Boris Goldman, MD, FACS - Aesthetic Plastic Surgery Center, LLC

Hair Micrograft Transplantation

Micrograft hair transplantation involves the transfer of tiny segments of hair-bearing skin from the permanent fringe area of the scalp to the bald area and is now a standard international technique. It was initiated in Australia before becoming popular worldwide. The grafted hair is permanent. Minigrafts and micrografts contain from 1 to 3 hairs. 'Micrograft' is the term applied to the smallest minigrafts.

Procedure: Boris Goldman, MD, FACS - Aesthetic Plastic Surgery Center, LLC - Hair Micrograft Transplantation

Thin strips of hair-bearing skin are removed from the permanent fringe area of the scalp ('donor' area) and divided into hundreds of tiny hair grafts. These grafts are then carefully transplanted to the bald area. The hair begins to appear within 8 - 12 weeks, with uniform growth by 4 - 6 months. It is performed under local anaesthesia and is usually carried out over a series of sessions, each taking from 1 ½ to 4 hours, depending upon the number of grafts inserted. Common numbers are between 300 and 500 grafts per session. The interval between sessions varies from several weeks to several months.

Recovery:

The tiny crusts that form over the grafts usually separate within 10 - 14 days. Most patients can return to work in less than a week.

Frequently asked questions:

Are there solutions for those with very advanced degrees of baldness?

For men with advanced degrees of hair loss, the goal is typically to perform the maximum number of grafts that the donor site will permit. In general, this can range from 1,900 grafts to as many as 2,800. As soon as five months following the original procedure, patients will often undergo a second procedure to provide further coverage.

Before surgery, do I have to cut the hair on the top of my head short or shave?

The hairs in the area of the transplant can be left as long as you wish, though cutting the hair short can often make our task a little easier.

To minimize the risk of scarring, is there anything that can be done before surgery?

There is little that can be done before surgery to reduce scarring. Scarring is best minimized with the use of proper techniques like microscopic dissection.  

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