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Hair Transplant Surgery – A Natural Look That Lasts Forever.

Over the past 10 years we have seen ground breaking results for technical and surgical development in hair transplant surgery,  20 years ago a hair transplant left you with a dolls hair effect also known as the plug procedure and it was more than obvious that you had had a hair transplant. The reason the outcome left you looking like this was due to amount of hair follicles being implanted, usually 15 at a time instead of individually. However with today’s modern procedures, that are performed as a minor outpatient treatment, you achieve a completely natural look, where it is NOT POSSIBLE to detect that you have had a treatment.

The permanent results are amazing and can transform the way you look and feel.

There are several different hair transplant surgery techniques that your surgeon can use and this will depend on your own individual circumstances. With all techniques the treatment has mild discomfort and involves a local anaesthetic. The local anaesthetic is the same as you would have at the dentist and typically patients rate the discomfort as 2 out of 10, where 1 has no discomfort and 10 has a lot of discomfort. To offer you greater comfort and to put your mind at ease you can watch TV or a DVD whilst the procedure is undertaken.

The hair transplant surgery technique time varies depending on the size of the hair loss area, the density of the hair follicles and your scalp laxity (flexibility). It can be as quick as a couple of hours or for those with greater hair loss, up to 10.

The cost of hair transplant surgery varies depending on the number of grafts that are required, but prices start from £2500 (see cost of treatment page). It is important to remember that you’re investing in a permanent treatment and solution that will last a lifetime.

Hair Transplant Surgery Procedure Explained

With all hair transplant surgery techniques irrespective of the type of transplant, there are 3 stages to the procedure;-

1) Extraction Of Follicles from the Doner area
2) Creating the incisions where the new follicles will be placed
3) ) Implanting the harvested Follicles

Extracting the Follicles

There are 2 hair transplant surgery techniques to harvest the follicles “Strip” (FUT) or “FUE“. With both there is little or no pain as the back of the head is made numb with a few small local anaesthetic injections before the hair transplant surgery takes place.

Using Strip Procedure

With Strip a small piece of skin is taken from the donor area, which is then dissected in the lab, to attain the individual follicles to implant. The dimensions of the skin varies depending on the number of grafts that is required. Typically it ranges from 5 cm long to 25cm. Once the skin is removed the gap is closed by using dissolvable sutures. With this hair transplant surgery treatment the back of the head does not need tobe shaved, resulting in an almost undetectable hair transplant surgery from the back

Trichophytic Strip Closure

The Very Latest Advanced Minimal Strip Scaring

Trichophytic Closure: A New Method to close the Donor Site when performing Hair Transplant surgery

When hair transplant surgeons meticulously close the edges of a donor wound, they generally end up with a fine, linear scar that is approximately 1-2mm in width. Sometimes, the scar can be a bit wider and every once in a while, when the person’s connective tissue is weak, or the edges of the scar are closed too roughly or have too much tension, the scar can be a cosmetic problem. The educated patient, who has expectations of a thin scar, or the patient who is likely to wear his hair very short, hopes that their hair transplant doctor can produce scars that are practically invisible.
A Trichophytic closure is a way of improving the linear donor scars of hair transplant surgery patients. A Trichophytic incision in hair transplantation involves trimming off the upper edge of the incision and then closing the wound in such a way the hair near the edge can grow through the scar. This has the potential to produce a scar that is virtually undetectable.

hair transplant procedure

Using FUE Procedure

With FUE, there is no need to remove any skin, simply the back of the head is generally shaven and the follicles directly extracted, similar to plucking. This procedure is ideal for those Patients that like having their hair really short at the back ie below a grade 3, since with the strip surgery a linear line scare may be visible at this shortness.

Consumer Alert

At UK Hair Transplant Clinics we are committed to our ethical and legal responsibility and would like to draw to your attention a recent consumer alert that was issued. Our professional body the “ISHRS” has just issued a consumer alert regarding FUE. This relates to who is extracting the follicles the Surgeon or the assistants? It’s been reported that many clinics are having the assistants extract, whilst the surgeon is operating in another room. The change in legislation now makes that illegal.
Having an assistant performing this task can seriously affect your treatment :-

1) Poor outcomes as they have no medical or surgical qualification.
2) Means that your treatment is not covered by insurance, should you wish to make a claim for poor service.
3) All guarantees offered with the treatment are worthless, as there is no insurance to cover the treatment.

Whilst clinics try and get around this by clever words, i.e. by saying “Don’t worry this surgeon is still responsible ” this is not legally the case.

So ALWAYS ensure that you have it in writing before you book your treatment that “It will ONLY be the Surgeon who is extracting the follicles”

Which Procedure should I choose? Click here

hair transplants in Cardiff from UK Hair Transplant Clinics

Making the Recipient Site Incisions

The recipient sites are generally in hair transplant procedures, made using lateral slits (also called coronal or horizontal slits). Lateral slits have the advantage of orienting the hair within the follicular unit to match the way it grows in nature. They give the hair transplant surgeon the highest degree of control over the direction and angle in which the transplanted hairs will ultimately grow.

Follicular units placed in lateral slits will provide more coverage than those placed in vertical slits, as the hair tends to fan out over the surface of the scalp rather than lying on top of one another. Lateral slits also allow the hair transplant surgeon to angle the grafts more acutely and to follow the natural angle of the patient’s original hair. This is particularly important at the temples, in the crown, sideburn areas and in eyebrow restoration.

To create the recipient sites, we use a variety of instruments depending upon the clinical situation. In all hair transplants, the goal during the procedure is to create a snug fit between the follicular unit and the skin surrounding the graft. This will maximize oxygenation of the grafts, promote healing and increase graft survival. Tiny recipient sites also ensure that there will be no visible scarring, pitting or other surface irregularities as a result of the hair restoration procedure.
Controlling the depth of incision is also critical in making the recipient sites, as limited depth incisions minimize injury to the deeper blood vessels in the scalp, allow grafts to be placed more closely together, decrease tissue swelling after hair transplant surgery and facilitate healing

Before site creation begins, the different size follicular units are fitted to specific site sizes to determine exactly the best size instrument to use for each graft. By custom fitting the sites to the grafts, healing is facilitated and our patients are able to return to showering and gentle shampooing the day following the hair restoration.

The density of recipient sites (the number of sites per area) determines how close together the follicular grafts are placed. The spacing of recipient sites depends upon a number of factors.

These include:

• Desired graft density for the hair restoration
• Location on the scalp (grafts are generally placed closer together towards the front of the scalp and father apart towards the crown)
• Size of area to be covered
• Total donor supply

• Ability to safely harvest a specific number of grafts in one hair transplant session
• Size of the individual follicular units (smaller follicular units can be placed into smaller recipient sites and smaller recipient sites can be placed closer together)
• Popping and other local factors that limit the very close placement of grafts during the hair restoration procedure
• The ability of the scalp to support a specific graft density (sun damage, smoking, and long standing baldness are factors that limit the close placement of grafts)

Although there is chat about “ultra-dense packing” on the internet, the very close placement of grafts requires significant skill and, more importantly, must be done in the appropriate patient. Dense packing allows the physician to accomplish the hair restoration as quickly as possible. However, as with any technique pushed to its limit, dense packing taken to the extreme carries risks that include poor perfusion of grafts (due to a compromised blood supply) and increased popping that can lead to graft desiccation (drying out of grafts) and crush injury from their re-insertion. These factors can lead to poor growth and a sub-optimal cosmetic result. It is always important to balance the desire to finish the restoration quickly with the requirement to use techniques that will maximize growth. In our opinion, the goal of achieving maximum growth after your hair transplants should never be compromised in order to achieve short-term goals.

Implanting the Follicles

The implanting stage of the process is considered one of the most important stages as the follicles are very delicate and can be easily damaged when placing, To minimise this risk we ONLY allow specialists in this area to implant. All staff performing this task are fully accredited to perform this carefully and intricate procedure.

follicles2

Aftercare

Good aftercare is just as important as the actual surgery, as poor advice and compliance and destroy the expert work our surgical team has performed. Recognising the importance of this, all Patients are provided with a named member of our clinical team who is available for advice 24 hours a day.

We also provided you with a free aftercare pack, with everything you will need immediately after surgery.

The implants most susceptible to falling out are the ones implanted last in the procedure, but the transplanted hair follicles almost always stay in place of their own accord. The little bleeding at the edges of the incision wound cut for the graft help to “glue” the graft in place. By the time the hair implantation procedure is complete, those follicles implanted first in the hair line are pretty much fixed in place by this blood glue. Of course this is exactly what blood is supposed to do. By bleeding the blood is exposed to air. This activates a cascade of events in the blood that results in blood coagulation. This is to seal an open wound and close it as quickly as possible. It also activates the formation of fibrin that builds up a meshwork in the wound site. This helps glue the wound together and provides a scaffold on which cells from the edges of a wound can grow into the wound and heal it. With larger wounds it takes longer for the blood to clot and seal the wound and it takes longer for the wound to heal over. With micrografting and follicular unit grafting each individual wound is so small that the blood can clot in a couple of minutes and the wound starts to heal within a few hours.

Never the less, you should be extremely gentle with all of the grafts for the first 24-48 hours after implantation. It is very rare for grafts to fall out. The biggest issue in the first 24 hours after a hair transplant is probably how best to sleep without disturbing the implants. The clinic should be able to advise on what they think is best depending on the area thats been treated. . People may sleep in a sitting position for the first night and maybe longer, so that the head does not come into contact with a pillow. In general, you will not wash your scalp for the first 24 hours, indeed avoid touching it at all. Usually you do not wash the scalp with shampoo for the first 3 days after the operation. Your scalp will be cleaned at your next clinic appointment.

Your doctor will have specific guidelines for pre- and post-surgery procedures and should provide you with a list of do’s and do not’s to follow before you get the transplant and after you make it home.

THE FIRST 72 HOURS AFTER HAIR TRANSPLANT SURGERY

About 8 hours after the implantation procedure the local anaesthetic injection will start to wear off. This is when you, as a hair transplant recipient, will experience most discomfort.

Most often the discomfort is in the donor area rather than the recipient area as the donor area is, in effect, a much bigger wound. In many clinics you will be sent home after the procedure with a few acetaminophen and codeine tablets or their equivalent. This is usually quite enough to keep the discomfort to a minimum, but you should expect some discomfort. You might also be given some sleeping pills to use for the first couple of days. After 24 hours the discomfort should more or less disappear. If not, then you need to contact the clinic. Prolonged discomfort may suggest an infection has entered one or more of the wound sites. The clinic needs to deal with this quickly.

A rather crusty looking scalp is to be expected for the first 24-48 hours. It is of no concern, it happens to everyone undergoing a hair transplant. However, if you continue to bleed some hours after the procedure and certainly after 24 hours, then the clinic will probably apply a compression bandage that you wear for another 24 hours until the bleeding subsides. If this is the case you will be called back to the clinic the next day to have the bandage removed. The objective is to have the bandage on for as little time as possible. The grafts heal quicker if they are exposed to the air. Most clinics give patients an antibiotic solution or cream to gently apply over the donor and recipient areas for the next few days. Further crusting is likely in the next three days, but you should not wash your hair with shampoo until after the third day.

hair transplants Gateshead

Most patients develop some mild swelling 1-4 days after the operation. For some Patients this can last for upto a week or so. In a very few cases the swelling can become very bad such that the individual is unable to open their eyes properly. Sleeping in a sitting position or sleeping at a 45 degree angle can help reduce the swelling. A bag of frozen peas or similar applied to the swelling can also help reduce it. The frozen peas/ice should not be directly applied to the implants, rather apply it to your forehead. In the first 1-2 weeks there is an increased chance of infection. You should minimize this by avoiding dirty environments and polluted air as much as possible. Don’t go swimming in public pools or dirty water for at least two weeks after the implant procedure. Your clinic should give you an antiseptic/antibiotic solution or cream to apply to the donor and recipient areas to help limit the chances of infection.

AFTER 72 HOURS 

Most clinics suggest you can start washing your hair gently after three days. Normally it is better (more gentle) to do the washing in a sink rather than under the shower head. It also helps to soak the crusting a little with the water before shampooing to help dissolve the crusts. After gentle washing, allow your hair to air dry. Avoid hair dryers and especially hot hair dryers. If you do any exercise or live in a hot climate where you perspire a lot then you need to wash your hair as soon as possible after sweating. Bacteria grow in moist conditions so sweating increases the chances of developing an infection. Most clinics suggest washing your hair every day so that the crusting can be removed fairly quickly. Consult with your clinic for their particular hair care recommendations.

The crusting over and around the grafts should start to fall of 1-3 weeks after the procedure. Crusts will separate from the grafts more quickly if they are kept moist. There are different ways to do this and your clinic will tell you their preferred method.

The transplanted hair follicles will usually shed their hair from 2-6 weeks after the hair implantation. The transplantation procedure involved cutting off their nutritional supply for a few hours. This shock to the hair follicle usually sends then into a telogen resting state. The hair fibers the follicles were growing gets shed over the subsequent few weeks after the surgery. It is almost inevitable and there isn’t much you can do about it. New hair growth will begin to be visible from about 10 weeks after surgery. Not all grafts will begin growing hair at the same time so don’t worry if the initial hair growth looks a bit patchy. This is normal. As hair only grows at a rate of at most 0.35mm a day, it will take time for the hair to grow long enough for you to comb and style it properly.

UK Hair Transplant Clinics - Quality aftercare
By 6 months after the surgery the hair should be growing well enough for you to gauge the result of the transplant, though it will be 9 months after the surgery before the full effect will be realised. The hair fiber that initially grows in the first few months may be duller and more fizzy than normal. However, the follicles should settle down and start making better quality hair fibre by 14 months after the procedure.

Recovery times following hair transplant surgery will vary from patient to patient and will be affected by the length, complexity and type of each particular surgery. Many patients are able to return to work and resume normal, light activities within several days following the procedure. Though your doctor will provide you with specific guidelines for gradually resuming your normal activities, you will generally need to avoid strenuous activity as it increases the blood flow to the scalp and may cause the transplants or incisions to bleed. Vigorous exercise and contact sports should be avoided for at least three weeks following surgery, and your doctor may also advise you to avoid sexual activity for at least 10 days. Within six weeks following surgery, the “new” hair may fall out, but new hair growth will usually resume within another five to six weeks.

Results

The timings of the results vary from individual to individual. With majority of Patients results are visible from 5 months , but the ultimate density can take upto 18 months.

Top let pre surgery, top right next day, bottom left 4 to 8 months and bottom right 12 to 24 months.

Accelerated Growth and Maximum Thickness

For those Patients who wish to accelerate the growth and achieve even thicker density, they can also have a daily protein drink called “FollicleFuel”that has been scenically developed and proven to feed the implanted follicles. This revolutionary treatment has been recommended by leading surgeons worldwide and is only required tobe taken for 6 months

 

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