At Lewis Plastic Surgery, our friendly attentive staff will welcome you for your hair restoration assessment. You will complete forms before arrival that will tell us of your medical history and any medications you currently take. We will also ask about your family’s history of hair loss. Has your father, grandfather, or brothers also had hair loss, and if so, what were their patterns? Did they lose hair in the front, on the crown, or both? At what age did they start to lose their hair? We will also ask you to bring a photograph that was taken when your hairline was lower.
Dr. Lewis will first consult with you to hear about your hair loss concerns. Then, he will examine your hair and scalp, and he will use the photograph you brought to assess the extent of your hair loss by comparing your current hairline with your previous hairline.
The examination will include the use of the Densitometer to determine the density of your hair and measure the degree of hair loss. The device is much more accurate than the eye in determining the extent of loss, as well as its general direction. With this assessment, Dr. Lewis can predict your hair loss pattern and determine how much hair you have available for transplant.
The Norwood Classes
He will then compare your pattern with the seven grades of hair loss in the Norwood Classes. These classes were developed by Dr. O’Tar Norwood in 1975. The classes are divided into two patterns – (1) hair loss beginning in the crown and at the temples, gradually meeting each other as the balding continues; (2) Type A, which is less common, with hair loss from the front to the back. Most male hair loss falls into the pattern seen with the Norwood scale.
Note that women do not usually follow the Norwood patterns but have an overall thinning of the hair. Unfortunately, women who have generalized thinning often are not great candidates for surgical hair restoration. The donor areas are at risk for further hair loss. Only an assessment with Dr. Lewis will help you determine this. However, some women do follow a pattern consistent with the Norwood classification and can be great candidates for hair transplantation.
As part of your evaluation, Dr. Lewis will make some determinations as to the areas of donor hair and the placement and pattern of the transplanted follicular units.
He will, of course, spend time with you to answer all of your questions and concerns. We want you to feel 100% comfortable with your decision to choose us for hair restoration.