The Old Way of Hair Transplantation
When hair transplantation first came onto the scene, men and women with thinning hair or bald scalps (who had been hiding under their hats and scarves for years) finally had some hope. Those who could afford this “new” technology ran to the first doctor who claimed they could cure their baldness.
Unfortunately, the technology, which seemed advanced for the time, could often result in pluggy, unnatural looking hairlines. For many who had these “baby doll” transplants, the results were both cosmetically and psychologically disastrous.
Older methods of hair transplantation included punching out circles of hair-bearing scalp that were then moved to the balding areas. Practices such as scalp reductions (literally cutting out the balding areas of scalp and raising the two sides of hair-bearing scalp toward the center) often left long visible scars. Haartransplantation münchen For a time, there was also the method of planting synthetic hair directly into the scalp and then surgically sewing it beneath the skin, a procedure that is now illegal in the United States. This latter was a short lived experiment which caused the hair to be rejected and the scalp to be severely scarred.
Problems with the Surgical Procedure
The older surgical procedures presented numerous cosmetic problems, the most common of which were the large, unnatural look of plug-grafts. These punch graft techniques of hair transplantation also tended to leave circular scars throughout the donor area (the donor area is the area of scalp where the hair is harvested from for the transplant). Other problems included poor hair direction, inconsistent hair growth, and a generally unnatural look to the hair restoration procedure. In many cases the results were so bad that patients were left wishing they were bald again.
From Old to New
With the introduction of today’s state-of-the-art techniques there are now ways of not only restoring hair in a natural way, but also of repairing and redesigning the results of the older techniques. Procedures such as Follicular Unit Hair Transplantation (FUT) are able to address the issue of transplanting hair without the consequence of unsightly scarring.
Undoing the Damage
Reversing the unnatural appearance of the older plugs and repairing scars is obviously more involved than using the right technique in the first place, but it can be accomplished in most cases with excellent results. Addressing the repair of existing scars requires finesse and careful assessment of the problem area as well as the remaining donor supply. Choosing the correct restorative technique is critical as the wrong strategy can make the situation worse.
Different techniques must be used to resolve different problems. Large plugs can be removed, divided microscopically into individually follicular units and placed back into the scalp in a pattern which is much more natural in appearance. Smaller grafts can be camouflaged. Scars that are raised can often be helped with cortisone injections. These can help to decrease the inflammation which is often present in a raised scar. Sometimes excessive scar tissue can also be excised and removed in itself, particularly when associated with poorly positioned grafts of hair.