Worldwide, more than 60% of men and 50% of women suffer from androgenetic alopecia and irreversible hair loss. This type of hair loss is a seminate process and medication can only temporarily prevent it. Currently, hair transplantation is the solution for either androgenetic alopecia or other irreversible hair loss problems. In addition to androgenetic alopecia, many irreversible hair loss cases are successfully applied with hair transplantation. FUE hair transplantation is a technique that allows the rapid removal of follicular unit grafts. It can be used in various problems such as alopecia areata, congenital alopecia, eyelash-eyebrow loss, beard loss and mustache loss. It can also camouflage scars. The main purpose of hair transplantation is to correct hair loss. We may not be able to reconstruct the appearance of patients in their early twenties. However, realistic expectations can be met with the help of technology. Based on our experience, FUE is a method that gives us the opportunity to best meet the hair transplantation expectations of all patients.

Why is hair transplantation applied?

In recent years, hair loss has gradually increased due to the use of various chemical agents, environmental conditions, medications and inorganic foods. Androgenetic alopecia affects almost half of men and women around the world. Hair loss at an early age can be quite traumatic, especially among young men and women. Baldness can be problematic in older ages, even over 50 years of age. Although there are many causes of hair loss, the most common one is androgenetic alopecia. Patients and doctors prefer medical treatment first. However, medical treatment is successful in a limited number of patients. In most cases of hair loss, especially androgenetic alopecia, hair transplantation may be the only method to solve this problem. Hair transplantation is also successfully applied for the treatment of many hair loss cases other than androgenetic alopecia.

Since hair loss has become a major problem in all populations, patients are eager to regain their hair and can therefore be exploited by non-physicians and paramedical methods, particularly topical and herbal treatments. Hair transplantation has been practiced for years and has made great progress in recent years. The operation time was shortened and the number of grafts transferred in one session increased significantly. As a result, it is now possible to achieve excellent results by transferring an enormous amount of grafts in one session.

FUE hair transplantation: Follicular Unit Extraction (FUE)

In particular, the use of a micro motor for graft extraction in the last 5-6 years has made a breakthrough in hair transplantation. The grafts were removed with manual staples before micro motor use. Approximately 2,000 grafts can be removed in 3 to 4 hours by manual method, and it is difficult for operators to remove grafts larger than this number. With the wide application of the micro motor method, the number of grafts transplanted within 1 hour increased to 5,000-6,000. The micro motor method has facilitated the application of hair transplantation for the operators. The ideal age for hair transplantation is 30 – 35 years. However, transplantation procedures in hair transplantation can be performed in patients with younger hair loss before the development of full hair loss. We do not think it is absolutely necessary to expect total hair loss because individuals do not want to make drastic changes in their image. In young men, frontal hair transplantation is very important for the patient’s psychology, especially between the ages of 20-25. If the remaining hair is lost in the following years, transplantation can be applied in the second and third sessions. Under these circumstances, it is not necessary to wait for older ages.

How is FUE hair transplantation performed?

Except in some unusual cases, hair transplantation is performed under local anesthesia. Since the transplantation procedure is prolonged, the patient should be rested before the operation, should not drink alcoholic beverages a few days before the surgery, and if possible stop smoking.

The grafts are pulled with staples approximately 0.8-0.9 mm wide. Staples are 5-6 mm long. These staples are disposable materials mounted on the end of the micro motor. The speed of the micro motor is 5,000 / min. Since blunt staples damage the tissue, the staples used should always be sharp. The number one haircut makes application very easy. The hairs in the donor area should be visible in the scalp at a length of 1 mm. The staples internalize the scalp at an appropriate inclination with the hair growth angle, cut the skin, connective tissue and aponeurosis respectively and stop when the distance to the follicle is 1 mm. Deeper insertions can cause follicular damage and are placed on your skin at a depth of approximately 3.5 mm. After the grafts are released, they are collected with the help of special pliers. The collected grafts are kept in isotonic saline solution.

How is the healing process of FUE hair transplantation?

Graft extraction is performed in the prone position, while transplantation is performed in a semi-sitting position. The grafts are placed one at a time after opening the canal into the recipient area. It takes 48 hours for the grafts to stabilize in the recipient area by fibrin adhesion. Therefore, the grafts can be removed within the first 48 hours and therefore need to be carefully protected during these period. Since hair transplantation is a composite tissue transfer, the retention time is approximately 2 days. After penetration, the grafts begin to grow in a short time. Tissue growth usually takes 3 to 4 weeks. After the third week, the follicles remain in the skin and the hair tips disappear. Hair loss may never occur in very few patients. Even if there is no hair loss, it takes 4 – 6 months for hair growth. The transplanted hair grows in about 6 months and gains volume in the following 1 year. The number of hairs growing in the frontal region is equal to the number of graft transplants, but only 70% of the transplanted hairs grow at the peak.

What is the optimal number of graft transplants in one session of FUE hair transplantation?

Our experience shows that patients tolerate this operation in the first 5 – 6 hours. After 6 hours, complaints such as distress, fatigue, dizziness and nausea often occur. As a result, hair transplantation should be completed within 6 hours if possible. In other words, the number of graft transplants is based on the number that can be achieved in 6 hours.

FUE hair transplantation in women

Cases of androgenetic alopecia are increasing, especially in women. Hormonal analyzes generally do not reveal any pathological results. Hair transplantation at an area of ??8-10 cm from the anterior hairline to the peak gives an excellent result in female patients with androgenetic alopecia. The main problem of hair transplantation in women is the number one haircut. Women can camouflage more easily with accessories such as hair bands and hairpins. In hair transplantation, the ratio of women to men is approximately 3/100.

For women with genetically broad foreheads, the forehead can be narrowed by the hair transplantation procedure. The deformities of the frontal bone and burn sequelae near the hairline can also be masked by hair transplantation. Since women naturally have thinner hair, hair transplantation in women gives more natural results than men.

Benefits of FUE hair transplantation The most effective way to treat irreversible hair loss is currently hair transplantation. Hair transplantation has many positive effects compared to hair loss treatment. Migraine attacks are significantly improved in migraine patients who undergo hair transplantation, and patients almost stop using medication. Many unknown beneficial effects of hair transplantation will be discovered in the future. Better results can be achieved by applying various supportive treatments such as mesotherapy following hair transplantation.

As a result, hair transplantation is perhaps the most changing method in all aesthetic applications. Patients with baldness seem to be 10-15 years older than their actual age. Therefore, hair transplantation provides some form of psychotherapy by causing patients to regain images corresponding to their actual age. The positive attitudes of the patients after transplantation lead to significant optimism in their professional and private lives. In patients who do not have enough donor space for hair transplantation, even hair transplantation in the frontal region is sufficient to satisfy them.

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