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HAIR TRANSPLANTATION
      IN WOMEN
  Bernard P. Nusbaum, M.D.
          Miami FL
CONSULTATION
   PATIENT SELECTION
RULE OUT OTHER ALOPECIAS



FPHL BEST CANDIDATE: MORE SEVERE
THINNING IN ALOPECIA AREA AND MORE
DENSE DONOR SUPPLY
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
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
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
LOWERING HAIRLINES
BEWARE OF:

FRONTAL SKIN
THICKNESS

SLIGHT ELEVATION AT
HAIR EXIT SITES

ALTERED HAIR
TEXTURE
LOWERING HAIRLINES
                  Continued




BE CONSERVATIVE

CAN ALWAYS
LOWER FURTHER
PROCEDURE
   GRAFT SIZES
FPHL HAIRLINE USUALLY PRESERVED

COUPLED FOLLICULAR UNIT GRAFTS BEHIND
HAIRLINE
RESULTS
Female Hair Transplant
Female Hair Transplant
Female Hair Transplant
Female Hair Transplant
Female Hair Transplant

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Female Hair Transplant

  • 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"
  • 4.
  • 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

Editor's Notes

  1. 34622