Hair transplantation is indicated in cases where hair is missing in an area where it existed before. Provided that the hair cannot grow back naturally or by applying medical treatment.The clear example is androgenetic alopecia (common baldness).
The development of transplantation methods has led us to solve most hair transplants applying 2 different techniques:
- FUT (Follicular Unit Transplantation)
- FUE (Follicular Unit Extraction)
Both techniques apply the same implantation method an ability of the surgeon to perform the implantation. They differ concerning the way in which the hair is removed from the donor area.
Aim of the FUT
The aim of the follicular unit transplantation (FUT) is to transplant the follicular units from the back of the head, where the hair is strong into areas where the hair has become thinner and less dense.
The artistic skills and the experience of the surgeon to create an aesthetic naturalness of the patient during the FUT technique are combine.
The advantage of this technique is the possibility to get a lot of follicular units (UF) from a very small area of scalp.
Particularly suitable patients for this technique are those with a high degree of alopecia, in a very advanced stage whose hair of the donor area is longer than o.5.
The key to success with the FUT technique compared to previous methods consists in the possibility to obtain a large number of follicular unit. These units of hair are naturally grouped together. This is the main difference to other methods where the transplant results in a doll hair look as small areas of hair were transplanted.
FUT technique step by step
- The patient arrives in the morning and is welcome by the clinical assistants.
- The documentation will be reviewed and signed informed consent will be given.
- The assistant will accompany the patient to the locker room to wear the surgical pajamas and shoes.
- The doctor meets the patient to explain all aspects of the process and go once again over the design details transplantation.
- Pictures will be taken before and after performing the transplantation design. They will serve to monitor the progress.
- The receiving area will be shave in order to access more easily to the grafts.
- After the shaving, the limits of the receiving area will be marked.
- Ones the patient is shave and the design reviewed, he will go to the operation room with the doctor and the nurse, who will proceed with the monitoring.
- The patient lies face down to start the surgery.
- The surgery begins by applying an antiseptic solution and anesthesia in the donor area. Punctures are virtually painless as vibrational technique is used during anesthesia.
- When the area is completely anesthetized it will be precede to the removal of a strip skin with a thickness and a length which will depend on the density of the donor site and the patient’s needs.
- This strip of skin is divided into individual follicular by the team of nurses with the help of stereomicroscope. This methodology promotes the proper handling and graft survival.
- The extracted follicular units are saved to Petri dishes, refrigerated and submerged in saline water to increase their survival.
- After the extraction phase there is a period of rest for the patient. He will become something to eat and to drink.
- Ones the patient is recovered, the implementation phase will begin. At this stage the same antiseptic solution used in the extraction phase will be apply and the area will be anesthetize with the same type of vibratory anesthesia. Tools named implanters will be used for the implementation. They allow the make the receiving incision and to deposit the follicle at one time. Precision magnifiers are also used to implant the follicular units during the implantation.
- Pictures will be taken to monitor the evolution of transplantation once the implementation is finished. An antibiotic will be applied and the donor area bandaging with a sterile dressing. The receiving zone will be discovered.
- After the implantation, the patient receives written post-operative recommendations explaining how to make the first wash and how to take postoperative medication.
- At the end of the operation the patient receives a package that includes all the medication needed for the post-operative and the daily surgery suitable hygiene utensils.
Most of the transplanted hair will fall during the first month. This hair will grow back naturally 6-9 months after surgery. The end result is estimated at 12 months.
The transplanted hair will be normal hair grow like the rest. It will have the characteristics of hair in the donor area, which will is resistant to the miniaturization that occurs in androgenetic alopecia.