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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Main Authors: Naiem T. Issa, Antonella Tosti
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2021-10-01
Series:Indian Journal of Plastic Surgery
Subjects:
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.
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spelling doaj.art-ab976d85eff04658ab6b1f27209ffbea2022-12-21T18:45:26ZengThieme Medical Publishers, Inc.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