Advances in Hair Transplant Surgery

Advances in Hair Transplant Surgery

Hair transplantation has long history and after decades of hard work by thousands of hair transplant surgeons we have reached at a stage where we can say that “hair problem is not anymore a problem”.

What we have learned

  • Superiority of hair grafting versus bald-scalp reduction and scalp-flap surgery in almost all situations.
  • Acceptance of large-session hair transplantation, also termed the mega session, in which 2500 or more grafts can be transplanted safely in a single procedure.
  • Superiority of follicular-unit micrografting over traditional micrografting and minigrafting.
  • Although technically more demanding and time-consuming than other procedures, it yields superior results in terms of creating a natural appearance.
  • It enables increasing hair density.
  • Follicular unit grafting reduces accidental transection of hair follicles during the graft-dissection process because dissection is performed under microscope visualization leading to minimal wastage of valuable donor hairs.
  • Improved control of hair loss coupled with minimization of adverse effects from the use of 5-alpha reductase inhibitors.
  • Gene therapy may have future application in hair loss treatment. The genes that cause alopecia can be located and potentially replaced with genetic sequences not associated with hair loss.
  • Hair cloning (technically cell multiplication) may offer the surgeon a virtually unlimited supply of donor hairs. Reducing the requirement of donor areas. Follicle stem cells are multiplied and then injected into areas of thinning to initiate the regrowth of hairs.
  • Mechanization of the hair-transplantation process is perhaps the only way to improve the process of follicular-unit transplantation. Instruments capable of rapidly and accurately dissecting the grafts and atraumatically placing the grafts will speed the process and reduce reliance upon assistants.
  • Hair transplantation will remain an aesthetic procedure that requires a skilled surgeon to create natural-appearing results.

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