There are a number of reasons women seek to undergo surgical hair restoration. In fact, over 30% of Dr. Epstein’s and Dr. Kuka’s surgical patients are women. Most commonly, they are seeking to have restored the density of hair that they have lost as a result of Female Pattern Hair Loss, but other times for missing eyebrows or overly high hairlines. Female Pattern Hair Loss is thought of by leading physician hair experts as primarily genetic in origin, but can be contributed to by a variety of other causes including hormonal changes or abnormalities, certain diseases, and various medical and dietary interventions. Therefore, the care provided by Drs. Epstein and Kuka goes beyond the performing of surgical procedures, although this is particularly for Dr. Epstein his area of expertise. To assure female patients of receiving the appropriate treatment(s) for their condition, full medical workups will be provided as deemed indicated. On the other hand, when the diagnosis has already been made or is quite clear, the work up can be bypassed and treatment initiated without delay.
This is the most sophisticated technique of hair transplantation, utilizing microscopes for the dissection of each individual graft. In a single procedure, from a few hundred to as many as 2000 grafts can be transplanted. Because the hairs are kept in their natural state, just as they grow in the scalp, once transplanted they will provide the most aesthetic result. Like with all properly performed hair transplants, once transplanted the hairs will continue to grow for a lifetime.
Whether an unaesthetic high hairline is inherited, the result of receding of the frontal hairline associated with hair loss, or the result of browlifting or other prior plastic surgery, it can be both advanced while looking fully natural. There are two techniques for advancing the overly high hairline- hair grafting, and the surgical hairline advancement (SHA). Few doctors offer both of these procedures, but given our doctors’ experience as facial plastic and plastic surgeons specializing in hair restoration, it makes sense that they specialize in performing them. The SHA technique is a roughly two hour that involves making an incision along the hairline and advancing it, lowering it by as much as 1 ½ inches (3.5 cm) or more in a single procedure depending on the elasticity of the scalp, producing virtually instantaneous results. This procedure is best for patients with a flexible scalp to allow for sufficient advancement. The other more commonly chosen procedure is follicular unit grafting, where up to several thousand hair grafts can be placed in a natural hair growth pattern in a single procedure, bringing forward the hairline.
In addition to the above-described overly high hairline, patients can present with a variety of other problems with their hair as a result of prior plastic and other surgeries. While some of them were avoidable, sometimes procedures such as facelifts performed by even the most respected plastic and cosmetic surgeons result in the loss of sideburns, scars behind or above the ears or across the top of the scalp, or advanced thinning of the frontotemporal recessions along the sides of the hairline. These sequelae all can be treated by some of the most advanced follicular unit grafting procedures, all of which have been described by Dr. Epstein in a host of articles he has authored. Once performed, the best part for many patients is that they can once again wear their hair short or pulled back or up, free from the absence of sideburns or of visible scarring.
The extremely delicate and challenging procedures are one particular area of expertise of Dr. Epstein, who performs several of these weekly, and has a special team of assistants to assist him. Whether due to overzealous plucking, laser hair removal or electrolysis, or compulsive pulling, or the inadvertent result of prior surgery or permanent makeup gone wrong, the eyebrows can be restored to look naturally full again. In a single procedure, depending upon the amount of hair loss of the eyebrows, from 25 to as many as 400 primarily one and two hair microscopic grafts are placed into each eyebrow into the tiniest of incisions placed at the exact angle and direction- assuring that the hairs will grow in the natural direction and pattern. With eyelash transplants, a much smaller number of single hair grafts are placed. Because the donor hairs for the eyebrows and eyelashes come from the scalp, they need to be trimmed on a monthly or bimonthly basis.
Pubic hair restoration – while most women seek to follow today’s trends towards a minimal amount of pubic hair, the occasional woman desires more hair in this area. This may involve the thickening of the density, or to extend the area of coverage, whether due to prior electrolysis or waxing, or inherited, or due to other causes. Our doctors perform pubic hair transplants in a sensitive, professional fashion.
Hair transplantation can play a very important aesthetic and psychological role in the transgender process. We have been fortunate to play a large part in the overall satisfaction of our transgender patients, who are grateful for the natural and significant appearance change that hair transplantation can play.
If you have any questions about meeting with Dr. Epstein and Dr. Kuka, or about natural hair restoration procedures, eyebrow transplants, follicular unit grafts, surgical hairline advancement, or other hair transplant issues, please don’t hesitate to contact our office.