In general, a hybrid approach is preferred for maximum graft potential and when considering the limited donor potential of the average female patient this makes even more sense. Have multiple conservative strip procedures until strip is no longer viable then switch to FUE while remaining below the density degradation threshold.
Female patients are accounting for a larger percentage of the world wide patient base overall as more and more women that are not suffering from hair loss are looking to surgical hair restoration clinics to lower their natural non-balding hairlines. Females naturally have closed and rounded temples but some will have natural temporal recession without suffering from any form of alopecia. This can oftentimes resemble male temporal recession similar to what is found on a NW2 or even a NW3 in extreme cases. Both FUSS and FUE are excellent options for female hair restoration candidates that are seeking such procedures. However, FUSS is usually the better option since females do not typically wear their hair so short that the donor scar from FUSS becomes visible. Female patients can enjoy the lower cost of FUSS while getting the result they seek.
Females that suffer from hair loss have few medical therapies to choose from as finasteride is typically not recommended due to the potential for birth defects. There are no known instances of such birth defects occurring but it is a concern. However, there are instances where finasteride can be indicated for female hair loss patients. There are cases where women suffer from hair loss due to DHT levels that affect men with male patterned hair loss. These women will lose their hair in patterns just like men do with a well defined and healthy donor zone from which to harvest hair for surgical restoration. Both FUE and FUSS are indicated as discussed earlier but these female patients are also candidates for finasteride (under a doctor’s supervision) if they are aware of the potential of side effects. Finasteride can also be indicated for postmenopausal women that are not at risk of becoming pregnant. Finasteride prescriptions for women are fairly rare so it is best to speak to your doctor, or find a doctor experiences with this subject, to learn more.