Considering a Hair Transplant? Insider Tips Here

Everyone has heard of or even seen hair transplant horror stories, maybe in a magazine, online as well as worse seen the most obvious ‘plugs’ in a elderly friend or relative. However hair transplant surgery has jumped leaps and bound in recent years to create it a viable, safe rather than too risky option for all those battling with male pattern baldness, many celebrities such as Nicholas Cage, Brendan Fraser Mather MOcanhey, Dwayne Johnson (‘the Rock’,WWE) Salman Khan (Bollywood) and also Italian Prime Minister Silvio Berlusconi are thought to have had hair transplantation surgery, although such may be the stigma attached that do not require have admitted to it publicly, it only becomes obvious when studying before and after pictures.

History of Hair Transplant

The origins of hair transplant surgery stem from Japanese dermatologist, Dr. Okuda, who in 1939 published a revolutionary method in a Japanese medical journal of using small grafts which were like the way hair transplantation is conducted today. This technique involved using hair transplant grafts to improve lost hair from various body areas, including the scalp, eyebrow, and moustache areas.

In the late 50’s one physician in particular, Dr. Norman Orentreich, begun to experiment with the thought of relocating or transplanting the hair on the trunk and sides of the top to the balding areas. Dr. Orentreich’s experiments showed that when bald resistant hairs from the trunk and sides of the head were relocated, they maintained their bald resistant genetic characteristic no matter where they were transplanted.

Petersfield filler This principle, known as “Donor Dominance”, established that hair could possibly be transplanted from the bald resistant donor areas to the balding areas and continue steadily to grow for a life time. This laid the building blocks for modern hair transplantation. Through the 60’s and 70’s hair transplants grew in popularity. However, the standard of care involved the usage of larger grafts that were removed by round punches and often contained many hairs.

In the 80’s hair restoration surgery evolved dramatically, as the large punch grafts were gradually replaced with a far more refined combination of mini and micrografts. This “combination mini micrografting” hair transplantation procedure no more used the punch to extract the bald resistant grafts. Rather a strip of bald resistant hair was surgically taken off the back of the top and trimmed into mini and micrografts.

Types of Hair Transplant

There are two main ways of Follicular unit hair transplant surgery. Follicular unit Transplant often called FUT or ‘strip surgery’ and Follicular unit extraction, often called FUE The primary difference is the method of extracting the transplanted hair. FUT and FUE are actually complimentary forms of HT, not competing methods of which one must make a choice.

FUT versus FUE

The 90’s saw the gradual introduction of an extremely refined medical procedure now referred to as “follicular unit hair transplantation” or “FUT”. This exacting and labour intensive procedure transplants hairs in their naturally occurring one, two, three, and four hair “follicular unit groupings” where they grow naturally.

The concept of creating the complete hair restoration using exclusively follicular units was proposed by Dr. Robert Bernstein and was described in the 1995 Bernstein and Rassman publication “Follicular Transplantation”. Critical to the success of the follicular unit hair transplant procedure was the introduction of the binocular microscope by Dr. Bobby Limmer of San Antonio Texas in the late 1980’s.

Dr. Limmer discovered that utilizing the microscope to examine the donor tissue he and his staff could actually successfully isolate and trim the naturally occurring follicular units into individual grafts. Dr. Limmer shared his techniques and findings along with his colleagues and as well as Drs. Bernstein, Rassman and Seager, was a persuasive advocate for the follicular unit hair.

The process involving follicular hair transplants is considered to be the most effective among hair restoration methods. In follicular hair transplant, the surgeon transplants hair from the permanent zone in the rear of the scalp onto the affected areas.

If you need a big area covered, then you most likely want to go for FUT since it is the less expensive in terms of amount of grafts for price paid. If you absolutely, positively don’t want strip surgery as you are worried about scarring, then FUE is your only alternative. Contrary to popular belief, both methods leave scars. FUT will leave a narrow line over the back of your head, whereas FUE will leave little unpigmented dots over the back of one’s head. The only real difference is that the FUE scars aren’t concentrated together and therefore harder to detect when wearing hair very short.

There is absolutely no doubt that FUE procedures are harsher on the grafts than FUT procedures. Because of this the ultimate growth yields tend to be lower for FUE in comparison to FUT. But BOTH procedures work with the most part.

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