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Aug 22 2014

Everything you ever wanted to know about female balding

When it was believed that alopecia was only a problem that affected men, this pathology started to appear in women, each time in a more severe form. The statistics signal that an important percentage of women suffer from this disease between ages twenty and thirty, and another group suffers from it in their forties or fifties. For this reason, we will go over the basic aspects of female balding, which is known as female alopecia.

Probably the female public reacts immediately once they observe irregular quantities of hair loss. However, this reaction, which leads to the search for a rapid solution, does not prove to be efficient enough because the patient does not stop to observe the characteristics of their alopecia and selects an inadequate treatment.

The first thing that many women forget when they notice hair loss beyond the normal limits is that the cause of the loss can be highly varied and that hair loss does not necessarily need to be related to the pathology of alopecia.

Therefore, the main recommendation would be not to take the first treatment that one comes across on the way, but to go to a specialist – in this case a dermatologist – who examines the conditions in which the hair falls out and determines what type of alopecia the person is suffering from.

Once the woman has been diagnosed with alopecia, we will go over how this pathology appears in its different modalities, among which we see androgenic or androgenetic alopecia and alopecia areata.

Androgenic alopecia in women

Androgenic alopecia appears in women due to the same causes as those observed in men. For instance, genetic predisposition, reaching old age and the constant changes at the hormonal level, especially in the androgens, condition hair loss in a direct manner. However, at the aesthetic level, there is a notable difference in the form in which androgenic alopecia develops in men and women.

While in men, the scalp hair disappears in the crown area, in women it presents itself with the weakening of hair strands, but hair does not come to disappear completely on the parietal region, or at least not in a way as drastic as what is observed in men.

It could be that hair loss is not observed, but the weakness in the frontal line of the head is indeed observed. This sign begins to appear during menopause due to the decrease in oestrogen levels.

The treatment for androgenic alopecia in women is varied. However, it is recommended to go to a dermatologist, who will determine which one is the best alternative to combat this pathology. Generally, drugs such as minoxidil are recommended, as well as the consumption of androgens administered orally, or antiandrogens like cyproterone acetate combined with ethynil estradiol.

In any case, it is advisable to avoid common treatments like hair tonics as these can aggravate the problem. Although it does not hurt to care for the hair against the threat of alopecia, you should know that hair loss is inevitable, which is why you should not evade nor delay the search for a treatment.

Female Balding

Alopecia areata

This type of alopecia does not have an origin properly defined by researchers. Its main symptom is the loss of hair in patches. This kind of alopecia is classified within alopecia totalis (AT), when all the scalp hair on the head is lost, and alopecia universalis (AU), when the loss occurs in all the body.

Alopecia areata does not have a specific treatment, but some therapies like topical corticosteroids, ultraviolet light and steroid injections to stimulate the hair follicles and the formation of scalp hair.

Telogen effluvium

It is also known as telogen effluvium and was mentioned for the first time in 1961 by Kligman. It is a modality of temporary alopecia, which occurs following exposure to a serious disease, stressful situations, febrile seizures and childbirth. It is a natural response of the body, which is why it disappears without there being need for a therapeutic treatment. In some cases, it can last up to six months.

Use of medication or drugs

Alopecia in women can also occur due to the consumption of medication or drugs. For example, excessive doses of anticoagulants, antithyroid drugs, mercury, valproic acid and vitamin A can cause alopecia. However, this kind of alopecia disappears once the person stops using the chemical substance.

Are You Suffering from some form of female hair loss? Contact Us Today to get help from our hair specialists.

Aug 18 2014

Everything you ever wanted to know about hair shedding

It is common for people starting out on a treatment for alopecia in the hope of finding a satisfactory solution to balding, to experience a very concerning reaction early on in the process. Specifically, they suffer from hair loss in the first stage of their chosen anti-baldness treatment. This phenomenon is called hair shedding. Let’s take a look at what this involves.

Misinformation, pessimism and lack of perseverance are three key factors that can influence the results a patient sees in an anti-baldness treatment. This lack of information means that the majority of patients are completely unaware of one of the most scary reactions that can occur during the early stages of an anti-baldness treatment: shedding, a condition that accelerates hair loss due to a bodily reaction to a particular anti-baldness technique.

What is hair shedding?

Shedding is a reaction in the capillary activity of the scalp in response to the application of a hair loss treatment, characterised by an increased rate of hair loss. Specialists explain that this is normal and there is currently no way of avoiding the process, which is seen during the first three months of the treatment.

What to do if the hair loss continues for more than three months?

Three months is really just a standard period that can last for a longer or shorter time depending on the characteristics of the patient, and the treatment they have chosen. In some cases, patients experience shedding for more than three months, something that causes them to feel somewhat alarmed and insecure.

However, they forget that this stage is caused by the body’s initial rejection of the treatment, which can be caused by exposure to stressful situations, irregular administration of pharmaceutical drugs, a bad reaction by the scalp for genetic reasons, and so on.

Whatever the case, it is recommended to consult a dermatologist specialised in capillary treatments in order to supervise the management and application of the chosen treatment. This way, the doctor can advise on what is the best way to proceed, and resolve any irregular situation that occurs.

Hair Shedding

Hair follicles during hair shedding

Patients often ask about the condition of the hair follicles while the shedding effect is active. During this time, the hair follicles are not destroyed as most patients believe, but instead enter into a rest phase. So it is important to remember that during shedding, the follicles move from a growth phase to a rest phase.

This means the follicles are not destroyed, but simply become temporarily inactive. Consequently, when they return to the growth phase, the scalp is noticeably stronger and the effects of the treatment become evident. Indeed, the medicine is administered specifically to help the follicles take advantage of this rest stage, so they can receive the all the stimuli necessary to produce new and better quality hair.

Why does hair shedding happen?

Shedding happens because, at the start of a treatment, the follicles that are in the growth phase move to the rest phase, and consequently the hair starts to detach itself from the scalp. Afterwards, a process occurs whereby the administered nutrients become absorbed and reactivate the cycle, so hair is produced once more.

Patience and perseverance

The key to getting through the shedding stage successfully is to have patience and to apply the treatment regularly. Many patients completely lose faith when they first see the hair loss and forget that, as explained above, it is a completely natural process.

While those who — despite not being happy with this negative reaction — continue their treatment in a disciplined way, end up with some fantastic results, and are left with a strong scalp and an effective solution for alopecia.

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Is Baldness is Maternally Inherited?

Baldness is Maternally Inherited

Scientists from around the world have always thought that specific changes in the genetic ‘construction manual’ of the androgen receptor may result in premature balding from your mother. However it is known that baldness can indeed be inherited from either parent.

Aug 14 2014

What is the relationship between hair and keratin?

Many natural products are used in the creation of hair treatments. Moreover, while some are certainly more effective than others, it is useful to understand in what ways they can help to obtain healthier hair. Here, we are going to look at the relationship between hair and keratin and the benefits that using keratin can have on our hair.

Keratin, a protein that is mainly composed of sulphur, is present in nature and in the human body. In human beings, it can be found in the nails, the hair and the skin. While in animals, it is found in the horns, the feathers and the hoofs. In fact, its name is comes from the Greek keros, which means horns.

Types of keratin

There are two types of keratin in the human body: soft keratin, present in the skin; and hard keratin, found in the nails and hair. The first is known scientifically as keratin beta, and the second as keratin alpha.

Keratin alpha contains cysteine ​​in its amino acids, which in turn create disulphide bridges. This is a key component in strengthening nails and human hair, just as in the horns of animals.

Meanwhile, keratin beta contains no cysteine in its amino acids and so does not have disulphide bridges. This makes it a much more complicated component to obtain and retain in the body.

What is the relationship between hair and keratin?

Composition

Sulphur is one of the principle minerals that form this protein. It is estimated that it makes up between 2% and 4% of soft keratin, while in the hard keratins, it may constitute between 15% and 18%.

However, this is not the only material found in keratin. There is also a significant amount of hydrogen in the form of a helix, which contributes to increasing the resistance and hardness of the sulphur.

The hydrogen layers are structured into a helix and are combined with other layers to form micro fibrils, which then bind to larger molecules called fibrils. These are responsible for the hair’s development, along with its growth and resistance.

The fibrils are synthesized in the hair follicles and form the hair’s growth network. As mentioned earlier, hair possesses keratin alpha, which can be transformed to keratin beta through the application of heat and humidity. When this happens, the hair can extend its length as a result of the elasticity of the keratins and the hydrogen bonds in the helices breaking away to form a new structure, meaning that it maintains the same characteristics.

Structure

To get an idea about how keratin looks graphically, you must imagine a series of networked strands that come together to form a thread, which itself joins with others until it forms a large string. To keep the protein’s amino acids attached, a portion of the hydrogen bonds and hydrophobic forces are needed.

The role keratin plays in the hair is to protect each of the strands; to do so it takes the form of scales. This protection keeps the hair strong and resistant, while also regulating the shine and the intensity of colour.

Some 95% of our hair is made up of this protein, which disappears over time. That is why hair looks less strong , and balding appears, in later life.

Properties and care

Keratin makes the hair impermeable, thanks to its protective layer formed by Keratinocytes. Equally, it is responsible for the hair’s elasticity. This is why people who have keratin hair treatments often end up with longer hair. However, if you try to lengthen the hair too much, the keratin will not be able to resist and will eventually break off.

With regard to caring for this protein, there are a number of external factors that will inevitably have an adverse effect, such as exposure to the sun or excessive humidity. However, the use of certain chemicals, hair dryers, irons and other hair care items can further damage the protective layer of keratin.

To recover the keratin levels in your hair, it is recommended you use specialist products that contain the protein, more than anything to give extra shine, strength and flexibility to the hair, as well as to prevent alopecia.

Are You Suffering from a form of hair loss? Contact Us Today to get help from our hair specialists.

Aug 09 2014

Discover the advantages and disadvantages of the FUT and FUE techniques

Among the many techniques used to combat alopecia, hair transplantation has become one of the most effective, according to both the patients and specialists who have experience of it. There are two techniques for preforming this treatment: the FUE technique and the FUT technique. Many people have a tough time deciding which of these procedures to use to treat their baldness, so we will go over the advantages and disadvantages of each of them in turn, in order to select the method that best suits the needs of the patient.

The FUT and FUE techniques both offer a solution to the problem of baldness by means of a hair transplant. However, each have their own particular characteristics that can benefit or harm the patient depending on the type of alopecia they suffer from.

The FUT Technique

This is the main method of performing hair transplants, due to it being the first technique developed by dermatologists for grafting hair to the scalp. The name is short for Follicular Unit Transplant, but it is also known as FUSS (Follicular Unit Strip Surgery).

The technique involves extracting a strip of follicular units from the donor site of the scalp, located close to the nape, and then grafting them in those areas affected by alopecia, known as the receptor sites. The process leaves a lineal scar that will not be more than two millimetres wide.

Discover the advantages and disadvantages of the FUT and FUE techniques

Advantages

It is the most economical method. Due to this process being, to a certain extent, more straightforward than the FUE technique, the cost of is far more economical in comparison. In fact a FUE treatment can end up costing up to 50% more than a FUT treatment.

Less time in surgery. Although the length of a session depends on the type of alopecia, the FUT technique is much faster, since the specialist must make the cuts in strips rather than individually extracting each follicular unit.

Longer lasting grafts. Since extracting grafts in the FUT technique involves removing tissue from the scalp, its adhesion to the skin in the receptor site is both more reliable and more durable; whereas the amount of capillary tissue removed is lower with the FUE technique.

Disadvantages

Scars. If the patient has a poor scarring process, the FUT technique will probably also leave marks on the scalp. The scar left by this technique is lineal and corresponds to the suture the surgeon makes once he has extracted the strip of follicular units.

A longer recovery period. Postoperative care is more extensive than with the FUE technique. For example, it is recommended to remove the stitches ten days after surgery, not to exercise for three months after the process, a course of painkillers and antibiotics will be administered, and in some cases, patients have said they struggle to find a comfortable sleeping position.

The FUE Technique

This is the most recent hair transplant technique, and has been received very well by both patients and specialists. The name stands for Follicular Unit Extraction.

It consists of extracting follicular units directly from the scalp with a special piece of equipment called a micropunch, in such a way that no cuts or sutures are required. After extracting the follicles, they are grafted to the receptor site.

Discover the advantages and disadvantages of the FUT and FUE techniques

Advantages

Scar free. This is the main advantage of the FUT technique. The way in which the follicular units are extracted means that only tiny marks are left, which can only be seen with a microscope.

A short recovery period. As the extraction does not require a large surgical procedure, the recovery process is very short and comfortable for the patient.

Full control over the units to be extracted. With this technique, the patient can determine the exact number of follicular units they wish to implant in the balding areas. This way they can have greater control over the cost, and avoid any unnecessary loss of hair.

The possibility of having various sessions. Thanks to the extraction and grafting procedures being very simple, it is possible to take various sessions until the alopecia is under full control.

Disadvantages

More expensive. Wile the specialists have tried to reduce the costs of this process, it remains more costly than the FUT technique as, while the surgery is less serious, it is a far more painstaking and meticulous process.

A longer operating period. The sessions can last many hours because the extraction of the follicular units is preformed individually.

Grafts last less time. The follicular units may last less time, as they are extracted with little capillary tissue so the adhesion to the scalp is temporary.

Although these two techniques both give good results, the patient should analyse certain aspects such as the number of follicular units they will need, the type of haircut they wear (it is not convenient to have scars if the patient wears his hair short), the time the patient can spend in surgery, and the amount of money they are willing to invest.

Are You Suffering from any of these types of hair loss? Contact Us Today to get help from our hair specialists.

Aug 07 2014

What does follicular unit extraction involve?

Every so often, the techniques and treatments used to treat alopecia are further refined. Hair transplantation has been improving its processes, and has produced new techniques such as the FUE technique that involves follicular unit extraction in order to graft the units onto areas of the scalp suffering from baldness. It can be interesting to find out what does follicular unit extraction involve. When the FUT technique – the removal of follicular units in strips – first appeared as the principle method for preforming hair transplants, scientists did not stop evolving their experiments to improve the process. And as a result, the FUE technique was born. This method is now preferred among patients and specialists due to its many advantages.

What is the FUE technique?

It is the latest hair transplant technique to be used in the fight against baldness, and is characterized by the extraction of individual follicular units from the scalp, that are then grafted to areas showing signs of baldness. What does follicular unit extraction involveThe birth of this technique represent a radical change in the way hair transplants are preformed, in that they no longer require large surgical procedures, and they have dispensed with the scalpels and sutures that were needed to carry out transplants using the strip method. The execution of this procedure requires a special instrument, whose diameter varies between 0.8 and 1.2 millimetres, and that allows each follicular unit to be extracted individually. This helps avoid the tedious procedure of removing a strip and separating out each of the follicular units.

What are the benefits?

Patients have said that the procedure is more effective, as it does not leave any visible scarring so they can cut their hair in any style they like. This is one of the main problems with transplants using strips, as they leave a lineal scar on the scalp. Another advantage is that it is possible to plan the surgery in more detail, taking control over how many follicular units are extracted from the scalp, so not a single one is wasted. The FUE technique also requires a very short and less intensive recovery period, as the patient does not need any suture and the scars are virtually imperceptible. The patient can return to normal activities very shortly after a session, and can continue or repeat the process whenever they like, due to the recovery time being so short.

What are the disadvantages?

Although the results are effective, the method does have a few drawbacks, such as the duration of each session, which can be much longer than with the strip method. The specialist extracts the follicular units one by one and grafts them in the same way. This can lead the patient to experience high levels of fatigue. Equally, the complexity of the procedure makes the technique more costly. In some cases, the follicular units do not survive a long time in the recipient site as they are removed with a very small amount of scalp tissue. This causes the adhesion to last less time.

Why choose it?

Despite of the disadvantages of the procedure, there are many reasons to choose this method. The first is the fact that it leaves no trace. This is particularly attractive to many patients, as they will not be left with unsightly scars on the scalp. Likewise, those patients who can not spare a long time for the recovery process usually opt for the FUE technique, which involves a longer extraction process, but a much shorter recovery time. There is another group of patients that choose this technique to avoid the appearance of scars, which can be caused by erroneous surgical procedures.

To find out if you are suffering hair loss, Contact Us Today to get help from our hair specialists.

Aug 04 2014

The origins and history of hair transplants

The appearance of alopecia implied the development of research in the field of medicine in order to obtain suitable techniques to control the disease. Currently, hair transplantation is the most efficient technique against baldness. For this reason, we are going to carry out a general revision regarding the origins and The origins and history of hair transplants, as well as its contribution to combating alopecia.

history of hair transplantsCurrently, there are various techniques to control baldness, some older and more efficient than others. Within this group, we see hair transplantation, which is one of the most sought-after solutions by the patients due to the development that has taken place in the last few years, when the procedures for its execution has been perfected more and more.

Hair transplantation is basically divided into two modalities: firstly, we have follicular unit transplant, also known as microtransplant, and later we see the free-flap modality.

The technique and its evolution

The first public appearance of hair transplantation dates back to the year 1939, when dermatologist Shoji Okuda published in the Japanese Journal of Dermatology a particular method to transplant follicles on the scalp, the eyebrows and the moustache.

The method consisted of extracting follicles from the lower area of the head (the area close to the nape) and then implanting them in those areas that were bald. However, this procedure only worked in people with cicatricle alopecia and not in patients with androgenic alopecia.

However, this technique did not come to be known by specialists until after the Second World War as communications were interrupted. This explains why, about 70 years after the publication of Okuda, the method still kept being applied in almost exactly the same way practised by the dermatologist.

Treatment for androgenic alopecia

After carrying out much research and various tests towards the end of 1950s, Dr Norman Orentreich discovered the figure of the dominant donor, which made it possible to apply the transplant method as a treatment for androgenic alopecia.

Orentreich conducted experiments by extracting scalp hair from the nape area and inserting the hair in the bald spots of the head. As a result, he observed that these follicles were resistant to androgenic alopecia and that they could then be used in the area of the follicle origin as well as in the bald spots of the scalp. These type of follicles are known as dominant donors.

This was one of the most important discoveries in the scientific sphere in the field of alopecia as it made it possible to conclude that baldness did not necessarily need to be a problem regarding the blood supply. Because if this were true, the follicles would not be able to resist in those bald spots of the scalp. On the other hand, it made it possible to establish the modern hair transplant principle, which ensures the effectiveness of a follicle transplanted from one area of the head to another.

Three types of grafting

During the development of follicular unit transplant, many different types of grafting was carried out, specifically between the sixties, seventies and eighties. These grafting techniques could be classified into three types: punch-grafts, minigrafts and micrografts.

Punch-grafts were grafted from large scalp hair, where ample distance was left, which produced an effect of islands on the scalp, or the so-called toothbrush effect. Despite the unnatural effect of the treatment, it received a lot of popularity among patients with alopecia.

Towards the middle of the eighties, a change occurred in the way of conducting hair transplants with the use of the minigrafts and micrografts technique. In order to conduct this technique, a complete strip of scalp was cut, which was distributed in small grafts onto different regions of the head. This was possible thanks to the use of smaller tools that were easy to handle, something that had not been possible in the period of the punch grafts.

The difference between minigrafts and micrografts was that the former were used in high-density areas (like the crown), while the others were employed in scalp regions where a more natural aspect was desired (like the hairline and the frontal area). These two types of grafting certainly required a bigger quantity of follicles and their application was more complex than the case of the punch.

Follicular unit transplant

Follicular unit transplant is the modality of hair transplant that is currently used. This technique was perfected as of the nineties and its application is directed towards simulating the natural growth of scalp hair. The follicular units are the small points of growth on the head. Therefore, each one can have one to four strands of hair.

For that reason, the procedure requires a lot of precision to extract each unit with the help of a microscope. During the procedure, the presence of a technician or assistant is also needed in addition to the participation of a specialist in surgery. This method was developed by Dr Robert Besstein, who proposed to graft only follicular units on the scalp as a treatment for alopecia.

Currently, this is the official method for conducting a hair transplant, but some doctors continue to apply the technique of micrografts and minigrafts. The result will depend on the precision with which the incisions are done on the scalp and on the distance between the follicles.

Are You Suffering from any of these types of hair loss? Contact Us Today to get help from our hair specialists

Aug 01 2014

Are you familiar with these 12 types of alopecia?

Before selecting a certain treatment to control baldness, it is advisable to identify which type of alopecia you are suffering from. This way, you can pick a method that is suitable for your scalp and scalp activity. To this end, we will sum up these 12 types of alopecia.

Alopecia is defined in the Dictionary of the Royal Spanish Academy as «the pathological falling out or loss of hair». Although it is a precise definition, it doesn’t explain the concept in a detailed fashion. In this respect, we will sum up the 12 most common types of alopecia, keeping in mind that the causes of this disease are highly diverse.

In general, alopecia is classified into two large groups, which, in turn, are subdivided. Therefore, we have non-scarring alopecia and cicatricle alopecia. We will revise what each one is made up of and which typologies they include.

Non-scarring alopecia

It is one of the most common types of alopecia and is characterised by having high possibilities of recovery. In some cases, the recovery can take place in a natural manner, without the application of any treatment. However, it could also require a procedure to stimulate the growth of scalp hair. In this type of alopecia, the hair follicle is not completely inactive, but it runs the risk of stopping to work altogether. The different modes of non-scarring alopecia are as follows:

Androgenic alopecia

This is known as androgenetic alopecia or common baldness, which mainly affects men and sometimes women. Its cause is directly related to hormonal activity due to some alteration in the androgens, in charge of regulating scalp activity.

In women, this type of alopecia is not as severe as in men. It is recommended to check which degree of advancement the androgenic alopecia has before setting out on a treatment to control it. If it has already reached a high level of inactivity in the hair follicles, probably no method will yield any results.

Alopecia areata

Its causes are not known, but its symptom is the loss of scalp hair in patches. It can appear as alopecia totalis when one loses all the scalp hair of the head, or as alopecia universalis when one loses all body hair. Although there is no completely efficient treatment to combat it, there are some therapies -application of ultraviolet light, topical corticosteroids, steroid injections- to promote hair growth.

Are you familiar with these 12 types of alopecia?

Traumatic alopecia

It is generally caused by some external agent, such as the use of hair dryers, combs, straighteners or any other instrument that could cause severe lesions on the scalp. Trichotillomania, which occurs when the patient pulls off their own hair, is also grouped in this mode.

Diffuse Alopecia

It is also called chronic telogen effluvium and it appears after suffering a severe illness, emotional stress, febrile seizures or even childbirth. Its duration varies based on the recuperation process of the patient, but it generally does not last more than six months, when the alopecia disappears in a natural manner and scalp hair grows progressively.

Alopecia due to medication or drugs

It emerges due to the consumption of some chemical substances, such as anticoagulants, cytostatics, antithyroid drugs, valproic acid, mercury and high doses of vitamin A. Generally, alopecia disappears upon stopping the consumption of these substances.

Alopecia due to systemic diseases

It is caused by failure in the functioning of some of the systems that work in the body, such as the endocrine or the immune systems. It can also occur due to a nutritional deficit or lupus erythematosus.

Alopecia due to hereditary syndromes

Hair loss is produced due to a hereditary pathology, such as congenital atrichia, temporal triangular alopecia, Menkes syndrome, loose anagen hair syndrome, anhidrotic ectodermal dysplasia, trichorhinophalangeal syndrome, cartilage-hair hypoplasia.

Scarring alopecia

This type of alopecia are characterised by causing irreversible damage on the scalp. That is, its effect cannot be reversed via any particular medication or treatment as the hair follicle has completely been destroyed. Its different modalities are as follows:

Infectious Alopecia

They are the ones caused by the presence of an invading agent in the immune system. They can appear due to fungal infections (kerion, candidiasis, favus), bacterial causes (syphilis, leprosy, acne necrotica), viral causes (herpes, chickenpox) or protozoan causes (Leishmaniasis).

Alopecia due to physiochemical agents

They occur due to the presence of external agents in the organism, coming from physical and chemical sources, such as caustic agents, burns, mechanical trauma or radiodermitis induced by X-rays as hair follicles are sensitive to radiation.

Alopecia induced by tumours

They are caused by the presence of dermal tumours and metastasis. In this group, we also see basocellular or spinocellular epithelioma, mastocytes, adnexal tumours and lymphomas.

Alopecia due to dermatosis

This type of alopecia is produced due to skin diseases, such as Graham-Little syndrome, follicular mucinosis, sarcoidosis or dermatomyositis.

Clinic alopecia decalvans syndromes

Here we find diseases such as Erosive pustular dermatosis, parvimaculate alopecia and alopecia pseudopelade, as well as folliculitis decalvans.

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Baldness Myths – Baldness Only Effects Older Men

Baldness Only Effects Older Men

Most people think that baldness only affects older men, but this is untrue, it can effect any male and pretty much any age.

Jul 29 2014

A brief look at current hair transplant techniques

Since the beginning of the start of hair transplantation as the main technique to reduce alopecia, a series of methods for this treatment have been developed, which are applied based on various criteria, in line with the needs of the patient and the judgement of the specialists. Therefore, it is advisable to take a brief look at the current hair transplant techniques.

Before the patient picks the certain treatment, it is always important that they know what the treatment involves and what other possibilities they have in order to resolve the problem of baldness. In the case that they decide on follicular unit transplantation, it is advisable that they check which techniques currently implement this treatment, with the goal of picking the option that best fits their needs.

Follicular unit transplantation (FUT)

hair transplant techniquesThe growth and distribution of our scalp hair works in the following manner: each hair strand grows from a pore located on the scalp. This pore is called the hair follicle or follicular unit and can hold up approximately one to four strands of hair, depending on each person and on the scalp activity that the person has.

In this respect, follicular unit transplantation consists of extracting each follicular unit (with its group of hair strands) on a certain area of the head – called the donor site – to insert it into another area of the scalp – called the receptor site-. In order to do this, a lot of precision and patience is required, as well as the help of a microscope.

This technique has become established as the most modern technique applied by specialists in order to control alopecia. It implies a surgical intervention and the result is generally very natural and aesthetic as the process is meticulous.

The FUT technique is the general method, but, in turn, it is divided into two basic typologies, based on the needs of the patient and the criterion of the surgeon. So, we see the FUSS technique and the FUE technique.

The FUSS Technique

The abbreviation stands for the name Follicular Unit Strip Surgery. It involves extracting a slice of scalp hair from the donor site (generally in the nape area) and then separating the follicular units. This extraction implies a small wound due to the suture, but this is imperceptible unless the person has the head completely shaven.

It is calculated that between 1500 and 4000 follicular units are transplanted using this technique. After extracting and separating the follicular units, we proceed to implanting them on the receptor site. This job requires a lot of caution on the part of the surgeon and if the results are favourable, no difference should be noted between natural scalp hair and the grafted hair, considering that the incisions are very small and that they heal in a short time.

The FUE Technique

hair transplant techniquesThe name stands for Follicular Unit Extraction, and it requires a more complex surgery as the doctor does not make any cuts on the scalp, but directly extracts each follicular unit, with a specific tool for this task.

The advantage of this method is that the wounds are practically imperceptible after the process even if the patient shaves the area. Moreover, as it stimulates the growth of hair on areas close to the transplant, no differentiation can be made between natural scalp hair and the grafted hair.

Although it can be considered as a more efficient technique than the previous one, it proves to be a bit more costly, and it also requires various sessions as they can only implant some 2000 follicular units in each session. Similarly, the procedure is much slower and laborious.

Learn to choose

If you do not manage to choose a suitable method for yourself despite this explanation, it is advisable that you personally see two patients that have been treated with both methods. This way, you will be able to make comparisons as to which one has a more natural result and which advantages and disadvantages are experienced in each process, etc.

Additionally, the centres where these techniques are applied should show you photos of their patients. Similarly, you should enquire into how many sessions you would need depending on the degree of alopecia that you have. The ideal is to resolve the problem in just a single session. However, you should check the density of your scalp hair as you could be unsatisfied.

On the other hand, enquire into how many hair strands will be implanted in each follicular unit (take into account that there should be between one and four, in some cases). As for the distance, it should be no more than a millimetre to get a natural look. If any of these aspects fails, start searching for another surgeon.

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