Hair Loss Treatment in women though do not produce complete baldness but create negative impact, many studies reported stigmatization, lower self confidence in women having visibility of scalp with severe hair loss. Unlike in male baldness where physician can easily take decision about hair restoration surgery, in female making decision about hair restoration is not an easy task. Proper evaluation of hair loss with Dermatologist, Trichologist and regular treatment for at least one year is required prior to planning Hair restoration surgery.
Many medical problems in female eg. Telogen Effluvium, Alopecia areata, Active cicatrecial alopecia and Trichotelomania respond well to medical treatment. The best candidates for Hair restoration in female are patients with diffuse central thinning of the scalp with retention of the frontal fringe of the hair line. Cicatrecial alopecia patient with stabilization of disease process are also good candidates.However in our practice we prefer to do test patch before planning for larger session of FUE hair restoration in cicatrecial alopecia patient. Procedure of FUE hair restoration surgery in women is similar to male. However higher possibility of telogen effluvium which may occur several weeks to month after procedure should be explained to patient and family members.
Risk of permanent loss of existing hair because of shock should also be explained. We have adopted certain guidelines to minimize the possibility of Telogen effluvium.
- Use of Hypodermic needles rather than using Blades
- Avoid dense packing
- Short session (500 to 600 grafts) preferred
- Minimum use of Tumescence.
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