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Hair Transplantation
Micro-Dense-Pack T-T
FUE (Follicular Unit Extraction)
Correcting the mistakes of others
C L I C K    H E R E

The picture above shows the effect of closely implanted follicles using the Micro-Dense-Pack T-T technique. By carefully selecting follicles and using meticulous, dense placement, a perfectly natural-looking head of hair is created.

The tiny tubular sheath beneath the surface of the skin containing the organ which produces hair. Follicles producing hair on the head are often grouped together naturally and emerge from the same pore in the skin, sometimes up to five hairs at a time. All follicles and follicular groups are surrounded by an area of hairless skin.

Each hair grows from a single bulb-like organ - a follicle - just beneath the skin surface. Hairs emerge through an opening in the skin called a pore. Often, several follicles share the same pore, several hairs appear to grow from the same opening in the skin. The follicles which share the same pore are called a follicular group which can contain between 1-5 hairs. Using a microscope, the surgeon carefully isolates each follicular group from the surrounding donor tissue. Smaller groups are used to establish the hairline, larger groups are used to create density behind.

Multiple follicular extraction produces the best selection of follicular groups for the Plastic Surgeon to use, yielding a range of sizes of grafts from 1-5 hairs. To create a soft, natural-looking hairline (1) single hair grafts are placed sporadically resulting in a low density. Behind this (2) 1-2 hair grafts are placed to establish the frontline with low to medium density. Grafts of 2-5 hairs are used (3) to create maximum density behind the frontline.
•  Up to 3500 grafts (about 10,000 hairs) can be transplanted in one session
•  99% successful, permanent growth after implantation
•  One session can resolve extensive baldness - Total-Transplantation
•  Most effective use of available follicles
•  The greatest possible density in one session in the recipient area
•  Creates a believably-natural front line
•  Can be used to improve less-skillful work
•  The best method to use for a first session

The Plastic Surgeon will be assisted by an anaesthetist and nurses with specialised training. You will be fully conscious throughout but topical anaesthetic will be injected so that you will feel nothing. The Surgeon wears surgical binoculars to enable precision in the extraction and implantation process and to aid meticulously accurate angulation and alignment in the placing of grafted follicles.

Using the Multiple Follicular Extraction method, a piece of hair-bearing skin is removed from the donor area and the incision is closed using the cosmetic-surgery techniques of the Plastic Surgeon. Once removed, the individual follicular groups of the tissue are isolated, sorted and prepared for grafting. The single follicular units (1) are used in the frontline to give a natural-looking, softer, hairline, the larger follicular groups (2) are used in areas behind the frontline. This method of 'harvesting' follicles provides a greater ratio of larger follicular groups which allows a higher density of transplanted hair to be achieved.
Sessions: The Micro-Dense-Pack method is suitable for small sessions of 800 grafts (about 2400 hairs) up to the largest session of 3500 grafts (about 10,000 hairs) for Total-Transplantation. The method is suitable for those considering a number of small sessions as well as those wanting to cover a large area in a single session.

A sessions may last for between 3-4 hours depending upon the area to be covered and the number of grafts to be placed.

Session sizes break down as:
small session - placing up to 800 grafts
medium session - placing up to 1300 grafts
large session - placing up to 2000 grafts
maximum session - placing up to 3000-3500 grafts

For people with a very extensive area of baldness it is advisable to plan a transplantation over two sessions about 12 months apart.

Extraction: This method involves the removal of a piece of hair-bearing skin from part of the donor area and the microscopic isolation of individual follicles or follicular groups. Importantly, the surgeon will only use hair from well within the permanent zone, ensuring a border of permanent hair around the donor area. This is necessary in order to maintain a natural, untouched appearance to the back of the head.

The size of the area of skin removed will depend on the number of grafts needing to be placed, on the elasticity of the surrounding skin and on the density of the hair in the donor area. The donor area is typically
1-2.5cm wide and the Plastic Surgeon only removes the length needed to prepare the exact number of grafts required for the current session. All follicles removed will be implanted, none are ever discarded. After extraction, the Plastic Surgeon ensures that the rest of the donor area is preserved intact, unmarked and available for use in future procedures.

The removal of the donor area is done with extreme care and precision, making an incision between individual hairs, using surgical binoculars in order to avoid any damage to surrounding hair follicles. The special skills developed by aesthetic surgeons ensure the minimum of disruption to tissues - blood vessels and nerves are left undamaged. Techniques used for delicate facial surgery are applied to this part of the procedure, using special stitches to aid healing without scarring.

The preparation and pre-planning of the design of the area to be implanted is crucial to a successful outcome. The follicular groups harvested from the donor area are sorted by size and used selectively to create a natural-looking frontline with high density behind. Where there is existing hair, transplanted, permanent-type, follicular groups are placed in between so that, should loss of non-permanent hair continue, there will not be a noticeable change in appearance.
Preparation: The follicles in the piece of hair-bearing skin which has been removed are now prepared for implantation by dividing it into grafts. Using a microscope and tiny surgical instruments, the individual follicles or naturally grouped follicules are isolated and all extraneous tissue is removed. Each graft can contain between 1-5 hairs, depending on the natural grouping. Always, the number of hairs transplanted will be greater than the number of grafts placed.

The advantage of the Micro-Dense-Pack technique developed by the Plastic Surgeons here is in the selection of grafts and in the visual considerations given to the future effect of the transplanted hair. By removing a piece of hair-bearing skin and isolating grafts from it, the Plastic Surgeon has available a naturally balanced selection of follicular groups to choose from for implantation. The qualities of different types of follicular group are important to consider when they are placed in their new position.

Implantation: The implantation process requires extreme precision as
tiny tiny grafts are placed one by one in exactly the right position, at exactly the right angle, pointing in exactly the right direction and to exactly the right depth. The preparation and pre-planning of the design of the area to be implanted is crucial to a successful outcome. Once implanted, the hair will be a permanent record of the abilities of the Plastic Surgeon!

The establishment of the new front line (hairline) must appear natural, and the Plastic Surgeons start by selecting single follicles first, staggering the implants slightly, then progressively increasing the density behind in order to achieve a natural-looking result. The curved shape of the line, too, is vitally important to the final effect.

Using surgical binoculars the surgeon creates a tiny hole in the skin by making a small incision in the bald area with the aid of a microtome. The hole is so small (1mm in diameter) that no bleeding occurs. The selected graft is implanted deep into this opening so that it is secure and has access to the nurturing blood supply. The implanted graft quickly heals and becomes one with the surrounding tissue.

By using special instruments, the Plastic Surgeons are able to place grafts very close together, as does nature, so that the hair will grow and behave normally as if it had always been there.

The doctor will keep a log of each implant he makes so that, at the end of the procedure, he will give you a Certificate showing the exact number of grafts placed. This will also include a written guarantee of the permanence of the result.

When comparing costs, it is important to note that the doctors here charge for this procedure based on the number of grafts made, not the number of hairs placed. A graft may contain between 1-5 hairs so the number of hairs transplanted will normally be nearly three times the number of grafts placed.

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