In this procedure a strip of hair is taken from donor site usually posterior scalp under local anaesthesia
Graft are dissected from the strip and then harvested into the bald area.
Will leave a visible scar in the donor area , which can be covered by patients hair
There will be some pain / tenderness after the procedure .
The recovery period is slight longer around 15 days as stitches / staples need to be removed
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2. FUE (follicular unit extraction )
In this method individual follicular units are removed one by one under local anaethesia .
Recovery period is less than 7 days as usually requires very small punches between 0.6-1mm in diameter so no closing or suturing required
Painless minimally invasive procedure
In FUE surgery body hair can also be used for transplant.
But FUE is time consuming method , single long session or multiple small sessions are required for harvesting the hair follicle into bald area .
Procedure for Hair Transplantation
During initial consultation the physican analyses the patients scalp, understands the expectations of the patient discusses options and advices the best possible approach .
Overall health status of the patient considered before procedure .
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Transplant procedure is a day procedure performed as outpatient .
The scalp is shampooed and treated with anti bacterial agent prior to harvesting donor scalp
Donor hair grafts can be extracted by different methods either by removing a single strip of skin and hair (FUSS)or removing the follicles individually (FUE) proper extraction of hair follicle is important to maintain viability.
After extraction the surgeon prepares the graft, cleans and numbs the recipient area and places each graft .
The graft are placed according to their densities , the smallest grafts are placed in front and denser are placed behind.
Depending on the size of transplant the process will take 4-8 hours .
May involve a single session or more depending on the number of grafts .
The scalp may be tender
You may have to wear bandage over scalp
Initially adviced to protect scalp from sun
Post operative antibiotics are commonly prescribed to prevent wound or graft infections .
Shampooing is important to prevent scab formation around hair shaft which increase the chances of losing the transplanted hair follicle
Just as in natural hair cycle, within 2-3 weeks the transplanted hair will shed but in a matter of few weeks new hair will begin to grow from transplanted follicles , this hair will continue to thicken and grow normally by 6-9 months .
Tests for Hair loss
It is adviced to consult a Dermatologist , generally male and female pattern hair loss do not require testing , few tests which help to evaluate diffuse hair loss are :
The pull test –hair pulled from three different areas of scalp , generally less than 3 hair per area , if more than ten then positive test.
The pluck test- conducted by pulling out hair with roots and then examined. Depending on phase we can interpret if there is hair loss.
Scalp biopsy-helps differentiate between scarring and other forms.
Trichoscopy- helps in examination of hair and scalp with help of dermoscope.
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Diagnosis for Hair Transplantation
It is the treatment of choice where in there are no chances of re- growth of hair , example in conditions like
Receding frontal hair line
Complications of Hair Transplantation
Hair transplantation is a very safe procedure with no side effects but as with every surgery some risks associated
Scarring with FUSS transplantation
Unnatural looking new hair growth
Some may have inflammation of hair follicles called Folliculitis
Factors affecting cost of Hair Transplantation Surgery
The cost to the patient depends on a variety of factors like
The hospital, the patient chooses.
The cost of hair transplantation depends on the number of grafts and type of procedure choosen .FUE procedure is more costlier.
Fee for the team of doctors.
Standard test and diagnostic procedures.
Cost of the follow –up care required after the procedure.