To ensure that you are a viable candidate for hair transplantation our expert dermatologist will first conduct a thorough consultation. He will perform blood tests and scalp biopsies to look for underlying causes of hair loss and possible infections. He will remove several dozen hairs and examine them under a microscope to check the quality and condition of the hair shaft. He will also take a comprehensive medical and family history, as hair loss is very often hereditary.
This preliminary checkup will enable Dr Fadi to identify which hair transplantation process will be most suitable for you.
Follicle Unit Transplantation (FUT), or strip hair transplant surgery, is a common technique in use today. A local anesthetic is applied to numb the scalp. We can also provide a mild sedative if you are particularly anxious. A 6-10-inch strip of skin is removed from the back of the head. Our experienced staff will then use stereo-microscopes to meticulously dissect individual follicular units. Usually between 500 and 2000 mini grafts are created. Excess fibrous and fatty tissue is removed from each graft. The scalp is stitched closed, leaving a thin linear scar. This small scar will most likely be hidden by your own hair.
Follicular Unit Extraction (FUE) is also performed under local anesthetic, with or without sedation. In this technique, individual hair follicles are removed from the back of the scalp. A mini graft will contain 2-4 hairs and a micro graft will contain 1 or 2 hairs. Each follicular unit that is removed leaves a tiny punch mark of 0.6-1.0mm diameter, no stitches are required, and the punch marks are covered up by your own hair. This process takes substantially longer to complete but may be preferable if you favor a close-cropped hair style as there will be no visible scarring. Additionally, with no stitches to remove, the recovery period tends to be quicker; a matter of days rather than a couple of weeks.
Body hair transplantation
If the hair on the head is of poor quality, hair from elsewhere on the body, for example, from a beard or the chest, can be used instead. FUE is used to excise these hair follicles. This is most useful when the area that requires coverage is small.
Whilst extraction processes differ, the actual transplantation process is the same for FUT and FUE:
- The area where the hair will be transplanted is cleaned and numbed.
- Small micro blades or very fine needles are used to make puncture ‘recipient’ sites. The spacing and density of these is predetermined to ensure that the final result is as realistic as possible.
- Each follicular graft is ‘planted’ in a hole.
- Over 50 grafts are planted per squared cm of scalp/face.
- Typically, hair grafts at the front of the hairline will contain 1-3 hairs each, those further back will contain more hairs per graft.
- To ensure healthy circulation is maintained, each graft is positioned carefully so that it is surrounded by healthy skin. The spaces can be filled at a later date with additional grafts.
Post-operative care includes wearing a pressure bandage for a few days and careful shampooing to prevent scab formation around the transplant sites. Scabs could damage the freshly transplanted follicles.