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The treatment of baldness in cosmetic surgery

The treatment of male and female baldness is a specialized area of facial plastic surgery that includes several types of procedures: hair transplantation, forehead reduction, scalp mesotherapy, female baldness treatment and beard transplantation.

Androgenic alopecia is the medical term for “young male pattern baldness”.  This diffuse baldness is often attributed to a genetic predisposition to hereditary baldness:

  • Early baldness (from 18 years of age).
  • Extensive and excessive alopecia.
  • The evolution can be a complete baldness.

Female pattern baldness: we now know that there is androgenetic hair loss in women that begins around the age of 40 and affects the top of the head. This female baldness requires special care because of the particular hair cycle in women.

This information sheet was written by Dr. Ralph ABBOU and Dr. PESSIS who are two cosmetic surgeons in Paris who regularly perform baldness treatments for men and women using surgical and non-surgical techniques.

Before and after pictures of baldness treatment in Paris and beard transplant

Cosmetic hair surgery procedures

chirurgie des cheveux paris

Hair transplants

Hair transplants are the reference treatment for hair loss. Results are stable after 6 to 12 months

Mesotherapie des cheveux

Hair mesotherapy for the scalp

Mesotherapy of the scalp consists of superficial injections under the skin of the scalp to stimulate hair growth and slow down hair loss.

Reduction du front paris

Reduction of the front and lowering of the front line

Forehead reduction or lowering of the hairline consists of reducing the height of the forehead by removing a strip of skin from the forehead and lowering the hairline.

Beard transplant

The beard transplant allows to increase the density of the beard and the moustache in men

Calvitie femme

Treatment of female baldness

Hair loss is very common in women and requires specific techniques: mesotherapy and hair transplantation.

Tonsure reduction

Tonsure reduction consists in removing a part of the bald area by playing on the elasticity of the scalp.

The treatment of baldness in cosmetic surgery includes all hair techniques of cosmetic surgery that aim to restore the density of the scalp and / or stop excessive hair loss male and female:

  • FUE and FUT hair transplants
  • Scalp flaps
  • Tonsure reduction
  • Mesotherapy of the scalp
  • Forehead reduction or lowering of the hairline
Surgical procedurePrice
Forehead reductionFrom 5500 €
Scalp flapFrom 4 000 €
FUE hair transplantFrom 4 000 €
Surgical procedurePrice
Beard transplantFrom 4 000 €
Mesotherapy of the scalpFrom 350 € / session

Before treatment

  • 2 Cosmetic surgery medical consultations to analyze your hair loss, understand your needs, and define a medical and surgical strategy adapted to your case: Stage of baldness, hair in anagen or telogen phase, condition of hair follicles, lifestyle, possible causes of baldness.
  • Anesthesia consultation if general anesthesia
  • Stop smoking
  • Stopping anti-coagulant and anti-inflammatory treatments

Course of treatment

Depending on the stage of your baldness and your request, I will propose a surgical strategy based on the following techniques

  • Greffes de cheveux FUE ou FUT ( bandelette ) pour combler les zones glabres du crâne.
  • Mésothérapie du cuir chevelu pour augmenter la densité et l’épaisseur des cheveux

 Les suites après traitement de la calvitie

Les suites de la greffe de cheveux ne sont pas douloureuses.

La reprise de vos activités est possible une semaine environ après l’intervention en cas de greffe de cheveux

La croissance des cheveux est un processus lent, même chez une personne qui n’a pas de perte de cheveux. Après la procédure, les premiers signes de croissance des cheveux implantés peuvent prendre de trois à quatre mois. Un an après l’opération environ vous pourrez constater le résultat définitif

Les follicules pileux transplantés sont génétiquement très résistants, ils continueront donc de pousser au cours de votre vie.

Il est possible de réaliser plusieurs séances de greffes de cheveux avec des temps de repos  de 3 mois entre chaque séance.

La mésothérapie du cuir chevelu permet un retour immédiat à vos activités, il n ya pas de convalescence.

The treatment of baldness in cosmetic surgery includes all hair techniques of cosmetic surgery that aim to restore the density of the scalp and / or stop excessive hair loss male and female:

  • FUE and FUT hair transplants
  • Scalp flaps
  • Tonsure reduction
  • Mesotherapy of the scalp
  • Forehead reduction or lowering of the hairline
Surgical procedurePrice
Forehead reductionFrom 5500 €
Scalp flapFrom 4 000 €
FUE hair transplantFrom 4 000 €
Surgical procedurePrice
Beard transplantFrom 4 000 €
Mesotherapy of the scalpFrom 350 € / session

Before treatment

  • 2 Consultations médicales de chirurgie esthétique afin d’analyser votre perte de cheveux, comprendre vos besoins, et définir une stratégie médicale et chirurgicale adaptée à votre cas : Stade de la calvitie, cheveux en phase anagène ou telogene, etat des follicules pileux, mode de vie, causes possibles de la calvitie.
  • Consultation d’anesthésie si anesthésie générale
  • Arrêt du tabac
  • Arrêt des traitements anti coagulants et anti inflammatoires

Déroulement du traitement

En fonction du stade de vote calvitie et de votre demande, je vous proposerai une stratégie chirurgicale basée sur les techniques suivantes :

  • FUE or FUT (strip) hair transplants to fill in the bald areas of the head.
  • Mesotherapy of the scalp to increase the density and thickness of hair

 The aftermath of baldness treatment

The aftermath of the hair transplant is not painful.

You can resume your activities about a week after the hair transplant procedure.

Hair growth is a slow process, even in a person who has no hair loss. After the procedure, the first signs of growth of the implanted hair may take three to four months. About a year after the operation you will see the final result

The transplanted hair follicles are genetically very resistant, so they will continue to grow throughout your life.

It is possible to perform several hair transplant sessions with a rest period of 3 months between each session.

Mesotherapy of the scalp allows an immediate return to your activities, there is no convalescence.


What are the medical treatments for baldness?

These treatments are effective at an early stage. In more severe cases, surgical treatment of hair loss is often the solution.

  • Propecia: This treatment comes in tablet form and is part of a class of drugs called 5-alpha-reductase inhibitors. Le propecia permet de bloquer la perte des cheveux.
  • Minoxidil: is a topical treatment in the form of a lotion that is applied directly to areas of hair loss. Minoxidil stimulates keratinocyte growth and hair growth in patients with alopecia androgénétique.
  • Medical LED: LLLT (low level laser therapy) consists of medical light therapy sessions performed in the doctor’s office to stimulate hair growth and reduce follicle inflammation.

What medical treatment is effective for hair regrowth?

There is no miracle cure for hair loss. There are only 2 molecules tested and proven today in the treatment of alopecia, Minoxidil and Finasteride. These molecules are effective at an early stage but when baldness is important, surgical treatment is the reference solution.

How to fight against the beginning of baldness?

The gold standard of treatment for early baldness is scalp mesotherapy, which can slow down hair loss and stimulate hair growth.

Most male and female baldness can only be prevented through medical or surgical treatment, but there are ways to be gentler with your scalp that will help preserve your existing hair. “Baldness is a genetic condition, but it can be exacerbated by excessive stress, poor circulation, poor diet, pregnancy, drug use, illness, thyroid problems… Some of these are preventable and some are not, so following a healthy lifestyle and managing stress can only help your hair. Here are some other key ways to reduce hair loss:

  • Avoid adding stress or trauma to your scalp or follicles with hairstyles such as braids or ponytails or by pulling your hair directly
  • Be gentle when washing, brushing and styling your hair.
  • Use a wide-toothed comb that won’t pull too hard.
  • Avoid overheating your hair or scalp with styling tools and products.
  • If you can, avoid medications and supplements known to cause hair loss.
  • Don’t wear tight hats or headbands.
  • Quit smoking. Studies show a correlation between smoking and hair loss 

How does baldness start?

Baldness is mainly a male phenomenon. Hair loss appears on average between the ages of 20 and 35, but can begin later. The warning signs are abundant hair loss, with a progressive clearing of the forehead, the top of the temples or the top of the skull.

What is PRP (platelet-rich plasma) used for?

PRP (platelet-rich plasma) for hair loss involves taking a small amount of your own blood, processing it in a centrifuge to isolate the platelets and injecting it into your scalp. The growth factors in the platelets are thought to increase blood flow to the hair follicles and lengthen the anagen (active) phase of hair growth. Research has shown that PRP is effective in treating both age-related hair loss and alopecia areata. Most patients require three to four treatments, one month apart, to see a benefit. We recommend follow-up sessions once or twice a year to maintain your results.

What is Neograft?

NeoGraft is an automated device approved for FUE hair transplant surgery. This portable device harvests individual hair follicles for implantation in bald areas. With NeoGraft, an FUE transplant can take four to six hours – possibly longer, divided into two sessions on different days if you have very severe baldness. You can expect to need two to three days of recovery time before returning to work.

What is the purpose of the Artas robot for hair transplantation?

The ARTAS system is a robotic version of the FUE hair transplant technique. The system selects groups of follicles with the largest number of hairs and harvests them in a way that preserves the appearance of the donor site. The follicles are then meticulously placed, robotically or manually, in thin or bald areas. “The advantage of the ARTAS system is that it is less stressful for the surgeon than manual follicular unit extraction techniques” The robot produces “more consistent results compared to individual surgeons using manual techniques with varying levels of skill.” However, ARTAS needs the supervision of an experienced hair surgeon in order to create good results. With any FUE procedure, new hair begins to grow back in about three months, and results continue to improve over the first year.

Can baldness be treated?

There is no miracle treatment for baldness. In cosmetic surgery, the symptoms can be treated by grafting hair on bald areas. The results of baldness treatments last for several years. 

How to stop the onset of baldness?

Mesotherapy of the scalp or capillary mesotherapy can slow down or stop hair loss.

How do you know if you have a bald spot?

We speak of baldness when hair loss is visible. Baldness generally begins in the area of the gulfs (forehead) and in the area of the tonsure.


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