Female Hair Transplant

female hair transplant

1. High Forehead

Ladiies born with a high forehead or M-shaped hairline without obvious hair loss. Hair transplants is the best option to fill-in the front hairline; and to thicken the front half of the scalp.

2. Female Pattern Hair Loss (FPHL)

A form of Androgenetic Alopecia accounting for 20-30% of hair thinning in women

3. Scarring Alopecia

Hair loss from scar after surgery or injury

Objectives

A high forehead will increase the vertical height of the upper face. This will upset the facial proportion for beauty. On the other hand, a male pattern M-shaped hairline will be difficult to style, looking less feminine. The Da Vinci's Golden of Third is often used to restore attractiveness. Hair follicles can be transplanted in 3 ways:
•   To fill up the corners
•   To lower the hairline
•   To re-shape the hairline

Who are Good Candidate?

An ideal candidate is someone with dense hair in the permanent fringe of hair-bearing scalp which is at the side and back part of your head. A patient with light-colored hair and pale skin (as opposed to dark hair and light skin) may appear to have a denser look. Patients with very wavy curly hair may require fewer sessions than someone with straight hair.

Expectation must be realistic. While hair transplants look very natural, the end result may not achieve the density or total coverage of that of a teenager. Results can also vary from patient to patient. The patients have to accept that a second procedure may be needed in the future to catch up with progressive loss of existing hairs.

Hair Transplant Not Recommended For:

•   Unrealistic Expectation, Perfectionist, Body Dysmorphic Syndrome
•   Extensive thinning of hair over the entire scalp, with Miniaturization of 50% or more of the hair
•   Unable to tolerate shock loss (see below)



Surgical Plan


scar revision


Patient Selection

Anyone who has experienced permanent hair loss may be a candidate. Not all scalp scar can be repaired, especially keloid. Improvement is possible, whether it is an atrophic or a hypertrophic scar. One must accept that not 100% of transplanted grafts will grow. Doctor consultation is mandatory.

Number of Grafts

We prefer to transplant a lower density in the first procedure as graft survival drops when too tightly packed

Selected Areas

Depending on the size of the scar

Technique

Based on the individual's hair quality, we will recommend technique to suit individual need:
•   FUT
•   FUE

Number of sessions

Usually 2 sessions are required to compensate for the compromised local circulation

Shock Loss

Mainly confined to the donor area

Adjuvant Therapy

No long term medication is required to sustain the transplanted hair. FPHL, if present, should be treated accordingly



Hairline Design


female hair transplant


Da Vinci's Golden Rule of Thirds

In Western countries the proportion of beauty is Da Vinci's Golden Rule of Third.
In hairline design the Anterior-most point is set according to this rule. An ideal face should have equal vertical distance from:
•   Lower 1/3 - Lowest point of hairline to Glabella
•   Middle 1/3 - Glabella to base of nose
•   Upper 1/3 - Base of nose to tip of chin

Violation of the Golden Rule of Three

From our observation not everyone fits into this rule, especially the Asians. The 3 facial parts as mentioned do not have to be exactly equal to look good. There are still some rules regarding their proportion if to look good.

Example 1 : Smaller chin

•   Most Chinese and some Caucasians have a smaller chin.
•   A small chin gives an elegant and gentleman look.
•   The hairline has to set lower accordingly.

Example 2 : Longer chin

•   This type is seen mainly in the Caucasians
•   Long chin induces a sporty and adventurous charactesr.
•   The hairline has to be set higher accordingly.

Our New Golden Rule

•   We have studies hundreds of pictures of "attractive" celebrities.
•   After checking and comparing their facial proportions, we have developed a new Golden Rule.
•   The result of our study, "the New Landmarks in Hairline Design", was presented in the ISHRS Annual Scientific Meeting (2009 Amsterdam, Netherland).

female hair transplant

After years of research we come to realize there is no arbituary hairline. The best hairline is already pre-determined by each individual's facial and hair characters, meaning the hairline is unique for each individual. The basic concept of our technique is that the new hairline must follow the flow of existing hairs. In another word the new hairline is just an "extendiong" of the existing hairs 1-2cm forward. We call this the "Female Hairline Extension Technique".

For a natural looking result we must fill up the fronto-temporal corners (apexes) to completely eliminate the M-shap. The flow of transplanted hair must gracefully connect with the temporal hairlines. Attention must be paid to the parting side. Cowlicks, widow peak, moulds and humps must be preserved to look natural.

Presentation and Publication

The result was presented in International Spciety of Hair Restoration Surgery Annual Scientific Meeting San Francisco (2013) and in Taiwan Association of Hair Restoration Surgery Annual Scientific Meeting Taipei (2019). It was also published in ISHRS FORUM Medical Journal (2013).

Compare the Results

female hair transplant
Traditional Technique
efore
female hair transplant
Our Technique
Before
female hair transplant
Traditional Technique
After
female hair transplant
Our Technique
After

Women vs. Men Hairline Design

Hairline frames the face and has the most impact on a patient's appearance. Hairline should be designed to match the individual facial contour for the best aesthetic result. A well placed hairline must be symmetrical, and properly related to the other facial features (eyebrow, nose, forehead). However it is important to realize that design of a hairline for women is very different from that for men. The Laser Hairline Placement technique, for example, is not applicable.

Problems with Traditional Techniques

The main challenge is how to achieve a very natural looking result with adequate density. The traditional Hairline Restore technique include:
•   Draw an arbitrary hairline to the patient’s liking
•   Fill up the area with follicular unit grafts
•   Patient can choose whatever shape she wants – diamond shape, heart shape, inverted U ...
•   Incisions can be made sagittal or coronal
•   Mounds and humps are artificially created to mimic the natural pattern
•   Most would ignore rather than recreating any cowlicks

Unfortunately the too many options makes it rather difficult for the inexperienced surgeon to decide on the most appropriate hairline design.