Hair Transplant in Turkey
The technique of hair transplantation has improved substantially in recent years, to such an extent that we can say that at the present time it has reached its maturity, allowing totally natural results to be obtained.
Hair Tansplant in Turkey
Hair Transplant
The technique of hair transplantation by micrografts (“hair to hair”) is a minimally invasive surgery performed under local anaesthesia that does not require admission, and the patient starts his/her normal socio-work life again within a few days. The final cosmetic result of the intervention is observed at twelve months, so the makeover obtained is gradual. It is an intervention that produces a very high degree of satisfaction in patients with alopecia, both men and women.
Hair Transplant Concept
Transplanted hair will maintain the same characteristics as its original location
The hair transplant technique is based on the principle of repositioning the hair from an area of the scalp that does not undergo the baldness process (donor area), to the area where it is being lost (recipient area). Once the procedure is performed, the transplanted hair will maintain the same characteristics as its original location, that is, it does not follow the process of baldness and is not lost.
Hair transplantation is based on the fact that hair follicles in the nape of the neck are genetically resistant to baldness (so alopecia does not usually affect that area). The transplant is therefore performed with the follicles of the same patient, removing them from the area where they grow sufficiently and putting them in the area where they are missing. In the old days, hair transplantation was performed by “grafts”, that is, groups of multiple hair follicles that were transplanted into the bald area. It was a faster technique, but as the size of the grafts was very large, the final appearance of the patient was not ideal, taking on the look known as “doll hair”.
The technique has been advancing and today it has been proven that the ideal procedure is the follicular micro-transplant, performing “micrografts”. Through this technique, individual follicles are implanted, one by one, being a very laborious intervention, but that allows the patient to obtain a totally natural result.
Indications
The main indication of hair transplantation is androgenic alopecia in both males and females, when hair density has been lost and it is sought to recover it in a noticeable way.
There are other forms of alopecia candidates to improve with a hair transplant, such as some primary scarring alopecias (frontal fibrosing alopecia, lichen planopilaris, etc.) and secondary (surgical scars, burns, radiation therapy alopecia, etc).
Types of Hair Transplantation
The technique used is hair transplantation with follicular micrografts. There are two types of micrograft hair transplantation:
FUS or FUT Technique (Strip Technique)
It consists of the surgical removal of a strip from the region of the nape, approximately 1 cm wide and about 15-20 cm long. This donor area is sutured by a technique that provides a virtually undetectable scar – the trichophytic closure – allowing the patient to hide it with their own hair (see FUSS technique scar video ). The follicles of that strip of skin are separated one by one by microscopes. Subsequently these individual follicles are implanted in the recipient area of baldness, usually in the upper area and above the temples. This technique achieves a high number of follicles for transplantation, and is commonly used in males with extensive alopecia and in women. For the strip technique, it is not necessary to shave the hair.
FUE Technique (Follicular Unit Extraction)
This differs from the previous one in the form of extraction of the follicles, which is performed individually by a circular scalpel instead of making a strip. For this intervention it is necessary to shave the patient’s hair on the back and side area of the head. The way hair is implanted is identical to the strip technique (“hair to hair”, to obtain an all-natural result). This technique is mainly used in males who wear very short or shaved hair.
It is important to note that both techniques have the same result of naturalness and density, since the way to implant the hair is the same in both techniques. There is no better technique than another, but each will better adapt to the characteristics of each patient.
FUE (Follicular Unit Extraction)Technique
Hair transplantation is a laborious procedure involving about seven to nine professionals (one or two doctors, three to five technicians, a nurse and an auxiliary). To separate all follicles individually, coordinated teamwork is required for several hours (usually surgery lasts about 5-6 hours). However, at the medical level, hair transplantation is a completely safe intervention, which is performed to an outpatient (it does not require admission), and by local anaesthesia.
In our Trichology and Hair Transplant Unit of the No3 Medical Group clinic, we perform the intervention in the operating room with the patient controlled at all times by an anesthesiologist for greater safety. This ensures that surgery is even safer and that the patient receives sedative medication which greatly improves intraoperative comfort. The patient is numb, but conscious at all times, as the intervention does not require general anaesthesia. For all of the above, the risk of medical complications during surgery is minimal.
Regarding the steps of hair transplant intervention, we differentiate three mainly:
Removing follicles from the donor area: the necessary hair is removed from the area of the nape, by the FUE technique.
Separation one by one and preparation of hair follicles in the FUE technique the follicles are already separated and only have to be prepared for their implant.
Implant of the follicles in the bald area: the hairs extracted from the nape of the neck are implanted one by one in the bald area, using small micro-holes less than 1 mm made with a certain design to give a totally natural appearance.
Results
The goal of hair transplantation with the micrograft technique is to produce an all-natural result. To do this, the experience of the hair surgeon and his team, as well as the proper design of the transplant, will be essential.
Hair Loss Types in Men
Although there are different causes of thinning hair in men, about 95 percent is due to male pattern hair loss, the symptoms of which include a receding hairline and/or thinning at the crown of the head. The remaining five percent of hair loss in men can be due to an underlying health conditions like autoimmune disease, hormone imbalance, severe trauma or medication side effects.
Male Pattern Hair Loss
The most common cause of hair thinning in men, male pattern hair loss is inherited from one’s parents. This type of hair loss is due to the effects of DHT, a byproduct of testosterone that causes hair follicles to stop producing normal hair and start producing thin, short, colorless hair before eventually ceasing hair production altogether. Thinning hair is the first symptom, but this can quickly progress to bald spots, and once the follicles atrophy, the scalp appears tight and shiny.
Norwood-Hamilton scale. The following categories are defined as follows:
Type I: no hair loss,
Type II: minor recession of the frontal hairline,
Type III: further frontal hair loss,
Type III vertex: significant frontal recession and hair loss from the vertex,
Type IV-VI: further frontal and vertex loss,
Type VII: only the occipital scalp region maintained.
Alopecia Areata
Presents as patchy hair loss on the scalp and in the beard area. As the hair falls out, smooth, round patches the size of a coin or larger become visible. This type of hair loss occurs in children and adults, and is caused by the immune system attacking the hair follicles. Alopecia areata can start and stop suddenly.
Telogen Effluvium
Caused by anemia, low iron, inadequate protein, thyroid disease, surgery or illness, telogen effluvium presents as massive hair shedding over the entire scalp. Among the first symptoms of telogen effluvium is losing large amounts of hair in one’s hairbrush, in the shower or on one’s pillow. Once the root cause is treated, this type of hair loss generally reverses in six to 12 months without the need for further treatment.
Traction Alopecia
This type of hair loss is the result of excessive strain on the hair follicles. Most commonly caused by braiding, ongoing pulling permanently damages the follicles and prevents hair from regrowing.
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