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Hair transplantation is the process of extracting hairs from the donor area and implanting it into the recipient site. We all know that hair transplantation can be done mainly in two ways – FUT and FUE. Though the latter is the most advanced form of the treatment, yet it poses certain challenges. It has been found that even after using the FUE technique, all implanted grafts do not sprout hairs successfully. The main three reasons behind this insufficient growth are:
FUE is a time consuming procedure. So, the hair follicles that are extracted from the back side of the scalp get damaged or weak due to coming in contact with the foreign environment.
Insufficient supply of the nutrients through the blood circulation to the roots just after the surgery makes the hair weak and eventually the hairs fall out.
The delaying of the metabolism of the follicular cells.
To overcome these limitations, Dr.Paul's - one of the best Hair Transplantation Clinic in Kolkata, India have combined both FUE with Hair Growth Accelerator (HGA).
Two distinct forms of transplantation are done throughout the world and these incorporate FUT or Follicular Unit Transplantation and FUE or Follicular Unit Extraction. Naturally, there are certain differences between these two forms and patients should be well informed regarding them before undergoing this operation.
FUT - Follicular Unit Transplantation
FUT is known as strip method and in this process, the surgeon and his medical team members have to perform their deed quite efficiently and tactfully. A small strip of tissue, from the back head of the patient, gets removed. From this tissue, the donor hair is extracted and the extracted hair is implanted in the naturally occurring groups or units of 1 to 4 hairs, which is known as Follicular Units. Thousands of hair grafts are transplanted with complete safety.
FUE - Follicular Unit Extraction
FUE is the most advanced means of Hair Transplantation as there is no requirement of strip removal. Every follicular unit is extracted individually with the aid of special needles (0.6 to 1mm diameter). There is no need for using knife or scalpel. Stitching is also not associated with this process. Naturally, there is no scope for getting scarred. The complete procedure is done under local anesthesia with the assistance of micro punches created around the follicles or follicular units.
The perpetuation of the results of the hair transplant treatment is often doubted by many. However, the maximum amounts of people cherish these much anticipated results for a lifetime. This procedure includes a very careful movement of the health hair follicles from the donor site on the scalp. This procedure usually ensures that the scalp tends to accept the transplant and the hair transplanted blend into the rest of the hair follicle. Each of the transplanted hair follicle is responsible for gradually developing new hair follicles. These hair follicles go through the natural growth cycle just how the other surrounding hairs do.
Sometimes some people may seem need more than one hair transplant process over time. This usually happens with what we call pattern baldness patients. Pattern baldness can tend to continue even after the transplant process of the hairs in the lost regions and then create new bald regions. These new bald regions can also be treated with another iteration of this treatment. However, the likelihood of the occurrence of such a situation is determined by the patient’s family history or other personal reasons which can lead to hair loss. Once the transplant is done, the hairs last usually should last for a lifetime and with a proper care routine, the process can further ensure their good health.
This is one of the most commonly asked questions a patient has in his or her mind before consenting for the surgery.
There is usually no pain during the whole procedure, just because local anesthesia is generally infiltrated into the scalp which tends to make the area numb. In order to make the patient feel more comfortable and also to decrease the anxiety level associated with the procedure, a few pre-medications may be given. If at all required, a top up of the local anesthesia may be provided during the ongoing procedure. Using a massager or even a vibration may tend to increase the effectiveness of the local anesthesia that is provided.
After the procedure is completed, there might be some discomfort for just a couple of days which can be easily taken care of by providing the patient with the right medications.
While common concerns regarding the permanency of the process are understandable and natural to occur, in most of the cases, your hair transplant should last for your lifetime. The hair follicles will have been shifted from the donor section of your scalp, making sure that not only is the scalp more prone to accept the transplant, but they should also begin to merge into the rest of your hair in the months that follow your transplant. Each of the hair follicle will produce new hair follicle that grows naturally alongside the hairs that grow in the surrounding area and will behave just in the same way as the remaining of your hair.
While there remains the risk that the patients who all are suffering from what we term as pattern baldness could sometimes experience further hair loss in the future, this can often and easily be solved by a further followed up treatment in order to transplant healthy hairs into the spots where new loss has taken place. The already transplanted hairs, however, has been proven to remain strong and healthy along with good care and should last a lifetime.
The surgeons should always take into account any and every family history of hair loss or baldness and the reasons for your particular personal thinning or hair loss and will be able to properly determine whether you are again likely to lose any hair due to the same reason in the future. This way, the doctors are able to foresee and sometimes even accurately predict any potential future surgeries that should be required and design a desired hairline and density that will gradually blend well with this in the near future.
Permanency is the main reason for which hair transplantation is now a day considered to be the most effective option for restoring and reviving your hair growth. During the surgery, the physician will be using your own perfectly healthy hair follicles to fill up your thinning or receding hairline or even balding areas. These newly transplanted hairs are more resistant to all the hormones that cause hair loss, like DHT and are thus considered permanent. Just because the transplanted hair follicles are DHT resistant, they will continue to thrive and grow even though all the non-transplanted hairs situated around them might continue to miniaturize and even fall out.
Both men and women belonging to all races can be good and suitable candidates for the hair transplant procedure.
To be chosen and considered for a hair transplant treatment, a person needs two things:
1. Enough amount of healthy hair on the patient’s scalp that can be easily transplanted to the area that needs new the hair follicles.
2. The physical ability to grow hair in the thinning area of the scalp During a consultation with your dermatologist, you can get to find out if you have got both. A consultation with the dermatologist will give you a proper and thorough scalp exam.
To ponder out why you are having hair loss, you may also require doing a blood test. This blood test can check for multiple things going on inside your body that may be the cause of your hair loss. Some of the patients require a procedure known as the scalp biopsy. The dermatologist can promptly and easily take what is required for the scalp biopsy during your visit for consultation.
If the test results show that you are a perfect candidate for a hair transplant treatment, then your dermatologist can discuss with you what results you may and may not expect. Expecting a full head of hair may be a bit unrealistic, but a much fuller head of hair, than the condition before surgery, can be the expectation goal.
The hair which has been transplanted from the donor site, shed within a few weeks. quickly following the transplantation process but this is quite a normal situation as the hair will grow back again on the newly transplanted site, 3-4 months later. After this period when the temporary shedding has recovered, all the transplanted hair follicles tend to preserve all their characteristics and they are not lost. However, it is to be kept in mind that the original hair in the exact same area may continue to get lost and a completely new hair transplantation process may be required to get planned depending on the rate of decrease in the density of the hair. Hair loss may continue to persist progressively even after the completion of the surgical procedure. If an unnatural look starts to appear especially within the new hair line region, an extra surgical procedure may again be required later just to fix the look.
The FUE hair transplant process is mostly not very much associated with conditions like discomfort and is also much less painful. The patient can go home pretty much on the same day after the procedure (barring any kind of complications) but there may be a slight feeling of numbness or even tightness over the scalp area. There will be a bandage over the scalp, which will generally be taken out the very next day. At a professional center, first scalp wash is given by experts with the proper instructions about how to correctly wash the head at home. If you have already undergone the FUE Hair Transplant then you might not be usually having any bleeding issues. A patient may experience some itchiness or a slight tingling sensation, which can be further taken care by some prescribed medications. It would be the best suggested practice to follow as post operative instructions which are given to you by your doctor just in order to assure the best results and also to avoid any sort of complications. For a couple of days, you may be asked to lie down or sleep with your head kept elevated. This will help in preventing further swelling which is not unnatural to occur at times.
For the hair transplantation procedure to be successful the hair follicles must be vascularized properly and rapidly, that is they should rightly adhere within the area where the follicles are placed. If done by following the correct method, success rate of the hair transplantation treatment is quiet high. For achieving a natural look, the hair follicles should be transplanted to the recipient areas with a proper distance, maintaining a correct angle and obviously the correct density.
Like every other medical procedure, treatments and therapies, the process of hair transplantation carries out a number of risks. Hair transplantation is quite a long procedure and the most important factor to be kept in mind is the fact that several transplantation sessions may be required within 1-2 years, depending on the total degree of the patient’s hair loss. A few complications like infections and some significant scaring may be seen although these are really very rare. After the completion of the operation, slight amount of pain that can be totally controlled by pain relievers, a sensation of little disturbance, some amount of light bruising and a bit of swelling may be observed. A slight bit of numbness may superficially occur in the areas from where the hair is taken or even in the areas where the hair has been transplanted and this recovers spontaneously within 2-3 months.
One may commonly think that it might take a long time for the result to come, and thus one may need to visit the clinic and get check up done quite often and also go for regular follow up. Although it is quite a long process, the number of doctor visits after surgery is usually limited to just a few in order to rule out any post operation complications.
At professional centers, it is recommended that the patient should visit the clinic the next day after procedure for removal of the bandage. In the exact same visit the doctor does the first head wash and show the patient the process of how to do the head wash for next few days. The general recommendation usually is that if a patient can visit the clinic then they should visit after two weeks days for the scab and also the crust removal, which is normally done by the doctor or one of his professional team members. All of the instructions are usually once again explained thoroughly.
The patient is advised to be in close contact with the clinic and if and whenever they might feel like or if they ever have any issues then they should visit the clinic or immediately contact the doctor over the phone.
Leaving infants aside as an exception, the ideal age for going through a hair transplant procedure is usually 40 and above, just because this is the time when the baldness starts to sets in, and thus people can choose the right transplant for themselves. Moreover, this in no sense implies that people from other age brackets are not at all eligible for the hair transplant process. It is normally recommended to undergo the process only after a thorough consultation with a doctor who is a transplant expert
Usually no special maintenance is required for the newly transplanted hair. They can be easily washed, combed, oiled, cut and even styled according to one’s wishes. The only exception lies when and if any of the patients develop any sort of complications.
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