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Dallas Female Hair Loss & Hair Restoration Principles by Dr. Sam Lam

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http://www.hairtx.com

Dallas hair transplant surgeon, Dr. Sam Lam, shows in this slideshare the fundamentals of diagnosing and evaluating female hair loss and how to properly treat female hair loss along with candidacy for hair transplantation and principles of transplant design.

Publié dans : Santé & Médecine
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Dallas Female Hair Loss & Hair Restoration Principles by Dr. Sam Lam

  1. 1. Diplomate, American Board of Hair Restoration Surgery Fellow, International Society of Hair Restoration Surgery Dallas, Texas hairtx.com
  2. 2. Unstable Stable hairtx.com First divide the problem into
  3. 3. You need to be a sleuth hairtx.com
  4. 4. History Physical Labs Biopsy These are things to consider… hairtx.com
  5. 5. Hair loss can occur shortly after delivering a baby hairtx.com
  6. 6. History Sickness Weight Loss Surgery Fever Or be caused by… hairtx.com
  7. 7. History Trauma Extensions Product Damage Or be caused by… hairtx.com
  8. 8. Patchy or Patterned Hair Loss On physical exam, you should look for… hairtx.com
  9. 9. Patchy Hair Loss Consider Biopsy: This is Alopecia Areata and cannot be transplanted hairtx.com
  10. 10. Patchy Hair Loss Consider Biopsy: This is Frontal Fibrosing Alopecia and cannot be transplanted. hairtx.com
  11. 11. Patchy Hair Loss Consider Biopsy: This is Central Centrifugal Cicatrial Alopecia (a type of scarring hair loss) that usually cannot be transplanted. hairtx.com
  12. 12. Patchy Hair Loss Consider Biopsy: This is Lichen Planopilaris (a type of scarring hair loss) that cannot be successfully transplanted. hairtx.com
  13. 13. Patterned Hair Loss (Diffuse) A diffuse Ludwig pattern can be transplanted if there is sufficient donor hair. hairtx.com
  14. 14. Patterned Hair Loss (Diffuse) Ludwig Classification This is the Ludwig Scale for Female Hair Loss. hairtx.com
  15. 15. Patterned Hair Loss (Christmas Tree) This patterned hair loss looks like a Christmas tree and can be transplanted if there is sufficient donor hair. hairtx.com
  16. 16. Patterned (MPB) This patterned hair loss is called Androgenetic Alopecia, or Male-Pattern Baldness and can be transplanted if there is sufficient donor hair. hairtx.com
  17. 17. Full Blood Panel Thyroid Function Tests ESR “Sed Rate” All Iron Levels Hormones: Male+Female These are helpful labs to evaluate… hairtx.com
  18. 18. Unstable Stable Patchy Patterned Bad Transplant Candidate: hairtx.com Good Transplant Candidate:
  19. 19. Hormone Therapy Viviscal Low Level Laser Therapy Minoxidil Useful Medications for Women: hairtx.com
  20. 20. Finasteride (Only for Post-Menopausal Women) Spironolactone Additional Medications… hairtx.com
  21. 21. Hormones Laser Therapy + Minoxidil Combination therapy can help more… hairtx.com
  22. 22. Female hair loss has been shown to be inflammatory in nature, so a combination of minoxidil and low-dose steroids can work best. hairtx.com
  23. 23. Shock Loss Minoxidil Laser Education Before Beware of Temporary Shock Hair Loss after a Hair Transplant hairtx.com
  24. 24. Shock Loss 6 weeks of Minoxidil 6 weeks of Low Laser Thorough Education Things you can do before surgery… hairtx.com
  25. 25. Epinephrine Trauma Tumescent fluid Dense Hair Packing Reduce Shock Loss Things you can do during surgery… Reduce Reduce Reduce hairtx.com
  26. 26. Minoxidil Laser Camouflaging Products Wig (only if needed) Shock Loss Things you can do after surgery… hairtx.com
  27. 27. Expectations It is important always to establish realistic hairtx.com
  28. 28. Hair Loss Hairline Lowering Here are two reasons for a transplant: hairtx.com
  29. 29. With limited donor hair, it is important to strategize where to transplant hair. Right Hair Part Left Part Center Part hairtx.com
  30. 30. To design a natural female hairline, the surgeon must study natural, non-balding hairlines… hairtx.com
  31. 31. …& evaluate the variety of shapes and patterns… hairtx.com
  32. 32. …that exists for different women. hairtx.com
  33. 33. This shows the recipient sites for a male hairline in which all sites go straight forward… hairtx.com
  34. 34. …a female hairline is much more complex and should be designed to mimic nature. hairtx.com
  35. 35. Again, contrast this male hairline design… hairtx.com
  36. 36. …with this radial female hairline design hairtx.com
  37. 37. This shows recipient sites for a woman who wanted to improve hair density in the central forelock, midscalp, and the crown area in a dumbbell pattern… hairtx.com
  38. 38. Female Crown Here is the dumbbell pattern shown in the last slide. Dumbbell Design hairtx.com
  39. 39. This is an example of a woman born with a high hairline who underwent hairline lowering. hairtx.com
  40. 40. This is a top down view of the same woman. hairtx.com
  41. 41. This woman has male-pattern baldness and is shown before and after hair transplant. hairtx.com
  42. 42. This woman has hair loss due to years of steroid use and is shown before and after hair transplant. hairtx.com
  43. 43. This woman shows fronto-temporal hair loss of male-pattern baldness. hairtx.com
  44. 44. This woman had her hairline and hair part improved with hair transplant. hairtx.com
  45. 45. This woman had traction hair loss from tight hair braiding and is shown before and after hair transplant. hairtx.com
  46. 46. This is a male-to-female transgender hair transplant result. hairtx.com
  47. 47. This is an eyebrow hair transplant over an overplucked and poorly tattooed eyebrow region. hairtx.com
  48. 48. This shows a woman who has significant Ludwig 3 hair loss and who underwent hair transplant. hairtx.com
  49. 49. This woman is shown before and after hairline and central density hair transplant. hairtx.com
  50. 50. This woman underwent a hair transplant to restore the lost volume to her hair. hairtx.com

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