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Planning the FUE Operation

 

Preoperative Planning:

  • The micromotor-assisted FUE hair transplantation begins with the treatment plan. Dr. Maral and his lead technician evaluate the pattern of the hair loss and also the donor area. After discussing all the details with you, the reliable donor area and the recipient area are both marked and then the hairline is designed.


Marking  the donor area to be used for graft extractions:

 

Hairline design with the aid of laser hairliner:

  • The hairline is the strip of hair approximately 5 mm wide that forms the anterior portion of the hair-covered frontal. The new hairline should be natural, soft and as dense as possible.
  • The front hairline can be designed as a V-shape (triangular), round (oval) or straight according to the patient’s request and assessment of the cosmetic surgeon.  Triangular hairline is suitable for narrower head and provides natural temporal recession and graft preservation for the upper parts as well. Oval hairline fits well for the wider head and provides a mature and stable temporal hair.

 

  • Dr. Maral and his lead technician design the hairline together with the patients before the surgery during the preoperative face to face consultation. He shows flexibility to the patient’s wishes regarding the hairline. However, the patients should also trust his professional judgment for the planning of the whole operation and the hairline.
  • It is important to plan an appropriate hairline according to the patient’s age. One should allow a natural recession of the hairline of 1-2 cm proportional to the patient’ age, and with his natural and genetic high hairline. The frontal hairline should not be positioned too far.
  • The normal recession of the hairline with the aging and the expected future NW pattern must also be taken into consideration when designing the new hairline. Overly agressive low positioning in order to achieve a youthful hairline risks exceeding the available quantity of donor hair needed for an another hair transplant that the progressive hair loss will later require.

Examples of the round (oval) hairline for Grade 1 and Grade 2 hair loss.

 

Estimation the Number of the Grafts Required:

  • A calculation is made for the number of grafts needed for the targeted areas, or if the hair loss is an advanced one, the planning is done according to the number of grafts that can be harvested from the patient’s donor area.

Rude estimations of the number of grafts required to transplant all hair loss areas with good density for each hair loss grade:

  •    Grade 1:   1000 – 2000
  •    Grade 2:   2000 – 3000
  •    Grade 3:   3000 – 4000
  •    Grade 4:   4000 – 4500
  •    Grade 5:   5000 – 6000
  •    Grade 6:   6000 – 7000
  •    Grade 7:   7000 – 8000