Most people think hair loss is a medical problem only impacting men. The truth is women make up about forty (40) percent of hair loss patients.
Over 30 million women in the United States experience hair loss. At Hair Transplant Vegas, our goal is to excel in the management and treatment of female hair loss. Though the transplant procedure is similar in both men and women, there are important differences that need to be addressed.
The frontal hairline is usually preserved in female pattern hair loss. Creating density in the forelock area is of the utmost importance in achieving an overall look of fullness. The way a person parts her hair is also important in the final design as to reinforce the density and fullness on the parted side with increase growth over to the non parted side. Should the hairline also be affected, redesign consists of a smoother, straighter hairline than seen in men with several mounds and possibly a widow’s peak to lower the hairline. A curved, soft angle is constructed with the hairline terminating into the temporal areas.
The NeoGraft® machine allows Dr. Brown to extract single follicular units, avoiding the painful linear scar seen with conventional hair transplant techniques used by most physicians. In addition, we are using a specially designed implanter that allows us to load up a single follicle, and then place it into the desired area in one motion. No additional incisions are needed and manipulation of the follicle is minimal as compared to the standard technique of making an incision, and then placing the follicle into the incision using forceps. This also allows us to increase the density, decrease injury to the existing hairs, and permit the exact angle and position of each follicle.
The other common reason we perform hair transplants in women is for hairline lowering. Whether a high hairline is due to genetics, hair loss, or prior surgery procedures such as a browlift, we are able to not only lower and advance the hairline, but also change its shape by adding additional humps or a widow peak to create a more feminine appearance.
Why Do Women Lose Hair?
A post operative effluvium, or hair loss is more common in women than men and is directly related to the trauma and stress of the transplant procedure. The literature shows about 20% of women can see additional hair loss about 3-5 weeks after the procedure. The good news is this only temporary, and the hair will regrow about the same time as the newly transplanted hair. At Hair Transplant Vegas, we take every precaution to minimize this risk.
The benefits of the NeoGraft® extraction and using the implanter for follicular placement are many. The use of the NeoGraft® machine affords much less trauma to the scalp than the strip technique. In addition, the use of the new implanting device means much less trauma to the recipient sites. Dr. Brown can accurately place the follicles between the existing hairs without injury to them. Also, a lower concentration of epinephrine is used as there is much less bleeding with my technique. Epinephrine has been shown to contribute to the effluvium.
At Hair Transplant Vegas, we specialize in the art and technique for hair transplantation in women. With the recent technological advances in hair transplantation with NeoGraft® and the implanter device, optimal cosmetic results are expected with minimal complications or discomfort. But what exactly causes a woman to lose her hair? To understand that, it’s important to know a basic understanding about hair growth.
Impact of Androgens on the Hair Cycle
Hair grows at one-half inch per month and the growth phase lasts two to six years. With yet-to-be discovered physiologic signals, the hair goes into a resting phase for a period of time, then the hair follicle falls out and a new follicle starts the process all over again.
In some patients with a genetic predisposition to hair loss, a group of hormones called androgens interferes with the growth cycle of the hair. These androgen hormones (testosterone, Androsteinedione, and Dihydrotestosterone (DHT)) are dominant hormones in men, but are present in women to a lesser degree. In many women, hair loss is due to the action of androgens on the hair follicles.
In women who are genetically susceptible, when the testosterone comes in contact with enzymes residing in the hair cell, it is converted into the more potent androgen DHT, which then binds with receptors deep within the hair follicle. Over time, DHT in the hair follicle alters the natural resting and growth phases of the hair. Some of the hair follicles eventually die, while others stop continuing healthy hair growth.
The term ‘androgenic alopecia’ in women is often referred to “female pattern hair loss.” It is a broader term that encompasses many possible causes of hair loss in women. Androgenic alopecia is caused by factors related to the actions of hormones e.g. high androgen states related to conditions such as polycystic ovary syndrome, obesity, supplemental androgens, pregnancy, and menopause. Just like in men, DHT and heredity are major factors in this condition.
In men, the pattern of hair loss is distinct whereas, women have a diffuse thinning of their hair. Female pattern balding affects circumferentially the whole top of the head, usually sparing the frontal hairline. Men rarely have diffuse thinning and tend to lose it on the frontal hairline, temple, and the crown,
The science of female balding remains misunderstood and we don’t understand all the genetic codes and other factors that play a role in hair loss in women. There are most likely other types of enzymes, as well as hormone receptors and blockers that have yet to be discovered.
For more information about treatments for hair loss in women, please reach out to Hair Transplant Vegas in Nevada today. We can be contacted by phone at 702-990-1975 or online.