Today many clinics use different names for the same procedure which basically is the FUE method. FUE method has many benefits compared to formerly used FUT method. In FUT method, a strip of scalp excised from the nape area had been used as the source of hair roots. This method resulted in a long scar in the nape. In addition, the number of roots would be limited since only those roots on that strip could be used. Today, 2,000 to 3,000 roots can be transplanted in mega-sessions, 3,000 to 4,000 in super/mega-sessions and over 5,000 in giga-sessions. This multitude cannot be achieved when a 2.5 cm-wide strip of skin used, and such large transplantation sessions can only be accomplished using FUE method.

FUE eliminates all the disadvantages of the former method. There are no scars left in the nape since it is based on harvesting each hair root separately and transplanting them all over the bald areas.

The roots may be obtained from almost any hairy area. The rule is to pick one root and leave two roots, thus preserving the hair intensity in that area. Harvesting every other root is also possible according to the transplantation plan. In general practice, an additional session is recommended after 1 year for enrichment in order to achieve the best result.

Is FUT method still being used today? This method is now only used in small transplantations such as eyebrow or eyelash transplants which require only 100 to 300 roots.

There are some considerations to achieve a natural looking hair transplant. For instance, the hair line should be drawn per cosmetic principles, a rule that is also regarded in interventions like face lifting or forehead lifting. Temporal or frontal hair lines as well as temporal irregularities show differences between women and men. These characteristics are taken into consideration when designing your hair line. That’s why a transplantation must obviously be planned by a cosmetic surgeon and such cosmetic principles must be followed in order to achieve a natural appearance. This is the nub rather than just a detail.

It is also important to transplant the roots in a natural distribution and inclination. It will be very hard to notice a transplant when these cosmetic principles are taken into consideration.

Steps of hair transplantation may be summarized as follows:

The entire transplantation is carried out under hospital conditions.

The first step is to apply anesthesia to the area where roots are going to be collected. Collection of the roots will begin 10-15 minutes after anesthesia.

Collecting hair roots is the longest step in transplantation. Adequate number of roots are collected, counted and then arrayed in petri dishes.

Once collection of the roots is completed, a 10-15-minute break is given during which the patient can go to the bathroom, have a soup and stand up to have a walk. The patient cannot have solid food during the procedure. This break is very important because it is essential for the patient to have a walk in order to enhance blood circulation in the legs. Prolonged immobilization may slow down the circulation in the legs resulting in thrombophlebitis, also known as “flight disease”.

This step is followed by drilling canals and inserting roots.

Anesthesia is applied to the front part of the scalp likewise the back part before starting transplantation, so that the entire scalp is eventually anesthetized.

A certain amount of serum is injected into the scalp following anesthesia to swell it up. This allows easier drilling of the canals and a more intense transplantation.

The canals must be frequent and consistent with the natural inclination of the hair..

Transplantation starts after the canals are drilled. Doublet or triplet roots are spared for rear rows while single and thinner roots are preferred for the forefront. Inclination for which the roots are supposed to grow is taken into consideration.

Like drilling, implantation period is short.

When implantation is completed, the head is washed with serum and dried.

The patient is given assistance in order not to bump his head while leaving the hospital or getting into vehicle. It is important to protect the transplantation areas from bumping since injured roots may come loose and drop.

The implanted hair will shed within 2 months, but the roots remain. Hair begin to permanently grow thereafter. All hairs attain final normal growth period within approximately 6–9 months. Further strengthening of the roots and thickening of the hair takes up to 2 years.

Following the completion of the procedure, the patient is given an intervention note, a medical report, a brochure describing points that should be payed regard to, and a package that contain recommended medications, serums and shampoos. How to use these products is instructed in detail to the patient and is also included in the brochure.

The patient should pay attention to sleeping position and not to turn his/her head sideways during the first 2 nights in order to prevent any impact to the roots. Horseshoe-shaped neck pillows used in long journeys may be helpful.

The patient is called back for control after 2 days and the first head wash is done. The patient is instructed on how to wash his/her head during subsequent days at home. The transplant site should be washed once daily for 4–5 days.

Photos of the head at 6th and 12th months are kindly requested for further follow-up.

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Idil Hair Transplant