Like good health and youth, most of
us take a thick head of hair for granted -- that is, until it is gone. For many
people, hair transplant procedures can help bring back the appearance of a full
-- or, at least, fuller -- head of hair.
What
Is a Hair Transplant?
Used in the U.S. since the 1950s,
hair transplantation is surgery that involves removing a narrow strip of
hair-bearing scalp from the back of the head and using it to fill an area with
thin or no hair.
Most hair transplants are performed
in the doctor's office under local anesthesia.
To transplant hair, the surgeon
first cleans the scalp, then injects an anesthetic to numb the area where a 3-
to 4-inch strip of scalp will be removed. After removing the strip of scalp
with a scalpel, the surgeon sets it aside and sews the scalp closed. This area
is immediately hidden by the hair around it.
Next, the surgeon divides the strip
of removed scalp into approximately 500 to 2,000 tiny grafts containing an
individual hair or just a few hairs each. The number and type of graft used
depends on the hair type, quality, and color as well as the size of the area
where it will be transplanted.
After the grafts are prepared, the
surgeon cleans and numbs the area where the hair will be placed, creates holes
or slits with a scalpel or needle, and delicately places each graft in one of
the holes.
Depending on the extent of the
procedure, the transplant will take approximately four to eight hours.
Sometimes additional sessions are needed if you continue to lose hair or decide
you want thicker hair.
Expectations
and Recovery
After hair transplant surgery, your
scalp may be very tender. You may need to take pain medications for several days. Your surgeon will have you
wear a surgical dressing over the scalp for at least a day or two. Your surgeon
may also prescribe an antibiotic and/or anti-inflammatory drug to be taken for
several days following surgery. Most people are able to return to work two to
five days after surgery.
Within two to three weeks after
surgery, the transplanted hair will fall out, but you should start to notice
new growth within a few months. Most people will have attained 60% of new hair
growth after six to nine months. Some surgeons prescribe the hair-growing drug
minoxidil (Rogaine) to improve hair growth following transplantation, but it is
not known how effective this is.
Risks
and Costs of Treatment
The cost of hair transplantation
will depend largely on the amount of hair to be transplanted, but it generally
ranges from $4,000 to $15,000. The procedure is rarely covered by insurance.
As with any surgical procedure, hair
transplantation carries risks, including bleeding and infection. Other risks
that can occur with hair transplants include scarring and unnatural-looking new
hair growth.
Around the time new hair growth
starts, some people experience inflammation or infection of the hair follicles,
called follic ulitis. This can be relieved with
antibiotics and compresses. Another potential risk is the sudden loss of
transplanted hair, called shock loss. Fortunately, this hair loss is rarely permanent.
If you are bothered by thinning hair
or balding, hair transplantation can significantly improve your appearance and
self-confidence. However, it is important to understand that hair
transplantation is just that -- transplantation of hair you already have to a
place where it is more visible. It does not create new hair.
To minimize the risks and improve
the success of surgery, it is important to undergo hair transplantation only if
you are healthy. You should always discuss the potential risks and benefits of
any surgery with your doctor.
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