What Is A Hair Transplant?
What Is A Hair Transplant? Consolation after hair loss: To replace lost hair, doctors transplant hair roots from denser areas to more bald areas during hair transplantation. What is a hair transplant? Hair loss can be a serious psychological burden for people. Hair transplantation gives convincing results in some forms of hair loss.
Areas of application of hair transplantation
What is a hair transplant? The most important field of application of hair transplantation is hormonal hair loss, which experts call androgenetic alopecia. The hormone dihydrotestosterone (DHT) plays the decisive role here: the hair roots react hypersensitive to DHT and fall out prematurely. This hypersensitivity is in the genes. Therefore, hair loss is, so to speak, only a matter of time. In men, in extreme cases, only a ring of hair remains on the back of the head. The hair growing there does not fall out even under the influence of DHT ("DHT-resistant hair roots"). Baldness does not occur in women. Here, the hairs tend to thin out altogether, preferably in the region of the central vertex.
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Less often, patients lose hair as a result of injuries, burns or surgery. Certain skin conditions can also be responsible for permanent hair loss from time to time. These include alopecia areata, the so-called "circular hair loss", and folliculitis decalvans, an inflammation of the hair follicles. After their healing, bald spots may remain.
What is a hair transplant? Visually, the hair on the head will appear lighter only if more than half of the hair is missing. In this respect, it is also sufficient for a hair transplant to achieve a density of 50 percent of the original hair density. Hair transplantation is also possible in patients who have lost beard or eyebrow hair.
When is the intervention considered?
What is a hair transplant? Hair transplantation is suitable for patients with irreversible hair loss. With hormonal hair loss, doctors usually first make an attempt at drug therapy. For women, hormone-containing preparations and the active ingredient minoxidil are in the foreground here. In men, as a rule, medications can only prevent hair loss from progressing further. Finasteride and minoxidil have proven themselves well. Many patients do not want to take medication permanently.
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What is a hair transplant? Hair transplantation is therefore an option when other therapies fail. However, many doctors do not advise too early procedures for hormonal hair loss in men. They recommend a minimum age of 30 to 35 years. The hair loss should have already largely come to a standstill.
Who carries out the procedure?
Associations of experts in Germany have formulated the following requirements for doctors who want to independently transplant hair: first, they should have the professional recognition of an operative specialty. These include surgeons, gynecologists, otolaryngologists, as well as oral and maxillofacial surgeons. In addition, doctors must be well versed in the treatment of surgical, cardiovascular and drug complications. Furthermore, you should have completed the appropriate courses for hair transplantation and worked for a few days with a specialist for hair transplantation as a visiting doctor. In addition, at least one surgical assistant should have experience in the preparation of hair roots.
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Preparation for hair transplantation
What Is A Hair Transplant? The patient's education and informed consent to the operation should be given at least 24 hours before the procedure. First of all, doctors and patients discuss the possibilities and limitations of hair transplantation. The doctor also asks the patient about important prerequisites for operability, for example, whether the patient is prone to excessive scarring. In addition, the doctor examines the patient, especially the subsequent area of the operation, and documents the condition before the procedure.
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During the procedure, doctors can only skillfully redistribute the hair roots. The initial situation therefore often sets limits: for example, it is not possible to cover a large bald head with a small ring of hair at the back of the head with youthful hair density again. As a rule of thumb, if the area of the donor hair measures less than 20 percent of the recipient region, a comprehensive hair transplant is not possible.
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