I'm 21 and have a really bad hair loss. When should I have a hair transplant?

Read Surgeon Aliza's answer to I'm 21 and have a really bad hair loss. When should I have a hair transplant? on Quora

Hair’s Response to the Environment:

Source LINK: Hair transplant infographics

Science and the latest surgical method of hair transplantation on the recipient site

Proper planning is directed toward achieving the best possible aesthetic outcome at the recipient site on the patient’s scalp. It is a noticeable outcome that meets the prospects of the patient and the patient agreed on major changes after the full and frank conversation between patient and the surgeon of hair restoration. The best possible aesthetic result is only achieved by the hair restoration surgeon’s skillful and experienced use of different techniques during the surgery:
Precise use of hair grafts
Correct knowledge of hair follicle phenomena and its application in the procedures of hair transplantation are essential. The surgeon will examine the visible and physical characteristics of hair for example color, curl, caliber, texture and after that he will figure out how to use these characteristics of hair for maximized the overall aesthetic effect at the patient’s recipient site. The transplant FU grafts ranging start in size from one hair to multiple hair grafts, and it is also important that which type of hair grafts are suitable for use in the patient’s scalp to achieve the best possible aesthetic result.
Surgical methods of donor hair removal
The preservation of donor hair grafts which are taken from a donor site to implantation in the patient’s recipient site is very important. Also, the preparation of patient’s scalp skin for hair graft transplantation, and the implantation of hair grafts at the accurate depth and angle in the scalp are also crucial just to reassure the survival and successive hair growth. If both angle and depth will right, then it is 100% chance of the growth of thick hair, which looks natural.

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Is a deep scarring issue in the recipient area can cause any major problem after the hair transplant surgery?

The hair transplant surgery is very expensive, luxury and a difficult treatment, so it has several side effects and adverse reactions. It totally depends on the surgeon’s expertise that how he transplant the hair with the help of latest instruments. 

If he has done the hair transplant surgery with safety measurements and follow the correct method, so there are few chances of any reactions like inflammation, swelling, the poor implant of follicles and deep scarring. In some cases, deep scars appear in the recipient area after the surgery if the inexpert hair transplant surgeon had used the poor quality of invasive instruments, like non-sterile blades that made the infectious incisions that later caused deep scarring. 

A professional surgeon only uses perfect needles to make small incisions for implant the hair grafts. Many restoration surgeons use different kinds of high-quality blades and advanced needles and he selects the equivalent instrument depending on the different sizes hair graft to create safe incisions on the scalp.

The key factor to prevent the deep scar issue is that a hair transplant surgeon should do equivalent small incisions in the hair transplant surgery because the correct size of the equivalent recipient incisions contains the minor sizes of the hair grafts, which are safely located in the scalp. 

If the incision area is too large, so it will be healed in a long time. And in this healing process, there is the bright chance of deep scarring issue and many foreign bacteria will cause dangerous problems in this infected scar area. But, it doesn’t mean that anyone has to worry about do hair transplant work successfully or not. It does, but you should select an experienced surgeon, who has wide experience in the hair transplantation field.

Hair Loss Infographics

Source LINK: Hair Loss Infographics

Hair solution in Dubai: After hair transplant surgery, why it is necessary...

Hair transplant surgery or hair restoration surgery is a very difficult procedure. The surgeon gives numerous advice and precaution tips to get the best effective results. One of the precautions is to avoid going in the sun exposure after hair transplant for 6 weeks. It is because hair graft endurance is totally dependent on the implanted new hair follicles, which are slowly connected to a new resource of blood supply. 

Therefore, without that occurring accurately, whether from affected from UVA or other sources, they will be damaged.

So the possibility of harsh UVA rays is the cause of sunburn and/or exposure below the outer layer of transplanted scalp tissue will damage both the hair graft tissue plus the underlying new hair follicles. It is why because the healing procedure in the deep skin layers of the scalp or lower dermis is very slower than the upper epidermis skin layer. It is absolutely a tragic situation for those patients, who underwent from the painful hair restoration surgery.Read more from : Hair solution in Dubai: After hair transplant surgery, why it is necessary...

Hair solution in Dubai: After hair transplant surgery, why it is necessary...

Hair transplant surgery or hair restoration surgery is a very difficult procedure. The surgeon gives numerous advice and precaution tips to get the best effective results. One of the precautions is to avoid going in the sun exposure after hair transplant for 6 weeks. It is because hair graft endurance is totally dependent on the implanted new hair follicles, which are slowly connected to a new resource of blood supply. 

Therefore, without that occurring accurately, whether from affected from UVA or other sources, they will be damaged.

So the possibility of harsh UVA rays is the cause of sunburn and/or exposure below the outer layer of transplanted scalp tissue will damage both the hair graft tissue plus the underlying new hair follicles. It is why because the healing procedure in the deep skin layers of the scalp or lower dermis is very slower than the upper epidermis skin layer. It is absolutely a tragic situation for those patients, who underwent from the painful hair restoration surgery. 

Read more from :Hair solution in Dubai: After hair transplant surgery, why it is necessary...

The valid reason of horrible Post Finasteride Syndrome condition in male patients

Sometimes, the patient suffers a sudden and severe hair loss problem, in such case he should go for a diagnosis test to figure out the main reason of his problem. Androgenic alopecia is also one of the major causes of sudden hair loss trouble. 

Therefore, a patient should go for hair transplant surgery because it is highly successful cure management, but the main issue isdo hair transplant work or not? Don’t worry, after so many researchers and positive outcomes, it has been confirmed that it works, but the surgeon also gives you some medication to support the surgery results like Propecia (1mg finasteride) because it is somewhat the most effective medical hair loss cure management currently available.

However it is not a proper hair loss cure, numerous men have used the treatment to effectively slow the development of balding and regrow natural hair since its authorization for the cure of androgenic alopecia (male pattern baldness) by the major department called FDA in 1997.

The working mechanism of Propecia is blocking the conversion of testosterone hormones to Dihydrotestosterone(DHT) hormones. Many studies has been specially conducted by its pharmaceutical manufacturer company, which showed that about 79% of men, who are using this drug stopped hair loss problem or even reversed their hair loss issue to normal condition, while fewer than 3% patients affected with the adverse reaction, but it said to be temporary effects and to settle after discontinuation of the medicine.

On the other hand, in the recent years since Propecia drug entered in the hair transplant and hair loss market as a hair loss cure, several serious complaints have arisen from male patients, who state to have suffered harsh and permanent sexual disorder related to finasteride use. It is very shocking and this unpleasant condition has come to be identified as or “PFS” problem.

What are the possible drawbacks of a laser hair transplant surgery?

Surgical procedures involved in hair transplant surgeries are frequently being revised and updated in order to provide patients the most natural looking and victorious hair transplant results. The laser hair transplant has made a good name for itself in precision scalp, and cutting during restoration surgery and is now grabbing its place in the hair transplant world through an advanced laser hair transplant. But, sometimes the application of a laser during hair restoration surgery may be more of an obstacle than advancement.

A severe disadvantage of a laser hair transplant is the possibility of fewer transplanted grafts yielding hair. This unpleasant situation is due to the laser's capability to immediately cauterize its cuts. In this case, the oxygenation and good-quality blood flow of the new hair grafts on the scalp can be compromised and restricted. 

Unfortunately, at this time there are no convinced key points to support this matter that why a person goes for an advanced laser hair transplant surgery over a traditional one.

Another major difficulty with the laser hair transplant surgery  is that it damages the laser ray inflicts on the patient scalp area's tissue. The harmful laser causes severe destruction of the upper dermal collagen and inner elastic fibers in the skin of the scalp area. This can also cause the natural and transplanted grafts to fall out. Also, the harmful laser can actually enhance the amount of scarring marks, which is received by a patient via using a traditional steel scalpel tool.

Is the patient’s beard or chest hair suitable for hair restoration surgery in the scalp?

The body hair is an advantage for those patients with an insufficient delivery of scalp donor hair or in those helpless patients who are coming in for a reconsideration of a meager hair transplant outcome. Yes, it can be used, but in a limited circumstance. The doctor can use body hair after one session of hair transplant when the patient returned back to the doctor for readjustments the bad growth of hair. If you cannot find any donor, then these body hair can be a good alternate of the donor hair. Nowadays, body hair transplantation is very common in the mass public besides fast follicular unit extraction (FUE) harvest. This field is growing day by day because so many patients face issues in bad eyebrow, beard, and the chest hair growth.

The doctor uses so many techniques for hair transplant surgery, but the best technique is undoubtedly follicular unit strip surgery (FUSS). This method has been set the high-level standard in the field of hair restoration surgery by its 100% good outcomes. That’s why this method can’t be replaced to any other method. The follicular unit strip operational treatment gained popularity among people due mostly to the fact that it has widely opened the possibilities to a limitless supply of hair grafts by expanding the customary donor availability. That’s why most of the doctors use this method in the hair restoration surgery with the help of body hair.

Major and important dissimilarities between the eyebrow and scalp hair transplant surgical procedure

The scalp and eyebrow hair transplants surgeries permit you to permanently grow hair where natural hair was loss. As we all know there are just a few resemblances, such as both transplant surgeries assured a 100% good outcome but, it is not true and there are harsh ground realities like both methods are different when it comes to implant hair grafts to the eyebrow area.

One of the major dissimilarities in eyebrow hair transplants from scalp transplants is the degree of complexity in matching the natural hair direction with the transplanted once. The scalp surgery is a very simple process compare to any other transplant surgeries because the surgeon easily blends the newly fixed hair but, the eyebrow restoration procedure is very tough and tricky because they changes direction frequently especially towards the end of the eyebrow line. So, it is understandable that the eyebrow shape will not be perfectly matched to the natural shape.

Those people who are thinking of having eyebrow hair transplants should also remember that the hair use in the eyebrow transplant surgery will be scalp hair of the donor. The hair of normal eyebrow rises for only a short period of time and then it will drop but, the scalp hair has an extended growth period because of the shafts. After eyebrow hair transplant surgery, you will have to trim the hair in order to keep it like a normal and clean shape eyebrow. This process changes the look of the eyebrows because the trimmed hair will have sharp blunt ends.

Is there any abnegation for food and drink before the day of surgery and what preparations are essential before the surgery?

Yes, of course you have to stay away from some specific food, sugar candies, and alcohol drink. If a patient has some anxiety problem, then, oral sedation is available for those patients who are anxious or have trouble in sitting still for a long period of time. Oral sedation is a method, in which patients are awake and comfortable for the surgery and the surgeon will give you a pill, which is typically Halcion, and it's generally give to anxiety patients just about an hour before the hair transplant surgery for relaxation. The surgeon will give further instructions to the patient and provide special medications, which are essentially taken in the morning of hair transplant surgery. For those patients with special concerns, such as a patient with heart problems, and diabetes problem, they don’t have worry about anything because it is not a dangerous procedure.

The morning of the hair transplant surgical procedure the patient should first wash his hair and wear a button down collar shirt. It is important that don’t wear anything that needs to be pulled tightly over the head like tight head gear or kerchief. When the patient checks in for the surgery, the staff member will help the patient to get ready for the surgery. The surgeon will check blood pressure and then, he will give a gown, which is necessary to wear before surgery.

Why Linear (Line Grafts) and Round or Square grafts are not an appropriate method in hair transplant surgery?

In the linear graft method, a 3-4mm linear strip of donor hair is eliminated from the side or back of the scalp and instead of separating the strip into follicular unit grafts so, the complete strip or large parts of it transplant on the scalp. Since this huge hair graft can’t be placed in small recipient sites, a deep area must be surgically cut into the bald area and the huge long hair graft is placed into the deep trench. As hair grows, it looks like a totally man made line of hair that is not cosmetically suitable and unnatural.

Round or Square grafts methods are the original, standard, out of date and pluggy-looking grafts. Each 3-5mm hair graft is made with a hole-punch device for transplant, resulting in a plug of hair about the size of a pencil eraser because of the hole-punch device. Whether these long and huge hair grafts are round or square, they are too long and do not even slightly resemble the system hair grows naturally from the head. When the huge and long hair grafts transplanted as a result, it compromises the blood supply, hair in the middle of the graft some time does not grow, leaving the patient with a doughnut head effect. These inappropriate long grafts are wrong for transplant and due to this procedure, the patient may suffer with a cobble-stoning disease, which is a common scalp defect seen in hair transplant patients.

Is smoking allowed after hair transplantation surgery

Is smoking allowed after hair transplantation surgery? Did it cause any bad effect on outcomes of surgery?

If smoking can be a reason to loss of once-healthy adult hair, then you can only imagine the outcomes that it can have on highly exposed and newly transplanted hair. After hair transplantation, the proper circulation of blood to these transplanted follicles is extremely important to the survival of transplanted grafts. Smoking can affects some of these transplanted hair follicles to shrink and die before they increase in their new locations.

Smoking can be harmful to the result of hair transplants and that’s why, smoking should be avoided after hair transplant surgery and surgeon always warn you to quit smoking for some time. Because it blocks inhibits the blood flow and it will cause slow down the healing process as a result, which is why surgeons are obstinate in instructing those who undergo surgery to stop smoking during the post-surgical healing phase - and if possible thereafter and forever.

Keep in mind that hair transplantation represents a large investment of both money and time. And you have a restricted and limited number of donor’s hair that can be transplanted, and you will desire to make sure that you do whatever you can to help the success of your hair transplantation surgery. If you are a smoker and you are going to get hair transplantation surgery then please prepare to quit smoking one month before than transplantation and not to start again for at least two months. To make sure the long-lasting success of your hair transplants, you should seriously think to stop the smoking. The patient who smokes should discuss with their own hair transplant surgeons for suggestion. 

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