A lot of people have premature hair loss and then go in for hair transplant surgery. However, many of them are dissatisfied with the results and outcome of surgery. Therefore, it is important that one notes certain points which pertain to this surgery. Only after a proper understanding of the following points should one commit to hair transplant surgery.
PRACTICAL POINTS WHEN GOING IN FOR A HAIR TRANSPLANT
It is important to be PATIENT! Although surgeons differ in their opinions, it has now been shown that new hair growth occurs till 18 months after surgery. Therefore do not blame your surgeon of improper results until this time period has passed. It is also important to note that the degree of hair growth varies amongst individuals therefore do not try to compare your results intermittently with another person who has had a hair transplant.
You NEVER will. Believe me, the sooner you get this into your head the better! In hair transplant a few hundred follicles are replaced into the bald area in exchange for a loss of thousands of follicles, therefore you are never ever going to get a normal density. If we, as hair transplant surgeons would try to recreate the density in normal individuals then only a portion of the bald area would be covered (akin to the area the strip is taken from). Moreover, such close spacing would jeopardize the longevity of the follicles such that most of the follicles would not grow leading to poor results.
The objective of hair transplant surgery is to create an optical illusion such that a person viewing the patient after transplant would not readily be able to discern that he is bald. This is achieved by proper spacing of follicles such that the baldness is concealed with much lower number of follicles. However, if one were to examine a person following hair transplant much more carefully and from different angles then the decreased density over the transplanted areas would be readily apparent. However, as stated before, on casual look it would be imperceptible with a well done transplant.
It is extremely common to see bald patches especially over the midsection and the back of your head after a hair transplant. The reason for this is hair transplant is usually NEVER complete in a single session. In the first session one usually caters to the hairline and the frontal part while giving less density over the midsection and the vertex areas according to the availability of the follicles and the financial agreement. Therefore, hair growth would be usually dense over the front and progressively decreases as one proceeds backwards. This patches of decreased density should be filled up in a later stage after the hair growth from the first session is complete. Therefore, hair transplant is a surgery in which a patient has to wait for years to get a good result.
This is uncommon but occasionally happens. Hair transplantation utilizes the donor dominance of hormonally resistant hairs in the occipital region and the surgeon transplants hairs from this area with the hope that they would keep on growing and behave like normal hairs. In most cases this happens, however, in a few cases, this might not be the case. For example, some individuals have patchy loss of hair even in the occipital region which implies that the hormonal effects are also affecting hairs in this region. Transplanting these hairs should be done with caution and the patient should be reminded that subsequent loss of hair might occur. Another problem might occur with FUE. There is a safe zone of harvesting of follicles in FUE but if this safe zone is violated and follicles taken from elsewhere, their longevity might be questionable.
Don’t worry, this is a normal phenomenon. The new hairs that grow after being transplanted are usually thin and friable. It is only after they are shed and a few cycles of hair growth occurs one would get thicker hair akin to the donor site. With every new cycle, the density of the hair increases so one just needs to be patient. Another important point is that as the hair thickens, the density in the transplanted area also increases leading to better concealment of the bald area.
Don’t worry, this is normal. Around 90% of the hairs that are transplanted go into a state of shock phase and would fall off. However, a few hairs would continue to grow. The hair follicles that enter into a state of telogen would convert back quickly to a stage of anagen and hair growth would then start. Therefore, do not panic when the hairs are shed, this is a normal event.
This is a normal and harmless event occurring after a hair transplant. During a hair transplant, lots of fluid are injected into the scalp. With time, this fluid tracks down owing to the effect of gravity. The eyelids are composed of loose tissue, therefore they swell up when the fluid percolates there shutting off the eye. This usually happens within 48 hours of a transplant and resolves very quickly within the next 2-3 days as the fluid gets absorbed by the body.
The reasons are multiple. The hormonal effect on donor hairs that occurs in a few individuals has already been highlighted. Apart from this, if the follicles are too closely spaced then there might be death of some follicles due to the inadequacy of the blood supply within such a small space. Along with this, there are individual factors which lead to decreased growth after a hair transplant surgery which are not completely understood.
Hair transplantation is a unique craft not mastered by all. A lot of physicians and technicians as well as homeopaths are now entering into the field of hair transplants advertising great skills and results. However, hair transplants are best performed by experienced and trained plastic surgeons to get the best possible natural look.
If your extent of baldness is quite large then it is natural that you’d be requiring a big transplant with increased cost of surgery. However, if your budget is limited then you can still go ahead with a hair transplant. Under these circumstances, it is best if the transplant is concentrated in particular areas which are more noticeable rather than spreading the follicles over a large area. Later sessions can then be performed to resolve other areas of baldness.
No, it won’t! Results of hair transplant are best assessed 1-1.5 years after a hair transplant surgery therefore you have to give this time to your surgeon for adequate hair growth. Besides, hair transplant is not a single procedure and might take few more sessions to achieve the perfect look. Therefore, do not try to obtain such false commitments from your surgeon.
Beware! If someone convinces you that FUE is scar less then it is wrong. While FUT gives a linear scar over the back of your head, FUE is also not scar less. Punches varying in diameter from 0.6 to 1.2 mm are used to extract the hair follicular units in FUE. These lead to small circular scars over the donor site. However, the size of these scars is usually more than the punch size because the tension of the scalp actually increases the size of the holes so that these scars are readily seen. Therefore, if you wish to shave your head off after a FUE procedure then these dot like scars would be readily apparent.
Not all is lost! It has been seen that people who have lost much of the hair over their scalp have adequate body hair which can be harvested and used for a transplant. Body hair can be taken from beards, chest hair, hairs over thighs and so on. Results are pretty good!
A hair transplant surgeon should be properly trained in all aspects of hair transplantation. Check the degrees of the surgeon. Ask him whether he will perform the transplant himself or leave it for the technicians! Do not trust advertisements which show great results but do not specify which surgeon is operating along with his qualifications. These centres are the main causes for the increase in corrective hair transplant surgeries. So, choose well!!