Evidence-Based Hair Transplantation

    January 2010
    Andreas M. Finner
    TLDR Hair transplantation can effectively restore hair in stabilized hair loss cases.
    Hair transplantation was considered a permanent solution for androgenetic alopecia in both men and women, particularly effective when hair loss was medically or spontaneously stabilized. The procedure involved follicular unit transplantation, which placed natural hair bundles into recipient sites to increase density and coverage, making transplanted hair indistinguishable from natural hair. Key factors for success included realistic expectations, a favorable donor-to-recipient area ratio, and a skilled surgical team. Techniques such as strip excision and follicular unit extraction were used for graft harvesting, with methods like stereomicroscopic dissection reducing hair damage. The creation of a natural-looking hairline was tailored to individual characteristics. However, more controlled trials were needed to evaluate specific techniques within the procedure.
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