What Is a Graft? – Hair Loss Information – Balding Blog

Most charge by the graft. I was wondering how much hair is a graft? Or is it just one hair? I was also wondering if you can transplant hair in places where it previously didn’t exist and how does that process work. I mean when you put the hair in a certain part, how does it just start growing? Also, is it permanant. And if you have no facial hair, can you transplant hair there? Will it grow like normal facial hair or after the first shave would it not return? Also, what happens to the hair that were taken from the back of the head, does that return to normal?

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Hair graft“Graft” can be defined as: living tissue surgically transplanted from its normal location in one part of the body into another part of the body in the same individual (an autotransplant, like hair or bone marrow transplants) or from one individual to another individual (like a kidney or heart transplant) and is expected to grow and function normally in its new location.

In hair transplantation surgery, a graft refers to a unit of hair or a group of hair follicles which naturally cluster together (a follicular unit) consisting of one, two, three, or sometimes four hairs. Typically, a graft equals or averages to about 2 hairs (see photo at right of average density, from the article Follicular Transplantation: Patient Evaluation and Surgical Planning?), but in individuals with very high densities, it might average as many as three hairs per follicular unit.

Hair (usually from the donor area of the scalp) can be transplanted to any part of the body, including the bald part of the scalp, beard, mustache, or eyebrow. It can even be transplanted to the tip of your nose and it will grow to as long as 6 feet (assuming that the growth phase of the hair lasts as long as 6 years or so)! The donor hair that was taken from the back of the scalp will not regenerate and you will then have either a small linear scar from where the strip of scalp was taken, or a series of small dot scars from where the graft was removed by FUE.

Prior to the 1950s, people incorrectly thought that the balding process was a result of a loss of blood supply, because the skin of the bald scalp was not flush with blood vessels, though that notion was killed by clinical scientists who showed that it was a genetic process, not a blood supply process. It was a relatively simple proof. If there was a blood supply problem, the transplanted hair would have died. Instead, the transplanted hair placed in the bald scalp grew well and the blood supply returned to supply the needs of the new hair at its new location.

Hair Loss InformationUsing Permanent Cosmetics to Disguise the Tiny FUE Scars? – Hair Loss Information – Balding Blog

Many are concerned about the aspect of small dot scarring after an FUE procedure. Would micropigmentation (permanent cosmetics) be helpful to disguise these tiny scars? If so, what would the methodology be to be most cosmetically effective. I think if this were an option to disguise any scarring, hair transplants would not be as scary to proceed with.

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Follicular Unit Extraction (FUE) scars do occur, but they should be minimally detectable with any length of hair (1/4 inch). I do not have experience with permanent cosmetics other than tattoos, which have problems associated with them, including changing color. Actually, a change in hair color over time will impact visibility of permanent cosmetics.

Small FUE Procedures Every Couple Weeks – A New Marketing Gimmick or a Reality? – Hair Loss Information – Balding Blog

A patient came to see me last week asking about multiple, short Follicular Unit Extraction (FUE) procedures for his frontal hairline, eventually totaling 1400 grafts. He is a busy attorney and wants to have his hairline restored, but did not have the time to get it done. He went to a doctor who told him that he could come in after court every 2-3 weeks, and get 200 FUE grafts placed into the frontal hairline. As an attorney who does not trust anyone at first glance, he came to me for a second opinion. Money was not an issue, but the charge would be $2,000 for each procedure.

I told him that this did not seem like a good idea to me. If he had 1400 grafts total over 7 sessions just two-three weeks apart, the hair would fall out between the surgeries and the surgeon could not see where the previous transplants were placed, therefore possibly causing damage. I also believe that 7 surgeries are not as good as one, but if he insisted on multiple surgeries, he must wait 7-8 months between the surgeries so that the previous grafts would not be damaged. It is possible that two surgeries spaced 2-3 weeks apart (one on the right side and one on the left side) might be able to harvest 500-700 grafts through an FUE surgery, but he would have to keep his hair long.

For more on FUE / FOX Procedure, please see:

Hair Loss InformationPoor Growth 6 Months After FUE Procedure – Hair Loss Information – Balding Blog

Dr. Rassman,

It has been a little over six (6) months since I have had FUE surgery. I had approximately 900 grafts done. My surgery was with a well respected doctor in the industry.

However, I have experienced poor growth thus far. My updated pictures that were recently sent to my physician showed lingering redness in the recipient and poor growth. My doctor responded that he was concerned about the lack of growth, and suggested that I have biopsy peformed if there is no improvement in the coming months.

Is this necessary and what can I expect a scalp biopsy to show as far as poor growth is concerned? It seems to me that not enough grafts were placed to begin with and that I may have experienced poor growth due possible transection of some of the grafts. Some areas are growing in better than others. What do you think?

Thanks

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I really cannot tell you what is to be expected and what is poor or good growth without examining you. Not being your doctor puts me at a great disadvantage. It seems you are in good communication with your physician and I would recommend that you follow up with that doctor. Sometimes the full growth may take as long at 12 months.

I believe that follicular unit extraction (FUE) has problems, even in the hands of good doctors experienced in that form of art. Notice that I said the “form of art”. I believe that FUE is a form of art in the way it is done. I have received many reports of failed FUEs and have spoken to doctors who are skilled in this ‘art form’ and they report hearing of many failures amongst the doctors procaiming to be experts in it. For example, I know of one doctor who is well known for FUE (he heavily promotes the practice expertise) and states that the speed for doing them exceeds an extraction rate of over 1000 grafts per hour. I would say, off hand, that this doctor’s failure rate must be huge. Not knowing your physician’s experience, I can not comment on your doctor, but you should be able to meet many of his/her patients to determine his/her success rate.

For more on FUE / FOX Procedure, please see:

I Want to Buy FUE Tools So I Can Do It Myself! – Hair Loss Information – Balding Blog

Where can I (as a private man) order tools for FUE. I´ll do it by myself.

give me a adress, please.

Thank you

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This is a most strange request. The tools for Follicular Unit Extraction (FUE) are varied. Some of them are not for sale. There are advertisements for some of the instruments in the Hair Transplant Forum International (the official medical publication of the International Society of Hair Restoration Surgery — ISHRS). You can contact the ISHRS for subscription or advertiser information.

I certainly don’t recommend doing surgery on yourself or others, though.

Hair Loss InformationI Want Hair Transplant, But Still Want a Shaved Head – Hair Loss Information – Balding Blog

Hello-

I am 26, and I am curious if it is possible to get implants for a shaved head. I like to keep my head shaved very tight ( just above bald ) and am starting to notice my hairline receding at the temples. I was curious if it is possible to get implants to reform my natural hairline, but still keep my head shaved. Thank you for your help

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Follicular Unit Extraction (FUE) sounds like a good solution, if you qualify. As you are in California, you should consider visiting me (offices in San Jose and Los Angeles) for a free consultation.

For more on FUE / FOX Procedure, please see:

I Want to Grow a French Beard – Hair Loss Information by Dr. William Rassman

I am wondering if there is a fix for spare beard growth. I cant grow a french beard because I dont have hair under my lower lip connecting to my chin. What can I do about it without invasive surgery?

Although you do not want to have surgery, a small Follicular Unit Extractation (FUE) procedure may be worthwhile. The hair that exists under the lower lip usually reflects very small quantities of hair. The entire procedure can be done in an hour with no significant pain and certainly no visible scars. The transplanted hair will grow like the rest of your beard and you can shave it if you get tired of it.


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I Tend to Form Keloids — Will FUE Give Me Problems? – Hair Loss Information by Dr. William Rassman

hello doctor,
my skin has a tendency to form keloids. i’m considering of having FUE on my frontal hairline. I know that keloid will probably grow on the donating area, but is there any possibility at all that it will form on the recepient area? Your answer is very important to whether I’ll have the procedure or not.

Thank you.

Keloids in the frontal area are extremely rare. In fact, I do not recall ever seeing a case or even hearing from the medical community about this complication. Although an unscientific study, hundreds of doctors were polled some years ago in an audience setting and the results were that not one hand was raised asking about keloids in the frontal hairline. With that said, I would do a few test grafts and wait 6 months or so before undergoing a hair transplant. Better to be safe than sorry.

Balding Forum - Hair Loss Discussion

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Hair Loss InformationFUE Into Temples and Nape of Neck So a Hairpiece Can Be Integrated? – Hair Loss Information – Balding Blog

Doctor,

Does your clinic do transplants to recreate temple points to be blended into a hair system? Though I am only twenty, the severity of my hair loss is such that I am not a transplant
candidate. Therefore I am considering doing FUE into the temples and at the nape of the neck, where a hairpiece can then be integrated. Have you heard of or done such a procedure before?

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Yes, we can do what you are asking, but I would want to know much more about you and why you are looking to do this., particular at the age of 20. I am a doctor first and foremost, so I must make my own determination on what is in your best interests. We may not agree, yet we might!

Shock Loss Risks – FUE vs Strip Harvesting – Hair Loss Information – Balding Blog

I heard of the possibility of shock and its harm to cause loss of existing hair from hair transplantaion. How frequentlly does this happen and is the risk lower with follicular unit extracton?

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Shock loss occurs in the recipient area, so the method of extracting the donor hair is not impacted. The best way to reduce the risks for shock loss is the use of Propecia (finasteride 1mg) to be taken orally prior to the surgery and for the subsequent 6-8 months.