4103 FUT

1 Hair 691            691
2 Hair 2108       4216
3 Hair 1025       3075
4 Hair 279          1116
Total: 4103       9098

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5063 FUT

5063 FUT

1 Hair 397 397
2 Hair 2329 4658
3 Hair 1654 4962
4 Hair 683 2732

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Hair Transplant Result. 3730 FUT

Female Hair Loss Sufferer, caused by Lichen Planopilaris

Grafts                Hairs
1     358                  358
2    1929                3858
3    1144                3432
4      299                1196
—————              ————
Total 3730              8844              Rate=2,37

Before and Grown Out Hair Line, 3730 Grafts With Follicular Unit Transplant. Hattingen Hair, Switzerland Before and Grown Out, 3730 FUT. Hattingen Hair transplantation, Switzerland 1 Before and Grown Out, 3730 FUT. Hattingen Hair transplantation, Switzerland 2 Before and Grown Out, 3730 FUT. Hattingen Hair transplantation, Switzerland 3 Before Hair Transplant (Hair Loss Caused By Lichen Planopilaris) 1 Before Hair Transplant (Hair Loss Caused By Lichen Planopilaris) Grown Out Hair Transplant Result, 3730 FUT. Hattingen Hair transplantation, Switzerland

Hair Transplant Donor Size And Extraction Protocol

The safe zone, especially in the early stages of hair loss can be hard to define when using FUE as there are no obvious signs where it may be demarcated; if the lateral humps or crown drop later the safe zone is reduced

Progressive hair loss can mean hair loss drops down the sides and back of the head, extending the surface area of the crown, also known as the vertex; this will potentially eat into the size of the safe zone, especially with FUE

The demarcation line could still drop so it is important to leave a little leeway and not harvest the follicular units directly up to this line; this makes for a more safe an educated harvesting protocol.

Long term planning is a vital component to the success of the hair transplant, present and in the future; understanding the donor limitations, what each technique is safely capable of and accepting limitations

As the FUT donor is located centrally within the overall potential donor zone there is very minimal chance that any hair extracted is unsafe to transplant

The FUE technique relies on a wide surface area to extract the hair from as FUE reduces the hair density left in the area; so the wider the area hair can be removed from the lower the density change occurs

The hair transplant donor area is the band of hair around the back and sides of the head, for a man or a woman; an area that is genetically strong and the follicles do not suffer from genetic hair loss properties

Unsafe hair can be miniaturised hair in the donor, this should not be extracted, or even adjacent strong hair and hair outside the safe zone that can suffer from loss in the future

As FUE does rely more on a wide surface area, if a candidate has generally weaker characteristics in the donor it will reduce the total overall FU´s that can safely be extracted; assuming an educated extraction pattern is adhered to

FUT relies more on skin laxity when removing the strip, when performed well with good healing a further strip can be removed from the same area, englobing the first line and still reaching high graft numbers

Hair Transplant Timing

In the early stages of hair loss important factors such as potential for future loss, recipient surface area, the size of the donor safe zone are impossibly to determine accurately

Prior to undergoing surgical hair restoration it is important to understand a hair transplant is not a miracle cure; as positive it can be on the right candidate it does have limitations that cannot be overcome

In more advanced stages of hair loss the ultimate pattern is easier to establish but also a compromise may be required on hair line placement to ensure a balanced and natural looking coverage can be achieved

Be aware that to rely solely on family “hair history”, especially at a younger age is ill-advised as hair loss does not always follow the genetic pattern of our paternal, maternal or siblings; it is a guide only.

A man in his early/mid 20´s with minor hair line recession wanting to rebuild the hair line to its original position; can this be achieved? Yes of course, with a relatively minor number of grafts the hair line can be rebuilt, 1000-1500 FU´s needed

The goals of the individual have been met but what happens as hair loss progresses over the years and the balance of hair to bald area becomes disproportionate and unnatural with a hair line fixed in a low position

Understanding the limitations and accepting them it is then possible to set your goals accordingly; this will go a long way to ensuring your long term happiness and well-being, and not being another “repair case” statistic.

As tempting as it maybe to jump into hair restoration it is always better to take a step back and rethink your goals long term. A hair transplant is not something that can be reversed if you do not like the result

As the donor hair is key to the long term result, especially as hair loss is progressive over our lifetime, it is essential to have a clear plan in the worst case scenario what the donor resources can give and what coverage can be achieved

Have the donor hair density measured, calculated the approximate average hair to FU count, good, bad or fair hair characteristics, skin healing and laxity, donor safe zone size, the best techniques to use now and in the future.

Getting The Hair Line Right

Rebuilding the hair line there are certain natural angles that have to be adhered to in relation to the natural bone structure

The hairline shape is a genetically inherited trait and if inspected from varying parts of the world it is possible to see a natural pattern dependent on genre. In most cases the hairline is nothing particularly noticeable, as it should be

Attention should not be drawn to the hair line, it is there to frame the face and draw attention to the centre of the face, the eyes. As hair loss progresses and the hair line recedes the attention is drawn to the increasing forehead size.

In some men a slight recession of the hair line can look totally natural and still complement their facial bone structure, whereas in others it accentuates the appearance of hair loss. This can result in creative hair styling to camouflage the hair line, combing forward or to one side

If the hair line naturally matures it generally recedes evenly but a receding hair line the temporal angles generally open and the central apex stays relatively low, creating a widows peak. Over time the apex also recedes as the hair loss progresses and detaches from the frontal third

The hair line shape is largely designed according to the shape of the face, or facial bone structure; there are considered to be a number of categorised shapes:

Oblong, Rectangle, Round, Oval, Square, Diamond, Inverted Triangle, Triangle

It is not a good idea to try and cheat nature; if the hair line does not complement the bone structure the framing of the face will look unnatural. And as a receding hair line can look imperfect so can an unnatural shaped hair line

The placement of the hair line apex above the eyebrow, the frontal bone position, the position of the temporal recession in relation to the corner of the eye and the angle the hair line moves down the sides of the head to meet the sideburns must complement the individuals bone structure

Hair Line Placement And Density

When rebuilding a hair line, besides the natural placement of grafts the design and placement is crucial to restore a cosmetically pleasing look today but also in the future as we age, so a compromise if often required

The design must take into consideration future potential hair loss, if a hair line is placed too low and hair loss progresses aggressively the design may look out of place and unnatural in the future

Great importance is made of the hair line density but it can differ greatly between individuals so to give an estimate of graft numbers required is not practical or realistic and must be judged on a personal basis, can range between 400 to 1000 grafts, taking into consideration the design and the natural characteristics of the hair

The hair line is arguably the most important aspect of a hair transplant procedure; it is what we and others first see and the area that frames the face, so vital it looks perfectly natural

Dense packing is the term used to describe a high density of follicular units placed within an area; placing each graft close together to mimic nature

Density placed is the amount of follicular units per cm² and along the hair line this is usually single hair FU´s and the density is governed by the hair characteristics to ensure a natural result is achieved

Fine hair requires a higher density, coarse hair has other concerns as it can look pluggy when transplanted; curly hair has advantages as the curl helps to create the illusion of fullness

Dense packing allows for a result to be realised in one pass, it ensures a smooth progression from single hairs to 2 hair FU´s behind to rebuild the density and thickness, but maintain a soft appearance to the immediate hair line opposed to a thick wall of hair that can look unnatural