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 Hair transplantation is a surgical technique that moves individual
hair follicles from a part of the body called the 'donor site' to bald or
balding part of the body known as the 'recipient site'. It is primarily
used to treat male pattern baldness. In this minimally invasive
procedure, grafts containing hair follicles that are genetically
resistant to balding are transplanted to the bald scalp. It can also be
used to restore eyelashes, eyebrows, beard hair, chest hair, pubic hair
and to fill in scars caused by accidents or surgery such as face-lifts
and previous hair transplants. Hair transplantation differs from skin
grafting in that grafts contain almost all of the epidermis and dermis
surrounding the hair follicle, and many tiny grafts are transplanted
rather than a single strip of skin.
 Since hair naturally grows in groupings of 1 to 4 hairs, today’s most
advanced techniques harvest and transplant these naturally
occurring 1–4 hair "follicular units" in their natural groupings. Thus
modern hair transplantation can achieve a natural appearance by
mimicking nature hair for hair. This hair transplant procedure is
called Follicular unit transplantation (FUT). Donor hair can be
harvested two different ways: strip harvesting, and follicular unit
extraction (FUE).
 Hair loss suffered by men that has a tendency to run in families is called male pattern
baldness (MPB). This hereditary hair loss condition usually starts when a man is in his
early thirties, although it can start earlier or later in life, and ends in everlasting baldness,
my hair loss started in my mid twenties, as did my twin brothers.
 At present there is no way to avoid male pattern baldness from happening and the precise
causes are still to be entirely understood. However, medical doctors agree that androgenetic
alopecia has both hormonal and genetic influences.
 The hair follicles in men who suffer from male pattern baldness appear to be genetically
predisposed to being more vulnerable to the toxic effects of testosterone and DHT later in
life. This hereditary disadvantage makes it probable for the DHT to cause restricted hair
growth more easily and fully on the scalp. It is believed that this difficulty of the hair
follicle is handed down through DNA from generation to generation.
 The genetic side of male pattern baldness can also help men better comprehend their
chances of developing androgenetic alopecia and better comprehend how the condition will
individually disturb them. A man can normally locate his predisposition for hair loss by
studying the tendency for baldness on both the mother’s side and father’s side of the family.
By defining if the men in the family have a tendency to be bald, how acute their baldness
is, what pattern the hair loss follows, and the age of the original hair thinning men will be
capable of predicting their own baldness course and take steps to organize for the eventual
hair loss.
 Follicular unit transplantation (FUT) consists of using hair units in
their naturally occurring pattern. Hairs occur in groups of one, two,
three or four referred to as Follicular units. By transplanting hair in
this natural pattern, the cosmetic results are more natural. For this
reason, it is called the “Rolce Royce of hair transplantation”.
 Mega sessions allow for the achieving of more graft transplants in less
time. One to two mega sessions often produce very cosmetically attractive
results. During a session, 3,000 to 4,500 hairs are placed in the patient’s
scalp in a 5 to 6 hour span.
 The procedure is performed under local anesthesia, as follows:
 A Strip of hair is taken from back of scalp.
 The donor area is then stitched.
 The donor graft is then dissected into follicular units of 2 hair, 3 hairs and
single hair using microscope.
 The follicular units are then implanted over the recipient area.
 Patient is sent home the same day with a simple dressing.
 With Follicular Unit Extraction or FUE harvesting, individual follicular units containing 1 to 4 hairs are
removed under local anesthesia; this micro removal typically uses tiny punches of between 0.6mm and
1.0mm in diameter. The surgeon then uses very small micro blades or fine needles to puncture the sites for
receiving the grafts, placing them in a predetermined density and pattern, and angling the wounds in a
consistent fashion to promote a realistic hair pattern. The technicians generally do the final part of the
procedure, inserting the individual grafts in place.
 FUE takes place in a single long session or multiple small sessions. This is considered to be more time
consuming, depending on the operator's skill, and there are restrictions on patient candidacy. Clients are
selected for FUE based on a fox test, though there is some debate about the usefulness of this in screening
clients for FUE.
 FUE can give very natural results. The advantage over strip harvesting is that FUE harvesting negates the
need for large areas of scalp tissue to be harvested, so there is no linear incision on the back of the head and
it doesn't leave a linear scar. Because individual follicles are removed, only small, punctate scars remain
which are virtually not visible and any post-surgical pain and discomfort is minimized. As no suture
removal is required, recovery from FUE is within 7 days.
 Disadvantages include increased surgical times and higher cost to the patient. Some surgeons note that
FUE can lead to a lower ratio of successfully transplanted follicles as compared to strip harvesting. Others
also suggest that in case a patient would need more than one transplant, it would be difficult to find a good
strip after an FUE.
 Robotic Hair Restoration is another innovative device in the field of hair restoration. The robot allows
detection of the follicular units and its topography with several cameras. The images from the cameras can
detect the location, distribution, and the angulation of the follicular grafts. The robotic arm has been able to
increase the speed of graft extraction and minimize the exhaustion of the surgeon during an FUE
transplant. Despite the advantages of robotic hair restoration systems, there are still some disadvantages
such as the size of the punches being relatively large in comparison to what is used in other methods of FUE
and the high price of the device .