"L’Alopécie Androgénique" among
women
Although Androgenic alopecia is hereditary and concerns especially
the men, this problem concerns also the women.
"Female" Androgenic Alopecia is classified according to the degree
of baldness following the classification of Ludwig.
Female Androgenic Alopecia is characterized by a progressive
miniaturization of the hair. Contrary to the male form,
it less spectacular and is generally concentrated on the top of
cranium.
Female Androgenic Alopecia,
who generally appears among women during the menopause, is only in
certain cases related to a subjacent disease.
When
Female Androgenic Alopecia is before the
menopause, it could be caused by a hormonal production disturbance.
In this case – especially when it is a hirsutism problem, hypertrichosis or acnea – it is advised
to pass an endocrinological examination so that the alopecia cause can be discovered.
Different from certain alopecia forms, lFemale Androgenic Alopecia is
an irreversible process, the lost hair will
not push back
never.
Treatment
Various techniques
FUE
Method
The FUE method or "Follicular Unit Extraction" (the method FUX, FOX
or the FIT) is the most revolutionary method
who was introduced for the first time at congress ISHRS in New York
in 2003 by Dr. Rassman. Drs. Woods and Cole
also contributed to the realization of this spectacular technique.
The greatest advantage of this technique is the fact
men has the possibility to catch the material donor without
carrying out incisions nor of points of joinings.
The follicular
units are extracted
selectively of the crown to the means of micro-switches digs
(diameter of 0,5 mm to 1 mm), so that each pilous follicule
is exactly extracted in the same position and the same group,
without damaging surrounding fabric.
The only disadvantage of this technique is that practicer can only extract limited number of pilous follicules
by treatment session, because it's a procedure requiring much
handling. However, it is possible to transplant
an average from 600 to 1300 grafts by treatment session. In certain cases, several treatment
sessions will be necessary
to reach the desired result (for example, in the event of sparse
hair).
In presence of too pronounced baldness, this technique will be
disadvised.
WAS Method
The method of Transplantation follicular units (WAS) is the most
advanced technique and most developed
capillary
transplantation.
Thanks to this method, one can give up the exceeded
technique , practised during years,
the "mini-micro-grafting".
The capillary transplantation of the
hair implies the displacement of the capillary roots towards the
places
bald people or dismantled cranium. The capillary roots located on
the crown, are not influenced by the hormonal factors
hereditary. They are programmed to continue their cycles of
reproduction, indefinitely, even when they are reimplanted
on another part of cranium.
During the first phase of WAS, the surgeon takes – completely
painless operation – a thin strap of provided skin
capillary roots. The capillary roots of the crown push into small –
groups; follicular units –
container from one to three hair.
To be able at the quantity of pilous follicules necessary to obtain
a satisfactory result in the receiving zone, dimension
thin strap of skin is evaluated by the surgeon before the taking
away. Natural density of the "donnor" zone,
i.e. the number of pilous follicules per square inch, determines the optimal
length and the width of cutaneous incision.
The thin strap of skin, equipped with pilous follicules, is extracted
by means of individual technique the "strip harvesting".
The surgeon takes a thin strap of skin with scalpel on the head
back.
The thin strap of skin is taken in a piece to avoid damages during the preparation of the transplants.
A decisive advantage of this technique is well the possibility of
also providing the zones to treat a maximum density.
The wound which results from it is sutured and the very small scar
which remains, thereafter, is perfectly covered and
dissimulated by
hair, even with a very short haircut.
During the second phase, medical team divides the thin strap of
skin micro-surgically into 1500-5000 tiny
single,
double or triple. In the event of wider baldness and in
presence of favorable donor (means
capillary density
of the crown of the patient), our medical team manages
more and more to reimplant more than 8500 hair
in only one treatment.
The third phase implies the reimplantation of the transplants by the
specialized nurses and is also carried out under
local anaesthesia. The scalp will be equipped, thanks surgical
instruments, with tiny sites of reception,
where, thereafter, the grafts will be established with an
extreme precision.
Here, natural aspect and the capillary density harmonize
itself perfectly with the proportion of the face and
implantation of the
hair.
Our expertise and our aspiration towards the continual perfection
enabled us to develop and to improve
the method WAS to the world standards "State of the Art".
Our cabinet is specialized in the capillary surgery
reconstruction, which allows repair
or improve some procedures evil carried out (punchgrafts,
reductions, capillary lines erroneous, hair ‘nidos’, etc.)
The " Mega- Dense-Packing"
technique
Thanks to the "Mega-Dense-Packing" method between 50 and 80 "follicular
links grafts" per square cm can be
established without
to disturb blood circulation. It's also the reason why the
micro-openings, into which the grafts will be
introduced,
cannot exceed 0,3 with 0,7mm diameter. Thanks to this revolutionary
technique, it is possible to reimplant
more than 2000 grafts (~4000 hairs) on the level of the face
in only one treatment. In the case of more extended
baldness and
favorable donor (means capillary density of the crown of
the patient), our medical team manages to reimplant
from 3000 to 5000 grafts (> 8500 hairs) in only one
treatment.
Consequently, in the majority of the cases, only one intervention is
enough ("one-session-philosophy").
Consultation
During the consultation, the surgeon will consider the total
treatment and also will explore of your desideratas.
He will then inform you of his remarks and/or conclusions, taking
into account your type of hair.
The following points will be considered:
-
the number of grafts , density
-
the new capillary line
-
the direction of growth of hair as well as the zones to be treated
-
the cost of intervention
Our principal target is to inform you of all the possibilities to
improve your capillary statute . We will treat you
only if your personal desires can be filled. The conditions are
as follows :
- your fall of hair should not be ascribable with medical, physical
or mental causes
- your crown must contain healthy capillary roots enough to
guarantee an optimal aesthetic result
- the techniques and the treatment will be amply clarified
- you must be with the current of the momentary disadvantages
- your waitings and your hopes compared to the final result must
talk about.
Before the treatment
Before undergoing a treatment, there are some instructions to follow
to optimalize intervention. Here a summary of the
restrictions
to follow by the patient:
Avoid smoking and drinking alcool the days preceding intervention. A good night rest is advised. The day of the
treatment,
it is advised to have a light breakfast.
Avoid taking drugs which contain acetylsalicylic acid between 7
and 10 days before the treatment,
like aspirins and anti-pains.
If you take specific drugs, we advise you to carry them the day of
l’intervention and to show them
with the treating surgeon.
Try to put comfortable clothing, as well as easy shoes. We advise
you to put on a shirt
or a sweater with buttons or a pull knob to avoid touching the
grafts by repairing you after operation.
Treatment
The treatment, which be carried out under local anaesthesia and which is
practically painless begin with a anti-bacterial
medical shampoo.
After anesthesia of the crown, the surgeon has the possibility of
carry out two different techniques: the FUX or WAS it.
By means of the first technique the ‘FUX’, the follicular units are
removed one by one with help of micro-switches hollow;
this technique doesn't cause scar. As for the second technique,
the surgeon removes a thin strap of skin provided
with pilous
follicules.
After the first part, a break of one half an hour at one hour
is founded endant this time, the patient receives a
copious breakfast
and the possibility has of relaxing itself.
Meanwhile, medical team divides the thin strap of skin in small single, double
grafts or triple. After the break, the patient
returns in the operation room . Under local anaesthesia, the
surgeon, with help of micro-needles, will practise the tiny
ones
perforations of 0,3, 0,5 and 0,7mm on the head. And it's just at these
size places which will be reimplanted the grafts.
The high precision with which the grafts are established
guarantee you a completely natural result, the new hair
being impossible to distinguish from origin hair, at sight. The
totality of the treatment lasts between 3 and 6 hours.
The day will end in a last shampoo followed by the instructions for
the first night, given by a
specialized nurse.
Possible side effects
An impression of tugging is possible at the places where the hair
was taken.
Crusts can be formed during 10 to 12 days after intervention,
sometimes till 2 or 3 weeks.
A demonstration of rednesses on the scalp will be able to appear
during approximately 2 to 3 weeks after intervention,
and sometimes till one month.
A rest from 1 to 2 weeks is recommended after intervention. If the
period of rest is not observed, an impression of
insensibility at the places transplanted during 2 to 3 weeks, and
sometimes till one year, as well as rednesses,
can remain during a few months.
Possibly a swelling (œdema) can appear on the level of the nose and
face during 2 or 3 days after intervention.
Disappearance at the latest 6 or 7 days later.
It is important to know that, notwithstanding the fact that the risk
of infection is practically null, of irritations can appear
on the level of sebaceous glands. That very seldom arrives, but it is
possible that, during the process of cure,
the skin is transformed temporarily into "peau d'orange" (Cellulitis
and/or Chéloïd).
After the treatment
It is preferable to sleep on the back, so that the grafts
on the level of the cap of cranium do not touch pillow.
Put possibly a cushion under the nape of the neck.
We advise with our patients to avoid lying down horizontally. Raise the bedhead or use two or three pillows.
It is advised to sleep thus during the first week after the
treatment.
To avoid complications, it is recommended to follow the following
restrictions:
The four weeks following the treatment, it is strictly prohibed to
make sport or training, to perspire,
to do great physical efforts, in particular to raise
heavy objects by leaning you, to work in places
dusty or dirty.
Light sports activities like swimming, the jogging, tennis (without
too spending you) or bicycle ballad
are possibly allowed after two weeks.
The four weeks following the treatment, it is also prohibed to
expose you to the sun (not visits with the solarium)..
The first two weeks, it is to you prohibed to cover itself the head
(EP helmet motor bike, postiche). If you wish to carry
a cap after these two weeks, give the preference to a cap with small
aeration
holes and
remove it regularly
so that the hair can ' prendre l’air'.
In theory, it is necessary to return the next day and two weeks
after the treatments for postoperative controls.
The day after the treatment, a œdema on the level of the face (less)
marked could appear and persist during a few days.
At the receiving zone, a formation of crusts will be able to be made
on the level transplants. Those will disappear spontaneously
after 10-15 days. Two weeks after the treatment, the stitches will be removed by our medical team,
as well as the eventual crusts.
The process of growth
The first month
The first days after the treatment, small crusts will be formed
on the level of the tiny incisions.
As in any healing process, the small crusts will tickle more and
more and fall finally
in the form of films.
After the treatment, the capillary roots are weakened because of reduced
̱oxygen. After two or three weeks,
the hair which is still present in the transplanted roots is
rejected. It 's a perfectly natural process.
Being given that the capillary roots are only weakened and not
damaged, they reproduce the new ones
healthy hair which will be visible between 2 to 5 months after the
treatment.
We draw your attention on the fact that, in some cases, if the
treatment were carried out
with an aim of densifier the hair, it is
possible that the neighbouring hair falls.
Third till fifth month
From the third month the patient will feel that the new hair starts
to push.
It is possible an irritation of sebaceous glands (appearance of
buttons) occurs at the receiving zone.
Although this is often felt like an awkward factor by the patient,
this irritation forms part of the process of growth
since the new hair tries to leave on the surface.
Around the fourth or the fifth month, one will be able to note
several new hair already. At the beginning the hair will be still
fine
and sparse but with long, they will take of tickness and the
density.
After one year
From the medical point of view, the final result of the treatment
cannot be noted in a final way only after twelve months.
The transplanted hair pushes then completely like natural hairs and do not ask a particular care.
Being given that the result of the treatment and the satisfaction of
the patient import us much, we try to follow
the process of growth to the maximum. The patient generally returns
for a control after 2 weeks, 3 months, 6 months,
9 months and finally after a year. During control, photo will
be taken, which will come into the patient file.
With final control, the patient will receive these photos with
the former photos, before the treatment. Thus it really can
to realize of the change of its hair.
FAQ
What does it occur when the hair start to fall?
Each capillary follicule has a genetic programme of phases of growth
and rest. The capillary follicules are
preprogrammed, so that, more one becomes old, more the period of
growth is short and more the period of rest is long.
After examination, it seems it occurs, at the people who suffer alopecia, a thickening of the follicules.
This thickening can prevent the bulb from taking again its place in
the skin.
Thus, the phase of growth is disturbed in the direction where a new
hair is formed but it cannot implant itself correctly.
There is thus constantly manufacture of new hair by the bulb, but
those survive only a few weeks the place
from a few years.
It's the reason for which the new formed hair remains very fine and
delicate and they fall after a few weeks
or a few months. The speed of the process of baldness change form
one to other.
Is the treatment painful?
Intervention is held under local anaesthesia and is in theory
completely painless. Anesthesia can cause an oppression
feeling on the level of the head, as if you carry a too small helmet. This
feeling will disappear after a few days.
Is this visible?
The colouring of the skin of cranium remains visible ten days. The
small crusts due to the micro-perforations will heal
and will
disappear completely by washing and rinsing after 10-14 days.
When the hair will again push?
The transplanted hair will push back after approximately 3 months.
They will not push back all at the same time.
It's a gradual
process which takes some time to achieve itself. At the beginning, the
hair will be still fine and sparse
but with long they will take of
thickness and the density.
The result of the treatment will be final after one year.
The new hair will they continue to push?
In theory all the transplants will reproduce new healthy hair which
will push during the rest of the life.
But there are always exception from the rule.
Fortunately it(s completely exceptional. A preoperative analysis of
the hair will be able to define
if it can exist a subjacent disease.
What can I make with my new hair?
In general, absolutely all!
Some advices however: the first weeks, don't use the hair drier,
except on the cold position.
The use of laque hairspray
and of freezing is to be proscribed during approximately 4 weeks.
As
for the colouring of the hair, it will be to better wait 6 weeks.
Much of women undergo a capillary transplantation?
Roughly 10% of our patients are women. Thanks to evolution of the
techniques and, consequently,
enormous mprovment of the results, much more women seize the occasion to be made
treat.
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