Permanent Hair Transplants
It is estimated that 35 million men in the United States are affected by male pattern baldness or androgenetic alopecia. "Andro" refers to the androgens (testosterone, dihydrotestosterone) necessary to produce male-pattern hair loss (MPHL). "Genetic" refers to the inherited gene necessary for MPHL to occur. In men who develop male pattern baldness, the hair loss may begin any time after puberty when blood levels of androgens rise
The first change is usually recession in the temporal areas, which is seen in 96 percent of mature Caucasian males, including those men not destined to progress to further hair loss. Later, the frontal hairline recedes, resulting ultimately in a classic "horseshoe" fringe of hair and a bald crown and frontal hairline. Whether this happens in the twenties, thirties, forties, fifties, or beyond is related to genetic factors.
Female pattern baldness is usually different from that of male pattern baldness. The hair thins all over the head, but the frontal hairline is maintained. There may be a moderate loss of hair on the crown, but this rarely progresses to total or near baldness as it may in men.
How Hair Is Transplanted: Microfollicular Unit Grafting
The essence of these procedures is that the hair is transplanted into the balding area as individual follicular units, so that it will look totally natural and be undetectable as a hair transplant. With hair transplant procedures, hair is "harvested" or taken from areas of the head where growth is not affected by balding and is transplanted into the balding areas. With modern techniques, very small hair grafts, called individual follicular units, are used so that the hairline and hair will look natural. If you look closely under magnification at how hair naturally grows, you can see that hair grows in clusters of one, two, three, and sometimes four hairs. These naturally occurring groups of hair are called "follicular hair units."
We can transfer these follicles to be placed closer together to create a dense-looking head of hair. Micrografting is a delicate and time-consuming process. Each follicular hair unit has to be kept intact and trimmed under a microscope to create the ultimate micrograft. The end result is a hair transplant that can be undetectable.
Older technology using "plugs" with groups of twenty or more hairs made hair transplantation very obvious, almost making the hair appear like the hair coming out of the scalp of a child's doll, thus the reference to hair plugs that look like "doll's hair."
Doctor Jacono Performs 2500 to 3000 graft mega-session hair transplantation
Shaping the Hairline
The artistry in hair transplantation comes in how the surgeon blends as well as shapes the hairline. If the hairline is constructed like a straight edge, it will appear artificial. The hairline needs to have a natural wave, similar to that of your original hairline. Additionally, the hairline should not be placed too low. In patients with more severe baldness, more than one hair transplant session will be required to restore the hairline. The first few transplant sessions are dedicated to the front of the hairline above the forehead. This frames the face which is the aesthetic priority in hair transplantation. Once this is accomplished, later hair transplant sessions are focused on a balding crown. Those with just balding in the crown of the scalp can just have just that area treated.
Most hair restoration procedures are performed under local anesthesia which means no "general" anesthesia and therefore a quick recovery that will not affect your ability to go back to work. Hair transplant sessions that use thousands of follicular unit grafts may take a whole day; however, the time goes by quickly. During the procedure, patients rest comfortably and can watch TV or a movie, take a nap, or chat with the staff.
Dr. Jacono now offers Neograft Hair Transplant in his New York City and Long Island Offices.