Hair transplantation in women addresses a different problem from the male one. Loss is usually diffuse across the mid-scalp and vertex, with the frontal hairline relatively preserved. The goal is therefore added density where the scalp shows through, not the construction of a new hairline, and the design that suits a woman is softer and more rounded.
The work-up comes first
Medical assessment matters more here than it does in men. Autoimmune disease, anaemia, nutritional deficiency and uncontrolled hormonal conditions must be excluded before surgery is considered, because otherwise shedding continues regardless of what is transplanted. The usual surgical indication is Ludwig grade II to III. The donor area is the limiting factor: many women thin inside the donor zone itself, which reduces what can safely be harvested.
Harvesting choices
Strip harvesting is often preferred because it avoids shaving the donor area, and the profession's global census reflects that: among women, 57.0% of procedures used extraction and 41.7% used strip, against 75.4% and 21.3% among men. Women make up 12.7% of surgical patients but 37.5% of those treated medically without surgery, which is worth holding in mind when surgery is offered quickly.
What results look like
In a series of 195 women, mean age 49.1, with a mean of 2,930 hairs transplanted, 88.2% reported at least 75% satisfaction and 41.0% reported over 90%. That is a single-centre, non-randomised, surgeon-assessed series and carries the optimism bias such series carry; read it as a direction of travel, not as trial-grade efficacy. No published figure exists for what share of women are suitable candidates, so treat any clinic quoting one with caution.