Who can benefit from hair restoration surgery?
Anyone who suffers from permanent hair loss can be a candidate for restoration procedures, in particular:
Hair graft is a small outpatient procedure. The procedure takes 3-8 hours, it is performed under local anesthesia, often using oral or intravenous sedatives. Patients are awake during the procedure, but most often relaxed thanks to the medications they received. Discomfort accompanying the procedure is minimum. The donor area from which grafts are collected is most often stitched with stitches or staples, except from the FUE (Follicular Unit Extraction) technique which does not require stitches. Sometimes absorbable stitches are used which eliminates the need of surgical follow-up to remove stitches. Sites where grafts are placed are very small and their size does not exceed the size of a pin top as incisions are made using needles or micro-blades. After the procedure, the area operated on is covered with light dressing or the patient is discharged without dressing after short observation. After completion of the procedure, the surgeon most frequently verifies distribution of grafts and the surgeon or their assistant provides post-surgical guidelines supplemented by a written form of recommendations.
How is the postoperative period??
Hair graft is a safe and not too extensive procedure. Serious post-surgical complications occur extremely rarely. The discomfort of the area covered with grafts is minimum. Most patients feel tension and pain in the donor area which requires pain-killers within the first two days after surgery. During the first 2-3 days after surgery, some patients apply moist dressings and sleep in a head-raised position to reduce postoperative edema and soreness. Grafts are most often covered with small scabs that can be hidden by combing the remaining hair or using special camouflage products, such as Dermmatch, Couvre or Toppik. Scabs fall off within 4-14 days after surgery; smaller scabs covering individual follicular units fall off after 4-6 days, larger – a little later. Grafted hair also fall off at that time. Then, for a period of 10-14 weeks hair follicles remain at rest. After that period, new hair starts growing. Potential sensation weakening of the donor or recipient area can persist for 2 to 8 months after surgery.
As mentioned before, post-surgical complications occur extremely rarely. Sometimes, slight inflammation around single grafts caused by an ingrowing new hair under the epidermis can be observed in the form of tiny inflammatory bubbles. It is most often eliminated after applying warm compresses. The scar in the donor area occurring after collection of the skin strip is usually narrow and easily covered by the surrounding hair. Scars in the recipient area are most often minimum and invisible, and additionally covered by newly growing hair. In some patients, small swelling of the forehead occurs in the first days after surgery. Most often, it occurs after three days and disappears after the next three or four days. Infection of the donor or recipient area occurs extremely rarely. Most patients notice small numbness of the skin above the donor area or in the central part of the head. This sensation disappears gradually after several months.
When should I start treatment?
Currently, most doctors recommend commencement of preservative treatment of visible hair loss as early as possible. Even if the patient decided to have surgical treatment, preservative treatment may slow or even prevent further hair loss. Patients above 20 years of age can undergo treatment at any age, but the decision about surgical treatment is always made individually, depending on numerous factors. Most patients commence surgical treatment when the area operated on is still covered with hair which significantly facilitates camouflage. On the other hand, it must be remembered that the bolding process has a progressive nature and it should not be commenced in excessively young patients. At this age, it is recommended to use Finasteryd or Minoxidil which may improve hair condition, especially in the central area of the head. In such a case surgical treatment may restore hair in the forehead area, while preservative treatment may improve hair condition towards the back from the area which has been surgically treated.
Other surgical options: scalp reduction and skin patches
Scalp reduction is a surgical procedure involving the removal of a part of the scalp in the central area of the head. Surgery using skin patches involves preparing a fragment of hairy scalp from the back or side of the head, preserving blood vessels and moving it to the forehead area to restore hair. Currently, such procedures are less frequently performed. The decision to perform them is made after intensive, individual consultation with a specialist.
How do I know if I am a good candidate for surgical treatment of boldness?
There are many factors taken into account in the qualification process for surgical treatment of boldness, such as: general health, hair type, contrast between hair color and skin, hair thickness, i.e. the number of hair follicles per square centimeter of the donor area, size of the bold area (recipient), size of the donor area, previous hair grafts, goals and expectations of the patient. Making the final decision concerning treatment of boldness requires precise examination of the patient by a physician and intensive discussion between the physician and the patient. The physician should also present the expected costs of treatment to the patient. The patient should understand that surgical treatment involves changing the distribution of hair follicles, and not creating new hair follicles.
What preservative treatments are currently available?
Minoxidil (RegaineR), which has been applied externally for more than 15 years, indicated its effectiveness more as a medication delaying baldness than causing new hair growth. Minoxidil, 5% solution, used currently in men, indicated its greater effectiveness than the 2% solution. It is not recommended in the 5% concentration in women, as it may cause hair growth on the face. There are works indicating the similar effectiveness of Minoxidil in 2% and 5% concentrations in women.
In our clinic, we use CRLAB treatments which proved to have the best effectiveness from many treatments tested. You can find more about them in the Treatments > Recommended products tab or directly on the website www.crlab.pl.
We invite you for consultation.
Make an appointment: +48 604771450