| hair research | ARTICLE
Type I
1000 hairs in one session
Type II
1500–2000 hairs in one or two sessions
Figure 16 Transplanted hair distribution for female androgenetic alopecia (Ludwig classification) The youngest patient the author has performed a
transplant on was 18 years of age, and the oldest patient was 87 years of age. FUT can be combined with 5% minoxidil lotion and
the oral 1 mg finasteride, the goals of which are to decrease the loss of pre-existing hairs, to decrease the transient hair-loss on transplants, and to initiate a quicker regrowth of both the transplanted and non-transplanted hairs. Beard and moustache alopecia (Figure 15) can be the
result of scarring after injuries such as burn, car accident, acne, or cleft lip (25). More frequently is it apparent that an aesthetic correction for ethnic or religious reasons is needed for beards and moustaches. eyelash and eyebrow reconstruction are carried out for scars, usually for aesthetic reasons.
For women The evolution of female baldness and aGa (25) is evaluated according to the Ludwig classification (Figure 16), or can be done more precisely with the Bouhanna multifactorial classification. The three Ludwig stages are: ■ stage 1 = moderate thinning of the vertex ■ stage 2 = more significant thinning with a persistence of the frontal anterior fringe ■ stage 3 = nearly complete baldness of the fronto-occipital area. hair thinning can occur at a young age (Figure 17), and
even before 18 years of age. a combined treatment with 2% minoxidil, cyproterone acetate and FUT will sometimes be indicated. The combined treatment with 2% minoxidil lotion, hormonal treatment and FUT are increasingly indicated for post-menopausal aGa (Figure 18). The oldest patient to receive this treatment in the authors’ experience was 83 years old.
African–American definitive traction alopecia repeated tractions of hair with brushing, straightening and braids for example, are more frequently seen in african– american patients (26) (Figure 19). They determine a
hair thinning can occur at a young age, and even before
18 years of age. A combined treatment with 2% minoxidil, cyproterone acetate and FuT will sometimes be indicated.
Type III 3000–4000 hairs in two or three sessions
Aspect after correction
Figure 17 Female androgenetic alopecia (25 years) (a) 19 months after one session of follicular unit long hair (b)
Figure 18 Female androgenetic alopecia (65 years) (a) after 2 sessions of follicular unit long hair (b)
prime-journal.com | May 2011 ❚ 55
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