Zandifar MD – Blog


Patterns of Female Hair Loss

Female hair can present differently than male hair loss. This is mostly because females generally have longer hair styles and thus lots of early signs can be masked. Here are some signs that you may be suffering hair loss if you are a female

  1. you notice that the part in your hair is widening
  2. you notice more hair is falling during shower, brushing, etc… (On a daily basis we usually lose 100-150 hairs)
  3. you are losing volume in your hair (After menopause some volume loss in normal due to hormonal changes)
  4. you start to notice more of your scalp (In people with long hair this could be a late sign)
  5. Frontal hairline starts to recede and more of the fore head is shown (This is not a typical presentation but can happen in some individuals)

I am a woman and feel like I am losing my hair. Is this possible?What should I expect?

The short answer is yes. Although male pattern baldness is really the most common type of hair loss that is seen, about 1 in 5 women have experienced hair loss or baldness that they would consider medical or surgical treatment.The most common complaint that women suffer from is thinning of their hair. This is usually pronounced in the forehead region. However, occasionally women can present with sporadic bald spots on their scalps.


Patterns of female hair loss (Ludwig Scale)It is important to first and foremost find the cause of the hair loss in females. After finding the underlying cause, ifit is reversible then that is the first treatment option. If it is not reversible then the following staging system helps in determining the available treatments.

I-1 This stage is the earliest stage of hair loss in women. It is defined by thinning along the hairline. Medication and PRP treatment is usually the best solution. A small amount of hair transplantation can be performed but is not the first treatment option.

I-2 The thinning along the hairline is slightly worse than previous stage. Treatment continues to center around medication and PRP injections. Hair transplantation can be utilized but is not usually necessary.

I-3 The thinning along the top of the scalp is now more noticeable with a wider hair part centrally. Medications and PRP treatment can slow down or stop further loss while proper diagnosis of the cause is necessary. Hair transplantation can be used to fill in the defect.

I-4 At this stage the hair loss leads to beginning of an un-natural appearance of the hair part and the top of the scalp. The defect can still be camouflagedand treated with medication and PRP treatment but hair transplantation is the best option for covering the defect.

II-1 There is increased central balding of the hair line with thinning of the surrounding area. While medication and PRP treatment can prevent further loss, hair transplantation is the best option at this stage.

II-2 Central balding continues to worsen. There is significant amount of scalp that can be seen through the hair. Hair transplantation is the best option going.

III Significant balding or thinning is noted. There may even be a large bald spot on the top of the head. Hair transplantation is usually the only option.

Advanced This stage is the progression of stage III with increased bald spot. Depending on the amount of hair loss, transplantation can be a great option. However, if the bald spot is significantly large then treatment may center around the use of hair pieces.

Frontal This is marked by frontal and temporal hair recession with some thinning along the hair line. Hair transplantation can very nicely re-create a natural feminine hairline.

Book a consultation now with Dr. Hootan Zandifar to learn how hair transplantation can restore your hair and reduce future hairloss.


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