Hair loss is a scourge for many people in our time - not only men but also women. Especially it is sensitive for those for whom the appearance and care of it is part of the profession. The solution to this problem is known for a relatively long time - hair transplantation. But there are a lot of questions: what is it, does such an operation hurt, what methods and tools are used, how much does it cost and for whom, and who should not do such operations? Here we will try to understand the most frequently asked questions.
The practice of hair transplantation has more than half a century. For the first time, questions on transplantation were raised in Japan as far back as 1939, and already in the 60s. The first operations were carried out in the last century. Such operations became a revolution in medicine and cosmetology, allowing millions of people on the planet to struggle with the "flaws" of their appearance. Hair transplantation is solved not only by the problems of people suffering from baldness for some natural reasons but also helps to hide scars, traces of burns, suffered injuries, unsuccessful operations, including face lift (which is now very popular), or just someone, then wants to restore the density of hair on the head and the facial part of it (moustache, eyebrows, beard), or certain diseases. To date, there are two main methods for hair transplantation - operating and non-surgical.
What is hair transplant and how is it performed?
What is a hair transplant or transplant? Many today heard about this procedure, but very few people understand what is at stake. Actually, both operational and non-surgical methods of transplantation include two main steps: extraction of hair from the donor zone and setting the hair in the hair loss zone. The difference between methods is in the methods of extraction and staging.
Operational methods of hair transplantation.
In the first case, cutting tools (scalpels) are used. With the help of a scalpel, a strip of skin is cut from the donor area (the back of the patient), from where the hair used for the graft is taken. These transplants, in turn, are transplanted with tweezers into the area of hair loss in the incisions, which again are formed with the help of a scalpel. At the same time, a scar 15-20 (25) cm long remains on the donor zone for a lifetime. It is impossible to achieve a natural hair density in this way, even when carrying out several operations.
Non-surgical methods of hair transplantation
The non-surgical method of seizing hair for the first time begins to be applied in the 90's. last century. This technique of partially non-surgical or otherwise seamless hair transplantation, known as FUE machine (in Russia - TFI), implies that only the first stage - removal of transplanted hair - grafts are performed without surgery. At the same time, the withdrawal itself is made using rotating piercers, whose diameter (1.8-5 mm) significantly exceeds the diameter of the hair and as a consequence is unavoidable for life, as well as after surgery, there are traces - a lot of shallow scars on the donor-zone. Grafts are also transplanted with tweezers into pre-cuts made by the scalpel or less often by punctures. The density of hair does not exceed the density achieved with the operating method. In both cases, it is about 50 hair per 1 cm2. Moreover, in the second case, the re-operation is impossible because of serious traumatization of the donor-zone, which does not allow achieving a greater density of hair. Of course, such achievements are far from ideal, which made the researchers conduct more in-depth research in search of a solution to the problem.
New non-surgical method of hair transplantation
The solution was found in the early 2000s when scientists noticed that the hair grows in groups that have up to 3-5 roots, that is, the follicular union of the hair. Based on this discovery, a revolutionary method of hair transplantation was developed, combining non-surgical manual removal (FUE hand) and non-surgical hair transplantation (FUI). This newest technique is known in Russia as Hand follicle extraction (HFE). That is, it is implied that the whole procedure for hair removal is done by the doctor's hands, without involving any mechanisms: the donor zone is cut off at the back of the head and with the help of a special instrument, which is a microtubule (0.5-0.9 mm in diameter) the most healthy follicular associations are removed, which are already ready transplants. Such withdrawal allows to avoid additional traumatization of the hair roots, because they do not need to be cut into grafts and (!) most importantly, skin damage is minimal, as the extraction of transplants is performed in the upper layers of the skin and, in fact, does not affect the nerve endings. Direct hair transplantation is performed using a unique micro-instrument - Choi implanter, which allows to avoid preliminary cuts in the hair setting zone: the hair follicles descend to a given depth, at a natural angle of inclination and hair growth, which also allows to achieve a natural density of hair transplanted (up to 80 on 1 cm2 in the first stage, and up to 120-140 hair per 1 cm2 on the second). The diameter of the implant needle is equal to the diameter of the micro-patch. The entire procedure takes about 8 hours using local anaesthesia. An absence of surgical intervention excludes any postoperative complications - no swelling, no bruises, no scars, no prolonged loss of skin sensitivity. Inevitable microscopic wounds (reminiscent of punctures from a medical injection) heal without a trace in 3-5 days. During the year the transplanted hair grows completely and will never fall out (in the absence of known adverse conditions: nervous breakdowns, radiation exposure, a chronic shortage of macro- and microelements, vitamins, etc., which in real life happens very rarely).