Trichoscopy for the Hair Transplant Surgeon—Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site Area
Preoperative diagnostic confidence and donor site assessment are important for all hair transplant surgery patients. While the majority of patients seek hair transplantation for male or female pattern hair loss (androgenetic alopecia [AGA]), there are mimickers that must be differentiated from patte...
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| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-10-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739245 |
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| author | Naiem T. Issa Antonella Tosti |
| author_facet | Naiem T. Issa Antonella Tosti |
| author_sort | Naiem T. Issa |
| collection | DOAJ |
| description | Preoperative diagnostic confidence and donor site assessment are important for all hair transplant surgery patients. While the majority of patients seek hair transplantation for male or female pattern hair loss (androgenetic alopecia [AGA]), there are mimickers that must be differentiated from patterned hair loss, as they alter the candidacy of the patient for transplantation. They are termed mimickers as they also can present with patterned hair loss. The use of trichoscopy has become increasingly popular for such use. Patterned hair loss mimickers, which include the underappreciated alopecia areata incognita (AAI) and fibrosing alopecia in patterned distribution (FAPD), can be identified clinically with key trichoscopic findings such as yellow dots and peripilar casts, respectively, that correlate with their histologic diagnosis. Donor hair density and putative hair pathology of the safe donor area can also by assessed via trichoscopy. This article discusses the use of trichoscopy, particularly for diagnosing mimickers of patterned hair loss as well as preoperative donor site assessment. |
| format | Article |
| id | doaj-art-ab976d85eff04658ab6b1f27209ffbea |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2021-10-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-ab976d85eff04658ab6b1f27209ffbea2025-08-20T02:20:12ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2021-10-01540439339810.1055/s-0041-1739245Trichoscopy for the Hair Transplant Surgeon—Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site AreaNaiem T. Issa0Antonella Tosti1Dr. Phillip Frost Department of Dermatology & Cutaneous Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida, United StatesDr. Phillip Frost Department of Dermatology & Cutaneous Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida, United StatesPreoperative diagnostic confidence and donor site assessment are important for all hair transplant surgery patients. While the majority of patients seek hair transplantation for male or female pattern hair loss (androgenetic alopecia [AGA]), there are mimickers that must be differentiated from patterned hair loss, as they alter the candidacy of the patient for transplantation. They are termed mimickers as they also can present with patterned hair loss. The use of trichoscopy has become increasingly popular for such use. Patterned hair loss mimickers, which include the underappreciated alopecia areata incognita (AAI) and fibrosing alopecia in patterned distribution (FAPD), can be identified clinically with key trichoscopic findings such as yellow dots and peripilar casts, respectively, that correlate with their histologic diagnosis. Donor hair density and putative hair pathology of the safe donor area can also by assessed via trichoscopy. This article discusses the use of trichoscopy, particularly for diagnosing mimickers of patterned hair loss as well as preoperative donor site assessment.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739245trichoscopypatterned hair lossandrogenetic alopeciafibrosing alopeciaalopecia areata |
| spellingShingle | Naiem T. Issa Antonella Tosti Trichoscopy for the Hair Transplant Surgeon—Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site Area Indian Journal of Plastic Surgery trichoscopy patterned hair loss androgenetic alopecia fibrosing alopecia alopecia areata |
| title | Trichoscopy for the Hair Transplant Surgeon—Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site Area |
| title_full | Trichoscopy for the Hair Transplant Surgeon—Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site Area |
| title_fullStr | Trichoscopy for the Hair Transplant Surgeon—Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site Area |
| title_full_unstemmed | Trichoscopy for the Hair Transplant Surgeon—Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site Area |
| title_short | Trichoscopy for the Hair Transplant Surgeon—Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site Area |
| title_sort | trichoscopy for the hair transplant surgeon assessing for mimickers of androgenetic alopecia and preoperative evaluation of donor site area |
| topic | trichoscopy patterned hair loss androgenetic alopecia fibrosing alopecia alopecia areata |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739245 |
| work_keys_str_mv | AT naiemtissa trichoscopyforthehairtransplantsurgeonassessingformimickersofandrogeneticalopeciaandpreoperativeevaluationofdonorsitearea AT antonellatosti trichoscopyforthehairtransplantsurgeonassessingformimickersofandrogeneticalopeciaandpreoperativeevaluationofdonorsitearea |