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Hair Transplant for Men and Women

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Hair Transplant Follicular Unit
Hair Restoration

Ultra Refined Follicular Unit Hair Transplantation
for Men and Women

Follicular units are distinct groupings of usually one to four terminal hairs.The follicular unit is thus a naturally occurring physiologic, as well as an anatomic entity. Follicular unit transplantation offers the surgeon the ability to transplant the maximum amount of hair with the minimum amount of non-hair bearing skin. In this way, recipient wounds are kept small, healing is facilitated, and with proper technique, large numbers of grafts may be safely moved per session. The use of these units helps to ensure that the cosmetic result of the transplant will appear completely natural. In contrast to follicular units, micrografts (1-2 hairs), and mini-grafts (3-6 hairs), are small grafts cut randomly from donor hair, not specifically as individual intact follicular units. These multiple units will contain extra skin that will demand larger recipient sites, which, in turn, causes more wounding to the recipient bed and may limit the number of grafts that can safely be transplanted in a session. 

Before After

Although, it is hard to argue the superiority of the follicular unit technique in theory, in practice, follicular unit transplantation is tedious, demanding on the physician and staff, and requires a relatively high degree of expertise to be properly performed. All surgeons listed on this site utilize this technique and work with highly trained technicians who specialize in this procedure.

The evolution of microscopic dissection and follicular unit transplantation has been that this procedure can be practical for other parts of the body including eyebrows and eyelashes. It has also become much more viable as an alternative for female pattern hair loss which is usually more diffuse.

Before After

 

Female Hair Loss

Female hair loss occurs in more than one pattern. If you are a woman with loss of scalp hair, you should seek professional advice from a physician hair restoration specialist. In most cases, female hair loss can be effectively treated. If you are a woman who has started to lose scalp hair, you are not alone if:

You are unpleasantly surprised by the hair loss, and You don’t understand why you are losing hair. The patterns of hair loss in women are not as easily recognizable as those in men.

Hair loss in men is likely to occur primarily between late teen-age years and age 40-50, in a generally recognizable "male-pattern" baldness known as androgenetic alopecia. Men with male-pattern hair loss may have an expectation of hair loss if they have male relatives who lost hair in a recognizably male pattern (Click here to learn more about male-pattern hair loss).

Unlike hair loss in men, female scalp hair loss may commonly begin at any age through 50 or later, may not have any obvious hereditary association, and may not occur in a recognizable "female-pattern alopecia" of diffuse thinning over the top of the scalp. A woman who notices the beginning of hair loss may not be sure if the loss is going to be temporary or permanent—for example, if there has been a recent event such as pregnancy or illness that may be associated with temporary hair thinning.

Unlike the case for men, thinning scalp hair in women due to androgenetic alopecia does not uniformly grow smaller in diameter (miniaturize). Women with hair loss due to androgenetic alopecia tend to have miniaturizing hairs of variable diameter over all affected areas of the scalp. While miniaturizing hairs are a feature of androgenetic alopecia, miniaturization may also be associated with other causes and is not in itself a diagnostic feature of androgenetic alopecia. In post-menopausal women, for example, hair may begin to miniaturize and become difficult to style. The precise diagnosis should be made by a physician hair restoration specialist.

It is important to note that female pattern hair loss can begin as early as the late teens to early 20s in women who have experienced early puberty. If left untreated, this hair loss associated with early puberty can progress to more advanced hair loss if it is left untreated.

Non-Pattern Causes of Hair loss in Women

In women more often than in men, hair loss may be due to conditions other than androgenetic alopecia. Some of the most common of these causes are:

Trichotillomania—compulsive hair pulling. Hair loss due to trichotillomania is typically patchy, as compulsive hair pullers tend to concentrate the pulling in selected areas. Hair loss due to this cause cannot be treated effectively until the psychological or emotional reasons for trichotillomania are effectively addressed.

Alopecia areata—a possibly autoimmune disorder that causes patchy hair loss that can range from diffuse thinning to extensive areas of baldness with "islands" of retained hair. Medical examination is necessary to establish a diagnosis.

Triangular alopecia—loss of hair in the temporal areas that sometimes begins in childhood. Hair loss may be complete, or a few fine, thin-diameter hairs may remain. The cause of triangular alopecia is not known, but the condition can be treated medically or surgically.

Richard Buckley, MD Aesthetic Cosmetic Surgery and Marina Buckley, MD

Richard E. Buckley, MD
Marina Buckley, MD

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MilfordMD
Cosmetic Dermatology Surgery & Laser Center
303 W. Harford St,
Milford, PA
570-296-4000   
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© 2012 by Pocono Medical Care, Inc. and Richard E. Buckley, MD, All rights reserved.

Serving NY, NJ, PA
Pike County
Upper Delaware Valley
Northeast Pennsylvania

 

Scarring alopecia—hair loss due to scarring of the scalp area. Scarring alopecia typically involves the top of the scalp and occurs predominantly in women. The condition frequently occurs in African-American women and is believed to be associated with persistent tight braiding or "corn-rowing" of scalp hair. A form of scarring alopecia also may occur in post-menopausal women, associated with inflammation of hair follicles and subsequent scarring.
Telogen effluvium—a common type of hair loss caused when a large percentage of scalp hairs are shifted into "shedding" phase. The causes of telogen effluvium may be hormonal, nutritional, drug-associated, or stress-associated.

Loose-anagen syndrome—a condition occurring primarily in fair-haired persons in which scalp hair sits loosely in hair follicles and is easily extracted by combing or pulling. The condition may appear in childhood, and may improve as the person ages.
Diagnosis and Treatment

If you are a woman with thinning or lost scalp hair, your first necessary step is to have the condition correctly diagnosed by a physician hair restoration specialist. After a diagnosis is made, the physician will recommend an approach to effective medical or surgical treatment (Click on Surgical Treatment and Non-Surgical Treatment).

References

Olsen EA (ed). Female Pattern Hair loss: Clinical Features and Potential Hormonal Factors. J Amer Acad Dermatol 2001; 45:S-70-S80.
Olsen EA. Hair disorders. In: Freedberg IM et al (eds.) Fitzpatrick’s Dermatology in General Medicine, 5th ed. New York: McGraw-Hill, 1999:729-751.

For more information, schedule a complimentary consultation with Dr. Buckley.


Cosmetic Dermatology Pocono Medical Care
303 West Harford Street
Milford, PA 18337
Phone: 570-296-4000
email: pr@milfordmd.com

Northeastern Pennsylvania (NE PA)
Serving Pennsylvania, New Jersey and New York

 

Milford Pennsylvania is located where NY, NJ and PA meet, along the Delaware River in the Pocono Mountains. We are only 90 minutes from Manhattan. From New York City and eastern New Jersey consider Route 80 to exit 34BB (Route 15 North towards Sparta), continue on 206 North, cross the Delaware River (on the bridge, not like George W.), then stay right on Route 209 North which, in one minute, brings you into Milford. Stay straight at the light and find our office in two blocks on the right (corner). From East STBG, PA take Route 209 North. From Scranton take Route 84 East and get off at the Milford exit and turn right. Our office will be on your left one block after the Grand Union. From Northern NY take 87 South then 84 West. Get off at the Milford exit in Pennsylvania.

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