*** Dr. Donovan no longer provides hair transplantation services in his practice ***
Hair transplants are now performed via follicular unit transplantation in men and women to restore hair density in a natural appearing manner. Follicular unit transplantation is a modern state-of-the art method whereby hairs are removed from the back of the scalp (the "donor" area) and prepared via high magnification microscopes into natural groupings of 1-4 hair follicles (called "follicular units") and transplanted into the front or top of the scalp (the "recipient" area).
Hair Trasplant Follicular Unit Strip Surgery (FUSS) vs Follicular Unit Extraction (FUE)
Follicular units can be obtain from the back of the scalp (donor area) in two ways: follicular unit strip surgery (FUSS) or follicular unit extraction (FUE). Dr. Donovan takes great care in discussing these issues with patients during their consultation. Not all patients are ideal candidates for follicular unit strip surgery and not all patients are ideal candidates for follicular unit extraction. Around the world, FUSS continues to be more commonly performed than FUE.
a) Follicular Unit Strip Surgery (FUSS)
The first method - follicular unit strip surgery - involves removing a strip of tissue from the back of the scalp and placing stitches in the area where the hair was removed. The strip of tissue is then processed by our hair transplant nurses & technicians into individual follicular units. Individuals with a small area of hair loss may require a 800-1300 follicular units, whereas individuals with large areas of hair loss may require over 3000 follicular units A small scar forms at the back of the scalp where the hair was removed, but this is easily camouflaged by one's existing hair. The scar appears as a very fine line about half way up the back of the scalp and is therefore sometimes referred to as a linear scar.
b) Follicular Unit Extraction (FUE)
The second method - follicular unit extraction - involves removing hairs from the back of the scalp one by one. The technique does not involve use of stitches and does not produce a linear scar. Rather the technique of FUE leads to the formation of very small "micro-scars" that are circular but easily hidden within one's existing hairs. Despite the myths, FUE is not scarless. It leads to mircro-scars that can not usually be easily seen and therefore allow patients (especially men) to have the option of shaving their heads in the future without showing a linear scar.
The five most common reasons include:
1. Hair Transplantation for Men with Male Pattern Baldness
2. Hair Transplantation for Women with Female Pattern Hair Loss
3. Hair Transplantation for Traction Alopecia
4. Hair Transplantation for Inactive Scarring Hair Loss Conditions
5. Hair Transplantation to Camouflage Scars following Facial Cosmetic Surgery