Jesse E. Smith, M.D., F.A.C.S
“The best hair transplant surgeon in Dallas and Colleyville,” according to his patients. Dr. Jesse Smith, is a double board certified facial plastic surgeon, bringing his expertise to help men and women regain fuller, healthier hair.
What does your hair loss look like?
What is a Hair Transplant?Hair Restoration Before & AfterFUE Hair Transplant or Follicular Unit ExtractionThe Strip MethodHair Transplant FAQWhat are Hair Plugs?Hair Transplant ProcessA Natural HairlineHair Transplant Post-OpPlatelet Rich Plasma (PRP) Hair Restoration
What is a Hair Transplant?
A Hair Transplant is a procedure that moves hair that you already have on your scalp to another area of the scalp that is sparsely populated with hair. The procedure is performed in the office under local anesthesia. There are two methods that can be utilized to move the hair. One is a follicular unit strip procedure, the other is follicular unit extraction and placement.
FUE Hair Transplant or Follicular Unit Extraction
There are several medical devices used to extract individual hair follicles from the back of the scalp (donor area). Neograft™ is a “brand name” device used to extract single follicular units from the donor area. We use a Neograft machine for our FUE methods.
NeoGraft is the first FDA cleared follicular unit harvesting and implantation system that delivers excellent hair transplant results. The NeoGraft™ system delivers automation of the FUE technique, the most advanced technique in the hair transplant industry.
NeoGraft uses pneumatic controls to precisely extract complete individual hair follicles which can be immediately transplanted to the selected areas of the scalp. NeoGraft™ provides absolute exact harvesting and placement that deliver the desired results. With NeoGraft™’s technology each follicle is removed individually while the patient is comfortable.
The difference between the Strip Method and FUE Hair Transplant is in the method and device used to extract the grafts that contain the hair follicles. The grafts are extracted one at a time using a one millimeter punch device. Technically you will still have a scar. However it is so minute (a one millimeter dot) that you can not see it with the naked eye, thus allowing the individual to wear their hair as short as they wish. We do not use sutures (stitches) in this procedure, so there is no need for suture removal. Everything else is done exactly the same way, regardless of which extraction method (Strip or FUE) is being used. Both procedures are done while the patient is under a local anesthetic, yet you are awake and comfortable during the procedure.
The Strip Method
The Surgeon removes a strip of tissue from the donor site that contains the hair follicles. The scalp is then carefully brought back together and sutured. The sutures remain in the donor site for 10-14 days before being removed. The strip of tissue that was removed is meticulously dissected so that each hair unit becomes a single “graft” or follicular unit, containing one to four hairs each depending on the density of the donor hair. Once the strip has been dissected into many follicular units, the surgeon and assistants place the receptor sites using pin-point microscopic incisions to cover the area of hair loss being treated. The individual follicular units are then “placed” (inserted) into these microscopic incisions one by one.
The process is very similar to planting saplings. If you look at it this way, the scalp is the soil and the follicle is the sapling.
The most difficult part of the entire process is the waiting period before the hair actually starts to grow, because it cannot occur over night. It takes approximately three months for the hair to emerge after transplantation, because the hair is in shock from being placed in a different location. Hair goes into the Telogen phase (resting/dormancy phase) after being transplanted. However, once the three-month hair growth cycle has been completed, the hair begins to grow at the rate of approximately 1/2″ per month and will grow for the rest of your life. The full thickness of the hair usually takes about one year after the procedure to be realized.
Dr. Smith answers frequently asked hair transplant questions.
What are Hair Plugs?
Surgeons have been performing hair transplants in the United States since the 1950’s; however, many things have changed since the start of hair transplant surgery, over 70 years ago. Hair plugs were large multiunit grafts that were placed in the scalp from transplanted areas. True to their name, they looked like large plugs, or like the hair on a Barbie Doll. This technique lost favor in the 1980’s and 1990’s when more sophisticated techniques became the standard of care.
Hair Transplant Process
A hair transplant is done in the office under local anesthesia. Injections are given to numb the scalp, and then grafts are extracted in one of two manners from the back of the scalp. These hairs are chosen because they are resistant to hormones that cause hair loss, and when they begin to grow, they will remain. Each graft is meticulously extracted from the scalp or from a strip of hair removed, and then placed in its own individual site in the barren portion of the scalp, where it then obtains blood supply and thrives.
A Natural Hairline
A natural hairline keeps the transplant from looking “done” or fake. The hairline should be slightly irregular, instead of a solid straight row. Variation in the frontal hairline is natural, as are single unit grafts. Single unit grafts are placed for the first 0.5-1.0 cm in the frontal area, to mimic a natural appearing hairline. Thicker grafts are placed behind these. The hairline should be adjusted in height from the eyebrow, for the appropriate age.
Hair Transplant Post-Op
Hair Transplant Post Op
Platelet Rich Plasma (PRP) Hair Restoration
Platelet Rich Plasma (PRP) has been used for years in orthopedic injuries to heal joints, tendons, muscle tears, and many other maladies with great success. PRP activates alpha granules of platelets that can release many healing factors such as: platelet derived growth factor, transforming growth factor, vascular endothelial growth factor, insulin like growth factor, epidermal growth factor, and interleukins. Recent studies using PRP in the scalp have given many hair loss patients a non-surgical option with great hope. The PRP initiates and prolongs the hair growth cycle, so that hair not only comes out of dormancy, but also grows out and stays out for longer periods. PRP also increases blood flow to the scalp, thus increasing vital nutrients to both existing and dormant hair follicles. This can mean a significant increase in hair count, and hair density and thickness. Some studies show as much as a 20-25% increase in hair density and thickness within a 6 month period after treatment.
But now, we take it a step further; recent advances in cellular biology have allowed us to safely and efficiently harvest stem cells, so that they can be readily added to the PRP mixture for even more amazing results. Stem cells can then act in concert with PRP to elevate and release other growth factors and cytokines. This results in even greater improvements in hair density and thickness over time. Many patients have seen results last for up to two years after a single treatment episode. Results usually become evident by the end of the forth to sixth month after injection. Laser therapy can further enhance these outcomes as well.
The treatment usually takes about 45 minutes to 1 hour, and can be done in the office. The downtime and swelling are usually minimal.
Pros and Cons of the Strip Method
In comparison to Follicular Unit Extraction, the Strip Method requires less time to perform the actual procedure – 2 to 5 hours
Usually, the Strip Method will yield a greater density than FUE – FUE will only yield approximately 2/3 of what the Strip Method can yield.
The Strip Method is a less expensive procedure than the FUE/NeograftTM Method
There will be a faint linear scar in the donor site. With our dedicated suture techniques, no one will ever be able to see the incision line (unless you plan to shave your head). For someone planning to wear their hair in a very short “military style” or similar styles, FUE is a better option because it leaves no linear scar.
How Much Does a Hair Transplant Cost in Dallas-Fort Worth?
The cost for a hair transplant in the Dallas-Fort Worth area varies widely by method (strip harvesting or FUE) and the number of grafts, but you can expect to pay between $2,000 and $12,000 for the procedure.
As a double board-certified facial plastic and reconstructive & head and neck surgeon, Dr. Smith brings a level of skill and artistry to his work, creating an extremely natural result. Contact his office to learn more and to schedule a consultation.
How Long Does a Hair Transplant Last/ Is it Permanent?
Once the hair follicle takes blood supply in the scalp, the hair will continue to grow, indefinitely.
Do Hair Transplants Work/ What is the Success Rate?
Hair transplants are one of the most satisfying and successful surgeries preformed today. There is a greater than 90% satisfaction rating on hair transplant procedures. The risks are minimal, and complication rates are very low when a skilled surgeon is chosen.
What is the Recovery from Hair Transplant/ Timeline?
The day of the transplant, there will be swelling and some oozing. This lasts for 3-5 days. By the 7th day, the grafts start to blend better and crusts begin to fall off, so that the grafts resemble small stubble. A loose bandana or surgeons cap can be worn for the first 5-7 days. If sutures were used in surgery, they are removed at day 14.
What are the Side-Effects of Hair Transplant Surgery?
The are very few side effects of a well-done hair transplant surgery. Some people swell for 3-5 days after the procedure. Scarring is minimal.
When Should You Get a Hair Transplant?
Timing is everything. If you think you are a candidate for a hair transplant procedure, it is a good idea to speak with Dr. Smith in a formal consult, so that he can go over all of your options.
Is Hair Transplantation Safe?
Hair transplants are safe when done by skilled, experienced surgeons.
Does Hair Transplant Surgery Leave a Scar?
No surgical procedure can be “scarless.” However, Dr. Smith makes every effort to hide all incisions. Most people cannot find their scars after the procedure.
Why Does Transplanted Hair Not Fall Out?
The hair from the back of the scalp is resistant to the hormones that cause male pattern baldness. Therefore, when this hair is transplanted, it maintains its resistance to these hormones, and continues to grow indefinitely.
Does Hair Restoration Surgery Hurt?
Most people feel that the injections to numb the scalp are slightly uncomfortable; however, they are well tolerated, and once the scalp is numb, the remainder of the procedure cannot be felt. For the first 3-5 days, the scalp is slightly tender; however, this is easily managed with oral pain medication.
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