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Hair transplantation

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ABOUT THE PROCEDURE

Today, hair transplantation (autotransplantation) is the only radical way to correct androgenetic, scarring and traction alopecia, since the therapeutic methods of alopecia treatment do not always allow achieving complete restoration of the hairline. Fibrosis as a result of various types of hair loss negates the efforts of doctors to restore growth in these areas, limiting the efficacy of treatment by improving the characteristics of only those follicles that remain susceptible to conservative methods of treatment. Delayed assessment of the results of therapy (usually after a year of regular treatment), the need in constant supportive measures in most cases does not meet the patient's expectations for an impressive and permanent result. Considering the above mentioned, surgical correction is currently the only procedure that can radically improve the pattern of baldness in a short time. Its essence lies in the transfer of one's own hair follicles from the donor zone to the recipient zone. Since the entire follicle is relocated during the operation, with a small amount of surrounding tissue, in a new place it retains all its characteristics, and therefore the type and quality of the hair produced. This phenomenon is called "donor dominant", in which the anatomical and physiological characteristics of the hair growing from the transplanted follicle do not depend on the zone into which it was transplanted, but correspond to the place of the previous location, which in fact ensures high efficiency of transplantation in androgenetic alopecia, since follicles, which resistant to the destructive action of androgens, retain this property when transferred to areas of alopecia.

ADVANTAGES
OF OUR CLINIC

01
SPECIALIZATION

Hair transplantation is a branch of aesthetic medicine, but not every plastic surgeon uses such techniques. Hair transplantation is a process that requires not only specialized trichological knowledge, but also regular practice of this filigree work. TRICHOLOGY INSTITUTE® is a specialized clinic for treatment and hair transplantation and we are proud that our experience in this field goes back over 15 years. The advantage of hair treatment and transplantation in our clinic is the possibility of joint efforts of the surgical and therapeutic teams, both at the stage of preoperative preparation, during the operation, and in follow-up, which will allow you to preserve the transplanted hair as efficiently as possible.

Unlike most clinics that use only one method, our surgeons are fluent in both FUE and strip harvesting transplantation methods. Together with the surgeon, you choose the method that is preferable for you personally. Also, in our clinic, hair transplantation is carried out in the area of scarring tissue (zones of burns, injuries, scars, the final stages of primary cicatricial alopecia). The back of the head is usually used as a donor site. Regardless of the volume of the transplant, the whole procedure takes several hours, in one day. Recommendations for the required number of grafts can be determined at a face-to-face or distant consultation, assessing the type and severity of hair loss.

02
QUALITY GUARANTEE

The quality is guaranteed by our many years’ experience in the field of transplantation and many satisfied patients with the results of hair transplantation in our center. We conclude a contract with the patient, where we guarantee lifelong growth of the transplanted hair. The expert level of our clinic is recognized both in Ukraine and abroad. The team of the TRICHOLOGY INSTITUTE® initiated the creation of the Ukrainian Hair Research Society (UHRS), in 2017 - the School of Alopecia in Ukraine, and in collaboration with Eastern European colleagues in 2019 we became the co-founder of the Eastern Europe and Asia Hair Research Society (EEAHRS) and actually, are the ambassador of the Eastern European School of Trichology and Transplantology. Our experts in the field of trichology and transplantation take participation in the implementation of good clinical practice standards, hundreds of publications on hair research, 10 monographs, more than 20 patents of Ukraine for inventions, organization of international congresses, both in Ukraine and abroad, but the greatest advantages of the team is love for the profession and deep sincere empathy for patients.

03
SAFETY

The clinic TRICHOLOGY INSTITUTE® operates in accordance with European safety standards and compliance with the rules of septic and antiseptics. The maximal usage of disposable instruments and the introduction of the latest technologies for infectious safety provide a full regime of pre-sterilization processing, sterilization and storage, which guarantees the absence of complications.

04
COMFORT

Thanks to the original technologies introduced in our center, hair transplantation proceeds practically without blood loss and pain, so the few hours are as comfortable as possible for our patients. The guarantee of complete painlessness procedure is in the unique technique of local anesthesia, patented by our surgical team. Although hair transplantation may take several hours, you can spend them watching a movie or listening to music with breaks for relaxation, during which our staff will offer you lunch.

05
CONFIDENTIALITY

The decision to have hair transplantation is very personal and often difficult. The clinic TRICHOLOGY INSTITUTE®, located in the quiet center of the city, has all the conditions for patients to receive attentive attitude and a professional approach. Before the surgery, the necessary consultations are carried out in a private and confidential atmosphere. The ultra-modern operating unit with a rest ward is adapted for the patient's physical and mental comfort, and the logistics of the patients' stay in the clinic is adjusted with maximum confidentiality in mind. The thoroughness and accuracy of the doctors' work, caring and sensitive attitude towards patients are the most important priorities of our center. We strive to highlight your natural attractiveness and individuality, to create a harmonious appearance.

06
PERSONAL ASSISTANT FOR A YEAR

In our opinion, the postoperative period is a crucial stage, during which the patient has a special need in psychological support. In order to make this period to pass comfortably for the patient, our clinic provides professional support throughout the year. Every month, the patient is invited to get free follow-up consultations of a trichologist to monitor the hair restoration process, and also in the postoperative period a personal assistant is assigned to the patient, with whom the patient may get in touch by phone or e-mail to ask any questions.

07
TRANSFER AND ACCOMMODATION

For nonresident patients, we will provide a transfer from the airport, hotel accommodation with breakfast and dinner, as well as offer an excursion around beautiful Kharkov. You will get an unforgettable impression from the city tour, after which you can go home with fresh start of a new round of your happy life.

METHODS

Follicular unit transplantation (FUT)

STRIP METHOD (FUT)

Follicular Unit Transplantation, also called the Strip method, is by far the main hair transplantation method. Follicular unit transplantation provides the most natural effect and significantly reduces the loss of hair follicles during the operation. Today, follicular unit transplantation is recognized as the “gold standard” in hair transplantation. This method involves a rather complex technique for receiving donor material, being carried out by 3-8 assistants under special magnifying stereomicroscopes (20x).

With the FUT method, the donor material is obtained in the form of an elliptical donor strip from the back of the head. The donor wound is closed with a trichophytic suture, which ensures hair growth in the postoperative scar, and it becomes unnoticeable even with a short haircut. Further, individual follicular units (grafts) are prepared from the donor flap, which are implanted into pre-prepared micro-holes.

Follicular unit transplantation has brilliant cosmetic results since hair transplantation is carried out in the form of follicular units in the same way as hair normally grows. The use of the flap method makes it possible to obtain and transplant a large number of grafts rather quickly (our surgical team transplants up to 6000 grafts during a 5-6-hour procedure), minimizing the loss of donor material (as a result of transsection) and guaranteeing a high survival rate of the transplanted grafts (92% and more), even in scarring tissue.

The only drawback of the FUT method is the presence of a linear scar as a result of strip excision in the donor area. However, the formation of a noticeable postoperative scar in the occipital area is excluded as a result of the donor wound method of plastic surgery using trichophytic closure.

SEAMLESS METHOD (FUE)

FUE-method (Follicular Unit Extraction), also called seamless technique, is the least invasive method of hair transplantation, as a result of which individual follicular units are extracted directly from the donor area (from the back of the head or body) with special thinnest rotating trocars without any incisions and seams. The main advantage of the method is that no linear scar remains on the back of the head after transplantation. With a poor donor supply at the back of the head, this method makes it possible to additionally obtain grafts from other hairy parts of the body (chest, legs, arms, beard, groin) (BHT technique).

Our surgeons are fluent in the classic sutureless transplantation method and the FUE method without shaving the donor and recipient areas.

Hair transplant using the FUE method is recommended for hair restoration in Norwood class II-V androgenetic alopecia, in cicatricial alopecia of various etiologies (post-burn, post-traumatic, post-operative), as well as for the restoration of eyebrows. By this method today it is possible to transplant up to 4000 grafts - follicular unions within one 6-8 hour procedure. Both FUT and FUE methods are effective in correcting androgenetic and traction alopecia in women.

LONG HAIR TRANSPLANTATION (FUT-L)

The newest trend in hair transplantation is the long hair transplant method. Long hair transplantation is the transplantation of follicular units with long hair shafts (3-8 cm in length) and not with short hair clipped to 2 mm as in conventional hair transplant procedures. The main advantage of the long hair transplant method is that the patient and the doctor observe the result not after a year, as is the case with all other methods (FUT or FUE), but immediately after the end of the procedure. Despite the fact that most of the transplanted long hairs fall out within 1 month after the operation and begin to grow again only after 2-3 months (as with any other hair transplant method), only long hair transplant provides a unique opportunity: on the one hand, the surgical team does not work blindly, but in real time observe the result of their work, transplanting grafts with optimal density and natural direction of growth, and, on the other hand, the patient, seeing the final result, receives a positive emotional impulse, which is an ideal program for successful hair growth. ...

In addition to the possibility of obtaining the most natural result, the great advantage of long hair transplant also in a completely invisible postoperative period. After long hair transplantation, the patient leaves the clinic without a bandaged head, without a headdress, with combed hair, without redness, swelling, bruising and crusts, which is why the traces of surgery remain completely invisible to outsiders. Immediately after the operation, the patient may, for example, go to work or to a public place, as if he had not undergone any procedure.

But for us doctors, it is especially valuable that, in the words of Marcelo Pitchon, “The long hair transplant technique gives us a chance to look into the future and the past at the same time”. What do we mean? The fact that, immediately after the operation, we see a 100% result of hair transplant, and after 1 year we compare it with the grown hair. Thus, it is possible to estimate the hair growth index - have all the transplanted grafts grown, or is this part of the result? Long hair transplantation, like the FUT (patchwork) technique, has the only drawback - after it, a postoperative linear scar remains on the back of the head. However, as noted above, modern techniques for removing the donor flap and closing the suture (open donor method and trichophytic closure) make the suture almost invisible, especially under long hair.

BODY HAIR TRANSPLANTATION (BHT)

In some cases, the donor supply at the back of the patient's head is extremely limited. This situation is observed at 5-7 degrees of Norwood baldness. Therefore, in our hair transplant center for patients with high degrees of baldness, we offer the possibility of using grafts from the body and combining hair transplant techniques to obtain a record number of grafts. The body hair transplant is performed using a seamless method and leaves no visible marks in the areas from which the grafts are taken - the beard area, groin area, chest, legs, arms. Today, we can easily take at least 2000 grafts from these donor areas, and under favorable conditions, twice as many. To obtain the maximum number of grafts, we can take hair from both the body and the occipital donor area. Donor hair from the body (with the exception of hair from the beard) does not reach great length, however, it can be perfectly used to create the front hairline, in this case there is no rough transition, a soft, smooth, natural line is created. In addition, this donor hair is usually used to fill the crown, where length is not as important as the number of grafts to create a full effect. Thus, donor grafts taken from the body are used to obtain the effect of fullness between the terminal (long) hair - existing or transplanted during hair transplantation. It remains to add that although objectively in terms of quality, body hair is not the best donor material and gives a weaker visual effect in comparison with the same number of occipital grafts, nevertheless, for many patients with high degrees of hair loss, this is the only option for obtaining a truly acceptable density. transplanted hair. After hair transplantation from the body, no visible traces remain at the site of the graft collection.

COMBINED METHOD

The combined method of hair transplantation involves the use of hair from the back of the head as a hairy skin flap (strip), in combination with the extraction of grafts using the seamless FUE method. Combined hair transplantation is used for androgenetic alopecia at stages from III to VII of severity according to Norwood, when a large number of grafts is required, and the use of any one method does not allow obtaining this amount as a result of one operating session. In this case, we use the FUT and FUE methods together, which allows us to use the maximum amount of hair for the transplant. The combination of methods allows you to get up to 8000 grafts in one operation, and even more.

HOW HAIR TRANSPLANTATION IS CARRIED OUT

STRIP METHOD (FUT)

PRE-OPERATIVE CONSULTATION

At the preliminary consultation, the transplant surgeon determines the expediency of the surgical intervention and discusses the technique of the procedure with the patient. It is impossible today to give preference to this or that method. All hair transplantation methods are effective; each of them has its own indications and contraindications, its own characteristics and advantages. The choice of the method of performing the operation is discussed with the patient, taking into account the recommendations of the surgeon. In some cases, a combination of methods may be an optimal solution when a large number of grafts is required, and the use of any one of the techniques does not allow extracting this amount. In one operation, you can combine FUT and FUE and, if necessary, take hair from the body. All methods give a good effect and an absolutely natural result. The survival rate of transplanted grafts is over 90%. However, it is obvious that the FUT method is not suitable for patients with a tendency to form keloid and hypertrophic scars, as well as those patients who sometimes plan to shave their head bald or wear very short haircuts after hair transplantation. They are indicated to have the FUE method, and those patients who intend to wear hairstyles with long hair, especially with high degrees of hair loss (V-VII degrees according to Norwood), on the contrary, are recommended the FUT method. If the patient focuses on the maximum natural look of the result or the complete absence of postoperative marks is important for him, he does not plan to cut his hair short and, at the same time, the hair on the back of his head is of sufficient length by the time of the operation, the long hair transplant method is ideal for such a patient.

At the TRICHOLOGY INSTITUTE® clinic, the necessary amount of preoperative examination is carried out by our specialists and is included in the price hair transplant procedures (HIV testing, syphilis, hepatitis B and C, clinical blood test, prothrombin index, fibrinogen, glucose levels, ALT, AST, allergic reaction to anesthetics).

Today, a history of alopecia areata and primary scarring hair loss in the acute phase of the disease are contraindications for hair transplantation. Severe coagulopathies are also contraindications for technical hair transplant surgery, relative contraindications are infections and inflammation of the scalp, diabetes mellitus. Due to the minimally invasive nature of modern hair transplantation techniques, it is difficult to name other diseases (for example, heart disease) that could be a contraindication for transplantation.

PLANNING THE OPERATION

At the stage of planning an operation at the TRICHOLOGY INSTITUTE®, a team of surgeons, trichologists and aesthetists of the clinic discuss with the patient the desired result of the operation and the possibilities of achieving it. The most important tasks of this stage of preparation are to determine the volume of surgery (the number of grafts) and to find out the donor potential for obtaining the required number of grafts. After thorough clinical, trichoscopic diagnostics, we take overview photos and thoroughly think over the improvement of the patient's image while preserving the natural appearance as much as possible. The required number of grafts for transplantation depends on many factors: the patient's diagnosis, the size of the thinning area, hair and skin color, hair diameter and hairstyle. When planning a hair transplant surgery in the correction of androgenetic alopecia, the correct design of the hairline is very important. Many patients insist on a low hairline, located less than 7 cm above the bridge of the nose. If such a desire is satisfied, there is a risk of getting an unnatural picture, as well as the danger of spending a large amount of donor material, which may not be enough for transplantation to other areas with constantly progressive AGA. The golden rule of hairline design for men is the recommendation not to go below 8 cm from the bridge of the nose.

However, the decisive factor at the preoperative consultation is to find out whether it is possible to obtain the required number of grafts from donor sites. Donor capacity is determined by the patient's donor density and scalp extensibility in the occipital region. In the case of scarce donor reserves, it is often impossible to obtain 4000-5000 follicular units from the occipital region of the scalp even with the FUT method.

It is even more problematic to obtain such a number of grafts using the FUE method in one or several operations. Therefore, until recently, severe androgenetic alopecia was considered inoperable. With the advent of the BHT method, this problem has been practically solved. Our surgical team is fluent in both FUT, FUE and BHT, which means there are no non-recoverable AGA grades for us. For example, in the area of a thick beard, in one or several procedures, 4000 grafts can be obtained for transplantation, in addition to 4000-6000 grafts obtained from the back of the head and plus several thousand follicles from different parts of the body.

HAIR TRANSPLANTATION PROCEDURE

Any hair transplant surgery does not require hospitalization and is performed within one day. The duration of the procedure depends on the volume of the transplanted hair, the chosen technique and takes several hours. The main stages of the operation include: preparation of the donor area; local anesthesia; collection of donor material; preparation of the recipient area; transfer of donor grafts to the recipient area.

In our clinic, the logistics of patient stay is built with maximum confidentiality. The preparatory stage takes place in a specially equipped office, where the final result of the transplant is carefully drawn, the patient is provided with a disposable suit and operating shoes. The state-of-the-art operating unit with a rest room is adapted for the patient's physical and mental comfort. The use of special formulations of anesthesia, patented by our surgical team, ensures the absence of edema, hematomas, painful sensations. Although hair transplants can take several hours, you can spend them watching a movie or listening to music with breaks for relaxation, in which our staff will offer you lunch.

RECOVERY PERIOD

The postoperative period is quite comfortable, regardless of the chosen technique. Modern methods of transplantation are low-traumatic and do not require long-term rehabilitation. After the operation, the next day we invite the patient for the first examination and hygiene procedure. In a specially equipped room for aesthetic trichology, we carry out the procedure for washing the head after transplantation, during which we teach the patient a gentle technique using a mild shampoo for the next 7-14 days. On examination, the patient is given written recommendations in the postoperative period. The patient can return to the usual care of the scalp after 2 weeks. Natural processes occurring during skin healing, for example, crusts and slight itching at the site of graft collection and implantation are characteristic of the postoperative period. As a rule, hair loss from the transplanted follicles begins from the 3rd week after surgery, which reflects their response to surgery. New hair growth is observed 2–3 months after transplantation. The process of hair growth may be accompanied by folliculitis, for the correction of which external antibiotics are recommended. Complications after hair transplantation are extremely rare, they include shock-loss - hair loss in the area of surgical manipulations, which is completely reversible. In the process of hair germination, there is a smooth gradual increase in their density in the recipient zone. The first result is assessed in 4–6 months, and the final effect will be formed by 9–12 months after the transplantation.

Hair transplantation is an effective and long-lasting treatment for alopecia. Existing modern techniques give an excellent aesthetic result, without raising doubts about the naturalness of the hairstyle. However, it should be borne in mind that transplantation does not interrupt the evolution of the processes that led to hair loss, and, as a rule, conservative therapy is required to prevent the loss of the remaining hair, and sometimes, repeated operations. The possibilities of surgical correction for the treatment of alopecia allow us to consider transplantation as a quick and effective way to satisfy the patient's wishes.

PERSONAL ASSISTANT FOR THE YEAR

In our opinion, the postoperative period is a crucial stage in which the patient especially needs psychological support. In order for this period to pass comfortably for the patient, our clinic provides professional support throughout the year. Every month the patient is invited to free follow-up consultations of a trichologist to monitor the hair restoration process, and also in the postoperative period a personal assistant is assigned to the patient, with whom the patient can contact by phone or e-mail to ask interesting questions. At monthly consultations, the trichologist closely monitors the healing processes after surgical microtraumatization, tissue repair and hair restoration in the recipient and donor zones. Careful monitoring in the postoperative period avoids possible complications, and therapeutic recommendations synergize the effect of hair transplantation in order to maximize hair growth and survival.

INDICATIONS FOR OPERATION

HAIR TRANSPLANTATION FOR MEN

HAIR TRANSPLANTATION FOR MEN

Androgenetic alopecia (AHGA) in men is the main indication for hair transplantation, which, in fact, is becoming the number one plastic surgery among men. According to the ISHRS (International Society for Hair Restoration Surgery), there were 310,624 hair transplantations registered in 2012, almost double the 2004 figure (about 168,000 operations). Depending on the degree of hair loss and the patient's desire, the operation can be performed immediately to quickly correct the pattern of baldness, or after a period of conservative treatment, if the results were not satisfactory, or the need for constant supportive measures does not meet the patient's expectations for an impressive and permanent result.

The prevalence of androgenetic alopecia in men explains the high index of clinical interest in the study of this condition and is currently regarded as a polygenic, multifactorial disorder caused by synergy between the gene, the endocrine system, and aging. Significant advances have been made in understanding the basic metabolic elements of the androgens involved. However, current treatments for AGA can have serious side effects and have limited efficacy in many patients. Among the clinical signs of AGA we can name thinning of the frontal hairline with the subsequent formation of frontal-temporal bald patches, thinning of the hair at the crown. According to Norwood's classification, AGA in men is divided into 7 subtypes, and allows you to determine the degree and type of male pattern baldness. According to it, the severity of the disease is determined from 1 (normal hair on the scalp) to 8 (almost complete hair loss, while maintaining their growth only on the back of the head and on the sides of the scalp). We should highlight that AGA is a continuous process, and there are no “definite stages” of hair thinning, and also with typical hair loss in men, hair in the occipital region is preserved to some extent.

According to the European guidelines for the treatment of AGA in men and women (S3), updated and published by JEADV in 2017, the goal of therapy is to stabilize the AGA process and increase the diameter and density of the hair, and the choice of drugs depends on various factors, including the severity of AGA, patient’s somatic status, practicality, costs and risks. Treatment for AGA should be based on personalized therapy and target the various pathophysiological aspects of AGA. 5-alpha reductase inhibitors (finasteride, dutasteride) remain the first line of treatment for AGA in men. 5-α reductase inhibitors have an inappropriate effect on AR due to their structural similarity to DHT. As a result of the presented studies of the characteristics of the finasteride effectiveness, it was shown that the best candidates for therapy are patients aged 30 to 40 with a severity less than 4 by the Norwood scale. The maximum improvement is observed after two years of use. In general, finasteride shows process stabilization in 90% of patients. However, having been recommended since the 90s, its choice is currently under discussion. Despite the official results of numerous studies, psychological and sexual dysfunctions caused by the use of 5-alpha reductase inhibitors have been reported. Topical minoxidil 5% concentration is the second line of therapy, its safety profile is quite high, however, less than 40% of our patients respond to it, and its effectiveness in a particular patient will be known after 3-4 months of therapy. Low-dose laser therapy (LLLT) and, despite the absence of a standard protocol, plasma therapy can be considered auxiliary methods. Hair transplantation is recommended in case of ineffectiveness of the described methods, in case of contraindications to them, or in addition to therapeutic measures. Considering the above mentioned, surgical correction is currently the only procedure that can radically improve the pattern of baldness in a short time.

The required number of grafts for transplantation to correct AGA depends on the size of the thinned area, hair color and skin, hair diameter and hairstyle, it is very easy to establish, based on the outlined classification of the severity of AGA, using a simple formula: the required number of grafts = the severity of AGA according to Norwood X 1000 - 1000. In case of transplantation of the required number of grafts obtained by this simple calculation, we always get a satisfactory result, taking into account the correct operation and a high personal index of patients.

HAIR TRANSPLANTATION FOR WOMEN

Due to the prevailing opinion that women do not go bald, and hair loss is equated to an illness or painful condition, hair loss can be a difficult psychological test for a woman. Femininity is associated with long, thick, shiny hair, and the absence of such hair negatively affects the psychological state of a woman. Most hair transplant surgeons perform operations primarily on men; nevertheless, very satisfactory results can be obtained with hair restoration procedures in women, especially with the use of modern techniques.

Modern hair transplant methods can help women suffering from certain types of alopecia. Most often, transplantation is recommended for patients with female pattern hair loss (FPHL) - a condition characterized by thinning hair in the frontal, parietal and / or crown of the head while maintaining a high density of hair in the occipital, which is used as a donor. Hair transplant surgeries will be ineffective if the hair thinning is diffusely spread over the entire scalp. Unlike men, women with female pattern baldness generally do not progress to the critical stage of alopecia. Whatever the type of baldness, in order to continue its treatment, it is necessary to conduct a number of studies to rule out other diseases.

Hair transplantation for women can also be indicated in other cases, for example, to mask scars after face lifting or excessive hair tension.

FACE LIFTING

After a facelift, the tanks in women are often displaced posteriorly, and a scar may also be visible in front of the ear. If a woman slicked her hair back or tied it in a ponytail, this could be a problem. It is possible to restore adequate hair density in a small area in front of the ear in one procedure using a small number of grafts.

TRACTIONAL ALOPETIA

The practice of braiding, with or without chemical straightening, can result in permanent hair loss along the hairline. This phenomenon is observed mainly in patients with African hair, who have been braiding their hair tightly for many years, or in patients with thick, heavy hair who have been using a hairstyle with excessive tension (tails, hairpieces) for a long time. In the presence of donor hair after reconstruction with grafts, an aesthetically acceptable result can be achieved.

SCAR TISSUE TRANSPLANTATION

The diagnosis of cicatricial alopecia hides many clinical pictures and pathomechanisms, which are accompanied by irreversible destruction of hair follicles, which puts them in a number of critical situations in trichology. The disease can be hereditary and acquired. The congenital type may be due to aplasia of the skin or nevus of the sebaceous glands. Among the causes of acquired cicatricial alopecia are radiation dermatitis, physical trauma and burns. Common primary cicatricial processes include diseases such as discoid lupus erythematosus, lichen planus, Broca's pseudopelada, and folliculitis decalvia. A prompt, reliable diagnosis, combined with aggressive treatment, is critical in controlling the active process of primary cicatricial alopecia.

In recent years, experience has been gained in correcting cicatricial alopecia with hair transplantation. The surgeon decides on the appropriate type of intervention based on the cause of the disease. The skin with cicatricial alopecia is often very thinned, therefore, when introducing a graft, it is necessary to perform preliminary skin tumescence to create a pocket in the recipient site. Then the graft is placed horizontally between the periosteum and the skin in this pocket. Sometimes the scar is too deep or too thick, with impaired blood circulation, which may not be enough to maintain the viability of a high proportion of grafts. With this procedure, high hair density cannot be achieved, but the operation, nevertheless, can significantly improve the natural appearance.

Also, we use hair transplantation to correct defects after facelift surgery. When planning such a procedure, one must remember that the formation of a postoperative scar takes time. It is advisable to plan a hair transplantation no earlier than 10-12 months after the beginning of scar formation after surgery, injury or burn. Usually, a seamless method is used in post-traumatic corrections.

Until recently, primary cicatricial alopecia was considered a contraindication to hair transplantation. However, these views have now been revised, since at the stage of fibrosis, hair growth on the healed skin surface can be resumed only with the help of transplantation. The affected follicles do not form new hair, and there is no treatment method that stimulates follicular neogenesis. The follicular unit transplant (FUE) method avoids the formation of an additional scar. In primary cicatricial alopecia, in patients whose disease state is not stabilized, hair transplantation may be ineffective due to the possibility of reactivation of the disease.

The advantage of hair treatment and transplantation in our clinic is the possibility of joint efforts of the surgical and therapeutic teams, both at the stage of preoperative preparation, during the operation, and in follow-up, which will allow you to preserve the transplanted hair as efficiently as possible.

In individual cases, after consideration of the request, in our clinic for patients with cicatricial hair loss, transplant operations are performed free of charge. The patient has a sufficient amount of hair in the donor area is a condition for obtaining satisfactory results.

EYEBROW TRANSPLANT

Over-plucking of the eyebrows may prevent hair growth in this area. A few years ago, narrow eyebrows were in vogue, but now wider ones are popular. Restoration is also recommended for patients who have thin eyebrows from birth, the so-called idiopathic eyebrow hypotrichosis. That is, if you need to restore your eyebrows, you want to make your eyebrows thicker or you want to change the shape and size of your eyebrows, we can carry out a hair transplant in this area.

Hair growing on the back of the head is used for the procedure. Patients should be aware that eyebrow hair will vary in quality and will need to be trimmed (thickness, color, etc.). During the procedure, incisions for the implantation of grafts are made at the most acute angle to the skin surface to avoid hair lifting. In most cases, individual hairs are implanted, so natural clusters of follicular units must be separated. To compensate for possible hair damage during the separation process, we place additional grafts to restore hair growth by 95% or more. The specialists of our clinic specialize in eyebrow hair transplantation and consider this procedure their hallmark.

TRANSPLANTATION OF THE MUSTACH, BEARD AND IN THE INTIMATE ZONE

Facial hair transplant for men is becoming more and more popular, given that a brutal look with a thick beard and mustache has become fashionable. Facial hair distribution in men can be uneven and surgical hair restoration in these areas can make the bristles denser and produce a more accurate (uniform) beard design with clear contours (contouring). Also, increasing the density of facial hair can be an effective method for covering scars, hair loss due to trauma, burns, surgery, burns, trauma or after a facelift.

The back of the head is usually used as a donor site. The hair on the head is usually softer than the hair on the face, but with careful distribution over the transplanted area, it is difficult to tell the difference. Thanks to the original technologies introduced in our center, the procedures for hair transplantation into the beard proceed practically without blood loss and pain, so the few hours during which the patient is in our clinic are as comfortable as possible for him.

The postoperative period is painless, but minor edema is possible, since we are dealing with soft tissues. However, thanks to the soft tissues, the process of healing and smoothing of postoperative traces is fast. Usually after a week there are no visible traces on the face after the procedure. Intimate hair transplantation is still one of the most popular in Japan, where traditionally high density of hair in the pubic area is recognized as one of the criteria for youth. Indeed, the density of hair in intimate areas decreases with age or due to certain diseases. The transplant procedure will restore their volume and achieve the desired design, however, the transplanted follicles will retain the growth characteristics and external hair qualities inherent in the donor site.

SERVICE FOR OUR PATIENTS -
WE WANT YOU TO FEEL OUR CARE!

On the day of surgery, the patient is provided with a disposable suit and operating shoes.

Hair transplantation lasts several hours, its approximate duration is discussed at the initial consultation. During the procedure, there are rest breaks, during which lunch and dinner are offered (patients on diets and vegetarians are asked to provide information about themselves in advance so that we can offer an appropriate menu).

Detailed written recommendations are issued after the transplantation. In order for the postoperative period to pass comfortably and responsibly for the patient, our clinic provides professional support throughout the year. Every month, the patient is invited to free follow-up consultations of a trichologist to monitor the hair restoration process, and also in the postoperative period, a personal assistant is assigned to the patient, with whom the patient can contact by phone or e-mail to ask questions of interest.

For nonresident patients, we will provide a transfer from the airport, hotel accommodation with breakfast and dinner, and also offer an excursion around beautiful Kharkov. A city tour will leave an unforgettable impression of the trip, after which you can go home with renewed vigor, starting a new round of a happy life.

FAQ

1. What is hair transplantation?
It is the process of redistributing genetically resistant hair from the back of the head and sides of the head to bald areas. In areas of the scalp prone to androgenic alopecia, after hair loss, there are no longer normal follicular units capable of producing healthy hair. At the same time, in the areas of the back of the head and temples, there is always hair, the follicles of which are resistant to the factors of baldness.
2. What is graft?
A graft or follicular unit is a group of hair follicles containing 1 to 5 hairs. The division of grafts often leads to their damage or poor survival. We only transplant hair with multiple grafts, and to form a natural growth line, we use grafts containing 1-2 hairs.
3. How many grafts need to be transplanted?
It is not difficult to calculate the required number of grafts (follicular units) for AGA correction. Although the required number of grafts for transplantation depends on many factors (size of the thinning area, hair and skin color, hair diameter and hairstyle), it is very easy to state, relying on the outlined Norwood classification using a simple formula: the required number of grafts = the severity of Norwood AGA X 1000 - 1000. For example; if a patient has androgenetic alopecia of IV degree of severity according to Norwood, he needs about 3000 grafts transplant: 4 X1000 - 1000 = 3000. In case of transplanting the required number of grafts obtained by this simple calculation, we always get a satisfactory result, taking into account the correct operation and a high personal index patient. Also, to facilitate the calculation, trichoscopy of the donor and recipient area is performed in order to determine the density of hair per cm2. A decent cosmetic result will be achieved when 2/3 of the density of the donor zone is restored in the recipient zone. Your result will depend, among other things, on the structure, hair color, length and hairstyle.
4. How long will the transplanted hair last?
The transplanted hairs behave in the same way as the hair it was taken from. The hair of the donor area is genetically different from the hair of the balding area and therefore will not thin and fall out. If performed correctly, the result will be lifelong for most people, or at least until old age. We simply redistribute the existing donor hair to the thinning areas. With age, physiological thinning of hair occurs throughout the scalp, when this happens, the transplanted hair will follow the same scenario.
5. Do I need to have my hair cut before the procedure?
Not. Our clinic has a specially equipped room for aesthetic trichology, where we will carry out all the necessary hygiene measures before the hair transplant procedure. After the creation of photographic documentation, the donor area is trimmed, in the case of hair transplant using the FUE method.
6. How soon will I be able to come back to my normal life?
If your own hair is enough to mask the recipient zone, you can return to your normal life after the first hygiene procedure, to which we invite patients the next day after the transplant. In case of insufficient amount of your own hair, we recommend that you have the transplantation before the day off, during which you can wear a hat.
7. What method of hair transplantation should I choose?
This question is often asked to us both by patients in consultation and by our young colleagues and experienced hair transplantologists at professional symposia. For us, there is no definite answer to this question. It is impossible today to give preference to this or that method. All hair transplantation methods are effective, each of them has its own indications and contraindications. However, it is obvious that the FUT method is not suitable for patients with a tendency to form keloid and hypertrophic scars, as well as those patients who sometimes plan to shave their head bald or wear very short haircuts after hair transplantation. They are shown the FUE method, and those patients who intend to wear hairstyles with long hair, especially with high degrees of hair loss (V-VII degrees according to Norwood), on the contrary, are recommended the FUT method. If the patient focuses on the maximum natural look of the result or the complete absence of postoperative marks is important for him, he does not plan to cut his hair short and, at the same time, the hair on the back of his head at the time of the operation is of sufficient length, the long hair transplant method is ideal for such a patient. In cases where donor material is not available in the patient's occipital area, a combination of techniques and the use of different donor areas, including body hair removal (BHT), is recommended.
8. How long does hair transplantation last?
The duration of hair transplantation depends not only on the volume of surgery, but above all on the experience and teamwork. The advantage of the surgical team of our clinic is the recognized achievements in conducting mega sessions. At the Trichology Institute, one operation to restore the hairline usually takes from two to four hours, with any number of grafts and the complexity of the operation. At the same time, we have created all conditions in our clinic in order to maximize your comfort throughout the entire procedure.
9. What are specific features of hair growth after the transplantation?
The final result of hair transplantation can be seen 9-12 months after the operation, depending on the individual characteristics of your body. The transplanted hair grows for life and is not prone to androgenetic alopecia. In addition, the transplanted grafts take root on any part of the skin, even on the palm. There are features of autologous hair transplantation into scar tissue, and in the case of hair transplant for the purpose of aesthetic correction of primary cicatricial alopecia, responsible follow-up monitoring and therapeutic support will be required to maximize the preservation of the transplanted hair.
10. I have made a decision to have hair transplantation, what clinic should I choose?
It is very important to make a wise decision and choose the right doctor and clinic. We always advise you to study the issue thoroughly in order to make a decision. You don't have to feel pressured by a doctor; an ethical surgeon will help you make an informed decision, not push you towards one. We also recommend talking with patients who have had hair transplant surgery at the clinic in question. Professionals who focus on trichology and hair reconstructive surgery are more likely to have gained experience to improve their technique. Make sure your surgeon devotes all (or at least most) of his practice to hair treatments and transplant surgeries. We recommend you only consider clinics run by a physician to ensure that medical advice and solutions are not driven by sales or business interests. After browsing our website, you will be able to ask all the correct and detailed questions in several clinics. Despite the lack of regulation and a lot of advertising, the Internet can be a valuable resource when browsing independent websites. In addition to our own website, put the Trichology Institute on any search engine to find numerous reviews of our work, as well as press articles and recommendations from independent sites.

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MY TASK IS TO UNDERSTAND YOUR NEEDS AND TO CREATE A PERSONAL WAY

Hello, my name is Miroslava, I am the administrator of the "Trichology Institute".

Every day I talk with patients who have chosen our clinic and help them to agree on the appointment time, recieve information about the cost of procedures and assist in organizing their visit. Our team has employees who speak Ukrainian, Russian and English, who, if necessary, will gladly help you.

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