Alopecia is a disease that involves hair loss in a certain area of the body. In most cases, it appears in small circular areas of the head and beard. One of the curious things about alopecia is that the areas of the skin that is affected and have no hair have an absolutely normal appearance, without skin changes, or swelling or redness. It affects men and women although there seems to be a greater number of cases in men. It can appear in the first months of life; however, the highest volume of cases is between 10 and 25 years.
The main symptom of alopecia is the loss of non-scar hair in round circles, especially in the head. The areas where the hair disappears show the skin of the scalp. In some mild cases, only two or three hair circles fall and then the disease no longer reappears. In any case, it is impossible to know how it will move forward. In severe cases, hair from all areas of the body may fall out.
Can a hair transplant be performed in the frontal fibrosing alopecia?
The most realistic answer is: it depends on each case. If you look at the technical aspect it is perfectly possible to perform a transplant in the AFF, but it is not always recommended and sometimes it is totally contraindicated. The best hair transplant in ludhiana can be performed with both the FUE technique and the FUT-strip technique. The FUT-strip technique is the most recommended for two reasons: it is not necessary to shave the hair (which is especially important in women) and allows the orientation of the hair according to its inclination of birth (essential in eyebrow transplantation).
Is the FUE technique effective in women?
Some patients already treated enjoying a new hair asked us in their first consultation if it was true what they had read in some forums about whether the FUE technique was really effective in women. The FUE technique is a surgical variant of the follicular micro transplant technique and consists of extracting the follicles from the donor area individually without the need for stitches and without leaving scars with the naked eye.
In order to carry out this technique, it is necessary to practically shave the hair of the head at least in the donor area since this is the ideal measure for obtaining grafts at this level with local anesthesia. When we talk about applying the FUE technique in women, this is the crux of the matter: shaving, since practically all patients are reluctant to shave due to the radical medium-term change in image that this entails.
Who can go for the FUE technique?
For those patients who do not want to shave their heads and opt for the FUE technique, small curtains or flaps can be left with hair that camouflage the shaving areas. This is possible in those cases in which we anticipate that the grafts obtained from these more limited donor areas in the extension are sufficient to cover a certain receiving area. In older women with alopecia of the Ludwig 3 Scale, for example, we are already talking about general diffuse alopecia in which there is very little quality hair to cover a very large area.
It is important to inform the patient of absolutely the entire process and the fact that if you do not want to shave, the donor area is more limited and therefore the recipient areas (the bald areas) must be small. If you do not shave and choose to go making curtains, the session is reduced to about 500 follicular units.