Pubic Hair Transplantation as a Surgical Treatment for Women with Hypotrichosis or Atrichosis

In the document from 2010, S. Hwang discusses pubic hair transplantation as a surgical treatment for women, particularly Mongolian, suffering from hypotrichosis or atrichosis, which often leads to psychological issues. The procedure involves harvesting a donor strip of 1,000 to 1,500 hairs from the scalp and creating follicular unit grafts. Anesthesia is applied to the recipient site, and hair grafts are implanted, favoring an inverted triangular shape with the orientation of hair growth being medial and inferior. Two-hair follicular units are used centrally, and single-hair units peripherally for a natural appearance. Postimplantation management is crucial to prevent complications such as poor survival, folliculitis, and epidermal cysts, which can be mitigated by using glue spray to keep grafts in place. Transplanted hairs grow about half as fast as scalp hair, often not exceeding 12 cm, which may eliminate the need for trimming. The document advises against using mini-grafts due to the risk of an unnatural cobblestone appearance and recommends avoiding exercise and sexual activity for 10 days post-surgery for better graft survival.