Category: Cosmetic Health

How to Find a Good Hair Transplant Surgeon

There is no law in the US that requires a doctor to have any special credentials to perform hair transplant surgery, other than basic licensing as a physician. This leaves many potential candidates for the surgery in the dark. It is difficult to know the difference between a good hair transplant surgeon and an inexperienced one.

If you know someone who has had hair transplant surgery, you have at least one person to whom you can go for advice. You will know from looking at their hair whether the job was done well. You can ask the person whether you were treated professionally. That person will also know how much the total cost was, and if there were any hidden fees.

You might not know anyone who has had a hair transplant procedure. In this case, you might go to the telephone directory. This is just a starting point. Many of the doctors who advertise there are simply trying to start up a practice in the field. They may have little or no experience. This is just a way to get names that you can check out.

When you contact a hair restoration surgeon, ask to see a portfolio of patients’ photos before and after hair transplant surgery. You should be suspicious if you are shown less than a dozen or so sets of pictures. This may mean the doctor does not have much experience to brag about. The pictures should be of good quality so that you can really see what kind of job was done.

Next, ask for names and phone numbers of patients the surgeon has treated. A doctor who has done many successful hair transplant procedures will have a list of people willing to talk about their experience. You can call each one and ask about how the procedure went for them.

Be aware that not all hair transplant doctors are scrupulous businesspeople. Many will try to fool you into believing they are more experienced than they are. Sometimes, they will try to make you believe they do better work than they do. They will show you pictures that are not true examples of their own work.

They might show you photos that they have taken using lighting tricks to make the hair look thicker and healthier than it is. It is often hard to spot such tricks, but knowing that some surgeons do them will help you to watch out for them.

You will get some good advice if you go to certain associations for assistance. The International Alliance of Hair Restoration Surgeons will give you information on surgeons that are affiliated with them. The American Academy of Dermatology is another fine institution that has data on hair transplant surgeons.

The American Academy of Facial Plastic and Reconstructive Surgery is known for supporting good cosmetic surgery, which hair transplant procedures are. Finally, the International Society of Hair Restoration Surgery deals exclusively with these types of procedures.

It can be quite difficult to find the right surgeon to do your hair transplant procedure. Do not give up. There are plenty of skilled surgeons who can perform these operations well. You just need to take the time you need to find them.

How Surgeons Hide Donor Scars during Hair Transplant Surgery

Hair transplant procedures leave scars. It is just a fact of life. However, if the surgeries are handled in the proper manner, the scars are barely noticeable. They are thin to the point that they can barely be seen in most cases. Skilled doctors have ways of making the scars practically disappear.

First of all, the surgeon must be very skilled in choosing the site of the path where he harvests the donor tissue for the hair transplant. Its width should be no more than one centimeter in most instances. This allows the scalp to close completely when sutured back into place.

If the hair transplant procedure is done well, the scar will not be noticeable even if the patient likes to wear his hair in a short style. The scar will only become unsightly if the patient is genetically predisposed to keloid scarring. People who have this kind of problem need special treatment.

If a patient is known to suffer from keloid scarring, the first thing a reputable doctor will do before hair transplant surgery is to explain the possibility of unsightly scars. This requires a very honest surgeon, since the patient may decide the procedure is not worth the scarring it will cause.

The next step with such a patient would be to discuss ways the keloid could be covered. It could be camouflaged by wearing the hair just a little longer. Other patients have rubbery skin that stretches too much and so causes wide donor scars. These two groups add up to about 5% of the patients who have hair transplant surgery.

The other 95% of patients have no problems with their tiny scars at all. The hair transplant doctors are able to keep the donor strips very thin. They also use a double layer closure method to help the skin heal properly. As long as the surgeon knows what she is doing, the scars are a minor consideration.

Another aspect of scarring is when doctors go in for multiple hair transplant surgeries. A new strip of donor tissue has to be taken each time to supply the grafts for the new transplant. It would seem that this would lead to a large number of scars on the back and sides of the head.

Actually, there is a hair transplant procedure that keeps the scarring to one thin line. It consists of cutting the new thin donor strip immediately above the original scar. In most cases, the old scar is removed at the same time. When the wound is stitched up, the entire area of both the old scar and the new cut are sewn into one line. If multiple surgeries are done, this procedure is used every time.

Hair transplant surgery leaves scars. That much is certain. If you are one of the unlucky few who scar easily, you might have scars big enough that you have to hide them. Yet, if you are like most people, you will not have scars that anyone will notice at all.

How Many Hair Transplant Grafts Do You Need?

When you shop for a hair transplant surgeon, you will find that different doctors give widely varying estimates of the number of grafts you will need. This can make you very uncertain about the wisdom of even getting a hair transplant. It helps to have a fair idea of what to expect.

Unfortunately, there are hair transplant surgeons who do not take their position of respect seriously. Some doctors are even transplanting donor hair into areas where the patient still has hair. Perhaps this is easier than placing it where it rightfully belongs – on the balding spots.

For whatever reason, some hair transplant patients are not getting the number of grafts on their balding areas as they are billed. This is testified by certain doctors who have seen the results. The density of hair on these patients’ heads is not commensurate with the number of grafts they supposedly got.

The best hope a patient has of getting what he pays for in a hair transplant is to learn to calculate the number of grafts he needs to cover his balding area. If the surgeon he sees is not in that ballpark, it may be wiser to look for another surgeon. If however, the surgeon estimates a similar number, just make sure all the grafts go onto the balding parts of your scalp.

To calculate the number of grafts you need for hair transplant surgery, there are several factors to take into account. The thickness of the hair shaft makes a difference. Whether the hair is curly or straight determines if the hair will lie flat or stand up, creating more fullness.

Another important factor for hair transplant is the color of the hair in contrast to the color of the skin. For a light-skinned man with light-colored hair, or a dark-skinned man with dark colored hair, it takes a certain amount of hair to cover the baldness. However, a light-skinned man with very dark hair will need much more hair to provide the same amount of coverage.

You should figure that the average number of hair transplant grafts needed to cover a balding area is 25% of the original hair that was there. You can move up or down from this figure according to your other factors such as thickness, curliness, or color. Then, you can use this number to figure up the grafts needed.

Based on the fact that the average Caucasian male has a density of 2 hairs per millimeter, it can be assumed that the average density of hair is 1250 hairs per square inch. Figuring at an average of 2 hairs per follicular unit, it would take 625 follicular units per square inch.

To get 25% of that, you would need 156 follicular units per square inch. All that remains is to measure your balding area and multiply the number of square inches by 156. When you know what number of grafts to expect during your hair transplant surgery, you will be a savvy consumer. It does not hurt one bit go into the process with an idea of your own about how the treatment should go.

How Hair Is Inserted in Hair Transplant Surgery

Hair transplant surgery begins, after anesthesia is applied, with removing donor tissue. Follicular units are then extracted from the tissue using a stereomicroscope. This is all done by skilled nurses and technicians. The insertion of the hair into the receptor sites comes later.

Once the follicular units for the hair transplant are dissected out of the donor tissue, technicians set them aside in a saline solution. The temperature must be ideal or the small grafts will not survive the procedure. This is done very carefully in order to ensure a good result.

The surgeon will make tiny incisions into the scalp where the hair transplant grafts are to go. These are called the receptor sites. They are made with a very thin surgical needle. The surgeon must have an eye for detail to properly set the receptor sites. He must also be very artistic to achieve a natural look, especially at the hairline.

The direction the hair grows, both on the front of the head and at the crown, are very important, too. The doctor must make the condition of the newly placed hair look like the patient’s own natural scalp hair. The angle that the hair is put in determines how much it will stand up from the head.

Once the surgeon has made all the hair transplant incisions that lay out the design he has created, the specially trained surgical team steps in. They use his plan to accomplish his goals, and in turn the goals of the patient. The groundwork is done for them by the surgeon when he does his incisions.

The surgical team takes care to get every hair transplant graft into the receptor sites as they have been laid out. They waste no time, though, because the small grafts are vulnerable when their follicles are outside of the skin. The goal is to get the grafts in as quickly as possible while staying true to the design.

Next, the doctor looks over the hair transplant for quality control. He may take a good deal of time tweaking the placement of grafts before he is satisfied that they are all set properly into their receptor sites in a pleasing fashion. When he gives the ok, the surgical technicians again take over the patient’s care.

The grafts will be more permanently set into place when the technicians dry them by blowing a cool blow dryer across them. This makes them adhere in their place so that no bandages are necessary. The patient will be asked to bring, or will be given, a baseball cap for the ride home from the hair transplant procedure.

The doctor will want to see how the grafts are doing the day following the hair transplant. The patient will go in for a check-up so that any problems can be corrected quickly. If that is not possible, at least plans can be made to correct them at a future time.

The doctor will have done his job with the hair transplant procedure at this point. All that remains is periodic checkups. If the hair loss is extensive, there may be more procedures, but all the hair transplant surgeries will be done with the same amount of care.