Women with hair loss are more frequently seeking surgical treatment to address their concerns. However, physician sentiments regarding female candidacy for hair restoration surgery (HRS) continue to vary greatly. In their manuscript entitled “Technical and Philosophical Approaches Influencing Perceptions of Female Candidacy and Results in Hair Restoration Surgery”, Robin Unger, MD and Carlos K. Wesley, MD describe in detail various aspects of the surgical procedure that may have led to these disparate opinions amongst practitioners. The percentage of females undergoing HRS increased from 11.4% to 15.1% between 2004 and 2008.
Despite this pattern of increased prevalence of women undergoing surgical treatment for hair loss, elements of female donor area harvesting, female recipient pattern design, and female patient selection and education may all contribute to the different schools of thought regarding female candidacy for the surgical procedure. Their manuscript not only defines why physician opinions may differ, but also provides practical solutions for most effectively approaching female candidates.