What is hair transplant in Toronto?
Baldness, also known as alopecia, is a very abundant problem seen in both men an women, even if the first are much more prone to suffer any kind of this disease. This means a gradual loss in hair be it complete or partially. For those that have any type of baldness, there are several methods they can go to, one of them being the most efective, which is the hair transplant in Toronto or hair transplant. Hair graft supposes a surgery in which the area affected by baldness is replaced with a donor area from the same patient, in which the hair follicles are exchanged do the growth in places where it didn’t occur anymore is now stimulated.
There are many factor to consider when practicing hair graft surgery in Toronto, as is the patient’s age, the state and the density of their hair in both the donor area and the area to be treated, and some other important points. Firstly, the reasons that cause alopecia in both genders must be known:
- Age: As white hairs, which appear due to the loss of melanin and are a visible sign of aging, the protein fibers that form the hairs also diminish, in a way that weakens the hairs beside making them lose color.
- Stress: Stress is a great influence in hair loss, being the cause of at least three types of alopecia. These are the types of alopecia where the person does not surfer a total or permanent loss if it does not become a cronic problem, as it only shows a lack of density while the stress is present.
- Bad nutrition: If a person removes vitamins and proteins from their diets, it is likely they will eventually suffer from nutritional deficit alopecia, because it is harder for the body to produce new hairs. Having a healthy, strong hair gors hand in hand with consuming the right food, specifically meals like fish and dark chocolate that help in this area.
- Weight loss: Joining bad nutrition with excessive weight loss, be it because of the diet mentioned or also constant intense exercise, it accelerates the loss of protein in the body due to sweating, generating more grease in the hair, which is already weak because of lacknof protein, making it more vulnerable to falling.
- Carelessness in hair trearment: Carelessness in the hair can be seen in different ways, be it on the quemicals used in it like in hair dyes, that weaken hair fibers, or when usong heat on it like with hair driers or straighteners. It can also be seen in the called alopecia by traction, ohappening when a person uses hairstyles that put too much tension on the hair for long periods of time,
- Diseases: Some times, alopecia is not a individual affliction, instead is the consequence of a bigger disease that produces hair loss. We can name diabetes, hich helps this loss due to high levels of glucose in the blood. We can see alopecia in lupus too, which attacks the hair and this becomes fragile and thin. It can also be cause by medication of said diseases, like antidepressants, birth control, beta blockers, antiinmflamatory, and others, and by the consequences of quemotherapy, as this completely stops the hair growth while the treatment continues, and lastly, radiotherapy on the head, depending on how much radiation was used in the zone.
In women, alopecia can appear due to a couple of reasons:
- Pregnancy: Even if during the pregnancy opposite occurs, due to hormones that promote hair growth, after this ends the effect is reversed, when said hormones diminish significantly, causing such an abrupt change that the scalp is weakened. This cases of alopecia are very common and represent a big prt of women who have given birth.
- Menopause: This time, the hormones released are known as androgenic or masculine hormones, and because of them, the hair’s life cycle becomes shorterwhich makes it fall more often than usual..
In men, alopecia is much more common than in women, and is mainly generated by the genetic predisposition they may have. If a man has a direct relative that suffers from baldness, in most cases he will eventually develop it too when he reaches a certain age. Besides, they show large amounts of androgenic hormones which can increase or accelerate the loss.
Any of these reasons can start alopecia, so the next step is determine the specific type of baldness that a person is suffering from. Among the types of alopecia we find:
- Androgenic alopecia: It is, by much, the most common kind of alopecia, representing the 90% of all cases of balding in men younger than 21, and 50% in men older than 40. It is a gradual loss of hair in which this turns thinner and limper, reaching the point it falls completely in areas like the crown and inlets, creating the shape known as “horseshoe” or “M” shape in men. In women, in is usually shown as diminished density. Androgenic alopecia is also known as pattern hair loss or hereditary alopecia because is can be shown along the family tree of the person that suffers from it.
- Alopecia areata: This type of baldness is not hereditary, besides, the presence of it cannot be explained by any factor like this, but others like stress. The scalp of those who suffer from alopecia areata is swollen, and the hair loss can be found in round patterns that grow gradually. It usually appears in younger people, of around 20 years old.
- Telogen effluvium: This type is also known as diffuse alopecia, and just like alopecia areata, the hair is thinner and more brittle, but this one focuses mostly on the density of the hair, as there are not any patches to be seen, it is the lost of strenght in the hair the person already has until this falls and does not grow back. It is the type sern in patients that go through chemotherapy and other treatments, and also in people with malnutrition.
- Scarring hair loss: Being the least common but the one that holds the most consequences, in this type of alopecia, usually cause by other diseases, the hair follicles are replaced with scarring tissue, and makes it impossible for the hair to grow back if this is not treated in time. It can also appear with inflammation, redness, peeling and pain in the scalp.
- Fibrosin alopecia: The hair affected by fibrosin alopecia can last years without showing visible signs, and it slowly turns weaker, specially in the frontal and lateral areas of the scalp. It is mostly seen in women during menopause.
Other types of baldness that deserve to be named are trichotillomania, a nervous disorder where the person removes the hair by strands; traumatic alopecia, which is caused by really tense hairstyles; baldness by fungus which cause inffections; and folliculitis, where the hair follicles get so swollen they are destroyed and the hair cannot grow back.
Just like some types of alopecia can be cured with treatments if they are diagnosed in time, or even preventing the causes shown before, many times the only solution lays in hair grafs in Toronto, solution that guarantees betterment even in the most drastic cases. A person who decides to undergo this microsurgical operation will go to the surgeon with the correct diagnosis, so that he can begin the procedure.
Which are the techniques used of hair grafts in Toronto
Depending on the type of alopecia diagnosed, the surgeon will proceed to choose between two kinds of procedures, the one that represents the best result for the patient. A hair transplant in Toronto can last between 6 to 10 hours, turning it into a relatively lengthy surgery, also based on the type of intervention. The existent hair graft techniques are:
- FUT technique: Referred to as the strip technique, involves the extraction of a part of the donor area, with a width of approximately 1 centimeter and a length of between 15 and 29 centimeters. It is appropriate for any area and kind or severity of alopecia. This strip is removed for the donor area, which is usually the back part of the head, and is stitched in a way so the scar is imperceptible. Dividing the strip into follicular units, two or three hairs will be in every unit, to then transplant these to the area in need through tiny incisions, positioning them depending on the natural direction and density of the hair. The treated zones will be bandaged for at least two days. This technique reaches a natural result perfect for most cases of baldness, by also hacing the advantage that there is no need of shaving the hair before thr procedure.
- FUE technique: With the name of Follicular Unit Extraction, it differentiates from the previous technique in the way the follicles are extracted. If in the FUT technique an entire strip is taken out of the scalp, in this instance the follicles are removed individually, with an average size of 0.8 millimeters. This way of making incisions is called micropunch. The donor zone constitutes the area in which the hair will keep growin uninterrupted, and it is shaved before extracting the follicles, the area treated being the one with difficulties in this sense. The follicular units are placed hair by hair in their new optimal positions, usually the frontal or side part of the head, the most visible areas, and in less quantities in the least visible places.
At the end of a hair graft surgery, the area treated will be bandaged, and because it is an outpatient procedure, the patient will be able to return home the same day.
Who can undergo a hair graft in Toronto
The ideal patient in the cases of hair transplants are those that have been affected by the cause of baldness named previously and suffer from any type of alopecia. That us why it is recommended to people whose hair is beginning to fall or is already in the middle of advanced balding. Besides, there is a list of requirements gor any possible patient that, even if they are ot necessarily rules, if the person falls within this profile, the result for their situation will be improved. Said requirements are:
- Age: The ideal age range is between 30 and 45 years old, because before turning 30 it is possible that the alopecia is still not completely defined, and those younger patients might have to undergo another surgery years later. For people older than 45 years old, it will be harder for them to recover the hair density even after the hair transplant.
- Abundant donor area: For the receiving area to get a fair quantity of hair follicles, the donor area must be enough to hold the grafts and also grow again by itself after the operation. Without this donation, there is no way for the person to give the necessary hairs to the balding parts of the scalp, which stands between a successful result.
- Good health: For any kind of surgical procedure, it is necessary that the patient has an optimal health, or at least do not suffer from any diseases that can compromise the procedure, or cause adverse reactions to the anestesia or are more vulnerable to bad scarring or infections.
- No diseases: If the possible patient has alopecia due to skin diseases or the types of alopecia caused by strees like the areata or other psychological problens like trichotillomania, it is possible that a hair transplant is not the best option, and that they should treat the primordial causes of the baldness, with adequate treatments for their ailments.
Before hair grafts in Toronto
Once its determined that the patient can continue, the preoperatice stage starts, where the preparations for the surgery are just as important as The cares during and after it, as it will determine the person’s health when getting the hair grafts in Toronto, and their capacity of dealing with the invervention. The preoperative process starts with a series of examinations and hair evaluations, of which we can name:
- Tricoscopy: An essential part for the diagnosis of alopecia, it is the analysis of the hair under a device that allows the surgeon to obtain the information they need about the state of the scalp. There is no previous preparation needed, and it is done with the hair dry and the device directly in the head, or using a gel or special liquid to aid the analysis.
- Trichogram: It represents another way to analyse the patient’s hair. This time, it will be necessary to take a sample, unlike the tricoscopy where there is no need to take a strand of hair. With this strand, the specialist will place it under a microscope, paying attention to the shape and integrity of it. Sometimes it is only required to cut the hair, and other times, the root of the hair have to be examined as well, the dtrand has to be removed carefully.
Besides these, the surgeon can also request a blood analysis to control the levels of glucose, sodium, potasium, hepatitis test, AIDS and, in general, the bleeding that can occur during the surgery; and the clinical history of the patient, because their family background is an important factor in the appearance of alopecia.
It is required that the patient adjusts their daily habits before hair grafts in Toronto, like quit smoking if the patient is a smoker, stop consuming alcohol or drinks with cafein or nicotine, and consulting the consumption or suspension of medicine. They must also avoid applying hair products like gel or sprays, or topic solutions like Minoxidil, as they might cause severe bleeding. It is recommended that the patient does not get involve in exercises like cardio, but they should massage the area where the transplant will occur, with horizontal and vertical movements to stimulate the zone and make sure the scalp is in good condition without any kind of alteration, as this may cause the suspension of the surgery.
The day of the operation the patient must be in fasting, without consuming any type of food or drink, and their last meal must have been light and easy to digest.
After hair transplant in Toronto
The last step of the surgery is, like we have already metioned, the bandaged in the treated area. Once the intervention is over, the postoperative will begin. It is to be noted that the first days are the most important, and the whole phase would have this evolution:
- First days: The patient may return home the same day of the surgery, however, they must return on the second day after this for a review appointment, when the bandages are removed and the immediate state of the scalp is analyzed. It is important that before that appointment the patient does not wash their hair, because the first wash must be done by the specialists, so they help the hair follicules to adapt. Just like the preoperative, the first three days it is not allowed for them to do demanding exercises, or consuming alcoholic beverages and anticoagulant medicines or aspirines. They must also keep the head elevated.
- First weeks: It is necessary to avoid contact with the sun the first couple of weeks after the surgery. If the FUT technique has been done in the patient, they will need a check-up on the twelve day after the intervention.
- First months: The first month haircuts are not allowed. The hair will begin growing since it is on the growing stages of its cycle.
When are the results of hair grafts in Toroto appreciated
The results are not immediate, as they have to wait for the hair to continue the cycle of rest and growth, and this evolution in relatively slow. As we have mentioned, they must wait a few months for the hair to gradually grow. Even when it is already in that phase, the new hair is less visble and thinner than that in other areas, like the donor zone, and as time passes this will turn thicker and will adopt a natural look that goes with the rest of the hair. To reach a look that satisfies the client, 11 months or a year must go by, after which the final result of hair grafts in Toronto can be seen.
Risks of hair grafts in Toronto
This surgery is of low risk in comparison with other surgeries, but just like these it has a few possible complications, even though they are of low severity. Among these risks are:
- Bad scarring: Specially likely in patients that are smokers, the scar that is made by extracting the donor area may look more visible and inflamed than it should, having in mind that the scar from a hair transplant is almost invisible.
- Infections: Because of this incision in the scalp, there is a small chance that this might get infected and must get treated immediately, hindering the postoperative. The probability of this happening increases if the patient does not maintain a good hygiene.
- Loss of sensitivity: Due to the fact that in this procedure the nerves of the scarring zone are involved, it can lead to a total loss of sensitivity in this part of the head, although it is very uncommon, as te majority of times it is temporary and the sensitivity will return after a couple of weeks.
- Facial edema: The least common out of all the risks mentioned, it represents four or five percent of all cases, being a swollen face due to the leak of physiological serum used to diminish the bleeding. It is not permanent and would probably disappear after a couple of days.
Important points about hair grafts in Toronto
- Results will be more visible and satisfactory in people with dark and thick hair, even more if they have curls. In people with thin and light hair, the procedure might not be as evident.
- Some times, to get a hair transplant, it is necessary that the patient fulfills the hair loss process, so younger people or those that are varely beginning to show hair loss must have to wait before starting the procedure.
- Is the area to be treated is concrete, it helps the transplant, and the opposite occurs ehen there is no specific focus and baldness is dispersed across the scalp.
- The patient must not sustain sexual intercourse for at least two weeks after the surgery.
- The option of getting hair grafts in Toronto must not be the first, and the person must make sure before that the kind of alopecia they suffer from cannot be corrected by any other means, like diminishing stress or fixing malnutrition.
The long-term intention of hair grafts in Toronto is to completely eliminate patches of baldness of lack of density that alopecia can cause in people, improving their appearances and increasing their self-esteem.