When we take stock of the possible risk factors in hair transplantation, we can classify them under three groups;
1. Patient related risk factors,
2. Operation related risk factors,
3. Medical treatment and period of primary examination related risk factors.
With the new arrangements for hair analysis step in our clinic, now patients’ donor capacities and the recipient areas are evaluated much more effectively than before.
First of all, we analyze the capacity of donor area to define the exact number of graft which can be extracted from donor area by evaluating and measuring hair thickness, hair density on donor area, proportions of multiple follicles and area of donor. During this step, individual’s skin structure and possible skin problems are taken into consideration too. Later, we make measurement on the recipient area by considering hair thickness and proportions of multiple follicles and we calculate the exact number of graft which will be transplanted per square cantimeter on frontal, mid and crown areas. In the light of all calculations, individual’s expectaion and suitability for hair transplantation are determined before the operation. With detailed hair analysis we spot patient related risk factors and make the desicion on hair transplantation with exact calculations and measurements.
After hair analysis step, we prepare the patient for operation and accompany to the operating room. In our clinic, all of the operating rooms are arranged in conformity with the criteria of regulations of The Ministry Of Health, Republic of Turkey. The flor and the walls were built with an antibacterial material and sterilization of all operating rooms are under sutiable conditions. Operating equipments are sterilized in the criteria of The Ministry Of Health.
In the operating room, final preparations are completed. Frontal hair line is drawn symmetrically after measuring individual’s features. After that, operating area of patient is cleaned with antiseptic solution and local anesthesia is applied. Local anesthesia is applied with a dental neddle or depending on individual’s tenderness we can preanethesie with neddle free injector device. In the second methode, which provides an easier local anesthesia, anaesthetic is applied under the skin with the help of pressure without a neddle.
In our clinic, we perform incision as the first step of the hair transplantation. In the incision step, recipient incisions are created by Dr. Resul Yaman at once, in the exact number of graft calculation in front, mid and crown areas. The creation of recipient incisions is important for homogenization and hair roots’ directions. Incision step is performed with a 0.8-0.9-1mm. needles which differ in front, mid and crown areas depending on the proportions of multiple grafts. Also the implanter, which we have been developing lately, can provide us to create smaller incisions.
After incision step is over, we perform extraction. The extraction step is performed with a low speed modified micro motor by expert staff who has been trained only for extraction step. Individual’s donor area is divided into equipartition and from each partition same amount of follicle is extracted. In the donor area, hair follicles are extracted degressively to external line of the extraction area so an apparent external line is prevented.
Extracted hair follicles are waited in +4°C, hypothermosol solution which is used specifically in organ transplant surgeries. +4°C and hypothermosol solution provide us the optimal conditions for about 5 hours.
In the operations where is the possibility of that hair follicles may be waited outside for more than 5 hours, the operation is divided into two parts. Both parts are performed in the exact same day. With this methode, hair follicles don’t wait ouside long and we prevent a possible damage on the roots.
Transplantation step is performed with a spesific implanter which has been developed and taken out a patent by Dr. Resul Yaman. Different than classic implanter technique, in this spesific implanter hair follicles are taken from the upside of expert staff’s hand and they are pushed under the skin with the help of slice bar. The hair follicles are replaced under the skin without being touched by skin or forceps and by preventing any possible trauma which may be caused by crash or smash. So a possible damage on hair root, which may be caused by professional staff’s incidental mistake or causes making transplatation harder like hard skin structure, etc., can be prevented.
Different than classic implanter technique, in this spesific implanter, incision step is performed first so we aim to define hair roots growing directions correctly, the homogenization per square centimeter and the proportional hair density. In the operations, where the number of graft is high, implantation step is performed by two technicians. This may risk the homogenization and hair roots growing directions at right and left sides.
This risk is minimized by the methode where incision step is performed only by one person at the beginning of the operation. Also, because of that it is possible to create smaller incisions in the size of spesific implanter’s diameter than incisions which is created with forceps, this new implanter provide us denser transplantations. In our clinic, we minimize the operation related risk factors and prioritize surgical approachment for hair root protection.
Dr. Resul Yaman recommends his patient to use Finasteride or SawPalmetto-biotin during pre- and post-operative processes. Usage of medical treatments is considered as prior condition in under post-operative warranty.