By Basto, Fernando MD,
ESHRS® Journal. Volume 8 - Number 1. Winter 2008. Page 12 – 13.
Female baldness creates disorders in medical, aesthetic and mainly in psychological aspects. Female baldness is more serious when compared with male one. Women look older than they really are, so they are considered attractive physically and socially, and this interferes negatively in their personal and professional lives.
Lately, because of the aesthetic demands and more information about baldness surgery the number of female patients has increased to solve the baldness problems. Because of this trend we have noticed a larger variety in cases of female baldness that are not included in the current classifications. The proposal of this paper is to present a simple and complete classification, making possible to diagnosis all types of female baldness.
According to scientific reports, 4 types of classification are found:
THE CLASSIC LUDWIG CLASSIFICATION
It is the most used and best known; it is simple and divided in 3 degrees only.
UP TO DATE LUDWIG CLASSIFICATION
This is an evolution because it presents different degrees, but it still does not include all types of female baldness found in daily experience.
This classifies in 9 degrees; it is very complex and also it does not include all types of female baldness.
Simple and practical classification in 3 degrees.
We propose a new wide and more didactic classification including all cases of female baldness found in our daily experience. It is divided into 9 degrees, it varies from a simple hair thinning to a female front-parietal-occipital baldness, as illustrated in the pictures below.
The proposal of this study is to present a simple and didactic classification, which will facilitate clinical diagnosis and prioritize a better and more objective denomination before surgery for all types of female baldness in our daily experience.
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