What Are Hair Transplant Procedures for Treating Male Alopecia?

Are the options for men the same as women for alopecia? What options are there for limiting the visible scars?

Doctor Answers (8)

The use of follicular unit grafts works well for both men and women.

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Transplanting hair in the natural units that they grow gives natural results no matter what density is desired in men. Placement of these grafts in a natural manner is critical. Sometimes in order to achieve greater density more than one procedure is needed.In my opinion follicular unit grafting is superior to any other hair reconstruction technique because of the ability to recreate a natural growth pattern. The scars in the donor area may be small (500 microns) dots scattered over the back of the head and hidden by the residual hair around the scars or a linear scar across the back of the head,hidden by the hair above the scar falling down over the scar (this technique is less cosmetically disruptive for those with long hair ).

The only difference in women is that usually women have more residual hair in the balding area, which allows use of larger grafts to give greater density.These grafts are bigger than follicular unit grafts and are more easily obtained with a strip excision.But at the hairline follicular unit grafts are used.Women generally desire greater density than men.

 


San Diego Dermatologic Surgeon
4.5 out of 5 stars 12 reviews

Hair Transplant Procedures

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Treatments for male pattern baldness include Rogaine, Propecia, and hair transplant, to name a few. These options are also available for women, typically with the exclusion of Propecia. Not all of them are equally as effective and can work better in some people than in others. Before hair transplant, women should also always be evaluated by a dermatologist for treatable causes of hair loss like anemia and thyroid disease.

 

As far as surgical procedures that limit scarring, follicular unit extraction is an excellent technique for this purpose. The individual graft excision of FUE uses a .8 to 1.2mm punch which circumvents the linear scar and reduces visible scarring in general.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
5.0 out of 5 stars 18 reviews

Women and Hair Transplants

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Hair transplants depend on the pattern of baldness or thinning and the extent and not as much on the gender of the patient.  In general, there is more medical therapy for men then women but there are many new options for problems that tend to be more specific to women making transplants a very natural and well tolerated procedure for women.  The extent and type of hair thinning will, in part, determine how and where the hair to be moved is harvested.  Good luck!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
5.0 out of 5 stars 22 reviews

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Hair transplant is one option

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There are many options for female hair restoration, but hair transplantation is becoming a very popular solution for many types of female balding.

Kevin Ende, MD
Manhattan Facial Plastic Surgeon
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Hair Transplant Procedures for Male Alopecia

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The two basic procedures for treating male alopecia are hair transplants and the Fleming/Mayer flap .Adjunctive procedures include scalp reductions and various small flaps. Treatment of hair loss does not depend on gender, but rather the pattern and extent of  alopecia.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

What Are Hair Transplant Procedures for Treating Male Alopecia?

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The options for hair loss are hair transplants, scalp reductions and scalp flaps.  each have their pros and cons and use in either women or men depending on the type of balding pattern, hair density and desired coverage.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Hair transplant options

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There appear to be 2 questions to deal with in this correspondence. Transplant options may be different for men versus women depending on the type of hair loss or hair pattern. If the problem is similar, that is  progressive hair loss with a male pattering (women get it too),  then the similar options are follicular unit grafts harvested by  strip or FUE methods. Transposition flaps and  scalp reductions  are rarely done for routine pattern baldness situations having fallen out of favor in the past 12 years. The only related flap/scalp reduction  operation that I still do based on  experiences of the 1980's is a hairline lowering procedure in women with high non balding hairlines.

Sheldon S. Kabaker, MD
Oakland Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Options for treating male pattern baldness.

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Options for treating male pattern baldness are3 basically only 2. Hair transplants where you transfer hair by grafting "blades of grass" from one part of the head to another. This involves multiple treatments and takes 1 year for the hair to grow to combing length.

The other way is The Fleming-Mayer Flap. This involves moving an entire "piece of sod" from the same area as above. But that area is finished and needs no further work. When the flap is transfered it replaces the front 2 inches of scalp. The hair does not fall out. Therefore, no waiting. See an experienced surgeon who does both procedures and you can choose.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.