Download - Female Hair Transplant
HAIR TRANSPLANTATION IN WOMEN
Bernard P. Nusbaum, M.D.Miami FL
CONSULTATIONPATIENT 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
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
BEWARE OF:
FRONTAL SKIN THICKNESS
SLIGHT ELEVATION AT HAIR EXIT SITES
ALTERED HAIR TEXTURE
LOWERING HAIRLINESContinued
BE CONSERVATIVE
CAN ALWAYS LOWER FURTHER
PROCEDURE
GRAFT SIZES FPHL HAIRLINE USUALLY PRESERVED
COUPLED FOLLICULAR UNIT GRAFTS BEHIND HAIRLINE
RESULTS