There are two types of surgical approach to use in this procedure:
FUT (Follicular Unit Transplantation)
The surgeon removes a strip of hair from the donor site, normally from the back of the head. The hair is transplanted in naturally occurring groups of 1 to 4 hairs, called follicular units which contains sebaceous (oil) glands, nerves, a small muscle, and occasional fine vellus hairs. It is then dissected into smaller groups allowing the surgeon to safely transplant thousands of grafts in a single session and implanted it into the recipient sites (thinning and balding areas)
FUE (Follicular Unit Extraction)
The surgeon will normally extract follicular units directly from the patient’s donor area ideally one at a time. The hair follicles are transferred to the recipient site normally at the scalp and implanted using a powerful stereo microscope in groups of one to four hairs, just as they grow in nature. The area heals with small dots, which your existing hair will cover.
The surgeons recommend a one night hospital admission
Duration of Operation
The procedure may take one hour depending on the number of required follicular units
The procedure is normally done under general anesthesia in which the patient is asleep for the surgery.
Pre Operative Care
Surgeons advised that patients to do the following prior to the hair transplantation surgery to avoid post operation bleeding or any complications:
• Inform the surgeon of any allergies, all medical conditions, and any medication that the patient are taking (both prescription and non-prescription)
• Avoid aspirin and any medication containing aspirin or brufen for two weeks before surgery.
• Avoid smoking for two weeks as smoking can affect body’s reaction to the anaesthetic and slow down the healing process.
• Checkup for any major medical problems such as diabetes, high blood pressure, heart disease
During your consultation, you should discuss your expectations of the outcome of the surgery and listen to the surgeon’s opinion.
Post Operative Care
After Hair Transplant the patient is advised of the following:
• Medications. Prescriptions for pain medication that the patient will take as needed, and antibiotics are administered to prevent wound or graft infections.
• Scarring. There will be small, round, and typically white scars in the patient’s donor area where the grafts have been removed. The scalp will be tender but will resolve after a couple of days.
• Hair Growth. During the first ten days, some of the transplanted hairs, inevitably traumatized by their relocation and may fall out, but you should start to notice new growth within a few months. Most people will see 60% of new hair growth after 6 to 9 months.
• Recovery. Keep your head elevated for the first few nights following surgery.
Risks and Complications
Risks are inherent to any surgical procedure. But do not worry, all precautions are taken by Plastic Surgery Phuket’s surgeons to avoid these risks.
It is important that you know the signs of infection. This includes:
• Fever temperature over 37.8°C
• Pain not relieved by medication
• Increased redness along the incision
• Yellowish or greenish fluid collection on the wound edge
• Excessive swelling or excessive tenderness
When signs and symptoms of infection are noted or there is bleeding from the incision that is difficult to control with light pressure, contact your surgeon.