The result of hair transplantation starts coming after 4 months and for good results, it usually needs 6-8 months. Full results come in a year after a hair transplant. There are many factors that affect the outcome of the hair transplant. Most important is the quality of the implanted grafts. If we implant healthy grafts without damaging them, they will yield good quality hair.
Quality of implanted grafts depends on the many factors, important factors are-
Donor hair quality – If the hair in the donor area is thick and healthy, we will get good results. Thick hair gives a good volume of hair. Sometimes hairs are thin genetically and they give less volume as compared to thick hair.
One more factor deciding the result is the number of follicular units in the graft. If multi follicular units are more in the donor area, they give more number of hairs and better results of hair transplant. The usual ratio of hair to grafts is 2.6
- The excision of grafts by an experienced surgeon reduces micro-trauma to the follicle. Such types of healthy grafts yield thick hair.
- Grafts are kept in the holding solution before implantation. At Rejuvenate Hair Transplant Centre we use plasma as a graft holding solution, it gives biological atmosphere to the graft outside the body and helps in providing nutrition to them. We can also keep grafts in RL or NS.
- Out of body time of grafts should be less than an hour to get better results of hair transplantation.
- Last but not least is the implantation. Implantation is usually done by the technicians, and if they are not trained enough chances of crushing injury to the grafts during implantation increase. Damaged grafts give rise to either very thin hair or no growth at all depending on the extent of the damage.
At our centre, we use no touch to root technique in pre-made slits for implantation of grafts. It helps in protecting the grafts from microtrauma.
All the above factors when taken care of and combined together give the best result of hair transplant. Post operative effluvium of hair is also reduced to the great extent and thus we get early results of hair transplant.
Here we are presenting a case of a 30 years old male with norwood grade V, having a good donor area of the scalp. He wants maximum coverage in one session. So we plan for beard hair also as a donor along with the scalp. We do two days hair transplant and implant 5115 grafts in the frontal and mid scalp zone. Of the total grafts 3015 are from the scalp on day one and 2100 from the beard on day 2.
For natural looking hairline we design it according to the shape of the head and use around 400 single hair scalp grafts in the anterior most zone in an irregular fashion.
Beard hair is mixed with the scalp hair to get a uniform natural result. Characteristics of beard hair are different from that of the scalp. If all beard hair grafts are used in one particular zone it will look different from that of the scalp hair and looks weird. But if we mix them in a proper manner they give a thicker and better look.
Temporal triangles are important for the aesthetic look of the face, fine single hair grafts are required for this area. In this case 150 single scalp hair grafts are implanted in the right temporal triangle and same number of grafts on the left side.
Postoperative period was uneventful, As a routine protocol oral Antibiotics, painkillers and antiinflammatory medicines are given for 5 days. On the 10th day, betadine scrub head wash was given. We start food supplements and topical minoxidil application from the 11th postoperative day.
When he came for follow-up at 4 months we were happy to see the result. There is good improvement in his appearance with growth of hair around 2-3 cm in length. Though these are early results just at four months 11days of hair transplantation and definitely there will be a lot of improvement in the result in the next 3-4 months. These early results boost up the patient’s and surgeon’s confidence