Overview
Hair transplantation is the procedure of re-locating the genetically resistant hair follicles from the donor area and planting on the recipient areas like scalp, beard, moustache, eyebrow etc. It is an outpatient procedure and done under local anaesthesia. Hair transplantation generally takes 6 to 9 hours and -due to individual differences and graft counts- even next-day continuation might be needed. The usual hair transplantation procedure which lasts 6-9 hours and even second day continuation called as a Single Session. Depending on your hair loss severity you may need more than a single session. The usual waiting period for next session is generally around 3 to 4 months. But in single session the follicular unit (graft) count that could be feasible to transplant is not unlimited. A typical three to four thousand graft operation already lasts 8 to 10 hours. To keep the quality, it is vital to allocate proper time period for each procedure. Trying to transplant more graft than 3000-4000 grafts within 8-10 hours definitely decreases the quality.
The usual donor area for hair transplantation is located at the back of the head and we call this donor area as the major donor area. Beard and chest hairs are also good sources where we call them minor donor areas.
Hair Follicle Harvesting Methods
There are two ways of obtaining follicular units (grafts) from the major donor area and we call these methods as:
Follicular Unit Strip Surgery (FUSS)
FUT is the ex-term for this method. A strip is removed from the back of the head and stitches are placed to close the defect.
Follicular Unit Incision - FUI (Ex Term FUE)
FUE is the ex-term for this method. This is the most popular and sought-after method among patients. As the hair follicles are removed one by one stitch is not necessary, so the post-operative period is much more comfortable comparing to FUSS (FUT) method.
Your surgeon will decide on the method after the assessment.
Hair Follicle Implanting Methods
There are several ways of grasping and implanting the hair follicles. Grasping and implanting hair follicles by forceps, implanting hair follicles by a pen like instrument etc. Every surgeon and team have their own method where they are experienced in thus, they are not superior to each other. Black market clinics tend to use misleading terms like NDHI, Touchless method etc to draw the attention of the patients.
So, regardless the methods of harvesting and implanting the outcome of the procedure is determined especially by your surgeon’s experience. So, if you feel you find the right surgeon just trust and go ahead, do not stuck on minor details.
Hairline & Recipient Area
The most critical point of hair transplantation is the design & level of the frontal hair line and the size of the recipient site.
A- WHAT IS HAIRLINE?
The most anterior 2 to 4 cm wide zone is called as frontal hairline.
In order to create a natural hairline, two essential skills are needed:
- To decide the proper level and shape of the hairline for each individual separately. There are several individual features which we need to take in to account while deciding on the level and shape of the frontal hairline like age, head shape, forehead size etc. Your individual features and your surgeon’s advices will determine the final level and shape of the hairline. No worries, I will guide and advise the best option for your case!
- To understand and be able to mimic the natural characteristics and patterns of hairline.
Natural Characteristics of The Anterior Hairline
The second component of hairline creation is understanding and mimicking the natural patterns and characteristics of a hairline.
There are 3 zones in the frontal hairline:
- Transitional zone
- Defined zone
- Frontal tuft zone
Transitional Zone
Consists of the first 0.5 to 1 cm of the hairline and should contain micro and macro irregularities where the density should increase towards defined zone. It should contain purposely selected fine single hair follicles. I generally prefer to place very fine singles randomly in front of the transition zone.
Defined Zone
The defined zone is the 2 to 3 cm wide area that sits directly posterior to the transition zone. In this area hairline should develop a higher degree of definition and density. Density in this zone creates a fuller-looking hairline by preventing a solid hairline look.
Frontal Tuft Area
The frontal tuft area is a small but esthetically significant oval area that overlies the central portion of the defined zone directly behind the transition zone in the midline. This area should have higher degree of density than the rest of the transition zone.
Proper Angulation and Direction
Angle refers to the degree of elevation a hair as it exits the scalp where Direction refers to
which way the hair points when leaving the scalp. In order to have a natural looking hair line
your surgeon should have the skill and experience of creating properly directed and
angulated recipient sites.
B- WHAT IS THE RECIPIENT AREA & HOW WE DECIDE ON THE SIZE OF IT?
Recipient area is the area where the hair follicles are implanted on. It could be scalp and facial areas like beard, eyebrow and moustache but here I will discuss about scalp as a recipient area.
Once we remove a hair follicle from donor region, there won’t be hair re-growth from this area. Basically, -as human beings- we do not have unlimited donor supply which will let us to cover all the recipient areas with the possible highest densities; So, we have to use this limited donor source in most efficient way. It is simple to understand that, if we reduce the size of the recipient area, we increase the hair density, vice versa. So smaller the size, higher the density!
I discuss all these points during the consultation and thoroughly guide my patients before the procedure!
Please do follow my instructions and trust my expertise! That’s why I chose the motto “IN EXPERT WE TRUST”
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Dr. Cagatay Sezgin
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+905326879626 Tue. – Sat. 10.00-17.00