Ans :Types of Hair Transplant – There are 4 types of hair transplant depending on the technique by which hairs are harvested .
FUT – : ( Strip method , most common , gold standard method ) – An elliptical strip of hairs is harvested from the back of scalp (donor area ) and the strip contains hair along with the hair roots . The strip is taken out on a very thin superficial layer of skin and the defect is closed with very fine absorbale stitches which leaves a very faint scar mark .( 1-2 mm thin line ) Which will be hidden in the hairs at the back by a new technique called trychophytic closure of scar, hairs will grow even through that 1mm thin line so as to camoflauge the scar .
Advantages of FUT -:
Maximum number of grafts can be harvested from safe donor zone in a single setting (3500-5000FUG ) depends on the donor area density to cover a big area of baldness in a single setting .
Since the hairs are dissected in loop magnification under direct vision the rate of transaction of hair follicles is minimum ( less than 1% )
FUE – (Minimal Invasive method , stitchless, no cut , no stitches) , Practically almost scarless , painless
Hair follicles are harvested from the safe donor zone of permanent hair with the help of standardised hair punches , manual or motorised (0.8mm,0.9mm,0.10mm in diameter ). The hair punch goes around the direction of hair upto the hair root and pluck it out one by one , the defect heals spontaneously by secondary intention leaving minimal scar .
Since its a minimal invasive method as compared to depth of the punch an extra skin or fat is not dissected as compared to FUT method , the post operative pain & discomfort is minimal (practically painless )
No surgical insiccion is given on the skin hence no minor scar mark and no stitches are applied so the client need not to come back for stitches removal .
Its a blind procedure the hair punch goes around the direction of the hair upto the hair root doesnot see the hair roots directoly . so the rate of transaction of hairroot is between 5-10 % even in the best of the hands .
A technical limitation of FUE is that after taking a single root we can not take out the near by adjacent hair roots even one has to leave 3-4 roots before taking another roots so the maximum hair roots that can be harvested in a single setting by FUE from the safe donor zone is usually between 2000-2500FUG depending on the donor area density rarely 3000 FUG .
Indications of FUE -:
A smaller requirement of grafts or to cover a small area of baldness , receding hairline in young age or bilateral temple fossa .
Eyebrow , Moustache , beard reconstruction .
Clients where the majority of donor hairs are grey .
Where the client keeps short hairs , army cut , crew cut .
Where the donor skin is tough and inelastic (FUT cannot be done ) .
BHT – Body Hair Transplant (Beard or Chest hair to scalp ) – permanent hair from body parts other than head like beard , chest , arms , legs , back , abdomen , axila, pubic are transferred to the area of baldness by FUE .
Indications of BHT -:
When the area of baldness is big (Grade 6,7 ) and the donor area density of scalp is less .
When the client does not operate for FUT method and wish to get covered a big area of baldness by FUE technique only in a single setting in that case the maximum number of grafts from the back of scalp are harvested and the remaining are harvested from beard and chest by FUE method .
Beard hair are used for post trauma burn scars to increase the density of scalp hair .
Chest hair are thin and finer are used to reconstruct temple triangle .
FUT + FUE Combo -: Its a latest technique where a big area of baldness can be covered in a single setting with minimal scar using FUT + FUE thus avoiding the need for a second session .
Avoiding the need of a second setting
Its economical , cost effective
Upto 4000- 5000 FUG can be transplanted in a single setting .