We at Tandonz , the cosmetic clinic, are regularly performing FUE hair transplants.
Dr Rahul Tandon, plastic and hair transplant surgeon at TANDONZ is an expert FUE hair transplant surgeon having trained in India and overseas.
Dr.Rahul Tandon and his team have been performing mega sessions of hair transplantation with very good results.
A brief description of hair transplant follows.
Hair transplantation is a commonly done surgical technique in which individual hair follicles are transferred from a part of the body called the 'donor site' to bald or balding part of the body known as the 'recipient site'. It is primarily used to treat male pattern baldness.
IN THIS CONDITION, GRAFTS CONTAINING HAIR FOLLICLES THAT ARE GENETICALLY RESISTANT (THE BACK OF THE HEAD ) ARE TRANSPLANTED TO BALD SCALP.
The hair follicles commonly known as follicular grafts are individual grafts obtained from the back of scalp either by strip method or fue method.
each GRAFT CONTAINS A single hair, two hairs or three hairs.
hair transplantation is always counted by the number of follicular grafts transplanted and not the individual hairs. that means if a person has undergone 2000 grafts he has got between 3000 – 4000 hairs transplanted.
TECNIQUES OF HAIR TRASNPLANTATION
Folloicular Unit Transection method commonly known as ‘strip technique’
- Follicular unit Extraction technique commonly K/as FUE technique.
Whatever the method of harvesting the graft, the procedure of implanting them into the bald area is the same.
Follicular Unit Extraction (FUE) is a method of extracting, or “harvesting,” donor hair in a follicular unit hair transplant procedure. In FUE hair transplant surgery, an instrument is used to make a small, circular incision in the skin around a follicular unit, separating it from the surrounding tissue. The unit is then extracted (pulled) directly from the scalp, leaving a small open hole. Commonly used are the 0.7 mm, 0.8mm and 0.9 mm punches.
Dr.Rahul Tandon is using very high quality punches imported from Turkey for his FUE hair transplant procedure.
This process is repeated until the hair transplant surgeon has harvested enough follicular units for the planned hair restoration. This process can take one or more hours and in large sessions, may be accomplished over two consecutive days. The donor wounds, approximately 1-mm in size, completely heal over the course of seven to ten days, leaving tiny white scars buried in the hair in the back and sides of the scalp.
IIMMEDIATELY AFTER FUE PROCEDURE
FOLLICULAR UNIT TRANSECTION (STRIP METHOD)
7 DAYS POST FUE PROCEDURE
This method of donor harvesting, removing follicular units one-by-one directly from the scalp, is what differentiates the FUE hair transplant from a traditional Follicular Unit Transplant (FUT), where the donor hair is removed from the scalp in one thin, long strip and then subsequently dissected into individual follicular units using a stereo-microscope.
FUE vs. FUT
Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT) are frequently compared as if they are two totally different, even competing, hair transplant procedures. Despite this common misconception, the difference between FUE and FUT is the method by which follicular units are removed from the donor area in the back and sides of the scalp. The remainder of the hair transplant procedure is essentially the same.
Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE) differ in the way the hair is harvested (removed) from the donor area in the back of the scalp. In FUT, the hair is removed in a single, thin strip and then dissected into in individual follicular units using microscopes.
All of our hair restoration procedures are performed under local anesthesia. Hair transplant sessions that use thousands of follicular unit grafts may take a whole day; however, the time goes by quickly. During the procedure, patients rest comfortably and can watch TV or a movie, take a nap, or chat with the staff.
Dr. Rahul Tandon in most of the cases is following with FUE hair transplant but in few selected cases goes on to perform strip method as required by the patient.
Creating the Recipient Sites
Recipient sites are made by the hair transplant surgeon using a fine instrument the size of 21- and 19- gauge hypodermic needles. For most procedures, we use lateral (perpendicular slits) for the recipient sites. The creation of the recipient sites determines much of the aesthetic look of the transplant -– it sets the angle at which the new hair grows and determines the distribution and density of the grafts. Recipient site creation is a critical aspect of hair restoration surgery that requires considerable experience and surgical skill and a keen aesthetic sense.
Once all of the recipient sites are made, the surgical team begins to place the follicular unit grafts into these pre-made sites. One-hair follicular units are used in the frontal hair line to give a soft, natural appearance and 3- and 4-hair grafts are used in the central forelock area to achieve maximum fullness. Placing is the most time-consuming part of the hair loss surgery. Graft placement is an exacting process and during this period you will be asked to keep your head relatively still. Watching movies, TV or sleeping, will make the time go by quickly and, of course, you make take breaks as needed to go to the restroom, stretch or eat.
Patients are allowed to go home after the surgery as everything is done under local anaesthesia. They are given mild pain killers and are advised to wear a head band to prevent swelling over the eyes. Shampoo of hairs can be done after 5 days.
During the first ten days, virtually all of the transplanted hairs, inevitably traumatized by their relocation, will fall out ("shock loss"). After two to three months new hair will begin to grow from the moved follicles. The patient's hair will grow normally, and continue to thicken through the next six to nine months. Any subsequent hair loss is likely to be only from untreated areas. Some patients elect to use medications to retard such loss, while others plan a subsequent transplant procedure to deal with this eventuality.
The procedure of Hair Trasnplant is highly dependent on the precision and technique by which it is performed. The follicles which are taken out should be having their roots intact. That is the reason Dr Rahul Tandon is involved throughout the procedure whether it takes 5 hours or 10 hours. He doesn’t depend on the technicians for the procedure who are there to assist him and not to do the procedure.
Since FUE harvesting requires a much larger area compared to strip harvesting (approximately 5x the area for the same number of grafts) in order to perform large sessions of FUE, the entire donor area must be shaved. This can present a significant short-term cosmetic problem for many patients. In contrast, with FUT using strip harvesting, the donor incision can be covered with hair – even with very large sessions.
On the other hand, because there is no linear incision with FUE, patients can resume strenuous activities and contact sports much sooner after the procedure.
NO LINEAR LINE IN FUE METHOD AS COMPARED TO STRIP METHOD
HOW MANY GRAFTS DO I NEED?
This is the most common question I hear from my patients now a days. If I say 3500 grafts the next question is the clinic A has said me 2000, clinic D has said me 3000 hairs (1500 grafts) and clinic C has said me 2500.Why there is so much variation?
Let’s calculate how many grafts are required for a good density for any hair transplant. We have a normal density of 70-100 grafts per sq.cm.Looking at this we may have 50-75000 grafts (not hairs) in the entire scalp. Let’s assume that you have lost ZONE 1(first 2cm of front hair line) and ZONE 2 (next 5 cm of hair line).
To calculate the number of grafts needed you have to know the area which is empty. To calculate the hair line density for first two cms measure the area from left to right of the hair line. Usually it’s between 14-18 cms. If we take a average of 16 cms the area becomes (16×2) ie 32 sq cms. Now look at the density which you need. I recommend 50-70 grafts per sq cm for hair line including temple closure as that’s what will decide your hair transplant results. So a good dense hairline will need somewhere between 1900-2200(density neededx32) grafts.
Now look at the ZONE 2 which is another 5 cms behind it. We usually don’t need a density of 60-70 grafts per sq cm in zone 2.But even a density of35- 40 grafts per sq cms will consume 1500 -2000 grafts. So even you have hair loss in front two zones you will need somewhere between 3500-4000 grafts for good density.
Creating good density is also and an art and will vary from surgeon to surgeon.Angles at which grafts are placed, distribution of grafts; placement density will all decide the final results.