Everything You Need to Know about Hair Transplant

For adults, daily hair loss varying from 100 to 150 hairs is considered normal. Those who have hair loss that is more than these numbers per day, face hair loss problem.

There are some general causes of hair loss although it varies from person to person. Some of them are as follows; genetic features, insufficient sleep, causes related to psychological stress, inadequate or improper nutrition, smoking or alcohol use, some microbial diseases and ringworm on the scalp, excessive use of cosmetic products and side effects of some drugs.

Everything You Need to Know about Hair Transplant
Everything You Need to Know about Hair Transplant

When the products with herbal ingredients and some applications are not enough for solution of the hair loss problem, hair transplant is performed. Briefly, hair transplant is the restoration of the hair strands that have been fallen out by putting a new hair strand through a surgical operation.

This surgical operation has been used for years and good results are obtained. In addition, Turkey hosts clinics and doctors that are very successful in hair transplant. For this reason, many patients from abroad come to our country to have hair transplant every year.

Many medical terms are used in the hair transplant process. Knowing what these medical terms mean will be helpful for those who have questions about hair transplant. Detailed information will be provided about the process to help making a final decision for hair transplant. After all, people have concerns when they do not know what they will be dealing with.

We have gathered some of these medical terms and their meaning. It is presented for your information as follows:

  • Recipient Area: It is the balding area that has hair loss and where grafts taken from the donor area will be placed. In male pattern hair loss, this area is just above the head.
  • Alopecia: It means hair loss and it is one of the words used commonly for hair loss.
  • Alopecia areata: It means regional hair loss. It is the most common type of hair loss seen in men. It includes round or oval-shaped hair losses in the areas of scalp, beard, mustache, eyelashes or body hair without any changes to the skin. It is known that this type of hair loss is formed by person’s immune system attacking the cells in their body as if it is a foreign substance. Thus, alopecia areata is an autoimmune condition.
  • Alopecia reduction: This term means that the balding skin is removed and the skin is re-stitched and covered.
  • Alopecia totalis: It refers to equal hair loss in all areas. It is mostly seen in women.
  • Anagen phase: It is the first stage in the life cycle of hair. At this stage, the hairs are developing and growing rapidly. The later stage is the catagen phase. The last stage is the telogen phase.
  • Anagen effluvium: Sudden hair loss is called as anagen effluvium. This hair loss is usually temporary. Hair loss due to chemotherapy used in cancer treatment can be given as an example.
  • Androgenetic alopecia: This term is also known as male pattern hair loss. Scientific researches show that 50% of men experience this problem at some point in their lives. It is also rarely encountered in women in the post-menopausal period. However, the progress of this type of hair loss in women is not the same as in men. Prostate enlargement, high blood pressure, diabetes and obesity are among some of causes known on the formation of androgenetic alopecia.
  • BHT: It is a hair transplant technique using body hair. It is used when there is insufficient area to take donors on the scalp. In that case, hair transplant is performed with hair follicles harvested from various parts of the body.
  • Biotin: It is known that biotin, which we encounter as vitamin H or beauty vitamin in the literature, increases the quality of hair and nails.
  • Crown: The highest point on the top of the head is defined as the crown. Another term for this area is vertex.
  • Multiple follicular unit grafts: It is defined as the hair follicles taken from the donor area containing 2 and 5 follicular unit grafts.
  • Dermal papilla: Contains groups of cells that play the most active role in hair follicle and strand production. The dermal papilla forms the bottom of hair bulbs.
  • Densitometer: Before deciding on hair transplant, it is necessary to determine whether or not the candidate is suitable for hair transplant. This determination progress is carried out in the consultation stage which is the first stage in hair transplant. With the densitometer, the amount of hair per square centimeter is estimated in a certain area of ​​person’s scalp. The information obtained as a result of the calculation is adapted to the general and it is decided whether or not the person is good candidate for hair transplant. In addition, this measurement provides information about the future condition of a person’s hair loss.
  • DHI technique: The DHI (Direct Hair Implantation) technique, is the most preferred hair transplant technique in recent years. DHI hair transplant technique is mostly preferred in women. With this technique, the gaps between hairs are filled without damaging the existing hair. This method is highly preferred among hair transplant techniques because no scarring is formed and new hairs grow in the same direction as the existing hair with this technique.
  • DHT: It is the hormone that gives male characteristics. With increasing age, hair follicles show sensitivity to DHT hormone, thus, hair loss occurs. With the medications, hair loss caused by the reaction to this hormone can be prevented.
  • Tissue expansion: It is a method applied on people who have experienced intensive tissue loss. With this method, the tissue in the hair region is expanded and the hairless area is covered. In this way, a better view will be obtained.
  • Donor area: ​​ It is also called as the donor site. The nape region of the head between the two ears, which have relatively thicker hair roots and tend to fall out less or never fall out, is called donor area in order to be transferred to the balding area. In addition to the nape area, the upper part of the ears on the side of the head, which is called the temple area, and the eyebrow level are also suitable for being a donor area due to the characteristics of the hair follicles. Finally, any hairy part of the body that the donor area is not sufficient for can be determined as the donor area.
  • Donor dominance: The hair roots that are harvested from the donor area and transferred to the balding area, grow strong and are resistant to falling out as in the donor area.
  • Flap technique: With this technique, a section from the scalp is cut and moved to the balding area. Then it is stitched to cover the balding area.
  • Follicle: It means hair root. With hair transplant, strong follicles are transferred to the area where hair loss has occurred.
  • Follicular unit: This structure, which contains 2 to 4 strands of hair, is wrapped with hair follicle and a sheath-like structure. When the sebaceous gland, sweat gland and muscle are added to this structure, the follicular unit is formed. When it is transplanted to the hairless area via hair transplant, it should not be separated from each other and it should be transferred into the area as a whole.
  • Fox test: The viability of hair strands harvested with the FUE technique are measured via this test and it is decided whether to continue planting according to the result of this test.
  • FUE technique: FUE stands for Follicular Unit Extraction. Hair follicles are harvested from the donor area one by one and first kept in an organ transplant solution. Then, grafts are implanted into the channels opened in the bald area one by one. The success rate of FUE technique is known as 95%. FUE technique, which is the most preferred technique by hair transplant specialists, is seen as a much safer method compared to old techniques.
  • FUT technique: In this technique, hair follicles are taken from the donor area, not individually, but in a cluster form. The extracted hair roots are separated and placed into the balding area. It is less preferred technique than the FUE technique. Removing hair follicles in clusters increases wounds in the donor area and prolongs healing time.
  • Graft: In hair transplant operations, hair follicles harvested from the donor area in order to be transplanted in the balding area are called grafts.
  • Female pattern hair loss: It is generally seen as a thinning of the whole hair, and baldness problems are not seen in the later stages as in male pattern hair loss.
  • Catagen Phase: It refers to the second stage in life cycle of hair. It is expressed as the sleep period for the hairs. Hair growth stops İn this period.
  • Section Area: It is also known as hair caliber. It is an indicator of the thickness of the hair strands.
  • Cloning: It means reproducing the same thing of the existing thing under right conditions. Its use in hair has not become widespread but it is expected to become widespread.
  • Stem cell reproduction: It refers to the reproduction and transplant of hair cells by reproducing in a laboratory environment.
  • Ludwig scale: It is used to classify the female pattern baldness. It consists of three degrees. The first degree refers to light hair loss, the second degree refers to medium hair loss, and the third degree refers to severe hair loss.
  • Local anesthesia: It refers to numbing only the specific area. It is used to prevent the patient from feeling pain. Before hair transplant operation, it is applied to the area where hair transplant will performed with the help of injection. The risk is very low compared to general anesthesia and the patient is conscious in local anesthesia.
  • Macro graft: It is one of the milestones of hair transplant. It was first used by dermatologist Norman Orentreich in 1959. With this technique, the hair follicles are harvested from the nape area using punches with 5-10 millimeters tip and transferred to the recipient area without any processing. 8 to 12 grafts can be transplanted at once with macro grafts.
  • Micro graft: It has begun to be used since the 1980s. The use of micro graft technique is a turning point in hair transplant. The FUT and FUE technique are within the micro graft category.
  • Narwood scale: Narwood scale is also known as Hamilton scale. This scale is used to categorize male pattern hair loss. It consists of seven degrees. The first degree refers to light hair loss and the seventh degree refers to very severe hair loss. The degree of hair loss increases from one to seven. For the fifth degree and above hair loss, medical treatment has almost no effect on hair loss. The only solution in this degree of hair loss is to have hair transplant.
  • Punch biopsy pen: It is used to collect hair follicles from the scalp for hair transplant.
  • Hairline: The point where the forehead and hair meet is defined as hairline. Hair line varies from person to person.
  • Scalp reduction operation: In cases where hair loss is limited to small areas, removing hairless scalp and restitching the skin is called scalp reduction operation.
  • Scalp laxity: It is used to express the degree of flexibility and stiffness of the connective tissue in the scalp. The harder person’s skin is, the worse the result will be obtained from hair transplant. The opposite can also happen. In other words, the more flexible the scalp is, the better the result will be obtained from hair transplant.
  • Hair transplant: It is a permanent solution applied to the problem of hair loss when medication is not enough. It can be applied to both men and women provided that the tests are positive. Hair transplant is a surgical operation that is performed by implanting grafts harvested from the donor area into the recipient area. This surgical operation is performed under local anesthesia. There are many techniques for hair transplant and it involves different stages.
  • Hair miniaturization: It refers to the weakening and thinning of the hair. It is quite difficult to harvest grafts for hair transplant from those who have miniaturized hair in the donor area. In such cases, the graft is harvested from the hairy areas of the body and transferred to the recipient area.
  • Hair density: It is determined with the help of densitometer. It refers to the number of hair per square centimeter in the scalp.
  • Sapphire FUE technique: The main feature that distinguishes this technique from the FUE technique is that the channels are opened using special tipped glass pens obtained from sapphire instead of metal-tipped scalpel, punch biopsy pen or scalpel. This technique provides a great benefit in terms of the naturalness and recovery period of the transplanted hair. There are no cut marks on the channels opened with the Sapphire FUE technique and no wounds are formed. The width of the sapphire tips varies between 1.0 mm, 1.3 mm, 1.5 mm, 1.7 mm and 2.0 mm. Its length is 5 millimeters.
  • Senile alopecia: When the word alopecia, which means hair loss, is used with the word senile, it means hair loss or thinning of the hair strands due to aging.
  • Stereo microscope: It can be defined as high resolution special microscopes used to separate hair follicles during hair transplant.
  • Hair transplant with the strip method: A cut in the form of a strip is taken from the donor area and the follicular units are separated. Then, these separated follicular units are placed in incisions opened in the recipient area.
  • Temple area: The area between the top of the ear and the level of the eyebrow on the sides of the head is called the temple area. Hair in this region is suitable for being donor region like hair in the nape area.
  • Shock loss: 5% of the people who had hair transplant experienced the shock loss problem. Shock lost is the sudden and rapid hair loss in the area where hair transplant is performed, which is mostly temporary. Hair lost as a result of shock loss will grow back in about three months. This is known as the body’s response to the regional trauma caused by hair transplant.
  • Telogen phase: It is the last phase of the life cycle of hair that is the third phase. At this stage, the hair leaves the body. The hair life cycle varies from person to person. The stage of the hair in the life cycle affects how long the hair will grow after hair transplant. In addition, it is observed that the hairs in the same region are in different cycles.
  • Unshaven hair transplant: It is among the applications of the FUE technique. If the hair loss occurs in the front lines, the area to be transplanted is not cut or shaved. This technique takes its name from there. It is often preferred by those who have long hair.
  • Vellus hairs: These hairs, which are found more in women than men, are light, thin, short and soft. Usually, vellus hairs are found on the cheeks, hands, lips and arms.
  • Vertex: It is also known as crown and it is used to express the top of the head.

We have gathered and tried to explain the medical terms you need to know about hair transplant. We anticipate that knowing these medical terms will make it easier for you. Making a clinic decision, therefore, choosing a doctor is as important as deciding to have hair transplant and having sufficient information about hair transplant.

Although hair transplant is defined as a simple surgical operation, bad results can occur when the job is not done by competent people. Our suggestion for this will be to research clinics and doctors well.

We provide hair transplant service in our clinic under the name Now Hair Time.  Being in charge of our team that implements and one of the first doctors performed hair transplant operation in Turkey, Operator Doctor Bahadır Imer control all operations which are carried out with success in our clinic. We would like to state that we always prioritize customer satisfaction and we strive to be worthy of your satisfaction. In our clinic, we provide you FUE technique, sapphire FUE technique, DHI hair transplant and unshaven hair transplant technique. Let’s examine how our hair transplant is done and what stages we went through.

Our hair transplant process in our clinic Now Hair Time consists of eight basic stages. These stages are as follows: consultation, determining the hairline, making the hair ready for operation, applying local anesthesia, removing grafts, channel opening, implanting and medical dressing.

It is determined whether the person is suitable for hair transplant in the consultation which is the first stage. There are some diseases that have risk for hair transplant and hair transplant is not performed to those who have these diseases without a doctor’s report. During the consultation, the patient’s medical history is taken, and it is discussed whether the person having any disease is suitable for hair transplant. This process is not carried out unless approval of hair transplant is obtained from physicians of people with chronic conditions. Another important process at this stage is the evaluation of the hair to be transplanted. Hair transplant is not suitable for people whose donor area is not suitable due to both the result and the destruction of the hair follicles in the area. If it is decided to do hair transplant, another thing to do at this stage is to pay attention to the sterility of the hair transplant room and to prepare it in accordance with hygiene conditions. Finally, after deciding which method to be used in hair transplant for the person who will have hair transplant, the second stage can be started.

With the second stage, the hair transplant operation stages begin. The second stage is the determination of the hairline. As explained earlier, the hairline is the intersection of the forehead and scalp. Hair lines are special to each person and differ from person to person.  Determining the hairline correctly for hair transplant is very important in terms of natural look. Our hair transplant specialists determine the hairline just before hair transplant operation.

The third stage involves getting the hair ready for operation. Depending on the technique to be applied, the hair is prepared for the operation. For example, the donor area and the recipient area are shaved in the FUE technique while only the donor area is shaved in the DHI technique. Immediately after shaving, the donor area and recipient area are sterilized and this stage is completed.

The fourth stage is the application of local anesthesia. This procedure is applied with a needless anesthetic pen. It is a local anesthesia is performed to prevent pain in local anesthesia with needles. The person does not completely lose consciousness.

The fifth stage is the harvesting of hair follicles. There are also changes in the harvesting of hair follicles according to the hair transplant technique used. At this stage, the roots are taken individually or in strip form. It is kept in sterile solution containers. Then, the decision of which roots can be implanted in which region is made by the doctor at charge of the team.

The sixth stage is the channel opening process. It is known that slit method was used in the past to open channels. Slit is a tool that looks like a sharp razor blade. As a result of using this method, scars remain in the channels and the healing process is longer. For all these reasons, we do not use this method to open channels. Thanks to the sapphire-tipped pens we use, the recovery period is shortened and there is no scar. Also, sapphire tips minimize the rate of necrosis after healing. Just before the channel is opened, our experts determine the sapphire tip according to the hair structure.

The seventh stage involves placing grafts harvested from the donor area into the recipient area. The main stage at which the implanting process takes place is this stage. At this stage, the roots are placed one by one into the channels opened with precision.

The eighth stage is the final stage. At this stage, the hair transplant process ends with the medical dressing process. During medical dressing, all hair is carefully washed and cleaned, and special creams are used to ensure that the donor area heals in a shorter time. After measuring the blood pressure and pulse of the person, the surgical operation ends.

As a result of the hair transplant operation, the person who has hair transplant is discharged on the same day. However, for the first two days, it is forbidden to wash the hair by themselves. On the third day, the person who comes to the clinic for check-up will be washed by our medical team and will be informed about how to wash their hair. Our controls will continue at certain intervals and solutions will be offered for the problems faced. Would you like to be one of our customers who prefer us? We are looking forward to the day when we will put a smile on your face.

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