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Hair Restoration Surgery: Advancements in Treating Male Pattern Baldness

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Male pattern hair loss can now be effectively treated with hair transplant surgery, among other types. Read further to know more.

Medically reviewed by

Dr. V. Srikanth Reddy

Published At February 26, 2024
Reviewed AtFebruary 26, 2024

Introduction:

Men's hair restoration is a crucial treatment for baldness in today's society, as social interactions and self-esteem are frequently affected by physical appearance. Male pattern baldness, in particular, can have a significant negative impact on a person's psychological health and quality of life. Within this environment, advances in hair restoration treatments have been a source of optimism for many, providing improvements in appearance and a boost to self-esteem and attitude.

Male pattern baldness can not be cured by hair transplantation. Although the transplants will cover the bare scalp, they will not stop the patient from losing hair in the future. Since most men with male pattern baldness experience a progressive condition, it may be worthwhile to think about combining medicinal therapies and surgery to slow down the balding rate. Talk to the physician about this.

What Are the Deciding Factors for Hair Restoration Surgery?

Talk with the doctor about the following spectrum of medical conditions before the procedure:

  • Medical History: Some pre-existing conditions and previous surgery may impact decisions about this procedure, including the type of anesthetic that is used.

  • Physical Health: An examination will assist the medical practitioner in deciding if the therapy is appropriate.

  • Evaluation of Hair: This comprises the hair growth pattern, the degree of the hair loss, the history of hair loss in the family, and any previous hair loss treatments, whether surgical or medicinal.

  • Dangers and Potential Complications: Patients must comprehend the potential hazards and challenges to choose if hair transplantation is the best course of action for them.

  • Medication: Inform the doctor about all medications one uses regularly or has recently taken, including over-the-counter products like vitamin supplements and fish oils.

  • Previous Responses to Medication: Inform the healthcare provider of any adverse reactions or side effects they have experienced from any medicine, including anesthetic.

What Are the Different Methods of Hair Restoration Surgery?

There are numerous ways to perform transplant surgery. The doctor performing the surgery will determine which procedure is best for the patient, depending on the unique situation.

1. Graft for Hair Transplantation:

Grafts for hair transplants are typically done under local anesthesia. Depending on the amount of hair transplanted, each therapy session may take two to eight hours. Large regions with hair loss may require up to 4,000 follicles in each session, although 1,000–2,000 follicles are typically transplanted in a single session. A session may last for several hours, and many opt to schedule two or three distinct ones.

Typically, the procedure entails:

  • To make the hair on the "donor" part of the scalp simpler to manage, it is clipped short.
  • This part of the head, where the hair grows profusely, is anesthetized by the doctor.
  • Small portions of the hair-bearing scalp are removed by the physician and transplanted to the desired location, which is often the front of the scalp above the forehead.
  • The donor skin may be removed using a variety of tools. One could use a scalpel or a circular tube (punch). According to the dimension of the tube, two to fifteen hairs may be harvested from a single punch graft. There can be four to ten hairs in a slit graft and up to forty hairs in a much longer strip transplant.

2. Flap Surgery:

If a significant number of tissue flaps rather than little grafts are needed for the hair transplant, flap surgery is employed. This kind of hair loss operation will require general anesthesia, and the patient might have to stay in the hospital.

During flap surgery,

  • The surgeon inserts balloon-shaped instruments, known as tissue expanders, into the skin of a scalp region that bears hair. Over several weeks, the tissue expanders are filled with increasing amounts of saline. This promotes skin cell growth in that location.
  • The scalp had developed enough excess skin for the transplant procedure after around two months.
  • The balding portion of the scalp is excised. Partially removed, the freshly grown hair-bearing skin is then sewn into place after being relocated to a new spot. The flap should continue to receive adequate blood flow because it is never completely separated from the scalp.

3. Surgery for Scalp Reduction:

Bald spots towards the rear and top of the head, not towards the front, are best treated with scalp reduction surgery. Among the procedures are:

  • The scalp receives a local anesthetic.
  • A U-shaped or Y-shaped band of bald skin is excised by the medical professional.

  • The incisions are pulled together and closed when the scalp is released.

What Happens Post-Hair Restoration Surgery?

The extent of the procedure will determine how the patient feels afterward. Following the procedure, one can anticipate:

  • Swelling and bruises.

  • Potential numbness.

  • Aching, throbbing, and unease.

  • A constriction of the scalp.

  • To apply bandages or dressings (a pressure bandage can be left on for a day or two).

  • Development of tiny scabs throughout the scalp's treated regions.

What Are the Hair Restoration Surgery Complications?

There is always a risk associated with surgery. The following are a few potential side effects of hair transplant surgery:

  • Dangers associated with general anesthesia, such as the potentially fatal allergic reaction.

  • Hazards related to surgery, like bleeding or infection.

  • Scars that could be itchy, reddish, elevated, and severe.

  • Damage to the nerves, including irreversible loss of feeling.

  • Demise of the skin substitutes.

  • Tissue death in the area of the wound.

  • Further surgery to address issues.

How to Self-Care for Hair Restoration Surgery?

Follow the doctor's instructions. Some general recommendations for self-care are:

  • Observe all guidelines on wound care.

  • Exercise and other physically demanding activities that raise blood pressure should be avoided as they can cause bleeding from wounds. The doctor could suggest that the patient refrain from having sex for ten days or so.

  • Notify the physician of any unexpected symptoms, severe pain, or bleeding.

Conclusion:

For instance, hair transplant surgery can effectively treat male pattern hair loss. Although the results produced by today's techniques appear natural and aesthetically pleasing, they might be improved. The main obstacle has been getting adequate amounts of donor hair. Due to the scarcity of donor hair and knowing that hair loss frequently advances, we have faced some difficulties. Reserving donor hair, expert surgical methods, preventing hair loss, and creating hair growth tools are the answers to the issues we confront.

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Dr. V. Srikanth Reddy
Dr. V. Srikanth Reddy

Dermatology

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