A hair transplant is a procedure in which a plastic or dermatological surgeon moves hair to a bald area of the head. This procedure involves moving hair from the back or side of the head to the front or top of the head. City Facial Plastics in New York, under the management of a top-rated plastic surgeon Dr. Linkov, uses the latest FUE transplant techniques and works with the most experienced hair technicians for the purpose of creating the best and most beautiful hair implant results for patients in NYC.
What Is a Hair Transplant?
A Hair transplant is a surgical procedure that takes hair from one part of the body and moves it to another. In the past, results looked unnatural and recovery was painful. Now, using the latest technologies and techniques, beautiful hair restoration is possible. And the best part is that a hair implant is permanent when performed on the appropriate candidate.
What Are the Causes of Hair Loss?
The most common type of hair loss is due to genetic factors, called androgenetic alopecia. This can affect men and women but results in a different phenotypic pattern. In men, the frontal and temporal recession is common and is further classified by the Hamilton-Norwood scale. In women, there is a preservation of the frontal-most hairs but the central scalp shows thinning and that is best classified by the Ludwig scale.
Other reasons for hair loss include:
- Hormonal changes
- Certain hairstyles
Traditionally, hair is removed from the back and sides of the head and moved to the front of the head. However, nowadays we can take hairs from other body sites if available, such as:
- Arms/Legs (less favorable due to thinness)
- Pubic region
Who Is a Good Candidate for Surgery?
A good hair implant surgical candidate is a man or woman with appreciable hair loss in a specific area on their body, most typically the scalp. The hair implant surgeon must have an area to target for the hair transplant and create the necessary density. It is important for the targeted area to have a stable pattern of hair loss, which is not progressive in nature. Celebrity hair transplant surgery has continued to popularize this procedure.
Who Is Not a Good Candidate for Surgery?
Patients with a scarring condition such as frontal fibrosing alopecia need to be very careful as the hair transplant will likely fail. Patients with certain underlying medical conditions that may impact healing, such as immunosuppression, also should be properly screened before a hair transplant in NYC is offered. Patients with unrealistic expectations about the potential of a hair implant need to also be carefully approached.
What Are the Ways to Harvest Hair?
There are two primary ways to remove donor hairs, including:
- FUT (Follicular Unit Transplantation): FUT involves removing a strip of hair, typically from the back of the head. The strip is processed under a microscope and the hairs are divided into follicular units and stored until they are ready to be planted. The advantage of FUT is that the procedure is generally faster compared to its alternative FUE and may deliver a greater number of donor hairs from the back of the head. Also, it is possible to leave the shaft of the hairs longer if needed for specific procedures such as eyebrow hair transplantation. The disadvantages of FUT are that it leaves a linear scar which is noticeable if the head is ever shaved and FUT is not a good harvesting option in other parts of the scalp and body areas.
- FUE (Follicular Unit Extraction): FUE is the modern approach to hair transplantation. It involves removing individual follicular units, which exist as families of 1-4 hairs. Using a variety of instruments described below, each follicular unit to be harvested is punched out using a punch size of 0.8mm-1mm on average. The tiny holes created to seal up and leave behind very small circular scars that are barely perceptible even if the scalp is shaved. Attention is paid not to overharvest, leaving enough hairs in between the punched grafts. The main advantage of FUE is avoiding a linear scar as well as an easier recovery with less pain and no sutures to remove. Also, the technique can be applied to the sides of the head and other body sites such as the neck and chest in some individuals. The disadvantage of FUE is the time and labor required to carefully remove the grafts.
The concept for FUE is to use a tool to remove a follicular unit graft without traumatizing the follicle. The tool must punch through the skin, keeping the hair shaft in the middle of it, and include some of the deeper subcutaneous tissue as a cuff around the hair while preserving the hair follicle bulb.
There are a few tools that can be employed in order to harvest (punch out) honor hairs using the FUE method, such as:
- Manual: A sharp or blunt-tipped manual punch is a cylindrical instrument that is rotated in the hand and through the skin around the hair shaft.
- Motorized: This is the most common method currently used for FUE and includes a few types of machines including ones made by Ellis, Devroye (WAW), Neograft, SmartGraft, and Trivellini (Mamba). The Ellis is a sharp punch system with a rotational mode only. The Devroye WAW FUE system has only an oscillating mode. The Neograft and SmartGraft systems are rotation mode only and come with a suction-based system. The Trivellini mamba system is digitally advanced and has three different modes (rotation, oscillation, vibration) which can be custom set per the doctor’s preference to adjust to the hair and skin quality of the patient. Using suction is possible with Trivellini as well. Dr. Linkov, as an experienced hair transplant specialist, prefers the Trivellini FUE system for its versatility and adaptability and usually uses the vibration setting to avoid traumatizing the hair follicle. The Trivellini FUE system is the newest and most advanced FUE system on the market and comes with blunt-tipped flared punches that further reduce injury risk to the follicle.
- Robotic: The Artas robot has some automated features for extracting hairs, creating recipient sites, and placing the hairs (with the Artas iX). While a great marketing tool and helpful for reducing human fatigue with longer procedures, there are several disadvantages, which include:
- Cost – Since the robot costs about $300,000, the procedures are often more expensive to patients as the practice works to recoup the expense.
- Hair color – The robot requires darker hair to do the extractions. Patients with white or red hair need to dye their hair for the robot to work.
- Harvest location – The robot will only work where a flat grid can be applied, which limits the possibilities of harvest location.
- Time/Labor – The procedure is generally not any faster with the robot compared to motorized punch systems and still requires a team of technicians to complete the procedure.
Hair Transplant Case 1
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City Facial Plastics
635 Madison Ave #1402E,
New York, NY 10022