Hair Restoration

Micro follicular Hair Transplant Micro Follicular Hair Transplant

What is the Microfollicular Hair Transplant technique? ? In this technique, a strip of hair bearing skin is taken from the back of the head (which is the area of baldness. This area is relatively unaffectedby the male hormones which are responsible for baldness. The hair bearing strip is cut down to single follicles under magnification. Slits are made by a microsurgical blade, while the follicular unit insertion is done with a micro forceps. This procedure can take 3-4 hours. Usually these two procedures are done side by by side, so the whole process can be expected to last 4-6 hours. For the front of the head about 1500-1800 hair follicle units are required. For a complete coverage, about 6000 units may be required. It is preferable to make a second replacement after 6-8 months.

Hair is like a plant — we need to keep a certain distance between each graft to enable them to grow with better vitality. In the frontal hairline we insert only single hair irregularly. To achieve a greater density, repeat sessions may be required. The entire procedure is done under local anesthesia using a mixture of agents which are fast acting as well as have a prolonged duration of action. This allows a comfortable procedure, even while the patient is awake, and actively participates in the planning of the hair line. We have had patients driving back themselves to their homes after the procedure, of course with an attendant.

Hairline Design In young patients it is important to project the definitive frontal hairline.The frontal hairline is projected irregularly, maintaining the temporal recesses, and a non-straight line is important to achieve a natural and non-detectable result. The forehead middle point is normally 8 cm distant from the root of the nose varyingfrom 7 to 9 cm depending on the facial structure. Post operative course The tiny hair that is transplanted in the graft normally falls out within the first few weeks. This is normal. The hair will then grow normally from the hair root and will be noticeable by approximately 3 months and carry on growing as fast and as long as your normal hair, usually about 1cm a month. Some crusting will occur around the grafts. These must not be scratched as the grafts may be pulled out. These crusts will quickly dissolve once hair wetting is started. The grafted area of scalp will appear slightly pinker than usual for a few days but this soon passes. It takes almost 6-7 months to appreciate good hair growth in men and about 9-10 month in women.

Surgical Incisions and Procedure Incisions like inframammary, periareolar, axillary, and transumbilical have been used. We prefer to use the inframammary and the transaxillary approaches.Positioning of the implant is either in the subglandular, subpectoral or subfascial (described by Dr Ruth Graf, and preferred by the author).Transaxillary approach allows a virtual scarless breast enlargement with endoscopic control. Transaxillary technique of subpectoral augmentation has been available for many years, critics have observed difficulty in attaining precise positioning of the implant in the lower pole of the breast. Major advantages have been the absence of any scar on the breast surface, an avoidance of breast ductal transection, and a low probability of sensory nerve injury Follicular Unit Extraction This has been described as a Scarless Hair Transplant Procedure. Small punches of 1-1.5 mm are used to cut hair directly from the scalp and then implanted into the bald area. various donor areas such as the back of the head, chest hair, hair of the temple region, beard region can be used. This procedure is more time taking and generally limited to 800-1000 follicular units at a time. FUE is reserved for those who do not want a scar on the back of the head, or in those where sufficient scalp hair is not the finest.

Follocular Unit Transplantation

Follicular Unit Transplantation (FUT)Follicular unit hair transplant (FUT) is the gold standard for hair transplant procedures. According to international data 91 percent of hair transplant processes all over the world are done using the FUT process. The basic steps in the process involve removal of a strip from the back portion of the head (where hair growth is permanent), separation of the hair follicles one by one, and then individual implantation in the area of baldness or thinning

Advantages A large number of grafts can be harvested in one go. Nearly 2,500 to 3,000 grafts can be taken out. Since each graft has anywhere between 1 and 4 follicles, this means nearly 6,000 to 6,500 follicles can be taken out in one session.

No need for shaving the hair.
Early return to work.
Minimum wastage rates, of 0 to 1%
Larger follicle to graft ratio as compared to FUE.
Much faster process, leading to good patient satisfaction

We understand that appearance is an important part of your total well-being. At Dermcos Skin Care Clinic we address the entire spectrum of your cosmetic concerns, from skin and face, to the rest of your body. All your cosmetic enhancement needs are met by our team of qualified caring surgeons, nurses and anaesthesiologists.