Request a Call Back

 

What is Hair Transplantation?

Hair transplantation is a cosmetic procedure, which involves removal of permanent hair shafts along with roots (also referred as follicular units) from a hair bearing area called as “donor area” and transplantation into the bald area called as “recipient area”. In case of hair transplantation over scalp, hair are usually taken from the back and sides of the scalp. For patients with advanced baldness of scalp, hair can also be taken from beard, chest, axilla, and / or other body parts.

The basic concept of hair transplantation is based on the principle of “donor dominance.” Donor dominance implies that the hair will retain its properties even when moved to a new area. For the purpose of understanding, scalp can be divided into two separate areas. The area in the front, middle part of scalp and crown is susceptible to balding whereas the area at the back and sides of the scalp is not. Hair transplant thus involves transfer of permanent hair present at the back and sides of the scalp to the areas of balding.

Apart from androgenetic alopecia which is the most common indication for hair transplants in males, hair transplants can also be done in cases of female pattern hair loss, over beard, for moustaches, eyebrows, and for various other causes of scarring hair loss.

What can be expected from Hair Transplant?

Since patients’ own hair are transplanted in hair transplants, these hair will grow naturally and can be trimmed, cut or styled. They will not look different and as they are from a permanent zone, they will last for life. It’s highly unlikely that patient will ever loose transplanted hairs.

Are there things Hair Transplantation can not do ?

Hair transplantation involves covering of bald areas. But it does not stop tendency to go bald. This means transplanting hair over bald scalp does not affect the probability of losing the other pre-existing hairs.. Sometimes hair transplantation is done in between the existing hair to increase the density. Though these transplanted hair are permanent, patient can lose the pre-existing hair because of the inherent tendency to go bald and can complain of ‘sparse’ning over transplanted areas. Therefore hair transplantation is not the best option for patients who have rapidly progressive hair loss.

What are the different techniques of hair transplantation?

FUT (Follicular Unit Transplantation)

Here a strip of scalp skin containing hair roots is taken from the back of scalp. This strip is cut under microscopes into individual ‘grafts’ containing hair roots. These roots are planted on the bald area. The area of scalp from where the strip is taken is sutured and this wound heals in a week or two. Permanent visible ugly scarring is the biggest drawback of this procedure. This is an older method and newer methods have slowly replaced it.

FUE (Follicular Unit Extraction)

In this technique individual hair grafts are harvested from back and sides of the scalp or other body sites. These grafts are then stored in a storage solution. Slits are created in the recipient bald areas and these stored grafts are transplanted. The site from where grafts are taken heals in 2-5 days without apparent scarring. So it is possible for patient to keep short hair if he wishes to. Body hair harvesting is possible with FUE, which can’t be done with FUT.

Immediate Donor to Recipient Transfer (IDRT) Technique

IDRT is a modification of FUE technique. In IDRT technique, first slits are created in the recipient bald area. The grafts are then harvested from the donor area and transplanted within minutes to the recipient area. The chance of grafts survival is almost 100%.

S.No

Topics

FUT

FUE

IDRT

1

Need of stiches after surgery

Yes

No

No

2

Time taken for healing

7 to 30 days

1-5 days

1-5 days

3

Scar after surgery

Yes

Long Visible scar on back and sides of scalp

No visible scar

No visible scar

4

Short hairstyle after surgery

Not possible

Possible

Possible

5

Pain after surgery

Moderate

No pain

No pain

6

Bleeding during surgery

Mild to moderate

Minimal

Minimal

7

“Body out time” of grafts i.e. gap between harvesting and plantation

2-5 hours

1-3 hours

Within Minutes

8

Storage solution

Required

Required

Not required

9

Graft damage due to mechanical handling

More

Less

Nil

10

Chances of graft infection

More

More

Nil

When do we require hair from other body sites to cover scalp baldness ?

  • Inadequate supply i.e when the donor scalp area is limited
  • High demand i.e when large area of bald scalp is to be covered

Body hair can be taken from beard, chest, armpits, thighs and legs. Body hair do provide good coverage, however there are certain drawbacks of using hair from the body:

  • Harvesting hair from these sites require expertise and experience. Therefore an inexperienced doctor should not attempt this.
  • The texture, color , length and other properties of these hair will be same as of the original site.

At VLCC Hair Build, we use only scalp hair for critical areas like frontal hairline, crown, temples, and the lateral humps. We prefer to use body hairs primarily for middle part of the bald scalp. Alternatively body hair is transplanted in between the scalp hair. This approach gives the best acceptable cosmetic outcome.