Advancement in Hair Transplantation

A standard hair transplantation procedure involves the removal of donor strip of hair from the back of the head from where the follicular unit grafts are dissected under a microscope. These grafts are then preserved in saline and are then transplanted on a bald patch on the crown area of the scalp.

Given the time consuming and tedious nature of this procedure, a hair transplant surgeon is often able to transplant only about 500 to 600 follicular unit grafts per day. However, thanks to the recent hair transplant advances, this technique is often replaced by the follicular unit extraction (FUE). The cost per graft of FUE is typically twice the cost of the standard follicular unit hair transplant procedure discussed above but it is comparatively faster and minimally invasive.

Some hair transplant advances

In a typical FUE procedure a small round punch is made in the donor area to directly extract 1, 2, 3 and 4 hair follicular unit grafts. The follicular units extracted using this process is typically referred to as “blunt dissection” where a punch is made to envelope the entire follicular unit separating it from the surrounding soft tissues.

Once the underlying follicular unit is separated from the surrounding tissues, it is easily extracted using a small forceps. The small holes left behind after the follicular unit extraction gradually heal over the next few days and are not detectable to the naked eye once the patient’s hair grows out. The healing time is much less than the donor strip extraction procedure.

While the FUE procedure has been adopted by most hair transplant clinics, the standard strip excision method is still the most popular hair transplant procedure because it is more economical than the FUE.

Moreover, due to some recent hair transplant advances such as the use of trichophytic closure technique, the linear donor scar created by the strip excision procedure is now often rendered almost undetectable to the naked eye. This advancement in the hair transplantation technique has made FUE procedure relatively less appealing.

Hair transplantation research

Besides the hair transplant advances in the transplantation procedures, a lot of research is also underway to clone the hair. If the hair transplantation research is successful it will be possible to make several copies of donor hair in the laboratory. The application of this technique would be used in the form of hair transplantation. In the traditional procedures, the biggest limitation is often the donor which is not able to meet required density. However, hair cloning promises to overcome this problem by having the amount of hair required to be grown in a laboratory from a single donor hair and then implanting it into the scalp.

Hair transplantation research for cloning is very difficult and there are many hurdles that have to be overcome regarding the safety and cosmetic characteristics of the cloned hair. Some hair transplantation research has also provided breakthrough for some hair loss medication like Dutasteride.

Is Hair Transplant Painful?

Many people who think about having hair transplant surgery wonder if the procedure is painful. Often people have sensitive scalps and the thought of someone making cuts there seems hard to think about for these people. There is disagreement as to whether hair transplant surgery is painful, though.

Some say that hair transplant surgery is similar to a visit to the dentist. This does not seem like a description of something that is pain-free. It certainly does not seem like a relaxing experience. Yet some feel that there is that degree of pain involved.

The injections of the local anesthetic into the scalp before hair transplant procedures are definitely painful to some degree. Anyone who has had a tooth pulled knows that, if the tooth is deadened properly, it is not the tooth-pulling that hurts. It is the needle going in with medication to numb the tooth that is the real agony.

Of course, to follow the dental analogy, after the numbing wears off there is plenty of pain where the tooth was before. With hair transplant surgery, there is pain after the surgery as well. Swelling is normal after hair transplant surgery and can even keep you away from work. Your skull may feel very unusual for weeks.

However, the pain of hair transplant cannot actually be compared to a tooth extraction. Hair transplant pain is decidedly less sharp and some do not even feel it as pain at all. Many people simply feel it as an uncomfortable feeling. If they do feel any pain, it is of a degree that can be taken care of with a few doses of Tylenol.

On the other hand, some people who have had hair transplant procedures done do not feel that there is any pain involved at all. They tolerate the injections of the local anesthetic well. They are not bothered at all by the procedure. In fact they often watch television or read magazines, being awake and alert the whole time.

Hair transplant surgery is surely less painful than it was in earlier times when larger sections of scalp were excised. This involved more cutting to take out the donor hair and more cutting to insert the donor hair into the recipient site.

Hair transplant surgery was a very painful procedure in the past. Not all doctors today have given up on older methods. This is one reason why you should ask a lot of questions when you look for a hair transplant surgeon.

Up-to-date techniques for hair transplant use only the follicular unit and not a large amount of surrounding tissue for the donor grafts. This cuts down considerably on the amount of pain experienced. The procedure is minimally invasive now, so that no more of the scalp is disturbed than is necessary.

Finally, having a hair transplant with an experienced and skilled surgeon is an important key to having a less painful surgery. A doctor who knows the best way to do the procedure will cause you less pain an produce a better result for you into the bargain.

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.

Hair Transplant Procedures for Young Men

There was a time when no one would even think of doing hair transplant surgery on young men. It was agonizing for this group of young people because thinning, balding, and receding hairlines often started before they got out of their teens. Now the procedure is being opened to young men – but with restrictions.

Because losing hair at such a young age is very traumatic, hair transplant doctors do not like to go along with the patients’ snap decisions. After an in-depth consultation, the doctor will do everything in his power to put off the surgery. He will ask the patient to come back for a final consultation in six months or so. Many doctors will refuse to do immediate hair transplants if they are put to the test.

There are advantages to getting hair transplant surgery under the age of 25. Most of these patients are healthy. They do not usually take medications. They are often optimistic and have the motivation required to make the commitment needed for what may end up being lifelong treatment.

When a young man gets a hair transplant procedure, it can avert many problems with low self esteem and lack of self confidence. With older men, these attitudes are already ingrained so that it takes some doing to change them. If the hair restoration is started early enough, the young patient need never feel the stigma of being bald for very long at all.

A doctor who is skilled in doing hair transplant procedures on young people will do some investigation before tackling such a project. He will ask to see members of the family to assess their hair loss and how the young person might inherit hair loss traits from the family. If family members cannot be present, the doctor might ask for photos.

One trick of doctors, who work to give young people hair transplant surgeries, is to guide them in setting the hairline. A young person will usually want a fairly low hairline. He remembers the way it was just a few short years ago and wants to duplicate the image.

A good hair transplant surgeon will discourage a low hairline. Instead, he will campaign for a higher hairline. There are several advantages to this. One is that, with less top hair to cover, more donor hair will be saved. Since the young patient will be dealing with this problem for a long time, this is a necessary consideration.

When the hair transplant surgeon achieves a higher hairline, he will be able to get more fullness on the top of the head because he has less to cover. This is not to say the young person will have a receding hairline when the procedure is complete; just that the hairline will not be too low.

There is no reason for young people to enter adulthood without a full head of hair if they can get a hair transplant. This option is now open to them. It is bound to make many young men very happy.