Treatment for Hair Loss

FUT….FOLLICULAR UNIT TRANSPLANT---

Principle- A strip of hair is taken from occipital region, and then individual follicle units are dissected. These follicle units are transplanted individually in bald area of scalp. These follicles taken from occipital region are not genetically predisposed to fall. This procedure is done under local anaesthesia as an out door procedure and well tolerated.

After strip harvesting wound is closed by sutures usually absorbable so there is no need for suture removal and follow up visit. But this gives a linear scar on the backside of scalp. Trycophytic closure gives very fine thin linear scar. In this large number of follicles(more then 2000 follicles) can be done in single sitting .Time and cost in FUT is less as compare to FUE. Chances of follicle damage is negligible specially when you are doing follicle dissection under magnification. After surgery patients can have stretching sensation and some pain on back side of scalp.Second surgery is much easier if previous procedure was FUT.

FUE /FOX---FOLLICULAR UNIT EXTRACTION—

In FUE, using micro punch single follicle unit is extracted from donor area and this unit is transplanted. So there is no scar at donor site. No donor site morbidity ( pain and stretching sensations ).Limitation of this technique is that it is more time consuming and in one sitting limited number of graft can be implanted. Experience of surgeon is very important pre requisite for success of this FUE. There is very high risk of damage to nearby follicles while harvesting follicle by micro punch. Consumer is not aware that how many nearby follicles and extracted follicles have been damaged. FUE is good technique in experienced hand for limited number of hair follicles transplant. Many surgeons are combining FUT with FUE to do large numbers of hair transplant in one sitting.

For comparison you can visit site of ISHRS-- http://www.ishrs.org/articles/strip-harvesting-vs-fue.htm

ALOPECIA SCALP REDUCTION

This is surgical excision of non hair bearing area of scalp in order to reduce overall size of bald area. Follicular unit transplanted is needed to cover remaining bald area of scalp.

SCALP EXPENSION

Hair bearing area of scalp is expended using tissue expender. Then this expended hair bearing area is used to cover bald area of scalp.

SCALP FLAPS

Various scalp flaps has been designed to cover non hair bearing area of scalp. Based on vascular supply, various scalp flaps has been designed. These flaps are used to cover bald area of scalp.

The alopecia scalp reduction, scalp expansion and scalp flaps are major surgical procedures usually requires general anaesthesia. While choosing these procedures one should discuss all technical details with surgeon.