Trichoscopy for the Hair Transplant Surgeon-Assessing for Mimickers of Androgenetic Alopecia and Preoperative Evaluation of Donor Site Area

Naiem T. Issa, Antonella Tosti

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Article number20120996
Pages (from-to)393-398
Number of pages6
JournalIndian Journal of Plastic Surgery
Volume54
Issue number4
DOIs
StatePublished - Oct 1 2021
Externally publishedYes

Keywords

  • alopecia areata
  • androgenetic alopecia
  • fibrosing alopecia
  • patterned hair loss
  • trichoscopy

ASJC Scopus subject areas

  • Surgery

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