Hair Transplant Procedure
Hair transplantation is a procedure in which hair from the back side of the scalp are taken up and transplanted in the bald area.Hair transplantation is carried on to treat both the male & female baldness of scalp, however the number of males undergoing this procedure outnumber the females. In certain cases, hair transplantation is undertaken to improve the hair line in eyebrows and eyelashes, beard and moustache as well. There are many ways to transplant hair out of which FUE technique is the one which is the most patient friendly. Male baldness is a common problem starting around the third decade of life.Baldness occurs due to permanent loss of hair roots. No amount of oil , massage or medicines can put life back into the dead roots. Hair Transplant (HT) offers a scientific solution by implanting new hair roots. It is well known that hair on the back (occipital) region of the head almost never fall off (due to a genetic tendency to remain permanent). HT is based on the concept that if hair roots taken from the back region are transplanted to the area of baldness, they will, after a short period of effluvium, continue to grow hair in the new site for as long as they would have in their original site. Follicular micro or mini grafts are used to provide the desired density of hair. Since the new transplanted hair is from one’s own body, it will grow naturally with time & one can shampoo, trim or even shave it.
HAIR TRANSPLANT STEP BY STEP – FOLLICULAR UNIT TRANSPLANT(FUT)Method-
This is one of the most successful technique with maximum grafts implanted and 2-3%damage.
PLANING OF HAIR LINE :
Details discussion is done with patient and his attendants regarding preference of bald area to be covered and type and location of hair line.
TRIMING OF DONOR AREA :
The hair in donor area is trimmed. Trimming of hair is confined to donor strip area only.
LOCAL ANAESTHESIA :
Preanaesthetic evaluation is done prior to planned operation or procedure, the anaesthetist reviews the medical record and/or interviews the patient to determine the best combination of drugs and dosages and the degree to which monitoring will be required to ensure a safe and effective procedure. Key factors of this evaluation are the patient’s age, body mass index, medical and surgical history, current medications, and fasting time. Local anesthetic agent is given using fine needle.
The scalp is shampooed and then treated with an antibacterial agent prior to the donor scalp being harvested. There is always danger in moving Hair roots from one location to another. Roots stuff is sacrificed, and depending on the previous state of the Hair, this can be a severe stress. The most common mistake when planting a Hair is incision made, which is both too deep or too narrow. Too deep and the roots don’t have access to sufficient oxygen to ensure proper growth. Too narrow and the root structure can’t expand sufficiently to nourish and properly anchor the Hair. As a general rule, Hairs should be transplanted no deeper than the scalp in which they were originally grown. This will provide the Hair with enough worked scalp for its root structure to establish itself. The latest method of closure is called ‘Trichophytic closure’ which zeroes down scars at the donor area.
In case FUE these results may vary and big area of scalp tissue to be harvested and can give very natural results with little or no scarring.
A strip of scalp is removed under local anesthesia, the wound is then sutured back together and this piece of scalp tissue is then cut in to small pieces of tissue called grafts which are then transplanted back in to the thinning area of the patient’s head. This method will leave a linear scar in the donor area, which should be covered by a patient’s hair (if long). The recovery period is around 2 weeks and will require the stitches to be removed by medical personnel
Slivering is making of single follicle thick, out of big skin strip, This is done
under Stereo microscope.
FOLLICLE DISSECTION :
Individual follicle are dissected from sliver under stereo microscope
Proper dressing is done in order to soak small leaks of blood and tissue fluids if any .Hair falls off after 15 days as the roots of hairs are shocked and new hair comes later on. Not much of care is to be taken accept you are not allowed to do heavy exercises or work for few days. Avoid alcohol .You will be informed at center if anything extra is to be followed.
Natural hair Results-
The results attained by hair transplantation are natural. Live natural Hairs taken from same scalp head are transplanted into bald area. Well that wasn’t so difficult, was it? Now all you have to do is remember that it can take a year or more for newly planted hairs to adjust to their new environment.
Sometimes hair transplant surgery is combined with other procedures
. Meeting with specialists and knowing your hair type and level of baldness will be critical in understanding what a hair transplant procedure will include for you. For example, if you do not have enough hair, you cannot have a normal hair transplant surgery. Instead, there are other surgeries used in conjunction with a hair transplant to achieve similar results.
Follicular Unit Extraction
- Hair grafts are received via mill metric punch needles. Not any visible signs remain. This is important for patients who prefer to have shortly cut hair.
- No Sense of strain is experienced
- Depending on the width of the bald region, hair follicles from other sites of the body may also be transplanted (Body Hair Transplantation)
- No sutures are stitched
- Limits on performing intense exercises are minimized
- We may implant up to 2000 hair grafts in one session depending on the patient’s needs
- The sense of insensitivity is rare
- More appropriate for lower grade for baldness in which lesser number of graft required (less than 2000)
- More appropriate when donor site is large
- second sitting is always problematic, so not appropriate if more than 1 sitting is required