Depending on the number of critically important factors, hair transplant surgery can be one of the best decisions you will ever make, or among the worst. Today we are going to discuss the pros and cons of surgical hair restoration, euphemistically called hair plugs or transplants. In fact, a more accurate description is "autologous transplantation of hair worn skin." This is because the actual procedure involves harvesting of skin from the hairy part of one's scalp (donor) and moving to a common area (receiver) from the same person. Skin transplants between anyone other than genetically identical twins does not work.
the technique of moving the hair bearing skin grafting tissue from one part of the scalp to another dates back to at least 50 years. In the 1950s, pioneering surgeon named Dr. Norman Orentreich began experimenting with the idea of willing patients. Orentreich's groundbreaking work demonstrated the concept that became known as the Donor dependence or donor identity, namely that the hair is worn skin grafts harvested from areas outside of the skin pattern of loss continued to produce a viable hair grafts, although it moved into areas that had previously gone bald.
During the next two decades, hair transplant gradually evolved from a curiosity into a popular cosmetic procedure, especially among balding men late middle age. In the 1960s and 1970s, years of practice, including Dr. Emanuel Marritt in Colorado, Dr. Otar Norwood, Dr. Walter Unger showed that hair restoration might be feasible and isplativo.Standard care has been developed that in experienced hands, allowed for reasonably consistent results.
At the time, the most common technique involved the use of relatively large grafts (4mm - 5mm in diameter), which were removed from individual donor site by circle punches. This tended to leave the occipital scalp area like Swiss cheese, and significantly limited the yield that is available to go bald area on top and in front of the patient's scalp.
During several surgical sessions, transplants were placed in the mistakes that have been created in the recipient area (the bald area), using a little less punch tools. After healing of the patient to return for follow-up sessions, where they were located in the graft, and one previous transplant. Because of the relative crudity of this technique, the results are often very clear and the patient was left to walk around with dolls hair as they look, especially noticeable in the frontal hair line, especially on windy days. Such patients usually have a fairly limited way, they can style their hair, and because donors destructive extraction methods, many people ran out of donor hair long before the process could be completed.
in 1980-surgery hair restoration gradually began to develop the use of larger punch grafts for smaller and smaller and mini micrografts. Minigrafts were behind the hair line, while one and two baskets micrografts are closer to a natural transition from the forehead to the hair. Donor site management and evolved throughout punch extraction to strip harvest --- is far more effective way. Pioneers in this area were skilled practitioners, such as surgical Didocha Dr. Dan, Dr. Martin Tessler Dr. Robert Bernstein and others. The concept of creating a more natural look and further developed in the 1990s with the advent of follicular unit extraction (FUE), first proposed by the very gifted Dr. Robert Bernstein, and described in 1995, Bernstein and Rassman publication "Follicular Transplantation."
1990 is also issued new tools to the mix, such as the introduction of binoculars or 'stereoscopic' microdissection. Stereoscopic microdissection allowed the surgeon to see clearly where the hair follicle begins and ends with another. As the 1990s progressed, many transplant surgeons have moved away from the use of larger grafts in favor of one, two and three hair follicular units.
While it is very useful in the hair region, "micrografts' is not always optimal density in the back behind the hair. And even after multiple sessions, the final outcome micrograft only transplanted scalps tend to look thin and very thin. Perhaps an even bigger problem, dissection of the donor strip in its entirety in micrografts risk is significantly reduced conversion yield. Here's why.
Suppose we start with two donors headband worn tissues from two similar patients. Two surgeons are dissecting every single donor strip, but the first surgeon aims to dissect down one and two hair micrografts alone, and another surgeon dissects just enough micrografts place in the hair, leaving most three, four, five and six for the placement of hair grafts behind the hair. At the beginning of each donor strip contains a 1000 head. Both surgeons should theoretically end up with 1,000 viable hair available for transplantation, regardless of how much tissue is dissected. Unfortunately, reality does not quite work that way.
Every time the donor tissue to reduce the risk of transecting the hair follicles going. Transected hair follicles are known colloquially in the industry as a Christmas tree --- because the head that lacks a viable root. Basically, the previously robust terminal structure, they produce thin or fine hair or none at all.
This is a problem for several reasons, but primarily it is a problem because the act of a hair transplant does not 'create' new hair. The process simply moves the viable hair from the back into the skin forward.
And since there is a fixed constant supply of donor hair that can not be enough demand to fill the space, it is inherently counterproductive to reduce the limited quantities through a technique known to cause relatively poor yields. The problem was solved by careful use of FUE / micrografts the hair again and slightly larger grafts of hair behind. Refinement time is achieved at the hairline with the corresponding density of the hair behind the zone. If any of these factors is missing from the equation the result is dysaesthetic hair restoration. Either outcome seems thin and vague (micrografts only) or to look like dolls hair (large grafts only). So, now we now we can begin to see why the size and strategic position of each graft becomes critically important factor in hair transplant surgery.
Several other potential warning of hair transplant surgery is graft compression, misdirection, misangulation, mishandled grafts and donor site defects. Graft compression occurs trying to insert too much of the donor graft recipients in too small of a hole. If the donor graft is carefully placed the receiver hole and then the tissue and hair can literally get 'squeezed together'.
to see how it works, extend the fingers of the left hand open and wrap the fingers of the right in the middle of the left hand. As his fingers are squeezed closer together, coat the end of the compressed graft to close it as intended by nature. This tufting gives odd or unnatural looking hair.
wrong to transplant hair products that ends up growing in the direction opposite to what was intended. Again, this problem causes a strange, unnatural and difficult to style --- - head of hair. Misangulation, something like that falsely describes the misdirection that produces the hair graft at an angle that does not match the way the hair should grow. Again, the result is hair that just does not look good no matter how it is combed.
Poor grafts usually involves transsecting or pods (cutting off the root) or dessicating (allowing drying) of tissues. Vaccinated mishandling usually occurs primarily in less than an experienced surgical hands.
The donor site damage is metaphorically reduced to decimating the entire Amazon rain forest, to harvest a few dozen plants used for decorating the neighborhood streets. There are few things more aesthetically demoralizing then walk around with a partially completed hair transplant --- knowing that there are not enough donor hair available by the end of the deal because the donor site was exhausted.
your donor hair is a valuable resource. Treat it like gold. That's all I have and all you've got to complete the process of surgical hair restoration. Do not waste one follicle.
So, from this we can begin to appreciate some of the key pitfalls and dangers of transplant surgery. As you can see, the risks are mainly cosmetic --- which means that the potential for damage is generally cosmetic and do not medicinski.Skalp most healthy people is very well vascularized, and set up transplant surgery, scalp infections and / or other drugs that are relevant to scalp complication is very rare.
for those individuals considering transplant surgery is crucial to equip yourself with good solid informacije.Internet is a good place to start. Visit the trusted online resursa.Odličan start to visit the International Society of Hair Restoration Surgeons. Another reasonable objective resource network of hair transplant. David Tse is powered by highly educational website called hairs. There is always Medline acting as a clearinghouse for all medical research, including surgical hair restoration. Those who publish on pubmed.com are often the highest rank in its field.
Once you have gathered information from online resources can move to contact the surgeon's office itself. Take your time. Do not let anyone talk you into surgery until you are ready. Keep your money in your wallet and your donor hair behind your ear while you're really ready to commit to the task at hand.
talk to real patients. If possible, visit the restored patient or two in person. Many patients end up not mind visiting with you, if you are happy with their results. Plan to have at least one personal consultation with any surgeon you are considering. Do not be afraid to travel. You do not need to go outside the U.S. for hair restoration. But if you live on the West coast or east coast should not be limited to the hair surgeon in the immediate vicinity. It's your hair for goodness sake! Do not let geography be a factor in the decision.
to ask each candidate the surgeon pointed questions such as: Can you show me pictures of the patients who started their degree of hair loss? How to close a full head of hair can get? What will be the total cost for me to come? Not only the price of the graft, or cost per procedure, but the cost to me where I am now where I want to be. How the surgery is about, and spread over that time period? What is your dress policy work? What part of your practice, you pay for corrective surgery? Can I see pictures of patients that you corrected? The last two questions are very useful, because the hair surgeons who are adept at correcting the mistakes of others men are generally less likely to be a mistake.
Here is the key take-home lesson from all ovoga.Najvažniji criteria in predicting a good result for hair transplant surgery is the patient, rather than a surgeon. In surgical hair restoration, art is at least as important as science. You have the right approach to excellence in the hands of experts like Dr. Dan Didocha, Dr. Robert Bernstein, Dr. Bradley Wolf, Dr. Martin Tessler Dr. Leonard Aronovitz et al. So, for those who seriously think about undergoing transplant surgery, the key is to get a hand with knowledge in the first place. Take your time. Being 'the patient before becoming someone's "patient". Follow this advice and chances are you'll end up happier after the restoration of hair then you are today.
