Hair Transplant Surgery

Depending on a number of critical factors, hair transplantation may be one of the best decisions you want to make or among the worst. Today we will discuss the advantages and disadvantages of surgical hair restoration, euphemistically called connectors or hair transplants. In fact, the most accurate description is “autologous transplantation of hair-bearing skin”. This is because the actual procedure involves removing parts of the skin from a hard part of the scalp (donor) and moving it to a bald area (recipient) of the same person. The skin transplant between a person who is not genetically identical twins does not work.

The technique of moving the hair with grafts of skin tissue from one part of the scalp to another goes back at least 50 years ago. In the 1950s, a groundbreaking surgeon named Dr. Norman Orentreich to experiment with the idea of ​​willing patients. The innovative work Orentreich showed a concept called addiction donor or donor identity, namely that skin grafting with hair harvested in the scalp area without the pattern of loss continued to produce viable hair even though grafts they had moved. In areas that were previously bald.

Over the next two decades, Hair Transplantation in Pakistan gradually evolved from a curiosity to a popular cosmetic procedure, mainly among bald men at the end of half a year. In the 60s and 70s, including Dr. Emanuel Marritt in Colorado showed Dr. Otar Norwood and Dr. Walter Unger, that hair restoration could be profitable and cost effective. A standard of care was developed that, in experienced hands, allowed reasonably consistent results.

At that time, the most common technique consisted of the use of relatively large grafts (4 mm – 5 mm in diameter) individually extracted from the donor site by round beats. This had a tendency to leave the occipital scalp similar to a field of Swiss cheese and significantly limited performance was available movement to the bald areas at the top and in front of the patient’s scalp.

Through several surgical sessions, the grafts were placed on the deficiencies that had been created in the reception area (bald area) using slightly smaller piercing tools. After healing, the patient returned to the follow-up sessions where the grafts were placed in and between the previous grafts. Due to the relative roughness of this technique, the results were often quite evident and let the patient walk around with a similar one to a hair doll, especially noticeable on the front hairline, especially on windy days appearance. These patients tended to be rather limited in how they could comb his hair and unusable because of the method of removal from the donor, many people were left without donor hair long before the process could be completed.

In the 1980s, hair regeneration surgery gradually began to evolve from the use of larger piston drives to mini and smaller micrographs. Minigrafts were used behind the hairline, while one and two hair micrografts were used to approximate a natural transition of the forehead to the hair. The administration of the donor site also evolved from the extraction of round beats to assembly of ribbons, a much more effective technique. The pioneers in this field were expert surgical trainees such as Dr. Dan Didocha, Dr. Martin Tessler, Dr. Robert Bernstein and others. The concept of creating a more natural look developed further in the 1990s with the emergence of follicular Unit Extraction (FUE), first proposed by the talented Dr. Robert Bernstein, and described in the publication of Bernstein and Rassman from 1995 “follicular transplant”.

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