Female Hair Transplant

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Presentation Description

Hair transplantation for women entails unique challenges of which both surgeon and patient must be aware. This presentation provides a general overview of hair transplant procedures for women.

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HAIR TRANSPLANTATION IN WOMEN:

HAIR TRANSPLANTATION IN WOMEN Bernard P. Nusbaum, M.D. Miami FL

CONSULTATION PATIENT SELECTION:

CONSULTATION PATIENT SELECTION RULE OUT OTHER ALOPECIAS FPHL BEST CANDIDATE: MORE SEVERE THINNING IN ALOPECIA AREA AND MORE DENSE DONOR SUPPLY

PATIENT SELECTION CONTINUED:

PATIENT SELECTION CONTINUED BEWARE OF: PATIENTS WITH POOR DONOR SUPPLY (DONOR LIMITED TO OCCIPUT) LIFT UP NAPE HAIR AND AVOID ANY LOW DONOR SITES EXPOSED BY THIS MANEUVER). EARLY THINNING: BEWARE OF POST OP EFFLUVIUM OR MINIMUM NET GAIN (TREAT MEDICALLY) PERCEIVED THINNING BUT ONLY FINE CALIBER HAIR UNREALISTIC EXPECTATIONS: "WILL SEE SCALP LESS" "CANNOT COVER ENTIRE ALOPECIC AREA"

PROCEDURE :

PROCEDURE RECIPIENT AREA: FPHL TECHNIQUES TO MINIMIZE POST-OP EFFLUVIUM; PERIOPERATIVE MINOXIDIL LOW EPI CONCENTRATION IN RECIPIENT ANESTHESIA HIGH MAGNIFICATION TO MINIMIZE TRANSECTION IN RECIPIENT AREA SITES MADE BETWEEN EXISTING HAIRS AND PARALLEL TO THEIR EXIT ANGLE (GO SLOW) AVOID DENSE PACKING LESS GRAFTS PER SESSION THAN IN MEN

PROCEDURE (Cont.):

PROCEDURE ( Cont.) RECIPIENT AREA : POST COSMETIC SURGERY BEWARE OF DECREASED VASCULARITY : SURGICALLY ALTERED FACIAL SKIN / SCAR TISSUE DECREASE EPI CONCENTRATION OR NO EPI AVOID DENSE PACKING AVOID PREAURICULAR VESSELS WITH ANESTHESIA OR DEEP RECIPIENT SITES BEWARE OF THICKNESS OF SURGICALLY ALTERED FACIAL SKIN

LOWERING HAIRLINES:

LOWERING HAIRLINES BEWARE OF: FRONTAL SKIN THICKNESS SLIGHT ELEVATION AT HAIR EXIT SITES ALTERED HAIR TEXTURE

LOWERING HAIRLINES Continued:

LOWERING HAIRLINES Continued BE CONSERVATIVE CAN ALWAYS LOWER FURTHER

PROCEDURE :

PROCEDURE GRAFT SIZES FPHL HAIRLINE USUALLY PRESERVED COUPLED FOLLICULAR UNIT GRAFTS BEHIND HAIRLINE

RESULTS:

RESULTS

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