Hair
Transplantation techniques: An update
We have around 1 lac hair follicles (roots) on our
head. In baldness, we lose the temporary
hair from the frontal head. Baldness is seen after 50% hair roots are lost.
Hair
Transplantation Procedure:
Hair transplantation is a minor but very
delicate surgery done by highly experienced, qualified doctors. In this,
permanent hair root from other part of body (usually head, sometimes beard,
chest etc) is transplanted on the bald area. These hairs grow naturally after
an incubation period of 1-3 months.
These permanent roots remain for the rest of life and
undergo regular cutting. They don’t need any maintenance.
Usually hair
transplantation is undertaken by males, and it is also successful in females.
We perform
hair transplantation by three methods: FUT, FUE and the most advanced DHT.
FUT: Follicular Unit Transplantation
This is the
oldest method of hair transplantation. Here a strip of skin containing hair
roots is taken from the permanent zone of head (backside). The strip is
dissected under microscope to individual “grafts” containing hair roots. This
method leaves a scar on the donor site. This is more technician dependant.
FUE: Follicular Unit Extraction
In this
method, individual grafts are harvested, leaving no scar on the donor area.
This is a stitchless method.
While doing
hair transplantation over the years, we were constantly striving to improve the
results and reduce all the limiting factors.
Here, the
grafts are extracted and immediately planted by a NO TOUCH technique. The transit time (i.e. the time
period for which grafts stay outside body) is reduced to minutes. The
procedure is carried by the doctors only, not left to the technicians. We
named this technique as Direct Hair
Transplantation (DHT)
Table:
FUT
|
FUE
|
DHT
|
|
Percentage of time during which the doctor
operates
|
30%
|
50%
|
100%
|
Graft handling by the doctor
|
30%
|
50%
|
100%
|
Transit time, time period during which the
graft remains outside the body
|
2-5 hours
|
3-5 hours
|
Within minutes
|
Chances of graft survival
|
70-85 %
|
80-90 %
|
98-100 %
|
Storage solution
|
required
|
required
|
Not required
|
Mechanical handling
|
more
|
less
|
least
|
Chances of graft dessication
|
more
|
less
|
least
|
Chances of graft infection
|
more
|
less
|
least
|
Scar after surgery
|
A linear scar remains
on the occipital scalp
|
No linear scar, no
stitches, no scalpel
|
No linear scar, no
stitches, no scalpel
|
Dr Pradeep Sethi, MD (AIIMS, New Delhi)
Dr Arika Sethi, MD (AIIMS, New Delhi)
429, Street number -8, Rajender Nagar, Dehradun
+91-8057541540, 0135-2750096
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