Introduction

jï Hair transplantation has been requested by many men since it is known that new methods (micropunch technique, slit technique, laser-assisted)

£ do not leave any visible scars. The hairs that are transplanted from the

■¡5 back of the head rarely fall out, and the procedure is atraumatic and virtually painless. A special team is necessary for hair transplantations. This is made up of a surgeon and at least two trained assistants who prepare the hair follicles. Besides precise preparation of the hair follicles, correct insertion of the hair follicles at the correct angle using either the micropunch or the slit technique is extremely important. This is the only way to achieve a natural result; it is the art of the hair transplant surgeon. For this reason we have a dedicated hair transplantation team at the Bodenseeklinik who carry out only hair transplantations. The only way to produce good, lasting results is practice, experience, and the precise preparation and insertion of the hair follicles.

In the hair transplantation chapter a clear overview is given of what must be done to achieve successful hair transplantation. In addition to the precise harvesting of an appropriate donor strip from the back of the head with atraumatic closure, successful hair transplantation involves microscopic preparation of the hair follicles and insertion of the implants either by the micropunch technique or the slit technique, using either one or more follicles in either a manual or a laser technique. The precise insertion technique is determined individually for each patient and each area.

Beauty ideals vary a great deal, but thick, shiny hair is desirable in all cultures because it is a symbol of health and youth. Even the ancient Egyptians saw it as a catastrophe if someone's hair became thinner and thinner. In our society as well, where a youthful appearance plays a very important role, thick, healthy hair is a great advantage. In the Western world roughly every second man is affected by hair loss. The most common form of hair loss is so-called androgenetic alopecia, masculine type hair loss (see Fig. 1 - Norwood classification of types of hair loss).

The hormone dihydrotestosterone plays a key role in androgenetic alopecia. This hormone is formed from the male sex hormone testosterone under the influence of a particular enzyme. Dihydrotestosterone causes hair to become thinner and thinner in particular places such as the brow, temples and the crown and finally to fall out.

The decisive factor when it comes to hair transplantation is that hair on the back of the head (coronal hair), facial hair and body hair are immune to the hormone dihydrotestosterone. This explains why hairs taken from the back of the head and transplanted to bald patches do not then fall out. They continue growing and produce healthy hair, which can be washed, blow dried, and dyed normally.

Transplantation of a patient's own hair is a skillful redistribution of healthy hair follicles to bald patches and, with the new methods available, results in a natural appearance.

Considerations before hair transplantation: The patient's hair should be allowed to grow as long as possible so that the harvest area can be covered with the remaining hair and is not visible. The patient should not take any anticoagulants.

The procedure is carried out under local anesthesia.

After the operation a loose-fitting hat (e.g., baseball cap) should be worn.

Type I

Type IV

Type IV

Type VI!

Type VI!

Type II

Type V

Type V

Type Illa/frontal type

Type Illa/frontal type

Type III

Type III

Type VI

Type VI

Type III/vertex

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