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About Us |
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Patient Education |
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Photo Gallery |
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The ASPS
Patient Photo Gallery currently includes
before and
after surgery pictures. |
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Hair Transplantation
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Hair Transplantation for Female Pattern Baldness
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The most common reason for performing hair transplantation is for male
pattern baldness. However, women can also suffer from thinning of their hair
and there can be a wide spectrum of severity. Conversely, it is far more acceptable and even fashionable for women
to wear wigs or hairpieces and therefore it is rare to see women with
balding scalps in public. The most common cause of female hair loss is
androgen tic alopecia due to the hormone testosterone. Although found in
greater quantities in men, testosterone is also produced in women by the
ovaries and adrenal glands. It causes involution and atrophy of the hair
follicle bulb and results in thinning of the hair, more often in women over
forty. |
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Four main patterns
of female baldness |
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- The geographic pattern is the most common and starts a few
centimeters
behind the hairline so that a fringe of normal hair growth remains at the
normally positioned hairline but balding extends towards the crown. The
area at the lower part of the back of the head is usually unaffected as in
male pattern baldness and can be used as a donor site.
- The frontal pattern involves receding of the hairline giving a long
forehead and the objective of hair restoration is to lower the hairline to
a more natural position.
- The temporal pattern has loss of hair at the temples and gives the
patient’s hairline a masculine appearance. This is easily corrected with a
relatively small number of transplanted hairs.
- The diffuse alopecia pattern involves the whole scalp, including the
back of the head. In contrast to the other types of balding, although
there is decreased density, the remaining hairs are of good quality and
rather than becoming fine and wispy. Hiding the donor scar may be
difficult in these cases.
Historically, hair restoration procedures gained a bad reputation because
the techniques available left an unnatural, “pluggy” appearance. This meant
that it was often immediately obvious that the individual had undergone a
surgical procedure. Current methods, however, give a natural hairline and
pattern of hair growth, which is unnoticeable to all except the most
informed observer. This involves the transplantation of individual hair
follicles or groups of hairs, known as follicular units.
If a woman is planning to have a hair transplantation procedure, however,
it is important to be realistic. Balding is often a progressive phenomenon
as it is in men. If treatment is started early, before the genetically
determined extent of balding is reached, then further procedures are likely
to be needed and should be planned for. Likewise, if severe balding is
present, there may not be enough donor hair to be transplanted to recreate
adequate density over a large area and compromises may be necessary. It is
these factors, amongst others, which make it important for anyone
considering hair transplant surgery to meet with the surgeon who will be
performing the operation and following the patient up for many years after.
When well planned and skillfully executed, hair transplantation can yield
remarkable results, transforming not only how a woman looks but also how she
feels about herself and interacts with society. It is no longer necessary
for women who are balding to hide it under wigs. If losing your hair bothers
you, a permanent solution is available!
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Hair Transplantation for
Male Pattern Baldness |
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Most men will have some degree of hair recession during their lifetime.
There is a wide spectrum of severity, from small areas of loss in the temple
region, to almost total baldness. The age at which it starts varies greatly,
but the onset and severity often has a hereditary component. Usually, the
hair at the sides and the lower part of the back of the head are spared.
This is because these areas are not subject to the influence of the male
hormone, testosterone, that acts on the hairs on the front and top of the
scalp. These hairs are genetically programmed to eventually fall out and
little can be done to prevent this from happening. It is the areas where
hair growth is likely to be permanent, particularly the lower part of the
back of the head, which can be used to provide hairs to resurface bald
scalps or increase density in thinning regions.
Historically, hair restoration procedures gained bad reputations because
the techniques available left an unnatural, “pluggy” appearance. This meant
that it was often immediately obvious that the individual had undergone a
surgical procedure. Current methods, however, give a natural hairline and
pattern of hair growth, which us unnoticeable to all except the most
informed observer. This involves the transplantation of individual hair
follicles or groups of hairs known as follicular units.
If one is planning to have a hair transplantation procedure, however, it
is important to be realistic. Balding is a progressive phenomenon. If
treatment is started early, before the genetically determined extent of
balding is reached, then further procedures are likely to be needed and
should be planned for. Likewise, if severe balding is present, there may not
be enough donor hair to be transplanted to recreate adequate density over a
large area and compromises may be necessary. It is these factors, amongst
others, which make it important for anyone considering hair transplant
surgery to meet with the surgeon who will be performing the operation and
following up the patient for many years after.
When well planned and skillfully executed, hair transplantation can yield
remarkable results, transforming not only how a man looks but also how he
feels about himself and interacts with society. Hair restoration surgery is
one of the most commonly performed aesthetic procedures for men.If losing your hair bothers you, a permanent solution is available!
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Hair Transplantation for Reasons Other than Male and Female Pattern Balding
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The most common reason for performing hair restoration procedures are for
male and female pattern baldness. However, there are many other indications
for transplanting hair to areas where it has been lost or failed to grow.
The most common of these is in scarred areas in the scalp, whether these
have been caused by injury such as burns or surgery for cosmetic or other
purposes. In large areas this can be complimented by more extensive surgical
procedures, such as scar reduction or tissue expansion. These can be
discussed during your hair transplant consultation.
Thinning or absent eyebrows can be addressed, however, the hair will be
coarser than natural eyebrow hair, will grow long as it would on the head
requiring frequent trimming, and the natural direction of growth can be
difficult to recreate. Beards and moustaches can be created, augmented or have obvious non-hair
bearing scars filled in.
Occasionally, requests are made to have the density of other hair bearing
regions of the body increased.
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The Procedure |
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The surgery is performed under a light sedation and administered by an
experienced anesthetist so that discomfort is kept to a minimum. Local
anesthetic is infiltrated, a strip of hair bearing scalp is removed from
the back of the head and the wound is sutured. The individual hairs and
follicular units are then carefully dissected by the team so that the roots
are not damaged. Fluid with adrenaline is injected into the recipient sites
to reduce the amount of bleeding and the hairs are then implanted using
small stab incisions. Care is taken to create a natural hairline. The
duration of the operation varies from one to five hours depending on the
extent of the area to be grafted. |
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New Page 1
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About Surgery |
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Areas of
surgery |
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Planning your surgery |
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