Hair restoration has become one of the most popular techniques in male plastic surgery. Earlier used punch grafts were associated with a lot of unsatisfactory results giving a corn in a field appearance. Dr. Gupta gives services for Hair transplant Delhi, hair transplant noida, hair cosmetic surgery, hair cosmetic surgery india, hair restoration surgery.
A new era began in 1986, when Dr Carlos Uebel in the state of Rio Grande do Sul (Brazil) started the use of micro- and minigraft “megasessions.” It is considered a safe procedure which, allied to a natural hairline, is today a much valued option for surgeons and patients.
Male pattern baldness (MPB) can start at the age of 16 years, caused by a coincidence of three main factors: hereditary, androgenic hormone and age. In today’s times, stress in the forms of smoking, late night jobs, long hours of work, irregular sleep cycles are contributing to the increased incidence in young men and women. Women are not immune from baldness, and indeed hair transplant is very successful in them also. In female patients hair fall appears more in the menopause period, but we also see androgenetic female baldness and thinning at earlier ages.
In this technique, a strip of hair bearing skin is taken from the back of the head (which is the area of baldness. This area is relatively unaffected by the male hormones which are responsible for baldness. The hair bearing strip is cut down to single follicles under magnification. Slits are made by a microsurgical blade, while the follicular unit insertion is done with a micro forceps. This procedure can take 3-4 hours. Usually these two procedures are done side by by side, so the whole process can be expected to last 4-6 hours. For the front of the head about 1500-1800 hair follicle units are required. For a complete coverage, about 6000 units may be required. It is preferable to make a second replacement after 6-8 months.
Hair is like a plant – we need to keep a certain distance between each graft to enable them to grow with better vitality. In the frontal hairline we insert only single hair irregularly. To achieve a greater density, repeat sessions may be required.
The entire procedure is done under local anesthesia using a mixture of agents which are fast acting as well as have a prolonged duration of action. This allows a comfortable procedure, even while the patient is awake, and actively participates in the planning of the hair line. We have had patients driving back themselves to their homes after the procedure, of course with an attendant.
In young patients it is important to project the definitive frontal hairline.The frontal hairline is projected irregularly, maintaining the temporal recesses, and a non-straight line is important to achieve a natural and non-detectable result. The forehead middle point is normally 8 cm distant from the root of the nose varyingfrom 7 to 9 cm depending on the facial structure.
The tiny hair that is transplanted in the graft normally falls out within the first few weeks. This is normal. The hair will then grow normally from the hair root and will be noticeable by approximately 3 months and carry on growing as fast and as long as your normal hair, usually about 1cm a month. Some crusting will occur around the grafts. These must not be scratched as the grafts may be pulled out. hese crusts will quickly dissolve once hair wetting is started. The grafted area of scalp will appear slightly pinker than usual for a few days but this soon passes.
This has been described as a Scarless Hair Transplant Procedure. Small punches of 1-1.5 mm are used to cut hair directly from the scalp and then implanted into the bald area. various donor areas such as the back of the head, chest hair, hair of the temple region, beard region can be used. This procedure is more time taking and generally limited to 800-1000 follicular units at a time. FUE is reserved for those who do not want a scar on the back of the head, or in those where sufficient scalp hair is not available.as the finest