Author: Dr. William Rassman

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Two Female Hair Transplant Hairline Lowering Procedures shown 1 Day After Surgery (photos)

The first photo set is a woman who had her hairline lowered the day before these pictures was taken. Please note that the washing was so complete and the recipient sites so samll, that the recipient sites could barely be seen so I labeled the frontal view where a faint outline of the recipient sites show up. The hairline was extensively lowered which is the case when we often perform this hairline lowering for traction alopecia in the African American population. From the side view, there is almost nothing to see. Careful, small site recipient areas are critical to an undetectable transplant. For those who understand how difficult the African hair type is for a hair transplant (very kinky), the viewer should understand how beautiful these one day post-operative photos are.

The second woman is also one day after her surgery with a smaller distance for the hairline lowering surgery than the above patient. This was performed with an extensive restoration of her temple corners. Many women lose their temple corners as they get older and a rounded frontal hairline (which is a typical female hairline) is critical to achieving a very feminine look for many women, unlike men, on the other hand, who have high corner, V-shaped hairlines.

 

African American Female HLL

saudi female hairline

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Female Hairline Restoration After Brow Lift (with Photos)

I have had a higher hairline since I was a teenager. I always hated it. When I had a face and brow lift at the age of 49, the high hairline became even higher. Is there a simple way of lowering it? Is transplanting the only solution?

The photos below are of a 45 year old woman who, like you, had a high hairline compounded by a brow lift as well.

These first 3 photos are surgical pictures because they show what was missing, the deformities that were there and the problem that was tackled before (the middle and right photos were from immediately after surgery):

This next set of photos were taken after this lady’s 2nd procedure had grown in. The black hair and light skin are the most challenging contrast for hair transplant surgeons, explaining why it took two procedures to get the results you see here. She had a total of 3,508 grafts (in two procedures). Note that the side hair and temples were brought forward. In normal female hairlines the temple prominences often extend closer to the eyes than in men, narrowing the amount of forehead shown. Women’s hairlines, because they are rounded, not recessed, and the temples are important for accentuating femininity, make the work more difficult from an artistic vantage point.

The high hairline bothered her greatly after the brow lift and became unacceptable. The brow lift produced a wide scar behind the hairline (compounding the problem). In this situation, a hair transplant is the correct decision because lowering the hairline and filling in the scar behind the hairline can be accomplished with a single procedure in a person with blonde or white hair, and two procedures with someone with dark hair and light skin. The hairline was lowered by 3/4 inch and filling in the brow lift scar was also accomplished in the same procedure. A brow lift usually takes away the possibility of a hairline lowering procedure.

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Female Mature Hairline?

Is there such a thing a female mature hairline ? It seems quite common for a woman in her mid-twenties/thirties to have a larger forehead than she did in her teens, like Britney Spears or Cameron Diaz seem to have for instance. Or is this just the effect of using hair extensions, harsh treatments and the like over a long period of time ?

I do not believe that there is a maturing hairline for women, but some form of reshaping of the hairline may be seen.

In women who have had considerable plastic surgery, the corners of the frontal hairline often thin so significantly that I perform fill-in procedures for that area. Another possibility is as you suggested — traction alopecia can develop from the tight pulling caused by hair extensions, wigs, weaves, and similar.

Finally, some women are also just born with a higher hairline, and it’s possible that wearing wigs or professionally styled hair made it hard to notice in these celebrities’ younger years.


2010-08-23 14:17:39Female Mature Hairline?

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Female: Is finasteride safe for me?

Women who may become pregnant by intent or accident will put their baby at great risk if they take finasteride and then get pregnant


2021-10-12 09:50:03Female: Is finasteride safe for me?

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Female with massive hair loss

I am a 28 year old single female. 3 years ago I started losing a lot of hair, my my estimate almost 70% of my hair. Now I have started multivitamin for the past 3 months and the hair stopped falling out and some regrowth has happened. Shall I get PRP added to what I am doing?

If you have seen value from taking multivitamins, then you may have a Vitamin deficiency and you should get the various blood tests to document which type of problem you have rather than treat it blindly. Doing PRP is just grasping for straws and does not make sense in the absence of a diagnosis and you may be wasting your money or worse, losing hair while you fail to get the right treatment for your ‘unknown’ condition.

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Female pattern hair loss vs Chronic Telogen Effluvium

I am in my mid-30s and I have had three hair transplants to address the thinning but they did not work and I am no better. I also had PRP and that also did not give me any benefit. My doctor told me that he wanted to use drugs like spirinolactone and told me about them, but he also said these drugs did not work well. What else can I do?

I never treat women like you with hair transplants when there is diffuse thinning present because it does not produce value for you. The diagnosis sounds like typical female genetic balding and if I am correct, your donor area will show significant miniaturization, which always makes the diagnosis for me. The only treatment is a cosmetic one, the use of scalp micropigmentation (SMP), See these links which show many women who have been treated with SMP and now have a fuller look. https://scalpmicropigmentation.com/smp-for-women/

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Female Started Losing Her Hair at 13

i am a 17 year old (almost 18) female and have been experiencing hair loss since i was about 13. i used to have thick curly hair and now its very thin, i have to wear it half up in a clip to keep the thinning spots hidden (even though my whole head is thinning). my father is going bald and his brother and father are completely bald. i do not have any thyroid or hormone problems nor do i have any iron problems. i have been to dermitologists and they perscribed me monoxidil which i used when i was approx. 14 and stopped after about a half a year to a year because i hated using it and my hair loss was not completely noticble. now at 17 its pretty bad and i began using the monoxidil again, i started about a month ago. no one can explain my hair thinning and why a lot of it falls out after i shower and brush it. at first when i was 13-14 i didnt care because it was not noticable, but now i cant take it, im in high school almost uniiveristy and i dont know what to do! its been happening for 5 years without slowing or stopping..is there anything you can offer that will help me? pleasee im desperate, all my friends have thick hair and i hate the fact that i dont and mine falls out and is noticibly thin.

You have done your research concerning female hair loss. Have the dermatologist biopsy your scalp to see if you have an inflammatory process occuring which cause your hair loss. Find out if there are there any miniaturized hairs in the donor area, which is in the back of your head, and how much miniaturization you have everwhere else on your scalp. Are there any noticeble spots on your head? Has your hair loss been stabilized or has it become more progressive? I am limited to what I can do over the internet. Be sure to get a good, caring doctor to help guide you through what you are now experiencing.


2006-04-21 08:29:10Female Started Losing Her Hair at 13

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Female Patterned Hair Loss (FPHL) Diagnosis Made by Biopsy but No Solution to Hair Loss as I Am Losing over 200 Hairs/Day.

A biopsy rules out specific autoimmune diseases in women that causes hair loss but the diagnosis of FPHL is not helpful.

The first step in evaluating hair loss in women, after a detailed history and physical exam, is to rule out any underlying medical causes of hair loss which can be treated. If clinically appropriate, the following disease processes should be considered: anemia, thyroid disease, connective tissue disease, gynecological conditions and emotional stress. Furthermore, over 50% of women going through a change of life hormone fluctuations (menopause) experience significant hair loss. It is also important to review the use of medications that may cause hair loss, such as (but not limited to) oral contraceptives, beta-blockers, Vitamin A, thyroid drugs, coumadin, and prednisone. The following laboratory tests have been recommended to rule out the aforementioned medical conditions.

Some common blood tests for female hair loss:

  • Sex Hormone tests
  • SHBG (Sex Hormone Binding Globulin) used to test status of male hormones
  • Estradiol is a sex hormone
  • FSH (Follicle Stimulating Hormone) *not hair follicle but follicle in the ovary*
  • LH (Luteinizing Hormone) is a sex hormone
  • Free Testosterone
  • Total Testosterone
  • ANA (Anti Nuclear Antibody) used to test for Lupus or other autoimmune diseases
  • TSH (Thyroid Stimulating Hormone) used to test for hyper or hypo-thyroid disease
  • Test Iron status
  • TIBC (Total Iron Binding Capacity)
  • Ferritin
  • Iron

This patient supplied photos. I would want to know more about the tests that I listed above before going forward with any recommendations as problems with some of these tests will not show up on biopsy.


2018-11-01 06:34:12Female Patterned Hair Loss (FPHL) Diagnosis Made by Biopsy but No Solution to Hair Loss as I Am Losing over 200 Hairs/Day.