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Interesting article from a hair transplant technician

Z

Zak1066

member
MY WORK AS A HAIR TRANSPLANT TECHNICIAN


I still remember the first time I ever saw a ht. I was only 9 but my father thought it was a good idea to put one of his surgeries on the telly WHILE WE WERE EATING €¦! Although I was traumatised at the time, this memory always puts a smile on my face.


So yes, hair transplants have been a part of my life since my childhood. My father graduated in medicine the same year I was born and soon after he decided to combine his speciality in dermatology and trichology with hair transplants. All throughout his career he has employed many family members to help him with his work, and I was no exception.

MY EXPERIENCE

However, I did not start to work in the industry until I was 22. From then on I spent 3 years working for my dad in Barcelona and a further 9 years in two different clinics in London. I cannot say I loved the job from the beginning €¦ quite the opposite in fact. Spending hours using a microscope trying to coordinate your hands to cut a piece of skin is not that easy €¦ and it can be very frustrating. But like driving a car, once you practice enough it can be very enjoyable, especially if the patient has chosen a good film to watch!

One aspect that I loved about my job was taking care of the patients. You get to meet new people with fascinating stories to tell every day. Most of them are so nervous €¦ I even had patients (not many though) that cried when going into surgery. It was always heartbreaking to see such a reaction but I can understand the fear of going through such a procedure. However, hair transplants are straight forward and relatively painless so there is no need to worry. All patients (even the few who cried) always said that it was quite enjoyable and they always left the clinics very happy and relaxed.

Another aspect that attracted me was knowing that you are changing people €™s lives €¦ Although some are not that worried about getting bald, I have met clients who do not want to leave home on windy days or who never take their baseball cap off €¦ not even in front of their partners. Some might think that having a hair transplant is vain but I can guarantee that it affects people €™s lives in such positive ways!

A further interesting point about my role as a medical technician was taking care of the before and after picture library. This meant that I could see the transformation of every patient. I always get people asking me if hair transplants actually work. And the answer is: OH YEAH! However, you also need a good surgeon who knows what he is doing and who is in turn supported by a close-knit team. It was quite frequent that patients would come from other clinics with bad results and wanted us to fix it (which we did).

WHAT MAKES FOR A BAD HAIR TRANSPLANT

These are just some examples of things that need to be taken into account while doing a hair transplant:

- The direction of the hair. If the implants are placed on different directions, the result will obviously be quite unnatural.

- The natural hairline of the patient. The common mistake is to lower it too much making it look artificial.

- The size of the GRAFTS. Ideally these need to have 1-4 hairs (5 max). Bigger grafts mean that there is a risk to have the look of a doll!

- The density of the donor area. If the donor area is not well estimated there might not be enough material to cover the desired area.

There are more examples of issues that are common in bad hair transplants but suffice is to say that choosing a great surgeon is a must! Fortunately, I have always had the chance to work with brilliant ones.

TECHNIQUES

There are many techniques or combination of them such as flap, extensions, scalp reduction and so on. However, the most common nowadays ones are:

1- FUT (Follicular Unit Transplantation) €“ removal of a strip from the back of the head which is then cut into follicular units. The grafts are then implanted on the scalp where the holes have been made with a thin needle or blade.

- The strip normally is around 15-30 cms long (although can be longer or shorter) and 1-1.5 cms wide.

- It leaves a very thin scar although barely noticeable in most cases.

- It allows a large extraction of grafts and, consequently, provides good density.

2 €“ FUE (Follicular Unit Extraction) €“ removal of each individual follicular unit with a punch. The grafts are then implanted in the same way as in a FUT.

- The scars are almost invisible.

- The number of grafts extracted is quite limited.

Personally I think that FUT is better but FUE can be very good if the patient does not have much hair loss and likes to have his hair really short.

PRICES

The prices vary so much between clinics but it goes from £3k to at around £12k depending on the technique although there are clinics charging far more than that. Just because a clinic is cheap does not mean it is bad. And just because they are expensive it does not mean they are going to give the best results! What people need to consider above the price is the surgeons, their experience and their results.

HAIR LOSS MEDICATION

Propecia and minoxidil are great products to help stop the hair loss. Having a hair transplant and not taking medication to prevent further loss is not advisable as the patient has a limited amount of donor area.

People are always concerned about the secondary effects of the Propecia but it only affects a VERY small percentage of patients and in those cases these effects stop once they quit taking the tablet. I have been on Propecia for 14 years and so have many of my friends and family and no one has ever had any complaints, quite the opposite. I was losing my hair when I was 20 and this medicine stopped the process and it even increased my density in some areas.

So when patients go for a consultation they should ask the surgeon about medication. In the three clinics I have worked for they ALWAYS insist on taking them! Also, big Boots do sell Propecia at a very good price without prescription. They also take pics and do a case study of the patients!

CLINICS

If you are interested in having a hair transplant I strongly recommend you do so. You will gain so much confidence! However, make sure you are a good candidate! It is good to see different surgeons to get a better idea. There are many good clinics around so check them all out!
 
janna

janna

Moderator
Hi Zak,

Nice to see you participating on the forums.

Hope all is well with you.



 
H

hairtech

member
OMG this article is very intriguing. ::}{:
And I also don't agree with this post. lol
*nl
 
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Bigmac

Bigmac

Administrator
Staff member
Which parts don't you guys agree with, let's discuss this as it's great to hear other opinions.
 
topccat29

topccat29

29 year HT veteran
BM thanks for the invitation to chime in with opinions.

Any information is always good to read so thanks to Zak for posting I €™m sure he is a good person.

I don €™t agree with the statement that a hair transplant can give you confidence. It can help you feel better about yourself but if you lack confidence then even with hair chances are you are the same person. The person that is afraid to step up to someone because they made a derogatory comment towards them in the pub doesn €™t magically grow some balls because his hair gave him all of this confidence. The same applies to other areas where someone may lack confidence.

I also believe even though I have never worked in this industry that females with small hands probably make the best techs. I say this because I have worked in the past as part of a job requirement for about 6 months on an assembly line where I had to put together small electrical parts using a microscope. It required soldering and welding which was incredibly difficult. It took quite some time to get my thick fingers coordinated while looking through the scope and I could never come close to matching anyone around me who were in fact all small women......great job btw ;)

I know this probably sounds sexist but it is my opinion. It €™s like fue by hand. I would not expect a women to be able to match the ability of a man with very strong hands it €™s just not going to happen. In fact most male doctors can €™t even perform the task for too long. I have mixed and poured concrete for hours and days on end I certainly would not expect a female to be able to do what I can do, it €™s just reality in my mind but if someone €™s opinion differs, hey more power to you.

That comment about the patient €™s choice of movies seems rather benign but it does set off alarm bells in my head. We all have our own working habits and personally when I €™m working where customer interaction is not going on I like to focus completely on the task at hand. I don €™t care to joke around or be entertained €¦ €¦ €¦ €¦.100% focus on what I am doing so that comment about which movie a patient chose did draw my attention. But of course we are all different and maybe for some a diversion helps get them through the day.
 
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Z

ziggs11

Valued member
Sounds like you hit the tailgate early TC. Have you ever done an FUE extraction? I haven't.

I have a hard time imagining that extracting grafts, removing soft tissue from soft tissue with a purpose-made razor cutting tool, requires any more strength than that of any healthy adult. And I think comparing it to pouring concrete as evidence requires no further comment.
 
topccat29

topccat29

29 year HT veteran
Ziggs no I have never performed a fue extraction and I don €™t own a pickup truck so I don €™t have a tailgate ;)
But I have performed enough work with my hands to understand the concept of hand fatigue. Some can get past it as it becomes more mind over matter while others simply give up, most give up. So the comparison I was making with the concrete is relevant but I assumed most would pick up on the point I was trying to make about just giving up.

If fue performed using a hand punch was easy trust me everyone would be doing it. But they can €™t so the best they could do over the years was put it down but that no longer seems to work.

I wasn €™t trying to be critical of Zak €™s post as I wrote I €™m sure he is a good guy. I have just grown to look for even the smallest things that I think might be of concern such as the tech being concerned about what movie the patient chose. If that is not a concern for someone else that I €™m cool with that it €™s not my head.

You might want to try grabbing a sharp drill bit and start drilling small holes into a watermelon by hand and let me know how far you get. It sounds easy but I would imagine when you get to 500 or so that hand fatigue sets in very fast if you have a weak hand.

BTW when I post it's for prospective patients and it's to be brutally honest. I don't worry too much about those that work in the industry. I'm not intentionally trying to be an a-hole but I am going to be honest. I could only wish there was someone around when I was 23 to slap me upside the head and explain a few things to me.
 
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H

Hairdirection

Member
Wow by my calculations your father was a hair transplant doctors some 30 years ago, it will have been a plug procedure back then, how times have changed.
 
Sabine-Prohairclinic

Sabine-Prohairclinic

FUE hair transplantation - SMP
"- The number of grafts extracted is quite limited."
[size=I would strongly disagree with that statement.][/size]
[size=The largest session ever was done by FUE, not FUT. I have seen evidence of a treatment of 11000 grafts FUE, performed by dr. Heitmann in Zwitserland.][/size]

 
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