FUT hair transplant 2000 Grafts
He had grade 3 baldness & the donor was pretty good. A conservative hair line was planned for him as before losing his hair, his hair line was pretty high.
While designing the hairline one has to be very careful.
We can’t go for an aggressive hairline at young age because that can lead to overconsumption of grafts right now as we go down the circumference increases & donor is depleted for future usage.
Whenever we design hairline we have to keep following factors in mind:-
- The age of patient
- Pattern of hair loss family history
- Previous treatment history
- His expectations
- Structure of his face and so on
Both the options were possible in his case, FUT & FUE. After a thorough discussion, the patient opted for FUT, 2000 grafts.
The surgery was done using trichophytic closure technique, so in the after results if you see the donor area, there is no scaring visible. A lot of people are worried about the scarring of FUT, which is a propagated myth.
Moreover it is important to understand the fact that, had we done an FUE surgery for him, same 2000 grafts would have given him more number of hair & more density.
It is because of the fact that we can cherrypick multi grafts in case of FUE. The grafts in FUE don’t have fat tissue, as compared to the grafts of FUT which are bulkier. So it is easy to place more no. of grafts in a smaller space in case of FUE, which gives more density.
One should keep this fact in mind while comparing the results. This is good for time being, but obviously it will deplete the future donor of multigrafts, while in case of FUT a good number of multi grafts will still remain for future use.
The patient was also not put on finasteride, he was prescribed 2-3 times/week application of 5% minoxidil. Adding finasteride would have further improved the result by improving the thickness of miniaturised hair in the zone & would have given a more aesthetic look to hairline as it grows a lot of softer hair in the hairline.
All this is credited to hair transplant surgeon & hair transplant surgeons happily take the credit for the work which finasteride is doing. This can also mislead a patient and other people who are interested in transplant can overestimate the results of that particular clinic and expect the same for them.
As finasteride works on all the three aspects of hair transplant:
- Area coverage: Improves hair even in those areas where no hair are implanted as miniaturised hair get thicker.
- Density: Improves miniaturised hair in transplanted zone as well adding a great deal to the density.
- Hairline Aesthetics: improving the thickness of miniaturised hair in the zone & would have given a more aesthetic look to hairline as it grows a lot of softer hair in the hairline.
People who are happily giving testimonials to the clinics, don’t even know that these results are not going to stay long & over & premature use of the resources like donor and finasteride can hit their long term prospects badly.
Finasteride can have issues of dependence & tolerance as well. Patient once starts taking it, can’t stop & if stopped, it leads to severe rebound hair loss. Even if somebody keeps taking the medicine, finasteride may stop working on his hair after one point of time because of tolerance. There can be issues of potential side effects like erectile dysfunction, loss of libido or gynaecomastia.