Hair Transplant

Dec 13 2011

The difference between a definitive hair loss and a telogen effluvium

difference between a definitive hair loss and a telogen effluvium

What is the difference between a definitive hair loss and a telogen effluvium?

An effluvium is a diffuse hair loss, usually linked to an attack or a deficiency. It stops the cycle but does not kill it permanently. Usually, before a definitive hair loss, the hair experiences a period of several years during which it grows slowly and ends up being miniaturized.

Telogen Effluvium • 0 • Tags: accutane hair loss, clinic hair, effluvium, going bald, hair loss, hair transplant, receding hairline, telogen effluvium, telogen phase

Dec 13 2011

Difference between a chronic effluvium and a permanent fall out.

Effluvium Telogene hair loss definitive

How can people make the difference between a chronic effluvium and a permanent fall out?

On the one hand, the telogen effluvium concerns the whole scalp, which is not the case with the fall from androgenetic origin. On the other hand, the effluvium is often linked with a well known reason dating back two or three months earlier. Finally, if there is still any doubt, it is possible to make a test called trichogram. They tear off about fifty hair and they check their aspect, which allows to differentiate dead hair and living hair. It is also possible to make a photo-trichogram. It consists in cutting a small long-haired surface very short and observe its evolution within 2 days. The hair in anagen phase will be the only ones to have grown. In this way, it is possible to evaluate the proportion of dead hair in comparison with living ones.

Telogen Effluvium • 0 • Tags: anagen phase, Difference between a chronic effluvium and a permanent fall out., effluvium, hair transplant, hair transplant process, telogen effluvium, telogen phase

Dec 6 2011

The main reasons of a telogen effluvium.

Cause effluvium telogene

What are the main reasons of a telogen effluvium?

The telogen effluvium corresponds to the hair transition from its anagen phase (growth) to a telogen phase (death). It takes three months for the dead hair to come off. This is why the effluvium always occurs a certain time after an aggression.
The causes are stress in a wide sense : general anesthesia, childbirth, important fever episode, hormonal changes, or stopping taking birth-control pills, post partum, iron or zinc deficiency, or taking certain medications causing reactions (antidepressants, depressors, cholesterol lowering pills, anti-inflammatory, anti -ulcer, antihistaminics …)

Telogen Effluvium • 0 • Tags: anagen phase, effluvium, hair loss, hair transition, hair transplant, hair transplant process, telogen effluvium, telogen phase, The main reasons of a telogen effluvium

Nov 3 2009

Hair transplant and age.

Hair transplant old young age

I’m 22 years old, and I started losing my hair when I was 16. My skull is almost bald. Somebody told me that it is not recommended to have a hair transplant when you are too young. What is your opinion about it?

What matters the most is not the age but the stage of baldness reached. Obviously, it is important to be very careful and reserved when a young person, with a little baldness, wants a hair transplant. If you do not understand precisely the causes of the hair loss, it is better to wait and postpone the surgery. Moreover, some medical treatments like minoxidil and finasteride are often very efficient at that age but if the baldness reached an important stage, it is possible to make a hair transplant before the recommended age, which is 25 years old. It would be best to see a good doctor, who will analyse your case and recommend you a therapeutic solution.

Follicular Unit Transplantation • 1 • Tags: bald, balding, going bald, hair loss, hair transplant, Hair transplant and age, hair transplant methods, hair transplant operation, hair transplant procedure

Dec 20 2008

What is the maximal density of incisions?

Incision density hair transplant replacement

I would like to know your opinion about the density of incisions. I have read that some doctors can reach 90 grafts per cm². Is it possible? Is it reasonable?

This is a very interesting question. There are two important limits for the density of the recepient sites. First, if you go over the number of 35 or 40 recepient sites per cm² there is a risk of bad regrow. There is also very often the risk that the grafts collapse because the density is not reasonnable. Second, the patients who asked for a high density forget that the number of grafts, even if it is an important number, must be spread on a surface big enough to make a satisfying result. If we increase too much the density, the surface to cover will decrease. It is better to think about it in this way. What is the best way to spread in density and on the surface the number of grafts reached? The key to obtain a good hair transplant is more the distribution’s strategy then the quest for maximal density.

High Density Hair • • Tags: hair transplant methods, hair transplant operation, hair transplant techniques, maximal density of incisions

Dec 15 2008

Trichophytic Suture, for an undetectable scar?

Trichophytic suture hair transplant replacement restoration

I would like to understand how the trichophytic suture works? I read that it is a new technique?

This is an old technique, which has been redescovered in 2005 by Dr Mario Marzola (Australie). In 1999, during the ISHRS Congress, Dr Simon Rosenbaum gave information about it; and this technique had its rebirth during the expansion of the FUE technique. In fact, most of the patients are worried about the scar left by the strip of the FUT technique. Many tests were done until the ISHRS congress in Las Vegas, in 2007, and only one technique of trichophytic suture has been chosen. A little strip of skin is taken, about 1 mm wide, from the inferior part of the skin which is going to be sutured in order to let the hair grow through the scar during the healing. Thanks to the trichophytic suture the scar is almost always unnoticeable, sometimes undetectable. Unfortunately, we do not have many indications yet that is why it must be used very carefully.

Correction: plug, bad hair transplant, scars, Scar • 0 • Tags: for an undetectable scar?, hair transplant operation, hair transplant scar, Trichophytic Suture, undetectable scar

Mar 12 2008

Hair clinic, Hair center.

Hair Clinic Grand Roi

About your hair clinic. I have heard that some doctors use to work in clinics which are not in very good conditions for a hair transplant. Could you give me some information about your hair clinic?

In order to realise a good hair transplant you must have a good team, a good technique and also a good clinic. Both the consultations and the surgeries take place in this clinic: clinique capillaire Grand Roi in Brussels, Belgium. I welcome the patients for the consultations and I realise the surgeries in a operating room which respacts the European rules, iso 2000. The air is purified by a system of spray, oxygen is available, the sterilisation room is separated… It is very important to provide comfort to a patient during the whole surgery so the armchair can be adjusted to change the position very often. For the patients living in another country, we arrange the accommodation in a very comfortable hôtel only 10 min far from our clinic.
For more information, have a look on our web site.

Hair Transplant Clinic • 0 • Tags: bald, balding, hair care, Hair center, Hair clinic, hair loss, hair transplant center, hair transplant clinic, hairstyles, stop balding

Mar 11 2008

Does the hair transplant hurt?

Pain painfull hair transplant replacement restoration

People often say that hair transplant is sometimes painful. I have read on your web site that it is almost painless. Can you tell me more about the pain, during and after the surgery?

Local anaesthesia is administered for the surgery, and when it is done properly the surgery is practically painless. Here is how it works: it is important to go on very progressively and to deliver stings only on already anaesthetised zones. So the placement of the grafts in that zones is totally painless. It is remarkable to notice how the donour area, which receives between 2000 and 3000 incisions, is completely painless on the day after the surgery. On the day after, only the donour area, where the strip was removed, could be a little bit painful.

Post Operative Consequences, Techniques • 0 • Tags: anaesthesia in hair transplant, Does the hair transplant hurt?, hair transplant methods, hair transplant procedure, hair transplant techniques

Mar 11 2008

Are the transplanted hair permanent or they will fall?

Lifetime grafts hair

Are the transplanted grafts permanents or will they be influenced by their environement? Do you think that baldness process will touch the grafts too?

All transplanted hair will keep their genetic characteristics. They are resistant to male hormones effects, in opposition to the original hair, and they will keep this peculiarity. That is why it is always recommended to make a quality hair transplant even if at the beginning the hair grafted are hidden by the hair existing. In fact, when those hair fall, only the transplanted hair will remain…

Follicular Unit Transplantation, Techniques • 0 • Tags: hair transplant methods, hair transplant procedure, hair transplant techniques, transplanted hair permanent or they will fall

Feb 27 2008

Surgeries against balding

My Doctor told me that other techniques could be used: the scalp reduction and the rags. I thought that these techniques were obsolete and disused.

Indeed, both techniques are less and less used. The scalp reduction consists of surgically removing the tonsure or the bald area. The scalp is then stretched to cover the bald spot. The surgery lasts about one hour and gives immediate results. It calls up hair from lateral areas. Moreover, it is quite painful and this surgery leaves a central scar which is visible and the scar can widen in the long term. The orientation of the displaced hair often looks artificial. For more details, you can have a look on this web page.
Rags. This is another obsolete technique. It consists of displacing large areas of the scalp. The orientation of the hair transplanted does not give a natural effect. This technique could be useful during reconstructive surgery, for example after an accident.
These technique cannot be qualified as surgeries against balding, even more when they are used to redefine the front line as the final result is not natural.

Techniques • 0 • Tags: hair replacement surgery, hair restoration surgery, hair surgery, hair transplant surgery

Feb 25 2008

What kind of incisions for a hair transplant?

Hair transplant replacement restoration incision size

I have read that the doctors use different kind of tools to make the recepient sites for the grafts. How does it work? How can it have an influence on the results of the hair transplant?

These tools can be classified in two categories: sharp medical instruments, or needles. As far as I am concerned, I decided to adopt Dr Hasson and Dr Wong”s system of little pieces of custom-made rasor blades cutted using a mini-shear. The advantage are that you can adjust them and they are very sharp. Moreover, they can be cutted on beveled edge and this helps to limit at lot the agression of the deep parts of the skin. I usually use three different sizes in order to make a very precise work throught the existant hair. I do not use needles because they cannot give me the opportunity to limit the depth of the recepient sites. Furthermore, they lacerate the skin tissues particularly when they are used to make hundreds of recepient sites (they can be used once). I believe that the quality of the tools can influence the result of the transplant: for the quality of the regrow and to make the surgery undetectable.

High Density Hair • 0 • Tags: hair transplant methods, hair transplant procedure, hair transplant techniques, incisions for a hair transplant

Jan 11 2008

Shock loss and second hair transplant.

Shock loss second hair transplant

Doctor, in August, I have had an hair transplant (not with you but with another serious surgeon, who is registered at the National medical association too) on my back area and I think I am feeling the hair coming out of my head. I already had a hair transplant with this Doctor, about 3 years ago, and I was really happy about the final result. At the beginning of August I asked him to perfect the previous surgery because a little line was hairless…but what worries me is the fall of the grafts implanted three years ago. In fact, although grafts existed on the left side of my front area, now I have this hairless strip. A few days ago this Doctor told me, once more, that the older grafts are going to grow back. If I am still worried, and I needed to ask to another specialist his advice, it is because after 4 months those grafts did not grow back (they fall 2 weeks after the second surgery). That is why I would like to know if the grafts that I lost (because of the anaesthesia? of the shock due to the new grafts placed next to them? …) will grow back for sure, and never fall again like the former ones?

Considering this hair loss process, it seems that you had a shock loss. Even if usually the shock loss occurs on the third month. Shock loss concerns, very often, already existent hair especially if there is a high degree of miniaturisation and it is linked to the degree of aggressiveness of the procedure. Personally, I am always extremely careful when there is a risk of shock loss. I never use adrenaline, and I reduce the number of incisions. I always ask my patients to take propecia and to use minoxidil during the weeks preceding the surgery. A shock loss of former grafts is very rare, really unusual. In spite of the fact that when you lose hair because of a hair transplant it can be permanent, with former grafts it is very exceptional ifthey do not grow back. That is why I recommend you to wait a couple of months before to consider a correction..

Post Operative Consequences • 0 • Tags: hair loss, hair transplant, hair transplant restoration, Shock loss, Shock loss and second hair transplant

Jan 11 2008

Eyelashes Transplant

I have read once on an American web site that it is possible to make an eyelashes transplant. Could you give me more details about it?

Eyelashes Transplant is a fascinating topic. This technique has been redescovered recently. You will find all the details on my web site. We could use hair, or body hair which is even better, as donour area…

Eyelashes Transplant • 1 • Tags: alopecia eyelashes, eyelash surgery, eyelash transplant, eyelash transplants

Dec 14 2007

Grafts implanted and microscope.

Hair transplant replacement restoration microscope

Good morning Doctor, is it true that the use of the microscope can improve the hair transplant, and the quality of the grafts? I am reading many dissimilar opinions on the internet and I do not see which are the advantages…

In my opinion, the use of the microscope is essential for the cutting of the grafts. Thanks to it, it is possible to avoid the transections (bad cutting of the hair which stops the regrow of the hair). It allows to cut and to sculpt the grafts making the thin ring of skin on the top as little as possible. It permits also to protect the telogen hair (the resting phase of the fu) which are shorter and transparents. For white hair, the microscope is incontrovertible. With the use of the microscope the transection rate is around 1%, while 10 to 40% of the hair are destryed during the naked eye cutting.

Techniques • 0 • Tags: Grafts implanted and microscope, hair loos microscope, hair transplant methods, hair transplant procedure, hair transplant process, hair transplant techniques