Depending on a number of critically important factors, hair transplant surgery can either be one of the best decisions you will ever make or among the worst

1. Hair Transplant
Pros & Cons

2. Hair Transplant – Pros & Cons
Depending on a number of critically important factors, hair
transplant surgery can either be one of the best decisions you
will ever make or among the worst. Today we're going to
discuss the pros and cons of surgical hair restoration,
euphemistically called hair plugs or transplantation. In fact,
the more accurate description is "auto logous hair bearing
skin transplantation". This is because the actual procedure
involves harvesting sections of skin from a hairy part of one's
scalp (donor) and moving it to a bald area (recipient) of the
same person. Skin transplantation between anyone other than
genetically-identical twins does not work.

3. Hair Transplant – Pros & Cons
The technique of moving hair bearing skin tissue grafts from one
part of the scalp to another dates back at least 50 years. In the
1950's a pioneering surgeon by the name of Dr. Norman
Orentreich began to experiment with the idea on willing patients.
Orentreich's groundbreaking work demonstrated a concept that
became known as donor dependence, or donor identity, that is to
say that hair bearing skin grafts harvested from the zone of the
scalp outside the pattern of loss continued to produce viable hair
even though the grafts had been relocated into areas that had
previously gone bald.

4. Hair Transplant – Pros & Cons
During the next two decades hair transplantation gradually evolved from
a curiosity into a popular cosmetic procedure, primarily among balding
men of late middle years. In the 1960's and 1970's practitioners including
Dr. Emanuel Merritt in Colorado, Dr. Otar Norwood, Dr. Walter Unger
showed that hair restoration could be feasible and cost effective. A
standard of care was developed that, in experienced hands, allowed for
reasonably consistent results. At the time the most common technique
involved the use of relatively large grafts (4mm -- 5mm in diameter) that
were removed individually from the donor site by round punches. This
tended to leave the occipital scalp resembling a field of Swiss cheese and
significantly limited the yield that was available for movement to the bald
zones on top and in front of the patient's scalp.

5. Hair Transplant – Pros & Cons
Over the course of multiple surgical sessions, grafts were placed into
defects that had been created in the recipient zone (bald area) using
slightly smaller punch tools. After healing the patient returned for follow
up sessions where grafts were placed in and amongst the previous
transplants. Because of the relative crudity of this technique, results were
often quite apparent and the patient was left to walk around with a dolls
hair like appearance, particularly noticeable at the frontal hair line, and
especially on windy days. Such patients were usually quite limited in the
manner they could style their hair and, because of the wasteful donor
extraction method, many persons ran out of donor hair long before the
process could be completed.

6. Hair Transplant – Pros & Cons
In the 1980's hair restoration surgery gradually began to evolve from the
use of larger punch grafts to smaller and smaller mini and micrografts.
Minigrafts were used behind the hair line, while one and two hair
micrografts were used to approximate a natural transition from forehead to
hair. Donor site management also evolved from round punch extraction to
strip harvesting --- a far more efficient technique. Pioneers in this area
were skilled surgical practitioners such as Dr. Dan Didocha, Dr. Martin
Tessler, Dr. Robert Bernstein and others. The concept of creating a more
natural appearance evolved still further in the 1990's with the advent of
follicular unit extraction (FUE), first proposed by the highly gifted Dr.
Robert Bernstein, and described in the 1995 Bernstein and Rassman
publication "Follicular Transplantation.”

7. Hair Transplant – Pros & Cons
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