Transplants-Follicular Unit Transplantation (FUT)
Hair restoration surgery offers a permanent, living solution to lost scalp hair.
Modern techniques of surgical hair transplantation can restore lost hair and replace or re-shape your hairline with your own natural, growing hair, which needs no more care than the ordinary washing, styling, and trimming you have always done. Transplantation can be done today so well that often a barber or stylist cannot even tell that grafts have been placed.
Before and After Hair Transplant
Hair transplantation involves removing permanent hair-bearing skin from the back and/or sides of the scalp (donor area). Then, using magnification, the tissue is dissected into follicular unit grafts (containing 1-4 hairs) and multi-follicular unit grafts (containing 3-6 hairs each). These small grafts are then meticulously planted into the bald or thinning area of the scalp (recipient area) so as not to injure any follicles already existing in the area and at the same exact angle as the other hairs present.
skin strip before harvesting
strip-harvesting from the posterior scalp
skin closure with sutures
The creation of very small follicular unit grafts has enabled Dr.Mokaramito create very natural, feathered hairlines, which do not have the abrupt, “pluggy look” that was commonly seen in hair transplants of years past. Some surgeons prefer to transplant exclusively with follicular unit grafts, while others feel that placing the multifollicular unit grafts into the central areas of the scalp allows them to better create central density. Depending on the degree of balding in the frontal, mid-scalp, and vertex (crown) areas, usually 1-3 procedures are performed, with the number of grafts used varying tremendously, based on the area of potential alopecia, the patient’s “safe” donor supply, the textural characteristics of the patient’s hair, whether or not multi-follicular unit grafts are used in addition to follicular unit grafts, and the specific goals of the patient. Hair transplant surgery today is remarkably well tolerated. Within 24 hours small crusts will form on each graft that are then shed in approximately 4-14 days. The grafted hairs will often start to grow by 10-16 weeks after the procedure and will continue to grow for most, if not all, of one’s life. (As men and women age, in many there is a slight loss of hair density all over the head, which would naturally also affect the transplanted hairs).
The scar in the donor scalp is quite narrow
Who can benefit from hair restoration surgery?
Anyone who has experienced permanent hair loss may be a candidate for hair restoration surgery, including:
Men with male pattern baldness
Women with female pattern hair loss
Men or women who want to restore or change the shape of their hairline
People with areas of scarring from injuries or “scarring” skin diseases, and also patients who experienced some hair loss after surgery, such as face lift procedures
People who want to thicken or restore eyebrows, eyelashes, and beards
Men and women who want hair in an area where they have little or no hair
What happens during a hair transplant
Hair transplantation surgery is considered to be “minor out-patient surgery.” Hair transplant procedures can take from 4-8 hours and are usually performed using local anesthesia on an out-patient basis, often with some supplemental oral or IV medication for sedation. Patients are often awake, but feel very relaxed because of the effect of the sedative. There is typically little discomfort during the surgical procedure. The donor areas, where the grafts have been harvested, are usually closed with sutures or surgical staples, except in the Follicular Unit Extraction technique, which does not require surgical closure. These are usually removed in 7-14 days. Dissolvable sutures may occasionally be used in order to eliminate the need for you to return for suture removal. The recipient sites, where the grafts are placed on top, are essentially small, superficial needle holes or slits in the skin of the scalp.
Permanent hair-bearing skin removed from the back of the scalp
Small Follicular unit grafts containing 1-4 hairs
differnt types of grafts
hair transplant team
At the end of the procedure, either a very light dressing is applied, or, in many cases, Dr.Mokarami will have you stay for brief observation and then allow you to leave with no dressing whatsoever. At the conclusion of the procedure Dr.Mokarami usually checks the final placement of the grafts, and Dr.Mokarami or an assistant then explains the postoperative instructions, which are usually supplied in written form as well
How many sessions will be required?
2 sessions, FUT + FIT(combination method)
2 sessions,FUT + FIT(combination method)
What happens after hair transplant surgery?
Hair transplantation is a very safe, relatively minor surgical procedure. Significant complications are extremely rare. There is usually little or no discomfort in the grafted area. Most patients feel some “tightness” in the donor area for 1-2 days and are prescribed a mild analgesic to help cope with this. Patients may be asked to use moist compresses or sprays and to sleep in a semi-upright position for 2-3 days following the procedure to minimize swelling and bruising. Small crusts may form on each graft, and these can usually be camouflaged by any existing hair that can be combed over the recipient area, or with camouflage products such as DermMatch, Couvre, or Toppik. These crusts will flake-off by 5-14 days after the surgery, the smaller follicular unit scabs often falling off at 4-6 days and the multi-follicular unit scabs taking longer.
The transplanted hair seen growing out of the scalp may initially be shed; however, the roots remain and will be dormant for 10-14 weeks, at which time the new hairs will all begin to grow. Numbness that may occur in the donor or recipient area usually disappears within 2-8 months following surgery.
As stated above, complications are rare. Minor inflammation can occasionally occur around a newly transplanted hair follicle, similar to an infected ingrown hair or pimple, and usually responds to simple warm compresses. The scar that occurs in the donor scalp as a result of the removal of donor skin is usually quite narrow and can be easily hidden by the surrounding hair. The graft sites in the recipient frontal area heal with almost no visible scarring and are covered by the transplanted hair. A minority of patients may experience mild swelling in the forehead area for a few days following surgery. It typically appears around the 3rd post-op day and goes away after 3-4 days. Infection in either the donor or recipient area is extremely rare. Many patients experience a small area of numbness above the donor scar and in the rear central scalp that gradually disappears after a few months.
Modern sterilization equipments in the office
When should I start treatment?
Dr.Mokarami recommends beginning medical treatment of significant hair loss as soon as the problem has been identified.
Even if a patient decides to proceed with surgical hair restoration, medical treatment may slow or prevent additional hair loss in the future. Patients may have hair restoration surgery at any age after the early 20s, but the decision for any given patient may be different, depending on a number of factors. The vast majority of patients have their first procedure while they are not yet completely bald, so that they can use existing hair to help camouflage the procedure. However, because hair loss tends to be both gradual and progressive, it is often unwise to start surgical treatment in a patient who is too young. Medical treatments such as finasteride and minoxidil are usually recommended for men with hair loss to help preserve or partially reverse thinning hair in the rear crown and in the area on top. Hair transplants can be used to fill in the front hairline and thicken the front half of the scalp, and medical treatments can be used to maintain hair behind the transplants and to possibly enhance the long-term results of hair restoration surgery. Dr.Mokarami will work with you to design an individualized plan to fulfill your specific needs.
Hair Transplants-Follicular Isolation Technique (FIT OR FUE)
Follicular Unit Extraction, involves the removal of individual follicular units from the donor area, one by one, without a standard surgical incision. Unlike FUT، no strip exicion is required during surgery. No stiches no sutures and no scalpels are required.
How do I know if I am a good candidate for hair restoration surgery?
The elements that Dr.Mokarami assesses to determine whether a candidate is a good subject for surgical hair restoration include such things as: the patient’s general state of health; the hair’s texture—fine or coarse; the contrast between the patient’s hair color and skin color; the density, i.e., the number of hair follicles per square inch of the hair in the donor area; the size of the area to be covered; the size of the area of donor hair; whether or not previous grafting procedures have been done; and the patient’s goals and expectations.