ICAAM & Medispa 2010

DUBAÏ, 26-27 November 2010

Micrografts for female baldness

P. BOUHANNA M.D. (Paris)

1- BACKGROUND :

The various micrografts technique allows an esthetic and definitive achievement of most all the hair and vellus alopecia. A combining treatment with minoxidil lotion and anti-androgens are sometimes required.

2- MATERIALS AND METHODS :

Micrografts or follicular units (1-3 hair) are recommended. 1000 to 2000 hairs per session are implanted during 2 to 4 hours.

Two techniques are currently available:

• The follicular unit long Hair (FUL): the scalp is not previously shaved. Long hairs are harvested with a strip followed by a special closing procedure which allows an undetectable linear scar. The implantation of 1-3 long hair graft aims at restoring a natural aspect. Long hair implanted may fall 15 days after the session and have a complete and definitive regrowth 6 to 9 month later. In that way the patient and the surgeon have with this technique an immediate preview of the result.
• The follicular Unit extraction (FUE): the scalp is previously shaved. Hairs are harvested with 1 mm punches. FUE has in fact few indications for female baldness due to the decreased density of the donor area.

3- RESULTS :

The indications for female pattern baldness are guided by the results of the Bouhanna multifactorial classification, the age and the ethnic considerations.

The others indications are definitive traction alopecia especially on Afro-American, post-lifting scars, post radiotherapy alopecia and pubis thinning.