When considering surgical hair restoration patients must understand that it is a limited procedure. Hair is a finite resource and once it is used it cannot be reused and more hair cannot be generated. If you have aggressive hair loss you must understand the law of supply and demand and how it relates to your specific case. When performing surgical hair restoration doctors are trying to make a cosmetic improvement with a limited resource so compromises must be made. For instance, if a patient with aggressive hair loss wishes to have a strong harline with relatively high density they must accept the fact that there is not enough donor hair to give an equal amount of density throughout the rest of the recipient scalp. Any work performed behind the hairline, into the mid-scalp or crown, will be performed at a progressively lower density as hair is moved from front to back. For patients with moderate hair loss they must understand the potential for future hair loss, regardless of family history. A family history of no hair loss becomes completely irrelevant if you are experiencing hair loss yourself, and in fact, lends itself to making your specific case completely unpredictable and potentially making any result gained from surgery to be highly unstable.
If you are losing your hair and wish to reverse the problem you must resist the temptation of the quick fix. Researching your medical and surgical options is paramount to success both in the short term and long term. To do anything less is a recipe for potential disaster.
ollicular Unit Transplant
Hair Transplant Strip Surgery
Hair transplant strip surgery has been the dominant form of surgical hair restoration since the early 1990’s. The early days of hair transplant strip surgery, while antiquated and primitive compared to today’s techniques, represented a paradigm shift in how clinics operated and what patients could expect with regards to healing, pain management, scarring and final aesthetic results. “Mini-micro grafting” was the most common procedure performed during the 1990’s. Physicians were required to hire additional clinical technicians to assist with the overall procedure. These technicians were required to “sliver” and dissect the bundles of hair into manageable sized grafts that would be placed into the recipient zones where hair was needed. These “grafts” contained as few as one to two hairs or multiple follicular units with up to ten, twelve, and even fifteen hairs each, depending on the goals and aesthetic skills of the clinic overall. The grafts would be created based on the doctor’s needs. These grafts would be dissected using “jeweler’s loupes” or sometimes with the naked eye, which would result is transection rates that would not be acceptable in today’s market. In reality, mini-micro grafting is not a “bad” procedure in and of itself, as many excellent results were achieved with it’s use, modern advances have rendered the technique as obsolete.