Surgery trichology and trichology.

When baldness is definitely no established medical therapy, as updated, may appreciably change the status of our patients. Surgery can remedy Trichology redistributing the hair from areas survivors.

Trichological surgery has developed an interest in the problem of baldness during the second half of this century but only the gradual improvement of techniques that involve hair transplant has achieved results more natural and satisfying as this correction is' now become the most common in males.

Baldness affects like 60% of men under thirty years and 70% of men over this age.

Although women are increasingly expecting this method for thinning of the scalp constitutional, pathological or later to particular therapies.

The new hair growth in areas now irrevocably bald is possible only with the intervention of selfgrafting providing a permanent and definitive result because it rests on incontrovertible biological basis: the donor area of hair follicles retain their ability once transposed to the receptor site reception.

The operation is performed under local anesthesia and involves two steps:

• removal from the follicular units from the nuchal area
• grafting of these follicular units in the upper zone thinned or bald.

The new concept of follicular unit U.F. stems from the fact that hair grows in groups that share the same pilosebaceous apparatus, nervous and vascular, so the follicular units are groupings of two, three, four, sometimes five or six bulbs, especially in people with particularly rich foliage.

The microfollicular follicular unit (from Follicular Unit micrografting) has overcome the limitations of previous techniques, including unsightly "doll effect" (pluggy look), and increasing the number of candidates for hair restoration.

This procedure, with great flexibility, allowing more than any other to recreate or redefine the line frontal and temporal in nature so as to render impossible the perception that the subject has undergone surgery to repair.

A final visual way 'satisfaction is made possible by the quality and quantity of grafts of follicular units that combines cutting-edge surgery.

Basically, they are now both sampling procedures at the base of selftransplantation:

• excision of a diamond occipital scalp
• the removal of individual units bulbar (FUE procedure, Follicular Unit Extraction), both carried on the back or side of the scalp

The excision of the diamond represents a technique traditionally more popular and includes the incision with a scalpel to a piece of skin containing the number of UF necessary followed by suturing.

Under the microscope the skin flap is then selected follicular units (containing 1 to 4 hair) and multifollicles units (containing hair from 3 to 6 each).

The establishment of follicular units allows to use very small thin needles to set up the receive sites, so as not to risk damaging the neighboring follicles and cause excessive vascular damage.

The technique F.U.E. (The 'levy' follicular 'through micro-monobulbare) today represents the evolution of technology in the selftrasplantation.

Indeed, the continued demand by patients to use less invasive interventions, is shifting many surgeons using the technique of Follicle - Extraction or in combination or as an alternative to the traditional one. This fact avoids the presence of scars in the occipital region, which can sometimes be cause for resistance to psychological intervention for transplant and 'the chance' to patients' young people facing their look for a haircut almost satin the scalp.

The F.U.E. lets take the individual follicular units from the donor region and then insert them in the same way the traditional technique in the receiving areas. Need a good training because training 'removal from the individual UF requires speed 'manual and precision to avoid damage to the bulb when it proceeds from its surrounding of the ipodermia posting. The operative times are longer still since the withdrawal takes longer.

The technique is indispensable in patients with very sparse donor area, in milder forms of hair loss where they can do 500 - 1000 bulbs.

This is a modern form of punch, that is able to pick surgery items into a circular segments of scalp containing one or two bulbs.

It 's a good way to reduce the loose of hair but not easy when you want thickening a wide area: in this case before reaching a satisfactory result will be made at various sessions spaced several months, during which you get to implanting more than 2,000 bulbs.

Finally we can say that the refinement and customization by surgeons of various existing procedures led to the continuous development of individual techniques, then disseminated through publications and conferences dedicated, but on one point all surgeons are always in agreement, to proceed in the first millimeters of the frontal zone (practically 50-10% of total hair transplant) with the technique micrografting.

Otherwise the choice is discretionary: the total transplantation (follicular unit transplantation) the micro / minitrasplant, the combined grafts (slot punch), the linear couplings.