Hair transplant in women has gained popularity together with the invention of the FUE method. Women lose hair as much as men do. According to the results of the researches, 25-30% of women suffer from hair loss in certain stages of their life. Since the anterior hairline maintains the same in most cases the problem is left unnoticed.
Women are affected psychologically more than men. 2 men out of 3 after 30 experience more or less hair loss problems. This is why society tends to accept that male hair loss is common or ordinary. On the opposite, female hair loss is not a very popular issue. Due to this women who suffer from hair loss face more psychological problems. Many women refer to different measures to camouflage problems such as hair paint or wig. Are the women well predisposed to the hair transplant as men? Yes is not a relevant answer to this. However, with the development of modern technologies, successful outcomes in women’s hair transplants have been increasing.
Reasons of Female Hair Loss
About 10% of our patients complaining of hair loss are women. Why does female hair loss occur? What is a female pattern of hair loss? Let us answer these questions further.
Around 10-15% of patients referring to us are women who suffer from hair loss. The reasons for this problem vary from men. In brief:
- The innate hairline is behind (there is no problem of hair loss, hair transplant perfectly suites). We can name this reason as Genetical.
- Pregnancy and menopause period. Women tend to lose hair during pregnancy. Sometimes hair can grow back after birth. As for menopause, hair loss is permanent.
- Hair loss due to stress.
- Seasonal Hair Loss. Usually, it occurs in spring or fall and then grows back.
- Contraceptive pills.
- Polycystic ovary syndrome. A very often met disease within women which causes hair loss.
- Nutritional disorders and vitamin deficiencies. Wrong nutrition habits and mineral deficiency connected to hair loss.
- Hair loss is a result of trauma, burn, face lifting, or accidents like a car crash. The purpose of transplant in these cases is esthetical which serves to cover the scar area.
- Alopecia disease that causes sectional hair loss.
- Hair Loss connected to Cancer.
- Natural hair rarity.
- Inappropriate use of cosmetics.
Male pattern hair loss. Women with it are usually suitable for the hair transplant. The back of the neck area, generally donor, is as strong as men’s and very resistant against hair loss. Women with this type of hair loss problem have a high level of testosterone.
Hormone and metabolic problems (anemia, thyroid disorders – such as goiter, etc.). In this case, medical treatment is more rational. Firstly, the cause is determined and later a medical therapy should be applied. A hair transplant may not be a good solution. If there is no response to medical treatment, the patient can undergo though the hair transplant operation.
As a result, sometimes, female hair loss can be treated with medical therapies. We will examine the causes of hair loss in women in more detail in another article.
Female Hair Loss Categories
Ludwig scale is used to determine female hair loss. There are following types:
- Type 1. There is little hair rarity. It is an extensive hair rarity. The front hairline can cover it.
- Type 2. The middle level of the rarity. The front hairline remains the same. The middle degree of hair loss starts from the top and extends to the middle
- Type 3. The high degree of hair rarity. The front hairline is spoiled. Thinning and rareness are in an advanced stage.
Required Tests in Hair Loss
Before considering a hair transplant, the list of required tests needed to be done, here they are:
- Hemogram (whole blood)
- Iron and Iron Binding Capacity
- T3, T4, TSH levels
- Other gynecological hormone tests
- Thyroid Ultrasound
- Zinc level in the blood
- Total testosterone test
Is Hair Transplant Suitable for Women?
Before considering the hair transplant, the reason for female hair loss must be found. Taking into consideration the causes listed above, if the case is male hair loss (androgenic hair loss) the hair transplant is appropriate. If the hair loss is a consequence of thyroid disorders, anemia, or metabolic problems, in our opinion, hair transplant is not a correct solution. The disease should be treated first. A patient should complete full medical therapy and then refer to the hair transplant if possible.
In the examination of androgenic hair loss, the level of total testosterone in the blood is an important criterion. This is because women with a high level of testosterone are more suitable for hair transplant surgery.
Additionally, the physical examination is necessary. When the hair in the donor area is strong and dense, the outcomes of the hair transplant surgery are excellent. From the same perspective, women with anemia or thyroid disorders have hair thinning or rarity. In other words, there is a thinning of hair in the frontal and middle zones, as well as in the donor area hair. Therefore, hair transplantation does not give expected results to women who are in this situation.
If there is any chronic carrier such as HIV – Aids, Hepatitis B, Hepatitis C, hair transplant for both men and women is acceptable. Hair transplantation is the same as making an appendix or brain surgery to a woman with Hepatitis B. Firstly, an examination should be done to determine if the sickness in the active phase or not. The transplant is better to be operated in the passive state of these diseases.
How does the Hair Transplant in Women Made? Unshaven Hair Transplant.
Hair transplantation in women is usually done in two ways.
Successful hair transplantation may be expected in following three cases:
- Densification of Rare Hair. Pen implanter is a perfect solution.
- Placing Forward a Declined Forehead Line. This procedure is called a forehead reduction. The forehead hairline should be carefully made in a female hair transplant.
There is a common misunderstanding that the hair transplant suites only men. We have been committed to women’s hair transplant without shaving for the last 10 years. For our female patients who think about hair transplant, we would like to give more details about the whole procedure.
Planning the Hair Transplant in Women
It is necessary to plan the operation for a woman who is determined suitable for the hair transplant.
1- Hairline Identification
The proper planning is needed when a female patient has her hairline lifted up and wants to do a reduction. Women’s hairline is very different from men’s. The operation doctor should identify the proper hairline based on the woman’s face traits. There are significant differences between male and female hairlines. Natural-looking hair transplant requires very careful planning of the hairline.
2- Extraction of the Hair Grafts
Shaving the Back of the Head Donor Area and Extraction of the Grafts with the FUE Technique
Many hospitals do zero shavings in women the same as men, this approach is completely incorrect. The approach is generally reversed to the lifestyle of many women, very few of them are comfortable with shaved hair. Firstly, the number of donor grafts of a woman who wants to overgo the hair transplant surgery is identified. It is necessary to point again that the unshaven hair transplant for women is very significant. Both for the FUE and the FUT method 2×10-15 cm2 donor zone line is shaved. If the donor area potential is good and maintaining strong, healthy hair, two lines can be shaved to get more grafts. The FUE technique permits to extract the hair from unshaved, half-shaved, and shaved areas one by one.
On average, based on the density and capacity of the donor area, approximately 1000-2000 grafts can be taken out. This number is ideal for hair transplants in women for a single session. If there is a necessity to transplant more grafts and donor area allows to do that, the second session is scheduled 10-12 months later. We do not find appropriate to transplant more than 2000 grafts within a surgery.
3- Implant of the Extracted Grafts
The area where extracted grafts are implanted is also not shaved. Usually, hair grafts are implanted between the rare hair on the target zones. This is easily performed by the Dhi hair transplant (pen implanter) technique. In our opinion, the pen implanter is the best hair transplant solution for women. It is unfortunate that in our country the pen implanter method is commonly assimilated with the Dhi. There is no such method as Dhi. Implanter pen permits to make an easy and excellent hair transplant in women. We have been practicing unshaven hair transplants in women to increase density for many years.
Hair Transplant in Women Video
Dr. Hakan Doganay has been dedicated to the FUE female unshaven hair transplant for the last 10 years (since 2009). The outcomes of the surgery leave patients happy and satisfied. Clicking the following links you will be directed to Dr. Hakan Doganay’s surgery videos dated from 2011 (date proves his experience). There are many hair transplants in women videos on our YouTube channel for your reference.
Aspects to Pay Attention at the Hair Transplant in Women
Together with the diversity of female hair loss reasons compared to males, there are different aspects to pay attention to in the hair transplant
- The convenient number of hair grafts implanted during a single session for hair transplants in women is much limited compared to men. This is why the second, or several sessions may be needed at one-year intervals. Despite the FUT technique has almost been replaced, sometimes, it remains more suitable for women.
- Hair sprays, gels, or other chemicals should not be used before the operation.
- Medicine is not very important in the treatment of hair loss or post-operative medical support in women
- Treatments like mesotherapy or PRP medical support are more favorable for women rather than men.
- Special care should be paid to the hairline in women, in other words, to transplanting down the hairline located to high. Shaping the hairline for women is completely different from men.
- In the case of the unshaven hair transplant in women, the recovery period and sense of ease begin soon. Women come back to routine life much quicker compared to men. Particularly, a woman can return to her regular life the next day after the density hair transplant operation. This is because both areas the implanted and the donor are covered with hair (camouflaged) so there is no sign of the surgery.
- We advise avoiding hair paint for 45 days after the surgery.
- Stay away from the intense sun and steam baths.
- The eyebrow transplant is operated together with the hair.
Period after the Hair Transplant in Women
The hair transplant period after the operation in women is similar to men. Washing of the hair must be careful due to the unshaven hair transplant method. It is necessary to soften the skin scrubs with moisturizing cream during the wash. This is because the cream prevents sticking grafts to hair which causes defection. We advise you to wash your hair for the first time at the place where the hair transplant was made.
If the operation type is unshaven of half-shaved, the recovery period ends very quickly. The cuts, scrubs, wounds are camouflaged by the hair. Unfortunately, there are fewer discussions about hair transplants in women on forums compared to men’s. This is why it is difficult to find the actual results of the surgeries on the internet. The interest for hair transplant has been growing among transsexuals. This kind of surgery also required certain experience and skills.
Results of Hair Transplant in Women
We already mentioned that the hair transplant is not suitable for every woman. If the woman is predisposed to the hair transplant, the outcome is also satisfying. To achieve the desired results, a woman (the same as a man) should wait for about one year. In the 7 – 8 months, the hair grows strong and dense. There are several forums and websites with Before and After hair transplant details. You can also check the real female hair transplant patients’ results operated by Dr. Hakan Doganay on YouTube and other social media.
Prices of the Hair Transplant in Women
Due to the hair transplant operation in women is more complicated (unshaven) compared to men the cost of the procedure per grafts grows. Unfortunately, because of the legal restrictions, we cannot publish the rates on the website. We will provide you all the necessary information if you get in touch with us. The cost of this operation in Turkey varies from 5000 to 25000 TL. The rates of the procedure all over the world are calculated based on the number of grafts. The average price of graft is 5-8 EUR. Our price policy is the same, we calculate the total cost based on the number of grafts. We advise women who would like to undergo this operation to focus not only on the price but also on the doctor and his reputation.
Dr. Hakan Doganay has been committed to the hair transplant for more than 10 years at AHD Hair Transplant Clinic. If you consider a hair transplant, please call us at 0090 533 247 1990
Frequently Asked Questions
Are the Outcomes for Women Hair Transplant Successful?
Hair transplant in women, when the circumstances are one of the listed, is operated very successfully except for cases like hormonal or metabolic disorders.
b) The patient’s high hairline is innate and there are no complaints about hair loss.
c) Hairless partial areas caused by car accidents, scars, burns, surgeries, or other traumatic situations.
A hair transplant gives excellent results in these three cases.
Is Hair Density Operation Suite Rare Hair?
In most cases, women patients, with hair loss problems, have hair rarity. Density transplant surgery is easily operated using pen implanter, planting hairs in between. Additionally, unshaven hair transplant perfectly suites women.
- Hair Transplantation in Women: A Practical New Classification System and Review of Technique James E. Vogel, MD Aesthetic Surgery Journal, Volume 22, Issue 3, May 2002, Pages 247–259, https://academic.oup.com/asj/article/22/3/247/183351
- Female pattern alopecia: current perspectives Int J Women’s Health. 2013; 5: 541–556. Published online 2013 Aug 29. DOI: 10.2147/IJWH.S49337 https://www.dovepress.com/female-pattern-alopecia-current-perspectives-peer-reviewed-article-IJWH