Hair loss is a serious aesthetic and emotional problem for both men and women. In androgenetic alopecia or typical male baldness, it results in an older looking appearance. Hair transplantation can also be used to fix eyelashes, eyebrows, beards, body hair and for filling scar marks originating from accidents, burns or operations.
Hair transplant is generally used for the treatment of genetic (androgenetic) baldness. In human beings, there are 1 to 4 groupings of hair, named follicular units. These follicular units are implanted to the top part of the head and will remain for the whole life of the patient. This follicular units are supplied from the back part of the head. The fact that the patient has hair on the sides and the back of their head does not mean treatment is possible. The doctor’s skill to understand the patient is crucial.
History of Hair Transplant
The modern history of hair transplant starts with the “graft technique” or a.k.a. the staples technique, developed in 1959 by “Dr. Norman Orentreich” working in New York Science Academy, for the purpose of fixing baldness or areas of alopecia. This first technique has been controversial since it led to some results which are not aesthetic.
Staple grafts are hair pieces developed with a staple with a diameter of about 4 millimeters. Dr. Orentreich’s observations have become basic knowledge within hair transplant literature in relation to the life-long preservation of the transplanted hair regardless of the thought that bald area is an “inefficient” tissue.
A few years ago, Dr. Alvi Armani made a revolution in hair transplant technique, achieving natural results by the method Máximus Fue used as a taking out method.
At the moment, transplant is done under local anesthesia as ambulatory treatment and the procedure lasts 2-8 hours on average. Time taken depends on the area of the scalp that treatment is needed. Basic concepts regarding the hair transplant are the following:
- Place – design of frontal hair line
- Natural angularity
- Closing of frontotemporal (frontal part of the head) baring
Nowadays, two techniques are utilized for transplant:
- FUE technique
- FUT technique
Success of hair transplant depends on the surgeon’s skill and also on post-operational factors. Hair transplantation results do not rely solely on the physician’s technical competence but also on design skills, especially when forming the hair’s frontal line. These skills have 50 per cent contribution in the operations done by the surgeon, but the other 50 per cent relies on many factors such as the shampoo, hair lotions etc. used in the post-operational period, by the patient.