Hair transplantation:
It is a surgical procedure which
involves the removal of “hair follicles” from an area of hair growth “donor
site” to an areawhich is near bald or balding called the “recipient site”. The
technique is primarily used to treat “male pattern baldness”.In this minimally
invasive procedure grafts containing hair follicles which are genetically
resistant to balding(like the back of the head) are transplanted to the bald
scalp area. This technique differs from skin grafting in that grafts contain
almost all of the dermis and epidermis surrounding the hair follicle, and many
tiny grafts are transplanted instead of a single strip of hair.
Strip harvesting:
This is the most common technique of
removing hair follicles from donor sites. The surgeon harvests a strip of skin
from posterior scalp of good hair growth where it is to be thickest and
healthiest. A single, double or triple- bladed scalpel is used to remove strips
of hair-bearing tissue from the donor site. Each incision is planned so as to
only remove strips of hair follicles. The removed strip is about 1-1.5x 5-30cm
in size. While closing the wound, assistants begin to dissect individual
follicular unit grafts, which are small, naturally formed groupings of hair
follicles, from the strip. Using binocular stereo-microscopes, they carefully
remove excess fibrous and fatty tissue while trying to avoid damage which will
be used for grafting. The latest method of closure is “Trichophytic closure”
resulting in much finer scars at the donor area.The individual hair follicles
are inserted into areas of the scalp where hair is thinnest. Very small micro
blades and fine needles are then used to puncture the site from receiving the
graftswhich are placed in a predetermined density and pattern, angling the
wounds in a consistent fashion to promote a realistic hair pattern.
Strip harvesting will leave a thin
linear scar in the donor area, which is typically covered by a patients hair
even a relatively short lengths. The recovery period is around 2 weeks and will
require the stiches to be removed by a medical personal.
Follicular Unit
Extraction (FUE):
In FUE individual follicular units
containing 1 to 4 hairs are removed under local anesthesia. This micro removal
typically uses tiny punches of between 0.6mm and 1.0mm in diameter. This
procedure takes place in a single long session or multiple small ones. This
procedure is more time consuming then strip surgery. It can take anywhere from
couple of hours to extract 200 grafts for a scar correction to a surgery over
two consecutive days for a mega session of 2500 to 3000 grafts. Clients are
selected on bass of a fox test.
FUE can give natural results. The advantage over strip harvest is that
the former neglects the need for large areas of scalp tissue to be harvested,
so there is no linear incision on the back of the head nor leave a linear scar.
As only individual follicles are removed leaving only small punctuate scars
which are virtually not visible. Plus post-surgical pain is minimized, and
recovery may take just about a week. The disadvantagesinclude
increased surgical times and higher cost to the patient. It is challenging for
new surgeons as it is a difficult and lengthy skill to master. Some surgeons
note the low success rate of successfully transplanted follicles in FUE
compared to strip harvesting.
What is he difference
between FUE and strip method hair transplant:
Hair transplant surgeries have had an
amazing impact upon the happiness and confidence of those suffering from
baldness, but when choosing what type of procedure to undergo clients are
confused of the difference between strip and FUE surgery. Following are the
difference between the two.
The main difference lies in the way hair is extracted. In the strip
method also called the follicular unit transplantation the donor hair is
removed in a long stip. The donor area is located at the back of the head where
hair is thickest. Individual follicles are dissected by the help of fiber optic
microscopes. The surgeon inserts the follicles in the same slots that contained
the hair. In FUE the donor area is shaved and follicles are removed
individually via a tiny vacuum device, rather than in a long strip. This allows
for more control to the technicians over the area and minimizes scaring and
trauma to the scalp.
Their also lies difference in the procedure time and recovery time. FUE
takes longer as individual follicles are removed. Strip method takes longer
time to heal usually taking around a month but the risk of a permanent scar reaming
is there. In FUE patients can take to work the next day.
With both methods it takes around 2
months until the transplanted hair grows. Many patients prefer FUE technique as
it doesn’t cause any visible scaring.
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