Hair, like you've
never lost it.
™
HAIR TRANSPLANT SPECIALIST
Art in Hair restoration
The interaction between art and science plays a very prominent role in achieving natural and aesthetically pleasing results in Hair restoration surgery.
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It is essential that the surgeon and the patient understand the natural process of ageing and the way hairline changes with age. This is important in achieving an age specific and face specific hairline. In many ways hair restoration is a flawed science as we are trying to replace an area that had a lot of hair with a lot less hair. Hence it is important to strategize and make the best use of available hair.
Facial Aesthetics in humans is defined by the golden ratio. This number, universally recognized as ideal, is usually rounded to 1.62. It is also known as phi (Φ) in Geometry, Fibonacci numbers in India, feng shui in Asia, and divine proportion. This ratio 1:1.62 is nature’s symmetry and occurs naturally in life. Da Vinci himself used it when he drew the perfect human male body in his famous work the Virtruvian Man. The premise behind this is that the closer a face or object is to the golden number 1.62, the more beautiful it becomes. And hence a male ticking all the boxes close to the ratio, but with lack of hair can in theory be classified as unattractive.
The simplest formula to use is to measure the length of the face and divide it by the width at the widest part of your face. The closer this number is to 1.62, the more beautiful it is judged to be subconsciously.
Dr Stephen Marquartdt developed a facial mask as a measurement of classic beauty to help plastic surgeons align facial features for more symmetrical accuracy based on a series of rectangles, triangles and decagons. Lack of hair or a receding hairline can severely compromise the ratios.
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In men however, we make use of the Golden ratio to define attractiveness in a different format called the Adonis Index. This index takes into account various features of the body like the width of the shoulders relative to the waist.
As a rule of thumb, we divide the face into three equal parts.
We divide the face into from the forehead hairline to a spot between the eyes, from between the eyes to the bottom of the nose, and from the bottom of the nose to the bottom of the chin. If the numbers are equal, a person is considered more beautiful.
When I consult my patients, I generally tend to qualify anywhere between 15-20% for a FUE hair transplant. This is primarily due to discrepancy between donor supply and demand to get a meaningful outcome.
However, what gets me excited is when I see clients with Norwood 3-5 presenting with a great donor area and a stable hair loss pattern. Under such circumstances, we can really utilise the principles of artistry and produce aesthetically solid results.
Main Issues That Are Generally Overlooked
When Counselling
Patients For A
Strip Surgery Are:
Quality Control
After the strip is dissected, it is generally passed on to a team of technicians who trim the strip into individual grafts. During the process of trimming there is an unknown entity that becomes into play. That is the skill and motivation of the technician. Hence it is a known fact that surgeons that have consistent teams achieve far better results than someone that relies on freelance technicians. Whilst exploring options of a strip surgery, it is advisable for a patient to meet the team and get to know the team that will be operating.
Scarring
It is a well known fact that strip surgery can produce significant scarring in the donor area, when performed by untrained hands. A simple test a patient can perform is to pinch the back of the scalp to check for signs of laxity. If the client is known to have a tight scalp the chances of poor scarring with a strip surgery increase exponentially.
Placement of
Grafts
Historically strip surgery has been promoted as a surgery that has better outcomes because of the presence of galar fat at the bottom of the grafts. Whilst it might offer better leverage for the technicians whilst replacing the grafts, studies have shown that the growth of the grafts is not dependent on the presence of the galar fat. With improvements in extraction and placement of grafts by FUE, the outcomes are much better with a strip surgery.
Quality of
Grafts
During the process of extraction of follicles using strip surgery, the number of follicles per graft is significantly less compared to that extracted by FUE. This is because most of the grafts that are extracted with a strip surgery have follicles containing single and double hairs. Whereas with a FUE, the surgeon has complete control over the grafts and he can pick and choose the ones that give maximum benefit to the client. Besides, the technicians are encouraged to keep the grafts skinny by dissecting most of the tissue surrounding the grafts as this helps in quicker placement of grafts. I believe the preservation of the pilosebaceous unit is key maintain the natural appearance of follicles and this is where FUE trumps FUT.
FUE Scarring
There is a common misconception that FUE leads to pitting scarring. Though it is a fact that badly performed FUE can lead to visible ‘dot’ like marks on the back of the scalp; with improvements in FUE, the chances of visible scarring is negligible and by following certain protocols and extraction there is evidence to suggest that the scarring is almost invisible.
Duration of
Surgery
Whilst everyone acknowledges the fact that FUE takes a lot longer to perform and hence the grafts might stay outside the body for a longer duration than in FUT, my argument is that one can achieve good outcomes with FUE with fewer grafts than with FUT. This helps with improving the yield as it decreases the duration of the surgery and also the fatigue factor associated with technicians replacing a large number of grafts associated with FUT surgery.
Our clients have voted our FUE as one of the least painful surgical procedures they have undergone. Most of our clients are back at work in under 48 hours.
Recommended
by many.
We believe in a business model that is solely based on recommendations and hence 90% of our clients come through a personal recommendation. With the personal trauma suffered from sub-optimal surgery, Dr Reddy has a personal motto of making sure that none of his patients go through the same
