FEMALE HAIR LOSS – Surgical Consultation Case Studies

WHAT CAUSES HAIR LOSS IN WOMEN

In order to illustrate the varied causes of hair loss in women, 4 different patients were selected to be seen and assessed by Dr Greg Williams, a Plastic Surgeon specialising in surgical hair transplants and restoration, based at the Farjo Hair Institute in London’s Harley Street.

Each case study had a different presentation but all were distressed by their hair loss and wondered if they were suitable for a hair transplant procedure. We will follow them through their journey to discover the cause of their hair loss, if it can be treated surgically, and if so, whether the treatment is something they want to, and plan to, embark upon.

Let me introduce the 4 Case Studies

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#1 – Michelle

Age 40

Duration of hair loss – 2 years

What she thought was causing her hair loss

I had noticed the texture and manageability of my hair was deteriorating over the period of a few months and whilst washing my hair one day I first noticed a very smooth large patch of hair loss at the back of my head near my lower hairline.  I went to see my GP but was only offered a steroid treatment but I chosen not to take pharmaceutical drugs but would love to find a more holistic way to manage my hair and hair loss.

What Dr Williams thought was causing her hair loss – Alopecia Areata

Suitable for a hair transplant? – No

Provisional Plan

  • See a Dermatologist who specialises in hair loss to confirm the diagnosis and offer non-surgical treatment
  • Look at the effect that can be achieved with cosmetic camouflage products and treatments like Regaine.

Would like to see Dr Greg Williams or another specialist simply fill out our patient enquiry form on our website www.totallywaesthetic.com/enquiry

 

tania#2 – Tania

Age 51

Duration of hair loss – over 10 years

What does she think caused her hair loss

I never did have a really thick head of hair. While I was pregnant the thickness and condition improved greatly. My last child was born when I was 40.  After I stopped breastfeeding him things changed. It got much thinner. By the time I was in my late 40’s it was significantly thinner. During that time I did have a lot of sad things happen and anxiety … By then I had sought medical help, spent a fortune on Noukin supplements and also Regaine lotion.  www.regaine.co.uk/women

What Dr Williams thought was causing her hair loss – advanced Female Pattern Hair Loss (FPHL)

Suitable for a hair transplant? – Yes

Provisional Plan

  • See a Dermatologist who specialises in hair loss to confirm the diagnosis and offer non-surgical topical +/- systemic oral treatment to stabilise hair loss.
  • Explore the non-invasive option of low level light therapy (LLLT) or the slightly invasive option of platelet rich plasma (PRP) injections.
  • Look at the effect that can be achieved with cosmetic camouflage products and consider
  • the option of semi-permanent micropigmentation (SMP)
  • consider having a hair transplant to frontal area

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Would like to see Dr Greg Williams or another specialist simply fill out our patient enquiry form on our website www.totallywaesthetic.com/enquiry

image1-1#3- Heather

Age 50

Duration of hair loss – 12 years

What she thought was causing her hair loss

I first noticed a change in my hair texture when I became ill 12 years ago with a rare auto-immune illness called Sarcoidosis.  My lungs had abnormal nodules called granulomas and I was prescribed prednisolone steroids but I decided to self heal without the use of drugs.

My initial hair symptoms show a change in hair thickness/texture….. Especially when my immune system is low……Stress is a huge trigger for this!  My hair feels like soft baby fine hair and each hair strand feels half the thickness and lacks lustre…..volume and snaps easily. My temple areas become finer and due to it being weightless if I don’t I wear it up in a knot then it means I need to wear a clip-in hair extension for thickness and volume but they have caused bald patches.

What Dr Williams thought was causing her hair loss

Uncertain, possibly normal age related deterioration, generalised health issue related to pre-existing diagnosis of sarcoidosis, Female Pattern Hair Loss (FPHL), or a combination of these.

Suitable for a hair transplant? – Possibly

Provisional Plan

  • See a Dermatologist who specialises in hair loss to do a full diagnostic workup to confirm the diagnosis
  • See a Trichologist for advice on hair care regime to optimise hair volume and health
  • Consider nutritional supplements for hair such as Viviscal or multivitamins
  • Explore the non-invasive option of low level light therapy (LLLT) or the slightly invasive option of platelet rich plasma (PRP) injections.
  • Consider having a hair transplant to temporal recessions

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Would like to see Dr Greg Williams or another specialist simply fill out our patient enquiry form on our website www.totallywaesthetic.com/enquiry

0m2a9163-copy#4 – Lisajane

Age 42

Duration of hair loss

Lost 40% of her hair within a 5 month period.  Excessive amounts of hair was coming out when brushed, washed or simply stroked flat.

What she thought was causing her hair loss

The hair came out excessively mainly the frontal and side regions of my head. I was so worried that I became too scared to brush, wash or colour my hair without losing more but it had to be done.

I visited my GP who told me it was just my age, did not do or offer any conclusive tests or solutions or ongoing appointments.  I could not pin point any real change in my life other than trying out new health supplements along with a new ‘clean eating’ diet.  Life is always stressful so no change there and I think I thrive on it.  Luckily as I am in the aesthetics industry I was able to consult a private doctor and advised to start Viviscal Professional hair supplements at the start of this year.

What Dr Williams thought was causing her hair loss

Telogen Effluvium (shedding of hair) from a fad diet, normal age related deterioration, early Female Pattern Hair Loss (FPHL), or a combination of these

Suitable for a hair transplant? – No

Provisional Haircare Plan

  • Return to a balanced healthy diet and monitor hair recovery over next 12 – 18 months
  • Consider continuation of nutritional supplements for hair such as Viviscal or multivitamins.
  • Also see a Dermatologist who specialises in hair loss to do a full diagnostic workup to confirm the diagnosis.
  • See a Trichologist for advice on hair care regime to optimise hair volume and health.

Hair thickening Extensions

jo-hansford-hair-for-totally-aesthetic-magazine-hairloss-feature-2Lisajane had really long hair at the back which has left her with almost 2 hair lengths with new growth and has also opted for Jo Hansford bespoke volumising treatment using the very latest hair extension technology.  Brilliant for adding back the lost volume now that my hair is definitely on the mend and no longer falling out.

I visited the salon in London’s Mayfair for my consultation whereby my hair was expertly colour matched by Nicole.  I returned 1 week later to have the extensions fitted and loved them straight away.  I had my hair back!

From £250   www.johansford.com

jo-hansford-hair-for-totally-aesthetic-magazine-hairloss-feature— TAMAG —

Find out how these ladies get on as we follow their personal hair loss journeys over the coming months or if you have a question email us ASK@totallyaesthetic.com or if would like to see Dr Greg Williams or another specialist simply fill out our patient enquiry form on our website www.totallywaesthetic.com/enquiry

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