The genetic predisposition in both men and women for male pattern baldness or hair loss is medically known as androgenetic alopecia, and is the cause of more than 95% of hair loss. Hair loss can be due to hereditary genes, excess stress, and any number of physiological problems or as in this case after cosmetic surgery. Restoration can by performed by hair transplantation.
Hair from areas where the hair is thick can be transplanted or grafted – hairgrafting – to bald areas. These grafts preferably, follicular units and micrografts, retain the character of the donor site hair.
In this case over a thousand grafts have been placed for male pattern baldness and the patient has only had one hairgrafting session.
Single hair micrografts were placed, in the same patient, in a random pattern to reconstitute a natural frontal hairline and follicular units were placed behind this initial row of micrografts.
In this case the patient lost hair around the incisions of a facelift, hair loss after surgery, performed by another surgeon. The normal appearing hairline behind the ear and improved temple hair density was achieved in one hairgrafting session.
Hair grafting surgery can enhance your appearance and your self confidence. Realistic expectations are important to be happy with any surgery. As each patient is an individual, different results can be expected in each patient.
The alternatives to hair grafting are wig, scalp expansion, scalp reduction, scalp rotation flaps and spray on hair coloring. The expansion, reduction and flaps distort the hair line edges and leave long visible scars. The coloring washes off and stains anything it touches. Wig weaves cause traction hair loss.
Numbness of the scalp and forehead can occur and is usually temporary but can be permanent. Itching of the scalp or forehead is also common. It is possible to lose from lack of blood supply (necrosis) small areas of the scalp and have the wounds heal over a period of weeks. If a donor strip method is used there can be temporary or permanent loss of some hair along the incision line on the back of the scalp and the scar may widen. The risk is minimizing by taking a vertically narrow donor strip and cutting the scalp parallel to the hair follicles.
Infection is possible resulting in the loss of some or all of the hairgrafts with some minor scarring and pigmentation changes. Increased pigmentation of skin transferred along with grafted hair and/or uneven skin surface can occur as a result of or in the absence of infection.
The original hair pattern and thickness initially present cannot be duplicated. The remaining hair is merely redistributed to give a more aesthetic look.
The benefits for male pattern baldness are a more youthful appearance. The benefits for hair loss after surgery or trauma are the ability to wear different hair styles without the scalp showing or being self conscious of visible scalp. The advantages over wigs and sprays are you can swim, shower and cut the hair without inconvenience, shame or high costs.
Immediately after surgery a dressing is placed around the head. Do not put your fingers or anything else under the head dressing as the hair grafts can be dislodged. You return the day after surgery for removal of the dressing, replacement of dislodged grafts, a shampoo and instructions on how to shampoo the grafts without dislodging them. After this visit the hair can be combed. If a graft bleeds simply compress the area with gauze for 3 to 5 minutes.
You will wash with a neutral pH shampoo as instructed, daily beginning on the 4th day after surgery. Use cool water & test it by hand first. PAT DRY WITH A TOWEL DO NOT RUB. After 15 days you can use any shampoo you wish. DO NOT PICK AT ANY SCALP CRUSTS THAT APPEAR as this could dislodge grafts.
No sex or alcohol until 8 days after surgery.
For the first 2 weeks the head is kept elevated (no lying flat or head down position) and no vigorous or strenuous physical activity or hairdryer use is allowed. Even jogging or bending over to tie your shoe laces at 1 week can cause a problem.
Normal activities & work may be resumed within 2 to 3 weeks.
It may take up to 6 months for grafted hair to begin growing and reveal the expected hair pattern. A second repeat procedure can be performed no sooner than 4 to 6 months after the first if needed to thicken the hair. Usually for the scalp only two procedures one year apart are needed. However, this is dependent on your desires, the area to be covered and the number of grafts that survive. If hair loss has not stabilized before the first procedure later further grafting may be needed as hair loss progresses. No guarantee can be made of the number of procedures required
Do not sunbathe without a hat for 1 year.
Dr. Aaron Stone
Call today for a consultation!120 South Spalding Dr, Suite 330
Beverly Hills, Los Angeles,CA 90212