We deal exclusively with Hair Restoration. For each patient that presents to us for Hair Restoration, our goal is to try and achieve as much naturalness and density as possible. We feel these two goals are best achieved when the treatment plan is individualized for each hair loss patient. There are a lot of factors that must be taken into account with each hair restoration patient before formulating the best plan. Some of the more important factors are: the patient’s age, the hair-to-skin color contrast, the caliber of the hair, the character of the hair, the patient’s goals for later styling, and, perhaps most important, the ratio of available donor hair in relation to the transplant recipient area in need of coverage. The most important thing we always do is what’s best for the patient.
How Many Hair Transplant Sessions are needed?
With rare exceptions, the transplant process usually takes 1-3 sessions to achieve excellent results. There are some who are very pleased with what one or two sessions provides, especially those who had some pre-existing hair on top to go with the transplanted hair. We believe there are several good reasons to accomplish a patient’s transplant over time in 1-3 sessions:.
- Such an approach respects the blood supply of the scalp, leaving some space for blood to reach all the grafts planted, with a resultant high-percentage yield of survival for those hairs.
- Gradients of density can more easily be created. In our transplanting, we try to reproduce a pattern of hair that could be naturally seen on someone’s head, such as in a man who is only starting to thin in the crown or the crease areas.
- Hair survival percentages are very high. Most studies suggest that the Follicular Unit type of graft moreconsistently survives in the high-90% range, and can be an important contributor for later density.
- There is less risk for a wide donor scar. By limiting the width of the donor strip to 1cm in width, and then going to whatever length is necessary for that session, and spacing the sessions at least severalmonths apart, the scalp in the donor area once again becomes lax. In this way, the hair in the next procedure is obtained from just above the old scar, with a single thin scar resulting at the end of the 1-3 procedures. We feel that trying to obtain more than 3000 FU’s at a single session requires a much wider strip and carries with it the risk for a wide scar later on.
Importance Of Hairline
From the beginning, we focus on creating a natural hairline for the hair loss patient. At each transplant session “follicular unit grafts” are placed along the hairline in a natural, undetectable, random pattern. 1-hair FU’s are always placed at the front hairline, quickly giving way to 2-hair, and then 3-hair FU’s as you move back into the scalp, so as to effect a graded, natural density to the hairline. We give the same attention to the other visible locations of the scalp, namely the crown and the two “crease” areas. If there is a natural whirl present, we follow the pattern that exists, so as to complement nature.
The relationship between physician and hair restoration patient in our practice is one in which there is a maximum opportunity for communication. Knowing what the other thinks and desires is the key to a satisfied patient. Making a sale or scheduling a surgery is not our goal or priority. Establishing an open, trusting relationship for life between doctor and patient is what is most important. Follow-up calls and visits are always welcome.
We are somewhat conservative in our planning approach. We always anticipate that baldness is a relentlessly progressive condition that goes on to some extent as long as you live. Because of this, we plan your transplant design in such a way that it will look good not only in the next few years, but also into your older years as well. Each person has a finite amount of donor hair available, so it is very important that every graft is utilized in the most appropriate and effective manner.