Hair Transplant Surgeon: Dr. Kapil Dua

Female hair transplant surgery before and after result pictures

Hair Transplant Sessions: 1
Female Hair Restoration
Surgical Procedure: Follicular Unit Extraction (FUE)

A 36 year old female approached us with chief complaint of hair loss over scalp since 11 years in 2011. She noticed patchy hair loss on scalp right after first childbirth. It was associated with no other symptoms. The patient had taken multiple treatments outside but no relief. On examination, the scalp showed a big patch of hair loss over central scalp. The skin showed atrophy and wrinkling with shiny appearance. A provisional diagnosis of cicatricial alopecia was kept. A consultation was taken from the Dermatologist ( Dr. Aman Dua, my wife) who did biopsy to confirm the clinical diagnosis. It revealed cicatricial alopecia with possibility of lichen planopilaris. 

The patient was put on oral deflazacort, hydroxychloroquine, biotin, omega 3 fatty acids, topical steroids, tacrolimus and benzyl nicotinate, vitamin k, salicylic acid tincturefor 4 months. The patient showed some improvement in terms of no further hair loss and some areas also showed hair regrowth in the periphery.

Then a second biopsy after 4 months to check the activity of the disease. It showed partially treated lichen planopilaris. She was given intralesional steroids in resistant areas with mild improvement in terms of vellus hair regrowth seen. After seeing that the disease had stabilized she started asking for a hair transplant. Then again, biopsy was done to study the activity of the disease which showed post inflammatory pigment alteration.This prompted us as well as the patient to think about hair transplant. The same treatment was continuedfor 5 more months, aim being disease inactivity before we jump to hair transplant. Five months later, the final biopsy showed dermal sclerosis with focal pigment incontinence and few terminal hair follicles. 

Then after the insistence of the patient and the inactivity of the disease, we decided to do a test patch of 100 grafts with FUE in 2012.It was planned with FUE technique as the patient did not want to undergo surgery with stitches. 
Discuss this patient on our Hair Restoration Forum

Hair restoration procedure before and after results
From left to right: Picture before surgery, Picture of 1st Post-Operative Trial FUE Hair Transplant Surgery for 100 Grafts. Second time over we did 1000 grafts covering the most prominent area by FUE technique in 2013. Again the result was excellent and resulted in a robust regrowth in one year, Picture of 2nd Post-Operative FUE Hair Transplant Surgery for 1000 Grafts

Hair transplantation surgery before and after photos by Dr. Kapil Dua
Again the result was excellent and satisfactory by patient. Encouraged by good result, 1 year later patient has come for full area coverage and need for more grafts. Fifteen hundred (1500 )grafts were given this time as donor did not seem to support more in 2014. Patient is very happy with the surgery and a lot satisfied. Now, the patient had again come for a visit ( in 2015) and her picture is completely changed. She is very happy with result of 2600 grafts ( done over three sessions) and is ready to have more to increase the density on the back side.

Hair transplantation surgery before and after images by Dr. Kapil Dua
Picture with Partition, Picture with Wet Hair,