Mr. Omid Akbari has been doing hair transplants for about 12 years. He transplants about seven hundred bald persons and He works in clinics in Iran and Dubai.
Finally he is very specialized person in hair transplantation.
Hair transplantation is a surgical technique that removes hair follicles from one part of the body called the donor site, to a bald or balding part of the body known as the recipient site. The technique is primarily used to treat male pattern baldness. In this minimally invasive procedure, grafts containing hair follicles that are genetically resistant to balding (like black of the head) are transplanted to the bald scalp. Hair transplantation can also be used to restore eyelashes, eyebrows, bear hair, chest hair and pubic hair.
Preoperative assessment and planning:
- At first the surgeon analysis the patient’s scalp
- Preparing the area of transplantation
The bald and transplantation area recognized and highlighted. In this way if patient’s ages are between (25-35), 1 cm under line of hair loss and up to 35 years old 0.5cm under line of hair loss marked and 1cm above of hair growth and from ear to ear marked. After that take a vein from patient and placed him in prone position. Before the harvesting of grafts, the patient’s head should be shaved (prepping of head in follicular unit transplantation different than in follicular unit extraction) so that in this in this subject we focused on follicular unit extraction. Prepping of head in FUE, first by surgical scrub solution the head primary prepped. prepping of head divided into two technique, at first primary prep done with surgical scrub solution so that patient placed in prone position, secondary prep done with topical solution and after 5 minutes wait for to dried area of transplantation .local anesthetic substances injected in area that marked ear to ear. In order to numbed the nerve .that located in nuchal line such as posterior occipital, greater occipital and…, after that the area wash with sodium chloride 0.9% solution. In fue technique, graft extraction is done from middle of area because these grafts transplanted in frontal zone (forehead), grafts extracted from below to up. Extraction of grafts done by kind of electronic machine that named puncher. Here we have different kinds of machine such as (USA).
When the surgeon extracted grafts by puncher machine another aid of surgeon take the grafts and put them in sodium chloride 0.9% solution. That poured in petridish. Petridishs divided into 4 groups. Group N1 between 8 to 9 hours AM (it means that primary grafts put into this petridish that extract from 8 to 9 hours).
Group N2 between 9 to 10 hours AM. Group N3 between 10 to 11 AM and group N4between 11 to 12 PM. Then the grafts should be transplanted. So that the area of grafts by kind of blade named (SP) perforated perforation should be done in line of hair growth. Usually the procedure of transplantation started from 8 AM until 6 PM.
In hair transplantation we have fundamental problem during transplant that named popping and bleeding that should pay more attention. Finally the dressing of head should be done. At first zinc oxide ointment rubbing on the back of head where grafts extract. Then by two Or three gauze that moisturized by sodium chloride 0.9%solution. And put them on the zincoxide.at home, patient should drink water very much and has semi sitting position because bleeding move important than swelling. During hair transplantation we have kind of solution that named buldging.
buldging solution made by these ingredients (lidocaine 10cc+sodium chloride 200cc+epinephrine).we consider that triamcinolone ampoule caused atrophy of grafts. But usually the physicians used in buldging solution also we inject dexamethasone in vein of patient. This protocol done by Mr. Omid Akbari whose transplants about 12 years. He transplants about seven hundred bald persons. He works in clinics in Iran and Dubai. Finally he is very specialized person in hair transplantation.