Hair Loss Examination and Assessment

Hair Loss Examination and Assessment

If you are considering surgical hair restoration one of the first steps you should take is contacting a number of professional hair transplant doctors and arrange a consultation. It is common today that first contact is on-line, especially as many times the clinics contacted may not even be in the same country, but you cannot beat a live consultation. It is not uncommon that doctors travel to other countries to make this easier.

There are many factors that need to be discussed, but two factors we concentrate on here is the recipient and donor hair qualities.

The recipient area is the top of the scalp, where hair loss is visible, the areas of actual hair loss are obvious but it is also important to measure the quality of the remaining hair, signs of miniaturisation. This is generally the first signs of hair loss and eventually will lead to the hair follicle reducing the quality of growth until the regeneration of hairs stops. If there are signs of miniaturisation the extent must be taken into account when deciding on the surface area to treat and the number of grafts required.

The donor area, or the area of hair around the sides and back of the head. This area is where the hair is removed from and placed in to the recipient area; therefor it is vital the quality of the hair is genetically strong otherwise it could fall out when transplanted and impair the quality of the result.

Average number of hairs per FU (follicular Unit); this is considered to average out to around 2.2 hairs per FU, ranging from 1 to 4 hair units, occasionally 5 hair units. The lower the average hairs will effect the coverage achieved by the number of grafts, and the density that is required to be placed to achieve a cosmetically pleasing result. If the average is very low then surgical hair restoration may not be an option.

Diffused thinning or miniaturisation; diffused loss results in a reduced density of hair, as hair needs to be removed with a hair transplant this may leave the density left too low, and or not enough hair remaining in the donor area to treat extensive levels of hair loss. It is not uncommon to find some miniaturisation in most donors, but it needs to be limited to a low % for a hair transplant to work. removing and placing miniaturised hairs can result in the hairs falling out or simply just not growing after being placed in the recipient area, this can be due to the trauma of the procedure.

It is not impossible to the trained eye to notice some of these signs just with the naked eye, but that is never a substitute for a more thorough analysis. Magnification instruments can range from simple magnification scopes to more sophisticated instruments. They can take still images of the area, magnified making assessing aspects such as density of follicular units, and miniaturisation much easier.

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