2. Hair Transplant – Pros & Cons
While highly useful in the hairline region, such 'micrografts' were not always
optimal in recreating density behind the hairline. So even after multiple
sessions, the final outcome of micrograft-only transplanted scalps tended to
look thin and rather wispy. Perhaps of even greater concern, the dissection of
a donor strip entirely into micrografts risked a significantly reduced conversion
yield. Here's why.
Let's assume we are starting with two donor strips of hair bearing tissue from
two similar patients. Two surgeons are each dissecting a single donor strip, but
the first surgeon aims to dissect down into one and two hair micrografts alone,
while the second surgeon dissects only enough micrografts to place in the
hairline, leaving larger three, four, five and six hair grafts available for
placement behind the hairline.
3. Hair Transplant – Pros & Cons
And since there is a fixed supply of permanent donor hair which may not be
sufficient to fill the area of demand, it is intrinsically counterproductive to
reduce this limited supply via a technique know to engender relatively poor
yield. The problem is solved by the careful use of FUE/micrografts in the
recreated hairline and somewhat larger grafts behind the hairline. Refinement
is thus achieved at the hairline with appropriate density behind the hairline
zone. If either of these factors are missing from the equation the result is a
dysaesthetic hair restoration. Either the outcome looks thin and fuzzy
(micrografts only) or it looks doll-hair like (large grafts only). So now we can
now begin to see why the size and strategic placement of each graft becomes
a critically important consideration in hair transplant surgery.
4. Hair Transplant – Pros & Cons
Several other potential caveats to hair transplant surgery are graft
compression, misdirection, miss angulations, mishandled grafts and donor
site damage. Graft compression occurs by trying to insert too large of a
donor graft into too small of a recipient hole. If the donor graft is not
carefully fitted to the recipient hole then the tissue and hair can literally
get 'squeezed together'.
To see how this works, extend the fingers from your left hand open and
wrap the fingers from your right hand around the middle portion of your
left hand. Just as your fingers get squeezed closer together, the hairs in a
compressed graft end up closer together then they were intended by
nature. This tufting lends an odd or unnatural appearance to the hair.
5. Hair Transplant – Pros & Cons
Misdirected grafts produce hair that ends up growing in a direction
contrary to that which was intended. Again, this problem causes a weird,
unnatural --- and difficult to style -- head of hair. Misangulation,
somewhat similar to misdirection describes a misplaced graft that
produces hair at an angle which does not correspond to the way scalp
hair is supposed to grow. Again, the result is hair that just doesn't look
right no matter how it is combed.
Mishandling of grafts usually involves either transecting a follicle (cutting
off the root) or desiccating (allowing to dry out) the tissue. Graft
mishandling typically occurs primarily in less than experienced surgical
hands.