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The beginning of hair transplant is said to be in the 1950s and till that it has evolved a lot. The hair looks “cornrow” or “doll” which were associated with the hair transplant has now evolved into “Follicular Unit” procedure. Even a hair stylist could not identify if it is executed properly.
We all know that in the past several decades the world was almost under superstitions, old wives tales, and guesswork. However, everything is now replaced by science. In 1939 a Japanese dermatologist Dr.Okuda in the Japanese Medical Journal published an extraordinary method of small grafts which was quite similar to the hair transplantation method executed in today’s world.
In the method, hair transplant grafts were used to restore the lost hairs on body parts like the scalp, eyebrow, and moustache areas. However, World War 2 played a big role in why this method could not make an impact on the Western Hemisphere.
In the late 50s a famous physician Dr Norman Orentreich started experimenting to relocate the hairs from back and side to the balding area. In research, it is found that when hair fall resistant hairs from the head transferred to hair loss areas, they maintained their bald resistant genetic ability regardless of where they were transplanted.
The principle that names “Donor Dominance” proved that hairs from the bald resistant areas can be removed and planted to the balding area to continue to grow for a lifetime. It became the base of modern hair transplant.
During 60-70s hair transplant come into popularity, however, the procedure involved removing hair grafts using round punches, which contained many hairs. This now outdated hair transplant technique could produce good results with a full look if a patient completed all planned sessions. However, a patient was typically limited in the manner they could style their hair and, unfortunately, many patients ran out of donor hair before the hair transplant process could be completed.
This was the time when hair transplant surgery evolved, incredibly, where large punch grafts were replaced by the mini and micro hair grafts. The hair transplant method called “Combination Mini Grafting” was no longer used for punching bald resistant hair grafts. Rather, a strip(skin tissue) was removed from the back part of the head and dissected into mini and micrografts the mini grafts (4-8 hairs) were used to create a full hair density while 1,2 and 3 hairs used for creating a front hairline.
In late 90s a new method came into introduction, it was a very refined surgical procedure, currently known as “Follicular Unit Transplantation” or FUT. This exacting and labour intensive procedure transplants hairs in their naturally occurring 1, 2, 3, and 4 hair “follicular unit groupings” in which they grow naturally.
First a strip is surgically removed from the donor zone and to create such mini and micro hair grafts, a highly power magnification is used. Magnification gives power to surgeons and technicians to properly visualize the follicular units in the donor strip. Then it becomes easy for them to dissect the strip into small grafts in the groupings of 1,2,3 and sometimes 4 follicular unit grafts.
The method was so called “Gold Standard” because in the start surgeons faced many difficulties to perform, but later the Follicular Unit Hair Transplantation accepted as the best choice of hair restoration physicians to gain back lost hairs.
Some thought that hair transplantation has evolved to its highest standards as it can reallocate the hairs as they grow naturally. Fortunately, even the “Gold Standard” continue to evolve and become more advanced in nature.
Now, some of the most renowned hair restoration surgeons perform an ultra refined follicular unit transplantation in which every tiny grafts are created that enables them to safely “dense pack” tiny grafts when appropriate. The procedure enables patients to achieve cosmetic density on targeted area with only a single hair transplant session.
In 2002, expert hair restoration surgeons Dr William Rassman and Dr Robert Bernstein published an article defining a new type of hair transplant surgery. In the column, Drs. Rassman and Bernstein specified what they called the “FOX,” or follicular unit excision (normally known as follicular unit extraction) procedure. Unlike the strip harvesting technique is also known as follicular unit transplantation or FUT where tissue containing hair follicles is removed, dissected and Implanted into the balding scalp; follicular unit excision or FUE involves the one by one removal of follicular units from the donor zone followed by implantation.
This new FUE hair transplant procedure revealed a great ability to reduce the occurrence of donor area scarring – an area of great concern for many patients. However, in the beginning, hair growth and results were often sacrificed and larger FUE punch tools frequently led to clear circular scarring in the donor area. Therefore, In order to minimize transaction (an accidental slicing of the hair follicle causing irreparable damage) to follicular units and promote overall growth yield, expert physicians were required to continually improve on the FUE technique. This led many FUE practitioners to innovate a variety of new and more effective tools for extracting and placing follicular units.
Today, follicular unit extraction is a trustworthy procedure for a large number of hair loss sufferers. innovation in the technique have made FUE a reliable choice for patients. Disadvantages such as increased cost, multiple day “sessions”, and the possibility of decreased growth yield may cause some concern. However, for individuals who are attempting quality hair restoration without the linear scar compared with the strip harvesting technique, FUE hair transplantation has become a serious option.
Now FUE method has come into the using of Robotic Way for surgery but still we humans believe in trustworthy hands of hair transplant surgeon. However, it can be a costly option for people who cannot afford hair transplant. But finance facility is almost provided by all great hair transplant clinics which gives an ease for patients to pay for it. Although hair transplant provides best results to patients and a reliable option to restore hair growth.