Hair loss is a health problem that affects both sexes. But the most common form of hair loss is the classical male-style hair loss, or “androgenic alopecia”.
This problem is mainly due to the effects of testosterone, and is almost always in the same pattern, but different severity. Classically, it begins with widening of the forehead, goes on with a backward displaced hairline, and ends up with total loss of hair on the top of the head. Interestingly, these people do not loose the hair on the sides and back part of the head. Because the hair follicles in these areas are generally resistant to the effects of testosterone. This fact arose the idea of transferring these resistant follicles to the needing areas. Simply, this is what we call “hair transplantation”.
There are two main techniques of hair transfer: the FUT (Follicular Unit Transplantation) and FUE (Follicular Unit Extraction) techniques. In the FUT technique, a strip of hair bearing skin is taken from the back part of the head, it’s divided into smallest grafts as possible by a scalpel, and these little grafts are implanted into the recipient area. This is considered to be a more old fashioned method, and is rarely used today. In the FUE technique, hair follicles are extracted from the donor area one by one, without any incisions or scars, and implanted to the recipient area one by one, too. This is the most popular hair transplantation method today. Here, the crucial points are to preserve the follicle grafts’ vitality until they’re transferred to the recipient area, and to implant them in a natural direction parallel to the existing follicles.
Hair transplantation needs crucial preoperative planning. In order to get natural results, the frontal hairline should be placed to an acceptable place, in correlation with the age of the patient.
A hair transplantation patient can return to work within 3-4 days after the operation. The implanted hair will be lost rapidly in the first two months, but the follicles will stay in place. Later on, these follicles will regain the strength to produce new hair material, and permanent hair growth will begin. The hair quantity will increase during the first year, so the results will be clear after a year.
There are some supportive therapies for the weakness of hair, such as PRP(Platelet Rich Plasma) and Mesotherapy. These may be employed for people who does not have total hair loss, but have weak or insufficient follicles.