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HAIR TRANSPLANT: INDICATIONS

Hair transplantation is a common request to correct alopecia of varying severity and etiology. Androgenetic alopecia is the most common cause of hair loss.
In hair implantology, the doctor aims for a natural and aesthetic result, while taking into account the patient's reality and the future evolution of their baldness.
Hair density is an important criterion that should be maximized in certain areas such as the anterior frontal part. The doctor must sometimes limit the number of grafts used to fill certain bald areas (vertex).
Managing the number of grafts available for collection is essential.
The density criterion can vary from one patient to another depending on age, stage of baldness, ethnic origins, hair type, but also depending on the area of the scalp observed.
Important point : The number of grafts used is not necessarily the most important criterion, but rather their distribution and the harmonious and natural perception of the entire implantology work.

HAIR TRANSPLANT: TECHNIQUES

Hair removal is performed using FUE or FUT methods from the temporo-occipital area of the scalp. Follicular units (FU) are then transplanted to the bald area according to the previously defined plan.

HAIR TRANSPLANT: POST-OPERATIVE CARE

At the end of the procedure (4 to 8 hours), the operating instructions are given and a dressing can be applied to the donor area.

The main post-operative consequences consist of:


  • facial edema which may be visible (within 24 to 48 hours) then disappears within a few days
  • small scabs on the donor and recipient areas (disappear within 7 to 10 days)
  • mild to moderate redness in the implanted area, which then returns to normal within a few weeks
  • a phenomenon of "shedding" (falling of the implanted hair shaft), classic in the first trimester. Then, the grafts grow and become denser over the months.


Furthermore, the grafts must remain clean and well protected from any pulling or tearing during the first week.

HAIR TRANSPLANT: RISKS

  • Shock loss: This is hair loss 2 to 3 weeks after the procedure, around the grafted area and/or the donor area. In most cases, it is temporary.
  • Insufficient result, or asymmetry: linked to poor graft uptake or insufficient implantation (low density).
  • Folliculitis: This is a localized skin infection, treated with local care and/or antibiotic therapy.
  • Epidermal cysts: These can appear on the grafted area or on the donor site. They often disappear spontaneously or with simple treatment.
  • Scars: Micro-scars may be visible if the implanted skin is shaved clean, especially if the punches used are too large. The risk of hypertrophic or keloid scars is rare.
  • In case of FUT: widening of the scar, sensitivity disorders of the scalp (often transient).

SPECIFIC CASE OF DENSE PACKING

This term refers to the densification of the recipient area in follicular units (FU) (50 FU/cm2 or more). This procedure, which is technically delicate and requires grafts, should be reserved for specific areas in patients with stabilized baldness. It is not recommended for young patients with incipient baldness.

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