Treatment by follicular micrografts

Micrografts

Hair Transplant by Follicular Micrografting

What you should know:

    • Hair transplantation by follicular micrografting is the best-known type of hair-replacement surgery because it provides the only lasting solution to baldness. Under local anesthetic, a strip of scalp from the back of the head (donor region) is cut into small grafts (the follicular units), which are then inserted into small slits that have been made in the area of hair loss (recipient region).

 

  • Great advances have been made in hair-replacement techniques, and the results are more and more natural:
    • Scalp reduction caused ugly scarring that was hard to conceal.
    • Moving strips of scalp resulted in changes in the direction of hair growth.
    • Techniques using dermal punches created a “doll’s hair” or cornrow effect.
    • Microtransplant hair-replacement techniques now give very satisfying, natural results, especially since follicular units have come to be used. Hair grows naturally by twos or threes, and in microtransplantation an effort is always made to respect these anatomical units when grafts are cut.
  • At your first consultation, Dr. Hébert will:
    • complete your personal and family medical history;
    • check for drug allergies;
    • carefully examine the scalp;
    • assess your motives and what you expect;
    • discuss the advantages and disadvantages of a hair transplant, stressing its limitations in order to paint a realistic picture;
    • explain the surgical procedure in detail;
    • answer all of your questions;
    • suggest other solutions if hair transplantation is not appropriate.
  • What happens during surgery?
    • Before the operation: You sign a consent form. Vital signs are taken. Photographs of the scalp are taken. A tranquilizer and analgesic are administered. The graft area is marked out with a felt pen.
    • During the operation: The donor area is disinfected and prepared. A local anesthetic is administered transdermally without a needle, followed by a needle injection for deep anesthesia of the donor area. A strip of scalp is taken from which the grafts are cut. The donor area is closed with stitches or metal staples. Incisions are made in the recipient area. The grafts are inserted. The hair is cleaned and dried.
    • After the operation: You will return home, preferably accompanied by someone as you may feel the effects of the medication taken prior to the hair graft. After one or two days of rest, you will be able to resume normal activities, but without major physical exertion for 10 days. From the third day, hair may be washed lightly. Antibiotics and analgesics are to be taken for only a few days.

Frequently asked questions:

Is the procedure painful?

There are a few minutes of discomfort when anaesthetic is administered in the donor area and along the hairline, but the discomfort is bearable and lasts only a few minutes.

Are there any side effects?

Yes, there are a few temporary annoyances, such as:

  • occasional swelling of the forehead (and sometimes of the eyelids) that may last about a week;
  • coagulation of blood around the grafts resulting in the formation of small scabs, which gradually dry out and fall off after about two weeks
  • decreased sensitivity of parts of the scalp, returning to normal in a few months;
  • small cysts under the skin in the graft area (ingrown hairs), which will empty spontaneously after a few weeks.

Are there any serious complications to be concerned about?

No, not if the procedure is properly and expertly carried out.

Does the hair grow again?

Yes, but patience is needed because the implanted follicles are dormant at first and do not start producing new hairs until tree or four months after the transplant. Furthermore, the follicles do not all become active at the same time, so new growth is stretched over a few months. The results are gradual, and it is only 9 to 12 months after the operation that the final look becomes apparent.

Is the scar at the back of the head visible?

The scar is very fine and looks like a white line on the scalp. It is permanent, but the hair that falls over it, even if kept quite short, will conceal it quite well.

What is the FUE Follicular Unit Extraction?

It is another technique consisting in removing follicular units one by one from the donor area before inserting them in tiny slits in the recipient area, as in the traditional method. This approach replaces the scar of the traditional surgery by numerous dot-like little round scars, almost invisible. The major drawbacks are a longer surgery and the need for a higher number of surgical assistants, making it a very expensive procedure. More so, results are unpredictable and it is impossible to guarantee complete hair growth.

Is any special care needed after the transplant?

There are some instructions to follow in the days immediately after surgery but nothing special besides normal hair care.

Do hair colourings, permanents, caps, or frequent washing make hair loss worse?

These practices are detrimental to the health of your hair, making them duller and more brittle, but they do not make hair fall out since the causes of baldness are hereditary or genetic.

Can anything be done to delay hair loss?

Yes, there are two products on the market that can help:

  • Minoxidil (Rogaine), available without prescription, is a lotion that must be applied to the scalp twice daily;
  • Finasteride (Propecia), which requires a doctor’s prescription, is a pill that must be take once a day.

Are these drugs really effective? How long do you have to use them?

They are effective as long as they are used scrupulously, every day, without a break, for life or for as long as you do not want the hair loss to get worse. When the medication is discontinued, the protection it provided gradually disappears, and hair begins to be shed again. It should be noted that for a small percentage of patients (about 15% for finasteride, for example), the drugs have no effect.
Micrograft

Number of Grafts
Costs
Up to 1000
$4000
1001 to 1200
$4500
1201 to 1500
$5000
1501 to 2000
Please see: ARTAS

 

The cost of a consultation is $100 + tax.
A 10% deposit is required to book a surgery. Financing is available with Medicard® Click here for more details on financing: Medicard.com