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

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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

The Best Use Of Surgical Hair Restoration Techniques

One of the aspects when researching a hair transplant procedure is which technique best suits your goals short and long term; as the FUT and FUE techniques differ mainly in the removal of the hair each method will give advantages and disadvantages

It is common for Clinics and individuals to favour one technique over the other, and this is not a problem as long as the chosen technique can deliver the results, coverage, density, high yield and good donor management for the candidate

A technique should not be chosen simply because it is in vogue, but for the results it can deliver short and long term; in some cases combining the techniques will reach the goals of the individual better than choosing between them

Educated donor management will allow for the efficient movement of grafts from the donor to the recipient; the minimum impact on the donor, the minimum amount of times the donor has to be entered to achieve the restoration goals of the individual

FUT and FUE Hair Transplant Techniques, one or the other or combine the two?

FUT and FUE Hair Transplant Techniques, one or the other or combine the two?

In the recipient this translates to using the minimum number of grafts to achieve the necessary coverage and natural looking density; not depleting the donor to the degree that little to no hair can be safely harvested and not reducing the density to an unsafe level

The goals will be different for each hair transplant candidate; those with an advanced pattern of hair loss can be less demanding on aspects such as low hair lines and prefer to concentrate on coverage and density from the hair line to the crown

Being able to achieve a balanced coverage in one procedure has many advantages; time efficient is the obvious advantage, financially less wear on the pocket and in respect of donor management only having to enter the area a single time

As the first procedure will set the tone for restoration in the future deciding on the correct technique is vital as the scalp is in the best condition. As with FUE the follicular unit extraction can be spread over a wider surface area compared to FUT if the harvesting protocol is in place very little density change can be measured

The higher the graft numbers an educated harvesting protocol becomes harder as less hair remains in the area and it is more likely to over harvest or increase miniaturisation due to a traumatic ripple effecting the surrounding follicular units left in the donor

Hair line and frontal third reconstruction can require around 2500-3000 grafts; assuming the donor hair density allows for the safe removal of the numbers without over harvesting FUE is a suitable technique: Even higher hair loss patterns can be treated as long as the donor hair density is not reduced to a level white dot scarring or hair less areas do not become overly apparent

Although FUT leaves a linear scar line it will allow for a more efficient form of harvesting and can safely with the right candidate achieve higher graft numbers in a single procedure; with an average candidate achieving 4000 grafts safely and a good candidate 6000 plus in one day

The technique is an important aspect to discuss when having a consultation with a doctor, try to consult various doctors and ideally those that perform both techniques as an objective appraisal can be given as to the correct technique

Remember that the hair and scalp physiology cannot be improved upon, it can only change the more sessions are performed; the numbers available can be calculated by measuring the donor area against the hair density: The conclusion can only be mathematical as each technique will have the limits as to how much can safely be removed

 

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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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The Difference Between A Good And Great Hair Transplant

A hair transplant is a mix of abilities, medical and artistic skills to create a result that is undetectable to an individual’s own natural hair growing. A hair transplant may be performed to a high medical standard but if not combined with artistic skills a result may not look natural

Medical skills are required in the harvesting of the hair from the donor area, be it FUT or FUE, the instruments used and the understanding of the skin physiology; how deep an incision to allow for the graft to be removed whilst creating minimum trauma to the skin and allow for optimum healing

Hair Line Design Taking Into Account Facial Bone Structure

Hair Line Design Taking Into Account Facial Bone Structure

FUE requires skills of anatomy as the extraction process is a blind technique and without the necessary knowledge follicular unit transection can increase, residual scarring in the area become more visible and the growth of hair impaired

In the case of FUT closing the donor area, using wither staples or sutures and creating a neat line that heals to leave a fine line that allows hair to regrow through the line to help camouflage further

The making of the recipient sites; tiny slits need to be created across the recipient area, normally starting from the hair line and going back over the frontal third, dependent of the size of the area to be treated

The slits need to be made close enough together to create enough density but not too close or aggressive that it may impair the skin quality healing or the yield achieved when the hair regrows

The medical ability to perform these tasks will play a large impact on the healing, scarring and yield that is achieved; and cross over to the artistic ability of the doctor to create a hair transplant that looks natural

When making the recipient slits the angle and orientation will determine the coverage achieved by each hair and how natural the hair growth appears; hair line placement and design is less medical ability and more art, understanding facial bone structure

Hattingen Hair Transplantation Technicians Placing And Cleaning Grafts

Hattingen Hair Transplantation Technicians Placing And Cleaning Grafts

Designing a hair line too high, too low, or too symmetrical will draw unwanted attention to the area and although the hair placement may be to a medically high standard the grown out result will not be undetectable

Our face is not even or symmetrical on either side, slight changes in the bone structure will make the hair line design slightly different but when fully grown out look perfectly natural; combined with the medical abilities undetectable from a natural growing hair line

The quality of the doctor´s team is vital to the result of a hair transplant; trained in-house with years of experience can make the difference between a good and great hair transplant. The graft placement, especially on large sessions will take hours of concentration, not to skip recipient sites or damaging the grafts when handling

All hair transplants are different, different facial features and different hair characteristics and when researching it is always beneficial to look for results that have similar characteristics to yourself; this will help to understand how a hair transplant is created and what can be achieved

 

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Surgical Scar Revisions

Scarring will occur with any hair transplant and the patient has a degree of responsibility during the first weeks and months after the surgery to try and ensure the best healing; some is out of the doctor´s or patient´s hands and related to the natural skin healing properties

Scarring can increase if the procedure has been performed too aggressively and safe donor management should always be the priority; not to over harvest the area with the FUE technique and not too large a strip with the FUT technique

Mild Scarring Caused By A Skin Condition And Repaired With A FUT Hair Transplant

Mild Scarring Caused By A Skin Condition And Repaired With A FUT Hair Transplant

The skins natural laxity will go a long way to determine how long and wide FUT can harvest; if the skin is too tight or too lax it can have a negative effect when healing; although a slightly tight laxity generally will allow for a neater closure

If the linear scar does stretch back the scar area will increase, this can be distressing for the individual and impair the quality of the donor area; there are a number of surgical options that can help to revise the area if this occurs

In some cases if the laxity allows and dependent on the size of the area a new strip can be removed that englobes the old scar and then closed; with proficient skills and suturing this can leave a much smaller line and with the latest closure techniques hair can regrow through the line to break it down further

If the area does not allow for a strip revision, possibly the size or shape, or the position and laxity do not allow then the FUE technique can be utilised. This will not remove or change the scar surface area but by adding hair over the area can camouflage

FUE can use either scalp hair or body hair to add density to the area; the hair can be harvested from around the safe donor area and then placed into the scar tissue; by definition the skin has been impaired and although the area will be vascular the healing properties will be impaired

Placing too high a density initially may impair the skin further and result in a lower growth rate of the hair; it is advised to start by placing a lower hair density and then if required increase the hair density with a second procedure; around 12 months should be left before entering the same area to allow for optimum healing and access the hair yield

In older style harvesting methods such as punch grafting that leaves multiple cylindrical scarring over a wide area FUE may not be possible; the density of hair has already been reduced and removing more will thin the area further

In this case excising with a strip can remove the multiple scarring in one go and leave a single line; this is possible because there has been much less changes to the skin laxity caused by the punch grafting. This is allows for grafts to be harvested at the same time and either used to place into any further scarring or if required to rebuild areas of hair loss over the top of the head

Repairing scarring, be it caused by a previous hair restoration or any surgical procedure or burns is a specialist activity; requiring a high level of skill and understanding how scarring forms and heals

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Eyebrow Reconstruction With Hair Transplant Surgery

Eyebrow reconstruction can be made using surgical hair restoration techniques, FUE or FUT; the idea is to restore and redesign the eyebrows that are either natural low in density, scarred or totally missing

The lack of hair can be for a number of reasons, natural genetics, hair removal techniques, laser or electrolysis, aggressive plucking of the hairs or medical issues such a hormonal imbalance, thyroid

Eyebrow Reconstruction Using The FUT Hair Transplant Technique At Hattingen Hair Transplantation

Eyebrow Reconstruction Using The FUT Hair Transplant Technique At Hattingen Hair Transplantation

To restore the eyebrows requires donor hair that must be the individual´s own hair; this comes from what is traditionally used in regular hair restoration, the donor area; hair around the back and sides of the scalp

The eyebrows can need anything from around 50 to 350 hairs per eyebrow, obviously dependent on the amount of native eyebrow and the design; in respect of design it is best to follow the natural bone structure of the face and not try to create a “designer” look

One important aspect to consider is because the donor hair is scalp hair it continues to maintain the hair follicles natural growth properties, unlike eyebrow hair that has a short growth phase scalp hair will continue to grow in length and the eye brows will require trimming approximately once a month

Skill is required as the angle and orientation of the hair changes as the eyebrow grows from the bridge of the nose across the eye; this makes the slit making more demanding so as not to transect over adjacent slits but maintain a natural looking density

If the FUT technique is used it gives the advantage of being able to follow the natural hair curvature, this is not the angle of placement but the way each hair falls or lays as it exits the scalp

Because the hair length can be left longer when harvested with FUE when placed under magnification the curvature can be observed; this allows a uniform look, no misangled hairs, and a better coverage of each hair over the next

The procedure typically takes only a couple of hours under a local anaesthetic, dependent on the number of grafts required; even with the position of the eyebrow the procedure should be painless

Post operation there will be some swelling around the area and crusting over the grafted area; swelling can last a few days and the crusting will start to fall over the first 10-14 days with washing and natural healing

It is common that the transplanted hair falls out a few weeks post operation and then starts to regrow 3 months later, but to fully grow and mature can take around 12 months to achieve the full cosmetic result

 

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