Hair Transplant
Hair loss, or alopecia, is a common problem that affects women and can be caused by stress, diseases, some medical treatments and genes. While some of these factors are, temporary or can be reversed, many suffer permanent hair loss that can lead to self-confidence issues. Hair transplantation surgery can help women suffering from baldness or thinning hair.
Are you a good candidate for Hair Transplant?
Mentioned below are some of the common reasons why you may want to consider hair transplantation:
- You are suffering from female pattern baldness and have thinning hair problems
- Your hair loss is not a result of medication, stress or medical treatment
- Your hair loss is permanent and cannot be treated non-surgically
- You have adequate hair growth or follicles than can be used for transplantation
If you are in good health, have a positive attitude and realistic expectations, then you are a good candidate for the procedure. How is a hair transplantation procedure performed?
How is a hair transplantation procedure performed?
The various methods available in hair transplantation depending on the area that is balding or thinning and what kind of look you are trying to achieve. In all cases, hair follicles are moved from one area of your body and grafted, or transferred, to the area that is lacking. The donor site is usually on the head.
Usually your surgeon will use local anesthesia in both the donor and recipient areas. On occasion, oral or IV sedation is added. Rarely is general anesthesia recommended. The donor area will be surgically removed, and the scar will be hidden by existing hair. The surgeon will usually divide the removed scalp into hundreds or perhaps even thousands of tiny segments, each containing a single or several hairs. These tiny pieces of your scalp will then be transplanted into the bald or thinning areas on your head.
A less common procedure involves moving hair as a flap of scalp skin that includes hundreds of hair follicles. The flap is repositioned into the area of hair loss replacing the balding scalp.
The quality and type of hair you have and where you are losing hair will factor into your aesthetic surgeon's decision on how much hair to transplant and from where to take the hair grafts.
Follicular unit transplantation (FUT)
FUT also known as Strip harvesting method removes a strip of hair, generally from the back of the head, and is dissected into smaller groups to implant into the recipient sites. This is a common method that is faster than harvesting from many different locations. Although there is a strip removed, the scar is easily covered by new and surrounding hair.
Follicular Unit Extraction (FUE)
Small groups of hair are harvested in a larger area around the head and then implanted into the desired site. Because the grafts come from all around the scalp, there is less bleeding, less postoperative discomfort, and no sutures necessary. The scars from FUE are scattered and not concentrated in one area; however, a much larger area of hair needs to be clipped short.
Flap Surgery
Flap surgery removes a section of bald scalp and is replaced with a section of skin that contains hair follicles. This covers a large area of baldness and because the skin is intact, hair grows immediately from the area and will not need months to regrow.
Scalp Reduction
In some cases, scalp reduction or advancement flap surgery is performed as an alternative or in addition to hair transplantation. This procedure involves removing a section of the bald scalp and pulling the hairline forward to fill in a bald spot. If more hair is needed, hair transplantation or flap surgery can be used to cover the remaining area.
Platelet Rich Plasma (PRP)
PRP (Platelet Rich Plasma) is a Hair Loss Treatment which is considered one of the oldest hair restoration technique that was first developed in the 1970s. PRP is nothing but blood plasma that has been enriched with platelets. In this procedure blood is first drawn from the patient and then the platelets are separated from the blood cells and later concentrated. This process of concentrating the platelets is called as centrifugation. These platelets are then combined with the remaining blood and injected back to the PRP area.
Dr. Nageshwari will determine where to remove the hair follicles for transplantation after assessing your hair. She will choose a location that is discreet and surrounded by other hair so that the scar will be unnoticeable. Strip harvesting will leave a long linear scar in the back of the head. Otherwise, there will be multiple graft sites and many more pencil-point scars that can be easily hidden by hair.
Flap surgery and scalp reduction will produce larger scars that may become more prominent if further hair loss is experienced.
Choose your surgeon based on quality, training and experience—not cost. It's important that you choose a right surgeon based on:
- Education, training and certification
- Experience with hair transplantation
- Your comfort level with him or her
After finding a board-certified plastic surgeon in your area who is experienced in performing hair transplantation, you will need to make an office appointment for your consultation. Generally, because of the in-depth nature of the consultation, there is a cost associated with the initial visit, which is sometimes deducted from the price of the procedure.
Dr. Nageshwari will provide thorough preoperative instructions, answer any questions you may have, take a detailed medical history, and perform a physical exam to determine your fitness for surgery.
In advance of your procedure, your she will ask you to:
- If you smoke she will ask you to stop smoking at least six weeks before undergoing surgery to promote better healing.
- Avoid taking aspirin, certain anti-inflammatory drugs and some herbal medications that can cause increased bleeding during the procedure.
- You may be asked to take a shower and wash your hair with regular or antibacterial soap.
- Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.
Hair transplantation surgery is usually performed on an outpatient basis. Be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.
Your surgeon will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your postsurgical care, including information about:
- Drains, if they have been placed
- Normal symptoms you will experience
- Potential signs of complication
You may be given dressings for your scalp, which will likely need to be worn for at least two days. Your scalp will be very sensitive, so your surgeon may prescribe pain medication to be taken in the week following your surgery. He or she may also give you antibiotic medicine to reduce the chance of infection.
If you experience extreme or long-lasting pain or notice redness and swelling after the surgery, contact your surgeon to find out if your pain, redness and swelling are normal or a sign of a problem.
It is vitally important that you follow all patient care instructions provided by your surgeon. Typically, you can return to work after hair transplantation within one to two days after surgery, although some patients choose to be off work longer. This will depend on the type of work you do. After a short amount of time (sometimes right after surgery), the hair grafts will fall out and will not regrow for approximately three months. This is a completely normal process and will allow new hair to grow in its place. The new hair should look fuller and more natural. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.
Every year, thousands of people undergo successful restoration and are pleased with the results. Your specific risks will be discussed during your consultation.
All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:
- Adverse reaction to anesthesia
- Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
- Infection and bleeding
- Changes in sensation
- Scarring
- Allergic reactions
- Damage to underlying structures
- Unsatisfactory results that may necessitate additional procedure
You may be given dressings for your scalp, which will likely need to be worn for at least two days. Your scalp will be very sensitive, so your surgeon may prescribe pain medication to be taken in the week following your surgery. He or she may also give you antibiotic medicine to reduce the chance of infection.
If you experience extreme or long-lasting pain or notice redness and swelling after the surgery, contact your surgeon to find out if your pain, redness and swelling are normal or a sign of a problem.
It is vitally important that you follow all patient care instructions provided by your surgeon. Typically, you can return to work after hair transplantation within one to two days after surgery, although some patients choose to be off work longer. This will depend on the type of work you do. After a short amount of time (sometimes right after surgery), the hair grafts will fall out and will not regrow for approximately three months. This is a completely normal process and will allow new hair to grow in its place. The new hair should look fuller and more natural. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.