“Women are like hair,” wrote the French playwright Yves Miranda. “When they decide to leave us, nothing can stop them.” Perhaps, the writer is right about irrevocable love, but there is no such thing as “irrevocable hair” in modern medicine. Doctors of the whole world dozens of years did their best to fight the baldness.
The first transplantation experiments
During the Second World War, the Japanese doctor Soyi Okuda performed hair transplantation to the soldiers who were burned. Specially designed metal trepanami in diameter from 2 to 4 mm, the doctor withdrew grafts from the temporal and occipital part of the head, where the hair follicles are genetically resistant to alopecia, and implanted them in the injured areas. The method developed by Okuda turned out to be promising, but due to the rapid death of her author, further development was not received.
Operations based on the principle of donor dominance
In 1952, American dermatologist Norman Orentreich suggested doing operations on the principle of a donor dominant. This method had a significant drawback: grafts were implanted in bundles of 15-25 hairs each, so they grew bushy, creating the effect of a toothbrush. The method of Orentreich was perfected by the Japanese surgeon Keishi Fujita.
In 1953, he introduced the technology of hair transplantation to the medical community. Skin graft with hair doctor divided the scalpel into small components, each of which contained from three to ten follicles. Then these elements were planted in separate holes created in the recipient zone by means of a thick needle. Subsequently, such interventions were used to treat alopecia burn scars, eyebrows after radiation therapy of hemangioma or eyelash defects.
Hair to hair
Since the 1960s, transplantation is performed for cosmetic purposes. Since then, experts have been tirelessly improving the technique of operations and developing new medical tools for their conduct. In 1983, an American surgeon, Immanuel Marrith, transplanted individual hair follicles. The method was called the micrografting of the follicular compound.
Grafts containing one to four hair follicles were transplanted into the problematic areas of the scalp. Single grafts were used to create a natural line of hair growth in the frontal part of the head. The method of follicular connection – the “gold standard” of hair transplantation – has been successfully applied in our days. The technology guarantees a natural result and minimizes the loss of follicles during the operation.
On the eve of the third millennium, an American physician William R. Rasmand invented a method for the seamless selection of hair follicles. In this case, the extraction of follicles occurs without cutting the skin with a special miniature tool and is carried out under the control of optical instruments. Innovation of Rassman was widely used in aesthetic medicine.
Seamless hair transplantation is indicated to patients for correction of the shape and thickness of the eyebrows, postoperative scars of the scalp, surgical scars of the anterior and temporal zones after plastic surgeries, and areas with thinning hair. With a deficit of donor stock on the head, the seamless method allows you to extract follicles in the chest, back and shoulder areas. And also transplant from 3,000 to 5,000 grafts per session.