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Placement of Grafts
We also want to demonstrate below the example of two Super Mega Session patients. The first one had 3,800 grafts placed on the front and top area of the scalp and the second patient had 4,410 grafts from which 3,000 were placed on the front and top and 1,410 on the crown.
The traditional disadvantage of the strip harvesting technique is that it tends to leave a linear scar on the donor area. This scar in the hands of non-experts can be as wide as 3-10mm, which prevents the patients from using very short to short hair styling options.
In the hands of an expert team, this linear scar has a width of only 1-3mm and allowing the patient to have short hairstyles.
HDC Hair Clinic is a pioneer in developing new techniques. Research and development is a continuous process so that new techniques can be offered to the public.
One such research programme has been ongoing since the second half of 2005. The main objective has been perfecting a technique closing the donor area without leaving a linear scar visible to the naked eye. This effort has finally been successful.
The new “Trigrowthic Closure” is now offered as the standard closure to all strip method hair transplant patients at no extra cost with amazing results.
This involves a triple closure of the donor site after the removal of the epithelium on the lower edge. The results are very encouraging even in Super Mega Sessions.
In the following animation we illustrate the way that the triple closure is performed so that only one suture is visible after the closure is completed.
We use absorbable sutures, however we advise that the external suture is removed ten days following surgery to maximise patient comfort.
The patient shown below is a Norwood Class 6 and had a strip of 3,800 Grafts on the 14th July, 2005. His photos were taken four months later with very satisfactory growth of hair for that period of time.
After Placing 3,800 Grafts
After 4 months
On this patient we have used a “Trigrowthic Closure” and the photos below show the left, back and right sides of his head, exactly where the Trigrowthic Closure was applied.
Following the continued progress of the patient above,
here we see photos from 7 months post-op. This patient had a Super Mega Session of 3,800 Grafts with great growth and absolutely no visible scar.
Click on the photos to enlarge so you can see the details.
7 months post-op
Below is another example of Trigrowthic Closure on a patient with Norwood Class 5, who had a Strip Super Mega Session of 4,410 Grafts, 3,000 to the front and 1,410 to the crown. His procedure was carried out on the 9th November 2005 and here we show his donor area 40 days later.
Recipient area on procedure date
Recepient area 12 days post operation
Recipient area 40 days post operation
Donor Area 40 days post operation
Donor area 7 months post op
As you can see, the donor area where the Strip of 4,410 grafts was removed, is still red but without any signs of leaving a scar.
These findings may be the beginning of a new era in hair transplant surgery that will leave the patient with great results and no visible scars. More and more “Trigrowthic Closures” with non to minimal scarring results, will be presented soon from HDC Trichology Centre.
If you have entered this section directly, it is advisable to read Hair Transplant Techniques page from the beginning, so that you get a better understanding of Hair Transplant surgery.
From ancient times up to the modern day, hair has always been a key aspect of female beauty and has often been described as a woman’s crowning glory.
This is why female hair loss can cause considerable concern. This fear is supported by research showing an increasing number of women are losing their hair and experiencing thinning at an earlier age.
Male pattern hair loss and female hair loss differ in a number of ways. Male hair loss is principally of androgen type whereas there can be a variety of causes of female hair loss.
Hereditary hair loss, is caused by the presence of male hormones which interfere with the normal hair cycle. Testosterone is altered by the presence of the 5 Alpha Reductase enzyme, changing it into Dihydrotestosterone (DHT). DHT attacks the hair follicle, causing it over time to become shorter and thinner, eventually leading to miniaturisation.
This type of hair loss can also affect women, although it is not the cause of most cases of female hair loss. This type of hair loss is concentrated on the top of the scalp with less hair loss evident on the back, sides and hairline.
There are multiple factors which can lead to hair loss in women, including hormonal imbalance, especially following pregnancy or menopause, following surgery, stress at work or home, rapid weight loss, hormone replacement therapy (HRT), side effects from prescription medications, anaemia and thyroid problems.
A significant proportion of female hair loss is caused by “traction alopecia”, which is the result of tight hairstyles such as braiding. Damage can occur over a period of time, the constant pulling weakens and eventually destroys the hair follicle. A characteristic of this type of hair loss is that the loss usually occurs first from the hairline.
In order to treat female hair loss, we need to examine the causes. We have three main treatment routes:
a) Medical Trichological Treatment
b) Female Hair Transplant
c) Combination of the two
The best way to determine which type of female hair loss you are experiencing is with a personal consultation. Where indicated we will use a blood test to determine whether the hair loss is androgenetic or caused by hormonal imbalance or by anaemia or other deficiency. A determination will then be then be made regarding the best course of treatment whether this will be a trichological treatment or female hair transplant or a combination of the two.