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  • Dr Maina

Roots Reborn: The Journey of Hair Transplantation.

Updated: Oct 25, 2023


A surgeon is injecting syringe on patient scalp

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What is hair transplantation? What technique is used for hair transplantation? How is the procedure performed? Who is the right candidate?

Difference Between FUT & FUE

Hair transplantation is a surgical procedure that involves taking hair follicles from a donor area, typically the back or sides of the scalp, and implanting them into areas with thinning or no hair. Hair transplantation aims to restore hair density and improve the appearance of areas affected by hair loss or baldness. The transplanted hair follicles continue to grow naturally, resulting in permanent hair regrowth.


Two main techniques are commonly used for hair transplantation: Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT).



FUE involves the extraction of individual hair follicles from the donor area, typically the back or sides of the scalp, using a specialized microsurgical instrument. The surgeon makes tiny, circular incisions around each follicular unit, and the follicles are then carefully extracted. This method allows for more precise and selective extraction of the donor's hair without the need for a linear incision. The extracted follicles are then transplanted into the recipient area where hair growth is desired.


Follicular Unit Transplantation (FUT):


FUT involves the removal of a thin strip of scalp from the donor area, usually the back of the head. The strip is dissected under a microscope into individual follicular units, which consist of one to four hairs each. The surgeon then makes small incisions in the recipient area and carefully implants the follicular units into these sites. This technique allows for the transplantation of a larger number of grafts in a single session.


The choice of technique depends on various factors, including the patient's specific needs and goals, the extent of hair loss, the quality and availability of the donor's hair, and the surgeon's expertise. It is recommended to consult with a qualified hair transplant specialist who can assess your individual situation and recommend the most suitable technique for you.


During a hair transplantation procedure, the following general steps are typically involved:

Preparation:


The patient's scalp is cleaned and numbed using local anesthesia to ensure a comfortable experience during the procedure. Both the donor area (usually the back or sides of the scalp) and the recipient area (where hair will be transplanted) are prepared.


Donor Hair Extraction: In FUE, individual hair follicles are extracted one by one using a specialized instrument, such as a microneedle or punch tool. In FUT, a thin strip of scalp containing hair follicles is surgically removed from the donor area. The extraction method depends on the chosen technique.

Graft Preparation: The extracted hair follicles are carefully dissected and prepared for transplantation. They are typically grouped into grafts, which may contain one to four hair follicles, to facilitate the transplantation process.

Recipient Site Creation: The surgeon creates small, tiny incisions or recipient sites in the recipient area using a needle or a small blade. The sites are strategically designed to mimic natural hair growth patterns and ensure proper spacing and direction for optimal results.

Graft Placement: The prepared grafts are delicately placed into the recipient sites one by one. The surgeon ensures precise placement and attention to detail to achieve a natural-looking hairline and overall hair distribution. The process may involve placing the grafts at different angles and densities to achieve the desired aesthetic outcome.

Post-Procedure Care: After the transplantation is complete, the scalp is typically covered with a dressing or bandage to protect the grafts. The patient is provided with instructions on post-operative care, which may include guidelines on washing the scalp, avoiding strenuous activities, and taking prescribed medications.


Over time, the transplanted hair follicles start to grow and blend in with the existing hair. It's important to note that the full results of a hair transplantation procedure may take several months to become apparent as the transplanted hair goes through its natural growth cycle.


Who is the right candidate?

  • Individuals with well-defined male pattern baldness or female pattern baldness.

  • Individuals with hair loss from scarring, scalp injuries or cosmetic surgery procedures.

  • Individuals who wish to restore or thicken eyebrows, moustaches or beards.

  • Individuals who had prior hair restoration procedures.

Infographic of hair transplantation

The duration of a hair transplantation treatment can vary depending on several factors, including the extent of hair loss, the technique used, and the number of grafts being transplanted. Generally, the procedure can take several hours to complete, Complex cases or larger transplant sessions may require additional time.


After the surgery, the patient will be given specific post-operative instructions by the surgeon or medical team.


Dressing and Bandages: The scalp may be covered with a dressing or bandage immediately after the surgery to protect the grafts and minimize swelling. The surgeon will provide guidance on when and how to remove these dressings.

Medications: The surgeon may prescribe medications, such as antibiotics or painkillers, to prevent infection and manage any discomfort or pain during the recovery period. It's important to follow the prescribed medication schedule and inform the surgeon of any allergies or adverse reactions.

Rest and Recovery: It is recommended to take it easy for the first few days after the surgery. Avoid strenuous activities, excessive sweating, and direct sun exposure. Some patients may experience mild swelling, redness, or scabbing in the recipient and donor areas, which usually subsides within a week or two.

Follow-up Visits: The surgeon will schedule follow-up visits to monitor the progress of the healing process, assess the transplanted grafts, and provide any necessary guidance or adjustments. These visits are crucial for ensuring the success of the transplantation and addressing any concerns or questions that may arise.

Hair Growth and Results: The transplanted hair follicles will initially shed within a few weeks after the procedure. This is a normal part of the hair growth cycle. However, new hair growth should start to emerge within a few months. The full results of the hair transplantation can take several months to become apparent as the newly transplanted hair follicles grow and blend in with the existing hair.


What results can be expected and Are there any complications from surgery?

A man his looking his scalp in mirror.

After hair transplantation, the results can vary depending on various factors, including the individual's natural hair characteristics, the technique used, the surgeon's skill, and post-operative care.


Here are some general expectations:


Hair Growth: The transplanted hair follicles go through a normal hair growth cycle. Initially, the transplanted hair sheds within a few weeks after the surgery. However, new hair growth should start to emerge within a few months. It typically takes several months for the transplanted hair to grow and blend in with the existing hair. Some individuals may experience continued improvements beyond that timeframe.

Improved Hair Density: Hair transplantation aims to restore hair density and improve the appearance of thinning or bald areas. With successful transplantation, the treated areas should experience an increase in hair density and improved coverage.

Natural-Looking Results: Skilled surgeons strive to create natural-looking results that blend seamlessly with the existing hair. The surgeon carefully designs the hairline, considers the angle and direction of hair growth, and ensures proper spacing between grafts to achieve a natural aesthetic outcome.

Long-Term Results: Hair transplantation is considered a permanent solution because the transplanted hair follicles are typically resistant to the effects of pattern hair loss. However, it's important to note that natural hair loss progression may continue in untreated areas, so additional treatments or maintenance may be required in the future.


Complications from hair transplantation:


Infection: Although rare, there is a risk of infection at the donor or recipient sites. Proper hygiene and post-operative care can help minimize this risk.

Bleeding: Some minor bleeding is common during and immediately after the surgery.

However, excessive bleeding is rare and can be managed by the surgical team.

Numbness or Sensation Changes: Temporary numbness or changes in sensation in the donor or recipient areas can occur but usually resolve over time.



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