Hair transplant information - Other techniques
In the world of cosmetic surgery, it is customary to try to find new techniques, thus giving the patient the impression that a revolutionary development has been accomplished. The use of laser in hair transplant surgery is a perfect example of this approach.
Although lasers are a superb invention for the treatment of retina problems or for tattoo removal or for definitive hair removal, it is actually useless in the field of hair transplant surgery.
In fact, it is used purely and simply for making tiny incisions for grafts. The laser can burn or cauterize the skin. It is this property of the laser which is used to make incisions.
What are the arguments of the laser manufacturers and users?
The zone will not bleed; surgery will be a cleaner procedure.
Nonetheless, laser has its disadvantages:
- A newly implanted graft needs blood, which transports glucose and oxygen.
In a cauterized incision, there is little blood, so the growth rate is less propitious
- Cauterization prevents the use of lasers in a hairy area because it can destroy living hairs.
- The depth precision and the orientation of the incisions are not as good as with a little classic incision, made using a sharp instrument
- In fact, often the coloration of the burnt skin at the base of each graft might change slightly, making the graft more obvious.
As a result this technique does not have many benefits, but it does have several inconveniences.
Better to avoid it.
However the change is unmistakably there: a few years ago, physicians often spent an entire day debating this subject during a congress. Four manufacturers would be present and they would discuss the financially interesting market of laser sales. At the last congress not a single laser presentation was given.
Laser : the backlash?
In recent years external laser treatments have been introduced. Low energy lasers are used, which supposedly activate hair growth in bald zones.
The HAIRMAX company perfected the laser comb, and has studies which seem to prove that lasers can have a favorable impact on hair growth. Time will tell. In the meantime, please consult our links for more information.
2.Other techniques to avoid
Unfortunately, there are still physicians and institutions that apply obsolete methods with disastrous results, which are often difficult to correct.
Patients often come to our clinic with serious problems: a donor area that is heavily damaged, a front hair line that is too low, large grafts, a general lack of density. It is not easy to correct such bad work but we think of it as an art.
However we prefer that patients do not have to submit to any type of correction.
Nylon hair transplants
They were very fashionable 15 years ago - notably in Japan. After 2 or 3 years the procedure was no longer used following some catastrophic aesthetic disasters.
3 years ago, an Italian team tried to use biocompatible fibres. Although specialists were impressed with the first results, they chose not to pursue the experiment.
The issue was not one of biocompatibility but rather related to an artificial implant providing an access point for bacteria. This could lead to inflammation and uncontrolled infections and the scarring can be really horrible.
To be avoided at all costs!
Hair transplants using large punches
Hair transplants using large punches always tend to look extremely artificial.
Patients often state that they feel more pain when they are stared at following a botched hair transplant or when they have a damaged scalp.
They say it is almost better to be naturally bald. For those patients who have very thick hair it is necessary to choose single hair grafts with very fine hair for the front hair line. A microscope is required for type kind of hair transplants
This laborious surgical method consists of displacing large areas of the scalp: this is an option during reconstructive surgery, for example after an accident. However this therapy is not indicated in the treatment of baldness, especially for the reconstitution of the front hair line. The result often looks extremely artificial.
Mechanical systems have been developed to reduce the cutting time, such as special multi-blade scalpels which pre-cut the grafts, blades and a press producing 2,000 “grafts” in ten minutes. There is also a machine consisting of a drill, linked to a vacuum, which sends the graft to the front of the scalp via a tube from the back of the scalp. The graft is then re-implanted with an air micro-pistol. This procedure entails huge wastage - 40-50% of all extracted hair is destroyed