Transplanting Hair: A Historical Overview

 Modern hair transplant techniques have made significant strides in recent decades.  The latest hair transplants that surgeons may do on patients' bald spots are yielding greater results than ever before.  The fact that it all began with a doctor's desire to perform hair transplants in order to provide patients with artificial eyebrows is astounding. 

A Japanese doctor named Okuda was hard at work, attempting to restore hair to patients who had suffered catastrophic hair loss.  That was before World War II.  He did not learn about hair transplant treatments until after the war had ended, a full twenty years later. 

Dr. Norman Orentreich, with his 1959 publication on hair transplant surgery, launched a new branch of surgery.  During this decade, surgeons started experimenting with transplanting hair follicles that could withstand alopecia and balding scalps. For this purpose, surgeons used the hair from the fringe, the area around the back and sides of the head.

The Discovery that Changed Hair Restoration

The doctors' goal was to determine if the place on the head of the hair follicles was the reason they were resistant to balding, or if the follicles themselves were to blame.  The procedures would provide an answer to the question of whether they could successfully perform a hair transplant.

The trials led them to the conclusion that the location of the hair follicles on the scalp had no bearing on the hair's longevity but that the hair follicles themselves were the determining factor. This trend was dubbed donor  dominance. Soon, I would be undergoing hair transplant surgery. 

Without delay, doctors began performing hair transplant surgeries. Their initial approach was not without its flaws. Despite implementing their plan to transfer hair from the crown and sides to the bald spots, the outcome was less than satisfactory. 

The technique used for these hair transplants in the 1960s and '70s involved grafting fifteen to twenty-five hairs into a circular plug pattern.  These plugs looked both noticeable and unappealing.  Everyone could tell if someone was wearing hair plugs because of how artificial they looked. In addition to being unattractive, hair plugs would permanently alter one's appearance.

Refining the Technique: Mini-grafts and Beyond


The 1980s saw significant advancements in the hair transplant procedure.  Even if mini-grafts were an improvement, they looked like plugs—just tiny ones. Each of these consisted of five to eight hairs.  Even now, you might find some surgeons using plugs of this size. 

The amount of graft utilised by the majority of surgeons has decreased throughout the years. In hair transplants, it is common practice to use grafts ranging from 1 to 8 hairs.  These days, it's possible to perform up to 800 grafts all at once. The results still aren't as natural-looking as they could be, so there's definitely room for development. 

Modern hair transplant surgeons are employing a technique known as follicle-unit micro-grafting. This technique covers the balding area with grafts consisting of one to four hairs. As a general rule, a healthy head of hair will have this many hairs per follicle. SImplanting thousands of these follicular units allows surgeons to create the illusion of a natural hairline and hairstyle. 

Thanks to advancements in the field, hair transplant surgery can now yield results that are practically invisible to the naked eye. It evolved from an experimental method to a widely used and effective one over the course of several decades. 

How Does Micro Grafting Work for Hair Transplants?

Since their inception, hair transplant treatments have evolved. Previous approaches to employing hair plugs failed to meet expectations. A lot of them appeared to be sporting doll heads, complete with clumps of hair poking out of their locks. The development of micrografting has allowed hair transplants to take on a more realistic appearance. 

Micrografting is used in most hair transplant procedures nowadays. Three or four hair follicles can be accommodated in micrografts.  The number of hair roots held by an older style of hair transplant could exceed twelve. Advanced surgical techniques have allowed for the refinement of micrograft extraction methods, making these new grafts feasible. 

Because they may make the transplanted hair look very real, micrografts are a great tool for hair transplant surgeons. With its natural density, hair grows out of the scalp in its most unaltered form.  If you execute the operation correctly, nobody will notice the difference.

It has proven challenging to get hair transplant results that look natural for the hairline. A completely natural-looking new hairline can be achieved with the help of micro grafts.  This is very remarkable, given the agony that many people have gone through due to subpar hair plugs. 

The Art of Combining Graft Sizes for Optimal Results

Micrografts, no matter how subtle and realistic they seem, will not result in a luxuriant mane of hair. Many hair transplant surgeons do this by inserting tiny grafts into the scalp at the hairline, as well as the front and edges of the hair. After that, they'll move on to the rear of the scalp and use small grafts there. 

Mini grafts containing three to eight individual hair shafts are used in hair transplant surgery. In places where they blend in, they add volume without drawing attention to themselves.  Typically, we use micrografts near the hairline and surrounding areas, while we use mini grafts in the middle and top of the scalp.

This setup would make the tiny grafts look very odd if the recipient of the hair transplant were to shave them after the procedure. But when you add micrografts to the front margins, they blend in and make the hair look thicker. They are helpful in a lot of ways. 

When hair plugs were first introduced, hair transplant surgeries were conducted in a very different manner.  Trephines were used to cut circular grafts ranging in diameter from 2 mm to 5 mm. The balding area had these plugs placed in it. 

Micrografts: The Key to Undetectable Hair Restoration

You can now slice long, thin strips of donor tissue with a multi-bladed knife. The scalp strip will measure approximately five inches long and one inch wide.  Next, the hair transplant specialist will sew the lifted skin area.

Using a stereomicroscope, the micrografts will finally be split into individual grafts. A range of grafts, including micrografts with one or two shafts and eight-shaft mini grafts, will be created by the surgical team. The surgical team will transfer these to the recipient locations during a hair transplant, aiming to create a full top and a natural hairline.

Modern hair transplant techniques rely heavily on micrografts.  As a result, the final product seems more organic. Using smaller grafts also reduces the discomfort factor. Their findings have been a great success. 

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