Various methods in hair transplantation or transplantation depend on the bald or thinned area and what kind of appearance you are trying to achieve. In any case, hair follicles are extracted from an area of your body and grafted or transferred to the missing area. The donor area is usually in the head.
Usually, your surgeon will use local anesthesia in both the donor and recipient areas. Sometimes oral or IV sedation is added. General anesthesia is rarely recommended. The donor area will be surgically removed and the scar will be hidden with existing hair. The surgeon divides the scalp into hundreds or even thousands of small sections, each containing one or several hairs. These small pieces of your scalp will then be transplanted into bald or thin areas of your head.
Maintaining the integrity of the scalp and minimizing trauma is an integral part of this procedure. The whole process takes anywhere from two to eight hours, depending on how much hair has been transplanted or transferred as a flap.
The quality and type of hair you have and where you lose hair will affect your plastic surgeon's decision of how much hair transplantation will take and where to get the hair grafts.
In the follicular unit transplantation (FUT) method, strip collection usually removes a strip of hair from the back of the head and is cut into smaller groups to implant in the recipient areas. Also called follicular unit strip surgery, this is a common method that is faster than harvesting from many different locations. Although it is a strip that is removed, the scar is easily covered with new and surrounding hair.
Small hair groups are taken in a wider area around the head and then transplanted to the desired area. As the grafts come from all over the scalp, there is less bleeding, less postoperative discomfort and no stitches required. The scars caused by FUE are scattered and do not concentrate in a single area; however, a much larger area of hair needs to be cut short.
Flap surgery removes part of the bald scalp and is replaced with a section of skin that contains hair follicles. This covers a large area of baldness, and because the skin is firm, the hair immediately grows from the area and does not require months to grow back.
In some cases, scalp reduction or advancement flap surgery is also performed as an alternative to or in addition to hair transplantation. This procedure involves removing a section of the bald scalp and pulling the hairline forward to fill a bald spot. If more hair is needed, hair transplant or flap surgery can be used to cover the remaining area.
After your aesthetic plastic surgeon evaluates your hair, he will determine where the hair follicles will be taken for transplantation. Discreet and will choose a place surrounded by other hair, so that the scar is not noticeable. Average recovery time is 2 - 4 weeks.