HAIR TRANSPLANT

Hair Transplant Hair growth depends on the proper functioning of the hair’s follicle. It goes through a cycle that includes the anagen (growing) phase, the catagen (regressive) stage, and the telogen (resting) stage. When the first phase of hair loss or hair miniaturization occurs, the duration of the telogen stage increases. Because the follicles rest longer, the shaft of the new hair that later emerges is narrower. With each subsequent cycle, the resting phase gets progressively longer, with the resulting hair also narrower or thinner. The affected follicles eventually stop functioning and hair no longer grows. Some hairs are more affected than others during the miniaturization, and not all men experience this phase the same way. Some men experience it as early as their twenties, while some experience it only well into their seventies. The reason is a complex interaction between the male hormone dihydrotestosterone (DHT), inherited genes, and age. Male hormones DHT develop during puberty and can cause follicles to eventually wither and die. Each follicle of hair on the human scalp is genetically programmed before birth to either become sensitive to it or not, making some men suffer hair loss more excessively than others.

Need more information?

 If you would like to learn more about having a Hair Transplant that will suit you best, we invite you to meet with Dr. Srikanth Yadav Puligilla for a private consultation at our office.
Please contact us to schedule an initial consultation with Srikanth Yadav Puligilla to make an appointment. You may also fill out our contact form to make an appointment.

What is Hair Transplant?

A hair transplant is simple procedure where your own hairs are taken from the back of the scalp and placed in areas of balding. The new transplanted hairs are permanent and do not thin out or fall out. They grow normally. After hair transplant you can style, wash, and cut your hair however you wish; the new transplanted hair is not affected any differently than other hairs on the scalp.

HAIR TRANSPLANTATION METHODS

Bio-Stimulated Follicular Unit Extraction (BIO FUE)

  • It comprises of hair transplantation by FUE along with 3 sessions of Platelet rich plasma therapy which simultaneously enhance residual hairs as well as transplanted hairs by presence of high concentration of growth factors directly near the hair roots and stimulation of STEM CELLS.
  • PRP is immunologically neutral and poses no danger of allergic, hypersensitivity or foreign-body reactions because it is derived from patient’s own body
  • In this hair follicles to be transplanted are preserved in a special solution enriched with patient’s own growth factors and at the end of surgery this concentrated solution of growth factors is injected into the whole affected area.
  • We are seeing that because of biostimulation a good proportion of transplanted hairs remain in growth phase (ANAGEN) and directly start growing after transplantation.
  • We prepare PRP with a specialized technique ensuring very high concentration of growth factors which is confirmed by advanced lab tests.

SHI-SIMULTANEOUS HARVESTING AND IMPLANTATION

Simultaneous Harvesting and Implantation is a newly introduced technique of hair transplant procedure that reduces the time that is generally consumed in the standardized procedures of hair transplantation. SHI is unique because it involves implanting the grafts into the recipient sites that are placed in prior as they are being harvested. SHI has 5 to 6 doctors who devise the action plan for the surgery together and then perform as a team simultaneously which reduces the time to 5 to 6 hrs for planting almost 3000 grafts.dapibus leo.

BELOW ARE THE SOME ADVANTAGES

  • The grafts are outside the body for a very minimal time.
  • There is a drastic reduction of operating time.
  • The grafts which are placed by this SHI do not shed off initially like the ones placed by other routine methods, therefore these start to grow directly and the results begin to show within two weeks.

FUE Body Hair Transplant

Body hair can be transplanted from one place to another in the body. With the usage of leading-edge techniques that are available these days, it has become an easy procedure to transplant hair from other parts of the body. The body hair which is extracted from other parts of the body other than scalp & chin area may take a little longer time to grow which would be around 12 to 15 months. But at the end of the day, what matters is the result.

FUE body hair transplant is known to be highly effective with results. The body hair, that is from the beard area, legs, calves, chest, abdomen, armpits and pubic hair is used as filler material in cases of advanced hair loss where it is combined with FUT, FUE, and BHT. HairSure advanced hair clinic uses FDA approved equipment and has carefully done research on cases that have gained success post the hair transplant. It was observed that the longer time it took for the hair to grow back at the recipient site, the thicker and longer it grew. Body hair generally grows up to 5 to 6 cm and it is also very important to get the hair trimmed to equal size. It takes about a week for the donor area to heal and the procedure is further done with a local anesthesia being given to the patient.

FUI (FOLLICULAR UNIT TRANSPLANTATION)

Strip Method (Surgical – Strip Extraction) – In Strip method of extraction, the surgeon harvests the donor hair by extracting a narrow strip of scalp layer from the donor region. The harvested strip is then cut into much smaller strips by our experienced doctors by a process called silvering. Each follicular unit contains one to four strands of hair and on an average, each follicular unit has 2.2 hair strands.

The shape and size of the strip are pre-planned in order to deliver the number of grafts required while ensuring negligible or undetectable scars. This method has a lower incidence of graft transaction because the removed strip is silvered (cut into smaller strips) under a bright, powerful magnifying device or magnification loops. The follicles are then preserved in a clinical solution at a particular temperature. The surgeons complete the preparation for the hair transplant in the recipient area of the scalp in the meanwhile. This procedure gives a precise picture of where the hair is growing beneath the skin with a clear view which helps in positioning the surgical tool accurately ensuring the integrity of each graft that is sustained.  Trichophytic closure procedure permits the scar to recuperate with practically zero recognizable scarring.

What should I expect from my consultation?

During your consultation, you will learn about the surgery, its limitations and risks, and discuss your needs and concerns. This will help Dr. Srikanth puligilla understand your expectations and determine whether they realistically can be achieved. Dr. srikanth puligilla will carefully examine your hair to assess it to determine what type of procedure would best maximize your result.After your consultation we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. Prices can be discussed during your consultation. You should come to the consultation prepared to discuss your medical history. You should provide any relevant information from your health doctors. Also provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take. It is important for you to provide complete information.

How does hair transplantation work?

Some of the hairs on your head are genetically resistant to balding patterns, and these hairs are often selected to be donor hair follicles. Your physician will locate the area of the donor hair and determine where the restoration site will be. The donor tissue is prepared for surgery, and the follicles are harvested.The grafted hair follicles are placed onto the scalp using patterns that imitate a natural hair growth pattern. This procedure is generally performed using local anesthesia, and very minimal pain is felt during this process. After the procedure, your own donated hair will begin to grow to produce a natural look on your scalp.

Am I eligible for a hair transplant?

You can achieve the full head of hair that you are seeking in numerous ways, but one of the most effective ways is through hair transplants. There are three main factors that help your physician determine whether you are eligible for a hair transplant procedure, they include:

• Your age – If you are too young, you may not be eligible. As you age, you will naturally lose density in your hair, and the results of a hair loss procedure can be significantly diminished as you naturally lose existing hair in the future.
• The size of the area to be treated – For most individuals, the area of hair that needs to be transplanted and the size of the donor hair area should be small enough that any transplantation will look natural.
• Condition of your scalp – Besides hair loss, an otherwise healthy scalp is recommended to ensure that optimum results are achieved. Eczema or other pre-existing conditions can decrease the effectiveness of the hair transplant procedure.

Follicular Unit Transplanting (FUT) / Follicular Unit Strip (FUS)

Over the past decade the desire shared by both patients and physicians to achieve a natural-appearing cosmetic improvement in hair density and aesthetic facial framing led to the advent of micrografting, or Follicluar Unit Transplantation (FUT). By isolating the critical microscopic components within a hair follicle that are required for continuous regeneration of the hair, large “hair plugs” gave way to more refined, healthy micrografts, also known as follicular units (FUs). As a result, fine hair grafts containing a single FU can be safely transplanted into hair-bearing areas. The number of patients benefitting from this approach to surgery, in turn, has expanded to include women and younger men in the early stages of male pattern baldness (MPB).

The advantages of this advanced FUT technique are fourfold:
1. Less damage to any existing hair in the recipient area.
2. Less post-operative redness.
3. Micrografts grow slightly faster than traditional types of grafts.
4. Micrografts produce no clumping or plugginess.

The micrografts or FU are obtained in the following manner .

Donor Strip: Hair within the donor area (generally less than 1/2 inch wide and 5-10 inches long) is initially clipped to a length of about 2mm. Once the patient’s donor region is completely numb, a narrow “strip” of hair-bearing scalp is removed (any previous scar is also taken out at this stage). A single suture is used to repair the donor area and, with surrounding hair falling over the stitch, the area is immediately and effectively concealed. Afterwards, our patient’s scars are nearly imperceptible (averaging just under 1mm in width).

Micrograft creation: Under microscopic visualization, tissue from the donor region is divided into a variety of graft sizes. From this delicate process, the finest single-haired grafts are generated to produce a natural appearance and multi-haired grafts are generated to achieve hair thickness. While each of the grafts created are unique, they are all referred to as micrografts

A micrograft, or FU, refers to a graft that has retained the natural groupings of hair as seen on the surface of the scalp. Generally, FUs grow one-to-four-haired follicles. While there is variation with age, the majority of FUs naturally occur in two-or-three-haired clusters. In the early years of FUT, various factors contributed to the sub-optimal survival rates of transplanted grafts. Neither the optimal graft trimming technique, nor the ideal graft-to-recipient-site sizing had been clarified. In addition, instrumentation used for graft preparation still required further improvement in order to achieve current levels of transplanted graft viability.

Follicular Unit Extraction (FUE)

Using this technique, each individual follicular unit (FU) is carefully created directly from the scalp, rather than from a strip of donor tissue that has been removed from the scalp . The FU are excised from the scalp using a small, sharp cylindrical punch (generally 0.8mm to 1mm in diameter) which incises the skin surface around each hair follicle before they are carefully teased out manually with forceps

In general, FUE involves no suturing as well as less post-operative discomfort. But it has mostly gained popularity amongst those who often wish to wear their hair less than 2mm in length because – unlike the classical “strip” technique – it does not leave a linear scar in the donor area of a patient’s scalp. To accomplish this, FU removal is ideally performed in a random distribution within the safe donor region. After a single session or even multiple sessions of FUE, hair in the donor area appears to be slightly less dense than previously, but only upon close inspection.

One of the major potential drawbacks of FUE is the possible extraction of grafts that contain hair that is more likely to be lost over time. This potential problem stems from the mutual desire of both the physician and the patient to maximize the yield of transplanted FU in a single session. In general, the greater the number of FU transplanted using FUE, the more likely the session may include fewer permanent hairs and more temporary hairs that are destined to thin and ultimately disappear. Because increasing the yield of hair follicle harvesting during FUE requires selection of follicles from within a larger distribution of scalp donor area, a number of FU may be harvested from outside of the safe donor region. This zone is the region in which hair follicles will generally remain throughout a patient’s lifetime. When transplanted, hair follicles will continue to grow as long as they would have in their original location. Therefore, for a long-lasting correction of hair loss, it is imperative to transplant only FU that will remain throughout a patient’s lifetime.

The patients who benefit from FUE, are patients who want to have no linear scars at any time and who do not have the requisite scalp laxity for effective donor strip extraction should opt for FUE. As the amount of tension required to close the scalp after a strip has been excised increases, the likelihood of a wider than average scar also grows. On the other hand, scalp laxity does not significantly impact the cosmetic recovery of the scalp after an FUE harvest.

Another group benefiting from FUE is the population of patients who have pre-existing scarring. Using this advanced technique to transplant FU directly into a scar, it is possible to camouflage or eliminate even a fine linear scar resulting from a prior surgery. For this reason as well as the aforementioned advantage of transplanting the largest percentage of permanent hairs via FUT, many surgeons believe that a combination of FUT (single donor strip harvesting) followed by an FUE session is optimal to achieve the largest number of safe, long-term FU from the donor area while minimizing or eliminating any resultant scarring.

What to avoid before surgery?

It is vitally important to avoid all blood thinning medications/supplements for 2 weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). It is generally fine to be take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E including multi vitamins, omega 3 fatty acids such as fish oil and flax seed oil. All of these medications can contribute to bleeding problems following surgery and can increase the amount of bruising. It would be useful to bring a list of any prescribed medications to your pre-op assessment. If you are a smoker, try and stop for the amount of time as outlined in each procedure as it can reduce the chances of complications.

Recovery

To help improve the healing process, patients are given the option of wearing a turban-like bandage overnight. They are issued three types of pain medication to tailor their analgesia. The following morning patients return for a gentle hair wash and bandage removal. Sutures are typically removed 8 to 10 days post-operatively either in our office or (if the patient has traveled a great distance to have the surgery with our practice) at their local qualified physician’s office.

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