Stages of treatment
The best storage conditions of the hair follicles after being removed are:
Humid environment, usually saline
Low temperature (4 ° C)
Avoiding handled with tongs
The design and distribution of hair follicles during their placement, is one of the most critical factors for success of surgery. Factors such as the following must be taken into account:
The patient’s age
The facial features
The gradient of alopecia
The number of available follicles
The patient’s expectations
The likely future needs
The design and distribution of hair follicles is completely customized and must meet the needs of each patient fulfilling three basic conditions:
To have minimal impact on donor and recipient area (reducing scarring, even coverage)
To produce a perfectly natural result
To result in the maximum possible density, taking into account the size of the session, the available follicles and patient needs
The placement of the grafts during the hair transplantation procedure can be done with two basic techniques:By creating sockets using needle or knive and then by placing each hair follicle through tweezers in the corresponding slot. By using special implanting devices (implanters), which allow direct mounting of the hair follicles without creating sockets. The use of implanters offers significant advantages as they allow the determination of the depth of implantation angle and direction of each hair follicle individually according to the needs of each area, while avoiding creating sockets contributes to faster healing with minimal trauma to the donor area.
The growth of new hair is gradual. Some of them may be developed by the first week, but usually there is more shedding of transplanted hair by the end of the second month after surgery. This is followed by gradual germination of new hair, which is completed 12 months after hair transplantation, but there are reports that the germination of new hair can be continued until 18-24 months after surgery.
The transplanted hair is permanent and behave quite normally. To achieve the maximum density per area or to cover large areas in advanced alopecia, at least two sessions are usually required. The minimally invasive nature of the FUE technique compared with the technique of strip, allows the use of the donor area in the future if the density is sufficient.
It is minimally invasive and is performed under local anaesthesia
Minimal bleeding (as opposed to strip)
Permanent scarring in the donor area is avoided
Minimum pain after surgery
It does not require sutures, thus minimizing the chances of infection or wound breakdown
It allows uniform use of all donor area
It allows accurate determination of hair follicles to be extracted
It allows the reuse of the donor country, without consequences for future surgeries
Reduced likelihood of complications such as facial swelling
It allows the use as donor areas of different areas of the body eg chest, back or face without scarring
It is equally suitable for small or major surgery without scarring, whereas the method of strip, it is necessary to obtain a skin strip and placing sutures even for the smallest surgery..