Hair Transplant Procedure

Hair transplantation is employed to treat varied forms and degrees of permanent baldness in each men and girls. Intact hair follicles is also harvested from among the safe donor space (SDA) of a patient’s scalp by either vesicle unit strip surgery (FUSS) or vesicle unit extraction (FUE); every harvest home technique has distinctive benefits and drawbacks. The refinement of vesicle unit transplantation over the last decade has crystal rectifier to markedly improved hair survival and natural-appearing results.

hair-transplantation-diagram

This article provides a broad summary of the techniques employed by varied hair transplant surgeons throughout the planet. based on the principal of donor dominance (ie, hair follicles still grow within the new recipient space to that they’re introduced as long as they might have within the donor space from that they’re extracted), the sphere of hair restoration surgery (HRS) has evolved significantly since its origination in 1939. Natural-appearing results ar systematically doable and mirror a surgeon’s technical talent and creative ability.

Indications
Hair transplantation may be a surgery used for the correction of sex hormone baldness (AGA), cicatricial (scarring) baldness, or any sort of permanent hair loss in each men and girls.

Patients ought to be in physiological state so as to endure this manner of elective surgery. acceptable laboratory screening tests embody, however don’t seem to be restricted to complete blood count, humour chemistries, natural action studies (prothrombin time, partial coagulation factor time, international normalized ratio). it’s additionally common for practices to screen for antibodies to HIV hepatitis B and C.

Upon initial patient analysis, the medical practitioner should initial verify the etiology of the patient’s hair loss. solely once initial ruling out (1) general causes like thyroid abnormalities, polycystic female internal reproductive organ syndrome, or iron-deficiency anemia; (2) medical specialty causes which will be treated medically; (3) and telogen discharge (temporary hair loss that resolves over some months’ time), ought to a surgical approach to hair loss be thought-about.

Both men and girls is also deemed candidates for HRS as long as their donor space (both current and projected) is ready to yield a spare variety of hair follicles to adequately address the projected recipient space (a calculation termed “donor to recipient space ratio”). A case history of hair loss in each the maternal and paternal branches ought to be investigated and compared with standardized scales of hair loss in ladies and men (eg, Norwood Pattern, Ludwig Pattern). Young patients (in their 20s) with a restricted hair density in their donor space in addition to a projected Norwood kind VII or bigger hair loss, as an example, can nearly never have associate degree adequate variety of permanent “fringe” follicle reserve to deal with the long run recipient space and sometimes can not be thought-about candidates for the procedure.

Helpful screening technology that permits quantitative microscopic donor space measurements (eg, folliscope) aids physicians in patient crusade analysis by serving to to tell apart between terminal and vellus (or miniaturized) hairs.[6] Young patients United Nations agency possess quite two hundredth miniaturized hairs among their SDA might not ultimately get pleasure from the procedure as a result of, over time, the transplanted hairs might not persist.

Seven Hair Transplant Side Effects

1. Temporary dilution of your hair  This is often conjointly known as “shock loss” and “shedding.” typically the hair that’s not transplanted is “shocked” and falls out. Some folks expertise bald spots, and a few simply expertise dilution. Some folks solely expertise shedding, that is that the traditional loss of 50-100 hairs each day that we tend to all expertise. additionally, the transplanted hair nearly always falls out once transplantation. What happens, each to the transplanted hair and to the aghast areas, is that the hair follicles suddenly get into telogen, or a resting state. once many months, they enter anagen, or the traditional growth cycle for hair. Most of the time, all lost hair grows back. it’s necessary to notice that the hair from the donor web site are diluent than before. Hair transplant doesn’t modification the full range of hairs on your head; it simply redistributes them.

2. Swelling  The general public expertise swelling of their scalp once surgery, and it typically includes the forehead and typically even the eyes. this is often temporary, and frequently subsides during a few days. typically the doctor can order one thing to decrease the swelling.
3. Itching  Itch is fairly common once hair transplant, and it will be severe. It’s typically as a result of scab formation, and you cold have k or a lot of little scabs. Most hair transplant surgeons say that shampooing ought to facilitate the itch. One patient counseled spraying your head with water from a bottle. Before having a hair transplant, you may raise your doctor if it’s okay to use anti-itch creams, oils or lotions on your scalp once the transplant. A moisturizing oil might facilitate with the itch.
4. Hiccoughs  No one is aware of why hair transplant patients expertise hiccoughs, however concerning five-hitter do. Usually, it’s solely a minor annoyance, however it will be serious enough to be uncomfortable and to stay you from sleeping. If so, the doctor will order medication that ought to facilitate stop the hiccoughs. In any case, they ought to disappear once each day or 2.
5. Infection  Infection is, thankfully, rare. several hair transplant surgeons offer you antibiotics before and once surgery to stop infection. If AN infection will occur, the doctor can order antibiotics for it.
6. Scarring  Scarring happens solely with strip transplants. Some folks have a genetic predisposition toward excessive scarring. cheloid scars will be ugly, particularly if you wear your hair short. Often, folks can have scars from previous transplant procedures. The scars will be revised by a cosmetic surgeon, and hair will be transplanted into the scarred space to cover it additional.
7. Cysts  Cysts occur once hair follicles area unit broken or after they area unit pushed deeper into the skin layer. Transplant surgeons say cysts area unit tiny, pimple-sized bumps. Patients United Nations agency have them decision them lumps and bumps. Some folks say they’ll be dangerous enough to be disfiguring if you wear your hair short. it’s necessary to grasp all the doable consequences and aspect effects before you’ve got any surgery, and hair transplant is not any exception. raise your doctor to discus however he or she deals with aspect effects after they occur, and raise to talk to patients United Nations agency have had these issues. that may offer you the most effective likelihood of avoiding serious issues once your hair transplant.

Scientists’ ‘vampire treatment’ for baldness

Scientists believe they may have hit upon a cure for baldness — but it is not for the faint-hearted.

Researchers found they were able to regrow hair on the bald patches on people’s heads by injecting them with a solution derived from their own blood.

The so-called “vampire” treatment involved taking blood from the patient and processing it in a 'vampire treatment' for baldnessmachine that extracts “platelet-rich plasma” (PRP), which is then injected back into the head.

Scientists believe the solution then stimulates new stem cells below the skin which can aid the regrowth of hair.

Such “vampire” treatments are already used in some cosmetic procedures, where injections of PRP are used in an effort to reduce the effects of ageing on the face and hands.

The new treatment could have helped Sir Elton John, inset, who invested in a hair transplant.

The research, published in the latest edition of the British Journal of Dermatology, was conducted among a group of people suffering from alopecia areata, which affects about 2 per cent of the population.

However, the scientists believe it could also help those suffering more common varieties, such as male-pattern baldness. Dr Fabio Rinaldi said: “We think it can help to regrow hair on people with androgenic alopecia (male-pattern baldness). We believe it is the best treatment available, apart from surgery.”

The study involved 45 patients, who received the injections on just one half of their head. Some were given the PRP, some were given a more traditional steroid treatment, while others received a placebo.

A total of three treatments were given to each patient, once a month. Hair growth was assessed by measuring the area where new hairs grew on the bald scalp. The PRP was found to lead to significant hair regrowth in the bald patches, compared with both the placebo and the steroid treatment.

The scientists, based at the International Hair Research Foundation and University of Brescia in Italy and the Hebrew University Medical Centre in Israel, are carrying out further research. They hope to be able to develop the treatment as a cream, to avoid the need for needles.

Nina Goad, of the British Association of Dermatologists, said: “Alopecia is known to lead to overwhelming effects on the patient’s quality of life and self-esteem. This could offer hope to thousands.”

Thanks : Daily Telegraph

اٹلی کے طبی ماہرین نے گنج پن کا نیا علاج دریافت کر لیا

روم…این جی ٹی…گنج پن ایک ایسا عالمی مسئلہ ہے جس سے دنیا بھر کے مرد پریشان پائے جاتے ہیں ۔اس مسئلے کا حل بھی اب اٹلی کے طبی ماہرین نے ڈھونڈ نکالا ہے جنہوں نے گنج پن کا ایسا علاج دریافت کر لیا ہے جس میں مریض کا اپنا خون اُسکے بال اُگانے کیلئے استعمال کیا جائے گا۔ اٹلی کی یونیورسٹی میں ہونے والی ایک تحقیق کے مطابق “ومپائر “نامی اس طریقہ علاج میں گنج پن کا شکار شخص کے جسم سے خون لے کر اُسے ایسی مشین سے گزارا جاتا ہے جو خون سے خاص ذرات والاپلازما الگ کر لیتی ہے ۔اگلے مرحلے میں مریض کے خون سے حاصل کردہ ان ذرات کو سر کی جِلد کے نیچے انجکشن کے ذریعے منتقل کردیاجاتا ہے جس کے نتیجے میں گِر جانے و الے بال کچھ ہی عرصے میں قدرتی انداز سے دوبارہ اُگنا شروع ہو جاتے ہیں۔تحقیق میں گنج پن کا شکار45افراد پراس جدید علاج کی آزمائش کی گئی جس کے انتہائی مثبت نتائج سامنے آئے اور کچھ ہی عرصے میں یہ تمام افراد اپنے نئے بالوں کو لیکر بیحد خوش نظر آئے ۔

What is hair transplant?

What is hair transplant?

Hair transplantation is a surgical technique that moves individual hair follicles from a part of the body called the ‘donor site’ to bald or balding part of the body known as the ‘recipient site’. It is primarily used to treat male pattern baldness. In this condition, grafts containing hair follicles that are genetically resistant to balding are transplanted to bald scalp. It is also used to restore eyelashes, eyebrows, beard hair, chest hair, and pubic hair and to fill in scars caused by accidents or surgery such as face-lifts and previous hair transplants. Hair transplantation differs from skin grafting in that grafts contain almost all of the epidermis and dermis surrounding the hair follicle, and many tiny grafts are transplanted rather than a single strip of skin.

Since hair naturally grows in follicles that contain groupings of 1 to 4 hairs, today’s most advanced techniques transplant these naturally occurring 1–4 hair “follicular units” in their natural groupings. Thus modern hair transplantation can achieve a natural appearance by mimicking nature hair for hair. This hair transplant procedure is called Follicular Unit Transplantation (FUT). Donor hair can be harvested two different ways.

History

The use of both scalp flaps, in which a band of tissue with its original blood supply is shifted to the bald area, and free grafts dates back to the 19th century. Modern transplant techniques began in Japan in the 1930s,[1] where surgeons used small grafts, and even “follicular unit grafts” to replace damaged areas of eyebrows or lashes, but not to treat baldness. Their efforts did not receive worldwide attention at the time, and the traumas of World War II kept their advances isolated for another two decades.

The modern era of hair transplantation in the western world was ushered in the late 1950s, when New York dermatologist Norman Orentreich began to experiment with free donor grafts to balding areas in patients with male pattern baldness. Previously it had been thought that transplanted hair would thrive no more than the original hair at the “recipient” site. Dr. Orentreich demonstrated that such grafts were “donor dominant,” as the new hairs grew and lasted just as they would have at their original home.[citation needed]

Advancing the theory of donor dominance, Walter P. Unger, M.D. defined the parameters of the “Safe Donor Zone” from which the most permanent hair follicles could be extracted for hair transplantation.[2] As transplanted hair will only grow in its new site for as long as it would have in its original one, these parameters continue to serve as the fundamental foundation for hair follicle harvesting, whether by strip method or FUE.

For the next twenty years, surgeons worked on transplanting smaller grafts, but results were only minimally successful, with 2–4 mm “plugs” leading to a doll’s head-like appearance. In the 1980s, Uebel in Brazil popularized using large numbers of small grafts, while in the United States Rassman began using thousands of “micrografts” in a single session.[citation needed]

In the late 1980s, Limmer introduced the use of the stereo-microscope to dissect a single donor strip into small micrografts.

The follicular unit hair transplant procedure has continued to evolve, becoming more refined and minimally invasive as the size of the graft incisions have become smaller. These smaller and less invasive incisions enable surgeons to place a larger number of follicular unit grafts into a given area. With the new “gold standard” of ultra refined follicular unit hair transplantation, over 50 grafts can be placed per square centimeter, when appropriate for the patient.[citation needed]

Surgeons have also devoted more attention to the angle and orientation of the transplanted grafts. The adoption of the “lateral slit” technique in the early 2000s, enabled hair transplant surgeons to orient 2 to 4 hair follicular unit grafts so that they splay out across the scalp’s surface. This enabled the transplanted hair to lie better on the scalp and provide better coverage to the bald areas. One disadvantage however, is that lateral incisions also tend to disrupt the scalp’s vascularity more than sagitals. Thus sagital incisions transect less hairs and blood vessels assuming the cutting instruments are of the same size. One of the big advantages of sagitals is that they do a much better job of sliding in and around existing hairs to avoid follicle transection. This certainly makes a strong case for physicians who do not require shaving of the recipient area. The lateral incisions bisect existing hairs perpendicular (horizontal) like a T while sagital incisions run parallel (vertical) alongside and in between existing hairs. The use of perpendicular (lateral/coronal) slits versus parallel (sagital) slits, however, has been heavily debated in patient-based hair transplant communities. Many elite hair transplant surgeons typically adopt a combination of both methods based on what is best for the individual patient.

With the latest improvements in surgical technique and especially with the FUE procedure, the recovery time is immediate and the pain negligible. There is no bed rest or hospitalization required after the hair transplant.