What Are the Steps of FUE Hair Transplantation?

What happens on a FUE hair transplant operation day?

Preparation for a hair transplant

After the photos are taken, a final consultation is made with the plastic surgery specialist who will perform the operation, and previous conversations are reviewed and the hair transplant in islamabad operation is planned.

Planning before the hair transplant operation

During the planning process, the physician makes a final review regarding the number of hair follicles to be extracted, the number of the hair shafts contained in the follicles and the thickness of the shafts. The sites of and the density of transplantation and the orientation of the hair shafts are determined by taking the patient expectations into consideration. The compatibility between the specialist's suggestions and the individual's expectations is crucial in this phase. Being realistic about what we can accomplish and the suitability of the patient's expectations constitute the essence of a successful hair transplant operation.

Planning the hairline

A successful hair transplant operation requires a natural result which is not noticeable to the people in connection with the individual who undergoes the operation. And the hairline should be very delicately planned in order to obtain a natural looking hair transplant result.

Expectations and suggestions of the patient should definitely be listened while planning the hairline but the planning should be made in accordance with the person's current condition by taking the patient's forehead structure and facial symmetry into consideration, without fully concentrating on the previous condition of the patient. The hairline is determined by maintaining the symmetry with the help of the laser pointer device specifically designed for this purpose.

The hairline is the line that the hairy scalp meets the forehead. The hairline should fit the other aesthetical elements of the face, should be planned at a convenient level and should not be created as a sharp straight line. A natural hairline is created as a symmetrical fragmented line with a triangular wavy form. The follicles to be used for creating the hairline should be those follicles which contain a single and thin hair shaft. While a hairline created by sharply aligned hair follicles which contain thicker hair shafts is noticeable to everybody after the operation, a wavy hairline planned with a slight disorder and created with those follicles which contain a single hair shaft is not noticeable even to the immediate acquaintances of the individual after the operation.

Taking the first step right: Is it possible to correct an inaccurately created hairline?

A significant ratio of the patients who consult to us for a hair transplantation operation are those patients who are not satisfied with the results of the hair transplantation operations they have undergone in other clinics. The hairline result of a hair transplantation operation performed by an unqualified person may be irreparable. Correction of the inaccurate hairline is the most challenging aspect we experience in such extra corrective operations. With such patients, corrective operations can be performed by harvesting the too thick hair follicles inserted and inserting grafts containing a single hair shaft.

Nobody wants it to be apparent that they have undergone a hair transplant operation. In order to obtain a natural result, the hairline should be planned by a plastic surgeon specialized in the area, who has comprehensive knowledge about facial aesthetics and facial ratios, and who has performed an adequate number of hair transplant operations to understand the patient's expectations.

Haircut

After everything is planned and decisions are made for the procedure, the patient is prepared for the operation. The individual who will undergo the hair transplantation operation gets a grade 1 haircut. No haircut is necessary before that stage.

If a small amount of hair will be transplanted, FUE hair transplantation can be performed by shaving thin strips of hair without having a complete haircut. In this way, the person who undergoes the hair transplantation operation can quickly continue their social life without demonstrating any change in their appearance.

Local anesthesia

After the haircut, a specially prepared local anesthesia mixture is administered in order to have a painless hair transplantation operation that does not hurt the patient or cause bleeding.

Is hair transplantation a painful procedure?

Regarding the FUE hair transplantation, the most important concern of the patients is the answer to the question: "Will I suffer any pain during hair transplantation?" Hair transplantation operations are among those interventions that provide a high level of patient comfort. Just a mild level of pain is felt during local anesthesia injection at the beginning of the operation, and the rest of the hair transplantation operation after this stage is entirely painless.

Every individual has a different pain threshold. While a patient with a higher pain threshold is not affected at all by the local anesthesia procedure that lasts about 1 minute, other persons may have complaints of a mild burning and stinging feeling. Those anxious people with a lower pain threshold can tolerate the situation by saying that "I have pain but I can bear it."

The extraction and collection of hair follicles (follicular unit, graft)

The hair follicles on the site between the ears are genetically resistant to thinning. FUE hair transplantation is performed by the micromotor -a specially designed microsurgical device- without making any incisions or sutures. Hair follicles are individually removed from the scalp by using the micropunches with diameters of 0.6-0.9 mm inserted to the tip of the micromotor.

Extraction procedure is performed under the magnifier equipment by using the microsurgical technique only. Extraction is performed within the limits of the scalp at the level of the follicles. Since the extraction is limited to the level of the scalp, the tissues located deeper get no harm.

The most critical point to be taken into consideration in this procedure is giving no harm at all -not only to the hair shafts but- to the totality of the hair follicles with the hair shafts they contain, during the extraction. No hair shaft grows from a damaged hair follicle which is transplanted. If the hair follicle (follicular unit) is damaged, no hair will grow and the result will be unsuccessful. If no hair grows after the hair transplantation operation, one of the main reasons of this is a careless extraction procedure performed by an inexperienced person.

Since no hair follicle forms to replace the damaged hair follicle, a successful hair transplantation operation is possible only if the donor site is used with full efficiency. For the complete collection of each hair follicle individually, extraction should be performed carefully by a plastic surgeon.

The distribution of the completely extracted hair follicles is also significant. The number of the hair follicles should separately be calculated for those follicles that contain one, two, three and four hair shafts. Extraction of the hair follicles that contain three or four hair follicles as much as possible and avoiding those follicles containing only a single hair shaft will lead to a denser hair result. While 4000 hair follicles which contain a single shaft correspond to 4000 hair shafts, 4000 hair follicles which contain three shafts correspond to 12,000 hair shafts.

Extraction should not be considered as a simple technical procedure. The diameter of the micropunch, the speed of the micromotor, the orientation and the depth of the hair follicles, and the distance between the extracted follicles should be evaluated separately for each patient. At this stage, the level of experience and the skills of the plastic surgeon as well as the quality of the technical equipment come into play. In this context, we argue that 'there are no disorders, there are patients' and we make a separate evaluation for every single patient.

In addition, the total number of hair shafts targeted for 4000 hair follicles is 10,000 hair shafts at a minimum. The extracted hair follicles are stored inside a special nutritive solution in a cooled ambient in order to keep them alive.

Making the waterways for embeddings the hair follicles (Graft) amid the hair transplantation 

Setting up the beneficiary site is actually the compositional arrangement of the technique to be performed. The extraction area, thickness and the profundity of independent follicles, and the dissemination of the follicles are resolved in this stage. After the waterways are set up as per this engineering plan, the transplantation medical attendant should adhere to this arrangement as it were. For whatever length of time that the engineering plan is appropriately arranged, the subsequent structure from a certified work will be dependable and aesthetical.

This engineering plan establishes the frameworks of a fruitful hair transplant activity. This is the system which decides the introduction and thickness of the hair follicles and guarantees a characteristic appearance.

The strategy for setting up the channels and the gear utilized for this intention are exceedingly noteworthy. Hair transplant channels are made by utilizing uniquely planned sharp edges (smaller scale cut) with breadths of 0.5 - 0.8 mm. The width and length of the hair trenches are arranged by assessing the removed follicles separately.

The profundity of the hair transplantation waterways to be readied should suit to the length of the hair follicles, the width of the channels should suit to the thickness of the follicles to be embedded, and the introduction of the trenches should suit to the first introduction of existing hair. The trench to be readied ought to be as little as could reasonably be expected yet it should in any case be sufficiently wide to take into consideration a smooth inclusion of the hair follicles. Along these lines, the medical attendant who plays out the inclusion can without much of a stretch adjust the hair follicles to the channels and the blood course in the scalp does not get upset. Therefore, the rate of hair development from the transplanted hair follicles approximates a hundred percent.

Unquestionably no unmistakable scar is left and a characteristic outcome is gotten as long as the trenches are arranged carefully. So also, if the trenches are set up in similarity with the introduction of hair, the as of late developing hair can be brushed in the ideal heading and it looks common like the first hair.

The most troublesome consequences of a poorly arranged hair transplantation task incorporate unacceptability of the hair to be brushed in the ideal bearing and the high discernibleness of the transplantation. It is very hard to change the erroneous hair introduction to the best possible introduction even with restorative tasks. The presence of hair which is prevalently portrayed as clearing stones or a grass head happens if the hair waterways are made opposite or inverse to the introduction of hair or if an improper dissemination is made. Likewise, cuts more extensive than sufficient lead to perceptible channel scars at the base of the hair shafts.

While arranging the hairline, the channels ought not pursue a straight and sharp line; they ought to rather be arranged somewhat cluttered as a wavy line which gives an increasingly common appearance.

In the event that a wrong compositional arranging is made, the outcome won't be aesthetical and normal regardless of whether hair becomes after an effectively performed transplantation. For every one of these reasons, the hair addition trenches ought to be set up by an accomplished plastic specialist who is had practical experience in the zone with extensive learning.

Implantation of hair follicles 

This involves the implantation of the hair follicles independently extricated by the FUE strategy into the hair trenches arranged. In this last period of hair transplant in Rawalpindi, the hair follicles are embedded at the suitable profundity with the fitting point without giving any mischief to them. This methodology requires tolerance and alert. The hair follicles ought to separately be embedded into each and every channel without avoiding any of them.