In short the answer is Very successful female hair transplantation presents its own set of distinct challenges and the surgeon needs to be aware of the specific differences in the transplantation process between men and women, but there is no reason to believe that hair transplantation is less successful in women vs men.
The main challenge we face in dealing with the female patient is making sure we have the right diagnosis prior to moving forward with a surgical solution.
The most common cause of hair loss in women is still androgenetic alopecia or in women referred to as female pattern hair loss but there are many more potential problems that can cause hair loss or thinning in our female patients. As a rule a number of different medical problems should be ruled out first prior to resorting to a surgical solution. The real issue in creating a nice result in my female patients is to have a realistic approach to what their goals are. In many cases when a female patient presents to me they already have diffuse thinning everywhere including the donor region. For the most part we try in our practice to focus on increasing the core density in the hairline and frontal zone of our female patients. This at least allows them some other styling options for their hair, which most welcome with open arms. I think that the best overall answer though for this question is, successful results are going to be dependent on proper patient selection, and proper application of transplant technique. In the hands of a skilled and experienced hair transplant surgeon, I believe both of these requirements can be met.
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The International Alliance of Hair Restoration Surgeons is a consumer organization that selectively screens skilled and ethical hair transplant surgeons. The IAHRS does not offer an open membership policy to doctors practicing hair transplatation, and is the only group that recognizes that all surgeons are not equal in their skill and technique. Its elite membership seeks to represent the best in the discipline, the true leaders in the field of surgical hair restoration.