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The days of the "plugs and corn rows" are gone and the age of single hair-, micro-, and mini- grafting has arrived. Through the use of the these variable sized hair grafts along with new and improved instrumentation, the accomplished hair transplantation surgeons can create a natural hair appearance that is appropriate for each individual patient. Single hair-grafts have the finest and softest appearance. Although they do not provide much density, they do provide the critical soft hairline that is the transition to thicker hair. Reconstructing a new hairline is a skill requiring surgical as well as artistic skill. It is critically important to get it right the first time and thus requires considerable forethought and planning
Follicular units are distinct groupings of usually one to four terminal hairs. The follicular unit is thus a naturally occurring physiologic, as well as an anatomic entity.
Follicular unit transplantation offers the surgeon the ability to transplant the maximum amount of hair with the minimum amount of non-hair bearing skin. In this way, recipient wounds are kept small, healing is facilitated, and with proper technique, large numbers of grafts may be safely moved per session. The use of these units helps to ensure that the cosmetic result of the transplant will appear completely natural. In contrast to follicular units, micrografts (1-2 hairs), and mini-grafts (3-6 hairs), are small grafts cut randomly from donor hair, not specifically as individual intact follicular units. These multiple units will contain extra skin that will demand larger recipient sites, which, in turn, causes more wounding to the recipient bed and may limit the number of grafts that can safely be transplanted in a session. Although, it is hard to argue the superiority of the follicular unit technique in theory, in practice, follicular unit transplantation is tedious, demanding on the physician and staff, and requires a relatively high degree of expertise to be properly performed. Dr. Boden utilize this technique exclusively and works with highly trained technicians who specialize in this procedure. The evolution of microscopic dissection and follicular unit transplantation has been that this procedure can be practical for other parts of the body including eyebrows and eyelashes. It has also become much more viable as an alternative for female pattern hair loss which is usually more diffuse. The side-effects of hair transplantation surgery are relatively minor consisting of mild pain and discomfort after the operation, swelling which may move down to the eyes, and the formation of scabs over the grafts which take approximately one week to resolve. Serious problems of bleeding, scarring, and infection are rare. Modern hair transplantation surgery is comfortable, predictable, and the results are pleasing to most patients. Hair loss, however, is a life long process; most men will develop male pattern baldness (due to male hormones) until approximately 40-45 years of age. After that, the aging process thins the entire head of hair. Progressive hair loss or the desire for more density will require more transplant procedures. Modern techniques, however, allow hair transplant surgery specialists of transplant larger number of grafts, greatly reducing the number of procedures needed to complete the result.
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