One of the most significant elements in obtaining a successful fixation of an unnatural looking hair transplant is “sufficient remaining donor hair supply”. Even after awful grafts have been eliminated, anatomized and redistributed as individual follicular units (making the region look more natural), an additional hair transplants is necessary for the patient to achieve cosmetically acceptable coverage.
Alas, several methods and devices that resulted in poor cosmetic outcomes have also damaged hair, leaving the patient with butt obvious hair restoration and little donor reserves to repair it.
Loss of hair follicles can significantly take place at every pace in the surgical hair restoration process. The standard cause being destruction of follicles at the time of graft harvesting, faulty dissection techniques, inappropriate handling of graft storage, and putting up the transplanted grafts too close together (specifically in a scalp with jeopardized blood supply from smoking or sun-damage).
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Scarring in the donor region also caters to restrict the quantity of hair available for the rectification of a poor hair transplant. Escalated scarring in the donor area happens when the hair restoration is executed using multiple small procedures rather than carrying out large hair transplant sessions. There are more chances of scarring when the harvesting is carried out with unacceptable hair transplantation techniques. Remember that donor hair is also necessary for fixing the appearance of scar and correcting cosmetic complications created by the transplanted grafts.
Technically, leg hair or hair from any other body part (followed by the beard hair, chest hair) can be used to transplant to the scalp. However the ideal way is to use head hair only as the primary resource because hair from the leg are bound to grow only as thick and as long as it does on your leg. It would not become scalp hair that grows thicker, longer and healthier than anywhere else on the body.
You need to know that the area, from which the hair is taken from, retains its original genetic predisposition. Leg hair can be used for donor hair but it’s not a perfect hair for a hair substitute to transplant on the scalp. The pattern of telogen and anagen is such that more than half of the hair will be in the resting mode and will have no significance after the hair transplant.
Usually, there is good number of donor hair on the scalp for most people. So, other sources are only contemplated in special cases. Surgeons occasionally use hair from elsewhere to camouflage or fill a scar.
Analyzing your own body’s growth factors with SVF (adipose derived vascular fraction) and PRP (platelet rich plasma), new follicular growth is recruited without surgery. Theoretically leg hair for donor hair supply can be used but the issue is that it is not a standard area of harvest. The anticipation of survival with leg hair is quite low compared with scalp hair.
The number of hair restoration surgeries that a person can take majorly depends on the supply of donor follicles that remain. In general, about 8000 grafts can be harvested in a person’s life time. These of course, would be used as grafts for subsequent operations, for instance; 4 surgeries of 2000 grafts each will total 8000 grafts. However there have been cases to harvest over 10,000 grafts with multiple surgeries occasionally but these are mere exceptional ones.
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Donor follicles are traditionally extracted from the head. But if these areas become severely depleted, it is possible to derive up to thousands additional grafts from other body parts such as chest, neck, abdomen and face etc. This would need distinctively designed derivation equipments and the skills of a surgeon who specializes in extraction of body hair.
It is so common for patients to undergo 3 or more procedures if they have the donor supplies to accomplish their goals. At times, multiple surgeries are required to repair disappointing results from past surgeries.
The general estimate is commonly 3 or 5 treatments for FUE hair transplants, although it typically depends on level of hair loss, and size of the region that is necessary to be treated. For an advanced/advancing hair loss condition, one might need to undergo 2-3 sessions. Your hairline and frontal hair are reconstructed at first. Then, you can go back for a second session a year after to fix the crown.
For a simple hairline fixing, one session will fulfill the need but in case you keep on losing your original hair in the future, you might require a second surgery to fill in the lost hair.
Typically a frontal reconstruction and a corner recession could take somewhere between 800-1800 grafts & for it only one procedure is more than enough.
Not enough donor hair and still seeks great results? Anyway, there are fair amount of options available for small donor area that will surprise you.
The suggested substitutes can be considered after your doctor examines you on basis of degree of hair loss, speed of thinning, size of the recipient area, donor hair available, age and expectations of a patient from the treatment.
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