Female Hair Transplantation Dallas
Although the public typically thinks of hair transplant as a primarily male-targeted procedure, Dr. Lam regularly performs hair transplants in women for a variety of reasons. About 30% of women over 30 years of age experience hair thinning, so hair transplant is a very common procedure that improves hair density and provides a solution for female hair loss. Hair transplant can also be undertaken to restore the hairline in women who have either lost the frontal hairline due to anaginghair loss or simply were born with a very high hairline. Finally, in some situations hair transplant is the only solutionsuitable for women who have undergone prior surgical rejuvenative procedures like facelifting and/or browliftingand lack hair due to exposed scars in the temples, sideburns, behind the ears, or elsewhere.
The low-positioned (compared with men) and rounded female hairline frames the female face and adds youth, beauty, and femininity to a woman’s face.When restoring the female hairline, it is important not only to create a suitable shape but also to precisely recreate all of the details of a female hairline. A female hairline may be rounder, more oval, rectangular (still with softened corners), or some intermediate between these shapes.
This is a 29 year old patient who is shown after a single session hair transplant.
The “micro”aspect of the female hairline has unique subtleties that exhibit a completely different structure to the male hairline. The hairs rotate from a point centered typically just off of midline on one side and cascade obliquely down the temple area. To learn more, watch the videos on female hairline design for more information on this website.
As mentioned, many women lose hair and have thinning hair as they age.Though female hair loss may be genetic, there are many medical conditions that either preclude surgery or make surgery unnecessary or unsafe. Accordingly, before surgery is contemplated, it is important to evaluate a woman very thoroughly for possible need for additional medical evaluation. If the hair loss is unstable, for instance, the hair is being actively shed, then surgery is not usually the right answer. An investigation into the dermatologic and/or hormonal circumstances may be a good first step in many cases. A low iron level, recent pregnancy, or low thyroid may be causative agents, and Dr. Lam may refer you to a proper consulting physician before proceeding with surgery. However, in many cases, he may elect to schedule surgery if he believes that these medical therapies could be undertaken simultaneously to surgery and would only enhance the surgical result rather than preclude it.
This patient shows a classical “Christmas tree” pattern of hair loss with a greater degree of hair loss in the front of the scalp tapering to less loss toward the back of the scalp. She underwent a hair transplant to restore the lost hair density.
Besides demonstrating the artistry in female hair restoration and proper judgment on whether or when to do a procedure, a surgeon must also demonstrate creativity in managing donor and recipient areas. In women, it is not uncommon to see hair thinning that extends into the donor area, which limits the amount of available hair for hair transplant and consequently can affect the results. For example, if the size of the thinned-out hair area needing transplant exceeds the size and density of the donor area, then Dr. Lam may design a transplant pattern that would strategically enhance results and provide more effectivehairstyling options. An illustration taken from Dr. Lam’s textbook, Hair Transplant 360, Volume 1, shows some various designs based on these constraints.
As shown in the illustration, a woman may undertake a “T” shaped transplant if she has loss principally along the midline of the head and/or is desirous of wearing her hairstyle parted in the middle. Alternatively, if she parts her hair on the left side, then the hair loss exposed with that kind of hair part can be covered ideally with an “L” shaped design where the long limb of the L follows the hair part. These are just some examples of designing hair transplants for various hair-loss conditions in women. Of course, there are many subtle variations based on a particular woman’s needs, wants, and available donor hair.
Women will almost never go completely bald like men, but they still can lose substantial hair density with aging. Sometimes women do not lose as much hair as they actually undergo a thinning of the hair shaft itself. This process makes the hair look much thinner and the bald scalp more visible even though the number of hair shafts may not be greatly diminished. At other times, women undergo both a thinning of the hair shaft and a total reduction in the number of hair shafts. This combined type of hair loss is the most common scenario and poses a greater difficulty for surgical hair restoration. The success of the result owes in large part to the thickness and density of the donor hair as well as other factors like hair curl, color/contrast ratio of hair to scalp, etc. Consequently, hair medical therapies, are oftentimes a vital component to the overall strategy for helping a woman with thin hair and in some cases may be the only viable option when surgical hair transplant is unwarranted, unsafe, or otherwise not desired.Dr. Lam recommends several treatments, oftentimes designing a most effective combination that would address each woman’s unique situation.
Minoxidil, also known commonly by the brand name Rogaine, has been a very successful treatment in many women with hair loss. Some women, however, start and stop usage of minoxidil for a variety of reasons. One reason is that they do not have realistic expectations for what minoxidil can accomplish. For example, minoxidil by itself may not entirely restore the density but thicken the current hair, further slow down the balding process, and overall improve one’s condition. Moreover, during the initial application of minoxidil, some women may experience temporary shedding, which can cause them to unfortunately stop the treatment. Dr. Lam advises women to commit to minoxidil for a minimum of 4 to 6 months before evaluating its effectiveness. When preparing for a surgery, he advises women to be on at least a 6-week period of minoxidil before surgery in order to “stabilize” hairs that would otherwise have a greater chance of temporarily shedding, known as “telogen effluvium”. Hairs that are “weak and unstable” are more likely to be affected by the scalp manipulation that happens during hair transplant, as many women are prone to shed hairs around a transplant following a surgical procedure. Although this type of hair shedding is limited, it can be disconcerting to women and can be minimized with proper preoperative medical therapy.
Recent evidence supports that in many cases of female hair loss, the underlying condition is inflammatory in nature, i.e., the scalp shows signs of subtle inflammation. Accordingly, a short 3-month period of topical steroid with minoxidil may be helpful (but not always) to reverse or slow down this inflammatory process. Science is always advancing and Dr. Lam stays current with all medical knowledge and research regarding hair loss and hair transplant. Therefore, he may adapt and tailor this information to you as is clinically justified.
Low-Level Laser Therapy (LLLT) – One of the major advances in hair-loss treatments is home-based therapy for hair loss using low-level laser therapy (LLLT). LLLT has been used for quite awhile but the accessibility to the treatment was difficult. In the past, a person was required to make multiple weekly visits to a physician for such treatments making compliance to the treatment near impossible. Recent advances have allowed far superior home technology that is easy to use that can be very beneficial for women and men who are losing hair and can either supplement minoxidil or serve as a standalone method of treatment. Please see the section on LLLT for more detailed information regarding this type of treatment.
Scalp Micropigmentation(SMP) refers to the use of a medical tattoo in the scalp in order to camouflage baldness. It can be very helpful for women who do not want to undertake a hair transplant or it can be used to subtly to improve a hair-transplant result.The procedure is quick and easy, and it creates immediate results by decreasing color contrast between the scalp and hair color. Scalp micropigmentation is especially effective for women who color their hair.
This patient underwent scalp micropigmentation (also known as medical tattooing) to create the illusion of greater visual density, an option available with surgery or without surgery.
This woman underwent a hair transplant and had her hair part further enhanced with SMP to add density and less scalp show.
Platelet-rich plasma (PRP) and ACell (acellular porcine bladder matrix) are very helpful in every surgical case to improve surgical results. However, at times, some women prefer to have PRP/ACell injected without surgery to improve hair-loss conditions as a standalone office procedure. For details on these types of treatments, please see the related PRP section.