Hair implant

Hair implants. Interest in hair implants has increased significantly in recent decades. Two out of three men and one in five women suffer from hair loss. In males, heredity is the main cause of receding hairline. Hormonal changes like menopause can cause hair loss and hair loss in women.


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  • 1 Treatment
  • 2 Surgery
  • 3 Complications of transplant procedures
  • 4 Treatment for Alopecia
    • 1 Medicine for the treatment of alopecia
  • 5 Modern Techniques: transplantation of follicular units
    • 1 ‘FUSS: Follicular Unit Strip Surgery
    • 2 FUE: Follicular Unit Extraction
  • 6 Bibliographic reference
  • 7 External links
  • 8 Bibliography


There are hair implant techniques that are available, although hair implant surgery cannot help those with total baldness. Candidates for hair implants should have healthy hair growth on the back and sides of the head. The back and sides will serve as hair donor areas, where grafts and flaps will be taken.



At the initial consultation a surgeon will study the pattern of baldness and provide all the information concerning the surgery, technique used and the expected results.
The method involves removing a strip of scalp from the posterior region of the patient’s head . This area does not have DHT receptors, so this hair is permanent and does not fall out. Micro-grafts (1-3 units of hair) are then obtained which are meticulously implanted in the hairless areas.
The intervention is performed under local anesthesia and is ambulatory, that is, the patient goes home the same day. The results are natural and for life, since the same hair of the patient is used.
During the post-operative care is very simple and there is very little discomfort for the patient, who can return to normal activities immediately.
It is important to keep in mind that for the best results, between 2 and sometimes 3 interventions will be needed depending on the degree of baldness of each patient.

Transplant procedure complications

Possible complications associated with hair transplant procedures may include:
Uneven Hair Growth
Sometimes the growth of newly transplanted hair appears uneven, especially if placed next to a sparse area. This can often be corrected with additional surgery.
Hemorrhage, scarring
Tension in the scalp due to some of the scalp reduction techniques can cause wide scarring, bleeding, or both.
Rejection of grafts
Occasionally, there is a possibility that the graft may not be “accepted”. If this is the case, the surgery should be repeated.
As with any surgical procedure, there is a risk of infection.

Alopecia Treatment

Alopecia means total or partial hair loss, which can occur at any age and is not synonymous with baldness, it can be mistakenly mistaken for baldness.
Stress is one of the fundamental causes of alopecia, since it is known that the nervous system altered in its functions during the period of emotional stress to which it is subjected, produces substances that decrease blood circulation in the scalp, causing a decrease in the nutritional contribution to the hair follicles , which are the structures in charge of synthesizing the proteins that make up the hair, totally or partially inhibiting this process.
This phenomenon generally begins with cellular damage due to the decrease in local blood supply, the damaged cells of the hair follicles release antigenic substances that sensitize the immune system, which then produces specific antibodies against the follicles that can destroy the cells that They compose it, which prevents the formation of hair or body hair.
Alopecia is one of the dermatological diseases that most worries humanity, due to the high aesthetic value of hair for both sexes in most civilizations.

Medicine for the treatment of alopecia


Piloactive Lotion and Piloactive Shampoo : Stimulates hair growth and regeneration, increases blood circulation in the scalp, regulates sebaceous secretion and restores normal coloring to hair.
It contains a placental pilotrophic factor that physiologically regulates the functioning of the sebaceous glands. It increases the micro blood circulation in the scalp, in addition to helping to improve the protein synthesis process that normally develops inside each hair follicle, by providing a greater local contribution of essential amino acids.
The result obtained in the use of the Piloactiva Lotion can be summarized in a general revitalizing action of the hair, which affirms its roots and increases its thickness, reducing desquamation, seborrhea and premature baldness.
The safety (does not produce side effects) of the treatment with the Piloactiva Lotion allows its use in both children and adults, including the elderly, pregnant women and women during menstruation.
Depending on the area where you are, you will hear very similar names that refer to hair transplants: hair implants, hair transplants, hair transplants, hair transplants, hair grafts, hair micrografts or hair implants.
Many people consider that it is not worth a surgical intervention with the sole purpose of recovering the hair. Perhaps they imagine that the risk is too high or that the intervention could be painful, that the results are not natural or they are simply not willing to spend so much money to see themselves with hair again.

Modern Techniques: transplantation of follicular units

Each of our hair is born and grows within a root called a hair follicle.


If you look at the surface of the scalp under the microscope, we can see that the hair comes together – naturally – in small groups called “Follicular Units”. These groups are made up of one, two, three and, rarely, four hair follicles.
In this illustration we can see three groups of hair that belong to different follicular units. Each hair has its follicle and each follicle has its own follicular unit.
Transplantation of follicular units is a technique that consists of extracting the units from one area (donor) and placing them in another (recipient area). Although saying it is simple, doing it requires real skill and patience on the part of the surgeon.
When you study the painting techniques of different times, you enjoy a good painting much more than a person who completely ignores art. The same happens with the follicular unit transplant technique: if you know the procedure, you really appreciate the work of the surgeon. In some cases, the final work seems more like a work of art than a surgical intervention.
In this type of surgery, the technique to implant the follicular units is always the same and, however, the way to extract them varies according to the patient’s possibilities and the surgeon’s criteria. So far, there are two techniques to extract the follicular units. One is called FUSS and the other is FUE.

‘FUSS: Follicular Unit Strip Surgery

In this technique, a strip of scalp is removed from the donor area (nape) and while the surgeon sutures the wound, the assistants extract (with the help of the microscope) each of the follicular units that will be implanted.
In a short time, the scar of the donor area is covered by the hair that surrounds it and although there is a mark, it will be imperceptible unless the patient shaves the area. Between 1500 and 4000 follicular units are usually transplanted for each intervention.

  • After shaving the donor area, a scalpel cut is made to form a “strip” of the scalp.
  • The “strip” with the follicular units is removed and the incision is instantly sutured.
  • The scar, being covered by the hair that surrounds it, will be invisible in a short time. In the same procedure, the strip is placed under the microscope to extract each follicular unit.
  • The incisions where the units are implanted are really small, that’s why -in a good surgery- it becomes impossible to detect the difference between an original hair and a transplanted one.

FUE: Follicular Unit Extraction

In this case, the procedure is much more complex since there are no cuts of any kind. To extract the follicles, the surgeon does not use a scalpel but a special tool with which he removes each follicular unit directly from the scalp.
Somehow it extracts “bites” from the scalp and each of them contains a follicular unit. The advantage is that there are no scars of any kind, even in patients who decide to shave their head. There are no strips or cuts, only small bites that disappear after healing.
In this enlargement we can clearly appreciate the distance between the bites extracted by the surgeon. It is clear that in a few weeks, the neighboring hair will completely cover the area and any mark that may exist will be absolutely imperceptible.
Although this technique seems superior to the previous one, it should be borne in mind that it is much more expensive, the number of transplanted hairs is less (2000 at most per session) and the procedure takes longer.

Step 1

After shaving the donor area, the surgeon isolates the hair he wants to extract and, with the help of a tool, produces a tiny incision around the follicle.

Step 2

The process is repeated several times and then, using a forceps, extracts the follicular units that will be implanted.

Step 3

Once the follicles have been removed from the donor area, the surgeon produces hundreds of incisions (smaller than a pinhead) where he finally places the follicular units.

Both methods are good. Both work well but the cost per transplanted hair is much higher in the FUE technique. If you are planning to have a transplant and do not decide on one method or the other, we suggest you personally see two people who have undergone each technique.


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