Hair transplant is one of the most rapidly evolving procedures in aesthetic surgery, accompanied by regular improvement in techniques. The recent advances in technology and the concept of using follicular unit grafts have made this procedure reach a new height. The ability to provide very natural-looking results has encouraged larger variety of baldness men and females to opt for this surgical solution.
The clinical onset of hair decrease in both men and females is generally around the age of 30 to 40 decades. A strong genealogy is one of the best indicators of the hair reduction or androgenic alopecia, which is the most typical cause of the hair reduction. An autosomal prominent genetic linkage is believed to cause of hair reduction. Men hair thinning hair reduction may come from the teen decades, and becomes more typical with increasing age. It is known that the man hormonal, testosterone, gets converted to another male hormonal, 5-dihydroxytestosterone (5-DHT), in the hair follicles. Under the influence of 5-DHT, hair follicles in the front and the top of the head start to become more fine over the decades in genetically susceptible men. Development of hair also gets restricted and eventually the hair disappears completely.
Like most tissues, hair goes through continuous revenues throughout life. Hair follicles are replaced regularly, and at any given time, they are in one of three levels of their development cycle. The actively growing level (anagen phase) is followed by a brief period of morphological change or the involution level (catagen phase). This is then followed by a resting level (telogen phase). In normal humans, the counts of head locks are usually 100,000. Locks grows at the amount of 1–2 cm every month and the duration of the anagen level is 2–4 decades while that of the telogen level is 100 days. Approximately 40–100 hair are shed daily; this amount increases at the end of summer and beginning autumn, and reduces at the end of winter or may, due to the effects of temperature. Norwood has categorized hair reduction into seven levels. In females, the front hairline is usually saved and hair decrease in females has been categorized independently by Ludwig.
HAIR TRANSPLANTATION TECHNIQUE
Although age is no bar for the transplantation of hair, the benefits and drawbacks of an implant need to be carefully analyzed in the younger sufferers. Patients between 20 and 30 years of age should have a stable rate of the hair reduction before they are considered for hair implant. A detailed genealogy is useful in evaluating the hair reduction and planning a new hair line. The color, quality, and density of the hair donor, as well as the comparison between the hair and the color of the skin, are key elements that affect the consequence.
It is remember that an individual is worse off after a badly performed hair transplant surgery. If done carefully, hair implant is a very rewarding procedure, both for the surgeon and the affected person.
Author: Dr. Mukesh Aggarwal