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