Hair Restoration Surgery: Pre-Surgical Considerations And Pitfalls

July 2024 in “ Plastic and Aesthetic Research ”

Mingjuan Tan, Angeline Anning Yong, E. Wang

hair restoration surgery androgenetic alopecia alopecia non-scarring alopecia scarring alopecia hair transplantation hair transplant

TLDR Careful planning and accurate diagnosis are crucial for successful hair restoration surgery.

Hair restoration surgery is a prevalent treatment for androgenetic alopecia and other types of alopecia, both non-scarring and scarring. Optimizing surgical outcomes requires careful consideration of pre-surgical factors and avoiding diagnostic errors. This review outlines the diagnostic and differential diagnostic methods for various alopecias and provides a comprehensive checklist for holistic patient assessment prior to hair transplantation.

View this study on f.oaes.cc →

Discuss this study in the Community →

Research cited in this study

10 / 10 results

research Treatment Options for Androgenetic Alopecia: Efficacy, Side Effects, Compliance, Financial Considerations, and Ethics

17 citations, November 2021 in “Journal of Cosmetic Dermatology”

Combination therapies for androgenetic alopecia work best but can have significant side effects and costs.

research Complications of Hair Transplant Procedures: Causes and Management

8 citations, October 2021 in “Indian Journal of Plastic Surgery/Indian journal of plastic surgery”

Hair transplants are mostly safe but can have minor complications.

research Is Every Patient of Hair Loss a Candidate for Hair Transplant? Deciding Surgical Candidacy in Pattern Hair Loss

3 citations, October 2021 in “Indian Journal of Plastic Surgery”

Not all hair loss patients are suitable for hair transplant due to various conditions like unstable hair loss, insufficient hair loss, very young age, unrealistic expectations, certain psychological disorders, and medical unfitness.

research Hair Transplantation in Frontal Fibrosing Alopecia and Lichen Planopilaris: A Systematic Review

16 citations, February 2020 in “The Laryngoscope”

Hair transplants can work for frontal fibrosing alopecia and lichen planopilaris, but results are less favorable and the conditions can develop after the transplant.

research A Systematic Review of the Outcome of Hair Transplantation in Primary Scarring Alopecia

27 citations, September 2018 in “Skin appendage disorders”

Hair transplantation may work for some types of scarring alopecia, but results vary and more research is needed.

research Body to Scalp: Evolving Trends in Body Hair Transplantation

22 citations, January 2017 in “Indian Dermatology Online Journal”

Body hair transplants can treat baldness but differ from scalp hair and need more research on long-term results and side effects.

research Guidelines on Hair Restoration for East Asian Patients

5 citations, June 2016 in “Dermatologic Surgery”

Hair restoration for East Asians should consider their unique characteristics like head shape, hair thickness, and hair density, and use modified procedures and treatments to minimize scarring and maintain hair density.

research Imposters of Androgenetic Alopecia

9 citations, August 2013 in “Facial Plastic Surgery Clinics of North America”

Recognize and treat hair loss conditions that mimic androgenetic alopecia by identifying warning signs and using proper tools.

research Male Androgenetic Alopecia

100 citations, April 2010 in “Expert Opinion on Pharmacotherapy”

Hair loss in men treated best with early medication or transplant, new treatments researched.

research Successful Hair Transplantation of Recalcitrant Alopecia Areata of the Scalp

7 citations, September 2008 in “Dermatologic surgery”

Hair transplantation can successfully treat stubborn alopecia areata.

Related Community Posts Join

6 / 1000+ results

community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

nkrata in Research 830 upvotes 6 months ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

community C’est terrible - at my wits end

in Female 445 upvotes 1 year ago

A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

community 28M Hair Transplant in India, will update with results.

in Transplants 211 upvotes 11 months ago

A 28-year-old man had a hair transplant in India, choosing not to start finasteride due to past side effects with other medications but will use minoxidil for six months post-surgery. He researched and selected a clinic in Mumbai with a high reputation, underwent a 9-hour procedure for $965, and is optimistic about the results.

community Holy shit. Verteporfin may actually be the cure

in Research/Science 1013 upvotes 1 year ago

The post and conversation discuss Verteporfin's potential as a hair loss treatment. It's shown promise in regrowing hair after transplants and might be effective with microneedling.

community Progress/ 3500 Grafts FUE Hair Transplant In Turkey

in Progress Pictures 341 upvotes 2 years ago

A user who had a hair transplant in Turkey and shared their experience, as well as tips for those considering the same procedure. Other users then discussed their experiences with similar clinics, and offered advice on how to find reputable surgeons and avoid scams.

community 1.5 Year - Bad Results (HT, FIN, MINO, PRP, etc)

in Progress Pictures 64 upvotes 6 months ago

A user shared their disappointing results after 1.5 years of hair treatments, including a hair transplant, finasteride, minoxidil, PRP, vegan shampoo, and more. They are considering switching to dutasteride, oral minoxidil, and improving their microneedling routine.

Related Research

5 / 5 results

research Role of Hair Transplantation in Scarring Alopecia: To Do or Not to Do

3 citations, October 2021 in “Indian Journal of Plastic Surgery”

Early diagnosis and aggressive treatment are important for managing scarring alopecia; hair transplantation's effectiveness is uncertain.

research Case Report of a Successful Hair Transplantation in a Patient with Lichen Planopilaris/Frontal Fibrosing Alopecia Due to Incidental Chemotherapy for Breast Carcinoma

March 2018 in “Skin”

Hair transplant worked for a patient with a specific scalp condition after breast cancer chemotherapy.

research Hair Transplantation for the Treatment of Lichen Planopilaris and Frontal Fibrosing Alopecia: A Report of Two Cases

22 citations, July 2017 in “Australasian journal of dermatology”

Hair transplantation can effectively restore hair in patients with stable lichen planopilaris or frontal fibrosing alopecia.

research Hair Loss Due to Lichen Planopilaris After Hair Transplant: Case Reports and Literature Review

22 citations, April 2011 in “Anais Brasileiros de Dermatologia”

Hair transplants can lead to hair loss from lichen planopilaris, and patients should be tested and wait two years before the procedure.

research The Management of Hair Loss from Trauma

December 2002 in “Operative Techniques in Otolaryngology-head and Neck Surgery”

Manage hair loss from trauma with scalp expansion, advancement flaps, and hair transplantation.