DEAMED International aesthetic medicine and health center

FUT or Strip hair transplant

FUT or Strip Method is the main, classic method of hair transplantation. In this case skin strip is cut from the back of head (donor area) and it is further divided into follicle units – grafts, which are transplanted into balding areas (recipient areas).

A graft is a transplant which includes from 1 to 3-4 follicles.

Hair transplantation with STRIP method consists of 4 stages:

1. Skin strip cutting from donor area: This is the main stage which distinguishes STRIP method from FUE (stitchless) method. In this case hair is not shaved. The only area which is shaved is the narrow line on the back of head, which is cut. After that a cosmetic stitch is made on the wound, which is covered with hair and is not visible even right after the surgery.

The surgeon’s experience and skills are very important on this stage. It is essential that he correctly defined the skin strip sizes (length and width), which is to be cut, that is the necessary prerequisite for further formation of invisible scar, as well as performing the plastic incision correctly. We use the plastic method of donor area, which forms a thin, linear scar, which is fully covered with hair after several month from the surgery and it is not noticeable even in case of short haircut. This method of putting stitches is provided by Mario Marzola and it is called Trichophytic Closure.

The scar on the donor area (back of head) after 4 month from hair transplantation surgery with Strip method.

It can only be noticed in case of shaved hair or a very short haircut.

2. Graft preparation is performed under a stereoscopic microscope, with 10-20 times magnification, which significantly improves quality of graft processing and lessens the possibility of follicle damaging. All of these factors are directly reflected in the results of the procedure.

3. Forming micro holes in recipient area This is a highly important stage as the transplant hair density and direction is formed during it. The depth of the micro holes must exactly correspond the length of the grafts, in order the follicles to be transplanted in the layer of the skin where they can function naturally. We use microsurgical tools and injections to form micro holes in our clinic, which form a tiny linear incision, 0,8- 1,0 mm in length. This enables us to achieve the maximum density of transplanted hair, which leads to the best cosmetic results.

4. Implanting grafts in balding areas Special tweezers are used to implant grafts by assistant surgeons. In case of using implanters, the 3rd and 4th stages are performed simultaneously. Micro holes aren’t formed at that time as the implanter pen stings the skin and places graft into it at the same time.

How to plan hair transplantation?
Well-planned surgery is the necessary prerequisite of high quality transplanted hair. That’s why it is important to make an appointment with a doctor and be consulted. Hair transplantation necessity is identified, donor hair is assessed and exacted number of grafts are calculated during the consultation. In addition to this, forehead line design is negotiated and the most effective and safest method for you is chosen; surgery stages are also defined. A patient should get full information about the possible achievable results in their case. Hair transplantation can only be considered as successfully performed if the results meet the patient’s expectations. If you cannot visit our clinic, you can have an online consultation. Hair transplantation surgery doesn’t require special preparation. Prior the surgery patient has to take the following analysis:

• General blood test
• The prothrombin time (PT) test
• Blood glucose test
• Infections test (hepatitis B (HBV) and C (HCV), AIDS, Syphilis)
• Patient is not allowed to take alcohol two days prior the surgery

How is the surgery performed?
Hair transplantation is an ambulatory procedure, its duration depends on the volume of the work to be done and last for 3-6 hours. The manipulation is done under the conditions of local anesthesia, it is absolutely painless, without any side effects, in free mode for the patient: he/she is comfortably placed in an armchair, able to watch desired TV program or a film, talk on the phone, listen to music, etc. Dinner is served to the patient during the break time.

What should we know after hair transplantation?
Patient starts washing hair and gets back to their occupation right the next day of hair transplantation. In case of Strip method, a bandage can be put on the patient’s donor area (back of head) for one night and hard physical activity can be restricted for two weeks. In case of FUE method bandage is necessarily put on the donor area for one day and the patient can do any sport or physical activity right from the third day after the surgery. Transplanted hair doesn’t require any special care or further treatment. Due to physiological stability of hair growth, healthy hair starts growing from the follicles in 2-3 month after the transplantation, and after 6 month significant effect is noticeable, maximum result is acjieved after 10-12 months. It is impossible to distinguish transplanted hairs from the rest; they grow naturally and don’t fall. It can be cut, dyed, styled, etc.

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LHT - Long hair transplants

Long hair transplantation is one of the interesting and progressive directions of hair auto transplantation, which doesn’t require shaving or cutting hair in donor area. Transplanted hair length is equal to the donor hair length in the moment of transplantation. The first publications regarding long hair transplantation appeared in 2004 and their author was a Brazilian surgeon Marcelo Pitchon. According to his technique long hair transplantation was only possible through FUT (Strip) method. During 2014-2015 the professor Aleksiy Makharashvili worked out innovative long hair transplantation technology with FUE method. However, while the engineers were working on inventing the corresponding equipment and tools, in September, 2016 a Brazilian doctor Otavio Boaventura was the first to report about the same method to the 24th ISHRS International Congress in Las-Vegas. It was clear that he and Aleksiy Makharashvili were considering this issue at the same time, that’s why a long hair transplantation with FUE method can be called Boaventura-Makharashvili method.

Advantages of the LHT Method:

• Patient can see the result right at the end of procedure, which will be actually achieved 10-12 month later. Transplanted hair density and direction is clearly visible.
• Patient doesn’t need to take a vacation from work or postpone business meetings, as hair isn’t shaved.
• Long hair transplantation can totally cover the red dots which appear after the procedure during the first week. The method makes the early post operational period unnoticeable, which makes the patient more confident and he returns to usual life rhythm even more actively right from the second day after the surgery.
• Surgeon can see the result of his/her work and is able to transplant hair in optimal density and natural direction.

However, it should be mentioned that long hair transplantation result is temporary and lasts for inly 2-3 weeks . after that the hair starts falling gradually and only after 2-3 months starts growing again, as well as in case of using other hair transplantation methods. Patient receive a noticeable cosmetic result in 6 month after transplantation, and the final result is achieved after 12 months period. The only disadvantage of long hair transplantation can be considered the fact that in post operational period (first 1 week) it requires very attentive care and big carefulness, as the risk of falling out the transplanted hairs is really high. All of the methods of hair transplantation give good results and have their pros and cons. The most preferable method or combination of methods for a certain patient is selected between a doctor and a patient individually.



Long hair transplantation result right after the surgery.

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HAIR TRANSPLANTATION IN SCARS

Happy patient after the hair transplantation in DEAMED clinic. This excellent result is a testament to the hard work and commitment of DEAMED clinic surgeons.

Alopecia also developes as a result of various traumas (burning, mechanic trauma, surgery, etc.) and some skin deceases, which cause hair follicle replacement with connective tissue so the balding areas develop. In such cases, hair restoration is impossible without surgical intervention. Traction alopecia is also included in the group, which develops as a result of long term mechanic influence (pulling) on hair, for example very tight hair styling. Scars, placed on hairy part of head, often cause psycho-emotional disorder in patients. Their skills of social adaptation decrease and the quality of life becomes worse. Unfortunately, significant part of doctors’ society considers that hair transplantation in scars areas is not effective and offer the patients wrong treatment tactics even today. Existing surgical methods of eliminating scars on hairy parts of head (free skin transplantation, scar extraction, Expander and Extender methods) are not always effective, complete liquidation of scar area can’t be achieved and in frequent cases, additional scars are developed and it is followed by a range of complications.

The only effective treatment method in this case is hair transplantation with micro-grafting method (Follicular Micro Auto Transplantation). Our surgeons have the richest experience in the field of hair transplantation in scars. In addition the graft viability is 93-95% and good cosmetic result is achieved. In 2010, Dea Papaskiri defended a thesis regarding “Surgical Treatment of the Patients with Scar Defects on the Hairy Area of Head”, which means transplanting hair in scar areas using follicular micro auto transplantation method in on the Doctor Training Council of the Ministry of Defense of Russia. This work is unique with its scientific value and has no analogue in the world. In case of scar alopecia treatment, considering the scarring tissue structural features and choosing a correct tactics is essential in order to avoid traumas. In some cases morphological research of scarring tissue biopsy materials is necessary to define the hair transplantation indication.

As a result of our long term researches, it is confirmed that after hair transplantation in damaged area, not only good cosmetic result can be achieved, but also the scar structure is improved. All the stages of transplanting hair in scars are similar to hair transplantation during androgenic alopecia. FUE, Strip or their combination is used, but due to unusual vascularization of scar tissues the surgical technique is quite changed in order to avoid tissue traumas.

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Beard, Eyebrow and Moustache Transplantation

DEAMED Clinic uses innovative, less traumatic and effective methods of hair transplantation which allow us to correct cosmetic defects of eyebrows, moustache and beard successfully in case of their partly of full absence. In this case we also use back of head and temples zones as donor areas. Some of our colleagues prefer using donor hairs from limbs and other parts of body, which we don’t approve. Donor follicles are retained through Strip or FUE methods. In both cases choosing the hair of corresponding structure is an important factor, especially during eyebrow restoration. Post-operational period is similar as in other cases of hair transplantation. Hair starts growing after 2 month from being transplanted and it maintains all the features: color, structure, growing rate, etc. It doesn’t require any special treatment; it keeps growing during the whole life and doesn’t fall. It can be cut, dried, shaved, etc.

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