One Pass Hair Transplants

For individuals with a high Norwood pattern, Nw4 and above a normal goal is to cover as much of the balding surface area as possible and ideally in a single session to achieve a result in one pass

The terms Mega and Giga sessions have been used to denote the large movement of grafts in a single session; much is dependent on the quality of the donor zone characteristics on how many grafts can be removed safely and maintain the quality of the donor area as best as possible

Individuals suffering from advanced Male Pattern Baldness (MPB) will require anything from 4000 to maybe as much as 8000 plus grafts or follicular units to achieve total restoration; some candidates will not be able to achieve these numbers due to deficiencies in the donor hair safe zone, other may require multiple sessions

Technical ability and planning is required to ensure the grafts can be harvested, divided into the natural follicular units, the recipient sites made and the placement of the grafts administered efficiently. This requires a skilled team that work together and understand each other’s role within the process

A hair consultation can measure the quality of the donor safe zone and the recipient area to be covered, from this the plan can be made; when researching always request to see a number of results the clinic has achieved with high graft numbers to ensure they have a consistency and proven track record in achieving restoration on advanced hair loss candidates

A master plan must be made between patient and doctor to ensure this can be achieved and if there are any compromises they are calculated and agreed upon; for example the overall density that can be placed from hair line to crown

The patient must also be prepared when undergoing a large hair transplant procedure; the day will be relatively long and the individual will need the virtue of patience to allow the medical team to perform the operation with efficiency but care

Prior to any 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.

Large hair transplants when performed to the highest standard allows the individual 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.

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Concerns Of Having A Hair Transplant

There will be many concerns when starting to think about undergoing surgical hair restoration, technical and psychological issues, will the result look natural and even if yes, will the individual be happy with the result

One aspect that can reduce the concerns is to research thoroughly before making any decision; also to have realistic goals and expectations from the procedure. A hair transplant is not a miracle cure and has limitations

Understanding what can be achieved will go a long way in reducing any concerns; even to the point that if the individuals goals cannot be met and the decision is not to undergo surgical hair restoration

Can My Goals And Expectations Be Met With Surgical Hair Restoration?

Can My Goals And Expectations Be Met With Surgical Hair Restoration?

Having an open dialogue with the doctor is vital, ensure you are honest with yourself and the doctor as to your expectations; they are not mind readers and need to understand what the individual wishes to accomplish

A hair transplant will require long term planning, even if the initial procedure is to repair minor hair loss; in fact smaller hair surgery can require more long term planning and caution as it is impossible to predict the pattern of hair loss over time

Many times the individual´s goals have to be tempered against the doctor´s recommendation; this is largely due to the hair characteristics of the donor hair not be able to sustain natural hair restoration

Overall the hair characteristics will determine how good a hair transplant candidate a person is; if told by multiple doctors that the demand cannot be met by the resources available listen carefully and rethink your goals

Attaining a natural result is the ultimate goal, individual´s personal goals will differ from person to person; younger patients generally have very high expectations, with vivid memories of the exact position of their old hair line with the goal to restore prior to hair loss began

The older individual, especially with advanced hair loss is less demanding; the hair line position is easier to agree on and the goal is more to achieve a natural density and coverage over the thinning area

It can be helpful to contact multiple clinics and doctors to gain as many professional opinions and assessments as possible; it is not uncommon assessments will vary from clinic to clinic, graft numbers required, technique to use being the main two variants

Qualify the assessments you receive with factual answers as to why the clinic has come to a particular conclusion. Especially if you can make an in-person consultation have the donor hair checked for quality and density as this will ultimately determine how good a hair transplant candidate you are

 

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Can I Have A Hair Transplant Test To See If I Like?

A hair transplant or surgical hair replacement can be a positive life changing procedure but at the same time can have a negative impact if not planned or executed correctly; this involves a lot of research by the individual

Hair transplantation is a permanent solution to rebuilding an area of hair loss; the follicular units placed should come from a genetically strong area of the donor safe zone, around the sides and back of the head

Even though the follicular units are transferred they retain their genetic properties and will continue to produce hair over the life time of the individual. Because the hair will grow permanently it is important to understand that it is not possible to return the scalp back to before any hair transplant was performed

Always Ensure You Are Prepared For A Hair Transplant. Research Is Vital

Always Ensure You Are Prepared For A Hair Transplant. Research Is Vital

Regardless of the hair loss pattern, minor hair line and frontal third thinning or advanced hair loss stages a master plan must be made to achieve a natural result; rebuilding the hair line must create a natural front line, slightly irregular with an increasing density behind

Advanced hair loss stages require many more grafts, the hair line must be positioned in relation to the quality of donor hair to ensure a balanced coverage can be achieved; not too high or too low that can result in a front loaded appearance

Age can be an important factor when deciding to undergo a hair transplant; young with too much native hair makes it impossible to predict any future hair loss pattern, will make very little cosmetic difference and can end in chasing hair loss

A hair transplant is a big decision to make, concerns whether it will be natural, if you like the result, what happens if you lose more hair, costs and overall is it worth it to the individual; it may seem a logical idea to have a small test before “pulling the trigger”

A test will give you very little comfort or answers but it will give you permanently growing hair in an area you have thinned or receded; if the test hair is placed on the hair line or within a thinning area it will ultimately be noticeable as the area thins or recedes further

Due to the small number of grafts used with a test it will not be able to tell you how natural a result will look, or the density or coverage that can be achieved or basically whether you would be happy with the overall result

A test maybe in some cases useful, when a hair transplant has already been performed and the yield has been low, if there is a concern it may be caused not by the poor application of the procedure but by poor physiology then a test may be able to help, but this is generally not common practice

There will always be a degree of nervousness deciding to have a hair transplant, perfectly natural reaction even if you are sure; after careful research and deciding on the Clinic to perform your procedure if you have large doubts then it is best to stop and postpone your decision

 

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How To Continue Successful Surgical Hair Restoration?

The initial decision to undergo surgical hair restoration obviously focusses on the immediate problem, the hair loss pattern an individual suffers from at the time of the initial hair transplant session

As hair loss, in particular male pattern baldness is progressive the decision when to start restoration and the plan or design is crucial to the long term happiness of the candidate; as the ultimate pattern of hair loss can be hard to predict

The donor hair resource is a finite entity and after every hair transplant session, be it by FUE or FUT hair transplant techniques will alter and less and less hair or follicular units can be removed over time

Two FUT Hair Transplant Procedures. 7305 Grafts And Total Restoration Of A NW6 Hair Loss Sufferer

Two FUT Hair Transplant Procedures. 7305 Grafts And Total Restoration Of A NW6 Hair Loss Sufferer

A plan must be made from the outset how future hair loss will affect the result and how a successful, balanced and natural coverage can be achieved; individuals have different goals from a hair transplant, not all individuals are looking for the appearance of a full head of hair, but all individuals are looking for a natural result

An average donor density is around 75 follicular units per cm squared; the density of FU´s will differ around the sides to the back of the head with the highest concentration of hair being around the back, or the occipital area

If the starting donor hair density or general hair and scalp characteristics are substantially below average then surgical hair restoration is probably not the option an individual should take; although a weak donor can treat relatively minor hair loss it will not be able to sustain more aggressive hair loss patterns

As a hair transplant is not viable to reverse, leaving signs of a surgical procedure, planning with the future in mind and the individual being aware of the limitations a hair transplant has can go a long way to long term successful hair restoration

Considerations to be taken into account besides the donor area qualities are: age of the candidate, hair loss patterns on both sides of the family, the goals of the individual and hair line placement

7305 Grafts 2 FUT Surgery Sessions Donor Healing

7305 Grafts 2 FUT Surgery Sessions Donor Healing

On higher Norwood scale hair loss sufferers it can be easier to predict future hair loss, and at the same time achieve total coverage from hair line to crown in one procedure on the right candidate, reaching 6000 plus grafts with the FUT technique

Even if hair loss continues it is likely a much smaller procedure would be required in the future to sustain a natural pattern of hair growth. Minor hair loss will require repeatedly entering the donor area to repair smaller areas of hair loss

Constant entering of the donor impairs the skin healing over time, can increase miniaturisation of the hair, change the skin laxity and donor density; very likely reducing the potential number of grafts that can be safely removed

A hair transplant success can be measured on many levels, patient happiness being paramount, but also how the donor area is managed to ensure the minimum number of grafts are used but the maximum natural coverage is achieved

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Can A Bad Hair Transplant Be Repaired?

Having experienced a bad hair transplant result can leave mental and physical scars that do not easily heal; it can leave an unnatural pattern of hair growth, poor yield, bad donor management, and excessive scarring

An individual who has gone through a bad experience is understandable cautious before getting back into the chair; but they must also understand that a hair transplant has limitations and clear priorities need to be made

Dependent on the severity of the initial procedure is may be possible to repair many or all areas and achieve a totally natural looking result and improving the donor area if and when future hair transplants are required

Hair Transplant Repair Surgery Requires Technical Skills

Hair Transplant Repair Surgery Requires Technical Skills

Often a hair transplant repair has to be planned over multiple procedures, especially if the donor area has been seriously impaired and restricts the graft numbers that can be safely harvested in each procedure

In many repair cases the best results can be achieved combining both techniques, FUT and FUE. Combing the techniques opens the possibility to reduce visible scarring and increase the graft numbers attainable in a single procedure

Prioritise areas of cosmetic importance in the recipient area to treat as it is unlikely all areas can be treated at once, so each hair transplant needs to focus on maximising how natural the hair growth, coverage and density appear

The individual needs to understand there are often limitations and as much as it may be hard to live with it is a reality and the end result may not be what the individual first visualised but the priority must be to create as natural look as possible with the limited resources available

This can mean if hair loss advances not all areas can be restored but as long as a balanced coverage can be achieved the result will still appear natural; but may not reach the initial goals of the patient

A hair transplant repair requires added skills by the doctor; often there is scarring in the recipient area and this can impair the placement and regrowth of new hair; also poorly angled grafts will need to be removed or camouflaged

A hair transplant repair patient should take their time when researching, also to keep an open mind as to what can be achieved from the repair surgery and how long it may take. At this stage it is important no more mistakes are made

All due care must be taken as the trauma and anxiety of a repair patient is high; why a solid education, balanced expectations are required and dialogue between doctor and patient.

 

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Treating Advanced Hair Loss

Hair loss in the majority of men is progressive; an individual´s genetic disposition can be a reasonable guide to how advanced hair loss will progress. Advanced Norwood stages make defining the safe donor area easier

The size of the safe donor area is more important when using the FUE hair transplant technique as it relies on a wide surface area to extract the follicular units from; FUT extraction is more localised to a thin strip around the sides and back well within the donor area

NW5 Diffused Hair Loss Pattern Treated with 3994 FUT. Hattingen Hair Transplantation

NW5 Diffused Hair Loss Pattern Treated with 3994 FUT. Hattingen Hair Transplantation

Having the ability to measure the safe zone allows for an accurate assessment long term of how many grafts can be extracted, be it in one procedure or multiple surgical hair restoration procedures

Advanced hair loss sufferers also 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

From the hair line position the area behind can be measured, frontal third, mid-section and crown; care has to be taken to measure the miniaturised hair around the demarcation zone when the sides and back meet the top of the scalp

The miniaturised areas of hair will increase the recipient surface area but must be taken into account when planning hair restoration otherwise the restored area will not meet the sides creating an unnatural island of hair

From calculating the donor hair density it is then possible to determine how many grafts/follicular units can be safely harvested and what hair transplant technique can be the most efficient to achieve as close to the required numbers

The hair characteristics will then determine what density of hair is required to be placed over the recipient area to achieve the look of thickness; the better the hair characteristics the lower density is required and greater coverage can be realised

NW6 Hair Loss Stage Treated with 7305 FUT. Hattingen Hair Transplantation

NW6 Hair Loss Stage Treated with 7305 FUT. Hattingen Hair Transplantation

If coverage cannot be achieved over the crown the hair density will be reduced as the placement reaches the vertex; this creates a natural looking pattern of hair loss and not stopping with a flat dense wall of hair

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

Regardless of not being able to cover the crown or a lower density coverage the result can stand alone and look perfectly natural; if the individual does not wish for whatever reason to continue restoration the pattern of hair growth will be natural and balanced

If future restoration is desired then this can be performed at a later date; it is best to allow at least twelve months between hair transplant procedures; this allows for the hair growth to mature and the skin to fully heal

Correct donor management and on the right candidate can allow for upwards of 6000 grafts to be reached in a single procedure with the FUT technique; FUE procedures are generally much smaller and would require multiple sessions to get near such high numbers

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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Managing Expectations From A Hair Transplant

A key to successful surgical hair restoration is open and honest dialogue between the individual and the doctor performing the hair transplant procedure; without this it is impossible to gauge how successful in the eyes of the individual will be

Managing the goals and expectations of the candidate is vital from the very first procedure be it minor hair restoration or advanced hair loss that is being treated; even though the ultimate goal by all is to have more hair each individual will have different expectations as to what they consider a successful result

Checking Your Goals And Expectations Against Achievable Hair Transplant Results

Checking Your Goals And Expectations Against Achievable Hair Transplant Results

A perfectly good hair transplant can be performed but if the individual is not happy or does not meet their goals in their eyes it will not be a success and this can lead to recriminations against the clinic and the feeling from the patient they have been let down

Planning a hair transplant is different for all individuals; from technical perspective aspects such as hair characteristics, facial bone structure the pattern of hair loss will all be taken into consideration by the doctor as they make a plan how to approach hair restoration

From an individual´s point of view the first thought is simple hair restoration, getting back what has been taken away; this is especially true with lower hair loss patterns, advanced hair loss sufferers generally are more open to what can be achieved

It is important when researching to gain as much knowledge as possible, contact multiple clinics to gain varying opinions as to how they would approach hair restoration, short and long term. As hair loss is progressive and the donor hair resources are finite it is important to be able to sustain hair restoration as it advances; this requires planning from the very first procedure

The individual must understand the limitations of a hair transplant, the density required achieving natural fullness, and how hair characteristics can aid or hamper the results that can be achieved

How the hair line position must reflect the demand for hair over the potential surface area against the resources available to the doctor; why deciding on the correct hair transplant technique may be better used over another

Gaining this and more information will go a long way to becoming better educated and understanding how a hair transplant result is put together; this may mean changing your initial goals but will help in achieving the result you expect

Be honest with yourself and with the doctor you ultimately decide upon; nature can only be cheated to a degree and miracles do not occur; not all individuals make a good hair transplant candidate and as frustrating as this may be it never good to start that which cannot be finished

 

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