Thinning hair and baldness afflict millions. These conditions are caused by several main factors:
1. African-Americans and others who style their hair in "corn rows" or tight braids often suffer hair loss, because chronic pulling of the hair follicles (roots) slowly destroys them. This usually results in permanent hair loss of the frontal scalp.
2. Pattern baldness is a genetic condition that usually afflicts men but also occurs to a lesser degree in women. This condition, also known as male pattern baldness, is caused by excessive amounts of the hormone DHT, which attacks and destroys hair follicles, causing baldness on the top of the head. Excess DHT is caused by too much testosterone in the blood. This may occur naturally or be caused by certain pills and supplements.
3. Hair loss may occur as a side effect of some medications and certain medical conditions. These include thyroid and anemic disorders. Hair will probably stop falling out if the medication is discontinued or the gland or organ is restored to normalcy, but in areas where hair follicles have died, hair won't regrow and a person may be left with permanently thinned hair or bald spots.
Many of the pills, potions, gimmicks and gadgets on the market claiming to restore hair are ineffective or downright fraudulent. A few of them may produce some hair, often of marginal quality, but that hair may fall out when the drug or treatment is discontinued.
Hair transplantation, or hair replacement surgery, is the one solution to hair loss that is permanent and that does not depend on ongoing, expensive medications or therapy.
Hair transplantation is accomplished by making a small strip incision in an area where hair is plentiful, usually back of the head. This hair is plentiful because it has been genetically programmed to grow throughout life (even in cases of pattern baldness). This donor area is then sutured shut, with hair concealing it. Each small donor strip contains as many as three-thousand hair follicles. These are harvested, separated into units of two or three hairs, and inserted into tiny incisions in the bald areas of the scalp.
The surgery requires just a local anesthetic. In most cases, two three-to-five-hour sessions are sufficient. In many cases patients are happy with just one or two sessions since the genetically fecund transplanted hair follicles will produce hair for the rest of one's life.
Unfortunately for the unsuspecting public, it takes a bit of sleuth work to find a knowledgeable and highly experienced doctor. Such doctors are rare, and most people naively assume that plastic surgeons and dermatologists who do a few hair replacement surgeries a month will do a good job. Others fall for hair transplant companies that are merely sales offices, many importing inexperienced doctors. The results can be disastrous: "doll's head hair," (unnatural-looking plugs or tufts of hair), freakish hairlines, scarring, and flaps.
So how do you avoid these pitfalls?
1. Look for a doctor whose sole focus is hair replacement and who performs this type of surgery every day, having performed thousands of procedures throughout his career. If a doctor is part of a large group working for a transplant company, or has been in practice just a few years, he may not be able to fulfill this criterion. Don't be afraid to ask how many cases the doctor has personally performed.
2. Ask if you may observe a procedure.
3. Most importantly, ask for the names of many, many patients whom you may call.
If you meet resistance in obtaining any of this information, look elsewhere. You are not buying a car. You are making a decision which will determine your appearance for the rest of your life. If you insist on the best, you will be delighted with the results.
Best Hair Transplant Surgeon
A hair transplant is when hair in an area that is not prone to balding (such as the sides and back of your head) is taken and transplanted into the balding or thinning areas. This hair then continues to grow throughout your lifetime and can give you a full head of natural looking hair.
A hair transplant is the only real permanent solution for hair loss and balding. However it is a big decision to make and you should have all the facts before deciding to have hair transplant surgery.
So just what are your surgery options? Here's a brief review of the different types of procedures offered by hair transplant surgeons. (Note that not all surgeons offer all options.)
Options For Hair Transplant Surgery:
In general there are 2 types of transplantation surgery: The FUSS and the FUE method.
Not all doctors perform the FUE method as it is fairly new and much more time-consuming (as well as expensive for the patient).
Some surgeons also offer scar repair surgery (which is surgery to improve the look of a previous hair transplant scar) as well as hair transplant repair (for example to fill in density on a formerly poor transplant or to redo the hairline, etc.) Again, not all surgeons perform this type of surgery so you might have to look around for specialists in each area.
Whichever procedure you choose will also depend on the extent of your personal needs. Your doctor can inform you of the risks, advantages and disadvantages of each method.
#1) FUSS - Follicular Unit Strip Surgery
A narrow strip of hair is taken from the back of your scalp (where you aren't prone to thinning). The grafts are then implanted into the balding area and most will continue to grow throughout your lifetime. The donor area is closed up with sutures or staples. These will be removed in several days or absorbed.
Depending on several factors (including the skill of your surgeon), only minimal scarring will occur in the donor area and approximate downtime can run from 1 week to a month, depending on the situation.
One of the main advantages to FUSS is that it allows many grafts to be transplanted in one session (i.e. up to 4000) so the results can be dramatic. While your surgeon can recommend which method is best for you, in general, the FUSS method works well for medium to large areas of balding.
#2) FUE - Follicular Unit Extraction
This is a new technique that a few surgeons are starting to offer. It mainly consists of harvesting each hair follicule separately from the back and sides of the head (that aren't prone to thinning). Then each follicule is transplanted into the balding area. There is no scalpel cutting or any deep surgery with this method.
The scarring tends to be less when compared to the FUSS method. Also, according to some surgeons, the recovery time can sometimes be shorter with the FUE method (because there isn't the deep surgery as with the FUSS).
While your surgeon can recommend which method is best for you, in general, the FUE method works well for those people who do not wish to have a scar, don't need a lot of grafts, or who want to wear their hair very short.
3) Other Procedures - Scalp Reduction
This surgery is much less common and fewer surgeons still offer it. A scalp reduction is where areas of balding are surgically removed with the rest of the scalp skin pulled together to eliminate the balding skin. Depending on the size of the balding area, this is usually done in stages.
This is probably the most expensive procedure and can run you into the tens of thousands of dollars. Plus there's also risks like tightness of your scalp leading to thinning of the skin and improper scarring.
Conclusion:
Whatever you decide to do, it's important to talk to your doctor before making any decisions about your health. Hair transplant surgery is always evolving and improving so it's also important to interview as many surgeons as you can to get a good idea of what each can do for you.
Keep in mind that doing your research beforehand can ensure you get the most amazing, natural results that you want.
Both Lawrence Shapiro & Vienna Miller are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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