An Overview of Hair Surgery

Dr. Ilker Apaydin, MD

Having experience approx three years in the field of hair transplant and being an institution where more than 8000+ exclusive (all operations doing by ISHRS member surgeons) operations have been performed, we know that a successful operation does not have clearly set criteria. However, the success of the operation is largely dependent on the experience and expertise of the doctors, the choices of technical equipment and a well-organized team.

We are well aware of the fact that there are certain disadvantages of some new techniques and applications which have been scientifically tested and approved. That is why we offer only the tested and the least risky solutions to our patients.

What is a follicular unit?

A follicular unit is a naturally occurring grouping of one, two, or three (and sometimes, four) hair follicles found in the skin. It is distinguishable only under a three-dimensional microscope.

Where is the source of transplanted hair units and how are they obtained?

In FUT method, the follicular units to be transplanted are extracted from the hairy scalp between the two ears in the shape of a thin strip. This method is called follicular unit transplantation. At NewAge Clinic, each follicular unit to be transplanted is dissected under the microscope with great care and is prepared for hair restoration. Each unit is a graft which is gets transplanted to its new place.

In FUE technique, on the other hand, hair follicles are obtained one by one using special equipment. In principle, this technique is based on obtaining the hair follicles one by one which allows the extraction of body hairs to be transplanted to the scalp. The advantage of this technique is that it does not leave any scars where hairs are extracted from. The disadvantage is that it requires much more time than FUT technique to obtain the same number of grafts.

In both FUT and FUE, grafts are placed on the scalp using the same technique.

Where and how are grafts used and what is the maximum hair density that is supposed to be or that can be reached?

In the preparation of the transfer channels, needles varying between 19-23 calibres and 0.016 mm width slit blades are used for lateral incisions, which all vary according to the area where the grafts are placed and the structure of the hair. Density is one of the most important topics in hair restoration and it has a relation with the highest growth rate. A successful hair restoration operation is possible only with a specialist doctor that can combine both of them. For the time being, we are able to transplant 40-90 follicular units (which make 150 hairs) per square centimeter depending on the donor area density.

What are the medicines suggested for use after the operation in order to prevent hair shedding?

Androgenetic hair loss is a constant process going on throughout people’s lifetimes. After a successful hair restoration operation, hair loss can be seen in the old ages only in the areas where there are the previously existing hairs of the patients, not the transplanted hair. We strongly recommend that our patients take Finasteride and / or Minoxidil in order to prevent hair loss.