Will There Be Changes To My Donor Area After A Hair Transplant?

Yes, after every procedure the skin physiology will change, scarring, skin laxity changes, and loss of hair density around the area. It is important to understand how the changes will affect your long term hair restoration

An educated donor management protocol is vital to maintaining the area in the best quality possible whilst maximising the graft numbers available to sustain a natural balanced coverage of hair if hair loss advances to a progressive level

A high Norwood Scale (NW6-7) hair loss candidate can require upwards of 7000 grafts dependent on the size of the surface area and the quality of the individuals hair characteristics available

Prior to any surgery the scalp is untouched, known as a “virgin scalp”; the hair density is untouched, the skin laxity the best it can be; at this stage the donor area is at its optimum quality

7305 Grafts After 2 FUT Procedures Donor Healing. Hattingen Hair Transplantation

7305 Grafts After 2 FUT Procedures Donor Healing. Hattingen Hair Transplantation

The number of grafts required will largely be determined by the surface area to cover and this can impact also on the hair transplant technique to best utilise, be it FUE or FUT, as each have individual benefits

Choosing the correct technique can impact on future surgeries and the total number of grafts available over time; the decision can result in being able to achieve total restoration on advanced hair loss sufferers or not

FUT is influenced by the skin laxity of the individual, too tight or too lax can impair the size of the strip that can be removed and the number of grafts safely available to harvest. After every procedure the skin laxity will alter slightly, some of this is due to the natural skin healing properties

If treating a high NW scale FUT can allow for the maximum number of grafts to be harvested in a one day procedure; this benefits the individual as on the right candidate total restoration can be achieved efficiently with minimum need for entering the donor area

Future FUT procedures can be performed, it is best to allow at least 12 months between as this gives the scalp time to heal internally and reduces the risk of increased visible scarring; under normal conditions if a second FUT is performed the original scar will be removed to only leave a single line

The FUE technique relies on different donor hair qualities as it removes follicular units one by one leaving hair less areas or white dot scarring from where the FU´s were removed; unlike FUT the surface area of the donor remains the same but the density of hair is reduced

FUE relies on a high starting hair density otherwise attempting to reach high numbers can leave the donor looking unnaturally thin; meaning if hair loss progresses FUE may not be a suitable hair transplant technique to use if the hair characteristics are not optimum

Most FUE procedures are smaller than FUT due to the technical difficulties of harvesting and controlling the extraction pattern so as not to remove adjacent FU´s or transect FU´s potentially leaving a higher % of miniaturised hair

Even with small FUE procedures the donor hair should be shaved and the grafts removed over the widest safe area possible; this educated pattern of extraction will minimise density loss in a specific area and reduce the trauma to surrounding FU´s

Both techniques will change the physiology of the skin and hair, safe donor management is just as important to a hair transplant result as the coverage achieved over the recipient area and should be dealt with accordingly

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