Pubic Hair Transplantation

  • Young-Ran LeeEmail author


Pubic atrichosis or hypotrichosis is a common condition in females of Asian origin. In spite of normal reproductive function and sexual abilities, women with pubic atrichosis or hypotrichosis may experience feelings of low self-esteem, social embarrassment, and psychological stress. An increasing number of patients with this condition choose to undergo hair restoration surgery, which is considered the only definitive therapeutic treatment at present. In this chapter, the author reviews the practice of hair transplantation in the pubic area using hair implanters.

It is essential to understand the patterns of natural pubic hair and its normal physiologic features in order to design natural and realistic appearing transplanted hair. In addition, to design an abundant look, it is desirable to transplant one- and two-hair follicular unit grafts rather than simply single-hair grafts. Finally, through the application of non-shaven extraction, follicular unit extraction (FUE) may become one of the useful donor harvesting methods for pubic hair transplantation.


Pubic atrichosis Pubic hypotrichosis Pubic hair transplantation 


  1. 1.
    Jeon JY, Jeon IG. The distribution of the patterns of pubic hair and axillary hair. J Korean Dermatol. 1982;20:231–7.Google Scholar
  2. 2.
    Hong CK, Choi HG. Hair restoration surgery in patients with hypotrichosis of the pubis. The reason and ideas for design. Dermatol Surg. 1999;25:475–9.CrossRefGoogle Scholar
  3. 3.
    Choi YC, Kim JC. Transplanting areas that need special consideration. In: Unger WP, Shapiro R, editors. Hair transplantation. 4th ed. New York: Marcel Dekker; 2004. p. 579–84.Google Scholar
  4. 4.
    Lee YR, Lee SJ, Kim JC, et al. Hair restoration surgery in patient with pubic atrichosis or hypotrichosis: review of technique and clinical consideration of 507 cases. Dermatol Surg. 2006;32:1327–35.PubMedGoogle Scholar
  5. 5.
    Lee YR. Hair transplanting in the pubic area. In: Unger WP, Shapiro R, Unger R, editors. Hair transplantation. 5th ed. London: Informa Healthcare; 2011. p. 450–2.Google Scholar
  6. 6.
    Tanner JM. Growth at adolescence. 2nd ed. Oxford: Blackwell; 1962. p. 71.Google Scholar
  7. 7.
    Choi YC, Kim JC. Single hair transplantation using the Choi hair transplanter. J Dermatol Surg Oncol. 1992;18:945.CrossRefGoogle Scholar
  8. 8.
    Dupertuis CW, Atkinson WB, Elftman H. Sex differences in pubic hair distribution. Hum Biol. 1945;17:137.Google Scholar
  9. 9.
    Ignacio PLA, Vicente P, Esteban GP. The normal trichogram of pubic hairs. Br J Dermatol. 1979;101:441–4.CrossRefGoogle Scholar
  10. 10.
    Hong WK, Kim TM, Yang WS. Distribution and density of pubic hair of the Korean adult female. J Korean Soc Aesth Plast Surg. 2002;8:61–8.Google Scholar
  11. 11.
    Parsley WM. Management of the postoperative period. In: Unger WP, Shapiro R, editors. Hair transplantation. 4th ed. New York: Marcel Dekker; 2004. p. 553–68.Google Scholar
  12. 12.
    Cooley JE. Complications of hair transplantation. In: Unger WP, Shapiro R, editors. Hair transplantation. 4th ed. New York: Marcel Dekker; 2004. p. 568–77.Google Scholar
  13. 13.
    Ebling FJG. The hormone control of hair growth. In: Orfanos CE, Happle R, editors. Hair and hair disease. Berlin: Springer; 1990. p. 267–99.CrossRefGoogle Scholar
  14. 14.
    Marshall WA, Tanner JM. Variations in pattern of pubertal change in girls. Arch Dis Child. 1969;44:291–303.CrossRefGoogle Scholar
  15. 15.
    Winter JSD, Faiman C. Pituitary-gonadal relations in female children and adolescents. Paediatr Res. 1973;7:948–53.CrossRefGoogle Scholar
  16. 16.
    Leshin M, Wilson JD. Mechanisms of androgen-mediatedhair growth. In: Orfanos CE, Montagna W, Stuttgen G, editors. Hair research. Berlin/New York: Springer; 1981. p. 205–9.CrossRefGoogle Scholar
  17. 17.
    Randall VA. Androgen: the main regulator of human hair growth. In: Camacho FM, Randall VA, Price VH, editors. Hair and its disorders. UK: Martin Dunitz; 2000. p. 69–82.CrossRefGoogle Scholar
  18. 18.
    Randall VA. Androgens and human hair growth. Clin Endocrinol (Oxf). 1994;40:439–59.CrossRefGoogle Scholar
  19. 19.
    Hwang SJ, Kim JC, Ryu HS, et al. Does the recipient site influence the hair growth characteristics in hair transplantation? Dermatol Surg. 2002;28:795–9.PubMedGoogle Scholar
  20. 20.
    Beener ML. Studies of hair survival in grafts of different sizes. In: Unger WP, Shapiro R, editors. Hair transplantation. 4th ed. New York: Marcel Dekker; 2004. p. 261–79.Google Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Anamo Hair Transplant ClinicSeoulKorea

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