandin analog, ketoconazole, and co-adjuvant therapy like laser therapy, hair transplantation, and so on. Purpose: To provide an updated treatment for MAGA. Review: Etiopathogenesis of MAGA is influenced by genetic susceptibility and hormonal factors. The European Consensus Group set the evaluation diagnosis of MAGA to include a historyof hair fall, physical examination, hair examination, supporting examination, and clinical documentation. There are therapeutic options for MAGA, including antiandrogen therapies, androgen-independent therapies, and co-adjuvant therapies. The FDA has approved a combination of topical minoxidil and oral finasteride for MAGA treatment. MAGA may affect patients’ quality of life and self-esteem. In general, patients expect higher. Conclusion: MAGA is the most common progressive hair loss in males. The MAGA therapy is expected to achieve cosmetically significant regrowth and to slow additional hair loss.

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Hair transplantation in androgenetic alopecia

10.25259/csdm_14_2021 ◽

2021 ◽

Vol 1 ◽

pp. 20

Author(s):

Kavish Chouhan ◽

Gillian Roga

Keyword(s):

Medical Therapy ◽

Hair Loss ◽

Androgenetic Alopecia ◽

Hair Transplantation ◽

Common Cause ◽

The Past ◽

Scarring Alopecia ◽

Male Pattern

Androgenetic alopecia is the most common cause of non-scarring alopecia in men. Even though the past couple of years have seen significant advancements in the management of patterned hair loss. Medical therapy as a standalone treatment remains unsatisfactory and surgical restoration of hair has found to be extremely gratifying as far as male pattern hair loss is concerned. In this article, we will review the latest developments in the field of hair transplantation undertaken in androgenetic alopecia.

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Comparative study of follicular unit yield in elliptical versus trapezoid donor strip in hair transplantation

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20210966 ◽

2021 ◽

Vol 7 (3) ◽

pp. 375

Author(s):

Savitha A. Somaiah ◽

Nirmal Balakrishnan ◽

Sacchidanand Sarvajnamurthy

Keyword(s):

Comparative Study ◽

Hair Loss ◽

Classical Method ◽

The Other ◽

Androgenetic Alopecia ◽

Hair Transplantation ◽

Strip Method ◽

Donor Area ◽

Male Patients ◽

Unit Yield

Background: Hair transplantation is a surgical method of management of hair loss. The classical method involves harvesting an elliptical strip from the donor area and dissection follicular units, which are then implanted into the recipient area. A modification of elliptical strip is trapezoid strip, where the ends are tapered to a trapezoid to reduce the transection of follicles.Methods: 12 male patients with androgenetic alopecia undergoing hair transplantation by strip method were included in the study. One cm strip was harvested from the donor area in all the patients. One end of the strip was designed elliptical and the other end was trapezoid. The ends were dissected and follicular grafts were counted.Results: The trapezoid end of strip yielded more follicular units in 10 out of 12 cases (83.3%), one was equal and in one case the elliptical end had a greater yield.Conclusions: Transection of follicular units in the ends of donor strip can be minimized by 30-40% by harvesting a trapezoid strip. The grafts harvested were 28.3% more in the trapezoid end of the strip than the elliptical end.

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