Hair Transplant Surgical Restoration
What sets Trichological Associates apart from other hair restoration practices is the multiple therapy approach, experience, and artistry of our Plastic Surgeon that goes into each hair restoration procedure we perform. We also pride ourselves in offering the best price in the DC area for a Plastic Surgeon with overall quality and service!
Experience and Artistry
Like all other plastic surgeries, Hair Transplantion is an art. It requires an expert Plastic surgeon such as Dr.Ravi Dahiya, with over 15 years of surgical experience, a trained hand and keen eye to create the most natural appearing results that are undetectable to even the most critical eye.
At Trichological Surgical Associates, we are exclusively dedicated to the treatment of hair loss, offering the latest state-of-the-art medical hair transplant and restoration procedures for both men and women.
We realize that every surgical hair restoration candidate has individual needs and expectations. We therefore tailor each patient’s surgical plan to their specific, individual hair restoration goals, taking into account their hair type, age, amount of hair loss, current and expected lifestyle, age, and overall health.
Hair Transplant Procedure
Hair Transplantation is the only permanent solution for hair loss. During hair transplant surgery, you are both the donor and the recipient during the procedure with hair being removed from the donor zone in the back of your head where your hair is genetically programmed to grow for life after being transplanted into the balding and thinning areas of your scalp.
There is a step-by-step process for all procedures with the biggest difference being the skill of the Surgeon when doing the donor hair harvesting. At Trichological Associates, we perform the Follicular Unit Transplant (FUT) Strip Harvest
Our Pricing for FUT is half the cost of the average FUE procedure. While there are some advantages with the FUE procedure there are still many disadvantages:
Disadvantages include increased surgical times and higher cost to the patient. Some surgeons note that FUE can lead to a lower ratio of successfully transplanted follicles as compared to strip harvesting. Others also suggest that in case a patient would need more than one transplant, it would be difficult to find a good strip after an FUE.
In essence, grafts extracted via FUE are much more sensitive, as the extraction technique leaves much less protective tissue around the hair follicles. This ultimately leads to a lower survival rate. With FUE there is a greater chance of transection of hairs as compared to strip harvesting and this could result in poor growth or lack of growth depending on the level of transection. The rates of transection seem to vary widely with FUE. Conversely, with strip harvesting, grafts may be damaged in making the initial skin incisions and subsequent dissection of the tissue, but this is considered minimal. The use of the microscope for dissection of the donor strip should limit transection rates to 1-2%. Grafts created with strip harvesting generally have a greater amount of surrounding tissue and fat. This may decrease the chance of dehydration and allow for greater leeway in manipulation of the grafts during placing and hence, better graft survival.
The FUE technique does not close the wound, this means that the donor scars will not be reduced. For FUT, when 30 cm of donor is extracted, the closure of the scar will be reduced to one tenth of its original size. Depending on the surgeon’s skill, the results could be even better. In contrast, the FUE procedure will leave 30 cm square of scars widespread and much larger depending on the tension of scalp. This will cause the scars to stretch further. There will be 3000 round punch hole scars distributed all over the donor site for the remainder of your life. It will be permanent and not disappear over time. When your hair begins to thin, the scars over the safe zone and the thousands of scars will start to become even more noticeable. Some promoters of FUE have stated that nerves and veins are not cut. This claim is untrue. By entering the skin with the punch arteries, veins and nerves are cut. It is important to point out that with FUE the patient’s hair usually must be trimmed quite short for harvesting. This is the case especially when large numbers of grafts are required. A way to avoid trimming all of the donor hair is to set up rows of short hair between rows of long hair. The short hair grafts can be harvested within the existing long hair. But again, this is only suitable when relatively small numbers of grafts are needed.
Why FUT ? (Strip Method)
Advantages of FUT Strip Hair Transplant
- 1. Maximization of the number of grafts that can be harvested in a single hair transplant session. This advance technique allows for the transplanting of more grafts. Many patients who have never had a hair transplant can complete their hair restoration in a single surgery.
- 2. Damaged to hair grafts is minimized. The strip procedure allows the surgical team to harvest and process the grafts under microscope effectively reducing transection (damaging hair follicles).
- 3. The surgery is less labor intensive then its FUE counterpart and can be elected at a more affordable cost.
FUT is still the most common technique for removing hair and follicles from a donor site. Our Plastic surgeon harvests a strip of skin from the posterior scalp, in an area of good hair growth.
A single-, double-, or triple-bladed scalpel is used to remove strips of hair-bearing tissue from the donor site. Each incision is planned so that intact hair follicles are removed. The excised strip is about 1–1.5 x 15–30 cm in size. While closing the resulting wound, assistants begin to dissect individual follicular unit grafts, which are small, naturally formed groupings of hair follicles, from the strip. Working with binocular Stereo-Microscopes, they carefully remove excess fibrous and fatty tissue while trying to avoid damage to the follicular cells that will be used for grafting. The latest method of closure is called ‘Trichophytic closure’ which results in much finer scars at the donor area.
Our Plastic Surgeon then uses very small micro blades or fine needles to puncture the sites for receiving the grafts, placing them in a predetermined density and pattern, and angling the wounds in a consistent fashion to promote a realistic hair pattern. The technicians generally do the final part of the procedure, inserting the individual grafts in place.
Strip harvesting will leave a “pencil thin” linear scar in the donor area, which is typically covered by a patient’s hair even at relatively short lengths. The recovery period is around 2 weeks and will require the stitches/staples to be removed by medical personnel or sub cuticular suturing can be done.
The donor zone is identified and prepared for harvesting. We use the strip method of harvesting your donor hair:
- FUT Strip Harvesting in which a strip of tissue is removed from your donor zone and then dissected into follicular units of 1 – 4 hairs using the Trichological Scope
Microscopic Dissection of the Grafts by Our Personal Selected Tech Team
With FUT Strip Harvest procedures, the donor strip is placed under the Trichological Scope which is designed specifically for hair restoration surgery. Then the donor strip is dissected into individual follicular units of one to four hairs.
Creation of the Recipient Sites by Our Plastic Surgeon
Our Plastic Surgeon Dr. Ravi Dahiya creates recipient sites in the proper angle, direction and orientation according to the artistic hair transplant plan he has designed specifically for you. This is where artistry is key and the skill set of the Doctor is most important for best results! Because of his knowledge and experience in Facial Plastic Surgery and Hair Transplants, Dr. Dahiya is highly acclaimed for his ability to combine technical and artistic expertise in the creation of front hairlines.
Placement of the Hair Grafts by Our Personal Selected Tech Team
Finally, your hair grafts are transplanted into the balding and thinning areas of your scalp by our medical technicians who places each graft carefully and meticulously into those recipient sites. Surgical hair restoration is an outpatient procedure performed under local anesthesia.
Our hair transplant procedures provide you with a very natural look, maintaining virtually undetectable results and optimal density without compromising the donor area.
In three to four months our patients begin to notice their new hair growing. Normal growth rate is half an inch a month. How much hair is restored depends on the patient’s degree of hair loss and their desired result. Each patient is unique and results can vary from patient to patient but growth usually continues up to 15 months.
Q & A
Q: Who is a good candidate for Hair Transplantation?
A: Almost anyone with hair loss is a candidate for hair transplantation. However, a patient’s expectations and objectives must be realistic. The single most important factor to consider is how much hair a patient will lose at a later age. With this in mind, the doctor can plan the most natural looking hairline and shape – one that will result in the most undetectable and natural hairstyle.
Q: Is there an ideal age to begin Hair Transplantation?
A: There really is no such thing as an ideal age. Current data show that early hair transplantation is easier to conceal and allows the patient to preserve the appearance of a full and natural head of hair. Our goal is to educate and help patients achieve the best possible outcome.
Q: How long after my hair transplant will I begin to see hair growth?
A: Generally, the hair begins to grow within 3-5 months after the procedure and the number of new hairs will continue to increase for the next 8-9 months with a proper hair hygiene program.
Q: What kind of postoperative care do you provide?
A: Trichological Associates postoperative care with low level laser therapy to alleviate inflammation that can occur to the scalp. In addition, our combination therapy approach allows patients to maximize their results. A follow-up hair loss prevention treatment program is prescribed to promote quicker and healthier hair growth. To ensure that our patients understand what to expect, we discuss home care with each individual. Our doctor personally checks on each patient on the evening of the operation.
Q: How soon can I go back to work after the procedure?
A: Generally, you can return to work within a day or two following your procedure depending on your type of work and comfort level. However, any strenuous exercising or lifting should not be attempted for the first 2 weeks after the procedure.
A free, no-obligation initial hair restoration consultation with us is vital in order to assess your current and future hair loss pattern and recommend the most viable hair loss treatment options for each individual patient. Your hair restoration consultation is an opportunity for you to discuss all aspects of your hair loss and treatment prior to any further action being taken.
We encourage our patients to ask as many questions as they feel necessary and to raise any issues or concerns they have about their hair loss.
To schedule a free consultation fill out the form below and you will be contacted within 24 hours.