FUE hair transplants to treat baldness

Doctor Laurent Dumas is a FUE and FUT hair transplant specialist and has been offering this procedure to men and women for several years. The practice, based in avenue d’Eylau, is equipped with a top-of-the-range operating theatre specifically for hair transplant procedures, assuring patients of a safe and hygienic experience in a comfortable environment.

FUE hair transplant (Follicular Unit Extraction) before and after the procedure.

Hair loss and baldness

Hair loss and baldness are issues which affect 75% of men and 25% of women. The earlier it occurs, the more distress it can cause to those affected. First and foremost, it is paramount to ascertain whether the hair loss being experienced is androgenic rather than the result of other medical problems such as stress, hair conditions, trauma etc.

 

Androgenic baldness occurs when the hair cycle is speeded up causing premature hair loss. The condition is one that is well known, but also one that is not completely understood. Genetics play an important role; a father or grandfather who has experienced premature hair loss is an obvious indicator of this.

 

Baldness is measured by various well-identified stages during which hair transplant sessions may be appropriate.

 

Hair transplants are the only way to treat baldness. PRP (platelet-rich plasma) treatments and medication may slow down the rate of hair loss but cannot help hair to regrow.

FUE hair transplant (Follicular Unit Extraction)

The FUE technique is used almost exclusively for hair transplants, except in the event of contraindication, such as in patients with frizzy hair.

 

Its many advantages have made it the treatment of choice for baldness and hair loss:

  • Painless.
  • Scarless.
  • Good hair density.
  • Natural results.

 

FUE hair transplants are easily adaptable to individual patient requirements. It is the only technique that can implant up to several thousands of hairs in just one session. The FUE technique ensures fast and reliable growth and perfectly natural results.

FUE hair transplant (Follicular Unit Extraction) before and after the procedure.

Characteristics of the FUE capillary implant method

The procedure involves taking hairs from the Hippocratic crown at the back of the head and relocating them to balding areas.

 

The Hippocratic crown is not affected by the procedure. It is genetically preserved at all stages of the balding process. If we reimplant these hairs to other parts of the skull, they do not continue to fall out due to their location. Hair transplantation from this donor zone to the balding areas can therefore be considered. The FUE hair transplant procedure has considerably improved over the past few years. This is largely due to the precision micro-tools which allow a meticulous transplant procedure.

 

The FUE hair transplant is based on follicular unit extraction. A follicular unit is made up of 1 to 3 hairs which define the hair’s density. A FUE hair transplant means follicular units can be taken, one by one, from the back of the head, and transplanted to balding areas: the central forelock, bald spots, receding areas, hairline etc.

 

With the help of a micropunch (a mini motorised sampling device measuring less than a millimetre in diameter), the surgeon removes hairs from the donor area (while preserving the density of the latter). The hairs taken, and which will be used as grafts, are preserved in an enriched solution before being manually sorted prior to reimplantation. Graft transplantation to the balding area is carried out, hair by hair, using a microgripper, which preserves each follicular unit. A micro incision makes it possible to graft the follicular unit in a very precise manner.

Surgeon know-how and skills

Hair transplants cannot be carried out by just any surgeon. It requires specialist skills as it is an extremely delicate procedure. The surgeon must also have a high level of experience in order to master both the extraction process, to preserve the grafts, and the implantation process, so that the resulting regrowth is natural and matches the characteristics of the patient's hair. The implantation process and combination of follicular units make it possible to create a hair density that is entirely undetectable. These are the keys to a successful transplant.

 

Given the attention to detail and accuracy of the work required, a FUE hair transplant session is a long procedure that will last several hours and sometimes even the whole day. It is testament to the dedication, involvement and professionalism of the surgeon and supporting team. There are automated assistive devices that can speed up the procedure but, unfortunately, they do not guarantee a good enough preservation of extracted grafts. In terms of capillary implants, the skills of an experienced surgeon are of prime importance.

 

Everything is done to make the procedure as comfortable as possible for the patient. The procedure is not painful and is carried out under local anaesthetic. A FUE hair transplant leaves no visible scars.

The FUE hair transplant process

Consultation

The first stage involves attending an initial consultation with Dr Laurent Dumas during which he will determine the suitability of a transplant based on a personalised capillary assessment. This assessment will look at the hair capacity of the donor area and determine whether any additional assessment is required. A blood test is necessary before any hair transplant, to rule out any contraindications relating to the procedure which is performed under local anaesthetic.

 

Dr Dumas will then explain the procedure in detail and give patients pre-operative instructions. A quotation and informed consent form are drawn up and signed, incorporating a mandatory reflection period of 15 days.

 

Before the procedure

Pre-operative photographs are taken. Hair will be washed with an antibiotic shampoo the morning of the procedure.

 

The procedure

The procedure is carried out under local anaesthetic. Dr Dumas accurately locates the areas that will receive the implants and then takes the grafts which will contain up to several thousand hairs. This part of the procedure takes between one and two hours.

The grafts are then sorted and prepared for the implantation process. The implantation process takes between 3 and 4 hours, depending on the number of follicular units.

 

After the procedure

There are very few after effects. There are no dressings or bandages. A post-operative consultation takes place 2-3 days after the procedure.

Very occasionally, swelling may occur around the graft site 24-48 hours after the procedure, but this will resolve within 3-4 days.

The area where the donor hairs have been taken, at the back of the head, generally heals within 2-3 days.

 

Some small scabs will form at the graft implantation site. These will disappear after about a week. Some implanted hairs may fall out, but this is perfectly normal. The implanted sebaceous hair follicle remains in place, stimulating the regrowth of grafted hair from month three onwards at a classic growth rate of 1 cm per month.

Post-operative consultations allow the effective monitoring of this process. Definitive results from the hair transplant are generally experienced 6 months after the procedure.

 

Should patients shave their hair?

For significant FUE transplant sessions, where a considerable amount of hair density is required or where there is a sizeable reimplantation area, hair shaving is mandatory to allow the extensive removal and placement of grafts.

 

For more conservative procedures, shaving is not necessary. Only the donor site is shaved, which can be easily camouflaged with long hair. Extraction of follicles is therefore more localised and reimplantation affects limited areas.

Beard, moustache and eyebrow transplants

The FUE implant technique also makes it possible to carry out transplants for other facial hair: beards, moustaches and eyebrows. It is an effective technique used to increase beard density or sparse eyebrows. For beards, grafted hairs are taken from the nape of the neck and, once grafted, take on the same appearance as the beard.


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Dr Dumas chirurgien spécialiste des greffes de cheveux à Paris