Process of growth

As with normal hair, the growth pattern of transplanted FUs varies from person to person - some hairs grow faster, others slower. There are so-called fast growers and slow growers, with some patients seeing clear results after 6 months and others having to wait more than a year. In the first days after a FUT transplant, thin crusts develop over the small incisions in the donor area. These disappear as the healing progresses. Parallel to these scabs, most transplanted hair falls out in the second or third week after transplantation. Patients don't have to worry about this as this is a completely natural process. The reduced absorption of oxygen and nutrients weakens the transplanted roots, causing the hairs attached to it to fall out. Because the hair roots are only weakened and not destroyed, new and strong hairs start to develop after 3 - 6 months, once the roots have regained their strength. In certain cases, for example with tight packing, it is possible that not only the donor hairs fall out, but also neighboring hairs. These will also grow again when this period of hair loss has ended. This so-called shock loss is a short-term phenomenon that occurs in certain patients, probably caused by surgical stress. The new hair roots begin to produce new hair immediately after transplantation. In the first three months, these are very thin, similar to flax. Then the hair becomes thicker and stronger and after about a year the end result is clearly visible. All transplanted follicles generally produce new hair, although there are some exceptions. However, this happens quite rarely.

Mega dense packing

 
Natural hair density on a person's head is usually 60 - 120 hair root groups per square cm, though density varies in different parts of the scalp. It follows that hair density plays an important role in any hair transplantation. The hair density achieved through hair transplantation is decisive in achieving an aesthetic natural-looking result. So-called Dense Packing involves implanting FUs in a certain density in a certain recipient area.


A personal decision: low, medium or maximum density

The surgeon plays around with hair density, implanting donor hairs as sensibly as possible and doing his best to achieve a result looking as natural as possible. This attempt to mirror natural hair as far as possible is very patient-dependent, taking three factors into account:
  • The possibilities available under the circumstances and the availability of donor hair
  • Future age-related hair loss - the recipient area should remain looking pleasing and natural in the long term
  • The overall concept determined beforehand

It is understandable that any patient will have his own wishes and objectives. However there are not always sufficient donor hairs to fulfil patient hopes. Using the right technique, an experienced hair surgeon will be able to create the optical illusion of high density with just a few hairs, using donor hairs as efficiently as possible. A higher number of transplanted grafts does not necessarily mean greater naturalness, as hair density is not something that can be measured. Much more, it is subject to how it is seen. It is quite possible for a patient with excellent donor hair and a seemingly low density of about 40 hair root groups per cm² to achieve a result looking more natural than a patient with a much higher density and/or with worse donor hair.

Customized blades

The implantation of extracted hair root groups is done through incisions in the recipient area. These incisions can be made sagital (top-down / parallel) or lateral (sideways / perpendicular). The needle and slit techniques can be done in several ways: lasers are no longer used because they cause too much tissue damage, with implanted FUs having a hard time taking root. Ready-made needles, scalpels or special blades are now widely used. Custom blades, adaptable to the respective requirements, can also be used. The finer the instruments used, the more accurately FUs can be implanted, but also in larger numbers.

Both methods - needle and slitting techniques - offer very good results, as they can be used flexibly and adapted to the respective situation, but also cause minimal damage to the tissue, significantly increasing the percentage of transplanted hairs that take root and grow. Custom blades by Dr. Feriduni are much sharper than needles, which means they are much more accurate and cause only very small wounds. This has a positive effect on the healing process. In a transplant with, for example, 3000 FUs, 3000 times less damage is done. Further benefits can be found as the wounds heal, as the use of blades generally causes less bleeding, faster healing and minimal damage to the skin, with little or no scarring. Scalp rash is also less common.

Dr. Feriduni
Your hair is 90% of your selfie