Saç Çizgisinin Normalden Önde Planlanması Oldukça Sık Rastlanan Bir Komplikasyondur. Saç Çizgisi Planlanırken Hastanın Yaşı, Hastanın Alın Anatomisi, Ekilecek Alanın Büyüklüğü Hesaba Alınmalı, Çizgi Karşıdan, Yukarıdan Ve Yanlardan Bakışlarda Doğal Bir Görüntüye Sahip Olmalıdır
Normally, as age progresses, the hairline recedes and becomes thinner. If the hairline is planned too far forward, it can lead to an unnatural appearance resembling an adolescent's hairline in later years. Additionally, since the transplanted hair does not shed, planning the hairline too far forward may result in an unnatural appearance due to the natural loss of non-transplanted hair with age.
Hair loss, whether male-pattern or due to localized surgical scars, can be treated with hair transplantation. This type of hair loss is characterized by the male hormone killing the cells that produce hair. Initially, the hair becomes thinner, stops growing, and eventually falls out. The solution to this is hair transplantation.
The completion of the hair loss phase is the most crucial indicator. Male-pattern hair loss is a lifelong process, and the shedding slows down after the age of 39-40. Therefore, patients under these ages may require second or third sessions.
This procedure is performed entirely under local anesthesia and is an extremely safe procedure. No side effects affecting health have emerged in the post-procedure period to date.
Especially, the treated area should be protected from any kind of trauma. Preventing possible swelling can be achieved by having the patient lie on their back. Due to swelling related to the operation, the hairline may appear asymmetric or too far back, misleading the patient. Such evaluations will only be possible around 8 months after the operation. It is not recommended for the patient to drive when going home. They can start using the medications prescribed by their doctors at home. It is advised to consume light meals after the operation. Smoking and alcohol consumption are not recommended for approximately 10 days after the operation
Approximately 3-4 weeks after the operation, shedding occurs in a choppy manner, known as shock loss. In reality, the follicles that produce hair are transplanted. While the hair falls out, these follicles remain beneath the skin and start producing hair. They begin to emerge around an average of 3 months later. They don't all emerge at the same time. The emergence continues for an average of 5 months, increasing in density, and lasts up to 8-12 months. During this period, situations such as asymmetry in regions, an earlier densification of one area, or sparser appearance in other areas may be observed. Therefore, evaluating the results during this period would not be accurate. An average of 8 months should be waited for the evaluation of the emergence. Between the eighth month and the first year, softening of the scar, redistribution, and thickening of hair strands due to this softening are observed. When comparing the eighth month to the first year, it is noticed that the appearance in the first year is closer to a natural look. To evaluate the natural appearance, an average of one year can be waited.
Around one and a half months, it is not recommended to use public baths, pools, saunas, engage in heavy sports, or go to the sea. Smoking and alcohol consumption should be reduced. The patient can use the shampoos they have used before.
Hair transplantation may require multiple sessions depending on the size of the transplanted area and whether the patient's hair loss is ongoing or not.
If there is any systemic disease that would create a contraindication for a surgery to be performed under local anesthesia, the surgery should be conducted after treating the disease. It is not recommended for patients with unrealistic expectations or insufficient donor areas. Also, in patients with active skin diseases, the procedure should be performed after the treatment of the active disease. Prior to the procedure, B12, B6, and zinc levels should be normal, and if there is a thyroid disorder, it should be treated. Blood sugar levels in diabetic patients should be within normal ranges. The presence of psychological disorders such as trichotillomania, obsessive-compulsive disorder, depression, and body dysmorphic syndrome should also be investigated in patients.
Under normal conditions, it typically takes between 6 to 8 hours on average.
"Follicular units are harvested from the donor area, anatomically referred to as the occipital region. Following a successful harvesting process, the follicles are implanted into the areas experiencing hair loss. The donor area is insensitive to the balding process and grows permanently. Any transplanted or hair-transplanted follicular unit is genetically resistant to dihydrotestosterone (DHT), the male hormone, and programmed to grow throughout a lifetime."
After the operation, red scabbing can be observed in the transplant area. The patient can prevent this scabbing by washing their head once a day after the transplantation. Within 7-10 days, the scabs completely fall off, and the transplant area heals. Along with these scabs, the transplanted hairs also shed. Thus, within 15 days to 1 month, the patient returns to the pre-transplantation appearance. Afterward, there is no change in appearance for about 3 months. The new hairs start to emerge slowly after 3 months. The most significant change in the patient is seen in the 5th and 6th months. In the following period, there is a 10% increase every month, and 90% of the transplanted hairs emerge in the 9th month after the transplantation. The remaining 10% continues to emerge up to 1 year. The result of the entire transplantation is obtained within 1 year.
