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Hair transplant | Achieving a natural appearance

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Posted on : October 14, 2016 | Author: John Kahen

Hair transplantation is a science-based medical and surgical procedure that the patient undergoes to achieve an outcome of esthetic improvement. The hair transplant physician must, therefore, be a master of surgical esthetics as well as surgical technique.

The characteristics of hair which make a difference while hair transplantation is essentially for:

  • Colour-blond, red, brown, black, and varying shades of each.
  • Caliber (diameter of the hair shaft)-fine, medium, or thick in cross-section.
  • Geometry-straight, wavy, curly, frizzy.

These salient characteristics are essential considerations while planning and undertaking hair transplantation These also reflect other features like skin color, color contrast between hair and scalp skin, hair density (number of hairs per square centimeter of scalp skin), the elasticity of scalp skin, and size and shape of the patient’s head as a determinant in planning for the placement of transplanted hair.

The standards of hair transplantation have been reset of late and no longer do patients remain dissatisfied by poor results. The aesthetic improvement by today’s standards of hair transplantation is not merely hair restoration, but hair restoration with a “natural” appearance. The area of hair restoration should look, as much as possible, as the area might look if no hair had been lost.

Hair characteristics as enumerated above are among the most important considerations in achieving the goal of natural appearance in hair transplantation. Hair at different sites on the patient’s head has characteristics useful for specific purposes in transplantation. Hair caliber (diameter of the hair shaft) is one of the most important characteristics. Hairs of the heavier caliber found at the back of the scalp may be harvested and used to achieve fullness and bulk in mid-scalp areas of hair loss. Hairs of finer caliber, such as those found near the temples, may be harvested and used as grafts to create the all-important hairline. Where the hairline should be placed can be a challenging aesthetic decision that calls for the skill and experience of the physician hair restoration specialist - a decision that is based on elements such as the extent of hair loss, the shape of the patient’s head, the likelihood of further hair loss in the future that will require additional hair restoration. 

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