FUT Hair transplants Tunisia
FUT hair transplants in Tunisia, for whom ?
Micro-hair transplantation in Tunisia is designed for people who suffer from male form alopecia.
Introduction to hair transplants
Hair transplantation in Tunisia is currently the most common surgical techniques for the treatment of alopecia male form, and this since it combines the advantages of local treatment with the absence of extensive surgical manipulations.
The combination of mini and micro-grafts provides aesthetic results of exceptional quality. The distribution of these micro-and mini transplants obeys the concepts used in the development in function of the extent of alopecia for natural cosmetic appearance.
ANDROGENOGENETIQUES ALOPECIA :
Easily recognizable in general for their clinical aspect, both in men than in women, the androgénogénétiques alopecia have a common pathophysiological substrate that may be caused by hyperandrogenism,at the level of the hair follicles genetically programmed, of certain areas of the scalp .
Indeed, androgens affect only vertical and temporal portions of the scalp, whereas occipital areas are respected. The hair cycle becomes shorter by shortening the anagen phase.
therefore There is a faster capital consumption, which causes a fast appearance of a terminal fuzz after 10 to 15 years . Depending on the size of the loss, Hamilton in 1949 ranked alopecia in 5 types, relayed by Norwood who has improved this classification after conducting his own study on 1000 men.
The extent of hair loss can change dramatically from one year to another; and unfortunately, this change occurs only in one direction which means towards more bald scalp and less hair covered scalp.
The progression of male form alopecia is a statistical fact. Patients between 35 and 40 years are not all destined to reach an advanced alopecia, but many will.
This relentless progression is variable, and the practitioner must choose the appropriate treatment, taking into account the final appearance of the patient.
INTERVIEW WITH THE PATIENT
Patients often have knowledge and objective variables. Expectations must be realistic and goals achieved with a surgical protocol clearly defined, well understood and accepted by them.
Most patients are anxious at the first consultation. They fail to explain their hair loss that seem to worsen over the years. In addition, their skepticism comes from various attempts to deal with the phenomenon of baldness (potions scalp, miraculous surgical procedures).
Hair transplantation does not create new hair, but it rearranges those already existing. Young patients still require full restoration, forgetting the fact that the evolution of alopecia is likely to reduce the potential for future restoration.
The patient must know the truth about his condition and treatment, after which an honest and logic treatment plan can be developed. A realistic patient facilitates consultation.
Easy consultations are middle-aged men who want to have a high density of hair in the frontal region and are able to tolerate some degree of hair loss particularly in the crown vertex area. The most difficult interview is with young patients.
In general, they reject any idea of hair loss and require a full refund with the same density as adolescence.
The entire scalp is examined. The number of grafts available in the donor area and the manner in which they are best used in the receptor site will be evaluated.
Various factors play a role in the decision and need to be assessed in the consultation: the hair color / skin contrast, density, texture and age. The age of the patient deserves special consideration.
During the evaluation, the patient's alopecia condition is not appreciated only at this time, but what it becomes later in life. Stabilized forms are also not safe even for subjects who started the fall in their forties and more.
Hair loss can progress to more advanced ages, for longer periods of time and with greater voracity than one could ever conceive ; In planning the ideal line (especially in the case of young patients), low hairline would be unsightly.
A low and wide hairline may be what wants the young patient, but we must measure the cosmetic consequences when he becomes 40 or 50 years, while continuing to lose more hair.
The progressive alopecia in a man who receives a transplant at a young age, will likely require in the future sessions of additional graft to maintain news coverage alopecia regions, thus limiting the potential for additional coverage. The inverse relationship which esists between the size of the donor regions and that of the receiving regions prevents a dense and comprehensive coverage of large bald areas.
Young patients do not tolerate any degree of hair loss and always ask that their hairy teen lines are returned. However it is this group that has the greatest potential for advanced Hair loss and limited donor material.
A conservative approach prevents any cosmetic dilemma (eg a scalp line incompletely grafted and lack of remaining donor material). As men get older, hair loss becomes more frequent thus making a more socially acceptable degree of alopecia.
The majority of patients in their forties and more voluntarily accept a more conservative graft plan (a narrow and high hairline, a fine aspect of the frontal region and vertex, or even a bald spot on the crown). Their goal is often a natural and neat appearance.
Harvesting: it will interest a horizontal occipital ellipse, within the donor region. This will have from 1.5 to 2.5 cm wide in order to close the donor's site without tension.
Its length varies between 7.5 and 15 cm depending on the number of grafts to be used and the density of the donor site. Anesthesia is performed by local infiltration of the strip to be removed, with Xylocaine 1% with epinephrine. To have an anesthetic effect, 10 seconds are required and to have a vasoconstrictor 10 minutes are required.
The incisions of the donor stripe are made using a scalpel blade N°. 15, oriented parallel to the exit angle of the hair so we don't injure the marginal hair bulbs.
Then, the donor's taken band is placed in a cup filled with fresh saline.
To avoid scarring alopecia, electrocoagulation is not recommended. The closure of the donor site is performed without tension using a continuous suture with 3/0 absorbable.
Types of plugins:
a-Mini-grafts: they constitute the main component of hair transplant surgery. They have a diameter of 2 mm and may contain 2-3 hair. They are used to obtain a core density.
b-Micro-grafts: are defined as unit grafts regardless of the shape or of the insertion method. They are used in the embodiment of a prior hairline. /
Mini and micro grafts soaked with fresh saline
The receptor site: the first step on the receptor site is marking the hairline proposed./p>
The center point of the anterior frontal hairline is usually placed approximately 8-9 cm above the line joining the leading edges of the eyebrows.
The hairline extends laterally and connects to the extent possible the temporal fringe. The front area is anesthetized with a local injection of Xylocaine 1% with epinephrine diluted in saline to induce also a turgor tissue making easier the achievement of the foregoing recepting holes which preced insertion grafts.
Receptors mini transplants holes, made with 2 mm punch are usually cut at an acute angle of 45-60 ° to the scalp and directed radially. Incisions destined for receiving micro-grafts can be created with needles NO-KOR or small scalpel blades (flash scalpel).
Otherwise, scalpel blades # 11 can replace them. The graft is inserted into the receptor site by first taking careful subcutaneous fat located above the hair follicle with a forceps.
The graft is then slid into the hole of the receiver site and stabilized in place for a few seconds with a cotton swab applicator.
Duration of stay
3 nights / 4 days.
Postoperative care and survivals of registry
A dressing covering the whole scalp is preferred for preventing the occurrence of post-operative bleeding from the donor and / or receptor sites. Patients are kept one or two hours in a quiet room, then they return to their home armed with a list of precautions to take in the immediate postoperative period.
Normal socio-professional activity will be resumed the day after the procedure, patients can take their shower 48 hours after, gently rinsing the transplanted area. In the immediate aftermath of the intervention, the grafts are covered with brownish crusts, made of dried blood and exudates, quite unsightly; we would try to take them off, but this maneuver is dangerous for plugins that could be pulled out.
We simply hide in the surrounding hair. Usually the scabs fall off after about two weeks. The final growth of the grafts occurs 2-4 months after the fall of scabs from their marginal hair bulbs.
The graft survival could only be assessed 16 weeks after surgery when other sessions may be scheduled if necessary. In the absence of follicular lesions and within micro and mini-grafts, hair growth is estimated at 100%.
COMPLICATIONS- The general complications:
- Bleeding: During the early postoperative period, patients may experience a small amount bloody oozing from the incision line donor site or from the receptor site of the graft. This is particularly observed in patients leaving without having scalp bandage of any type.
Scars: The scar of the donor site is usually invisible. However, an unsightly scar can be visible as widely and as the donor site cleared after multiple samples.
Keloids are possible.
However, an examination and a good clinical examination before surgery should minimize this risk. Scars may also become hypertrophic and appear to be more common in the incision lines which are placed near the neck in the lower region below donor.
Hyperesthesia and anesthesia of the donor site is usually a transient hyperesthesia at the donor site after harvesting grafts.
This situation may persist for several weeks sometimes months, but it yields consistently for the majority of patients.- Complications of receptor site :
Epidermoid cysts: These are epidermal inclusion cysts. Their training is probably dependent on a malposition of epidermal fragment outside his usual seat with the consequent proliferation of ectopic epidermal cells deep into the dermis or subcutaneous tissue.
Depressed grafts: a graft that heals below the surrounding surface will appear as a small depression in the receptor site. It appears on the surface as an acne-like scar. Among the causes of this problem, or the hole in the receptor site is cut deep enough or the graft can be forced farther inside.
The aspect in "pad" when a transplant heals above the plane of the scalp, an appearance in "pad", very similar to that of a brick road, occurs.
The cause may be twofold: either the graft was big enough for the hole or the lower portion of the graft was not cut properly causing excessive volume (fat) inducing upward thrust.
Compression of the graft: the compression is a phenomenon of healing that develops when a graft is placed in a smaller volume than the one it was at the level of the donor site. Compressed graft will appear curved.
The appearance fritters: this aspect of a hair growth at the periphery of the graft and not at its center.
The appearance peak: it reflects a thickening protruding or elevated region grafted receiver site . It is located along the anterior end of the hairline.
misguided Hair: the hair coming out of the scalp at an incorrect angle or improper management is a telltale sign of a poor transplant. frontal hairline grafts require firstly a previous guidance at an acute angle and radial location along the path of the hairline.
Accelerated hair loss: it is not uncommon to observe some postoperative telogen limited within the receptor site recently grafted . It is invoked that either the operating stress caused by edema and local ischemia or male alopecia that continues to grow.
Poor hair growth: a poor sampling technique and a inattentive preparation of the graft results in poor growth.- PROBLEMS OF BEAUTY of the RECEIVER SITE
A hairline "too high"
The price of an FUT hair transplants in Tunisia varies between 2100 and 3300 euros. This price includes both your stay and your surgery in Tunisia and you have nothing else to pay exept the amount that will appear on your quote.
Your stay includes a total of 5 nights, 2 nights at the private hospital and 3 nights of convalescence in a 4 star hotel in single room and full board, multiple transfers airport / hotel and hotel / clinic.
It exclud the personal expenses (extras at the hotel or clinic such as drinks and telephone).
Your response includes the surgeon and the anesthesiologist's fee, clinic fees, care and postoperative pharmaceutics.
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