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

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An Educated Donor Protocol

Although today many have a preferred technique in mind it is always important to access the individuals’ goals against what is technically possible to achieve from each technique

The donor hair is finite and can only reduce after each procedure so the technique used is not by design but necessity to sustain hair restoration over time

FUE though requires a wide surface to harvest from, in lower hair loss patterns the donor area safe zone can be hard to determine therefore a conservative approach should be taken as to how high in the donor the grafts are removed

FUT can harvest from a relatively small area, the hair rich occipital area of the donor, FUT leaves a fine strip scar that hair regrows through to help camouflage further and allows for short haircuts just long enough to cover the line

With FUE as long as an educated pattern of extraction is made, spreading the extraction points around the donor very little change can be seen and very little density lost to the overall surface area of the donor

As the density of hair reduces after every procedure with FUE the higher the numbers required start to become harder to realise without leaving obvious areas of thinned out hair density or potentially more obvious scarring

With good hair and skin characteristics, reaching 5-7000 grafts with FUT in one procedure is becoming more common in a single operation

This is achievable with FUE under the right circumstances but normally slowly, requiring multiple procedures with ideally a twelve month gap between each operation

Repair patients can have multiple priorities to address and the donor area is almost always impaired with multiple scarring from previous procedures; removing a strip can englobe much of the old scarring and leave a single linear scar and FUE harvest in untouched virgin areas to further increase the graft count

This can make a huge difference to a repair patient, graft numbers are paramount and often depleted and in short supply so to be able to maximise the numbers in a single procedure can make the difference between a successful repair and not

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Minor To Major Hair Loss

Hair loss is generally progressive and although the ultimate hair loss pattern can be guided by an individual´s genetics this is only a guide and hair restoration should not solely be planned with genetic factors in mind

Assuming treatment does work they can control hair loss for many years; they need to be used correctly and the positive results will only continue while the treatment is being used; stop and the hair loss will commence

As emotive as hair loss is at a younger age be careful not to lose common sense over emotion as we are all older for many more years than we are younger; at the time it may appear the best solution but many have made this mistake and regretted their actions

Surgical hair restoration is not always the best first option, especially on a younger age; there is no way to determine how fast or the pattern of hair loss and fixing a low hair line can create complications in the coming years, a balanced coverage and donor management issues

The hair line can take a relatively high number of follicular units for the surface area to cover; using so many and fixing the hair line low will increase the potential surface area to treat in the future as hair loss progresses

As we age the hair loss pattern matures, even a man in their mid to late 30´s and early 40´s may have only receded over the frontal area, around a Norwood 3 hair loss stage; this allows designing a new hair line much easier

It is always important to research and get the opinion of multiple hair transplantation doctors; do not always take the word you are a good hair transplant candidate just because it suits you to hear this

Advanced hair loss sufferers generally have lower expectations in terms of restoration; a natural result is priority but expectations of a low adolescent hair line is not the top significance for many

With planning it is possible to rebuild the surface area of hair loss, and on the right candidate achieve total coverage in a single procedure, even if this means a slightly lower hair density over the crown

Achieving total coverage with a natural hair density in one procedure is time efficient for the individual, only means entering the donor and recipient areas once, causing as little change to the skin and better healing

If total coverage can be achieved it is common the hair density over the crown will be reduced compared to the placement over the frontal and mid-section; few candidates can achieve total coverage and even density from hair line to crown in one procedure

Planning with any hair transplant is important as the first session the scalp is always in the best condition to maximise graft numbers; a mutually agreed plan between doctor and patient will ensure that both parties understand what can be achieved and the long term happiness of the individual

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Minimise The Look Of Hair Loss And Scarring Post Hair Transplant

A hair transplant cannot replace like for like hair lost so relies greatly on creating the illusion of fullness and natural density; this is achieved by strategically placing and distributing the grafts over the surface area

The obvious purpose of a hair transplant is to give more fullness of hair in an area of hair loss over the top of the scalp; and with this when the result has grown out is the question of hair style and hair length

A degree of hair length is required to enhance the illusion of fullness, the longer the hair gives greater coverage and blocks the light from reflecting off the skin

The better the hair characteristics the more flexibility in hair styling and hair length is available; coarse hair and a low hair to skin colour contrast help and allow for a shorter hair cut

The shorter the hair the less coverage is produced per hair and the scalp becomes more visible, this is true in the recipient area as well as the donor area

Regardless of technique, FUT or FUE, no one can promise that there will not be visible scarring in the donor area, and the shorter the hair cut the more obvious this may become; either the linear scar from FUT or cylindrical white dots by FUE

With either technique donor management is important to minimise any visible scarring, to not over-harvest with FUE and thin the donor and with FUT respect the laxity to ensure a neat closure

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Getting Hair Transplant Planning Right The First Time

Before deciding to undergo a hair transplant research thoroughly, become hair educated and do not always believe what you want to hear, base your decision on facts and logic, not solely emotion

If hair is spread over the recipient area in a diffused pattern although coverage is achieved the result never looks natural or cosmetically desirable, a minimum density of hair is required to block the light from reflecting off the head

As it is impossible to replace like for like hair a hair transplant procedure relies on artistic and medical skills to achieve the desired coverage and look of density or fullness.

As hair loss progresses it becomes harder to treat the surface area; high Norwood Scale hair loss sufferers, NW6-7 may not be able to achieve a full coverage, dependent on the quality of their donor hair

To achieve coverage on a high NW candidate will require 6000 plus grafts or follicular units from hair line to crown, dependent on hair line placement and hair characteristics of the candidate, but not everyone can reach these number

A Master Plan is required to ensure that if hair loss progresses a balanced coverage can be achieved, fixing a low aggressive hair line may seem a good idea initially but if the coverage cannot be balanced it will look unnatural

The appearance of thickness is aided by the placement of the follicular units, the angle and orientation and the curvature of the hair shaft following the natural lay of the hair. Placing the hair at the correct angle can increase coverage and block reflection of light off the scalp

This can make a huge difference in the coverage achieved in a single procedure, with a well-placed hair line can result in total restoration and a full result being achieved in the minimum time frame and least inconvenience.

Large Sessions allows the patient to achieve the maximum aesthetic result in the shortest time frame, less down-time away from work and excuses to friends, family and colleagues, as well as it being financially more agreeable to the wallet.

Can total restoration or a full head of hair be achieved? The answer to this is yes and no, replace like for like hair lost, no, but have the cosmetic illusion of a full head of hair, yes

Hair Transplant Technique: FUT, FUE or Both?

When deciding on the technique to best use; remember:

The harvesting method is not a matter of taste but a matter of necessity. Every patient has different characteristics and these should be taken into account when deciding on the best technique that should be employed

To gain the best long term result it must be thought about from the first session, then the optimum and maximum utilisation can be made of the donor area as it is untouched and has the greatest potential. Prior to surgery the donor and recipient area will have their best properties; the donor having the best density, laxity, no scarring and the recipient has also never been touched or impaired

Achieving high numbers is not only about the characteristics of the patient. The Doctor´s & Medical Team must be able to work together efficiently and with high skill to ensure graft survival and patient care is the priority

The hair loss pattern will determine the number of grafts required to cover the surface area. Each technique has pros and cons and before deciding on the technique to first use it is important to access the long term donor management.

If hair loss has progressed to an advanced state the need for grafts is high to cover the surface area. The larger the surface area the harder it is to treat the entire area in one procedure with either technique

The options is to treat the area over multiple procedures, starting with the hair line and working back over the frontal third and mid-section and later to treat the crown; this will require maybe 2-5 procedures dependent on technique and the quality of the donor resources

There are 2 recognised hair transplant techniques in use today, the FUT and FUE techniques. They differ mainly in the donor management and the manner the follicular units are removed from the scalp

Utilising the benefits of both FUT and FUE and combine the techniques to maximise the graft numbers in a single procedure; allowing for the potential to reach total coverage and possibly a “home run” result

By combining the two there is the potential to reach in excess of 8000 grafts on a good candidate; on an average candidate that would maybe only achieve 4000 grafts increase the number to 6000

Combining the techniques can also be of great benefit to repair hair transplant candidates; when the donor area has been impaired by improper previous surgery. Being able to remove a strip and widen the extraction zone at the same time can provide the maximum graft numbers to correct the pattern of hair growth over the recipient area

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