Hair Transplantation

Hair
Transplantation

Hair Transplantation
Hair loss affects both men and women and, for many people, profoundly impacts psychosocial function and psychological well-being. Few other physical signs of aging demonstrate such direct correlation with self-esteem and self-worth. Hair has long been associated with youth, vitality, and health; and our individual hair styles frame our faces and communicate information about our unique personalities.

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Patient evaluation overview
A thorough patient evaluation and an understanding of the pathophysiology of hair loss are essential components to successful hair transplantation. Although individuals of all skin types and all hair colors can be candidates for hair restoration, factors such as hair follicle density, average caliber of hair shaft, pattern of alopecia, and age of the patient all play vital roles in patient selection and operative planning. The surgeon uses the clinical history of hair loss, the predicted
Pharmacologic and nonsurgical treatment options
Because of the progressive nature of hair loss, all patients with androgenetic alopecia considering hair transplantation or undergoing evaluation for hair transplantation benefit from discussion of pharmacologic management and ancillary treatments that help the patient retain, and in some cases, regrow hair before transplantation or ensure the best possible long-term outcomes through a postprocedure maintenance program. Ultimately the decision to pursue pharmacologic management of hair loss.
Surgical/interventional treatment options
Once the patient has undergone thorough evaluation, understands the long-term trajectory of hair loss, commits to a hair loss management plan, and decides to proceed with hair transplantation, operative planning begins. Hair transplantation involves a high degree of precision, technology integration, and utilization of an incredibly skilled surgical team, but also requires an abstract and artistic approach to recreate a style that appears natural. This marriage of detail-oriented and artistic


Surgical complications from hair transplantation occur rarely, developing in approximately 2% to 3% of patients and often much less with experienced teams. Folliculitis and pustules occasionally develop and require treatment with topical or oral antibiotics. Neurosensory complications, including neuralgias, prolonged pain sensations, pruritus, or numbness, occur infrequently and generally resolve on their own in days and almost always before the postoperative follow-up at 8 to 12 months.
New developments
FUE is now used for a variety of different indications, including transplantation of body hair, camouflage of scars, and in treating scarring alopecia. Transplantation of eyebrow hair, for example, can be transformative for the appearance of the patient. Transgender patients may pursue hair transplantation during their transition and a growing awareness of the specific needs of our transgender patient populations benefits our patients and can make a major impact on their lives.
Evaluation of outcome and long-term recommendations
When the patient returns for the 8-month to 12-month postoperative appointment, photography is obtained and compared. A long-term medical management plan is created and reviewed with the patient, ideally including 2 hair loss treatments. The patients may choose which treatment modalities best fit their lifestyle and personal preferences. Topical minoxidil, oral finasteride, red light therapy at home, and PRP injections are the most common maintenance treatments.
GENERAL COMPLICATIONS
Complications related to hair transplant surgery are usually preventable and most often caused by poor surgical planning or faulty surgical technique.
Preoperative education and active patient participation are important for a successful postoperative course.
Young patients are most likely to experience a planning error because of their frequent desire for aggressive restoration goals and the unpredictability of future hair loss.
A thorough preoperative screening assessment is required to exclude patients with unrealistic goals and expectations.
The first major step in preoperative planning is determining whether the patient will have FUT or FUE. The typical donor zone for FUT lies in a 5-cm to 6-cm wide horizontal band in the occipital scalp. The strip should lie above the nuchal ridge but not so high that ongoing recession of the lateral and posterior hairline may recede below the donor site with progressive hair loss as the patient ages, leading to a visible donor scar.

Summary
The principles and techniques of hair restoration were pioneered by dermatologists, and hair transplantation techniques involve solely cutaneous structures; therefore, these operative procedure are extraordinarily well-suited for integration into the practice of a dermatologic surgeon. Many dermatologists view initiation of a hair transplantation program with trepidation because of the long learning curve required for both the surgeon and the entire surgical team, and the need to dedicate a
Clinics care points
Both FUT and FUE techniques have advantages and disadvantages that dictate the best plan for each patent.
A thorough patent evaluation is the first step to ensuring a successful hair transplant procedure. The surgeon must evaluate the patents hair follicle density, average caliber of the hair shaft, pattern of alopecia, exacerbating hair loss factors, and predicted future pattern of hair loss in determining whether a patient is a candidate for transplant.
FAQ
The newly placed hairs to fall out within the first 4-6 weeks, although the roots will remain securely placed .
The hairs will start growing 3-4 months post-procedure. You should then expect an additional 20% (approx) to come through each month
Please do not expect to see your full 100% growth before the end of the 10th month and sometimes a full 12 months are required.
Hair transplant procedure is usually performed under a local anesthesia, which numbs the surgical sites during the procedure. This helps in avoiding any pain sensation during the surgery. However, you might have little pain after the surgery which is manageable. The hair transplant doctor will also give you certain pain medication to reduce the pain if it is too much.
FUE hair transplant has tiny spot like scars which eventually become invisible and hidden.

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