Hair Transplantation is a surgical technique that moves hair La Densitaes from a part of the body called the 'donor site' to a bald or balding part of the body known as the 'recipient site'. It is primarily used to treat male pattern baldness. In this minimally invasive procedure, grafts containing hair La Densitaes that are genetically resistant to balding, (like the back of the head) are transplanted to the bald scalp.
Hair Transplantation can also be used to restore eyelashes, eyebrows, beard hair, chest hair, pubic hair and to fill in scars caused by accidents or surgery such as face-lifts and previous hair transplants. Hair Transplantation differs from skin grafting in that grafts contain almost all of the epidermis and dermis surrounding the hair La Densitae and many tiny grafts are transplanted rather than a single strip of skin.
With Follicular Unit Extraction or FUE harvesting, individual follicular units containing 1 to 4 hairs are removed under local anesthesia; this micro removal typically uses tiny punches of between 0.6mm & 1.0mm in diameter. The surgeon then uses very small micro blades or fine needles to puncture the sites for receiving the grafts, placing them in a predetermined density and pattern, and angling the wounds in a consistent fashion to promote a realistic hair pattern. The technicians generally do the final part of the procedure, inserting the individual grafts in place.
FUE takes place in a single long session or multiple small sessions. The FUE procedure is more time consuming than strip surgery. An FUE surgery time varies according to the surgeon's experience, speed in harvesting and patient characteristics. The procedure can take anywhere from a couple hours to extract.
200 grafts for a scar correction to a surgery over two consecutive days for a mega session of 2,500 to 3,000 grafts. With the FUE Hair Transplant procedure, there are restrictions on patient candidacy.
FUE can give very natural results. The advantage over strip harvesting is that FUE harvesting negates the need for large areas of scalp tissue to be harvested, so there is no linear incision on the back of the head and it doesn't leave a linear scar. Because individual La Densitaes are removed, only small, punctate scars remain which are virtually not visible and any post-surgical pain and discomfort is minimized. As no suture removal is required, recovery from Micro-Grafting FUE is less than 7 days.
Platelet-Rich Plasma or PRP, is a substance that’s thought to promote healing when injected. Plasma is a component of your blood that contains special “factors,” or proteins, that help your blood to clot. It also contains proteins that support cell growth. Researchers have produced PRP by isolating plasma from blood and concentrating it.
The idea is that injecting PRP into damaged tissues will stimulate your body to grow new, healthy cells and promote healing. Because the tissue growth factors are more concentrated in the prepared growth injections, researchers think the body’s tissues may heal faster.
Here’s what to expect from a typical PRP painless process:
A healthcare professional will draw a sample of your blood. The amount of the sample depends on where the PRP will be injected. For example, the amount of blood taken for injection into the scalp for one study was 20 milliliters. This is slightly larger than one teaspoon.
The blood is placed in a centrifuge. This is a machine that spins around very quickly, causing the blood components to separate. The separation process takes about 15 minutes.
A technologist takes the separated plasma and prepares it for injection into the affected area.
Hair transplant associated with PRP is more beneficial in terms of improvement in the donor area, improvement of residing hair to prevent future loss & implanted grafts improvement.
In the case of hair transplantation one thinks of only men, however, beautiful results can often be achieved with the help of DHI in Women as well. The major problem arises in women during the procedure is shaving of hair but we give a choice of DHI where Hair transplantation is achieved without shaving.
The hair growth after hair transplant will start as below:
a) After surgery, the transplanted hairs undergo temporary shedding. This phase generally starts from 3 to 4 weeks after the transplant and may continue for up to 4 months.
b) Transplanted hairs start growing from 4th month onwards. Initially, these hair are less dense and thinner in caliber but over a period of time, they achieve the desired density and thickness. Six months onward there will be a visible difference in the appearance and one start getting the desired result.
c) Complete growth of transplanted hairs is generally achieved at around 10 months after the procedure but may take up to 12 months depending on the patient to patient.
Most of the failures reflect a failure of one or more of the following:
Graft drying: exposure to air for more than 10-20 seconds can kill the graft. The smaller the graft, the greater the risks of graft damage or graft kill. This risk occurs at many times in the procedure: (a) immediately after graft removal, the grafts are not immersed in a bath of a physiologic solution, (b) during graft trimming, when the grafts are optimized with regard to the size, (c), during movement of the graft from one place to another, (d) during placing, when the grafts are held in the air for more than 10-20 seconds.
Graft storage: The solutions used contribute to the survival of the graft and the longer it is out of the body, the greater the potential damage. This risk reflects upon the skill of the surgical team and the experience of each technician.
Graft handling: Managing the movement of the grafts from the physiologic bath solution to the recipient area takes time. Some doctor’s assistants who place the grafts will pile them up on the finger or hand, leaving them exposed to air for more than 20 seconds.
Graft placement: This requires a special skill that often takes more than a year to acquire. Often it reflects a talent. The grafts must be delicately handled because crush injuries are a potential problem.
Graft depth: There is such a thing as a graft that is placed too deep or too superficial. Too deep can kill the graft as it turns the graft into a foreign body. It can also produce pimples or folliculitis sometimes weeks after surgery.
Grafts destroyed or never done as claimed: For long cases, I am under the impression that some doctors and/or some of their technicians actually toss the grafts in the garbage because: (a) they were too tired, (b) the placing was too difficult, (c) they never harvested or placed the number of grafts that they actually charged for. All of these things probably happen far more often than anyone cares to admit, but because it is a financial issue, the doctor and/ or the team gets greedy. That means that from some surgeons’ points of view the surgery is about money, not grafts… and certainly not results.
“We avoid all such errors to assure successful transplantation.”
Facial hair transplant is a procedure which restores hair to areas where facial hair growth is thin or missing. While this procedure is most commonly performed on the goatee and mustache areas, it can also be performed on beards, sideburns, facial scars , scalp scars and cheeks
Loss of facial hair may occur for a number of reasons. It can be the result of genetics, laser hair removal, electrolysis, surgery, burns or injury. Goals for this procedure can vary from a minor filling in or thin coverage of a limited area, to the full restoration of a thick, full beard. The procedure can be performed on areas where there is no hair or on areas where hair growth is thin and more fullness is desired.
Once transplanted, the hairs are permanent and typically grow just like facial hair with similar texture and other characteristics. Furthermore, the transplanted hair can be shaved just as you would other facial hair.
The donor hairs come from the scalp, which typically grow like normal facial hair in their texture and other characteristics, and can be shaved like other facial hair. Sometimes the closest match is with hairs from the side of the scalp, other times with hair from the back of the scalp. Once transplanted, the hairs are permanent.