Hair Density and Demand

Donor management is vital to the long term result a candidate can achieve; if too much hair is removed to treat a relatively small area as hair loss progresses the demand surpass what the donor can supply

A hair transplant relies on being able to meet the demand for hair by the recipient surface area to cover; the hair that can be removed safely to ensure the donor area is kept in good condition and not depleted to the extent no further work can be carried out

If the starting donor hair density is too low surgical hair restoration may not be a viable option; it may be able to treat minor hair loss but as hair loss progresses the demand for hair will out way what the donor can provide

The donor hair density will alter dependent on the area of the scalp, around the back a higher density of follicular units compared to the sides; also the average number of hairs per FU will drop around the sides compared to the back

The density can be easily assessed at a hair consultation under magnification; it can make an estimate of the density per square cm, the approximate average of hairs per grouping and any miniaturisation present; from this a Master Plan can be made how, when and where to start the restoration

The density of hair is measured per follicular unit; each follicular unit can range in size from on average 1 to 4 hairs per grouping, with an average of around 2.2 hairs per follicular unit and the calculation measured per cm²

The FUT technique relies on removing a hair bearing strip from around the sides and back; although the hair has been removed the overall density is hardly changed; FUE relies on the removal of follicular units from the surface area, so the density of FU´s will actually decrease

With planning it is possible even with high Norwood scale hair loss sufferers to give close or total restoration from hair line to crown, may be requiring a lower crown density being placed, but achieving a natural coverage

The density of hair in the donor area is a crucial aspect as to how good a hair transplant candidate actually is; the donor area covers the back and each side of the head and ranges in size dependent on the technique utilised, FUT or FUE

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Making The Numbers Reach

A hair transplant relies on being able to meet the demand for hair by the recipient surface area to cover; the hair that can be removed safely to ensure the donor area is kept in good condition and not depleted to the extent no further work can be carried out

The density of hair is measured per follicular unit, each follicular unit can range in size from on average 1 to 4 hairs per grouping, with an average of around 2.2 hairs per follicular unit and the calculation measured per cm²

Donor management is vital to the long term result a candidate can achieve; if too much hair is removed to treat a relatively small area as hair loss progresses the demand surpass what the donor can supply

The donor hair density will alter dependent on the area of the scalp, around the back a higher density of follicular units compared to the sides; also the average number of hairs per FU will drop around the sides compared to the back

The donor area covers the back and each side of the head and ranges in size dependent on the technique utilised, FUT or FUE

The FUT technique relies on removing a hair bearing strip from around the sides and back; although the hair has been removed the overall density is hardly changed; FUE relies on the removal of follicular units from the surface area, so the density of FU´s will actually decrease

With planning it is possible even with high Norwood scale hair loss sufferers to give close or total restoration from hair line to crown, may be requiring a lower crown density being placed, but achieving a natural coverage

The hair line placement has to take into consideration potential hair loss and the ability to sustain a balanced coverage from the donor hair available

If the starting donor hair density is too low surgical hair restoration may not be a viable option; it may be able to treat minor hair loss but as hair loss progresses the demand for hair will out way what the donor can provide

The donor hair density can be easily assessed at a hair consultation under magnification; it can make an estimate of the density per square cm, the approximate average of hairs per grouping and any miniaturisation present; from this a Master Plan can be made how, when and where to start the restoration

Time For A Hair Transplant

It is important as we age and lose more hair an age appropriate hair line is designed and a natural coverage and density can be achieved; a balanced coverage is created across the top of the head

From a medical perspective there are very few conditions that may prevent an individual from undergoing a hair transplant procedure, but a hair transplant relies on more factors to determine a suitable candidate

Age combined with hair loss pattern often determine the suitability of a candidate; this is not to dismiss the emotional trauma hair loss can create, but a hair transplant should not necessarily be the first choice

Treating a receding hair line at an early stage of hair loss and especially at a relatively young age will fix a low hair line forever; if hair loss progresses the donor must be able to deal with the need to cover the surface area

A hair transplant is not a cure for hair loss, a hair transplant is simply the movement of hair from one area of the scalp (donor area) to another area (recipient area); the donor is a finite resource and will run out

The pattern of hair loss, the surface area to cover is a large consideration, especially if hair loss is minor and has the potential to progressively advance over time. Higher hair loss patterns make it easier to ascertain the graft numbers required

The amount and quality of the donor hair is a crucial aspect to making an individual a good hair transplant candidate; donor hair density and hair characteristics will determine the quality of a result

If the donor hair is poor quality, low density a hair transplant may not be advisable, especially if and when hair loss progresses from a lower Norwood to advanced hair loss.

In many cases hair retention medications can be a better first option to stabilise hair loss and even improve the quality of the native hair, results will vary from person to person, and time must be given to assess how effective they work.

Goals and objectives must be discussed with the doctor to assess whether they can be met short and long term. This is a vital aspect of a good hair transplant and the happiness of the patient

What Influences The Decision For Surgical Hair Restoration

 

What Influences The Decision For Surgical Hair Restoration

Hair loss can be an emotive issue for many, men and woman, the desire to look and feel young, not ageing maybe beyond our years and attractive, to feel good about one´s self

As hair loss affects individuals in different ways there is no right or wrong answer to whether hair restoration is essential, to one it may not have any influence on their life, but to another it can be traumatic and impact greatly how they socialise

Hair transplantation can be an excellent method or hair restoration, but it is not a miracle cure and does have limitations; the largest being the donor resources are finite, if hair loss progresses it can be harder to reach total restoration unless your hair characteristics are good and a correct plan is made to deal with progressive hair loss

The timing of a hair transplant will also play an important role, age, current hair loss pattern, potential for future loss have to be considered on an individual basis. A good start is to research a number of doctors and clinics, how they approach hair restoration

Peer pressure is something that surrounds us every day, from sales marketing to what friends, family and business colleagues say and do and how it is perceived we should or should not live our lives

No one should influence you when deciding to undergo surgical hair restoration, or for that matter certainly any elective cosmetic surgical procedure; the decision should be yours alone.

If you wish to tackle hair loss the decision should be yours with the first steps to take in researching the various options available, medications, non-surgical and hair transplant restoration

Collate the information from as many sources as possible; it is very possible that much will contradict each other; if so ensure you qualify your research as to why answers to your questions differ

As hair loss can be emotive it can be hard to be logical and easy to make a decision emotionally without thinking the consequences through; especially in the early stages of hair loss and especially when younger

It must be remembered that making an emotional decision usually leads to wishing for everything to be returned to before; and a hair transplant may be able to deliver this in the short term but as hair loss progresses this becomes impossible, especially if the progression advanced to a high Norwood pattern

From the first procedure a long term plan should be taken, especially if the hair loss pattern is minor with the potential for it to advance; using a relatively high % of the donor in a small area will hamper future restoration and achieving a balanced natural coverage

 

Best Time For Surgical Hair Restoration

Before deciding on a hair transplant it is important to understand the limitations of the procedure, for example how much hair have you lost and how much hair can be safely removed from your donor area

There is no simple answer to when it is best to have a hair transplant procedure. Losing one’s hair can be emotive for many and can provoke an immediate reaction to deal with it straight away

A hair transplant is not a miracle cure for hair loss, it is simply the movement of hair from one area of the head to another; it will not prevent further hair loss from continuing so planning is vital as a hair transplant is not a procedure that can be reversed

Treating minimal hair loss, especially in younger men can make it hard to measure long term hair loss and donor management, therefore it is vital to be cautious and not “pull the trigger” too early

There are many aspects to consider, for example, your age, your hair loss pattern today, the potential for future hair loss, family history for hair loss both paternal and maternal sides to name a few.

It is important to have a long term plan in mind to try and ensure that your decision is correct as you become older, that the initial planning, hair line placement/design still looks natural in the future

It is sometimes better in the early stages of hair loss to use hair loss prevention medications and try to stabilise the hair loss; this can prolong the time before looking at a hair transplant, and possibly see a pattern to the hair loss

Fixing a low hair line will mean if hair loss progresses aggressively the surface area to treat becomes larger and the donor may not be able to provide enough hair to effectively treat the area with a natural looking coverage

This does not mean it is impossible but correct donor management is required; prior to any decision the donor hair checked for density and characteristics to ensure a sustained and natural coverage can be achieved

Try to ensure your decision is based on logic and not just emotion, as the decision you take today will affect you in the future and your long term happiness.

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Hair Line Density

The hair line is considered to give the largest impact when restoring a head of hair; the hair line frames the face and generally the first aspect that people see; drawing the eye back to the centre of the face, the eye rather than the forehead

The hair line is progressive from one side along the frontal to the other side beyond the temporal recession; there will be slight irregularities from side to side as the face is not symmetrical

As the hair lines moves round the angles and density placed needs to change to create a natural “smooth” hair line that does not draw attention; not a thick wall of hair that is too symmetrical

There is no such thing as a designer hair line as each individual will be different and must be taken into account when designing and placing the grafts; it is advised to not try and create a hair line pattern that you did not have before

Hair Line Position And Design By Hattingen Hair Transplantation

Hair Line Position And Design By Hattingen Hair Transplantation

The best hair line is the one that fits your facial features the best, not necessarily the thickest or lowest but the most natural that does not draw attention as it looks perfectly natural. Because of this hair line placement is often a compromise between the candidate and doctor; and a great deal of medical proficiency and artistic ability is required

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

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. 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

As the hair line reaches the temporal recession point the density needs to be reduced slightly as well as the angle of the hair exiting the scalp as the bone structure moves down the side of the face

As the hair moves further down to the side-burn the angles have to change further, more acute to the skin to allow the grafted hair to be blended with the original side-burn

As the hair line requires a large number of grafts in a relatively small area the distribution is vital to maximise the coverage and density achieved with as low number of grafts as possible; allowing for greater distribution of hair further back

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

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

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

 

 

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Post Hair Transplant Side Effects

Post operation there will be a few side effects over the first few days, minor effects that are not threatening but need to be realised for an individual´s well-being and no surprises; it will also aid better healing

An obvious concern is pain; there should be minimal pain, mild discomfort post operation usually around the donor area and may last a few days. A simple pain killer is normally enough to dull any pain

With Strip surgery there will be some tightness around the donor due to the sutures, initially making it hard to move your head from side to side, but over a few days the laxity returns and movement is free

Preparing For Your Hair Transplant Post Op

Preparing For Your Hair Transplant Post Op

Swelling occurs in nearly all patients, especially with hair line work and larger procedures. Usually the swelling occurs around the eyes and forehead; it is harmless and begins normally the day after the procedure and last about 5 days. A more upright sleeping position and an ice pack can help reduce the effects of swelling

Although harmless you will not look your best and it is suggested you make sure you have provisions at home, food and drink if you would rather not go out in this period, until the swelling subsides

Bleeding post op is rare in the recipient or donor areas, if it does occur apply light pressure with a compress. Be careful not to bang your head especially in the first weeks. If bleeding persists then contact your Clinic

If travelling home take a few precautions, take a window seat on public transport, getting in and out of cars leave a little more head room

Itching: itching is a natural part of the healing process, be careful not to rub or massage the grafted area. With daily shampooing the itching will subside over the first couple of weeks

Numbness: some temporary numbness occurs in both the recipient and donor areas and can linger for a few weeks or months in some patients.

Hiccups: can occur after surgery, the condition is not serious but annoying, refrain from drinking carbonated/fizzy drinks for a few days post operation.

With any medical or surgical procedure there can be side effects, often temporary and minor, and hair transplantation is no different.

This is not an exhaustive list but some common side effects post hair transplant surgery. If you have any doubts or concerns always contact your clinic to calm any concerns you may have.

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