Baldness affects both genders both males and females, with equal intensity. The reason behind this baldness is 95% genetic trials and 5% is due to bad dietary habits, anxiety, infections, and after-effects of some medications. In this article, we will try to summarize the best-known procedures. In the selection of treatment methods, we have to focus on many aspects, like which body part we are going to treat? What are the desired results? How long should the treatment procedure be? Check the patient compatibility with the procedure? After answering all these questions a practitioner selects the specific surgical methods role in hair loss.
The hunt for an ultimate treatment for hair loss is continued. There is a need to have a lot of improvement in this field as the patient expectations are much higher. Before undergoing any procedure you should understand the surgical methods role of in hair loss. These restoration techniques go in two directions, one group is working on grafts and their survival rate, similarly the other group works on the surgical procedures advancements. The physician also works on safe anesthesia doses during these procedures. Commonly local anesthesia is administered in these procedures. When someone is suffering from baldness and decided to go through restoration he will definitely find a long list
Scalp Reduction Surgery
In this procedure, a bald section of the scalp (fishtail shape) is removed by injecting a local anesthetic. After removal of the bald scalp, the growth-bearing scalp is stretched to cover that area. In this way, half of the bald area can be replaced by a healthy follicular scalp. This procedure is most effective on the top head and back head area. It does not apply to the front hairline area of the scalp. This surgical method is outdated with the innovative advancement in this field. Only a few practitioners conduct this method because the results are not very satisfying. The patient is left with a stretched scalp which did not look natural and also the scar marks are prominent after treatment.
Scalp Flap Surgery
This practice has ancient surgical methods role in hair loss. It involves careful preparation and adequate information of the arteries and veins structure on the scalp. The Doppler scanning is not applicable to check the blood vessel anatomy of the scalp. In the rotational flap surgery, the back side head scalp was rotated to the frontal area of the head which gives a passive impact of a healthy head scalp. More commonly the back side head scalp has healthy follicles and remains healthy throughout someone’s life. The drawback of flap surgery is the follicles grow in the opposite direction. The success rate of the used flap depends upon the area, location, and type of alopecia.
In this process, healthy grown follicles are obtained as grafts and placed over the affected area. This transplant surgical methods role in hair loss is very impressive. Mostly these grafts are extracted from the baxk area of the head or other body parts. A local anesthetic is administered to the affected area and some pain relieving medications are prescribed after treatment. These grafts are of two types’ micro-grafts and slit-grafts. In micro-grafts, only one to two follicle units are extracted. These micro-grafts are utilized in the Follicular Unit Extraction technique where the grafts are extracted from the donor and replaced in the recipient at the same time. While in the case of Follicular Unit Transplantation a bold wide slit- graft is extracted from the donor and later harvested on the recipient’s scalp. This type of transplant is to cover a large bald area with scarring alopecia. But for small bald patches, Follicular Unit Extraction is most acceptable. These procedures are somehow painful and have possible risks of bleeding in sites, bruising on the eyes, swelling and later infection may occur. To get the desired volume you have to go through several setups which may repeat after every 2 to 4 months. But the disease re-emission chances are much higher in genetically induced baldness.
Tissue expansion technology
This category of hair restoration is conducted in more severe cases like accidental skin burning and scarring. The surgical methods role in hair loss is a problem solver. When the scalp is damaged it is permanent and no other procedure works. This practice permits the expansion of a healthy scalp to expand in the area of baldness. A tissue expander is used to stimulate healthy scalp growth by inducing a mechanical substrate under the soft tissues of the scalp. This expander is injected with saline to increase its volume. At starting the scalp is stretched due to expander later on the soft connective tissue regrowth to cover that area. Hence, the scalp with growth is increased which is expanded afterward.
It is the most recent technology to restore baldness. Scientists are still working to check the surgical methods role in hair loss. It is follicle multiplication or cloning of healthy follicles in the lab. These cloned growths are then injected into the affected areas to stimulate growth.
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