When people hear the word “hair transplant”, they picture wigs, but not a natural hairline. Unfortunately, hair transplants have a bad reputation. This is caused by an old “hair” procedure of the ’80s, in which hair was transplanted using hair plugs (multiple follicular units in one plug), and the resultant follicles and hairlines looked unusual and unnatural.
The fact is that with the latest hair transplantation technology, extra density/volume to your hair could be added to fill the receding hairline. The older treatment methods have the appearance of a hair plug.
Hair transplantation might be the best solution for people who have lost hair. According to a practical census by the International Hair Restoration Society (ISHRS), 64% of men who have had hair transplants are not satisfied with the density of their hair after the procedure. For many men who underwent hair transplant, this caused frustration and thoughts of helplessness. The reasons for such dissatisfaction are as follows:
- Results not matching with expectations
- Repetition of sessions
- Hair loss, despite investing so much money.
- The limited amount of hair that is genetically resistant to hair loss in the donor area.
Results of a hair transplant depend entirely on the donor area.
The donor area can be the back of your head or chin, or it can be chest hair. All this hair can thus be combined to achieve satisfactory results even in patients with limited donor area availability. However, hair transplantation is not a miracle, and there are still potential weaknesses you need to know. One such event that occurs to patients who have undergone and undergone hair transplant is diffuse growth of hair or thinning of scalp hair in donor areas.
In this guide, Hairsure Clinic will explain about this problem affecting the donor area in detail, causes, and how to treat diffuse hair loss in the donor area before and after hair transplantation. If you are considering hair transplants, the information below can help you make a more informed and safe decision whether the procedure is the right choice for you.
What is a donor area?
The ideal donor area is on both ear sides and behind the scalp. Permanent hair growth remains unaffected in these areas because these hairs are mostly immune to the effects of DHT androgen (Dihydrotestosterone).
Factors such as texture, calibre, colour and curly hair follicles of the donor area play an important role in determining the outcome after transplantation. Even if the best transplant specialist transplants your hair, the results will be determined by the quality of your hair.
What is meant by diffusing the donor area?
Thinning and loss of scalp hair in the donor area before and after hair transplantation procedure. Diffuse loss of hair results in the reduction of hair follicles density in the donor area. This thinning of hair harms the hair transplantation procedure as a whole.
What causes diffuse hair loss in the donor area?
The most common cause of diffuse hair loss in the donor area, are as follows:-
- Genetic factors.
- Thyroid disease.
- Iron deficiency.
- Stress or less often due to fever.
- Surgery or general anaesthesia.
What is the donor area suitable for hair transplants?
- When choosing a donor location, the doctor prefers scalp hair in the occipital area and adjacent temporal areas. This is because hair that grows in this area is permanent.
- The next choice donor site is beard because the hair is naturally thick and resistant to DHT. Hair transplant specialists often tend to mix head hair with moustaches, but the art of hair transplantation determines that they should not be used in isolation, along the hairline, and crown area because of its nature.
- Stomach and chest hair can also be used as a hair donor. Although thin, in most cases they are thick enough to look like scalp hair. At our Hairsure Clinic, chest hair is routinely used to increase the number of grafts in very bald people. It is also advisable to recheck chest hair for pluggy hairlines and sometimes to soften the hairline.
- Upper and lower limbs is a last resort, but for most people, their hair is so thin that it is rarely seen on the scalp when used. Their growth cycle is long and unpredictable; they are least preferred in body hair transplants.
Bad donor area for hair transplant:
- It is essential to know that not everyone has an excellent donor site. Men who suffer from DUPA Diffuse unpatterned alopecia or diffuse alopecia tend to have unhealthy hair. Therefore, they are not suitable candidates for successful hair transplants. Others may have extensive bald miniaturization and may creep into permanent areas.
- People with care for deceased donors are also a bad choice. Such cases are more common in women than in men.
- Cicatricial Alopecia scars due to unclear causes.
- People with thin hair are also not suitable candidates.
- It is often advisable to tell patients to wait until they are 25 to 27 years old.
Treatment of Diffuse Hair Loss In The Donor Area before and after transplantation:
There are several ways to get the most out of hair transplantation. Medication is the most common treatment for diffuse hair loss in the donor area. This includes the following:
Topical Minoxidil Application:
If necessary, they will be given. Men and women can use minoxidil for topical treatment (brand Rogaine) as a liquid or foam. Minoxidil extends the hair growth phase (anagen phase) and slows down the deposition and resting phases (telogen phase). As long as hair thinning does not stop, more hair is left on the head before shedding, giving hair more density and coverage.
Minoxidil does not thicken the hair and does not prevent thinning hair. However, because it slows the beginning of the resting phase when the hair gradually becomes thinner, it also slows down the thinning process. While men and women can use minoxidil, not everyone responds to it. Minoxidil must be used continuously to maintain effectiveness.
Male patients must use 5%, while female customers must choose the 2% version. This is used to minimize hair loss from local hair and to accelerate the regrowth of transplanted grafts.
Minoxidil can be used one month after transplantation when the recipient and donor areas are entirely healed.
Finasteride oral medication:
In men, using the finasteride pill (brand Propecia) inhibits the enzyme 5-alpha reductase, which converts testosterone to dihydrotestosterone (DHT). DHT is an essential factor in thinning hair in men with DHT sensitive hair. The use of finasteride for a long time can slow down thinning hair. Unfortunately, finasteride does not work together in all men. For this reason, many men refuse to take finasteride. Finasteride must be taken regularly for effectiveness.
This is used to strengthen weak hair and reduce future hair loss. It is also used to minimize the impact of losses after surgery. Patients may see a decrease in libido. These rare side effects are temporary and disappear after you stop taking the pill.
Androgens include testosterone, and other “male” hormones can accelerate hair loss in women. Some women who do not respond to minoxidil may benefit from the addition of the antiandrogen drug spironolactone (Aldactone) to treat diffuse hair loss in the donor area. This is especially true for women with polycystic ovary syndrome (PCOS) because they tend to produce excess androgens. Doctors usually prescribe spironolactone along with oral contraceptives for women who have the potential to give birth. (A woman who uses one of these drugs should not be pregnant, because
this can cause genital abnormalities in male fetuses.) Possible side effects include weight gain, loss of libido, depression, and fatigue.
Use of antibiotics after transplantation:
Antibiotics are usually prescribed for 3-5 days immediately after surgery. They are used to prevent possible infections and ensure smooth recovery progress. Our patient receives antibiotics at the Hairsure clinic.
Antibiotic cream may be needed somewhere during the recovery process. If cysts or bumps can be seen in the recipient or donor area, this cream must be applied directly to the inflamed area.
Biotin is often recommended as a food supplement to strengthen hair and nails. It must be used at least six months after transplantation.
Iron deficiency can cause hair loss in some women. Your doctor can test the levels of iron in your blood, especially if you are vegetarian, have a history of illness, or have heavy menstrual bleeding. If you are deficient in iron, you need to take supplements, and this can stop hair loss. However, if your iron content is normal, consuming additional iron only causes side effects such as abdominal pain and constipation.
If necessary, they will be prescribed. This device is used to massage the scalp and improve blood circulation. It can be used 2 to 3 times a week only 45 days after surgery.
Hair regeneration injection:
Hair regeneration is designed to thicken the existing hair and to treat progressive hair loss. This is an injection treatment which mainly consists of an extracellular matrix from a cell and platelet-rich plasma, both of which are wound-healing ingredients. The wound healing properties seem to cause adult stem cells to restart cells and signals in the body that are needed for long-term hair growth.
Research shows that low light therapy can stimulate hair growth. More research is needed to determine how much light and how often it works well.
Surgeons often recommend that men and women follow pharmaceutical treatment for at least six months before surgery to stabilize the donor area. The therapy allows us to achieve optimal growth results and minimizes the number of grafts needed. For information about hair replacement and hair recovery services, please contact Hairsure clinic at 094940 20202. If you want to ask us further questions about what you expect from the procedure, please call us at 094940 20202.