Hair Transplantation Techniques
Hair transplant surgery is most commonly performed for individuals with male pattern baldness or female pattern baldness. It is generally not advised for individuals with diffuse hair loss, because sufficient donor hairs from the back and sides of the scalp must be available for transplanting.
Undetectable Hair Transplantation Techniques: FUG & FUE
Follicular Unit Micrografts
Transplanting of follicular unit micrografts is the most commonly chosen hair transplantation procedure. When performed by expert, this technique results in hairlines that both look and function naturally, with minimal interference in lifestyle.
FUM for Hair Transplantation are capable of transplanting several hundred grafts to as many as 4,000 grafts in a single, virtually painless procedure lasting only several hours. The procedure is performed in the Hair transplant Center, in a sterile, safe, yet comfortable environment.
Before and after one procedure
- FUM is performing fully accredited AAAHC operating rooms used exclusively for hair restoration, assuring patients of the safest and fully sterile procedure.
- The majority of individuals choose to have the procedure performed under local anesthesia with a mild short-acting sedative.
- For the small number of more anxious patients, heavier sedation is available.
- To achieve anesthesia painlessly, the Wand, a computer-controlled device, is used.
- Whatever the type of anesthesia, patients report the procedure to be comfortable and enjoyable, and whatever discomfort is felt, it is much less than going to the dentist and is a small price to pay to have a lifetime of growing hair.
- Donor strip is removed from back of head and site is stitched closed.
- After closure, donor site is totally disguised by surrounding hair. Grafts are cut from the donor strip under the microscope, and then implanted in tiny recipient sites close together.
- Results after one session and thicker, natural appearing hair after second session.
Each follicular unit micrograft contains one to three, occasionally four hairs. To attain the most natural result each graft contains a single follicular unit, the collection of usually two to three hairs all within a tiny bunch, which is the way that hair grows in most individuals.
By transplanting using follicular units, the way hair grows naturally; the results of the hair transplantation are virtually undetectable. Precise planting of the transplants in a random pattern results in a hairline that does not look like a line. Follicular unit grafting is the most advanced procedure, requiring a team of trained assistants to cut each graft under the microscope.
- Patients leave the Centre bandage-free.
- Antibiotics and medicine to reduce the chance of swelling are taken the first three days after the procedure.
- Mild pain pills are taken, if at all, the first night or two to make sleeping more comfortable; any discomfort is from the donor site where the stitches are located.
- The day after the procedure patients return to the office to have their hair shampooed and combed, and can return to work and most regular activities.
- Weight-lifting, heavy exercise and swimming can be resumed after one week.
The transplanted hair begins to grow in three to four months.
- In a small number of patients, many of the hairs begin to grow immediately after transplantation, providing even more rapid results.
- In many patients, a second, and occasionally a third, procedure is performed as soon as four to six months later to further increase the density of the hair.
- In some patients, subsequent procedures are only performed after there has been more hair loss in the future, after a period of several years.
- Except in the minority of cases, hair loss is progressive for the rest of an individual’s lifetime.
Follicular Unit Extraction (FUE)
Patient Before & After Follicular Unit Extraction
The follicular unit extraction technique (FUE), unlike follicular unit grafting (FUG), avoids altogether a linear donor site incision. Instead, each graft is harvested one at a time with tiny 0.8 and 0.9 mm punches which then usually heal as essentially undetectable dots in the scalp.
Hair Transplant Experts have extensive experience with FUE, performing six to eight procedures weekly, assuring patients of the maximal outcomes.
A relatively newer technique- was one of the earlier embracers of FUE in 2007 – FUE is in some ways more technically challenging than FUG, and there are few surgeons perform both techniques with such regularity.
When is Perform FUE Technique?
While FUE in no way makes obsolete the technique of follicular unit grafting, it is the largest component of the practice, making up more than 70% of cases performed. In particular, FUE is usually the best procedure for the younger male patient, the African-American patient, any patient who wants to avoid any linear scar, and the patient desiring reparative work who has a limited supply of donor hair, where with our advanced FUE techniques we can harvest grafts from the scalp as well as other body areas such as the chest and beard.
FUE is also a great technique for obtaining grafts that are to be placed into a donor site scar from a prior procedure to help reduce its visibility. In addition to their application in the scalp, FUE grafts can be used in beard and eyebrow transplantation.
Are You a Good Candidate?
Together in consultation with Expert, the right procedure will be decided upon, after careful consideration of your goals and the nature of your hair loss.
- Body and Facial Donor Hair for FUE Grafts – Not Scalp to Body, but Body to Scalp
- Donor area with essentially undetectable scarring
A few of a handful of surgeons in the hair transplant world can actually harvest body and beard hairs for transplanting into the scalp. These procedures are usually reserved for those who have no more scalp donor hairs and are seeking reparative and/or more extensive work, or those who want a greater amount of scalp coverage than can be provided by the scalp donor hairs. One particularly common area that beard or chest hairs can be utilized is to the linear donor site scars from prior transplants. As many as 3,500 chest and or beard hairs can be harvested over two days.
Hair Transplantation with FUE Megasession Hair Restoration
The megasession hair transplant procedure is the most modern and advanced way to achieving the growth of a full head of hair, in the shortest period of time. In a single procedure lasting one day, 3,000 or more, to as many as 4,500 follicular unit micrografts can be transplanted, achieving the most impressive results.
As with other hair transplant procedures, most regular activities can be resumed the next day, normal exercise at five days, and the growth of the hairs typically starts in three to four months. Occasionally, some patients will have a second procedure performed to provide further hair density.
For most patients seeking revision work, the result of the initial hair restoration is a “pluggy” or “doll’s hair” look. This is usually from the transplanting of grafts that were too large, either performed years earlier or more recently with old-fashioned, outmoded techniques. Often times, these grafts need to be removed and dissected down (FUEplug punch removal), then replanted in a more aesthetic pattern to achieve a much more natural appearance. Some of these grafts can simply be reduced in size (FUE plug punch reduction), and the removed portions replanted.
Repair of Donor Site Scars
For donor site scar repair. No tissue expansion was indicated.
One of the most common- and challenging- problems faced by surgeons who specialize in reparative procedures is a widened or visible donor site scar. There are a variety of reparative techniques, and one of the most effective is the excision, then closure of the scar. In rare cases, the scalp is so tight that it must be stretched out to permit the removal of the entire scar, which is achieved with the use of tissue expansion.
andidates for Hair Transplant Surgery
Before and after one procedure
Hair transplant surgery is most commonly performed for individuals with male pattern baldness or female pattern baldness. It is generally not advised for individuals with diffuse hair loss, because sufficient donor hairs from the back and sides of the scalp must be available for transplanting. Individuals with thin or missing eyebrows, mustaches or beards, as well as those with hair loss due to scars, injury or prior surgery- including previous hair transplants- are also appropriate candidates. Hair transplants can be performed on individuals of a wide range in age, from the early 20s to the 70’s and beyond.
In general, most men are best treated with the follicular unit extraction technique using custom-designed FUE System, since it avoids the making of a linear donor site incision scar. A particular technique has developed is the Hybrid approach, whereby a relatively small donor site incision is performed in the back of the head for FUG grafts, which are then combined with FUE grafts – the main advantage being the absence of a need for shaving the entire head yet obtaining as many as 2000 or more grafts. For patients who already have had a prior FUG procedure, this technique may be the best approach; however this will be discussed in consultation.
The other hair transplant technique is follicular unit grafting (FUG), sometimes referred to as strip harvesting or the strip technique.
With FUG, a single donor site strip, ranging in length from 5 to 25 cm, of hair-bearing scalp is removed from the back or sides of the head. From this strip are dissected hundreds to more often several thousand tiny grafts containing anywhere from one to three, sometimes four hairs each. These grafts are then implanted into tiny slit incisions in the bald or thinning area where they can then grow after several months just like normal hair.
In order to assure an aesthetic result with any hair transplant, whether FUE or FUG, the key step is the making of the recipient sites- where the surgeon can determine the pattern, distribution, and angle of hair growth to achieve the most natural appearance.
Recovery & Results
There is little downtime or recovery associated with hair transplant surgery. Most patients are able to return to work and other normal activities within just one to two days, though strenuous physical activity needs to be postponed for five days. Depending on the patient’s goals, occasionally a second procedure is desired to achieve more coverage, which can be performed a year or more later.
There are a variety of Hair Transplant techniques, and one of the most effective is the FUE.