AZ Hair Restoration is highlighting individualized evaluation of menopause-related hair thinning following World Menopause Day on October 18, 2026. The Raleigh, North Carolina, practice assesses female diffuse thinning separately from the localized temple and crown recession commonly seen in men, with diagnostic evaluation and donor assessment guiding whether surgery is appropriate.
The practice is led by Dr. Arthur Zacco, who personally conducts the critical stages of each procedure, including donor harvesting, graft design and recipient site incisions. Treatment plans at AZ Hair Restoration are built around each patient’s hair loss pattern, scalp anatomy and anticipated progression, with the goal of conserving a patient’s finite donor supply for any future density work.
Male pattern hair loss typically follows a Norwood-scale progression, with recession concentrated at the temples and vertex while the donor area at the back and sides of the scalp remains comparatively stable. Surgical planning for hair transplant for men procedures is built around this localized pattern, with hairline design calibrated to a patient’s age and facial structure.
Female pattern thinning often appears across the mid-scalp with a preserved frontal hairline. Hormonal changes during menopause can contribute, while genetics, nutrition, stress, scalp conditions and medications may also play a role. Individual assessment considers these possible causes, scalp health and healthy donor supply before determining whether a female hair transplant is appropriate; not every woman with diffuse thinning is a surgical candidate.
Available surgical techniques include Follicular Unit Extraction (FUE), which removes individual follicular units, and Follicular Unit Transplantation (FUT), which uses a strip of donor scalp from which grafts are prepared. FUT can avoid shaving large areas of existing hair during donor collection. Multiple Follicular Unit (MFU) grafting places more than one follicular unit within a graft. Technique selection depends on the patient’s pattern of loss and donor characteristics.
Surgical treatment requires a recovery period. Planning addresses postoperative shedding of transplanted hair and the possibility of temporary shedding of surrounding existing hair, often called shock loss. Visible density may take nine to twelve months to develop, and recovery and growth vary between patients. Nonsurgical options are considered as supportive additions to an individualized treatment plan rather than as cures for hair loss.
About AZ Hair Restoration
AZ Hair Restoration is a physician-owned hair restoration practice in Raleigh, North Carolina, led by Dr. Arthur Zacco. The practice offers male and female hair transplantation using FUE, FUT and MFU grafting, as well as nonsurgical supportive options. Its approach emphasizes individualized surgical planning, physician involvement and long-term donor preservation.