Hair transplantation: An aesthetic procedure where hair is surgically placed onto the head.

The patient sees the final result of grown hair follicles in the head area. Usually, we generate about 1000 micrografts and minigrafts from those strips that would have normally been discarded. If I want more grafts, I would harvest the donor strip of the size required. Orentreich described “the donor dominance” concept, which is key for successful hair transplantation.

In general, the greater degree of hair loss, the larger number of grafts transplanted. Using the NeoGraft system, the harvested hairs are taken from the back of the head, where the hairs are thick and healthy. After extracting the follicle, it will be placed in the facial zone to be filled in, where it will flourish — and will subsequently be shaved, groomed, oiled, shaped, or grow to the length you envision. When the procedure is performed by Dr. Beck, a highly-skilled plastic surgeon with extensive experience in facial hair restoration, it’s impossible to tell the transplanted hairs from naturally-occurring ones.

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The scarring alopecias are nondominant, and, while active, do not respond to hair transplantation. These include discoid lupus erythematosus, lichen planopilaris, and other cicatricial alopecia.

The Quatela Center for Hair Restoration is a leading name in hair restoration across upstate New York. Men and women frequently travel from outside the area—even internationally—to enjoy our refined expertise in creating natural-looking hair transplant results. It is important to resume all routine daily medications on the day following your hair restoration procedure unless you are instructed otherwise.

• Anaesthesia for the recipient area includes a supratrochlear and supraorbital nerve block, followed by a ring block in the frontal area beyond the zone of hair transplantation.
• Note the distribution of grafts containing 1 and 2 hairs per follicular unit at the leading edge of the hairline and larger grafts posteriorly.
• A single scalp flap can contain as many as 10,000 hairs, resulting in the creation of a dense hairline in just 2-3 procedures performed in an interval of several weeks.
• A precise appreciation of anatomy has allowed the use of follicular unit grafts.

New growth will be noticeable at approximately four to six months following your hair restoration procedure. The final results take approximately one year to appreciate as the hair becomes more dense and fuller in appearance.

For that reason, I prefer that these patients be under general anesthesia. Such is the case in hair transplantation, particularly when using the micrograft and minigraft megasession technique. I normally have three surgical assistants when doing such a procedure.

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The action of DHT is mediated by intracellular nuclear androgen receptors. A sudden onset of increased pain, erythema, and the presence of a purulent exudate or fever should raise the suspicion for a wound infection. Local measures such as incision and drainage, possible debridement, and obtaining a sample of any wound fluid for culture and sensitivity would be the first steps in the management of these infections. Broad-spectrum antimicrobials are then initiated and later adjusted to a narrower, species-specific coverage once the culture and sensitivity results become available.

You won’t need to take days off work and will be able to continue with your usual activities. As with any hair transplant, during the initial stage the transplanted hair will shed.

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In most instances, the location of the most anterior, midfrontal portion of the hairline is between 7.5 and 9.5 cm above the glabella. The shape of the head, predicted future hair loss, and donor capacity are factors to consider in this creative decision. One must place the hairline in such a location that it will look natural as the patient matures and continues to lose hair. 74 Most hair restoration surgeons feel this donor technique is “here to stay,” and future refinements and experience with FUE will solidify its indications.

Hair transplant surgery may be an option if other hair growth treatments didn’t work for you. So, it’s important to work with a healthcare provider to choose the procedure that will best meet your goals. Look for a skilled professional with experience in hair loss and hair restoration. You should also consider the practical aspects of hair transplant surgery. In general, attempt to delay the procedure in individuals in their 20s or younger.