Over the globe, more than 60% of males and 50 % of women have problems with hair loss. The most frequent hair thinning condition is Androgenetic alopecia, that is a semi-natural process depending on the genetics of the average person and can just be temporarily inhibited with medicines. The medications available for protecting against Androgenetic alopecia consist of oral Finasteride and topical Minodoxil option. For females, topical Minodoxil is the most effective treatment for Androgenetic alopecia. On the other hand, there are no medications available that may restore the hairs which already are lost. For the long lasting solution of hair loss, hair transplant is the only treatment which gives highly promising results.
What is a Hair Transplant?
Hair transplant is a surgical procedure in which hairs in one donor site are actually extracted and transplanted to place of baldness or hair thinning, where they continue to grow. The procedure of wild hair transplantation was introduced in 1950s by Dr. Orentreich. He started with employing 4 mm punches for extraction of hair roots. Over the years there were a lot advancements in the wild hair transplant procedures. At the moment, most commonly used techniques for hair transplantation are Follicular Unit Hair Transplantation (FUT) and Follicular Product Extraction (FUE).
Follicular Unit Hair Transplantation (FUT):-
FUT is a most regularly used hair transplant approach introduced in afterwards 1990s. In this technique, harvesting of hair roots from donor area is performed by excising a single pores and skin strip from the donor spot accompanied by suturing. The disadvantage of the method is the residual scar at the donor blog after the procedure. However, by employing newer trichophytic closure technique, you'll be able to provide a fine linear scar. On the other hand, there are few patients who choose to wear brief hairs and FUT procedure will be inappreciable in them.
Follicular Unit Extraction (FUE):-
FUE procedure, generally known as FUSE (Follicular Device Separation Extraction) method, Wood’s approach, FU Isolation method, is gathering popularity swiftly instead of FUT using cases. In this system of hair transplantation, the locks grafts are separately extracted from the donor webpage using a micro electric motor. Although, there are numerous drawbacks to this method, various researches and developments are taking location to overcome the constraints of extraction of grafts from donor spot.
Procedure of FUE:-
The task of follicular unit extraction differs from the task of FUT or follicular unit transplantation. This system is a suture less approach to hair restoration which consists of extraction of hair follicles from the donor areas and implanting the same in recipient areas. The detailed process of FUE is listed below.
On your day of surgery, first of all the donor section of the person is trimmed short to 1-2 mm of hair duration. Then, patient is well prepared for the surgery and seated on the functioning table ready that allows quick access to the brain to the doctor. Then, localized anaesthesia is normally administered at the donor blog to numb the operating area. After the aftereffect of anaesthesia is achieved, a particular type of micropunches is utilized for extraction of hair follicles from the donor scalp place. While accomplishing extraction of the hair roots, the physician uses magnification to start to see the follicles clearly.
The extracted hair roots are stored in normal saline through the procedure to keep their viability intact. The duration of harvesting procedure depends on the number of hair grafts required for extraction. After the completion of extraction technique, implantation phase for hair grafts is started. In this period, a slit is created by the doctor at the recipient internet site. The hair graft is then placed in the slit.
Requirements for performing follicular device extraction:
The person who is performing the surgery ought to be a board certified plastic and cosmetic surgeon.
High experience and training of the surgeon.
Excellent lighting in the procedure theatre.
Ample magnification for the surgeon and accompanying staff.
The surgeon should perform the task with proper hand action. While doing the twisting action of the punch, the side should be perfectly stable. As well, clockwise rotation of the punch provides even more stability than twisting the punch in anti-clockwise direction.
Surgeon should be able to judge and determine the position of root of hair below the surface of skin as the angle of wild hair root is generally more acute compared to the angle of hair above the skin.
The punch size ought to be kept in the number of 0.6-1 mm as this size of the punch would work large for extraction of follicles, and the minimise how big is wound and so minimise the scarring.
The decision of sharp punches or blunt punches ought to be completed appropriately. Few surgeons prefer employing sharp punches for two-step technique to be able to minimise the quantity of twisting needed for trimming in to the dermis. Alternatively, to diminish the follicular transection amount, blunt punches are being used in 3 step technique.
Indications for FUE:-
Patients who usually do not want a linear scar behind head or want to don hair very short
Patients who themselves demand FUE procedure and have enough donor source to be harvested to meet up their needs.
For patients who require little sessions for less extreme hair loss such as patients with Norwood grade 3 hair loss or beauty areas such as for example widow’s peak, eyebrows, eyelashes, etc.
For camouflaging residual scars from past FUT procedure.
For covering marks from trauma, neurosurgical procedures or perhaps dermatological conditions.
When subsequent periods for strip procedure aren't possible, then FUE is indicated for extraction of hair follicles.
For athletics individuals, who require restarting their training soon after the procedure.
For conditions where donor area is physique hairs or beard.
Contraindications for FUE:-
Inadequate experience of surgeon on performing FUE techniques.
Proper instruments not available at the centre.
Patients expectations which cannot be fulfilled.
Donor supply restricted.
Extreme grade baldness such as for example grade 6 or 7. In such instances, due to limited donor supply, just FUE cannot be done.
For clients who are uncooperative to undergo the procedure for long periods or for multiple sessions due to the slowness of the procedure.
Patients who usually do not want to slash brief their hairs such as women.
Bald areas which require a lot more than 2500 grafts for the restoration.
Advantages of FUE over FUT:-
Both FUE and FUT are techniques of hair transplantations, however, there are a few differences in both techniques. Firstly, no postoperative visible scar is seen following the FUE technique. Let’s discuss the advantages of FUE procedure with respect to surgeon and patient’s perspective individually.
Cost of FUE Hair Transplant:-
Let’s discuss the main issue for hair transplant, expense of hair transplant technique. This answer can't be summarised within a line because it will depend on a number of parameters.
Hair transplant procedure: The cost of hair transplant highly depends upon the technique used by the surgeon to perform the transplant. The usual expense of FUE transplant is even more as compared to FUT technique.
Severity of baldness: The region of recipient site which necessities implantation of head of hair grafts highly affects the cost of FUE hair transplant. With an increase of severity of baldness, more amount of grafts is necessary for its restoration. As the price tag on FUE hair transplant is set based on per graft cost, so, more the quantity of grafts required, more will be the price of the FUE hair transplant.
Medical experience and expertise of the surgeon: The price of the hair transplant also varies on the subject of the surgical expertise and connection with the hair transplant surgeon. Experienced plastic and aesthetic surgeons, who happen to be most qualified for managing such a technique sensitive procedure cost generally more than usual doctors.
The geographic located area of the surgeon: The expense of the FUE hair transplant will depend highly on the location and country. Ordinarily, the price tag on FUE wild hair transplant in US, UK and Canada is usually 70-80 % expensive in comparison with cost in India, despite the fact that the Indian clinics are providing world class treatments and highly optimistic results.