Follicular Hair Transplant:
Since the success rate of follicular hair transplant is nearly 100%, it closely follows the aesthetic pattern chalked out by the hair transplant surgeon for the hairline design and the graded areas posterior to it. The hair transplant procedure is quite laborious and takes a long time to complete. Moreover, it also requires a well-trained team of skilled surgical assistants to dissect them out. After the introduction of stereoscopic microscope for dissection, the results of follicular hair transplants have further improved. The larger magnification helps a surgical assistant to avoid the damage to the follicle unit and prepare the follicular hair transplant with the least amount of scalp skin.
Due to its small size, it requires only a very small incision for transplant. Small incision for a follicular hair transplant causes less damage to the recipient site and produces result which is undetectable to the casual observer. Another advantage of follicular hair transplant is that due to less damage to the recipient site, the grafts can be placed very close to each other resulting in a more denser and natural growth. Microscopically separated single haired follicular transplants allow the hair transplant surgeon to define the irregular hairline with the highest degree of precision so as to give his patient the most natural look.
Hair transplant surgery with follicular hair transplants takes 3 to 5 hours to perform and one can leave the center without any bandage on his/her head. One can also wash the transplanted hair carefully after 3 days. In a week’s time complete healing would be produced.
Disadvantages of the procedure
Requirement of long hours of time and skilled team of more assistants for the preparation of 3, 000 odd follicular hair transplants through dissection is the biggest disadvantage of the follicular hair transplant procedure. The disadvantage also leads to manifold increase in the cost of hair transplant surgery.
There are ways through which the follicular hair transplant procedure can be modified so as to be completed in less time. The hair transplant procedure, which involves use of natural grouping of hair follicles, has already been discussed. The above-said procedure, if used in conjunction with the follicular hair transplant, can save a lot of time for the hair transplant surgeon who through skilled planning can limit the use of these follicular hair transplants for the frontal hair transplant and the hair line design.
Use of Follicular Unit Extraction
Another innovative hair transplant procedure for follicular hair transplant is the Direct Hair Implants (DHI) technique which is the minimally invasive hair transplant procedure available today; it does not use scalpel, stitches or a donor strip for preparing follicular hair transplants. The DHI is based on the use of hair transplant procedure known as follicular unit extraction (Fue). Follicular unit extraction is the state-of-the-art extraction technique for preparing follicular unit transplants.
Follicular unit extraction does not require a donor strip to be excised from the donor area and therefore does not involve any dissection of follicular units. The follicular units are instead directly extracted one-by-one using custom-made, precise micro-surgical tools less than a millimeter in diameter. Follicular unit extraction is simple, painless, with the donor area healing within 2-4 days as compared to 7-8 days required for follicular hair transplants using the graft extraction technique . There is no risk of nerve damage being caused by the hair transplant procedure.
Advantages of Using Direct Hair Implant
Hair transplant procedure for direct follicle hair transplant is a very simple one. The follicular hair transplant is performed only with state-of-the-art instrumentation. The standard instruments for the procedure consist of custom cut lateral slit blades, hypodermic needles and the innovative DHI implanter. A hair restoration surgeon prepares a protocol of follicle hair transplant specifically for each patient so as to ensure perfect and most natural looks. The non-invasive hair transplant procedure of direct placement of follicle hair transplants causes minimal trauma to the scalp and does not cause any pitting, indentation or scarring.
The greatest benefit of Follicular unit extraction and DHI technique is the possibility of quality control during the hair transplant procedures, the hair transplant doctor needs only a single surgical assistant to help him during the follicle hair transplants. The procedure also ensures maximum care to the grafts. The hair transplant doctor can decide upon the exact number of grafts to be removed while he is removing them one-by-one.
The best thing about Direct Hair Implants is that the hair from all over the body can be used. The technique has received much favor with the patients because it helps them to remove the excess body hair and at the same time allows them to restore hair without any surgery being performed on them.
Body hair follicular grafts removed through the follicular extraction technique are utilized only for enhancing the density in the posterior region of the scalp and not for the hair line. The outcome has been quite positive for many patients where it is hard to differentiate between body hair transplants from the head hair. It has been noticed that body hair transplants show similar growth patters when compared to the head hair with no difference in texture. Another advantage of the Direct Hair Implants Technique as a hair transplant procedure is that it lets the surgeon to extract as many grafts as required. The transplant surgeon can extract upto 1200 grafts per day and subsequent follicular hair transplants can be done immediately after the first session.