As a woman, you would agree that your hair was considered a symbol of femininity and overall health since you were a little girl. This is why women love to experiment with different hairstyles, haircuts, coloring, and highlights to make their mane look more beautiful. However, it can be distressing and emotional as soon as you notice the onset of initial hair loss. Some of you might also feel that, apart from the aesthetic appeal, losing several strands every day is similar to losing a part of your precious identity. Female hair loss is a common issue that can occur at any point in life. A study held in 2023 showed that more than 50% of females are prone to face hair thinning during their lifetime [1]. It is estimated that about 32% of females might have to deal with female pattern hair loss [2].
Thankfully, you need not put up with the stress and anxiety associated with extreme hair loss, as hair transplant procedures for women will help offer a permanent solution. There is a common misconception that such hair loss reversal treatments are available only for men. However, the truth is women can also benefit from hair transplantation, which is why many have begun to consider it to restore lost hair. This write-up will give you an idea about female hair loss patterns, whether you are a good candidate for hair transplant, how your hair transplant differs from men’s procedure, the techniques, results, and hair transplant recovery time.
Understanding Female Hair Loss Patterns
When compared to men’s baldness pattern, the female hair loss pattern is much different. It is common for men to face bald spots or a receding hairline beginning at their crown or temples. So, hair transplantation can be a straightforward process as the donor sites on the scalp’s side and back are intact, making it perfect for harvesting grafts. However, women experience diffuse hair thinning, specifically along their hair parting or on the top part of their scalp. Sometimes, hair thinning might be widespread all over the scalp, which makes it challenging to mark a donor site that is stable to transplant grafts. However, when handled by a board-certified and skilled hair transplant surgeon, you will begin to notice considerable hair growth after a few months.
There are several types of female hair loss patterns, which would be identified by your surgeon based on the extent and pattern of hair loss or thinning.
1. Female Pattern Hair Loss / Androgenetic Alopecia
This pattern hair loss issue in women is very common and is often influenced by your genes, as it is hereditary.
Female Pattern Hair Loss Based on Ludwig Scale
A clinical system termed the Ludwig scale is specifically used to classify how female pattern hair loss progresses. Based on this scale, the hair loss is categorized into:
- 1st Stage Hair Loss: During this stage, women tend to face very minimal thinning. Such hair loss on the scalp will be slightly visible, and it can be covered with hairstyling ideas.
- 2nd Stage Hair Loss: You might be losing a lot of hair, and the hair loss would be prominent. The scalp on the hair parting would be visible and look wider than normal.
- 3rd Stage Hair Loss: This Ludwig stage indicates extreme hair loss, making baldness and thinning much visible. Scanty hair will make your crown area noticeable, and frontal hairline baldness will also be present.
Female Pattern Hair Loss Based on Olsen Scale
According to the Olsen scale, female pattern hair loss would be prominent on the front side of the scalp. The hair loss pattern would look similar to a Christmas tree shape, featuring thinner hair along the front, which gets scanty towards the back.
Female Pattern Hair Loss Based on Hamilton’s Classification
Hamilton’s scale measures the extent of female pattern hair loss based on:
- Bitemporal hair recession that mimics male pattern baldness
- Hair diffuse thinning, especially along the scalp’s occipital and parietal regions
2. Alopecia Areata
Hair loss occurs due to the effect of an autoimmune condition when the immune system damages the hair follicles, causing hair loss patches. Loss of hair will be noticeable in your scalp, and this condition can affect women of all age groups who face autoimmune issues.
3. Telogen Effluvium
Factors like hormonal fluctuations, illnesses, or stress might lead to temporary hair loss. This type of hair loss might be chronic if it lasts for a long time and acute if it lasts for a few months. You might experience diffuse hair loss that might trigger bald patches or a visible scalp.
Are Women Good Candidates for Hair Transplant Surgery?
Yes, women facing specific hair loss patterns are perfect candidates for hair transplantation procedures [3]. Some of the hair loss conditions that can be rectified by hair transplant are listed below.
- Women Having Bald Patches: Sometimes, women might have bald patches due to a specific surgery, trauma, accidents, scarring, or chemical burns. Such bald patches can be rectified with hair transplant procedures, as the affected area can be filled with active and healthy follicular units to offer a natural look after hair growth.
- Traction Alopecia: If you have the habit of wearing tight hairstyles like high ponytails and tight braids or using hair extensions, you can benefit from a hair transplant. Since the areas not facing hair loss will have healthy hair follicles, the donor site will help in hair transplantation.
- Female Pattern Baldness: If you have extreme hair thinning, especially in the hairline or crown area, a hair transplant will be an ideal choice. Hairline transplantation will help restore your hair and regain your self-esteem. If you have a healthy donor site that is not damaged by androgenetic alopecia, then you are eligible for hair transplantation.
Key Differences Between Male and Female Hair Transplants
The major difference between male and female hair transplant procedures lies in their hair loss pattern and the cause triggering it.
1. Pattern of Hair Loss
While men face a predictable and localized hair loss pattern, women usually experience diffuse hair thinning in the scalp, which makes choosing a donor area highly challenging.
2. Reliability of Donor Sites
Men facing severe hair loss will usually have healthy donor areas with reliable grafts. This is because their follicular units will not be damaged by the DHT hormone that induces hair loss. The donor sites of women will be damaged due to hair thinning, which demands extensive assessment, as the availability of healthy grafts for harvest will be limited.
3. Shaving of the Recipient Site
Males who undergo a hair transplant procedure will prefer to shave their recipient site to make it easier for the extraction of follicular units. However, women, on the other hand, are not comfortable with shaving, making hair transplantation a challenging task. It requires a renowned plastic surgeon possessing extensive surgical experience and skills to transplant follicles with high precision without causing hair damage in the donor site.
4. Hair Transplant Techniques
Surgeons usually suggest both FUE or Follicular Unit Extraction and FUT or Follicular Unit Transplantation for male hair loss. Out of these two procedures, FUE has emerged as a popular choice. For women, FUT will be useful for transplanting a large number of grafts with no or minimal shaving. The DHI method would also be beneficial as it is performed with high precision, and implantation is performed using a special device.
Common Hair Transplant Techniques for Women
1. FUE Method
The FUE or Follicular Unit Transplantation procedure is a flexible choice in terms of the extraction of grafts. Females facing a diffuse hair loss pattern will not have less follicle density, which is essential for graft harvesting. So, this hybrid FUE procedure featuring several strip extraction processes will help optimize the potential of graft extraction.
2. FUT Method
If you wish to opt for FUT or Follicular Unit Transplantation, it is essential to consider your scalp’s laxity. When compared to their male counterparts, females generally have high laxity in their donor sites. So, to harvest follicles from the donor area, your surgeon must follow a reserved approach for lowering scarring risks. Mostly, your scalp’s occipital and parietal regions are considered perfect donor sites for a hair transplant.
Expected Results and Recovery Timeline
You can start noticing baby hair growth between the 3rd and 5th month after a hair transplant. With time, new hair strands will begin to improve in terms of thickness and density. The whole process will take about one year to see full hair growth.
The recovery timeline for a hair transplant differs by person. You can expect:
- 1 to 7 Days: Sensitivity, redness, swelling, and crusting.
- 2nd to 4th Week: Shock loss, hair shedding, scabs falling off, and mild inflammation.
- 1st to 6th Month: No swelling and scabs, improvement in scalp texture, and growth of fine baby hairs.
- 6th to 12th Month: Hair grows in a natural pattern and direction, with improvement in hair density, and permanent results.
Alternatives to Hair Transplant for Women
Women have only limited options to treat hair loss. Some might use Finasteride, but it is not for females with birth defects and might need a doctor’s supervision. Other alternatives include minoxidil, PRP therapy, hormone therapy, thyroid regulation therapy, and laser therapy.
When to Consult a Hair Restoration Specialist
You can fix an appointment with the hair restoration specialist at Akruti while facing extreme hair loss, causing visible scalp, hair texture alterations, hereditary hair loss, and persistent scalp problems.
Reference Links:
- Chaikittisilpa, Sukanya MD, MSc1; Rattanasirisin, Nattiya MD; Panchaprateep, Ratchathorn MD, PhD; Orprayoon, Nalina MD; Phutrakul, Phanuphong PhD; Suwan, Ammarin MD; Jaisamrarn, Unnop MD, MHS1. Prevalence of female pattern hair loss in postmenopausal women: a cross-sectional study. Menopause 29(4):p 415-420, April 2022. | DOI: 10.1097/GME.0000000000001927 – https://journals.lww.com
- Muller Ramos P, Melo DF, Radwanski H, de Almeida RFC, Miot HA. Female-pattern hair loss: therapeutic update. An Bras Dermatol. 2023 Jul-Aug;98(4):506-519. doi: 10.1016/j.abd.2022.09.006. Epub 2023 Mar 30. PMID: 37003900; PMCID: PMC10334345. – https://pmc.ncbi.nlm.nih.gov/articles/PMC10334345/
- American Hair Loss Association – https://www.americanhairloss.org/