Hair Transplantation

Hair transplant:Angels cosmetic clinic is specialized in the most advanced and most natural FUE hair transplant procedure available with the microsurgical Follicular Unit Extraction (FUE) technique to take away hair follicles to be used for hair reconstruction. FUE (Follicular Unit Extraction) is a suture less procedure of hair reformation in which hair root (follicles) are removed from the back of cranium under local anesthesia with the help of exclusive micro punches and set in the hairless area. In this technique, no knife, blade is required which is used for wounding skin in the ‘strip’ surgical procedure.The complete process is done by the surgeons not by technicians.This technique is repeated until the hair transplant medical surgeon has harvested ample follicular units for the designed hair transplantation. This procedure takes more than one hour and, in large session, may be over two consecutive days. The donor injuries are nearly 1-mm in size completely healed in the course of seven days.

Since hair visibly grow in follicles that contain combination of 1 to 4 hairs, At present mainly better transplant procedures these naturally taking place 1–4 hair follicular units in their regular groupings. New hair restoration can make a regular facade by mimic nature hair for hair. This hair transplant technique is called Follicular Unit Transplantation (FUT).

While a surgical process to get the lost hair back can do wonders to the looks of a person. However, hair growth after hair transplantation is not a completely natural process and patients need to understand the precautions to be taken after taking this treatment and the percentage of success before they take a decision to undergo hair transplantation.

Hair transplantation procedure involves movement of hair, individually, from a donor part of the body to the areas having the lack of hair. It can be very effective in the management of male type baldness. In this, grafts having hair follicles re transplanted on bald regions of scalp. The grafts selected for the procedure should be genetically resistant to hair fall.

The procedure can also be used for restoration of eyebrows. Eyelashes. Beard hair, public hair and chest hair. The procedure can be helpful for hiding the scars caused by surgical procedures or accidents by transplanting hair over the areas. Hair transplantation is different for skin grafting in the sense that grafts used in hair transplantation contain all layers of skin like dermis, epidermis and also hair follicles. The results of the procedure are better if many grafts are used for transplantation rather than using a single big sized graft. Natural growth of hair occurs in follicles containing a cluster of 1-4 hair strands. Most of the advanced techniques used nowadays for hair transplantation use these follicles, called follicular units. This way, the procedure can be helpful in giving natural appearance to the hairs that are transplanted. This procedure is known as Follicular Unit Transplantation. There are 2 different mechanisms for harvesting donor hair for hair transplantation that are described below:

Strip Harvesting:

A strip of scalp is divided under local anesthesia, the cut is then sutured back equally and this piece of scalp tissue is then cut into in to minute parts of tissue called grafts which are then restored back in to the tapering area of the patient’s head. This procedure will leave a scar in the donor region, which is covered by the patient hair. The development period is approximately 14 days

It is the commonest technique used for removing hair follicles from donor site. The commonest sites used for it are sides and back of scalp. A scalpel having single, double or triple blades can be used for the purpose. Each incision made by the blades should be planned well so as to avoid cutting of the shaft from the hair. The procedure uses a small strip of scalp that is removed and cut into smaller pieces of grafts. These grafts are then transplanted on the areas of scalp having loss or thinning of hair. A linear scar may be left over the donor area  after the procedure. The procedure needs a recovery period of 2 weeks.

Both the above -mentioned procedures are performed under local anesthesia.Proper and complete extraction of hair follicles is essential for getting optimum results regardless of the procedure used for harvesting. Care should be taken to avoid a transection of hair follicles during their removal.

Follicular Unit Extraction

Follicles of hair are divided under local anaesthesia; this micro removal is done using ADHI technique. It is done using micro punches of between 0.5mm and 1.02 mm attached to a semi automatic hand held machine to harvest the follicular units. Each follicular unit is then repositioned back in to the scalp in the required area using titanium implanters.

Before and after surgery:-

Anyone with hair loss can opt for a hair transplantation procedure. The doctor will perform a patient evaluation, including appraisal of family history to evaluate whether hair loss is hereditary. If your hair loss is due to stress or medication, you may need to see a dermatologist at our centre.

If you are acknowledged as a hair transplant enduring, you have to clean the hair in the morning of the procedure. You can use normal shampoo, but should not apply the gel or spray to your hair style. Avoid dying your hair at least one week prior to the procedure.

Ideal candidate for FUE hair transplantation:-

Age of the patient should be more than 23 years.
Not responding to any medications.
Healthy and thick donor hair.
The donor hair can be harvested from the axillary , Pubic , body hairs in a patient with less donor hair on the scalp.

Advantages of the procedure :-

  • No incision , no suture, no scar
  • Can go for highlighting session to achieve a full density hair for more natural look at any point of time at our centre with ADHI technique.

Recovery time varies because people cure differently. Some patients feel better within a day or two, while others for few more days.

Surgical procedure:

These hair transplantation procedures are performed on an outpatient basis. Patients are given local anesthesia while some may need mild sedation along with it. The scalp is shampooed well initially, followed by application of antibacterial agents over the surface. This can help in minimizing incidences of infection. For Follicular Unit Transplantation, a strip of skin from the posterior part of scalp is removed gently and the strip should be 1-1.5 *15-30 cm and the part should have good growth of hair.

Smaller follicular unit graft are then prepared from his strip. Then, with the help of binocular stereo-microscope, excess fatty and fibrous tissues are removed from the strip. Care should be taken to avoid damage to follicular units while doing so. These individual follicular units are the carefully transplanted on the recipient area having thinning or loss of hair. Trichophytic closure, a latest procedure for closure of wound, can help in finer scars that are not easily visible. The density and pattern of grafting the hair follicles should be determined before the start of procedure.

Post-Operatic precautions:-

Use of semi-permeable dressing can help in seepage of tissue fluid and blood. The dressings need to be changed on daily basis. Patients should take care to protect the vulnerable recipient area from hazardous effects of uv-radiation in the sun. Shampooing of scalp and hair can be done 2 days after the procedure. Proper shampooing can help in prevention of occurrence of scabs around the shafts. These scabs can increase risk of loss of transplanted themselves to the shafts.

Patients can notice fall of all transplanted hair within the first 10 days of treatment. This occurs because of damage or traumatization of hair follicles during their relocation. However, growth of hair from the transplanted regions starts naturally after this and continues for almost 6-9 months thereafter. Patients should be informed about these events happening after the procedure, so as to avoid unnecessary worries caused by the initial falling of hair. Patients may suffer from hair loss after the procedure; but it should be noted that this hair loss is usually from the parts that are untreated.

Side Effects of the Process:-

Patients may experience itching over the recipient area after the procedure. However, scratching should be avoided as it can cause damage to the graft and also lead to the formation of scabs. Using a moisturizer or shampooing hair can help patients in relieving the itching. Also, scaring of the donor and recipient part may occur after the procedure. Hence, precautions need to be taken so that these scars are not visible. Some patients may suffer from hyperpigmentation of scars that is aggravated after excessive exposure to sun. Pimples and cysts are also common at the recipient part of the procedure. These cysts and pimples can be treated easily with help of medication. Slight swelling and pain is common after the procedure and can be alleviated with the help of mild analgesic and anti-inflammatory drugs.