Hair Transplantation is a procedure done for the treatment and management of baldness or permanent loss of hair. It is done for the management of various degrees of baldness in both men and women, and involves the removal of hair follicles from a donor site on the individual’s body and transplanting them on the bald or balding area.
Hair Transplantation is an elective procedure.
Hair Transplantation may be of the following types:
Based on the type of harvesting done Hair Transplantation may be done via:
Hair Transplantation may be done as:
Hair Transplantation may be done for the following:
FUT may be suitable for:
FUE may be suitable for:
Some contraindications for Hair Transplantation include:
Some investigations that are advised before a Hair Transplantation procedure include:
Before the Hair Transplantation, the following are done:
Duration: Depending on the type of procedure that is being done Hair Transplantation may last up to 4-5 hours.
Anesthesia: Hair Transplantation is done under local anesthesia.
The donor and recipient areas are cleaned with an antiseptic wash (povidone-iodine may be avoided in individuals with grey hair). Oral analgesic and anxiolytic medications are given. A local anesthetic is injected into the donor and recipient sites. The individual is then placed in a prone (face down sleeping) position for the harvesting of the follicles.
Based on the type of surgery that is being done the procedures may be as follows with the individual in a semi-recumbent position
FUT: A full-thickness strip of the scalp is removed from the donor area and then the donor site is closed with sutures. The strip is then further processed and placed on the recipient site. An elastic tape is sometimes placed on the forehead along the frontal hairline to prevent swelling around the eyes.
FUE: Tiny holes are created in the recipient site on the scalp and the extracted follicles are placed into these holes. The scalp is then covered in sterile bandages or gauze.
After Hair Transplantation, the individual is monitored for a brief period for any adverse reactions and then is discharged. Common post-procedure complaints are:
Medications: Include antibiotics, analgesics for pain relief, and corticosteroids (if required) for the management of facial swelling.
Review: A review is usually done on the 1st and 3rd postoperative days.
Resumption of normal activities: Normal activities can be resumed 1 day after the surgery. Self-care of the hair can be undertaken from the 3rd postoperative day. Removal of sutures is done on the 7th- 10th postoperative day.
Some measures that need to be taken after a Hair Transplantation procedure include:
Some complications that are associated with Hair Transplantation include:
The prognosis for Hair Transplantation is generally very good with complications being few. It also varies between individuals and depends on factors such as the quality of the scalp skin, density of the hair follicles available in the donor areas, and the quality of the hair in the donor areas.
It is advisable to seek medical attention if there is fever, severe pain despite medication, or severe swelling, bleeding after a Hair Transplantation surgery.