A hair transplant is a surgical procedure that transplants hair to bald or thinning parts of the scalp. It is normally reserved for patients who have tried other hair loss therapies. Hair restoration surgery includes a variety of methods.  

Hair transplantation is the most prevalent method; however flap surgery, scalp tissue expansion, and scalp reduction surgery are all performed for hair restoration. Each of these procedures can be done alone or in combination to offer the patient the best possible hair restoration outcome. There are several reasons why you may be losing your hair. Hair loss is often temporary, but it can sometimes be permanent. 

Hair transplants may be beneficial in the treatment of permanent hair loss caused by: 
•    Alopecia areata is an autoimmune condition that damages hair follicles.
•    Androgenic alopecia is often known as pattern baldness.
•    Thyroid disorders or hormonal abnormalities
•    Burns or traumatic injuries
If you are in good health and still have healthy hair growth on your head., you may be a candidate for hair replacement surgery. Keep your expectations for hair replacement results in check.

1. FUE Hair Transplant

Individual hair follicles are removed from your skin and implanted on the scalp. The "classic" follicular unit transplantation (FUT) procedure was replaced by FUE. FUT surgery involved extracting a whole piece of skin or scalp, including the follicles, and transplanting the skin to the target location.
FUE has gained popularity over FUT because it is less likely to result in a "hair plug" appearance, in which parts of skin or hair do not match the local area. It will also not create a huge scar like FUT. Someone with thinning or balding hair who still has enough hair nearby to take for a transplant is the ideal candidate for an FUE hair transplant. If you lack sufficient healthy or thick hair to transplant to the thin or bald area, you may be ineligible for an FUE hair transplant.

2. FUT Hair Transplant

A surgeon takes a strip of skin from your scalp, generally from the back of your head, during FUT. The strip is typically 1 to 1.5 centimeters (0.4 to 0.6 inches) broad. Individual follicles are extracted from the strip and re-inserted into your scalp.
In general, FUT surgery is easier than FUE surgery. Most patients remain awake during the procedure thanks to local anesthesia that numbs their scalp.
You are a good candidate for FUT hair transplant if:
•    Age: FUT is often done on patients above the age of 25. Hair loss trends in younger persons are less predictable.
•    Diagnosis: Hair transplantation works best for men who have the Norwood pattern of hair loss.
•    Hair Thickness: People with abundant hair follicles often have better coverage.
•    Area Of Baldness: FUT is most commonly used to correct hair loss in the front of the scalp.
•    Color Of Hair: People with hair that matches their skin tone are better candidates since there is less color difference.
The scar from FUT surgery is visible at the place of hair removal. The scar will lessen with time but will remain permanent. The size of the scar is dependent on the number of hair follicles used during surgery. The scar is usually covered by your hair, but if you keep your hair short, it may be noticeable.

3. Scalp Reduction Surgery

Scalp reduction surgery is also known as alopecia reduction surgery. A surgeon removes a tiny patch of bald skin from the scalp during this surgery. They loosen nearby hair-bearing skin and push it over the bald spot. They then suture it in place.
Scalp reduction is appropriate for treating bald spots on the top and rear of the head. These areas are often covered by skin and hair. To obtain comprehensive covering, surgeons may combine scalp reduction and hair implants. Scalp reduction, like grafting, typically only requires numbing medicine on the scalp. This indicates you will not require general anesthesia.

4. Tissue Expansion Surgery

If you suffer burn-related scalp baldness or deformity, your surgeon may recommend tissue expansion surgery. Tissue growth needs general anesthesia and consists of multiple steps:
•    A reconstructive surgeon places an implant behind the scalp, where hair still grows. It's called a tissue expander since it's shaped like a balloon.
•    The expander is slowly inflated over many weeks to extend the skin.
•    The stretched skin is used to cover the bald patch in a second surgery.

5. Flap Surgery

If you have significant bald spots in the front of your head, your surgeon may offer flap surgery. Flap surgery is performed in stages over a few weeks. The surgeon makes three minor incisions around the donor location. The fourth side is still attached and receives its original blood supply. This procedure assists the surgeon in cutting the flap and lifting it over bald spots. General anesthesia is necessary for flap surgery.

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