Friday, November 9, 2018

Hair Transplantation The 7 Things To Know Health


More and more men who do not resign themselves to becoming bald and who decide to run for cover. In there were 4 thousand hair transplants performed (data of the pakistan association of aesthetic plastic surgery), for the vast majority performed on men aged between 20 and 60 years. Having a flowing hair is the dream of many men condemned by genetics to lose their hair says, a plastic surgeon from pakistan, a member of the pakistan society of trichology, as well as. However, it is one of those with the highest risk of bad success, partly because false promises in this sector abound. Here is a list of things that someone thinking about a hair transplant needs to know. 

1. Learn To Distinguish Real Professionals From Barkers- the real professionals are surgeons specialized in baldness surgery who have dedicated years of their careers specializing in this intervention, participate in conferences dedicated to baldness surgery and workshops to update the new therapies - the barkers are all those who promise false expectations the internet can become a real trap, i have repeated several patients ruined to be finished in the wrong hands, for this advice to be sure of the professionalism of those who choose. 

2. Not All Patients Can Undergo The Procedure Of Auto Transplantation- depending on the degree of thinning or baldness, i choose to intervene surgically only when the final outcome is not compromised there are in fact support therapies that in some cases can avoid the intervention says the specialist from obviously i refer to thinning recoverable with galena therapies or prp (platelet-rich plasma) mesotherapy and some supplements have the aim to increase the vascular component, reduce excess, provide more nourishment to the hair bulb. The surgery becomes necessary only when all these alternatives are ineffective. 

3. Hair Transplantation Is A Real Surgery- auto transplantation is an operation that requires the participation of more specialized figures and therefore a team of professionals who, together with the surgeon, guarantee the success of the operation and the patient safety points out an anesthetist and at least four professional nurses who specialize in baldness surgery who deal with the separation and conservation of follicular units are needed. 

4. There Are Two Techniques For Hair Transplantation- both are valid depending on the patient's case and expectations. The first is the strip or fut technique that involves the excision of a lozenge taken surgically from the nape and containing up to a maximum of 4000 follicular units depending on the density per square centimeter and the length. The second technique is the fue which provides the extraction of the single follicular units without the need to carry out the cut on the nape with the first technique many follicular units are recovered to be implanted in a single session, in the second the withdraw able follicular units are decidedly inferior, the choice of one or another is at the discretion of the surgeon the doctor points out. 

5. Usually A Session Is Sufficient To Significantly Refurbish Areas That Need It- but we must take into account that, if the density per square centimeter of the donor area does not guarantee such a high number of follicular units, it is necessary to reinter venire says. 

6. The Price- the costs vary little for the two techniques, the fue is between 10 / 20 / 30 pkr. Regarding the fue technique we are between depending on follicular units. 

7. Hair Transplantation Is An Intervention That Reduces Hairless Or Thinned Areas, But Does Not Stop And Cure Hair Loss On Its Own- when choosing a surgeon, entrust your head to expert hands who will follow you even after surgery and that will accompany you along the path with the therapies aimed at maintaining your hair, concludes the surgeon.

Pros And Cons Of The Fue Hair Transplant


Fue follicular transplantation is the most accredited technique among the new hair transplantation methods. The fue transplant is performed by extracting follicular units, that is a hair bulb at a time from the scalp of the nape through a punch , that is a circular micro bistro of 0.9 to 1.2 mm in diameter. The follicular units are taken from the back of the neck because this area has genetically more robust hair with a high density. The technique is a traumatic and the extraction takes place in one movement. Follicular units are immediately transplanted into the recipient area with special implantation tools (micro transplant) leaving scars much smaller than the fuss transplant. With the fue technique no procedures like strip extraction or hair plugs are used no cuts or removals are made and hair plugs that create an unnatural effect are not implanted. 

Phases Of Transplantation:
In the preparation phase a project of the thickening relative to the model and the density desired by the patient is carried out. To make the aesthetic effect better, the micro holes are inclined so as to imitate the natural inclination of the hair in the receiving area. 

The punch with which the follicular units to be implanted are extracted consists of a pneumatic suction and pressure system. In practice, the punch performs the extraction of follicular units, following the direction of the hair, sucking it through a tube. This is transported in a collection chamber with filter and immediately transplanted with a regular and progressive movement of the piston. 

The bulbs are implanted in the receiving area by means of the same explant device. In this way the receiving hole will have the same dimensions of the transplanted follicle. This allows a very fast healing and practically invisible scars. 

After the fue transplant the hair will grow naturally and their growth and disposition will be superimposed on the original one. The hair can then be washed, combed and cut as before. 

The Disadvantages Of The Fue Technique:
The fue transplant operation is quite long . On average, 500 to 1,000 follicles per day are taken and implanted depending on the surgeon's ability. This means that to obtain the same result as the fuss technique (3,000 - 3,500 bulbs implanted in one session) several meetings are required. 

Use of punch must be appropriate. The surgeon must be very careful in following the particular inclination that the hair shaft runs through the scalp, otherwise it may damage the follicular unit . In the best of cases, however, up to 30% of the grafts are damaged during this operation. 

Transplantation fue is not recommended for people with wavy or curly hair and those with a high bald area to thicken. In this last case, in fact, the sessions would be so numerous as to make the intervention extremely expensive and not very competitive compared to a more traditional technique.

Benefits Of FUT


1) high percentage of engraftment and regrowth of hair transplanted compared to the fue ,

2) single scar and usually very thin even after several interventions over time ,

Disadvantages Of The Fut:
1) requires good surgical experience and a well-trained team ,

2) does not lend itself to commercial or marketing operations by commercial groups ,

3) has higher execution costs, personnel costs, materials and operating theaters, offering operators less profit margins. 

The benefits of fut are the same as with the cfu hair transplant technique . With the cfu there are also significant aesthetic advantages, such as a more natural effect of hairline in the front and a greater headiness. Follicular unit extraction (fue) technique is a hair transplantation technique with direct extraction of follicular units. 

This technique, already used more than 25 years ago by some pakistani surgeons as an evolution of the punch technique (the doll tufts) was soon abandoned in favor of the strip technique (fut) which gave much higher hair regrowth rates . But since, unfortunately, in a sector such as that of baldness and its correction there has always been a very commercial address by some organizations, in recent years this technique has been "fished out" as novelty according to the old saying that "not there is nothing easier in surgery than giving a new name to an old technique. 

Returning to us, the fue technique consists in the collection of follicular units in the donor area with circular scalpels much smaller but similar to those used for the doll tufts technique; this sampling can be done by hand or with the aid of a motorized rotating system. 

However, since it is a blind sampling in the thickness of the scalp, the follicular unit in the sample can not always be centered or as often happens it can be damaged (transection) or the follicular units adjacent to the sampling can be damaged. From this we understand how the hair re-growth rates are significantly lower than the fut. 

It is also not true that there is no scar because there are many, very small each corresponding to each single withdrawal. All these small scars disrupt the anatomy of the donor area so that a second possible withdrawal for a subsequent auto transplant will be more difficult with even lower re-growth rates and the possibility of formation in the donor area of ​​very evident thinning patches visible with long hair caused by the many small confluent scars. The technique also requires total shaving of the donor area which is often not appreciated by patients. 

Hair Self Transplantation Differences Between FUT And FUE

The difference between fut and fue in hair transplantation is in the technique of harvesting follicular units. The fut (follicular unit transplantation) technique is a hair transplantation technique that involves taking a scalp strip (strip) from the donor area, which is then sutured. The outcome of the removal of the strip is usually a very thin scar with a width of less than 1 mm. Which can also be masked under very short hair. 

This scar can be reused for further withdrawals of subsequent interventions while remaining usually equally thin. To do this type of collection it is not necessary to shave the entire donor area. Once the strip has been obtained under direct visual control, the follicular units will be extracted using the precious help of magnification systems that can be either special types of microscopes or suitable goggles equipped with magnifying strips. 

This extremely precise and meticulous technique reduces to a minimum the traumatism of the extraction of follicular units and in expert hands also reduces the times between explant and replanting; in fact, the shorter these times are, the higher the rooting rates. With the fut technique you can have very high percentages of transplanted hair grafting not comparable to those of the fue which are significantly lower. The fue requires a great deal of experience, a well-trained surgical team, suitable environments and procedures and is not within the reach of all surgeons. In summary we summarize in the table below advantages and disadvantages of the fue: 

Benefits of FUE:
1) the first step for debutants in hair transplantation techniques.
 
2) does not require a large surgical experience or a well-trained team.
 
3) is well suited to advertising campaigns and marketing by commercial groups.
 
4) has lower costs of execution, personnel, materials and operating rooms allowing operators or those for them, higher profit margins.
 
Disadvantages of the FUE:
1) low percentage of engraftment and regrowth of hair compared to FUT.
 
2) presence of many small scars visible if the patient shaves the hair.
 
3) with the repetition of the interventions the confluence of many small scars generates unsightly areas of thinning in the area of ​​collection visible even with long hair.
 
4) after the first operation the creation of many small scars generates a subversion of the normal anatomy of the scalp of the donor area so that in the event of a second intervention such subversion can further reduce the percentage of follicular units that will take root.
 
Courtesy: FUE Transplant Cost In Pakistan

Thursday, November 8, 2018

Advantages Of The Method Of Seamless Hair Transplantation


The method of seamless hair transplantation is performed on an outpatient basis (hospitalization is not required) and is carried out in three stages:

1. Selection of donor material. 

2. Formation of micro perforations in the recipient area. 

3. Implantation (transplantation) of micro grafts in the area of ​​alopecia. 

See the FUE Hair Transplant In Lahore method of hair transplantation: 

Indications for the method of seamless hair transplantation And genetic and cicatricle alopecia (any degree). 

When there is a shortage of donor hair stock on the head, the seamless method allows you to extract hair follicles from the body: chest, back, shoulders, etc. (see photos below.

The method of seamless hair transplantation can be used in addition to the patchwork technique for gig sessions (transplantation of 5000 or more grafts (11,500 follicles) per procedure), which allows to collect micro grafts above and below the line of the incision (donor flap) and, thus, to transplant a sufficient number of grafts at large degrees of alopecia, even with poor scalp mobility in the donor area. (see photos below) .

Advantages Of The Method Of Seamless Hair Transplantation:
No need for suturing; 

Absence of a linear scar at the nape; 

Possibility of hair transplant from the body; 

Precise Calculation Of Extractable Grafts Of A Certain Structure And Content Of Follicles:
It is important to know! In the world there are only two methods of modern follicular micro transplantation, patch (strip) and seamless (fue). Both methods (fue and strip) of own hair transplantation are widely usedall over the world. They have their own characteristics, indications, contraindications and they cannot be considered as competing. 

Conversely, with a high degree of alopecia, a combination of these two methods makes it possible to increase the total number of grafts produced by 30-35% compared to using only fue or strip. This in turn makes it possible to create the largest density of transplanted hair and reduce the number of operations. 

For the first time in Pakistan transplantation of 5,200 grafts (12,000 follicles) by a combined method (strip + fue including from the body) Patient alopecia according to Norwood classification. The patient has limited skin mobility and low hair density in the donor area.