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Surgical Technique |

Hair Transplantation in Women:  Treating Female Pattern Baldness and Repairing Distortion and Scarring From Prior Cosmetic Surgery

Jeffrey S. Epstein, MD
Arch Facial Plast Surg. 2003;5(1):121-126. doi:.
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The role of hair transplantation in men is well established. In women, the procedure is much less common, but has a definite role in the management of female pattern baldness and the repair of alopecic scarring and hairline distortion as a result of prior facial plastic surgery. When performing hair transplantation in women, there are differences in technique from that used in men to consistently achieve excellent results and minimize complications. Over the past 3 years, I have performed 86 hair transplant procedures on women. Most of these cases were for female pattern baldness. The techniques used and typical results are presented herein. When performed properly for the appropriate indications, hair transplantation is an effective procedure with a very high level of patient satisfaction.

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Figures

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Figure 1.

A 34-year-old woman with an advanced hair loss pattern concentrated in the anterior and mid-scalp region. She was treated with a single procedure of 575 grafts, 180 containing 1 to 3 hairs placed along the hairline and 395 containing 4 to 8 hairs placed further posterior. A, Before the procedure; B, 6 months after.

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Figure 2.

A 57-year-old woman 9 years after rhytidectomy with loss of the temporal tufts and thinning with recession of the upper temporal region and lateral frontal hairline. A total of 1050 grafts were transplanted: 375 follicular unit grafts of 1 and 2 hairs to restore the sideburns and 675 grafts consisting of 2- to 4-hair follicular units to restore density to the upper temporal and lateral frontal regions. A, Before the procedure; B and C, 10 months after.

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Figure 3.

A 59-year-old woman 5 years after rhytidectomy with loss of temporal tufts and significant scarring of the upper temporal and occipital regions. A total of 1000 follicular unit grafts containing 1 to 3 hairs were transplanted: 350 to restore the sideburns and 650 to repair the area with temporal and occipital scars. A, Before the procedure; B, 6 months after.

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Figure 4.

A 69-year-old woman 2 years after rhytidectomy and coronal brow-lift, with significant recession of the entire hairline, loss of temporal tufts, and thinning of the upper temporal region. A total of 1400 follicular unit grafts containing 1 to 3 hairs were transplanted: 300 to restore the sideburns, 800 to advance the frontal and upper temporal hairlines, and 300 to restore density to the upper temporal and lateral frontal regions. A, Before the procedure; B, 10 months after.

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