Methods of hair transplant (transplantation)
Is the own hair of the patient. Usually the hair follicles of other people for the transplant is not used because the resulting rejection reaction requires the use of immunosuppressive drugs. Serious, such therapy is not justified in case of need to eliminate cosmetic defect that does not threaten the patient’s life.
At the time, was developed and produced artificial hair for transplantation. But they had a great number of side effects such as painful itching, constant inflammation of the skin, scar formation. In addition, such hair does not grow. Because currently, the transplant doctors refused them.
The source (area-donor)
The occipital region
The most common place where you take hair follicles, is the head. Normally, the hair in this area is resistant to hormonal influences. Because the transplanted follicles taken from occipital region, can grow forever, even if the male-pattern baldness in a patient progressing.
They are used, even if the cause of hair loss hormonal.
For example, even if at the time of the consultation with the doctor-transplant alopecia or cicatricial alopecia, there is no guarantee that with age, the patient will appear manifestations of alopecia of male type, the cause of which is increased sensitivity of follicles to the hormone dihydrotestosterone.
Also it’s 30% thicker than the hair on other parts of the scalp. Because ottuda you can get about 7500 follicles without significantly reducing the thickness of hair. Usually to transplant such a large number of follicles and is not required.
It so happens that the density of hair on the head is insufficient to obtain a satisfactory result. Then conduct additional sampling of follicles from the body.
Body hair have a number of features:
- they are thinner;
- they do not grow longer than 1.5-2 cm;
- they often form the curls while the hair on your head straight.
Because the hair follicles taken from the body, used to «thicken» the hair transplanted from the back, in the area of the hairline on the forehead, on the crown. Body hair is often used to restore eyebrows and eyelashes to after surgery, the patient had not had her new eyebrows and eyelashes constantly trim.
Region (zone s)
Balding areas formed on the male type
We are talking about androgenetic alopecia which is the cause of baldness in 80% of men and 30% women. In men these areas are the hairline on his forehead, receding hairline in the temporal areas, parietal regions. In women, it presents the parietal region.
Local areas of alopecia on the head, not related to YEAH
It can be:
- areas with alopecia areata;
- region of thinning hair in traction (traumatic) alopecia;
- areas of scar tissue after operations, traumas, burns;
- region, which changes the line of growth or the direction of the hair growth after plastic surgery on the face;
- the beard and mustache, eyebrows and eyelashes.
Methods of removal of follicles from the donor area
This criterion hair transplant methods are divided into the seam and seamless.
The operating method of extraction of hair follicles (aka suture or Strip) assumes a cut in the occipital region of an oblong flap of skin with hair. The flap is then cut into individual small pieces for transplantation. Each piece (graft) is from 1 to 6 hair follicles.
Postoperative wound is sutured. Very often on the websites of hospitals you can see a photo of the «after surgery» on which the seam is practically invisible. He really was invisible for some time after surgery. But the skin on the head is very tight, she could hardly shifting, because the seam is always tight.
Eventually, over time, the seam thickens and expands, and may force its owner to wear long hair to conceal a cosmetic defect.
To shave my head won’t work either, as the scar will be immediately evident to others. As an option you can later perform another operation, during which hair follicles are transplanted into the scar to disguise it.
Video: Strip method
Extraction of follicular units
This method of obtaining material for transplantation is the method of hair transplant FUE and HFE. Is the extraction of follicular units by hand or using robotic tools. Machine for fence grafts has a special tube with a diameter of 1.8-5 mm. a diameter columns of skin are obtained after the extraction of the diameter of the scars on his head.
Gradually, the scars turn pink and eventually fade. But still can be visible as areas of scar tissue are staggered.
In the future, these scars, if they occupy a large area, can be to make a second hair transplant is problematic, as gain from the damaged donor area material will be difficult. In manual mode the follicles obtained by using thin hollow tubes (trocars) which can be in diameter from 1 to 4 mm.
Photo of historical value this grip size of 4 mm and a modern instrument, whose diameter is 0.8 mm. Thin allows you to remove hair follicles with punctures, which in appearance resemble shots from a needle of a syringe. The small punctures heal without leaving traces. Seamless hair transplant techniques are so named because in the back of the head remains the joints after removal of donor tissue. In some cases, these methods are also called non-surgical.
But this is not true, so how is the transplant procedures in the operating room, under sterile conditions, with observance of all rules of asepsis and antisepsis, otherwise purulent complications can negate all the work of the surgeon and can worsen the patient’s appearance compared to what it was before the surgery.
Hair transplant techniques, donor material
In theory, regardless of the method of transplantation, to accommodate the resulting hair follicles in the skin of the donor area pre-make the incisions with a scalpel or laser, or are punctures of the skin with a special tool.
To transfer the extracted grafts can whole, can be divided into follicular enterprises.
Video: seamless technique (FUE)
Some clinics still practice the transplantation of large grafts, which can contain a large number of hair follicles. The method has historic value, as the results of such operations often cause poor. Of the transplanted hair grafts grow in tufts, which look like the hair of a doll.
The result is called the «effect of the puppet head» or «effect of toothbrush». At significant degrees of baldness the hair is transplanted by large grafts may not provide sufficient thickness to close the scalp.
The micro grafts
To solve the problem «effect of the puppet head», the grafts become divided into smaller pieces that contain 1-3 hair follicles.
Follicular enterprises (FU)
The concept of follicular groups was developed to restore hair transplant could give the most close to the natural results. Follikuliarnae enterprises is a group of follicles, which are combined in the structure of the skin, which upon closer examination looks as follows.
The tufts are compact. Surrounds them smooth skin where hair does not grow. The ratio of follicular groups and smooth skin approximately 1:1. This facilitates the extraction of the donor material, as the excess skin provides an excellent opportunity to remove a group of follicles so as not to damage adjacent hair.
This means that:
- in the donor area will always be enough material to hold the second, third, and if need be, and the fourth transplant;
- a small area of follicular groups that are transplanted without excess skin will require a much smaller punctures on the skin in the recipient area, will survive without scars;
- you can arrange them to be so densely, how densely grow their own human hair.
Such structures give the most distinct aesthetic effect. When cutting mini and micro grafts, the number of smooth the skin around the follicle is not important, as it has a value of the speed of preparation of the material for transplantation. Often adjacent follicles can be damaged by the tool, because most of the donor material is being disposed of.
Follicular groups can contain from 1 to 6 follicles. Odnopolchane structure is used to recreate the hairline in the forehead area, as this area is better visible eyebrows and eyelashes.
Mnogomillionniy structure used to restore volume of hair in other places where it is needed.
What do all these letters?
The main methods of transplantation, which are registered in the International organization for hair restoration, today two. This FUT and FUE.
FUT (Follicular Unit Transplantation) is a patchwork technique of hair transplantation (aka Strip-method). This is the method that involves providing a longitudinal flap of skin in the neck and then suturing the skin formed on the wound. After him is a longitudinal scar.
FUE (Follicular Units Extraction) is a seamless method which, subject technique leaves the patient scar.
HFE (Hand Follicul Extraction)in its description is identical to the FUE method: use hand tools small caliber for the donor of the material and pinpoint punctures of the skin for placing of follicular groups in the skin region of the recipient.
The variety of the FUE method:
- BHT (Body Hair Transplant) – hair transplant, taken from the body;
- hair transplantation in the region of the beard, eyebrows, eyelashes;
- transplantation of long hair;
- transplantation of hair follicles in the scar region of healed burns.
Video: Unlike transplantation from a Patchwork Method
How much is it?
The cost of transplantation depends on several factors: the method, the number of transplanted hair, location of clinic, number of accompanying services and so on.
|hair transplant methods||price for 1 graft in Russian rubles|
|patchwork method||50-70 rubles|
|transplantation of long hair||100 rubles|
|hair transplant FUE||80 rubles|
|transplantation of body hair||100 rubles|
|certain types of transactions, which are paid regardless of the number of grafts||the price in Russian rubles|
|the restoration of whiskers||50000|
|hair transplantation to the area of the beard||50000|
|restoration of eyelashes||from 20000|
|restoration of eyebrows||from 20000|
Hair transplant in Moscow, for example, is now a lot. Because as an independent service appeared Medical tour to the clinics for hair transplantation in Turkey, Georgia, Malaysia, the United Arab Emirates, the countries of Europe. Often for the same money that you would have to spend in a Moscow clinic, you can get a free hotel stay or the ward of the hospital superior, completely another level of service guarantee from the clinic for a refund, if the hair is not accustomed.
The before and after photos