Frequently Asked Questions
- How much hair do I need?
- What is hair transplantation?
- What is the difference between density and fullness?
- How do I know if I'm a good candidate for this?
- Is it better to begin early?
- Reasons for male pattern baldness?
- How much hair do I have?
1) How much hair do I need?
Dr. Sword will suggest how many grafts may be available for
your first procedure (and subsequent procedures if you desire
greater fullness). This will be based on your present loss
pattern, what it may become in the future, and how much donor
hair is available. People that have high donor density, tend
to have follicular units usually containing multiple hairs,
and people with low donor density tend to give a lot of hair
units. If an individual has a very loose scalp, a larger donor
strip can be removed while individuals with a tight scalp
will have a smaller donor strip. When an individual has a
relatively small amount of hair that can be moved, Dr. Sword
will use his experience to distribute the available hair in
ways that maximize the best coverage. Go
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2) What is hair transplantation?
Even in the most extreme balding patterns a permanent "wreath"
of hair exists on the sides and back of the head. This hair
seems to be unaffected by the balding process. In multiple
hair or follicular unit hair restoration, a strip of skin
containing this permanent hair is removed from the back of
the head. Because the skin of the scalp is flexible, the scalp
can be stitched together again after the strip is removed. The
hair follicles are then carefully removed from that piece of
skin and placed in very small surgical sites made in the thinning/balding
areas in the scalp. Once transplanted, this hair behaves as
it is programmed to have and should grow naturally for the
rest of your life, after a dormant period of 3-6 months. Go
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3) What is the difference between density and fullness?
The word fullness rather than density more accurately describes
the visual phenomenon in what we perceive as thick hair Vs
thin hair. The concept of fullness is broader and more inclusive.
Density, the number of hairs, (per centimeter), is only one
of several factors that are responsible for the visual impression
of hair that appears "thick". Other factors include
hair shaft diameter, color, texture, and curl, which may be
of equal or even greater importance than density in contributing
to the visual appearance of a "full" head of hair.
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4) How do I know if I'm a good candidate for this?
Most men in good general health are candidates for hair transplantation.
Education is the key to ensure that the supply to demand ratio
is equal to the patient's expectation. Understanding limitations
to your individual traits and characteristics such as color
and type (fine, medium, coarse) and pattern of thinning/balding
are also important . Dr. Sword and the Patient will
help identify those together. Go
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5) Is it better to begin early?
Surgical hair transplantation should not be used as a preventative
measure. You should, however, begin thinking about it as an
option when your degree of hair loss is unacceptable to you.
If you are noticing some hair in the shower drain or on your
pillow in the morning then it may be time to think about getting
started. If there are no signs of hair loss, then you are
one of the lucky ones (so far). Just keep your fingers crossed!
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6) Reasons for male pattern baldness?
Male pattern baldness is genetic and can be inherited from
either the mother or father or combination of both. Balding
is triggered when dihydrotestosterone (DHT) molecules chemically
bond with special receptor sites on hair follicle cells. This
causes the hair follicle to weaken (miniaturize) and eventually
to die. Once dead they can not be brought back to life again.
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7) How much hair do I have?
The Norwood classifications were adapted to help determine
typical loss patterns. Not all fit into these, but most do.
There are 7 classes of hair loss in the main series and 5
variations of these called "A" series. Most men
start to thin in the corners, and then some in the vertex,
and over a long period of time at the top of the scalp. If
you compare your hair loss pattern with the Norwood diagrams
Typical Loss Patterns,
you can probably see the pattern you are in now.
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