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Cost of hair transplantation, best hopsitals for hair transplant,
It's a type of surgery that moves hair you already have to fill an area with thin or no hair. Doctors have been doing these transplants in the U.S. since the 1950s, but techniques have changed a lot in recent years.
You usually have the procedure in the doctor's office. First, the surgeon cleans your scalp and injects medicine to numb the back of your head. Your doctor will choose one of two methods for the transplant: follicular unit strip surgery (FUSS) or follicular unit extraction (FUE).
With FUSS, the surgeon removes a 6- to 10-inch strip of skin from the back of your head. They set it aside and sews the scalp closed. This area is immediately hidden by the hair around it.
Next, the surgeon’s team divides the strip of removed scalp into 500 to 2,000 tiny grafts, each with an individual hair or just a few hairs. The number and type of graft you get depends on your hair type, quality, color, and the size of the area where you’re getting the transplant.
If you’re getting the FUE procedure, the surgeon’s team will shave the back of your scalp. Then, the doctor will remove hair follicles one by one from there. The area heals with small dots, which your existing hair will cover.
After that point, both procedures are the same. After they prepare the grafts, the surgeon cleans and numbs the area where the hair will go, creates holes or slits with a scalpel or needle, and delicately places each graft in one of the holes. They’ll probably get help from other team members to plant the grafts, too.
Depending on the size of the transplant you’re getting, the process will take about 4 to 8 hours. You might need another procedure later on if you continue to lose hair or decide you want thicker hair.
After the surgery, your scalp may be very tender. You may need to take pain medications for several days. Your surgeon will have you wear bandages over your scalp for at least a day or two. They may also prescribe an antibiotic or an anti-inflammatory drug for you to take for several days. Most people are able to return to work 2 to 5 days after the operation.
Within 2 to 3 weeks after surgery, the transplanted hair will fall out, but you should start to notice new growth within a few months. Most people will see 60% of new hair growth after 6 to 9 months. Some surgeons prescribe the hair-growing drug minoxidil (Rogaine) to improve hair growth after transplantation, but it’s not clear how well it works.
In most cases, a person will have thicker-looking hair after a successful hair transplant.
Your scalp may be sore, and you may need to take medications following hair transplant surgery, such as:
pain medication
antibiotics to reduce your risk of infection
anti-inflammatory medications to keep swelling down
Most people can return to work several days after surgery.
It’s normal for the transplanted hair to fall out two to three weeks after the procedure. This makes way for new hair growth. Most people will see some amount of new hair growth 8 to 12 months after surgery.
Many doctors prescribe minoxidil (Rogaine) or the hair growth medication finasteride (Propecia) to improve hair regrowth. These medications also help slow or stop future hair loss.
After thoroughly cleaning your scalp, a surgeon uses a small needle to numb an area of your head with local anesthesia.
Two main techniques are used to obtain follicles for transplantation: FUT and FUE.
In follicular unit transplantation (FUT):
The surgeon will use a scalpel to cut out a strip of scalp skin from the back of the head. The incision is typically several inches long.
This is then closed with stitches.
The surgeon next separates the removed portion of scalp into small sections using a magnifying lens and sharp surgical knife. When implanted, these sections will help achieve natural-looking hair growth.
In follicular unit extraction (FUE) the hair follicles are cut out directly from the back of the head through hundreds to thousands of tiny punch incisions.
The surgeon makes tiny holes with a blade or needle in the area of your scalp that’s receiving the hair transplant. They gently place hairs in these holes.
During one treatment session, a surgeon may transplant hundreds or even thousands of hairs.
After, the graft, gauze, or bandages will cover your scalp for a few days.
A hair transplant session can take four hours or more. Your stitches will be removed about 10 days after surgery.
You may require up to three or four sessions to achieve the full head of hair you desire. Sessions occur several months apart to allow each transplant to fully heal.
Receiving a hair transplant can improve your appearance and self-confidence. Good candidates for a hair transplant include:
men with male pattern baldness
women with thinning hair
anyone who has lost some hair from a burn or scalp injury
Hair replacement isn’t a good option for:
women with a widespread pattern of hair loss throughout the scalp
people who don’t have enough “donor” hair sites from which to remove hair for transplant
people who form keloid scars (thick, fibrous scars) after injury or surgery
people whose hair loss is due to medication such as chemotherapy
There are two types of transplant procedures: slit grafts and micrografts.
Slit grafts contain 4 to 10 hairs per graft. Micrografts contain 1 to 2 hairs per graft, depending on the amount of coverage needed.
Hairline reconstruction is a surgical procedure which allows a person to have their frontal hairline advanced, depending on variables such as pre-operative hairline height, patient preference and scalp laxity.
Hairline is the most visible and noticeable part of an individual’s head. In the late 30s, men are usually susceptible to suffer hair loss from the frontal hairline. Hairline placement requirements vary from person to person depending upon the size of face and forehead. Hair loss from the frontal hairline may be hereditary or induced by lifestyle. However, most people are prone to have this problem after attaining 30 years.
In the 40s, the hair loss may progress and make the frontal hairline even less dense. Therefore, an early hair reconstruction is needed to tackle this.How the Height of Headline can be Determined?
Determining the Height of Headline
It can be placed about seven to eight centimeters or three inches over the eye brows.
The hairline may be drawn four fingers over the eye brows.
It may be placed two fingers over the highest eye brow wrinkle.
The lateral hairline can be placed in line with the exterior of the individual’s eye called lateral canthus. A universal belief in frontal hairline placement is that the adult hairline is somewhat higher than the adolescent hairline. Natural appearance and proper angle of implantation on the frontal hairline plays a very significant role for the looks of the patient.
To create an aesthetically pleasing artistic hairline your doctor will discuss and ask your opinion to draw a new hairline which will be most suitable for your face. The surgeon has to mimic the natural hairline shapes (temporal points, widow’s peaks/tufts, lateral humps, wavy and feathery hairlines, etc.) and alter the shape and contour of the hairline according to the patient’s face, age and desired result.
Special care must be given towards the orientation, angulation and position of each graft in order to achieve results which look natural. The best technique to place a hairline is to measure the distance between the nose and eyes and the same distance shall be kept between the headline and eyebrows. This will keep the reconstruction and the appearance balanced.
This technique was previously termed Follicular Unit Extraction and was published in 2002 by Dr Bernstein and Dr Rassman. This technique involves extraction of individual follicular units (FU) or follicles from the donor area and implantation in the recipient area. It established the use of small, circular punch which aided in incision of the skin and separation of surrounding tissue from the graft. This technique gained popularity in next few years after facing initial criticism like any other.
In the year 2018, the term ‘extraction’ was replaced by ‘excision’ in an attempt to emphasise the minimally yet invasive nature of the procedure and avoid misleading patients.
Steps of FUE:
Extraction of required follicular units or follicles from the donor area and placement in holding solution.
Implantation of the grafts in recipient area with the help of implanters or forceps.
Advantage of FUE over FUT-
Avoidance of linear scar
Faster healing time
Technique of choice in decreased scalp laxity
Facial hair is associated with looks and masculinity. Losing facial hair or being unable to grow it in teenags leads to a dent in confidence and is also sometimes associated with manhood.
Scars because of any burn, trauma and surgical procedure.
Traction alopecia that may have led to hair loss
Other medical conditions such as cancer or infections.
Persistent conditions such as Alopecia Areata.
Scarring due to conditions such as folliculitis.
Hair Loss because of any earlier transplant surgery.
Less density of beard and moustaches.
It is better to understand the anatomy of beard transplant before you decide to undergo it. The beard formation begins during puberty and it continues to grow and develop till the mid-thirties. For beard transplant, the face is divided into two sections – Frontal and Lateral. The lateral part will involve the sideburns, the jawline and the cheeks. While the frontal part includes the goatee and the moustache involving the chin and lower part of the jawline.
The doctor who performs the hair transplant
keeps in mind that the hair density in the moustache and beard is usually different. The number of grafts needed also differ from person to person. However, usually on an average, 2000 to 2500 grafts are needed.
There are few requirements that need to be fulfilled for a person to be a good candidate for beard transplant. The person should be in sound mental and medical health. The decision for undergoing beard transplant should be genuine and not because of any societal pressures. There should be an above average donor area that involves the side and the back of the head. Moreover, a thorough physical examination is to be done by an experienced doctor to evaluate whether a person is an ideal candidate for the surgical procedure or not.
First of all the donor area of the head and face will be examined. Then the design of the beard will be decided. The doctor will discuss the design and the density of the beard that the patient is looking for. This discussion will be done in detail and the final plan will be made according to your acceptance. You may be told to undergo some blood tests and physical checks so as to ensure that your health is good.
This technique was previously termed Follicular Unit Extraction and was published in 2002 by Dr Bernstein and Dr Rassman.
This technique involves extraction of individual follicular units (FU) or follicles from the donor area and implantation in the recipient area. It established the use of small, circular punch which aided in incision of the skin and separation of surrounding tissue from the graft. This technique gained popularity in next few years after facing initial criticism like any other.
In the year 2018, the term ‘extraction’ was replaced by ‘excision’ in an attempt to emphasise the minimally yet invasive nature of the procedure and avoid misleading patients.
Steps of FUE:
Extraction of required follicular units or follicles from the donor area and placement in holding solution.
Implantation of the grafts in recipient area with the help of implanters or forceps.
Avoidance of linear scar
Faster healing time
Technique of choice in decreased scalp laxity
Perfectly arched eyebrows add to your personality and beauty. However not all people are blessed with them. Implanting hair grafts on the thin or missing eyebrows can help grow perfectly arched, symmetrical and dark eyebrows. In an eyebrow transplant, hair is taken directly from your head and thus it is permanent.
Another advantage of the procedure is that it mostly takes approximately 5 to 7 days to recover. Regrowth rates of the transplanted eyebrows tend to be quite high. This is true no matter whether the entire eyebrow or portions of the eyebrow are being restored. Regrowth rates of the transplanted hairs tend to be quite high, although the occasional patient chooses to have a second procedure to achieve greater density.
Eyebrow hair is generally vertically leaning and they turn horizontal as they go lateral. Eyebrows are thicker and straighter in men and they are thinner, arched and higher in females. The hair density of eyebrows is usually stable but tattooing and plucking can change it.
Eyebrows occupy a central position on your face. They can literally make or break your looks. Perfectly shaped, dark eyebrows can add definitive attributes to your looks while they can also dampen a beautiful face if they are sparse.
It is crucial to understand the angles at which the eyebrows grow. The transplant should also be done at that precise angle so as to provide natural looking eyebrows. Surgical precision and skill are needed to reform the precise dimensions, arc and shape of the eyebrows.
To be a good candidate for the eyebrow transplant you must have good medical condition so that the risk of complications is minimal for you. People who have lost their eyebrow hair because of genetic factors, over plucking, or trauma are usually the best candidates for eyebrow hair transplant. Also, people who have experienced frontal fibrosing alopecia, alopecia areata or certain other conditions which resulted in the hair loss of eyebrows can also go for eyebrow hair transplant.
A biopsy of the area is also needed to determine whether you are an ideal candidate for eyebrow transplant or not.
The grafts for eyebrow transplantation are generally taken from the scalp, pubic region, legs or armpit. The scalp hair will be typically taken from the back of the neck or sides because of the soft texture. However, the scalp hair grows much faster than eyebrow hair. Thus,after transplantation, they will be required to be trimmed quite often so as to keep them short. Well, the best option for grafts is from your legs as the hair on legs are thin and short. Other donor areas for eyebrow hair transplantation such as pubic hair or armpit hair can also work in case there are no other suitable donor sites available.
Usually around 500 hair follicles are needed for eyebrow transplants. Also, It is quite essential to follow the direction and angle of the naturally occurring eyebrow during the implantation of hairs on the eyebrow skin.
This technique was previously termed Follicular Unit Extraction and was published in 2002 by Dr Bernstein and Dr Rassman. This technique involves extraction of individual follicular units (FU) or follicles from the donor area and implantation in the recipient area. It established the use of small, circular punch which aided in incision of the skin and separation of surrounding tissue from the graft. This technique gained popularity in next few years after facing initial criticism like any other.
In the year 2018, the term ‘extraction’ was replaced by ‘excision’ in an attempt to emphasise the minimally yet invasive nature of the procedure and avoid misleading patients.
Steps of FUE:
Extraction of required follicular units or follicles from the donor area and placement in holding solution.
Implantation of the grafts in recipient area with the help of implanters or forceps.
Advantage of FUE over FUT-
Avoidance of linear scar
Faster healing time
Technique of choice in decreased scalp laxity
Eyebrow hair transplant provides you permanent and natural hair which does not need a lot of maintenance. For men eyebrow their transplant is more beneficial as they are not comfortable in using cosmetic pencils to darken their eyebrows.
Hair loss is tough for men, but for women, hair is their identity and hair loss is a very traumatic experience for them.
Alopecia which may occur due to burn, surgery or trauma.
Advanced female pattern baldness which is not cured by regular medicine usage.
Scarring alopecia which has stabilised after twelve months.
Restoration of eyebrows and eyelashes.
Traction alopecia.
FUE hair transplant technique is the most preferred technique for restoration of hairs in cases where less number of grafts are required. In FUE, hair follicles are extracted from the donor area with the aid of a specialized extraction instrument. Then the follicles are transferred to the recipient area in which small incisions are made. After that, the follicular grafts are implanted in the groups of one to four hairs.
Female hair transplant comes with its inherent intrinsic challenges. It′s challenging and our surgeons have produced outstanding results.
Losing hair is not easy for anyone. It can lead to many social and emotional issues. It is true that we all lose some hair every day and losing 60-100 strands in a day is considered to be normal. However, when the number of strands increases above this limit, then this may be the sign of the start of hair loss
In Advanced Androgenetic Alopecia which does not improve with medication.
In Scarring Alopecia when it has been stable for a minimum of twelve months.
In Hair loss occurrence due to trauma, surgery or burn.
In cases of Traction Alopecia.
In cases of restoration of eyelashes and eyebrows.
Before any other step for hair transplant, it is evaluated whether a person is suited for a transplant or not. It depends on the grade of baldness, the extent and quality of the donor area, the thickness and density of the hair in the recipient area and the results of the hair analysis test. These factors also decide which type of hair transplantation procedure is most suited for the candidate.
To regain the lost confidence.
To get natural looking hair.
To get permanent hair.
To accomplish the desire to cut and style the hair in the way they like.
With the advent of FUE( Follicular Unit Excision) many surgeons and patients were inclined towards it. This was partly due to absence of a linear scar in the donor area which enabled patient’s to have buzzed or short hair at the back scalp making it more aesthetically pleasing.
After due dedication on FUT (Follicular Unit Transplantation) and understanding it’s pros and cons our doctors ventured into FUE. Through the years while working on routine FUE, the doctors made few modifications to it for their practice and published a paper under the title “Direct Hair Transplantation : a modified follicular unit extraction technique” for the first time in the year 2013 April, in the Journal of Cutaneous and Aesthetics surgery . The main aim here is to decrease the ‘out of the body’ time of the grafts and in turn ensuring better survivability and growth.
This Direct Hair Transplantation technique comprises of two steps-
1.Pre made sites – Creation of recipient sites in correspondence to right angle, direction, depth and optimal density.
2.Simultaneous scoring, extraction and implantation –
Scoring of grafts are done by a motorized punch and the extracted grafts are loaded into SAVA implanters( blunt needle implanters). These loaded implanters are then unloaded into the Pre made sites simultaneously.
In the year 2019, they published another research paper; “ Use of Implanters in Premade sites for hair transplantation”, which stressed on the use of Implanters.
Key Points of Direct Hair Transplantation :
• Decreased ‘out of the body’ time for grafts for better survivability.
• Use of Implanters for minimal graft handling.
In the year, 2019 they published the book, “Step by Step Hair Transplantation” which included a chapter on the practice of DHT technique at Eugenix.
Follicular Unit Extraction (FUE)
This technique was previously termed Follicular Unit Extraction and was published in 2002 by Dr Bernstein and Dr Rassman.
This technique involves extraction of individual follicular units (FU) or follicles from the donor area and implantation in the recipient area. It established the use of small, circular punch which aided in incision of the skin and separation of surrounding tissue from the graft. This technique gained popularity in next few years after facing initial criticism like any other.
In the year 2018, the term ‘extraction’ was replaced by ‘excision’ in an attempt to emphasise the minimally yet invasive nature of the procedure and avoid misleading patients.
Steps of FUE:
Extraction of required follicular units or follicles from the donor area and placement in holding solution.
Implantation of the grafts in recipient area with the help of implanters or forceps.
Avoidance of linear scar
Faster healing time
Technique of choice in decreased scalp laxity
More than 10+ years of combined experience in hair transplantation among our doctors.
Use of latest world class hair transplantation techniques. In addition to FUE, our surgeons also use Direct hair transplant technique which is an effective modification of FUE.
Highly trained and courteous team.
Best pre-operative and post-operative care.
Thanks to these advances, the results can look so natural that a barber or stylist cannot tell you’ve had anything done.
While these advances are giving patients natural-looking results, the outcome still depends largely on the surgeon you select. You want to choose a doctor who understands hair loss and performs hair transplants regularly.
Dermatologists specialize in conditions that affect our skin, hair, and nails, so they know a lot about hair loss. Many also perform hair transplants and can tell you whether you are a good candidate for a hair transplant.
Are you a man in your 20s, who is experiencing hair loss? For best results, you may be asked to wait to have a hair transplant and start treating with a hair loss medicine.
Men and women of all races can be good candidates for a hair transplant.
To be considered for a hair transplant, you need two things:
Enough healthy hair on your scalp that can be transplanted to the area that needs hair
The ability to grow hair on the thinning area of your scalp
During a consultation with a dermatologist, you can find out if you have both. A dermatologist will give you a thorough scalp exam.
To find out why you have hair loss, you may also need a blood test. This can check for things going on in your body that may be causing your hair loss. Some patients need a procedure called a scalp biopsy. Your dermatologist can quickly and easily take what is needed for the scalp biopsy during the consultation.
If the exam and tests show that you are a good candidate for a hair transplant, your dermatologist can tell you what results you can expect. A full head of hair may be unrealistic, but a fuller head of hair can be the goal.
You can expect a hair transplant to take between four and eight hours. If you are having a large amount of hair transplanted, you may need to return for a few hours the next day.
Most patients remain awake during the entire surgery and need only an anesthesia that makes the scalp numb. Some patients also take a mild sedative to help them relax.
Hair transplant surgery usually lasts between 4 and 8 hours.
The surgery begins with your dermatologist removing the healthy hairs. To give you natural-looking results, your dermatologist may remove the healthy hairs by either cutting a strip of skin with healthy hairs from your scalp or removing individual hairs.
The second option takes a lot more time, but avoids leaving a long, narrow scar on your scalp. This can be beneficial if you prefer close-shaven haircuts like buzz cuts.
Before the surgeon can transplant the hairs, technicians need to prep the removed hairs and the surgeon must get your scalp ready for the transplant.
Depending on the number of hairs to be transplanted, two to three members of the hair transplant team may help place the healthy hairs into the area that needs hair. Once all the hairs have been transplanted, your scalp will be bandaged and you will be given instructions for at-home care.
Most patients see results between six and nine months after surgery. For some patients, it takes 12 months.
It’s important to know that between two and eight weeks after the surgery, the transplanted hair will fall out. This is normal. By the third month, the hair may look thinner than before you had the transplant. Again, this is normal.
To get the best results from a hair transplant, your dermatologist may recommend medicine that treats hair loss. Medicine helps because hair loss and thinning can continue, even after a hair transplant.
Medicine can prevent or slow down new hair loss and thinning. By doing that, you can keep your natural-looking results for years to come
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