Navigation
Hair Loss News Archives
June 2010
Why Hair Restoration Surgery Is Helping More Women With Hair Loss Gain Confidence
One Woman's Journey From Hair Loss to Hair Growth
June 2010
For more than 20 years, Angela Roisten noticed that the hair on the sides and top of her scalp began gradually getting thinner and sparser.
Roisten, a
34-year-old banker and
mother of two from
Richmond, Virginia,
attributed her
noticeable hair loss to
years of tightly pulling
her hair into braids and
weaves -- popular
hairstyles often started
during childhood.
"It got to the point
where my hair would just
break off and not grow
back, and it bothered me
a lot more as a I got
older and experienced
more hair loss on the
top and sides of my
head," said Roisten. "In
trying to disguise my
hair loss over the years
with weaves, it only
made the problem worse."
Although Roisten tried
several topical products
in an attempt to reverse
her hair loss, nothing
worked -- until she met
Edwin Epstein, MD, a
Virginia Beach,
Virginia, hair
restoration surgeon who
recommended that Roisten
undergo a hair
transplant.
"There are many
different types of hair
loss, which is why it is
extremely important to
understand the root
cause of the condition
before we can treat it,"
said Dr. Epstein,
president of the
International Society of
Hair Restoration Surgery
(ISHRS). "In Angela's
case, she experienced
two common forms of hair
loss -- traction
alopecia and female
pattern hair loss."
Traction alopecia is a
form of hair loss caused
by repeated tension on
the hair, such as
hairstyles, and commonly
occurs in black women.
In Roisten's case, years
of braiding caused a
severe case of traction
alopecia that Dr.
Epstein explained set
the foundation for hair
damage -- which may have
been accelerated by the
use of chemical
relaxants and
straighteners, or by a
genetic component seen
with female pattern hair
loss.
Female pattern hair
loss, which is the most
common type of hair loss
in women, can be
attributed to genetics
or hormonal fluctuations
prior to or during
menopause. With most
cases of female pattern
hair loss, the frontal
hairline is usually
spared, while the rest
of the scalp shows
generalized thinning.
While minoxidil 2% is
the sole topical
medication approved by
the Food and Drug
Administration (FDA) for
female pattern hair
loss, Dr. Epstein
explained that the
product works by
stimulating hair growth
factors and results in a
thicker hair shaft
diameter. However, he
cautioned that minoxidil
might not stop the hair
loss cycle if the
underlying cause is not
treated.
"With any hair loss
treatment, the goal is
to stop the hair loss
from getting worse and
to improve the
condition," explained
Dr. Epstein. "Angela was
a perfect candidate for
hair restoration surgery
because her hair loss
was confined to
localized areas."
During a typical hair
transplant procedure,
hair restoration
physicians split tiny
grafts from the
patient's existing hair
and plant them into the
scalp in thin and bald
areas while the patient
remains awake. Hair
grows in gradually and
is expected to be fully
restored in six to 12
months.
Since Roisten kept her
hair restoration surgery
a secret, she
appreciated that the
results were subtle.
Nine months following
her surgery, Roisten is
thrilled with her
initial results and
proudly shares her
experience with others.
"Having a hair
transplant has impacted
every aspect of my
life," said Roisten. "I
have more confidence
than ever before, and
people are shocked to
see the 'real' me
without weaves or wigs.
Hair restoration surgery
is a lifetime investment
-- like buying my first
Hair Loss -- but I calculated
that over time spending
money on weaves and wigs
cost more than this
surgery."
Dr. Epstein noted that
more women are turning
to hair restoration
surgery as an option to
fight hair loss,
especially since the
results are natural
looking and virtually
undetectable.
"Since we first started
polling ISHRS members
five years ago about
trends in their
practices, we found that
the percent of hair
restoration surgical
patients worldwide who
were female increased
from 11.4 percent in
2004 to 13.8 percent in
2006 and 15.1 percent in
2008," said Dr. Epstein.
"Women simply do not
want to be committed to
wearing wigs and hair
extensions, and baldness
is not acceptable in
women as it is in men."
Dr. Epstein recommended
that women suffering
from hair loss should
see a hair restoration
physician -- who will
determine the cause of
hair loss, examine the
scalp and donor hair
under a microscope to
evaluate hair density
and characteristics, and
discuss medical and
surgical treatment
options -- to determine
if they are a good
candidate for hair
restoration surgery.
In order to demonstrate
the virtually
indistinguishable
appearance of today's
hair transplants from
everyday hair, the ISHRS
invites the public to
take the "Hair
Transplant Challenge."
This new online survey
is designed to test a
person's ability to
correctly identify hair
transplant patients from
decoy patients in a
series of photos. To
take part in the survey,
go to www.ishrs.org/survey.
About the International
Society of Hair
Restoration Surgery
Founded in 1993, the
ISHRS is a non-profit
medical association
dedicated to the
advancement of the art
and science of hair
restoration. With a
membership of over 800
physicians worldwide,
the ISHRS provides
continuing medical
education to physicians
specializing in hair
loss and restoration
surgery and serves as a
resource for the public
on the latest surgical
and medical hair
restoration treatments
for hair loss. For more
information and to
locate a physician,
visit www.ishrs.org.