My hair loss had become more noticeable after having 2 life altering surgeries. I always had full, wavy hair, so I decided to have Neograft surgery on July 27th at The Look Natural Hair Transplants at The Plastic Surgery Center in south New Jersey. The team that did my surgery, as well as the nursing staff and the finance office, were all caring, exceptionally kind, and dotted every ‘i’ in terms of making sure I was prepared, making sure my health was well enough for the minimally invasive procedure, and providing me with excellent post-op care regarding medications as well as answering all my questions.
The team was very supportive of me and treated me with dignity and respect. John was the kindest person and recreated my feminine hairline as it would have looked at my age today. Laura who assisted John was excellent and made sure I was okay every step of the way. Nurse Barbara and Maggie answered any question I had and made sure all my medication was called in. Dr. Kaufman and Dr. Abdollahi made sure I was numb for the procedure and were very delicate, precise and caring to my comfort needs.
The post-op care by John was pure excellence. He returned every call very quickly and was tremendously patient and caring. I’d also like to mention Dr. Saad who does my laser hair removal—he always makes sure I’m comfortable and cares that I’m happy with the ongoing results. All the receptionists including Jennifer and other staff members such as Kerri and Alex… basically everyone always greeted me with a smile. This great team was put together and brought to south Jersey by Heather who I can’t thank enough. She made it happen for me.
Thank you all for being part of my transformation.
During your initial consultation, we determine how many grafts you will need based on the below Norwood scale. If your hair pattern is closest to a class 1, 2, 2A, 3, or 3A, then you will be considered for a small hair transplant. If your hair pattern resembles a pattern between class 3A and 3 vertex, you will be considered for a medium hair transplant. If you hair pattern is class 3 vertex or 4, you will be considered for a large hair transplant. Hair-loss patterns that are class 4, 4A, 5, 5A, 6 or 7 will be considered for an extra-large hair transplant. Hair loss patterns Class 5 and above (5A, 6, or 7) will need multiple procedures. The amount of hair that can be harvested is dependent on your donor site. On the day of the procedure, when we shave your donor site area, we take a densitometer to determine your hair density. It is recommended that we not take more than 10 to 15% of the hairs in the donor site to prevent bald spots in the donor area.
There are three layers to each strand of hair. Picture three concentric cylinders, with the innermost one being the medulla. The medulla layer is a space that is variable, sometimes not present and whose function is debatable. The middle layer is the cortex, which is the primary source of mechanical strength. The cortex layer also contains melanin, which determines the fiber color. The shape of the cortex also corresponds with the shape of the hair follicle. Circular cortex cross-sections correspond to straight hair and oval cross-sections curly. Finally, the superficial or outer layer is called the cuticle. This layer contains a hydrophobic (water-repelling) lipid layer.
The hair follicle also contains the papilla, matrix, root sheath, and bulge. There are associated structures as well, including sebaceous glands, apocrine glands, the arrector pili muscle, and mechanoreceptors that can respond to touch.
There are four phases of the hair cycle: anagen, catagen, telogen, and exogen. The growth phase is anagen. Up to 90% of the hair follicles are in this phase. The next phase is catagen, the involuting or regressing phase. 1 to 2% of follicles are in this phase. Telogen is the resting phase. 10 to 14% of follicles are in this phase. Finally, exogen is the shedding phase. During this phase, one of several hairs within a single follicle is shed.
The total length of the hair follicle depends on the area of the body where the follicle is located. The cycle for hair in the eyebrow is approximately 4 months versus 3 to 4 years on the scalp.
There are between 250,000 and 500,000 hair follicles on the scalp and as many as 5 million on the whole body.
Reference: Santos Z, Avci P, Hamblin MR. Drug discovery for alopecia: gone today, hair tomorrow. Expert Opin Drug Discov. 2015 March ; 10(3): 269–292
You have decided to have a hair transplant. What are the restrictions after the procedure?
1. We ask that you refrain from strenuous activity for at least the first week. By strenuous activity, we mean that you may not participate in activities such as heavy lifting, running, or weight lifting. Strenuous activity will raise your blood pressure and may result in the grafts not taking well.
2. You will not be able to wash your hair until two days after your procedure and will need to adhere to our specific hair-washing guidelines to protect your grafts.
3. You may not have extended sun exposure of your scalp for the first six weeks after your procedure. Sunscreen may be used after the first two weeks and a hat may be worn beginning two weeks after the procedure, which will provide better protection from the ultraviolet rays of the sun. For this reason, you will not want to plan a sunny beach vacation soon after your procedure!
4. You may begin wearing a hat two weeks after the procedure, only if the hat does not come in contact with the grafts and potentially disrupt them. For this same reason, a hairpiece may not be worn if it comes in contact with the grafts.
You should think of your grafts as newly sown seeds on your scalp. Any action that could displace these grafts will lead to a poor result!
Why is the Neograft procedure great? Past techniques of hair transplantation involved excising a strip of hair, which was then divided into smaller pieces for grafting. The resulting scar was a straight line with no hair growth that was usually noticeable in patients with short hair. With the Neograft procedure, individual hair follicles or groups of hair follicles are harvested with a punch technique in a scattered fashion. The result is that the donor sites are already starting to heal by the end of the procedure. The bare areas where the grafts are taken are hidden by the surrounding hair, which makes it less obvious that you have had a procedure done. Patients undergoing hair transplantation with this technique report little pain after the procedure.
Yes! We have performed hair transplants on women. Women can experience hair loss secondary to traction alopecia from wearing their hair up in ponytails. Patchy, non-patterned or global hair loss, however, should be evaluated and worked up before a hair transplant will be considered. If there is an underlying cause for the hair loss, that cause should be treated. Not treating an underlying cause will result in an unsuccessful outcome.
If you are interested in hair transplant, schedule a free consultation with us at Look Natural Hair Transplants today!
Are you considering hair transplant but unsure what to expect during the procedure? Look Natural Hair Transplants breaks down the entire procedure in this blog to give you the sneak peek.
On the day of your procedure, we ask that you have someone available to drop you off at our center and pick you up once the transplant is completed.
Upon your arrival, the doctor will review the areas that you would like grafted and the donor site on the back of your head will be shaved. If you so choose, you may have your barber or hair stylist shave your entire head prior to the procedure.
The doctor will then inject local anesthetic to maximize your comfort during the procedure. You will lie face down (as you would during a massage) and listen to music while the grafts are harvested. If at any time during the procedure you need to take a break, kindly let our staff know.
Once the necessary number of grafts are harvested, you will switch and lie on your back for the remainder of the procedure. The doctor will then inject additional local anesthetic to the areas that you will be grafted. The grafts are then carefully placed individually in the requested areas. As the procedure nears the end, our staff will notify your ride when they should arrive.
After this procedure, unless you have long hair on the top of your head, the graft donor site will be visible until the surrounding hairs grow back to your desired length. If you do not want others to know that you have had the procedure, you may want to maintain a low profile for the length of time it takes for your hair to grow to camouflage the donor site. We advise you not to wear a wool hat or baseball cap because headwear may crush or pull out the grafts.
You will be provided some pain medication for after the procedure, but most patients do not complain of having much pain. If you do decide to take the pain medication, remember that you will not be able to drive.
If you think you may be a good candidate for hair transplant, fill out our online form!
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Dr. Saad has the knowledge and experience to guide a potential candidate through the process of evaluating a possible NeoGraft procedure. His committment to his patients is evident in the care he takes pre-, post, and during the procedure.
Dr. Saad and 3 Nurses performed the procedure. They were great. I literally slept the whole procedure. They gave me great directions and called me multiple times before and after. I asked many questions and got clear answers. I really could not have been happier with this staff.