Hair Transplantation – Female Pattern Alopecia

Female Pattern Alopecia is a genetic condition in which there is a hypersensitivity at the hair follicle level to De-hydrotestosterone, generally is a uniform universal thinning with preservation of the front hairline. To be a candidate the patient most have an area of high density, generally that is in the Occipital area, (Back of the head) otherwise we can not do the procedure.

“With the advances in hair transplantation over the past two decades, truly natural results without detectable scarring can be consistently accomplished,” states Dr. Barrera. “Unfortunately hair loss is a progressive condition , we continue to lose our hair as we age, for that reason it is not uncommon to need additional grafts at a later date. The transplanted hair will continue to grow on the grafted area for as long as it was genetically programmed to grow in the donor area, a most encouraging concept!”

The modern technique of hair transplantation involves the use of very small and numerous grafts called “micrografts” (1-2 hair follicular unit grafts) and minigrafts (3-4 hair follicular unit grafts) in large numbers 1000-2500 or even 2800/ session. Each graft contains then 1-2-3 or up to 4 hairs. The 1 & 2 hair follicular unit grafts are transplanted at the front hairline, and beyond that a mixture of 1-2-3-or 4 hair follicular unit grafts.

Generally a strip of scalp is taken from the donor area, out of which we make the grafts. The donor area is closed with sutures, if done carefully and closed without tension there is generally minimal scarring at the donor area. The sutures are removed in about 10 days.

The transplanted hair initially grows for about 10 days and then most of it falls out only to re-grow after 3-4 months. By the 5th to 6th month usually you see significant improvement. It is important that the patient understands this in advance so he or she does not panic with this natural course. So the hair goes into a rest phase initially and after 3-4 months goes into the growth phase and after that the hair grows for as long a period of time it was genetically programmed to grow on the donor area, a most encouraging finding.

So again for the first 3-4 months the patient will not look any better, in fact often may look a little worse, because some of the existing hair if there was any on the grafted area often will also shed to some degree.

Dr. Barrera feels that this gradual improvement (growth) is actually a good thing as even people that see you every day do not notice much happening and gradually your hair just looks better.

Dr. Uebel in 1991 in Brazil introduced the use of micrografts (1-2 hair grafts) and minigrafts (3-4 hair grafts) in large numbers (1000 -1200 grafts) to cover large areas of hair loss such as the entire top of the head in cases of (MPB) Male Pattern Baldness.

Dr. Barrera since that time has been gradually refining such technique by using finer micro blades and further increasing the number of grafts transplanted in a single session –up to 2,500 and even 2800 grafts per session.

Dr. Barrera is frequently invited as a visiting professor and a guest speaker on hair transplantation and aesthetic surgery. Additionally he has written numerous scientific articles in national journals, and chapters in plastic surgery textbooks by invitation as well as a textbook in hair transplantation.

He has furthermore described multiple other applications for these follicular unit grafts as restoring natural looking hair on the face and scalp on people who had accidents, burns, tumor removals or birth defects being able to restore natural looking frontal hairlines sideburns, eyebrows, mustaches beard and more recently other body areas.

Dr. Barrera performs all aesthetic surgery procedures including hair transplantation surgery at his Accredited Ambulatory Surgical Facility (AAAASF) under intravenous sedation and local anesthesia, without the need for general anesthesia (painless during the procdure and minimal pain afterwards). This provides added safety and faster recovery. Most patients are able to go home within an hour from the end of the procedure with minimal discomfort.

For further information or questions do not hesitate to contact Dr. Barrera or his staff.

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