Hair Replacement Surgery

Hair grafting techniques (the most frequently performed method of transplanting hair) are performed by taking small tufts of hair bearing scalp from the back and sides of the head and moving them into holes and slits on the top of the head. This technique is commonly called hair grafting, punch grafting, plug grafting or hair transplantation. This procedure is performed by many physicians and in many clinics throughout the world. No new hair is added - hair and skin are relocated.

Grafting techniques include the following types of grafts:

• Micrograft - 1 to 2 hair grafts into needle holes.
• Small slit grafts- 3 to 4 hairs into a slit recipient site.
• Large slit grafts-S to7 hairs into a slit recipient site.
• Small minigraft -3 to 4 hairs into a small recipient site.
• Large minigraft - 5 to 8 hairs into a small round recipient site.
• Standard round or square grafting - Approximately 9 to 18 hairs in a 3-45 mm size graft placed into a slightly smaller round recipient site.

FLAPS

Although flaps transfer the greatest amount of hair in the shortest amount of time, the surgery is more extensive and specific skill and experience is required by the doctor.

A much larger portion of hair bearing skin (a flap) is transferred from sides and back to the balding area. The flap remains attached at one end through which it maintains nourishment. Therefore the hair in the flap can grow continuously unlike grafted hair which falls out before regrowing.

SCALP REDUCTION

The surgical removal of bald areas of the top of the scalp. Usually multiple scalp reductions are done, with success dependent on the laxity of the scalp and the limited degree of hair loss as well as the age of the patient. Almost all scalp reductions are done with a combination of either flaps or grafts.

SCALP EXPANSION & SCALP EXTENSION
Scalp expansion and scalp extension are done to accommodate scalp reductions when the laxity of the scalp is too tight. Expansion is also used to prepare individuals for flap surgeries.

NON-SURGICAL HAIR ADDITION

Hair weaves, hair extensions, hair pieces, toupees, non-surgical hair replacements, partial hair prostheses, hair wefts, etc, are external hair bearing device added to existing hair or scalp to give one the appearance of a fuller head of hair. Devices may consist of human hair, synthetic fiber or a combination of both.

With the non-medical techniques, we suggest the following:

• Although most adhesives are safe, it is best to have a patch test done by a dermatologist if you have a history of allergies. Even if you do not, its always best to have a patch test done in advance
• Hair weaving and other types of attachment that place prolonged tension can cause permanent hair loss at the anchor site on fine, thin hair. (Even temporary clips attached too tightly can also cause permanent hair loss). When performed properly on the qualified client, hair weaving does not cause hair loss.
• Proper hygiene must be maintained when wearing a hair addition for extended periods of time. It is essential that one must clean the scalp and hair on a regular basis.