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.

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

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

3. 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"

5. 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

6. RECIPIENT AREA: POST
COSMETIC SURGERY PROCEDURE
(Cont.)
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

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

8. LOWERING HAIRLINES
Continued
BE CONSERVATIVE
CAN ALWAYS
LOWER FURTHER

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

10. RESULTS