Hair Transplant Options

Introduction

Hair transplantation surgery has improved remarkably in the past decade and reassuringly the days of “plugs and corn rows” are gone. Instead, HairCareMD creates natural appearing hairlines with a technique called follicular unit transplantation.

Hair transplant is an excellent, maintenance-free form of hair restoration for both men and women.

Transplants can lower the hairline, reinforce the hairline, and improve density on the scalp as well as the eyebrows, goatee, sideburns or other areas of hair loss.

Modern Hair Transplantation

Hair transplant surgery has attained new levels of excellence in the past decade. In our practice we embrace these advancements and now emphasize the importance of maintaining healthy hair density as part of sustaining a beautiful and vibrant face. It is the combination of our physicians’ artistic eye and superb surgical skill that restores thickness and natural appearing hair lines for both our men and women patients.

In terms of methodology, our physicians perform Follicular Unit Extraction (FUE) and Follicular Unit Transfer (FUT) techniques for hair restoration. Each approach creates aesthetically beautiful outcomes with the difference being how the donor hair is gathered.

FUE - Follicular Unit Extraction

With FUE, individual hair follicles are transferred one at a time, from the back of the scalp, where hair is densest, to the area where hair has thinned. The hairs are “extracted” with advanced technology involving a microdrill. The main advantage of this method relates to the “sutureless” donor area which allows patients to wear their hair very short without revealing telling evidence of surgery.

FUT - Follicular Unit Transfer

Like FUE, the Follicular Unit Transfer (FUT) method collects the hair to be transplanted from the back of the scalp. However, instead of removing one hair at a time, this approach takes a “donor strip” that contains thousands of follicles. Under the microscope each follicle is individually separated from the strip and then transplanted into the area of need.

Making the Choice between FUE and FUT

It is important to realize the choice of technique is individualized to each patient and will be discussed during the initial hair transplant consultation.

 

FUT (follicular unit transfer)

FUE (follicular unit extraction)

Technique

A strip of skin is removed from the donor site and follicular units are dissected under magnification.

A microdrill is used to extract single follicular units. The follicular units are then prepped under magnification.

Healing

A running suture is used to close a linear incision line. The suture is removed after one week.

Sutureless; may heal with punctate, white dots from where follicles were extracted.

Early evidence

The hair above the donor sites is kept long enough hide the incision line. No early evidence of donor harvest.

The hair in the donor site is cut short. After one week, there is little evidence of surgery if neighboring hair is also short.

FU Limit

May transfer >2000 follicular units

Fewer permanent hairs transplanted (Up to 2000 hair/session). Limited by the area of the safe donor zone.

Viability

Excellent

Excellent, though up to 10% of follicles may be transected

Time

Rapid extraction

Variable pending number of FU needed

Post-op limits

No heavy exercise for one month

Return to exercise sooner (no sutures).

Cost

Less expensive

More expensive; increased time and labor

Scalp laxity

Important – can only perform if laxity present

Unimportant; can perform even if prior FUT (strip)

Eyebrows, goatee, beard

Acceptable

Excellent - can hand select the most appropriate hairs for the recipient zone

If patient wears hair <2mm

Possible to see the linear incision line

Preferable

Curly hair

Gold Standard

Concern of follicle transection

White hair

Gold Standard

Concern of follicle transection

On The Day of Hair Transplantation

All of our hair procedures take place in our gorgeous, state-of-the-art facility. On the morning of surgery a small amount of long lasting numbing injection is used to anesthetize the scalp, a little Valium is given to relieve anxiety. The experience is so comfortable that most patients watch movies, read books or listen to music during the session.

If a patient during their initial consultation expresses a wish to undergo the procedure with light sedation, we have our anesthesiologist present for the whole time of the procedure.

After Surgery

At the end of a hair transplant surgery session the patient may return home or for out-of-town patients to their hotel room. There are no dressings or drains present. On the next day patients bathe and two days after surgery gently wash their hair. For the first week the forehead may appear slightly swollen, the back of the scalp will feel tight and small scabs will sit where the transplants were placed. But these all soon disappear and the patient can then return to normal social, work and physical activities. The transplanted hairs are expected to shed a few weeks after the transplant. This process is part of the turn over allowing the implanted follicle (like a seed in a garden) to grow a new hair. The result is begins to appear 4-5 months after transplant and continues to improve over the following 1-2 years. For most, once 9-12 months have passed the results become thrilling.

Male Hair Transplant Case Studies

For patients with active, focal, or established hair loss, hair transplant is a definitive technique. Hair transplant techniques has improved remarkably over the past decade. Embracing these advancements, our physicians provide patients two different surgical restoration options to meet individual hair expectations and long-term goals. The most common options, Follicular Unit Extraction (FUE) and Follicular Unit Transfer (FUT), differ on how the donor hair is gather but provide equally aesthetic beautiful outcomes. With FUE, hair follicles are transferred individually, from the back to the scalp, where the hair grows throughout life and is less sensitive to hormones. With FUT, a “donor strip” is collected from the back of the scalp and individual follicles of hair are dissected after the strip is removed. Each technique has specific advantages and our physicians will help you decide the best option during your consultation if you are a candidate for hair restoration surgery.

The following four patients had hair transplant. All are delighted with the growth from a single session.

Patient 1

Male Hair Transplant New York

Patient 2

Male Hair Transplant New York

Patient 3

Male Hair Transplant New York

Patient 4

Male Hair Transplant New York

Patient 5

Male Hair Transplant New York

Female Hair Transplant Case Studies

Females rarely lose their hairline. Rather, females experience diffuse thinning on the top of the head. Many females seek a maintenance free approach to hair restoration. A transplant is an excellent maintenance free approach to improve density.

The following before-and-after image shows two females – each only 4 months after hair transplant:

Patient 1

Male Hair Transplant New York

Patient 2

Hair Tranplant for Women NYC

Transplanting Hairs to the Eyebrows, Beard/Goatee, Chest, Arms, and Body:

Our physicians are able to successfully transplant hairs in a natural pattern all over the body. Because we can control the angulation that the transplanted hair exits the skin, the results look natural. The following patient had eyebrow transplant and is just 3 months post-op in the following before-and-after photograph:

Eyebrows Hair Transplant NYC

Committed to natural, long-lasting results, our physicians carefully considers each patient’s’ genetics, follicle direction, and overall density to select the best possible hair restoration method.

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