1 Hair 691 691
2 Hair 2108 4216
3 Hair 1025 3075
4 Hair 279 1116
Total: 4103 9098
FUE, follicular unit extraction, is a blind hair transplant extraction method; meaning that as the punch enters the skin it is not possible to see the follicular unit depth or direction
Understanding the direction of the hair as it exits the skin is vital, as is depth control of the punch; as it is impossible to see with the eye so a great understanding of anatomy is required
Regardless of manual or motorised punch tools due care must be taken as any damage caused during the extraction process needs to be kept to a minimum, with around a 5% transection rate; if the transection rate gets too high then a decision has to be made whether the process should be continued
The depth the FU sits in the scalp can also alter, some more shallow or deeper than other; in general most individuals there is a small variant in depth around the head but in some cases the depth can alter dramatically, even in the same areas, making depth control of the punch harder to be consistent
If depth control is not managed correctly it can impair the quality of the graft being removed and potentially create more visible scarring with the post operation healing
The angle of the hair will alter dependent on the area of the scalp it is position in, the sides and back of the head; when punching the FU´s the positioning of the hand and body needs to change to compensate for the changes in direction; generally the sides being more acute and the back the hairs facing down
The direction of the hair as it exits the scalp can differ from how the follicle is directed under the skin; if this is not understood it can lead transecting the follicular unit, best case scenario is the FU is split and the healthy hair count reduced, worst case scenario the FU is worthless due to being divided
As FUE is becoming more and more popular it is important that the aspects mentioned are controlled. Donor management is vital the ensure the least amount of damaged is caused to the area
As each follicular unit is removed or attempted to be removed the density of hair is reduced, on smaller procedures the changes are less but if larger numbers are required there is a greater danger of over harvesting and leaving obvious scarring or areas of obviously reduced hair density
An individual will need to set out their goals for hair restoration then seek professional advice whether the goals can be suitably met. Certain criteria will be examined to ascertain if a satisfactory result can be achieved
A hair transplant should not be thought of as a cure for hair loss or suitable for everyone; if the hair characteristics are poor it is better not to start surgical hair restoration as results can be poor and lead to distress
If the hair in the donor area is low density, mainly small hair groupings, and miniaturised this will limit the quality of the hair and the numbers available over time; it may be possible to repair minor hair loss, a hair line, but as hair loss progresses the donor area will not be able to keep up with the demand for hair
Even with average donor characteristics if the area of hair loss advances aggressively, restoration, certainly total restoration may not be possible; especially if the pattern of hair loss drops down the sides and back, exposing the lateral humps and the crown dropping into the potential safe zone for harvesting hair
A hair transplant is a surgical procedure, relatively minor and relies on the hair and skin characteristics of the individual to determine whether a cosmetically suitable and balanced result can be achieved
Because we have to rely on the quality of the hair properties we have around the sides and back of the head results will vary from person to person and some will make better candidates than others, with some individuals not being a candidate at all
Some clinics will have strict protocols on who they consider to be a good hair transplant candidate; age is always high on the list of protocols, using medications can play a role, existing hair loss pattern and potential hair loss pattern. This does not belittle the feeling of someone who is younger and losing hair, in fact, although may be not initially appreciated, if the advice is to not undergo surgical hair restoration it is simply made with the best interests of the individual in mind
It must be impressed upon and understood that a hair transplant is not a miracle cure; as great as results can be on the right candidate, if all the parameters and risks are ignored then not only will the result not meet the goals but can result in the individual needing repair surgery which is not a position anyone wishes to find themselves in
Treating diffused thinning with a hair transplant can be problematical, it can be hard to determine how far the pattern of loss will conclude and placing within diffused hair making it hard to create a natural density
Dependent on the extent of the pattern of diffuse loss and the lack of density it may be best to not undergo surgical restoration and wait until the pattern matures and less trauma to the native hair will occur
If the doctor is happy to treat with a hair transplant it is almost always the case the recipient area will need to be shaved; this is to help aspects of the surgical procedure. Shaving allows the quality of hair to assessed much easier under magnification, how miniaturised the hair shaft is; shaving aids the accuracy and speed of the procedure and allows a greater density to be placed
The use of custom made blades for the recipient sites allows for the slit to be customised to the size of the graft rather than one size fits all. This allows for a greater density to be placed and less trauma during the operation as well as improved faster healing post operation.
Diffuse thinning is normally caused by an interruption in the normal hair growth cycle, caused by a variety issues, nutritional, hormone, stress to name a few
The hair also can be weaker, so any trauma from the hair transplant procedure can cause the hair to reject, or shock-loss; this can occur almost immediately or over months post operation in some cases.
It is always advised to try and locate the trigger when possible before undergoing any treatment programme or surgical hair restoration procedure
Diffused hair loss over the top of the scalp can leave an intact hair line but behind a thinner coverage of hair, no actual bald spots just a loss of density and sometimes overall hair quality, miniaturised hair
Hair loss retention treatments can be a good first alternative to treating the thinning, sustaining the hair growth over the area and potentially being able to thicken the hair growth for some time.
Many clinics prefer not to operate on diffuse hair loss sufferers, it is not so much because of the medical complications but their concern for the result and your happiness; so when researching take this into consideration.
For the right candidate a hair transplant can restore hair coverage even with aggressive hair loss stages but it is important to understand it cannot replace like for like hair, there are limitations
Hair loss affects the majority of men over their life time, the psychological implications effect people in different ways; some men don´t care at all whereas others it can be traumatic and something they cannot come to terms with.
Deciding to undergo hair restoration or hair retention is a big decision and not one that should be entered into lightly or without researching the pros and cons, hair retention treatments, non-surgical or surgical hair restoration
A hair transplant relies on being able to move hair from an area of genetically strong hair follicles to the area of hair loss; whether you are a good candidate depends on the quality of your genetically strong hair.
Not everyone makes a good hair transplant candidate and because a hair transplant is not practical to reverse before starting make sure you understand what can be achieved long term, whether it will look natural and you are happy
Assuming your hair characteristics are good enough to sustain hair restoration if it progresses aggressively then a hair transplant can be a viable option; if your hair characteristics do not allow this then better not to start
Being able to place the hair at the correct angles to the surrounding hair, ensuring the lay of the hair shaft matches the natural curvature of each hair allows for natural looking results
Base your decision on logic and factual observation, even if this means making compromises on your objectives and then decide whether you wish to continue with surgical hair restoration.
By minimising the “risks” you increase the probabilities that you will happy with your decision and a hair transplant will be worth it. It is vital to find a doctor whom you feel meets your objectives, contact multiple clinics and collate the advice you are given. It is likely opinions will differ, do not necessarily take the opinion that you want to hear
The 2 recognised hair transplant techniques when utilised correctly can allow for near 10,000 follicular units to be removed over time on a good candidate, on an average candidate closer to between 6-7000 FU´s.
As we cannot replace like for like hair lost with a hair transplant it is vital to gain the most coverage from each hair as possible, especially as the donor resources are finite. The art of a hair transplant is being able to distribute the hair available so even high levels of hair loss can be treated
As well as coverage achieve a natural looking density. There are a few “tricks of the trade” to achieve maximum coverage and density with a limited number of follicular units available
Since each follicular unit group varies in size, from one to four hairs we use different blades to create custom reception slits of varying width and depth to the follicular units. The width of the blade is very small, about 0.6-1 mm
Our use of custom-made instruments also promotes speedier healing in the recipient area; the use by some of standard tools have to be large enough to facilitate the larger FU´s so do not take into consideration the variant in sizes or depth of the slit that needs to be made.
Custom blades allow for greater precision of placement, allowing for larger sessions to be performed and higher densities placed, whereas standard tools restrict the density that can be placed due to circulatory disorders when trying to place too high a density
Watching the natural curvature ensures maximum coverage from each hair, allowing the hair to blend with the native hair more effectively; even with a shorter cut the curvature does not oppose the surrounding hair
Even a straight hair has a curvature, the lay of the hair when it is held up or when in the scalp will always fall in a certain direction when it exits the scalp, normally facing downwards. The hair curvature is different from the angle or orientation of the hair or when the slit is made; the curvature is seen when the hair is placed in the recipient area
Controlling the curvature has three major benefits:
1. it will blend with the surrounding hair and not give the appearance of misdirected hairs
2. It will allow each hair to give greater coverage allowing for fewer grafts to be used over an area of the recipient zone
3. Ensure more fullness or density can be achieved as the hairs are laying in a uniform pattern
Controlling these aspects will help in achieving the maximum coverage and density possible with the minimum number of grafts; this is good donor management as it reduces the amount that has to be extracted and preserves the donor in the best possible condition; also allowing for future sessions if hair loss continues
Surgical hair restoration is elective surgery and generally has to be paid for privately as it is not covered by private insurance or social medical services. Prices can vary greatly between Clinics and as important the cost is the decision should not be based on cost alone; be it cheaper is more economically beneficial or the more expensive must be better
The physical cost of the hair transplant is one factor but there are other costs involved, research, travel, accommodation, post operation care, time off work.
Most clinics charge per follicular unit (FU) with each FU containing between 1 to 4 hairs, and the charge is made per FU placed in the recipient area; generally the rate for FUE is higher than FUT. Always ask for the FU/Count when making your final payment so you can ensure you pay for what you receive
On an average size hair transplant procedure the hairs per follicular unit averages out to around 2.2 hairs per unit, for example a 4000 graft (FU) procedure there will be approximately 8800 hairs
This is an important consideration on two respects
A hair transplant result relies on the strategic distribution of natural follicular units to gain the coverage required and the appearance of natural density
If the hair count is considerably lower than the average then the overall cost will increase pro rata
A Hair Transplant can be a big investment and before deciding all due care should be taken; a benefit of a hair transplant is the grafted hair is permanent. As important as the cost is in the decision your decision should not be related to the cost, be it high or low; your decision should be based on the quality of the results of the clinic and reputation from previous patients