Our Technique

Hair Transplant Surgery


    The most critical factor in a good hair transplant is the technique. Hair transplantation is limited by a finite supply of the patient's donor hair. Minimizing the number of hair follicles that are transected and damaged during the harvesting process is the most critical step in ensuring good transplant results. The more hair follicles have been transected, the fewer hairs can grow.

Blind Technique
Blind Technique
     The two common methods of donor strip harvesting are single-bladed and multi-bladed knife excisions. Regardless of which method is used, both of them are "blind techniques" and result in varying degrees of transection of hair follicles that lie invisibly beneath the scalp.

     Both techniques are performed by inserting and aligning the knife exactly parallel with the visible external portion of hair and continuously changing the angle, keeping the knife parallel to the visible hair as the strip is progressively cut in order to avoid transection of invisible hair follicles. This attempt is essentially a guess of the direction and angle of the invisible hair follicles. Unfortunately the direction and angle of visible hair shafts and invisible hair follicles are not exactly parallel, especially in curly hair. Even though great care is taken, many of the hair follicles are still transected during the harvesting process.

Open Technique
Open Technique
     Our technique is an "open technique". We use a single-bladed knife along with a pair of skin hooks, which are inserted into a small stab wound and pulled in opposite directions while cutting perpendicular to the line of tension between the hair follicles. This technique enables individual hair follicles to be directly visualized and protected from transection during the harvesting process. It is extremely efficient as it allows the surgeon to visualize the hair follicles before cutting, without needing to constantly guess the correct angle. While it does require more time and more experience, it provides an invaluable benefit to you. Higher yields and healthier grafts are obtained as a result.

Follicular Unit Grafts Being Created Using a Microscope


 

 

Additionally, we use microscopes for the preparation of all hair grafts. Microscopes provide the proper magnification to see the follicles clearly. It allows our technicians to dissect each follicular unit of hair precisely without damage

Hair Transplant Staff

Hair Transplant Procedure


Closing the donor area

There is a lot of discussion about donor area scars in hair transplantation and we understand that patients do not want a visible hair transplant scar, especially if they like to keep their hair short. Physiology of wound healing and scar formation is a very complex matter with numerous studies devoted to the topic. Up until now, there is still no one certain technique to guarantee an undetectable scar. Each patient’s donor scar can heal in varying sizes and dimensions depending on the surgical technique used, as well as how that particular individual heals. In an attempt to keep scarring to an absolute minimum, we have developed our own surgical procedure called the “Triple Closure technique” to close the donor wound.

 

The Triple Closure technique

1. The first stitches we use are long and strong dissolving stitches. These (internal stitches) are placed underneath the skin to pull both skin edges as tightly together as possible to hold the tension upon closure.

2. The second set of stitches we use are fast dissolving stitches (small bite stitches), These are placed right at the skin edges to approximate the edges of skin until the skin is completely closed.

3. We follow this with a third set of non-dissolving stitches (retention stitches) to keep tension on the skin and prevent the scar from stretching.


With our “Triple Closure technique”, we will leave you with the least detectable scar possible. We also utilize "Fascial and Trichophytic Closure Techniques" to minimize donor area scarring in certain patients, depending on the circumstances.

The Triple Closure technique


The Triple Closure technique


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