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Female Pattern Hair Loss: Why the Follicular Unit Transplantation Surgical Technique Remains a Good Option
Carlos O Uebel1, Pedro S Piccinini1, Leonardo S B Spencer1
1From Pontifical Catholic University of Rio Grande do Sul; Hospital Samaritano; and private practice.
Plastic and Reconstructive Surgery
|March 12, 2021
Summary
Follicular unit transplantation is an effective surgical option for women experiencing female pattern hair loss. This procedure offers a low complication rate and shorter operative times compared to other techniques.
Area of Science:
- Dermatology
- Surgical Hair Restoration
Background:
- Female pattern hair loss is a prevalent nonscarring alopecia causing reduced hair density.
- It significantly impacts women's quality of life, with surgical options offering effective treatment.
Purpose of the Study:
- To evaluate the efficacy and safety of follicular unit transplantation (FUT) for female pattern hair loss.
- To analyze the senior author's 31-year experience with FUT in this patient population.
Main Methods:
- Retrospective chart review of 751 patients undergoing FUT for female pattern hair loss.
- Analysis of patient demographics, hair loss severity (Ludwig stages I-III), operative details, and complications.
Main Results:
- The average patient age was 48 years, with varying degrees of hair loss.
- Average operative time was 3 hours 21 minutes; 18% required a second procedure due to progressive hair loss.
- Low complication rates, including donor-site scar widening (6 patients) and folliculitis (17 patients).
Conclusions:
- Follicular unit transplantation is a highly effective treatment for female pattern hair loss.
- Advantages include no need for recipient site shaving, shorter operative times, and minimal complications.
