Alopecia is a broad term covering many different causes of hair loss. Understanding which type you have is essential before considering a hair transplant — because the suitability for surgery, and the likely outcome, varies enormously between conditions.
Androgenetic Alopecia (Male/Female Pattern Baldness)
This is the most common form of hair loss and the one most reliably treated by transplant surgery. Caused by DHT sensitivity, it follows a predictable pattern. FUE transplantation works because donor hair from the permanent zone is not DHT-sensitive and will continue to grow after transplantation. Suitable for transplantation.
Alopecia Areata
An autoimmune condition where the immune system attacks hair follicles, causing patchy, sudden hair loss. Transplantation is generally not recommended for active alopecia areata — the immune attack can destroy newly transplanted grafts just as it did the original follicles. Surgery may be considered only after confirmed, prolonged remission (typically 2+ years with no active patches).
Traction Alopecia
Hair loss caused by prolonged tension on the follicles from tight hairstyles. If caught early, cessation of traction allows full recovery. In long-standing cases where follicles are permanently scarred, transplantation can restore hair to the affected margins. May be suitable after cause is removed and stabilised.
Scarring Alopecias (Lichen Planopilaris, Frontal Fibrosing Alopecia)
Scarring conditions destroy the follicle permanently and replace it with fibrous tissue. These conditions are generally not suitable for transplantation while active — new grafts placed in an inflamed, scarring environment are at high risk of destruction. Transplantation may be possible after confirmed long-term remission.
Telogen Effluvium
Diffuse shedding triggered by stress, illness, nutritional deficiency, or hormonal change. This is usually a temporary condition that resolves once the trigger is addressed. Transplantation is not appropriate — the follicles are alive and will recover without surgery.
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