Hair transplantation

transplatacija-kose

Hair transplantation has been done in our clinic for many years. Since we are among the pioneers in the field of hair transplantation, you can remain confident in the success of this method and the quality of our work.

Causes of hair loss

By observing the hair follicle of a man, it was concluded that certain corpuscles called “receptors” are sensitive to 5alpha dihydrotestosterone,an androgenic hormone from the group of testosterone, which binds to these receptors.This causes damage of hair follicles which become thinner,of low quality, and eventually fall off when the root is completely destroyed by the hormone. This hormone, like all other androgen hormones originally appears in puberty, thus the first signs of weakening the hair quality and its thinning and falling off can be seen after the onset of puberty. This phenomenon is known as “androgenic alopecia.” This type of hair loss is characterized by the hair falling off from the crown area of the head, while hair loss is not present in the areas above the ears and at the nape;this is due to the absence of receptors for androgene hormones at other areas of the head.

Method

Based on the above, there are two types of hair follicles (with and without receptors) – this is the starting point for performing hair transplantation. Namely, hair follicles together with their roots are transplanted from the occipital region to the upper parts of the head where the hair is thinning. A permanent hair growth is achieved due to the following two reasons. Firstly, these hair follicles on do not have any receptors for androgen hormones, therefore the roots cannot get damaged. Secondly, our own tissue is used so there is no possibility of rejection of the hair which could happen if the transplanted tissue belongs to another person. Ofcourse, there are other causes of hair loss, but they are related to infections of the scalp and hair roots by bacteria, viruses and fungi, as well as congenital deformities in the development of hair roots, skin atrophy, autoimmune diseases, malignant diseases of the scalp, or treatment of other malignant diseases with radiotherapy and cytostatics, as well as various scalp injuries by physical agents.
Hair transplantation has become a method of choice in treating androgenetic alopecia or hereditary type of alopecia, because the existence of receptors in hair follicles is transmitted from one generation to the next, and this may spanover several generations in the same family. Unfortunately, this phenomenon is not exclusively related to the male population although it is most common in males. To some extent hair loss is also present in women, it is manifested by thinning of the hair at the upper portion of the head, and it is considered a genetic malformation. Fortunately, hair transplantation can be performed both on men and women. This can be done by increasing hair density within thinning scalp regions or by completely covering the exposed scalp regions. Of course, the technology has been evolving over time and it is currently possible to achieve optimal results.

Anesthesia

In most cases this intervention is performed under a local anesthesia, a brief intravenous sedation, or in combination of these two types of anesthesia. The intervention is not painful, and depending on the number of transplants it can last up to 6 hours.

Operating procedure

The transplantation consists of implanting hair follicles with their roots from the occipital protuberance region of the head to the thinning hair regions. It is possible to transplant the hair to the completely exposed region either by a gradual increase in hair density, or a one-step transplantation.

Results

It takes from 8 to 16 weeks for blood vessels located in the regions of the newly implanted hair follicles to grow into the hair roots; this is essential for getting nutrients required for the continuous hair growth. Such a process is permanent, implanted hair follicles can not fall off again and the hair continues to grow in the same manner as the hair in regions that were not subjected to transplantation. The patient should expect an immediate postoperative treatment which consists of removing stitches from the occipital protuberance region which were placed to prevent implanting of healthy hair follicles. The stitches are removed 14 days after the intervention, and this is the final step in the intervention. It is very difficult to cover large areas in a single procedure, and it is sometimes necessary to perform additional procedures which are also possible in case of an active hair loss process which cannot be prevented by any modern medical approaches.


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