This document discusses various causes of hair loss in both men and women. It explains that male pattern baldness, or androgenetic alopecia, is the most common cause of hair loss in men, accounting for about 40% of men experiencing noticeable hair loss by age 35 and 65% by age 60. It is largely genetic and influenced by male hormones like DHT. Hair transplantation can treat hair loss by moving hair follicles from areas not affected by balding to balding areas. The document also discusses causes of hair loss like alopecia areata, traction alopecia, scarring alopecia, and others that can affect both men and women.
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Hair Loss Causes & Hair Transplantation
40% of men have noticeable hair loss by age 35 and 65% by age 60. First you need to understand why
hair loss occurs. Your hair loss has little or nothing to do with shampooing, hats, or any other practices.
Hair loss is largely genetic.
Main Causes Of Hair Loss
There are many causes of hair loss in men and women, including disease, nutritional deficiency,
hormone imbalance and stress. By far the most common cause, however, is what is called androgenetic
alopecia. Alopecia is simply the medical term for hair loss. Androgenetic refers to the fact that both
genetic predispositions to balding and the influence of androgens, or male hormones, play a part in this
type of hair loss.
There is a third factor, which is the passage of time, or aging.
So, in order for androgenetic alopecia to occur, there must be:
genetic propensity for balding
presence of androgens or male hormones
aging time to allow the first two factors to exert their influence on the hair follicles
Both men and women produce “male” hormones. The most common of these are testosterone
androsteinedione and dihydrotestosterone (DHT). Androgens are produced by the testicles and adrenals
in men and by the ovaries and adrenal glands in women. These hormones are important in both sexes,
but occur in different concentrations, being much more predominant in males than in females. This, in
part, is responsible for the typical differences between the genders.
The exposure of hair follicles to DHT over a period of time can lead to androgenetic alopecia, male and
female pattern baldness, in people who are genetically susceptible to balding. The balding process can
occur at any age and move at any rate. It can start in the teen years or late in life, develop rapidly, slowly
or even tabilize.
Other Hair Loss Causes Alopecia Areata
Alopecia areata (AA) is a recurrent disease, which can cause hair loss in any hair-bearing area. The most
common type of alopecia areata presents as round or oval patches of hair loss most noticeably on the
scalp or in the eyebrows. The hair usually grows back within six months to one year. Most patients will
suffer episodes of hair loss in the same area in the future. Those who develop round or oval areas of hair
loss can progress to loss of all scalp hair (alopecia totalis). The cause of alopecia areata is unknown but
commonly thought to be an autoimmune disorder in which the body does not recognize the hair follicles
and attacks them. Stress and anxiety are frequently blamed by patients as the cause of their hair loss.
2. The most common treatment is with steroids (for example, cortisone) either topically or by injection.
The steroid treatment is considered effective if results are seen during the first twelve months of the
process. Results can be poor in adults who have seen the effects of the disease for longer periods of
time. Minoxidil can help to slow down or stop hair loss, but rarely, if ever, is able to regrow hair. In some
cases, it can help to grow some hair in the crown, but it will not develop a hairline or fill in an area of
recession. Surgical treatment of this disorder is not recommended.
Traction Alopecia
Traction alopecia is caused by chronic traction (pulling) on the hair follicle and is seen most commonly in
African-American females associated with tight braiding or cornrow hairstyles. It is generally present
along the hairline. Men who attach hairpieces to their existing hair can experience this type of
permanent hair loss if the hairpiece is attached in the same location over a long period of time.
Trichotillomania is a traction alopecia related to a compulsive disorder caused when patients pull on and
pluck hairs, often creating bizarre patterns of hair loss. In long term case of trichotillomania, permanent
hair loss can occur.
Scarring Alopecia
Hair loss due to scarring of the scalp is called scarring alopecia. Scarring can be due to a variety of
causes. Traction alopecia over a period of time may lead to scarring and permanent hair loss.
Trichotillomania (compulsive hair-plucking) can cause permanent scalp scarring over time. Injury to the
scalp caused by physical trauma or burns may leave permanent scars and permanent hair loss. Diseases
that may cause permanent hair loss due to scalp scarring include (1) the autoimmune conditions - lupus
erythematosus, scleroderma and (2) bacterial infections such as folliculitis, fungal infections and viral
infections such as shingles (herpes zoster).
Trichotillomania
Trichotillomania is the name given to habitual, compulsive plucking of hair from the scalp or other hair-
bearing areas of the body. Over time, continual plucking of scalp hair will result in a hairless area - a bald
spot. Long term trichotillomania can result in permanent damage to scalp skin and to scarring alopecia.
It is not known whether trichotillomania should be classified as a habit or as obsessive-compulsive
behavior. In its mildest form, trichotillomania is a habitual plucking of hair while a person reads or
watches television. In its more severe forms, trichotillomania has a ritualistic pattern and the hair-
plucking may be conducted in front of a mirror. The person with trichotillomania often has guilt feelings
about his or her “odd” behavior and will attempt to conceal it.
Triangular Alopecia
3. The cause of triangular alopecia is not known, but the condition can often be treated medically or
surgically. The characteristic pattern of hair loss in triangular alopecia is thinning or complete loss of hair
in the scalp area around the temples. If hair loss is not complete, the remaining hairs are often
“miniaturized”-fine-textured hairs of thin diameter. Triangular alopecia sometimes begins in childhood
with unexplained hair loss in the temporal areas of the scalp.
Telogen Effluvium
Telogen effluvium is the name given to hair loss that is caused when a large percentage of scalp hair
follicles are shifted into the telogen or “shedding phase” of hair growth. The cause of this abnormally
timed telogen phase may be hormonal, nutritional, drug-related or associated with stress.
Loose-Anagen Syndrome
Loose-anagen syndrome occurs most frequently in fair-haired persons. During the anagen (growth) cycle
of hair, scalp hairs sit so loosely in the follicles from which they grow that they can be easily extracted by
combing or brushing. The condition may appear in childhood and gradually improve or disappear over
time.
Hair Loss in Men
Some men gradually lose their hair over the front, top and crown of their head, but most men still do
not understand the root cause of hair loss. This is a natural phenomenon called “male pattern baldness”
or androgenetic alopecia. “Andro” refers to the androgens (testosterone, dihydrotestosterone)
necessary to produce male-pattern hair loss (MPHL). “Genetic” refers to the inherited gene necessary
for MPHL to occur.” The hair follicles in these areas react negatively to the hormone testosterone,
resulting in gradual hair loss. The hair on the sides and lower back of the head is genetically
programmed not to be affected and does not fall out. Because of this genetic programming, this hair can
be permanently transplanted to the thinning and balding areas. This donor hair will not fall out and can
be cut, combed and styled just as the hair it has replaced. It will continue to grow for the rest of your life
and will not be affected by any hormone changes.
Scale of Male Pattern Baldness
represents a normal head of hair with no visible hair loss is characterized by the beginning of a receding
hairline and a “widow’s peak” on the forehead.
patients exhibit a more significant decline in hair above the temples as well as receding from the
forehead. In Class 3 Vertex, hair loss is starting to become significant on the crown.
hair loss may become more noticeable on the crown or patients may have significant hair loss above the
temples and or front anterior areas.
4. hair loss approaches significant levels with most hair loss occurring on the top of the vertex and crown.
Hair transplantation for this Class and higher Class levels may require more grafts to provide coverage
and density.
patients show major hair loss, but still have areas with donor hair available. Transplanting this hair can
still have excellent results.
patients show the most significant loss of hair. There may still be sufficient donor hair for
transplantation; however, results may be limited.
In men who develop male pattern baldness the hair loss may begin any time after puberty when blood
levels of androgens rise. The first change is usually recession in the temporal areas, which is seen in 96
percent of mature Caucasian males, including those men not destined to progress to further hair loss.
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. Although the density of hair in a given pattern of loss tends to diminish with age, there is no
way to predict what pattern of hair loss a young man with early male pattern baldness will eventually
assume. In general, those who begin losing hair in the second decade are those in whom the hair loss
will be the most severe. In some men, initial male-pattern hair loss may be delayed until the late third to
fourth decade. It is generally recognized that men in their 20s have a 20 percent incidence of male
pattern baldness, in their 30s a 30 percent incidence of male pattern baldness, in their 40s a 40 percent
incidence of male pattern baldness etc. Using these numbers one can see that a male in his 90s has a 90
percent chance of having some degree of male pattern baldness. The onset, rate and severity of hair loss
are unpredictable. The severity increases with age and if the condition is present it will be progressive
and relentless.
The amount of androgens present does not need to be greater than normal for male pattern baldness to
occur. If androgens are present in normal amounts and the gene for hair loss is present, male pattern
hair loss will occur. Axillary (under arm) and pubic hair are dependent on testosterone for growth. Beard
growth and male pattern hair loss are dependent on dihydrotestosterone (DHT). Testosterone is
converted to DHT by the enzyme, 5 Alpha reductase. Finasteride acts by blocking this enzyme and
decreasing the amount of DHT. Receptors exist on cells that bind androgens. These receptors have the
greatest affinity for DHT followed by testosterone, estrogen and progesterone. After binding to the
receptor, DHT goes into the cell and interacts with the nucleus of the cell altering the production of
protein by the DNA in the nucleus of the cell. Ultimately growth of the hair follicle ceases.
The hair growth cycle is affected in that the percentage of hairs in the growth phase (anagen) and the
duration of the growth phase diminish resulting in shorter hairs. More hairs are in the resting state
(telogen) and these hairs are much more subject to loss with the daily trauma of combing and washing.
The hair shafts in male pattern baldness become progressively miniaturized, smaller in diameter and
length, with time. In men with male pattern baldness all the hairs in an affected area may eventually
5. (but not necessarily) become involved in the process and may with time cover the region with fine
(vellus) hair.
Pigment (color) production is also terminated with miniaturization so the fine hair becomes lighter in
color. The lighter color, miniaturized hairs cause the area to first appear thin. Involved areas in men can
completely lose all follicles over time. Male pattern baldness is an inherited condition and the gene can
be inherited from either the mother or father’s side. There is a common myth that inheritance is only
from the mother’s side. This is not true.
In summary, male pattern hair loss (Androgenetic Alopecia) is an inherited condition manifested when
androgens are present in normal amounts. The gene can be inherited from the mother or father’s side.
Medical science has come to learn that baldness genes are actually passed down from both sides of the
family and they affect hair loss in women as well as men. Baldness genes may also skip generations and
are utterly random in terms of which siblings (male or female) they will affect. They may even have very
different effects on siblings in the same family.
Hair Loss in Women
Female pattern baldness is very common. Studies show that incidence of hair loss in women increases
from 3% in their twenties to 30% of women in their eighties. Approximately one quarter of all women
are affected by some hair loss by the time they are in their fifties.
Women go to great lengths to hide it cosmetically with various hair styles and treatments but the hair
loss is common and can be emotionally traumatic.
Female Baldness
Grade 1 female baldness is the least severe with thinning on the top of the head.
Grade 2 hair loss in women is more significant with areas of the scalp showing through thinning hair.
Grade 3 patients may completely lose hair on the crown of the head. In this case, more donor hair will
be required to obtain full coverage.
The patterns of hair loss in women are not as easily recognizable as those in men. 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.
In women as in men, the most likely cause of scalp hair loss is androgenetic alopecia — an inherited
sensitivity to the effects of androgens (male hormones) on scalp hair follicles. However, women with
hair loss due to this cause usually do not develop true baldness in the patterns that occur in men — for
6. example, women rarely develop the “cue-ball” appearance often seen in male-pattern androgenetic
alopecia.
Patterns of female androgenetic alopecia can vary considerably in appearance. Patterns that may occur
include:
Diffuse thinning of hair over the entire scalp, often with more noticeable thinning toward the back of
the scalp.
Diffuse thinning over the entire scalp, with more noticeable thinning toward the front of the scalp but
not involving the frontal hairline.
Diffuse thinning over the entire scalp, with more noticeable thinning toward the front of the scalp,
involving and sometimes breaching the frontal hairline.
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.
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:
7. 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 in women due to this cause cannot be treated
effectively until the psychological or emotional reasons for trichotillomania are effectively addressed.
Therefore, hair transplantation would not be an appropriate treatment option.
Alopecia areata
A possibly autoimmune disorder that causes patchy hair loss in women 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 for a woman 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.
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 of scalp hair. A form of scarring alopecia also
may occur in post-menopausal women, associated with inflammation of hair follicles and subsequent
scarring. We also refer to this as traction alopecia, a slow chronic pull on the hair root that eventually
kills the root system causing balding.
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 in a woman 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.
8. Postpartum Alopecia
Another common form of hair loss, postpartum alopecia is caused by hormonal changes during the
course of a pregnancy. The changes cause an alteration in the growth pattern of the hair follicles. There
is usually very little sign of these changes during the pregnancy itself, but rather a sudden and very
excessive loss of hair from three to nine months after the birth of the child. While this is often very
traumatic for the new mother suffering from the hair loss, the hair’s growth cycle typically returns to
normal within a year after the end of the pregnancy. Therefore, hair transplantation is not a necessary
treatment option.
Hypopituitarism and Thyroid Disorders
Female hair loss can be the result of a hormonal change or imbalance. There has been a report
describing a young women with hypopituitarism who presented with clinical and histological features of
female pattern baldness in the absence of detectable levels of circulating androgens (testosterone and
other male hormones) showing this pattern of hair loss is not androgen dependent. Hair transplantation
is usually not an initial treatment option in these instances.
Accident or Surgery Related
Women who have had facelifts or other procedures in the scalp that have left scars or, as in the case of
brow lifts, has left the hairline too high. In general, these types of hair loss respond well to transplants.
Other Hair Loss Problems Eyebrow Loss
Unlike the loss of scalp hair, the loss of one’s eyebrows is not viewed as a natural process and is,
therefore, not cosmetically acceptable. Eyebrows may be lost for a variety of reasons including thyroid
and other systemic diseases, alopecia areata, burns, tattoos, infections, repeated plucking, congenital
inability to grow eyebrows and a genetic tendency for eyebrows to thin, or disappear, over time.
Eyebrow restoration is similar to other hair transplant procedures performed on the scalp, in that, for
appropriate candidates, the transplanted hair is permanent. However, because eyebrows have their
own unique attributes, eyebrow transplants differ from hair transplants in a number of important ways.
Gaps in Facial Hair
Alopecia areata is a fairly common form of hair loss in which the hair falls out in small coin-sized spots
anywhere on the scalp. Severe forms rarely progress to complete hair loss. This is a medical, not a
surgical problem and it should not be treated with transplants unless it has remained stable for many
years. Even then, the transplanted hair will likely fall out if the disease is reactivated.
Scars
9. Various primary dermatologic diseases can affect the scalp, leading to hair loss due to scar formation.
Treatment is aimed at medical control of the disease. If the disease remains under control for years,
transplants can be considered for the scarred areas, but just like with alopecia areata, if the disease
returns, that transplanted hair could be lost.
Hair Pulling
Rarely, patients will actually pull out their own hair. This condition is known as trichotillomania. In
adults, it is usually seen in the setting of psychological problems such as anxiety, depression, or frank
psychosis. Again, this can be treated with transplants, but it is not uncommon for patients to relapse and
begin pulling out the hair again.
Treatment Options Hair Transplantation
Hair transplantation is the simple in-office procedure of removing hair from the donor area (the back or
sides of the head) and inserting this hair into the thinning and balding area. Hair from the donor area is
genetically programmed to grow for the rest of one’s life. As a hair restoration option, hair
transplantation is the only natural and permanent solution that restores a hairline and adds density to
the thinning area. For these reasons, it’s the ultimate solution to the main cause of hair loss.
Laser Hair Therapy
Based on the scientific principal of photo-biotherapy, Laser Hair Therapy is a process whereby
stimulation of the scalp through Low Level or “cold” lasers, increases blood flow and blocks the harmful
hair loss effects of Dihydrotestoterone, also known as DHT. This photo-biotherapy occurs when laser
light is absorbed by cells, which causes stimulation of cell metabolism and improved blood flow. Low
Level Laser Therapy is an effective, non-surgical, drug-free solution for hair loss and thinning hair. It is
also extremely helpful in aiding hair growth after a transplant procedure. Laser Hair Therapy will make
your hair look healthier and fuller, reducing the appearance of thinning hair. It works extremely well on
its own and will also speed up the process of hair growth after a hair transplant procedure. Many users
of Laser Hair Therapy feel they experience an improvement in hair thickness and texture, as well as a
deceleration in hair loss and/or miniaturization of hair follicles. There are no known side effects of Laser
Hair Therapy and it is recommended for both men and women.
Hair Systems
Hair systems have become more sophisticated in design with the integration of more natural looking
hair into almost undetectable base material. They are now more comfortable and durable for use by
active and athletic people. This is the perfect solution for people who cannot have hair transplants due
to medical or other restrictions.
Minoxidil
Minoxidil is the first medication approved by the United States Food and Drug Administration (FDA) that
has been proven to grow hair. It is also available in a stronger 5% solution for men who found the 2%
10. solution not to be effective. Most men with male pattern baldness are concerned with their frontal
hairline. Minoxidil 5% has little or no effect in this critical area. The greater benefit of Minoxidil and
Finasteride 1 mg is the slowing down of hair loss.
Finasteride
The FDA gave approval in 1998 to the T. Finasteride 1mg. It has demonstrated some ability to slow hair
thinning and promotes hair growth in some men. It cannot completely restore hairlines and is more
effective in the crown and vortex areas.
Vitamin and Herbal Hair Restoration Options
There are a number of products available to the consumer that claim to promote healthy hair, reduce or
stop hair loss, or speed up the recovery time following a hair transplant procedure. These products does
not appear to offer any clinical advantage nor do anything positive for the hair loss client.
Nutritionalists know how important biotin is in skin, nail and hair health. Biotin is an essential water-
soluble B vitamin.You can simply make sure that that biotin is in your daily diet or take a supplement.
Zinc is an essential vitamin for healthy hair. However, zinc supplementation should be undertaken only
under medical supervision; zinc overdose is associated with a number of adverse physical effects.
A Natural And Permanent Solution
In most cases, the cause of hair loss can be traced to the hormone DHT. As men grow and mature, some
are more prone than others to have their hair fall out, while others resist the effect of male hormones
and keep their hair usually for their entire life.
Hair that is genetically programmed not to fall out is generally located in a horseshoe shaped area in the
back of the head. Hair transplantation is the simple in-office procedure of removing these DHT-resistant
follicles from the donor area (the back or sides of the head) and inserting this hair into the thinning and
balding areas on the top and front of the head. Hair from the donor area is genetically programmed to
grow for the rest of one’s life.
Unlike hairpieces or hair systems, which may not exactly match your hair color and type, hair
transplantation looks completely natural because it is your own hair—just moved to the thinning and
balding areas. As a hair restoration option, hair transplantation is the only natural and permanent
solution that restores a hairline and adds density to the thinning area. For these reasons, it’s the
ultimate solution to the main cause of hair loss.
Finding the Right Hair Transplant Surgeon
11. It is extremely important to find a Surgeon qualified and skilled to artistically transplant hair follicles in a
natural-looking way. We specialize in the proven methods, which are always technologically advanced,
safe, permanent and affordable, ensuring a smooth, comfortable and simple in-office procedure.
Before Your Hair Transplant
The first step in hair restoration is a full evaluation and consultation with a hair transplant expert. During
the consultation, you’ll discuss items such as your expectations, your family history of hair loss, your
current hair loss stage and your previous hair restoration experience. After everything is considered,
your consultant Surgeon will recommend the best solution, medical or non-medical, for your individual
situation. If Hair Transplantation is the best solution for you, a full review of the procedure is next,
including:
Which procedure is best suited for you: FUT or FUE
Number of follicular units needed to reach your goal
Fees
Scheduling your appointment
Pre–operative information
During Your Hair Transplant Anesthesia and Donor Hair Removal
On the day of your hair transplant session, you will meet our medical team, complete information forms
and have pre-operative photos taken in order to monitor your progress. Please note that all photos are
100% private and only available to you and your Consultant Surgeon. Then we will reconfirm your
specific goals and review all artistic considerations.
After confirming your hair restoration plan, you will receive local anesthetic and we will remove the
donor hair from the back or sides of your head.
In this FUT session, a ribbon of tissue is extracted. The donor area is then sutured; this will usually leave
a thin linear scar that is easily concealed by the remaining hair.
In FUE session, individual follicular units are removed and no stitches are needed.
Preparation, Inspection, or Separation of Follicular Units
During FUT session, our skilled surgical staff divides the donor strip into its follicular groupings, or units,
each containing one, two, or three hairs. During FUE session, the medical assistants simply inspect the
12. follicular units and they are immediately inserted in the recipient area.
Preparing the recipient sites
After anesthesia is used in the recipient area, tiny incisions are made for each graft. Great detailed
attention is made to the location, depth and angle. This ensures a completely natural-looking hair
transplant.
Placement of grafts
We put great emphasis on restoring your hairline. This zone of hair needs to transition from fine, thin,
solitary hairs at the front to thicker, denser hair in the back of your head. This is typically accomplished
by placing one and two-hair follicular units in front, while sometimes placing two to three-hair follicular
units at the top and back for maximum coverage and density. Densely packing random hairs with
follicular units restores hair in the most natural and undetectable manner. We also follow your natural
growth patterns to produce the most natural-looking results.
After Your Hair Transplant
After your hair transplant session, you will feel fine and leave the clinic wearing a ball cap. We can
provide one for you or you may bring your own if you wish.
For the first few nights following your session, we encourage you to sleep with your head elevated on
pillows. Medications are given to make you comfortable. You should follow your Surgeon's instructions
on medications.
We often use a new technique called “trichophytic closure” that involves trimming off the upper edge of
the incision and then closing the donor area in such a way that the hair near the edge can grow through
the scar. The trichophytic closure has the potential to produce a scar that is virtually undetectable.
This state of the art procedure harvests follicular units for the hair transplant surgery using a traditional
linear incision. Using a micro surgical technique, natural follicular units are densely packed as grafts into
the thinning and balding area. This creates a natural front hairline and a great looking head of hair.
With a FUT session, you can expect:
A full evaluation with the Surgeon
A customized plan designed to treat your individual situation and reach your expectations.
More follicular units than ever before, all in one convenient session.
The entire process to be completed in less time with fewer sessions.
13. A natural appearance in every stage of the process.
Smaller incisions, a faster healing process – one that is virtually undetectable shortly after the
procedure.
Great results in as little as six months.
FUE / Follicular Unit Extraction
A special technique, Follicular Unit Extraction, or FUE, is where individual follicular units are strategically
harvested directly from the donor area by scoring the skin and then the units are gently and individually
extracted from within the scored circle. The follicular units are then immediately transplanted into the
thinning and balding area.
The FUE hair transplant process offers a procedure with no linear scar, no stitches, no bandages and
faster healing time.
Plus, if multiple sessions are needed, they can be done within weeks of each other. (The time between
traditional linear sessions is usually 6 months.) The result in FUE is a faster healing time and less
disruption to your busy schedule.
FUE will give you the latest techniques in hair transplantation and the most natural head of hair. Each
client needs a full consultation to determine if they are a perfect candidate for this type of hair
transplant surgery.
Best Candidates for FUE
Patients who does not want a linear scar.
Patients with a limited donor supply.
Patients with limited scalp elasticity.
Patients who want to wear their hair exceptionally short.
Patients who don’t mind closely clipping the donor area hair at the time of the procedure.
Benefits of FUE
Allows medical team to select each follicular unit and maximize donor harvesting.
Very low rate of transection.
Small sessions can be done without shaving the donor area.
Quicker, more comfortable recovery because there are no stitches.
14. Virtually undetectable since there is no linear scar.
Facial Hair Transplantation
Facial Hair Transplantation is designed to restore or increase hair to the beard, goatee, sideburn and
mustache areas. Commonly, the absence of hair in these areas is due to genetics, prior electrolysis, laser
hair removal, surgery, burns, scarring, or other types of accidents.
The donor hairs come from the scalp or other body hair, which is identical in texture and growth to that
of the beard and mustache hairs. Once transplanted, these hairs are permanent and need to be shaved
(if desired) just like the other hairs.
To provide a completely natural appearance, the hairs are transplanted in natural follicular units and
inserted in the direction of facial hair growth. We understand the critical importance of using the
smallest possible incisions in the recipient site. They are also mindful of the careful, aesthetic
distribution of any existing gray hairs into the treatment area.
Filling in the blank areas or spaces in a beard helps to connect the beard and mustache, giving the face
the balance and symmetry necessary for an attractive appearance.
Eyebrow Transplantation
NEyebrow Hair Transplantation has become very popular because one’s eyebrows generally determine
the balance and general appearance of the face. Missing, asymmetric, or shapeless eyebrows often
convey a disjointed or jarring facial appearance. People who have completely lost all of their eyebrows
from some type of trauma (disease, alopecia areata, burns, tattoos, infections, repeated plucking, or
congenital inability) can receive a full eyebrow restoration. Partial eyebrow treatments are generally for
cosmetic reasons to create thicker or enhanced brows, cover a scar in the brow, or correct uneven
eyebrows.
People who lose their eyebrows from medical treatments like chemotherapy are often not good
candidates for eyebrow transplants. When the patient is finished with his or her chemotherapy
treatments, the hair often grows back.
Nu/Hart’s Eyebrow Hair Transplantation is a process that takes a single hair follicle from a donor area
and inserts it in the direction and shape of the desired eyebrow. A local anesthetic is used so that the
client remains awake and alert, yet unable to experience any discomfort.
A well balanced eyebrow often requires the transplanting of about 400 hair follicles. Partial eyebrow
implants will usually require less. The targeted amount of follicles can be determined during your free
consultation.
Eyebrow Restoration is similar to other hair transplant procedures performed on the scalp, in that, for
appropriate candidates, the transplanted hair is permanent. Results of Eyebrow Hair Transplants are
15. very natural and their growth can transform the balance of the face, yielding a much more symmetrical
and attractive appearance
FAQ’s
What causes hair loss?
What are my hair restoration options?
What is a hair transplant?
What is the difference between the Strip Method and Follicular Unit Extraction?
What is a follicular unit?
What is the donor area?
What are the factors that affect a hair transplant?
How many follicular units can be done in one session?
How many sessions will I need?
Is it painful?
What is the recovery like and when can I resume my regular activities?
What are the costs?
What is my next step in getting this done?
What causes hair loss?
The most common cause of hair loss is inheritance. Men and women inherit the gene for hair loss from
either or both parents. Men are most commonly affected by the inherited gene as the hormone,
testosterone, activates the genetic program causing loss of hair follicles. Currently there is no known
method of stopping this type of hair loss. The age of onset, extent and rate of hair loss vary from person
to person. Severe illness, malnutrition, or vitamin deficiency can accelerate this process. When applied
incorrectly, permanent hair color and chemical relaxers damage the hair and follicle to the extent that
hair loss can be permanent. Causes of hair loss do not include wearing a hat, excessive shampooing, lack
of blood flow, or clogged pores.
What are my hair restoration options?
16. The most common types of hair loss treatment options include hair transplantation, hair systems
(toupees), topical solutions such as Monoxidil, medications such as T. Finasteride 1mg and laser hair
therapy, which relies on the use of low level lasers on the scalp. Other than hair transplantation, all
other methods can only, at best, stop hair loss from continuing. None has been known to significantly
regrow hair or create a new hairline. Hair transplantation is the only permanent solution to hair loss.
What is a hair transplant?
With hair transplantation, hair is moved from one area of the body (usually referred to as the “donor
area”) and transferred to the thinning or balding area (recipient site). The transferred tissue is not
“rejected” as it is not foreign tissue. The transplanted hair maintains its own characteristics; color,
texture, growth rate, curl, etc. after transplantation and growth. Originally, large circular hair grafts
containing 15-20 hairs were transplanted resulting in noticeable and unnatural results. This is sometimes
referred to as the “corn row” method or the “doll look.” Techniques have since been developed that
achieve natural results by transplanting small follicular units very close together. Typically, hair grows
from the scalp in groups of one, two and three hair follicles. These natural follicular units can be placed
closer together, resulting in a denser and more natural look. Single follicular units are often used to
create a wispy and natural front hairline, whereas multiple follicular units are used to provide greater
density in the center of the scalp.
What is the difference between the traditional Strip Method and Follicular Unit Extraction (FUE)?
The FUT method of grafting (the more traditional method) involves the removal of a thin strip of tissue
from which follicular units can be taken and transplanted into the thinning and balding area. The
extracted follicular units may be used intact, or may be divided into smaller units for transplantation.
In FUE the individual follicular units are harvested directly from the donor area by scoring the skin and
mid-dermis to a level of about two millimeters around a follicular unit, then gently extracting the unit
from within the scored circle. This is achieved without the need for a linear incision. In this hair
restoration procedure, there are no stitches, no linear scar and immediate healing.
What is a follicular unit?
A follicular unit is identified anatomically as a small bundle consisting of one to four hair follicles
(typically 2.2 to 2.8 hairs), full- thickness as well as fine hairs and the oil glands, muscles and connecting
tissue that accompany and support hair follicles. If you look carefully at a closely-clipped scalp from
above (just as you would, for example, at a wheat field from an airplane), you can see that scalp hair
does not grow in even distribution like wheat in a field, but rather in little groups of hairs that seem to
be clumped together. These little groupings of hairs are called follicular units (FUs). When the scalp is
examined under a magnifying glass or microscope, these follicular units look like islands. The islands are
rooted at a level beneath the skin surface, called the mid-dermis. Identifying an individual follicular unit
can be difficult when follicles grow at angles under the skin and surface in the midst of neighboring
follicular units. The identification, harvesting and transplanting of follicular units require the training and
skill of a hair restoration Surgeon.
17. What is the donor area?
The permanent hair at the back of the head is referred to as donor hair. The donor area is genetically
resistant to Male Pattern Hair Loss (MPHL). Hair transplantation is the relocation of hair follicles from
the donor area to the balding areas on the front and top of the head. Because these hairs originally
came from the donor area and are resistant to typical MPHL, they are genetically programmed to grow
for the rest of one’s lifetime.
What are the factors that affect a hair transplant?
These almost always include the following:
current stage of thinning and balding
the number and size of follicular units used
the density which the patient desires
the individual characteristics of the patient, e.g. hair wave, hair texture, hair color and skin to hair
contrast
client’s expectations
How many follicular units can be transplanted in one session?
Depending on the session and the client, we can often place up to 3000 follicular units in one session
using either the traditional strip method or FUE method (follicular unit extraction).
How many sessions will I need?
Our goal is to have each session look completely natural, create a dramatic improvement and satisfy the
client. We assume that you may never want or need additional hair transplant sessions. Dependent
upon your current stage of balding, the factors the affect hair transplantation, and future hair loss, you
may or may not want future sessions. Some clients return for future sessions simply because they desire
an even fuller-looking head of hair.
Is it painful?
Most clients have said that going to the dentist was more traumatic than having a hair transplant
procedure. Local anesthetics are administered before the session. After this initial application, most
clients are completely comfortable and often enjoy watching movies or chatting with the staff during
their procedure. Post-operative pain medications are available if needed.
What is the recovery like and when can I resume my regular activities?
18. Depending on the type of procedure you have done and the type of work you do, it is often possible to
go back to work the next day, as is the case with the majority of our clients. We always suggest that you
take it easy for the first 24 to 48 hours and avoid strenuous activity, such as heavy lifting, for ten days.
What are the costs?
The cost of your actual hair transplant session depends on a number of factors, including: your stage of
thinning of balding, the amount of existing donor area hair and your expectations for the end result.
During your free, private, no-obligation consultation, we can discuss all of these variables with you. At
this time, you will have a clear picture on the cost of your customized procedure.
Our mission statement has always been: to provide the world’s finest service and quality care; to
produce the ultimate most natural results; to meet or exceed the expectations of our clients; and to
deliver the best results at an affordable price.
Our clients enjoy a natural and permanent solution to thinning and balding with the latest techniques in
micro hair grafting.
Our easy and affordable process, clients look years younger and feel more confident after this simple in-
office procedure, enabling them to advance their careers and lifestyles.
Visit- http://www.curlsncurves.com/hair-transplant.html for more information and solution