Surgical Hair Transplantation
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Surgical Hair Transplantation
Hair transplantation involves removing small pieces of hair-bearing scalp grafts from a donor site and relocating them to a bald or thinning area.
Baldness is often blamed on poor circulation to the scalp, vitamin deficiencies, dandruff, and even excessive hat-wearing. All of these theories have been disproved. It’s also untrue that hair loss can be determined by looking at your maternal grandfather, or that 40-year-old men who haven’t lost their hair will never lose it.
Hair loss is primarily caused by a combination of:
A hair transplant cannot be performed if:
The person is below 25 years of age and with ongoing hair fall.
They have multiple medical conditions or heart problems, uncontrolled diabetes or hypertension.
Undiagnosed hair fall - If it isn’t androgenetic alopecia, the reason for hair fall needs to be identified. If they have burning, itching or rashes on scalp then the condition needs to be identified and corrected.
Trichotillomania - These people have psychological issues and they pull out their own hair frequently. If their condition is active they need psychiatric counseling.
Low density on the back of the head - such people will not be able to produce enough follicles for transplantation.
I can’t imagine the direction of the wind, but I can adjust my sails to alway search my destination.
When it’s dark enough, you can see the stars.
You may not be able to control every situation and its outcome, but you can control your attitude and how you deal with it.
Once you choose hope, anything’s possible. Hope never abandons you, you abandon it.
The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern. Beautiful people do not just happen.
Dear GOD, if today I lose my hope please remind me that your plans are better than my Dream.....
What is hair transplantation?
Hair transplantation is broadly achieved by removing grafts/follicles from the back of the head which are more resistant to hormonal changes, and placing them in areas of scanty growth or baldness. There are two methods to remove the grafts - Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE). In FUT method, a strip of scalp is cut out from the back of the head and is dissected into individual grafts.
FUE method of hair transplantation involves taking the individual follicular units/grafts from the back of the head one by one by cutting around it through a tiny specialised machine and removing them. The process is tedious and takes a few hours but is painless after a few numbing injections are given.
The rest of the procedure remains the same in both techniques. Tiny sites are created using very fine blades and needles in the balding areas after numbing them again with local anaesthetic injections. These grafts are then inserted in the sites on the front of the head or wherever there is hair loss.
Types of Hair Loss
There are many types of hair loss also called alopecia. Here are some of the most common:
Involutional alopecia is a natural condition in which the hair gradually thins with age. More hair follicles go into the resting phase, and the remaining hairs become shorter and fewer in number.
Androgenic (Androgenetic) Alopecia - A common form of hair loss in both men and women. For men, it’s also referred to as male pattern baldness, characterized by the thinning or loss of hair on the crown of the head or receding from the temples. A horseshoe pattern of hair around the sides and back of the head usually remains or hair may continue to fall out, resulting in total baldness over time.
Alopecia Universalis - The complete loss of all scalp and body hair.
Alopecia Totalis - The complete loss of all scalp hair.
Alopecia Areata - A condition caused when the body’s own immune system attacks the hair follicles and disrupts normal hair formation and growth. What causes this is unknown, but it appears to be an abnormality in which the immune system attacks particular tissues of the body. Biopsies of affected skin show immune cells inside of the hair follicles, where they are not normally present. Alopecia areata is sometimes associated with other autoimmune conditions such as allergic disorders, thyroid disease, vitiligo, lupus, rheumatoid arthritis, and ulcerative colitis. Alopecia areata sometimes occurs in multiple family members, suggesting a role of genes and heredity.
Marginal Alopecia - Another name for and regularly associated with Alopecia Areata.
Ophiasis - A form of alopecia areata in which hair loss occurs in a wave-like pattern encircling the head.
Traction Alopecia - A hair loss condition caused by damage to the papilla and hair follicle from constant pulling or tension over a long period. It often occurs in people who wear tight braids - especially "cornrows" − that lead to high tension, pulling and breakage of hair. It can also result from cosmetic surgery that creates hair tension, such as facelifts.
Chignon Alopecia - A form of traction alopecia in which hair loss occurs at the crown. It commonly occurs when hair is styled in a tight bun over long periods of time. Ballet dancers can often suffer from this.
Hypotrichosis - A condition in which there is no hair growth. Unlike alopecia, which describes hair loss where formerly there was hair growth, hypotrichosis describes a situation where there was no hair growth in the first place.
Telogen Effluvium - Hair loss that happens when follicles are prematurely pushed into the "resting stage" of growth by stress or illness.
Trichotillomania - A disorder in which a person compulsively pulls out their own hair, resulting in noticeable hair loss.
Lichen Planopilaris - A disease that generally affects the skin and mouth. It can cause redness, irritation, and in some cases, permanent hair loss.
Trichorrhexis nodosa - A defect in hair fiber characterized by fraying and swelling nodes in particular spots along the length of the hair fiber caused by the absence of a cuticle layer.
Folliculitis - This bacterial condition irritates hair follicles and is one of the most common types of skin infection. Although usually trivial, it can produce extensive disease. It may be superficial or deep, and causes the formation of a pustule or inflammatory nodule surrounding the hair. Infected hairs may be easily removed.
What influences healthy hair growth
There are many factors which influence healthy hair growth; these encompass a whole range of medical, emotional and lifestyle conditions which can prevent the body from effectively absorbing the essential nutrients it needs to support healthy hair.
Age - In our twenties and thirties we typically have 615 hair follicles per square centimeter. The number falls to 485 by the time we hit fifty and to 435 at eighty. Each hair also becomes thinner, therefore, reducing hair volume.
Stress - Believe it or not, about stress leading to hair problems is actually true. In extreme stress, the adrenal gland goes into overdrive, and the resultant increase in adrenaline sometimes leads to a consequent increase in the production of testosterone and dihydrotestosterone which, without enough estrogen to counterbalance it, can lead to hair not being as healthy as it should be. For some people being stressed can seriously affect the condition of their hair and it can turn into a vicious circle: Stress affects the hair cycle and the impact of this can cause more stress for the sufferer.
It can be difficult to pinpoint a specific stress episode as the reason why hair becomes unhealthy but it is often acute and chronic stress that will bring on conditions such as telogen effuvium (hair shedding) and alopecia areata (patchy hair loss).
For many, it is a difficult experience intruding into every part of their daily life leading to anxiety, distress and a dramatic loss of self–esteem, so it is important to do all you can to help alleviate the problem. Here are some simple and effective ways in which you can reduce stress in your life; exercise, positive thinking, set limits, share your feelings, stay flexible with your plans and sleep.
Medication - In some instances medicine may have side effects which impact on healthy hair growth; they include cholesterol lowering agents, ulcer healing agents, anti-diabetic drugs, blood pressure medication and birth control pills.
Poor diet - A diet rich in protein, vitamins and minerals is essential for healthy hair and hair growth. A diet low in protein is often the reason why someone will experience hair loss, as a poor diet affects new growth. The hair follicle is a nonessential tissue and, therefore, one of the last tissues to receive nutritional substances, therefore any long-term deficiencies may lead to premature hair loss.
Hormonal change - Hormonal changes associated with menopause can affect the healthy hair growth cycle. While this menopausal side effect is relatively rare, it has been known to occur in some cases. Other hormonal changes in the body-- notably thyroid issues and hormonal responses to changes in the autoimmune system have been known to affect hair thinning and loss in some women. Women with Polycystic Ovary Syndrome can experience problems with their hair due to a hormone imbalance and increased sensitivity to the male hormones we all have.
Birth control - The pill is the most common form of contraception in women; a mixture of progesterin and estrogen carries an occasional side-effect which affects healthy hair growth in those who have a hereditary medical history of hair loss.
Over-styling - Aerosol sprays, hair dyes, hair irons, and curlers might seem to be essential to hair beauty in the short term, but do keep in mind that excessive use of any of these items may result in damaging hair in the long run. Women who find their healthy hair is being affected may also want to consider what they’re putting into their hair and scalp on a daily basis and consider other nutritional supplements and cosmetic methods.
Smoking - Smoking affects healthy hair growth. Cigarette smoking has been shown to cause poor circulation, which can affect the amount of blood flow available to the hair follicles of the scalp.
"Happiness is not something ready made. It comes from your own actions".
"The purpose of our lives is to be happy" - Dalai Lama