Want a natural head of hair? Long gone are the days of obvious, large hair plugs containing 20-30 hairs. The density of a good hair transplant is only about 50 percent of your normal density, so a surgeon skilled in placing grafts to create the illusion of normal density is crucial. Today, hair transplantation consists of individual follicular unit micrografts containing just 1-4 tightly arranged hairs in a bundle. These tight bundles of hair are taken from the back of the head and moved to the area of hair loss. This area, which is resistant to hair loss, is known as donor dominant hair. Transplantation of this donor dominant hair does not change its ability to grow.
Your "permanent hair area" is located in a horseshoe pattern at the back of the scalp. This hair is genetically programmed to grow even when exposed to hormones that cause thinning. Typically, hair on the top of your scalp is affected by hormones while hair on the sides and back of your scalp naturally resist thinning.
At the Gabel Center, highly trained and experienced technicians use high-powered, stereoscopic microscopes to prepare the follicular units of donor hair. These microscopes eliminate the possibility of damage to surrounding follicles.
At Gabel Hair Restoration Center, incisions are made through the use of custom-cut surgical blades. This separates Dr. Gabel from the "one size fits all" approach, as it allows him and his technicians to place many grafts closer together resulting in a natural looking hairline. By preparing custom blades, Dr. Gabel is able to create incisions that exactly match the width and length of the graft.
Although the size of the blade is important, the shape is equally important. The blades are extremely narrow and make smaller incisions, allowing for healing to occur rapidly and for no visible scarring. By using such fine instrumentation and matching the size of the blades to the grafts, this reduces unnecessary trauma to the surrounding tissues and deep vasculature in the scalp.
Artistic Hairline Design
The most important and noticeable aspect of a hair transplant is creating a natural hairline. If done poorly, people can immediately recognize a bad transplant.
And just as no two faces are alike, hairlines are also unique. Realizing this, Dr. Gabel considers your age, facial features, and personal goals when designing your hairline. With his extensive surgical experience and talent, Dr. Gabel will create a hairline design that is aesthetically pleasing and personalized for you.
Follicular Unit Grafting, Placement, and Orientation
While single hair grafts have the finest, softest appearance, they provide the soft hairline that transitions to thicker hair. Dr. Gabel transplants these single hair follicular units along the front of the hairline for approximately 0.5-1 cm. He then places small grafts containing 2 hairs immediately behind the hairline to provide gradually increasing hair density. Finally, at the central scalp region, he places grafts containing 3-4 hairs so that the softer micrografts blend naturally into the denser area provided by the grafts with 3-4 hairs.
Grafts are oriented in a horizontal orientation to offer the most natural results, while achieving the highest graft density. The angle in which the graft is placed is a crucial element of the transplant, so that the transplanted hairs appear like the native hair. Because the slits are horizontal or lateral, the graft can only grow in the exact angle that the blade was placed into the scalp. This means that every graft is angled precisely at the exact and proper orientation to the scalp. In this way, a fuller, more natural looking appearance is accomplished.
The doctor and technician placing the grafts use specialized instruments to insert each follicular unit one by one in their respective location, achieving the finest results thanks to specialization in state-of-the art follicular unit grafting and artistic skill. The end result will appear virtually undetectable and natural.
Candidates for hair restoration surgery are individuals who have sufficient donor hair that can be transplanted to the balding area. Thanks to modern techniques, many are eligible candidates for this natural hair restoration solution. During your personal consultation with Dr. Gabel, he will determine if you are a candidate.
Side effects associated with hair transplantation are relatively minor, consisting of:
Mild pain and discomfort after the operation
Swelling that may move down to the eyes
Formation of scabs over the grafts, which heal after about one week
Serious side effects, like bleeding, scarring, or infection, are rare.
At the Gabel Center, surgery is comfortable, predictable, and the results are pleasing, and after procedure care is available.