5063 FUT

5063 FUT

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

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Sustainable Hair Retention

It is important to understand as we age our hair characteristics will also change naturally; when younger, later teens generally our hair is at its strongest and not uncommon to change slightly as we enter our early 20´s as men

MPB is generally relatively slow to manifest itself and deciding at what stage to treat hair loss is critical to your long term happiness; with the first signs of thinning if this is something an individual wishes to treat hair loss retention treatments should be the first option

Surgical hair restoration is not necessarily the best option in the initial stages of hair loss and is not a cure; until the hair loss pattern can be better established or the hair loss stabilises a hair transplant should not be considered

Especially at a younger age it is prudent not to panic if some thinning or miniaturising of hair is seen in the temples or generally along the hair line; almost every man will experience this over their lifetime even if MPB does not take an aggressive path

As to whether this will continue into advanced Male Pattern Baldness is a prediction to a great extent, genetically family history can be a guide but only that as the MPB gene can skip generations

The on-set of hair loss normally starts with the temporal regions of the hair line, causing the hair line to become more acute and exposing the temples to give the impression the forehead is larger; the V shaped hair line

The earlier treatment is started the greater chance of maintaining the growth you have; another option is to allow nature to progress and monitor the hair loss and then make a decision as to how best to treat over time

Although there are only 3 FDA approved hair loss treatments and results will vary from person to person it is the logical initial path to take; trying to maintain the hair line and potentially improve upon the weaker hair that is still growing can allow to keep the hair line or at least slow down the pattern of hair loss

The initial use of medications can sustain the growth of your hair for many years without the need for a surgical procedure; when deciding to start a treatment programme is specific to the individual and how severe they see their hair loss

Limit The Visible Scarring Potential

Any surgical procedure will create some degree of scarring, some more visible than others, dependent on the area and in the case of a hair transplant how short the hair is worn; also the natural skin healing properties and the skill of the doctor

This is important to understand that regardless of technique some degree of scarring remains, albeit relatively minor. Correct donor management is important to ensure the most FU´s can be removed safely and with minimum change to the area. Also post-operation healing and care by the patient is important to ensure the smallest scarring possible

The 2 techniques will leave different shaped scarring, FUT a line and FUE cylindrical; FUT the length of the line will depend largely on the number of grafts required, FUE donor will depend on the number of grafts required plus any transection

When both extraction techniques are performed to a high standard any visible scarring is minimal, even brushing through the hair it can be hard to identify; FUE the extraction points can be spread over a wide area, assuming the donor is not over harvested and FUT with later closure methods hair grows back through the line, camouflaging it further

There are limitations even when performed to a high standard, hair length; shaving the hair close to the scalp will leave visible, if different signs a surgical procedure has be performed

FUT, Follicular Unit Transplant, a single hair bearing strip is removed, the width of the strip is partly determined by the grafts required but also importantly the skin laxity, what width can be removed without creating tension when the closure is made

FUE, Follicular Unit Extraction, a cylindrical punch surrounds each FU individually, every extraction mark can potentially leave visible scarring with punch size, ability and skin healing properties playing important parts. The punch marks left heal over a couple of weeks

FUT, the line will become visible as a constant line even with hair growing through it when the hair is shaved; FUE although it is unlikely every extraction point will be visible with shaved hair but commonly a pattern of extraction is visible in areas, a man-made pattern of white dots in a symmetrical pattern

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

Decision Time For A Hair Transplant

Deciding when to commence surgical hair restoration can impact of how successful over time the result achieved will be and the individual’s long term happiness; starting too early when hair loss is minimal can result in long term consequences

As not all individuals will suffer from advanced hair loss some will require less restoration than others, but it is important that the donor supply, which is finite is not totally depleted to ensure restoration in the future can be carried out

If total restoration cannot be achieved in a single procedure then it is important there is no demarcation line between the native hair and the transplanted area; as this will leave an unnatural pattern of hair growth

When initially planning to restore an area of hair loss the surrounding areas also need to be assessed, weak, miniaturised hair that may still be giving coverage will recede in the future; placing into miniaturised areas will help to ensure the first hair transplant achieves a solid result

Restoring relatively small area of hair loss can result in chasing hair loss on a constant basis, requiring small touch-up sessions to camouflage small thinning areas; this can deplete the door area and long term reduce the total number of grafts available

Planning is vital from the first procedure, understanding hair loss for the majority of men is progressive; a genetic hair loss pattern can be a guide but not the rule and it is a gamble to just rely on this information

For the vast majority of men hair loss is progressive, only a small % of men will only recede to have a mature hair line; male pattern baldness follows stages of progressiveness, frontal third hair loss to total loss of hair over the top of the scalp

Only a very small % of men can ever achieve total restoration of a high NW scale hair loss pattern in a single operation; and normally the crown even if covered will have a lower density of hair placed

Planning to cover the largest area possible gives the advantage of restoration in a single procedure and maintains the donor safe zone in the best quality if future procedures are required

For many this approach is considered the best, even with a lower crown density as they achieve full coverage from hair line to crown and a natural looking pattern of hair growth. If further density is desired it is still possible to achieve this with a another hair transplant in the future

The age of an individual and hair loss pattern will play a large part when a hair transplant doctor assesses how to approach surgical hair restoration; an ethical clinic will have the individual´s long term well-being in mind and make known any concerns they may have if they feel the goals are ill-advised

Donor Hair Supply

Regardless of the technique used, FUT or FUT donor hair density is an important factor; FUE is more reliant on donor hair density because the FU´s are removed over a wide surface area, lowering the donor area density

The donor hair density coupled with the average number of hairs per follicular unit (FU´s) can make you a good or bad hair transplant candidate. The approximate average hair density is 75 FUcm², but this can vary dependent on ethnicity and hair characteristics

Almost whatever stage your hair loss is at the time of a hair transplant it should be assumed that has loss will progress and this needs to be taken into account

When treating a low Norwood Scale candidate if the donor hair density is low and hair loss progresses there maybe not enough hair to treat the area or give a balanced coverage, especially if a low hair line is fixed

Donor hair density is one of the most important aspects of hair transplantation; the hair density around the sides and back (donor area) must be able to cope with the demands of the surface area (recipient area)

When planning your hair restoration it is important to have your donor hair density measured prior to making a decision. The density is calculated per cm², with the highest density found around the back of the head; occipital bone area

Treating a high Norwood candidate the density needs to be calculated and then the hair transplant design planned to ensure a balanced coverage can be achieved

Donor hair density is a vital element that needs to be calculated when planning a hair transplant, coupled with the average number of hairs per follicular unit. Whenever you have a personal consultation with a Doctor ensure this is measured.

 

How Good Is My Donor Hair Supply?

Ultimately a good or bad hair transplant candidate can be determined by the quality of hair around the back and sides of the head, known as the donor area; the hair is genetically strong and does not suffer the same symptoms of male pattern baldness

The donor supply area will vary dependent on the eventual pattern of hair loss across the top of the scalp; the wider the pattern of hair loss will reduce the size of the safe donor zone as hair loss progresses down the sides and back of the head

A Good Donor Hair Supply Allows For Restoration From Hair Line To Crown In One Procedure

A Good Donor Hair Supply Allows For Restoration From Hair Line To Crown In One Procedure

Measuring the quality of the donor supply can be listed into aspects, size or surface area, skin laxity, hair characteristics, hair or follicular unit density and the percentage of miniaturisation within the donor area

Hair shaft diameter; miniaturisation is the progressive thinning of the hair shaft, becoming finer and weaker than the surrounding good quality hair. Miniaturised hair should not be transplanted because it will impair the result and potentially will not regrow due to the trauma of the procedure

If the % of miniaturised hair in the donor is high it will reduce the chances of being a hair transplant candidate

Follicular unit hair density; FU´s are naturally growing groups of hairs, normally 1 to 4 hairs with the highest density generally around the back of the scalp. Donor hair density will determine how much can be removed safely

An average density is around 75 FUcm², the density will later dependent on ethnicity and hair characteristics. Too low a density makes treating progressive hair loss impossible and over harvesting the donor will impair the look and possibly increase visible scarring

Hair characteristics covers aspects such as hair calibre, hair curl, variant in skin to hair colour; if the characteristics are poor even with a high FU density can produce poor hair transplant results

Skin laxity affects the FUT hair transplant technique generally more than the FUE technique; FUT relies on removing a hair bearing strip and the width of the strip is largely determined by the skin laxity. Safe donor management needs to be employed to not make the strip too wide and increase the potential of poor healing

Laxity can affect FUE also but in a different way; if the skin physiology is very lax it can impair the punching of the follicular units, the skin can break away and damage the grafts, making them useless to transplant

The size or surface area of the donor supply; this again varies between the technique of choice. FUT harvesting is localised to a thin strip generally well within the safe donor zone but still the position has to be safely calculated, especially with very advanced hair loss, or individuals with retrograde alopecia

The length and width of the strip will be calculated dependent on the number of grafts required, can range from around 10 to 30 cms in length and 1 to 2 cm in width; better laxity attributes allows for 6000 plus grafts to be harvested on a good candidate

Correctly Assessing The FUE Donor Safe Zone

Correctly Assessing The FUE Donor Safe Zone

FUE relies on removing follicular units individually and over a wide non-specific area, caution needs to be taken not to venture out of the safe zone when extracting. On lower hair loss stages it can be impossible to predict the size of the safe zone and a conservative approach is advised when measuring the safe area

To measure the safe zone is easier on higher hair loss stages as there is a clear demarcation line between the donor zone and the recipient area; an average size safe zone can be around 28cm wide by 6cm in height; not taking the area directly from the start of where the hair begins, such as directly above the ears or the nape of the neck, but keeping around 1-2cm in case of future hair loss or miniaturisation

Using all these aspects will help determine how much hair can be safely harvested, what density will be required when placed and the coverage that can be achieved over the surface area. Correct donor management of the supply of hair can restore even advanced hair loss; utilising the correct harvesting technique will maximise the graft numbers in one or over multiple sessions

 

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