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Hair Transplation: All You Need To Know!

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What is Hair Transplantation or Hair Transplanting?

From the name of the procedure, you might guess that it involves moving hair strands from one area to another. Actually, what is moved is not just hair but actually bits of skin with healthy, functioning hair follicles. Also, keep in mind that transplanting occurs from one body part to another on the same person. Hair transplanting, while sometimes thought of as a new fad, has actually been around for a long time, at least since the 19th century in Europe. Japan also made several advances to the procedure around the 1930s, but the onset and aftereffects of the Second World War helped to ensure that these important advances did not make their way far out of the country until about the 1950’s. After this time, initiative appeared to shift back to mostly Western scientists, with some advances also made in Brazil. By the 1980’s, the size of skin grafts became much smaller. These "micrografts" allowed for a much more natural-looking final result. It must be remembered that modern hair transplantation advances would have been largely impossible without the advent of microsurgery. Androgenic Alopecia

Donor and recipient areas may vary greatly, and not necessarily be from one part of the scalp to another. One can even thicken the eyelashes by implanting head hair on the eyelids. Of course, the drawback is that this implanted hair will have the growth patterns of head hair, so unless you want eyelashes that droop all the way down your face, you will have to trim the implanted hairs religiously. The important insight here is that transplanted hairs retain the characteristics of hair at the site at which they are extracted. They do not suddenly start behaving like hairs at the location on which they will be grafted.

The Types of Hair Transplanting

At present, hair transplanting procedures can be classified into two broad categories, according to how skin is removed from the donor area. The first is FUSS --Follicular Unit Strip Surgery also called Follicular Hair Micro transplants. This involves cutting out a strip of skin (containing follicles, of course) from the donor area. This strip is then often cut into many smaller strips, which makes it easier to mold the graft accordingly to fit into the desired area. In order to shorten procedure time, the surgeon may work simultaneously with assistants. For example, while the surgeon himself/herself is stitching shut the wound on the donor site, his/her assistant(s) will be attending with microscopes to the strips of harvested skin by removing excess tissue and dividing the skin up into smaller sections. The downside to this type of hair transplanting is that it can result in scarring on the donor area. Thus, it is more suitable for people who wear their hair long, or in some style that would hide the scarring. The scarring may take several months to heal. Local anesthesia is typically applied.

The second type is called follicular united extraction harvesting, or FUE harvesting. Here, small “punches” of skin, each containing one or a few follicles, are harvested, rather than strips. Each follicular unit contains not only hair and a bit of surrounding skin but also vascular and connective tissue. As a result, scarring in donor areas is less of an issue. If any, they will be too tiny to be detected, so you need not go to the trouble of styling your hair in such a way as to hide your scars. Furthermore, this procedure is more accommodating to patients with tight scalps, who would not have been suitable candidates for strip harvesting. Furthermore, if you have had strip harvesting-style hair transplants done before and plan to get the procedure done again, you might be advised to “switch” to FUE harvesting for subsequent operations. On the other hand, this procedure typically takes much, much longer than strip harvesting, and you are likely to need to go back for several sessions. It may also require more skill, so be prepared to work harder in looking for a surgeon, and, of course, to pay more money.

For the sake of a more thoroughgoing discussion of hair transplantation, we may also elaborate upon the process known as direct hair implantation, which involves more or less taking out individual hairs and placing them in the desired area. This is quite different from transplanting (as transplantation involves grafts that include skin and other tissues), which is why it is often discussed separately. The procedure was developed with male pattern baldness in mind, so women or men with different types of baldness might not find this procedure as appropriate for their hair loss issues. Results may also be less long-lasting as compared to transplants.

Cutting Techniques

Different types of cuts are used to place grafts onto the desired location on your scalp. This section of the article is relatively technical compared to the rest of it, but the information may be useful to you. A good surgeon should be able to perform a variety of incision types well, since a high-quality transplant operation tends to require a combination of different incisions in order to achieve a natural-looking result. The grafting incisions are an extremely delicate portion of the procedure, and are thus usually performed by the surgeon himself/herself, while it is more acceptable for the actual placement of the grafting to be done by his/her assistants.

A lateral incision is quite a common type of cut, particularly since it covers more of your scalp, and also lets hairs “lie” well, as opposed to sticking out at odd angles. However, the lateral cut has some disadvantages, since it can be harder to graft follicles into areas where they will have to be carefully placed around existing, functional follicles. Sagital cuts are better for this purpose. They may also involve fewer risks or problems in terms of getting blood supply to the follicles and transecting existing follicles.

So, which one is better? If you ask surgeons, you are bound to get different answers, as the debate has been going on for decades. However, the best answer is probably “it depends.” Every patient has different needs (and personal taste), so skilled surgeons should know how to make this decision on a case-to-case basis. Once again, it is also likely that the very best surgeons are likely to use some combination of both. In other cases, one type of cut is likely to dominate the procedure heavily.

Prior to the Procedure Of Hair Transplantation

It is important to understand that one cannot just walk into a surgeon’s clinic, ask for a skin graft, and get it done right then. Your first visit or so will revolve around the surgeon making a thorough examination of your scalp, and then discussing with you what to expect from the procedure. Should you decide to go through with one, you will have to take some preparatory steps in order to ensure a smooth operation. For instance, you will have to refrain from alcohol, or even stop taking certain medication (for such purposes, do make sure that you are able to brief the doctor on your medical history and the medicines you are currently taking). The surgeon is also likely to ask you to take antibiotics in the few days leading up to the procedure, so as to guard you against infection.

What Happens After Hair Transplantation?

You are usually not required to stay in a hospital after the procedure, and can return home immediately afterwards. In many cases, you will be asked to shampoo your scalp a day or two after the transplant to prevent scabs from sticking to your skin. Scabbing is your body’s natural response to skin breaks, particularly small, superficial ones. However, in this case, the presence of scabs will actually be a disadvantage. In simple terms, scabs on your scalp may prevent your graft(s) from settling properly.

Then Again in some cases, patients do experience side effects. For example, the scalp can start to itch and/or swell up, in which case you can get special moisturizing shampoo to relieve the symptoms. Furthermore, your hair may start to thin in the recipient area. In the long-term, as your hair loss continues, your balding might develop a somewhat odd appearance. The transplanted hair, for instance, might remain, while the surrounding hairs fall out. In such cases, you are likely to need more implants, or perhaps to shave the grafted hairs regularly to evince the appearance of more “regular” balding. Ask your surgeon for advice on this situation. Remember that you will have to live with the results of your transplant for years to come, so it is important to plan ahead, and not just aim for great immediate results.

Why Choose Transplanting?

To many people facing hair loss, a wig might seem like a quick, convenient, painless, cost-effective option. However, a closer examination of the implications suggests otherwise. A high-quality wig or toupee can set you back several thousand dollars. As for convenience, the wig will require special upkeep and cleaning in order to maintain its appearance. The inconvenience is increased for people who frequently travel. Furthermore, the wig can be very uncomfortable to wear, even with inner padding to prevent scalp irritation.

Another issue is fear about pain, infection, and other complications from the procedure. Actually, hair transplanting is a very simple outpatient procedure. You can perform most normal activities right after getting it done, and the risk of infection or complication is low, given the nature of the wounds. For people who are anxious about disrupting busy work schedules, there is the assurance that one can usually go back to work a couple of days after the procedure, assuming that “work” here refers to an office job. (The time may vary if your work requirements and conditions are sufficiently different from the “typical” white-collar job.) Furthermore, since the skin being excised and grafted is all your own, there are no concerns about tissue rejection, either.

What to Look for in a Surgeon

Despite the presence of official standards, associations, and certifications, it is a fact that surgeons vary widely in skill and quality. The fee they charge is not necessarily a great indication of the worth of their work—hence, a higher price tag does not necessarily come attached to a great surgeon. Firstly, be very careful about the qualifications of your surgeon, and always remember to look a little bit deeper than the data stated on his/her own advertising materials. It is not unknown for people to adopt the title “Doctor” when they do not actually have a medical doctorate, or to say they have studied at a particular prestigious school when they have only taken certificate courses. In addition, try to ask about the sorts of equipment available for the procedure. As we have stated before, modern hair transplanting is a microsurgical procedure. Thus, the instruments are very delicate, and it makes a huge difference to the outcome what sorts of blades are used, and how the equipment is maintained. Ask different surgeons to give you details about the equipment they use, and compare this information to see which one has more advanced, well-maintained equipment at his/her disposal.

Furthermore, ask to see photographs of the surgeon’s work. As with most cosmetic surgery procedures, aesthetic sense comes into play as well as medical knowledge and technical skill. In other words, a good surgeon might still disappoint you because he/she has bad taste, or sensibilities that are incompatible with your own.

Also, make sure to ask other people to help you in your search. Tell your “regular” physician that you are considering the procedure. Besides possibly being able to recommend good surgeons, he/she can inform you about any special precautions you might need to take, particularly if you have specific ailments or are on critical medication. If you have any friends who have undergone the procedure, do ask them about the experience.

The Bottom Line On Hair Transplantation!

Hair transplantation can be a great option for well-informed people with realistic expectations. Fortunately, there are also different types of hair transplant, so you can decide on the kind that best fits your needs and resources.

 

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