Tag: surgeon

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.

Pros and Cons for Lasik with IntraLase

Those who have had a Lasik technique done, and those who are investigating having a Lasik vision correction procedure, know that the first step of that procedure is to create a small flap in order for the Lasik physician to reshape the cornea. This flap is created by the surgeon, and can be done using a small blade or using a laser. Using the laser is generally called a bladeless Lasik procedure, or IntraLasik, or IntraLase.

For those that are considering a Lasik procedure, this review should be helpful in order to determine the pros and cons of the Lasik procedure using IntraLase. One comment to be made is that the risks and complications possible using the small blade are well known and documented, since that procedure has been done for years and has a database of millions of patients.

Granted, 90% or more of all Lasik patients have no serious side effects or even minor lasting side effects, but it is true that a large part of the complications from Lasik procedures stem from the flap made with the microkeratome blade. Over the years additional techniques have been developed to further minimize such problems from the standard Lasik procedure.

The introduction of the laser to create the flap is a new frontier in the Lasik procedure. The laser is used in combination with state of the art software to create a flap of a pre-programmed size at a specific depth and position. During this process, a soft suction ring holds the eye in place, but this causes no discomfort to the Lasik client. Generally the only effect noticed by most Lasik patients is a dimming of vision in the eye being worked on for the duration of the treatment of that eye.

The use of the laser creates very small bubbles of water and carbon dioxide that serve as a good buffer between the flap and the cornea itself, and so this Lasik procedure conserves the eye very carefully. The whole process of creating a flap for one eye takes approximately one minute.

The advantages of using a laser to make the flap for the Lasik vision correction procedure is that there is no way that the cornea can be abraded, nor any chance of the wrong size or depth of flap, since it is all pre-programmed with Lasik software. The exact vertical edges of the flap produced using this Lasik procedure help healing, and also decrease the possibility that the flap might slip or wrinkle if the eye is accidentally bumped or rubbed during the healing process.

There are very few cons to using a laser to create the flap during a Lasik procedure. One is that the process takes a bit longer, up to a minute. A second reason is that the low level suction during this phase of the Lasik operation does result in eye redness for about 5% of the patients, but this goes away within a few days. The last reason is that there is still a difference in cost between this and the traditional Lasik procedure, but hopefully that will decrease as the years progress.