Permanent solutions with Micro-grafts or Follicular Units

1/ What solution can we suggest to someone who has lost their hair completely and wishes to rediscover a full head of hair?

One sole solution can be proposed – the esthetic and permanent correction by micro hair implantation.

2/ What is the goal of hair loss microsurgery??

All the methods we suggest attempt to distribute in the most aesthetic and harmonious way possible the remaining hair of the crown to the affected areas. The choice of techniques will be guided by numerous medical, surgical, biological and psychological factors, the aesthetic requirements of the specialist and the aesthetic wishes of the patient.

3/ What is hair implantation by FUL (follicle units by long hair)?

Without shaving any hair, long hair micro-grafts are prepared under the microscope from a strip taken from the scalp. The result is immediately visible and the hair hides small scabs that persist for a week. The length of the hair stems facilitates their orientation during implantation. Nearly 3,000 to 4,000 hairs can be implanted in one session.

4/ What is hair implantation by FUE (follicle units by extraction)?

After prior shaving, we use cylinders of 0.8 to 1mm to extract micrografts. Small healing scabs go away by the 10th day and regrowth appears 2 to 3 months following the procedure. Nearly 1,500 to 2,000 hairs are implanted in one session.

5/ Do the micrografts always take and regrow?

Yes, but there are always unforeseen circumstances mainly related to the circulatory condition of the scalp, which varies from one person to another.

Nevertheless, the progress made in the knowledge of this negative factor and in the equipment used makes this technique perfectly reliable.

6/ Are you saying that there isn’t any rejection of the hair grafts?

Unlike most transplants practiced on the body (heart, lung, etc …), hair transplants are done with the patient’s own hair. There is thus never rejection of the fragments implanted into the skin.

On the other hand, there may be a poor vascularization of the grafts in rare cases. We have studied these particular circulation problems to better address and solve them.

7/ Is there any, even small, scars?

Effectively with FUE (follicular units by extraction), there are small round scars of less than one mm; with FUL (follicular units with long hair) a fine, almost invisible, scar line exists as a result of the “trichophytic” closure.

8/ The small scabs which appear on the micrografts of hair, are they actually visible?

Scabs lasting 8 to 12 days can only be troublesome when the corrected area is the frontal region. This problem can be avoided by masking the area with the immediate hair brought by the technique of long hair grafts (FUL).

9/ Is the procedure painful and how long after can I resume my normal activities?

The implantation, performed under local anesthesia following prior application of an anesthetic cream, is painless. It is typically expected that a return to work is possible in 1-2 days; if an edema appears, this may become 3-4 days.

10/ What post-procedural care is necessary after the hair transplant?

Post-operative care is the same for all techniques. These are sufficiently simplified to allow for cleansing of the hair and scalp the next day, at the same time it is possible to return to work. Sutures and staples are removed from the 12th day.

11/ What do you think about the automatic implant machines?

These machines (Medicamatograft-Safer), which have been developed over the past 15 years, can be recommended in certain situations (mainly in young men who do not permanently shave the relevant area and who want the FUE technique).

12/ What method is preferable for women?

FUL is more often advocated because of the hair density of the donor area is often diminished in women. It is difficult to obtain an effective sampling with FUE. This also prevents shaving. The final aesthetic result is achieved in one to two sessions.

13/ How does the procedure work for women?

The surface to be implanted is drawn on the scalp, and the patient checks in a mirror if it corresponds to her own wishes. An anesthetic gel is applied on to the forehead and neck to make painless injections of local anesthesia. A scalp fragment, under the control of a magnifying helmet, allows the harvesting of 1000 to 2000 hairs. With a small instrument, multiple superficial perforations are made on the area to be implanted. Jeweler clamps allow the micro-grafts to be inserted one by one into each perforation. This procedure, almost painless, lasts two to three hours. Then the patient rests for an hour.

A full review of the procedure is done under the magnifying glass, before combing the hair of the patient. She can then return to home. The next morning, she can wash her hair with a suitable antiseptic shampoo, and most often resume her professional activities.

14/ At what ages is it possible to undergo a micrograft procedure?

In men, we have treated patients between 18 years and 87 years and in women, between 18 years and 83 years.

15/ Is it possible to transplant hairs from another person?

One could indeed imagine that a person with hair would be willing to gift their hair to another person, but in fact the study of the tissue immunological compatibility system is so complex and costly that at present it is impossible to envisage such practices.

16/ After a hair transplant, is it possible to go back to work the next day?

Effectively after a hair transplant, one to two days after, it is possible to resume professional, social and family activities, etc. Sometimes transient edema of the forehead may appear for 2 to 3 days. This will disappear quickly by applying ice and massaging the affected area. It is possible to jog from the fifth day following the procedure but all other sporting activities should not be done for the first fifteen days.

17/ What happens to the hair grafts and micrografts after several years?

The samples are taken at the level of a hairy region unaffected by the phenomenon of baldness. Consequently, the hair resulting from the grafts persists and is renewed throughout the life of the operated individual. This spared area is the crown for men, and the region above the neck for women.