In the last 20 years, new methods and technical possibilities appeared making it possible to improve the quality of hair transplant procedure. Currently the hair can be transplanted with the use of micro and mini grafts and the surgeon can preserve the natural hairline of the patient.
The FUE technique (Follicular Units Extraction) is a newer technique, comparing to FUT technique. With the help of special surgical instruments (that have diameter of 0,5 mm to 0,8mm) single hair follicles (grafts) are extracted from the donor area and implanted in the bald recipients areas. In this method all the necessary structures of the hair follicle are transplanted, including stem cells responsible for the hair growth.
Thanks to technological progress, the FUE method effects are comparable to FUT operation and as it leaves no scarring - the FUE method became the most popular among the plastic surgeons. The crucial factor, that made FUE the standard transplant technique was the invention of the surgical instruments that efficiently extract and separate the follicles and without damaging them. Nowadays these instruments were substituted by specialised robots controlled manually or remotely. With their help, duration of the difficult operations was reduced to 4 up to 10 hours. Shorter procedure means more comfort for the patients. FUE method provides also shorter recovery time. Thanks to its advantages FUE technique is the most popular transplant method. It is almost painless, doesn’t need any incisions or stitches and the recovery is quick. Extraction of the follicles from the donor area leaves no scars.
Although the hair transplant is rather simple medical procedure, the correct preparations are necessary for the optimal aesthetic outcome. The successful procedure starts from detailed examination of the patient by the plastic surgeon. Patient’s genetic predispositions (baldness in the family) and general health condition are examined in order to give the diagnosis. In the most cases the baldness is caused by the male type hair loss, stemming from the genetic factors.
In the next step, doctor examines the donor area of the scalp, which will be the source of the hair follicles. On this stage, the density of the follicles is estimated with the help of specially designed camera called Proscope. It allows to estimate the number of follicles on the square centimetre. On this basis it is possible to determine the complete number of follicles available for transplant. Along with the number of follicles, the thickness of the hair, its colour and average number of hair in the single follicle is specified.
The New Age Clinic that cooperates with MedHair uses follicular units to estimate the number of hair for transplant. Implanting from 30 to 60 follicular units on square centimetre equals 80 to 150 single hair (on square centimetre). Hair transplant of 4000-4500 follicular units equals 10 000 to 12 000 of total hair transplanted.
Experienced surgeons can transplant 4000-4500 FU within single procedure (5-10 hours). Because the new follicles won’t grow in the place of the extracted ones, doctors don’t exceed the number of maximum 4500 grafts in order to maintain the right density of hair in the donor area.
After the hair examination, the scalp is also thoroughly checked. The healthy skin in both, donor and recipients area is the important factor for the successful transplant.
When the final decision about the hair transplantation is made, the patient receives detailed information about the procedure, number of grafts, expected density of the implanted hair, the duration of the treatment and recovery.
One of the most important factors of the successful hair transplant is to maintain the realistic level of expectations. If the density and thickness of the hair in the donor area are decent, the 80 to 100 hair per square centimetre will be enough to cover the baldness. Number of grafts necessary for acquiring this effect depends on individual patient characteristic. If the follicle contains an average of 3-4 single hair, then 30 grafts are enough to cover one square centimetre.
If the average is only 1-2 single hair, approximately 80 to 100 grafts are needed to cover the same area. If we compare patient with the same number of grafts transplanted, one with the thicker hair and higher average of single hair in the follicles will get the better final result with greater density of the transplanted hair. 3500 grafts with an average of 3 thick hair totals in 10 000 hair transplanted, while 3500 grafts with only one hair in follicles totals in only 3500 hair transplanted.