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The case-by-case analysis of each case of male androgenic alopecia allows Dr. Pierre Bouhanna to better select the technique of hair implants. Depending on the risk of progression of alopecia the number of implants needed will be calculated accurately. It will be necessary to work with the patient to best choose whether to graft hair implants on the forehead, on the tonsure or the whole surface affected by androgenic alopecia.
Depending on the type of androgenetic alopecia and the results of the scalp examination, Dr. Bouhanna will choose the most suitable transplant. This will be a determination between the FUE hair transplant (with shaving) for patients who shave or long FUL hair transplant for patients who do not wish to shave their hair before the procedure.
The different types of male alopecia
The hair analysis using multifactorial classification and the phototrichogram will help to diagnose each type of male alopecia. There are 3 stages of androgenetic alopecia. According to the results of the scalp examination, the number of hairs needed to permanently regain the hair will be calculated.
Hair loss caused by male androgenetic alopecia occurs in particular locations and as a result of genetic and evolutionary factors, in the majority of cases conditioned by a hereditary predisposition of the father or the mother.
Dr. Bouhanna’s multi-factorial classification uses multiple parameters such as measurement of bald and hairy surfaces, flexibility and thickness of the scalp, hair covering capacity as a function of density, diameter, shape, stem length, growth potential and hair color.
There are three stages of androgenetic alopecia: stage 1: temporal gulfs, sometimes associated with a tonsure, stage 2: retreat from the frontal line to the top of the skull, sometimes associated with a tonsure, stage 3: the top of the skull and the persistence of a peripheral hair crown.
In male androgenetic alopecia, some medications may be suggested to supplement the hair implants, including local (5% Minoxidil) and general (Finasteride at 1mg to be taken orally) medications that prevent hair loss. The goal is to stabilize the continual hair loss between grafts, to decrease the transient fall of grafted hair and to accelerate the regrowth of grafted and non-grafted hair.
On scars on the scalp, beard, mustache and/or eyebrows, it is possible to implant hair units. The thinning of the beard and the mustache may be due to scars (burns, acne scars). Hair implants or grafts of follicular units must adapt to the characteristics of the scars and the hairs must be reconstructed.
FUE Hair transplant
The FUE hair graft will be better adapted for patients who shave their hair and have good density at the back of the crown of the head.
FUL long hair transplant
The FUL graft will be preferred for patients who do not shave their hair, particularly if the hair density is mediocre at the back of the crown.
Stage 1
Implantation of 1,000 hairs in 1 session (2,000 to 3,000 hairs if there is need on the associated tonsure).
Stage 2
Implantation of 2,000 to 3,000 hairs in 1 to 2 sessions (up to 4,000 hair if there is need on the associated tonsure).
Stage 3
Implantation up to 6000 to 7000 hairs in 2 to 3 sessions, for complete coverage of the scalp.
