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Dr. Christopher Tzermias

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Trichoscopy in Hair Transplantation: Why it’s important.

If hair transplantation is deemed as the most appropriate treatment, trichoscopy can contribute significantly to session planning, ensuring a natural and uniform final result.

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During the first phase, trichoscopy is used to record the number of existing follicular units, the number of hair per follicular unit, the size of hair follicles, as well as the inter-follicular distance. The recording is very precise as image processing is performed with a specialised, scientific software, which automates all measurements.


The second phase involves the organisation of the individualised transplantation treatment design and trichoscopy through electronic means, which contributes significantly by offering the following:

  • detailed recording of the scalp’s characteristics of the donor and recipient areas
  • recording of the head’s curvature
  • precise estimation of the surface size of donor area to be used
  • definition of optimal distribution of the follicular units to be transplanted to the recipient area
  • calculation of the number of follicular units for the transplantation
  • planning of the ideal hair follicle distribution for the recipient area to achieve the best aesthetic result

At the third phase, when hair transplantation has been completed, trichoscopy contributes significantly to the quantification of the treatment outcome. The electronic processing of the findings offers the possibility of detailed examination and detection of changes in the treated sites, which are presented by statistical measurements and comparative “before and after” images. It is also possible to re-measure the number and density of hair and follicular units in the recipient area, allowing the monitoring of the possible progression of hair loss.


All changes are digitally recorded in the patient’s medical file, while comparative images and analyses can also be printed for archiving.


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