Who Should Consider hair Transplant?
Androgenetic Alopecia (Male pattern Baldness)
Over 95% of men with hair loss are suffering from Androgenetic Alopecia (AGA). Typically some donor hair will be left at the back of the head, making it possible to consider hair transplant. Hair Transplant is the best option to fill-in the front hairline; and to thicken the front half of the scalp.
The scarring can be from injuries or after surgery.
Who are Good Candidate?
Anyone who has experienced permanent hair loss may be a candidate. Patients with light-colored hair and pale skin (as opposed to dark hair and light skin) and those with curly hair may appear to have a denser look, requiring fewer sessions. Expectation must be realistic. While hair transplants look very natural, the end result may not achieve the density or total coverage of that of a teenager. Results can also vary from patient to patient. The patients have to accept that a second procedure may be needed in the future to catch up with progressive loss of existing hairs, and to achieve the desired density.
Surgical Plan for Class II to IV
Norwood Class II
Thinning in area 1 - Relatively easy job and welcomed by many small hair transplant centers as only a few hundreds grafts are needed. We do not recommend for those younger than 25. Further hair loss in area 2 will make the transplanted hair in area 1 stand out like horns, very difficult to repair.
Can only be considered if:
• No family history of severe hair loss
• Willing to take medicine to slow down AGA
• Great psychological distress from hair loss
• Prepared to have further transplant to add on density
• Celebrities who must maintain a young look and accept the consequences
Norwood Class III
Losing hair in area 1 and 2 - good candidates for hair transplant and with good result. First priority is just to fill in area 2, reserving some donor hair for future. Area 1 can easily be covered with the newly transplanted hair. (Pictures Below)
Norwood Class IV
Losing hair in area 1, 2, and 3 - this is the best candidate for hair transplant and with the most obvious improvement. A higher density will be put into area 3 (the forelock) while lower density of 1-hair graft into area 2. The hair in forelock can be combed forward or backward, allows more flexibility in styling. (Pictures Below)
Norwood Class V
Losing hair in area 1, 2, 3, and 4 - treatment is similar to Class VI except area 4 is the last priority. This area is only visible on nodding or bending, requiring a lower density, or not at all if not enough donor hair. Further session is optional. (Pictures Below)
Norwood Class VI
Losing hair in area 1 to 5 / 5v - usually not enough donor hair to cover the entire area. There are 2 options:
• To fill in area 2, 3, 4 to look good in the front. This is suitable for tall people.
• To fill in area 3, 4, 5, 5v to look good in the top. This is suitable for short people.
• The remaining areas can be left alone or filled in later. (Pictures Below)
Norwood Class VII
Losing hair in area 1 to 6 - impossible to fill in all areas. You can still look good by adding some hair into the forelock Area 3. (Pictures Below)
This group loses hair in the crown (area 5v, 5, 4) and retains the hairline (area 2, 3). Hair can be transplanted into area 4 and 5 to achieve good coverage.(Pictures Below)
Negative Impact of Hair Loss in Men
Hong Kong SAR Department of Health described hair loss as Men's Most Painful. The Public Opinion Programme (POP) has conducted 3 studies in Hong Kong regarding the psychological and social impacts of Men Hair Loss.
Study 1 : Psychological Effects - Hair Loss in Men
Date of Study : June 1999
4420 men with hair loss were recruited into the study. Their ages were between 25 to 54. Their responses to questioning were as follows :
• 77.4% believed they look older than the actual age when without hair
• 48.6% believed that hair loss made them less attractive to the opposite sex
• 25.2% were consequently emotionally disturbed
• 25.0% lost self-confidence from hair loss
• 13.1% believed that hair loss had affect their employment opportunity
Study 2: Opinions of Single Female - Men with Hair Loss
Date of Study : Feb 2000
545 female were recruited into the study. Their ages were between 18 to 40 and responses to questioning were as follows :
• 91.9% agreed that hair loss can affect the appearance of men
• 84.8% considered men with hair loss look older than their actual ages
• 80.9% considered men appearance an important consideration in their choosing of partners
• 67.6% believed that hair loss will reduce men's attractiveness
• 47.1% claimed that men with hair loss lack confidence
• 37.7% reported that they mind about hair loss when selecting their male partners
Study 3 : Opinions of Employers - Job Applicants with Hair Loss
Date of Study : 2005
In order to understand how hair loss can affect job application, Pfizer (US) in 2005 appointed JobsDB.com and POP to conduct 2 studies in Hong Kong. The results confirmed that hair loss has a negative impact upon job applicants. 113 employer in Hong Kong were recruited in the study. Their response to questioning were as follows :
• 80% of employers agreed that applicants with hair loss look older
• 43% of employers would not employ hair loss applicants for frontline customer service
• 35% of employers expressed a negative opinion on applicants with hair loss
• 26% of employers indicated that they will not appoint applicants with hair loss to represent their companies as manager to attend important business meetings
Study 4 : Opinions of Job Applicants - Hair Loss & Job Interview
Date of Study : 2005
500 Hong Kong residents over the age of 25 were recruited in the study. They all had a job interview within the last 3 years and concerned about their hair loss problem. Their response to questioning were as follows :
• 59% indicated that hair loss reduced their competitiveness;
• 56% believed hair loss adversely affected the first impression of the employers
• 47% believed that hair loss adversely affected their confidence during job interview
• 20% had given up the chance of job interview because of their hair loss
The Public Opinion Programme (POP) was established in June 1991 to collect and study public opinion on topics which could be of interest to academics, journalists, policy-makers, and the general public. Since 2019 the POP was changed to Hong Kong Public Opinion Research Institute and no longer part of Hong Kong University.
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