Avoiding Pitfalls in Planning a Hair Transplant

Although many technical advances have already been made in the field of surgical hair restoration in the last decade, particularly with the widespread adoption of follicular transplantation, many problems remain. Almost all revolve around doctors recommending surgery for patients who are not good candidates. The most typical reasons that patients should not proceed with surgery are that they are too young and that their hair loss pattern is too unpredictable. Young persons likewise have expectations which are typically too high – often demanding the density and hairline of a teenager. Many people that are in the first stages of hair thinning should simply be treated with medications, rather than being rushed to go beneath the knife. And some patients are just not mature enough to create level-headed decisions when their problem is indeed emotional.

In general, the younger the individual, the more cautious the practitioner ought to be to operate, particularly if the patient has a genealogy of Norwood Class VII hair loss, or diffuse un-patterned alopecia.

Problems also occur once the doctor does not adequately measure the patient’s donor hair supply and does not have enough hair to accomplish the patient’s goals. Careful measurement of a patient’s density and other scalp characteristics will allow the surgeon to know exactly how much hair is available for transplantation and enable him/her to create a pattern for the restoration which might be achieved within those constraints.

In all of the situations, spending just a little extra time hearing the patient’s concerns, examining the patient more carefully and then recommending cure plan that is in keeping with what actually could be accomplished, will go a long way towards having satisfied patients. Unfortunately, scientific advances will improve only the technical aspects of the hair restoration process and can do little to insure that the procedure will be performed with the right planning or on the correct patient.

Petersfield prp Five-year View

The improvement in surgical techniques which have enabled an ever increasing amount of grafts to be placed into ever smaller recipient sites had nearly reached its limit and the limitations of the donor supply remain the major constraint for patients getting back a full head of hair. Despite the great initial enthusiasm of follicular unit extraction, a technique where hair could be harvested directly from the donor scalp (and even the body) with out a linear scar, this procedure has added relatively little towards increasing the patient’s total hair supply available for a transplant. The major breakthrough will come once the donor supply could be expanded though cloning. Although some recent progress had been made in this area (particularly in animal models) the opportunity to clone human hair reaches least 5 to 10 years away.