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BASIS OF CURRENT HAIR IMPLANTS:

Indistinctly the method, the goal is to remove hair follicles from the crown (genetically final and insensitive to male hormones) to transplant in the areas to operate where they will be definitively.  In the case of women the densest areas will be chosen (generally the back head).


OBSOLETE METHODS NOT PRACTICED CURRENTLY:

The « macro-punch » :
5 mm* diameter and 50 hairs
4 mm* diameter and 40 hairs
3.25 mm* diameter and 25 hairs

Results :

3 grafts  5 mm* per cm2
 = 150 hairs / cm2

4 grafts 4 mm* per cm2 
 = 160 hairs / cm2

5 grafts  3.25 mm* per cm2
 = 125 hairs / cm2


4 to 5 mm* diameter grafts provide the appearance of the higher figur

Or that aspect (3.25 mm* = 20-hairs)


CURRENT METHODS: 

I. Hair micro-transplant with "Strips" :

Summary of operation:
 It is extracted from the crown, with the help of a scalpel, a "strip" of scalp from 2 to 8 cm wide and 8 to 25 cm long.
 It cuts this "strip" in follicular units from 1 to 3 hairs, and it makes an implant again of the cubic grafts 1, sometimes 2 and very rarely 3 hairs ...

1.  Removing the "strip" of the scalp with scalpel:
Full section of the arteries, veins and nerves in the practiced area...  The arteries and veins coagulate with the help of an electric scalpel stitching them later ...  The section of the nerves involves pain and sensitive post-operative upsets.

MAJOR RISKS: infections and necrosis.

2.  It came unstuck both edges of the scalp for slipping them until to unite the edges and allow sewing the incision.  The practised traction causes the hair rises hair, its density decreases and causes severe pain and lasting.  The section of the sensory nerve increases pain and may leave insensitive areas permanently.

Traction


Traction


3.  Imprecise cut from the "strip" scalp with scalpel: minimum 1 / 3 of the follicles definitely lost that should definitely be discarded transplantation.

'strip' cut with scalpel and in crossed lines destroy many follicles (about 1 of 3):we see in the image that these cuts necessarily destroy many follicles.


4.  Implanting again cubic grafts 1, sometimes 2 and very rarely 3 hairs: the follicle is very soft and fragile.  Its tip exceeds the graft.


The square shape of the graft does not correspond to the incision practiced for its implementation and its angles can cause necrosis and chaining degeneration.

The rate of growth in the follicular Units is 1.2 hairs per implanted graft ", taking into account that about 1 / 3 of grafts whose follicle disappeared or is too much damaged should be discarded.


5. Results: due to poor adaptation of the graft with the transplant incision bleeding occurs that fills the empty spaces and causes FIBROSIS



Due to the grafts of Follicular Units and because the follicle is soft at the end hair there are 4  bad possibilities for transplantation ...

1.  Poor adaptation of the graft to the shape of the incision practiced for the transplant,

2.  The graft was so badly pressed and crushed.  Its success is not viable.,

3.  The follicle folds under the pressure of the graft.  This situation makes the implant impractical,

4.  The incision bleeds and prevents the proper transplant  of fragile graft ...

These 4 situations hinder the implant and lead to 1 / 3 grafts will not grow..

 

 
The potential concentration of * 0.7 mm per cm2 micro grafts is limited to less than 50 hairs in that area.  Normally, the average is less than 30 hairs/cm2 (30 to 40% grafts do not grow).  This is translated into a loss of 30 to 50% grafts taken from a "strip" for its implant ...
 

 The microimplants performed with "strip" provide therefore an aspect of disseminated HAIR in the implant area

The density of hair per cm2 is insufficient and the hairs are separated from each other as they have been implanted one by one ...  This operation should be performed repeatedly.

Moreover, as "strips" have been extracted from the back area of the head, hairs are greater diameter.  The most appropriate place for extraction of the «strip» is the bottom of the nape but the difficulty and pain for the patient that this extraction involves its execution is non-viable.

This feature creates implant line does not have a natural look.

2. « F.U.E » = Follicular micro-graft for extracting with manual «punch»:

Outline of the operation:
 It is shaved the rear of the crown where the grafts (donor area) will be extracted.  It uses 0.7 to 0.8 mm * manual punch (removal tool) that produces an incision on the scalp around the follicle (s) ...  This very delicate and ineffective method is better for eyelashes, eyebrows implants or corrections of the front  line of hair: NEVER FOR BIG IMPLANTS IN FELLOWS WITH  LARGE HAIR LOSS, THE TEST IS TOO FORTUITOUS AND SCATTERED.
Micro grafts are implanted with a micro-pincer or conical instrument in which introduces and pushes the graft after the completion of a small slit (often bloody) practiced with sharpened needles


1.  (Follicular Units)Micro graft extracted with a hollow tool from 0.7 to 0.8 mm in diameter *:

DRAWBACK: We don’t find the follicle because it turns on the scalp and it is not seen correctly..

Each extracted graft contains a follicle, sometimes 2 but very rarely 3.  The graft has little tissue and therefore is very weak ...

2.  RESULTS of the implant: a very thin HAIR similar to forearm hair.

The density per cm2 hair is insufficient. Hair that has been implanted one by one leaves an area similar to a "brush"…

This type of operation should be repeated numerous times.


3. Mini grafts with 2MM* ROTARY «PUNCH» also called « 2mm GRAFTS» : «a new method for a natural result»

Outline of the operation:

1. It is shaved a small area 1.5 to 2.5 cm long under crown hair that should be left to grow 4 to 5 cm before the implant (this would allow to have this area hidden after operation).
2. Extraction area is anaesthetized.
3. Doctor extracts the graft from shaved area with 2mm * rotary and electric "punch". It will proceed in such a way that each point of extraction is surrounded by hair to allow growth that will eliminate the point of extraction.  At the end of the operation, each point of extraction with Eosin will be treated allowing disappearance, in a few weeks, the entire scar.  It is not usual to find that point at the time of a second operation...
4. 2mm * grafts are ranked (without being crushing, cut or peeled) by the number of visible follicles: 2 to 8. It is kept those less dense and with finer hairs (from the lower zone of the crown) for the first 2 or 3 front lines of the implantation, thus achieving a more natural appearance.  In some cases, 1.75 mm * grafts are extracted when the reserve grafts is sparse and the hair is very thick.
5.  The area to implant is anaesthetized
6.  It is practised, with a frozen point, a small cylindrical incision receiving graft that will coincide with its shape and it will allow its introduction softly and a maximum contact between the two sides.  The integration will take place at a natural angle, previously determined for each area, using the quantity and quality of hair for each area.
Este es el único método que no desperdicia ningún injerto.

This is the only method that does not waste any graft.



Instrument for extracting 2mm * grafts whose operational end consists of a "punch" (circular hollow blade):

Extraction with 2mm*  « rotary punch » : 4 to 8 hairs per graft


« 2mm* diameter grafts»:
More than 6.5 times scalp per grafts than FUE and 3 times more hair than for Follicular Unit from "strip" extraction

- 4 to 8 hairs per graft,
- Nutritious tissue around follicles,
- Easy implant again: without crushing, without folding ...
- No waste in extraction or implant.  In rare cases where this occurs, the number of wasted grafts isn’t more than 2 in any moment.

The total growth of extracted and implanted again follicles with  this method ensure sufficient grafts that will allow (even for the cases of people with a bald crown of a minimum of 10cm high) full hair and dense enough hair and for lifetime ...  This technique allows implant again all desired hair even it is in the middle of already implanted  hair, which will give the possibility  to thicken hair as we desire.  The concentration per cm2 of* 2mm  mini grafts can get to 16 grafts 6 hairs on average each, that is 96 hairs per cm2.  And in all cases the graft will grow.

This method also allows extracting very easily and without pain grafts in the bottom of the nape, in order to implant them in the first front centimetre front inch and thus to get a more natural appearance.

We get optimum concentration of implanting again 2 mm grafts: 16 grafts 6 hairs per cm2 (96 hairs).



The concentration per cm2 of * 2mm  mini grafts can reach  16 grafts 6 hairs on average each, that is 96 hairs per cm2.  And in all cases the graft will grow.

RESULTS of the transplant with « 2mm* PUNCH » :      DENSER HAIR IN WHICH THE SCALP  IS NO LONGER SEEN, where the implants are no longer aligned, in which the first front lines show A NATURAL APPEARANCE BUT WITHOUT LOSING ANY GRAFT , which will allow to rebuilt hair without losing your reserves.

Therefore, a more natural appearance, and above all: NO STITCHES, PAINLESS,

 Differences between FUE = «  manual punch »  from 0.7 to 0.8 mm * and  2mm* « rotary punch »  :

1 - With "manual punch ": It is used pressure to perform a cut from 0.7 to 0.8 mm* diameter 
 / While with  « 2mm* rotary punch » : the cut is performed perfectly and without damaging the follicle.

2 - With «  manual punch »  :  " It is damaged the follicle in the proportion 1 / 3 grafts that do not have it.,
/ While with « 2mm* rotary punch » : the diameter is ready for extraction of the whole follicle and leaves surrounding nutritious tissue.

3 - With "manual punch ":  It is selected the smallest  follicular units: the action area is 0.4 x 0.4 x 3.1416 = 0.50 mm2 (radio x radio x 3.1416)
 / While with « 2mm* rotary punch » : it is extracted an area 1 x 1 x 3.1416 = 3.14 mm2, that is  6 ¼ times more hair area ...



4 - There are 3 bad situations in micro implants with « manual punch » because  Follicular Units grafts of F.U.E. are too fine and follicle is presented soft at the end of a strong hair:
1.  The hindering and crushing damage it and they do it unusable,,
2.  The follicle folds during insertion of the implant, which also makes it unusable,
3.  The insertion bleeds and the fragile graft is not implanted…
these elements lead to the loss of 1 / 3 of the implanted grafts.


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