Soho, LondonLondon's Trusted Men's Hair & Aesthetic Clinic
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HAIR RESTORATION · LONDON

Female Hair Transplant

Female hair loss usually has a treatable cause. We investigate before we operate, because treating the cause often works better than surgery.

Causes investigated firstNo-shave usually possibleBlood tests where indicatedResult 12–18 months

Last clinically reviewed: August 2026

Female hair loss follows a different pattern from male loss, and requires investigation before it requires surgery.

Women typically experience diffuse thinning across the top of the scalp with the frontal hairline preserved, rather than the receding pattern seen in men. Crucially, female hair loss is far more likely to have an underlying medical cause that can be treated directly.

Investigation comes first

Before any surgical discussion, we look for reversible causes. Treating the cause often produces better results than surgery would, and it costs nothing in donor grafts.

  • Iron deficiency and low ferritin, a very common contributor
  • Thyroid dysfunction, both under and over active
  • Postpartum telogen effluvium, which usually resolves on its own
  • Polycystic ovary syndrome and other hormonal factors
  • Nutritional deficiency, rapid weight loss or significant stress
  • Traction alopecia from tight styling, braids or extensions
Why this mattersA woman with untreated iron deficiency who has a transplant will keep losing native hair around the grafts. Correcting the deficiency first often improves density enough that surgery becomes unnecessary.

Who is a surgical candidate

Roughly one in five women with hair loss is a good surgical candidate. The strongest cases are those with a defined, localised area of loss and a stable, dense donor zone.

  • Traction alopecia with a clearly defined area and the cause removed
  • Hairline lowering or temporal restoration in a naturally high hairline
  • Scarring from surgery, injury or previous cosmetic procedures
  • Stable, patterned loss with a preserved donor area
  • Eyebrow restoration following over-plucking

Diffuse unpatterned loss affecting the donor area as well as the top is generally not suitable, because grafts taken from a thinning donor zone will continue to thin after transplant.

Dr. Ducu Botoaca Clinically reviewed by Dr. Ducu Botoaca Aesthetic & Hair Transplant Surgeon and founder of The Men Clinics, Soho, London. This page is general information and is not a substitute for a personal medical assessment.

Frequently asked questions

Is hair transplant surgery different for women?

The surgical technique is the same, but candidate selection is much stricter. Female loss is frequently diffuse and affects the donor zone as well, which makes grafts unreliable. Investigation of underlying causes always comes first.

Do I have to shave my head?

Not usually. Most female cases are smaller and can be performed with a limited donor trim hidden under longer hair, or with a no-shave DHI approach.

What tests will you run?

Typically full blood count, ferritin, thyroid function and, where the history suggests it, hormonal screening. We will refer to your GP or a dermatologist where a medical cause needs managing.

Can traction alopecia be transplanted?

Yes, and it is one of the most successful female indications, provided the tension causing it has stopped and the loss has been stable for at least a year.

Will PRP help instead?

For diffuse thinning where follicles are miniaturising rather than gone, PRP alongside medical management is often the more appropriate route than surgery.

Ready to talk to a specialist?

Book a free, no-obligation consultation at our Soho clinic. You will get an examination, an honest assessment and a written plan with no deposit requested on the day.

The information on this page is general guidance and is not medical advice. It does not replace a personal consultation with a qualified clinician. Individual results vary. The Men Clinics, Soho, London.

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