Our history of hair transplantation began in 1996 when Dr. Dušan Maletić decided to learn more about hair transplantation and went for education to the then famous US experts: Dr. Brandy and Dr. Fernau. At the time, hair was transplanted using the classical STRIP method - a piece of the scalp was cut out, then cut into smaller grafts and inserted into the part of the scalp where hair was missing. As the hair transplant technology continued to develop, the polyclinic Maletić also took followed that trend and learned to apply the latest techniques - the FUE (Folicule Unit Extraction) method which is currently considered to be the best. For this purpose we traveled to the whole world and learned to apply it.
The FUE Hair Transplant Method
The FUE hair transplantation method is a minimally invasive method, in which follicular units are removed individually from the donor region. The operation is performed with special instruments whose diameter is less than one millimeter. The follicular units are taken from the donor region, which is most frequently the part of the posterior head and the scalp region above the ears. On each follicular unit, an average of 2.5 hairs grow. Follicle units can also be used with this technique from other body regions: breast, leg, beard ... (body hair). In this way, no visible line-like scar is produced in the donor region, as it is the case with the STRIP method, where the scar is permanently visible in the region of the scalp. As soon as the follicle units are removed from the donor area, they are placed on special discs so that they are easily counted. They are stored until transplantation and in a special nutrient solution at a certain temperature. Then the follicular units are inserted one after the other into the region in which they lack hair or where they are to be compacted. The operation is performed under magnifying glasses, in local anesthesia and is completely painless. How long the procedure lasts depends on the number of follicular units that must be transplanted.
With this method, a very high level of hairiness can be achieved and the transplanted hair looks as natural as the rest of the hair.
The success of this method is 98%, which means that 98% of the total transplanted follicular units grow in the receiving region. This is a very high success rate. Dr. Ana Maletić is a member of ISHRS (International Society of Hair Transplant Surgery). The members of this society can only be doctors who have achieved outstanding results, regularly attend training courses and follow the latest trends in hair transplant technique and technology.
The STRIP (FUT) hair transplant method
With the STRIP or FUT hair transplantation method, part of the scalp is cut out in the back of the head and to the side of the ears. The length and width of this part of the scalp (strip or strips) depends on the hair density in the donor region and on how many follicular units need to be transplanted in order to properly cover the bald area. The limitation in the procedure is the elasticity of the skin - how much of the occipital part of the scalp can be removed in order to suture the wound without tension and to reduce the visibility of the scar to the minimum. For this purpose, a special suturing technique is used, with which the hair grows through the scar - the so-called trichophytic closure, according to which the scar is much less visible than the ordinary scar.
After cutting out a part of the scalp, this part is cut further into smaller parts (follicles) under the microscope so that they remain free from damage. On average, 2.5 hairs grow in one follicle. The follicles are then counted and stored in a nutrient solution on special pads at a low temperature so that they can survive outside of the body. The next step is to insert the follicles into the bald area - the receiving region, whereby it is extremely important to pay attention to the insertion angle of the hair, which is essential for the direction of hair growth.
The above procedure is carried out under local anaesthesia and is not painful. The sutures are removed seven to ten days after the intervention, which, however, is not necessary if the wound is sutured with an absorbable or self-dissolving sutures.
Combined treatment with the FUE & STRIP method of hair transplantation
For large bald areas, the STRIP (FUT) and FUE methods can be combined in the same treatment to obtain the maximum number of follicles. In the donor region, this is the occipital part of the scalp and to the side of the ears, where part of the scalp is removed, the wound is then sutured and the individual follicular units above and below the incision are removed individually according to the FUE method.
There are indications for each of the hair transplant techniques as there is not one single method optimal for every client. In order for the treatment to be successful, it is important to have enough time for the client. In the consultation, we learn more about the client's wishes and together we decide on the technology which is the best choice for her or him.
Before the Hair Transplant
Two weeks before the hair transplant, we advise the patient not to take medications containing acetylsalicylic acid (andol, aspirin) and no vitamin E. Alcohol should be avoided at least five days before the operation, and coffee and tea two days before. If the patient is taking other medicines, he should consult his doctor, who then decides whether the therapy should continue or be discontinued depending on the effect of the drug. If the patient is taking Minoxidil, this medicine should be discontinued two weeks prior to surgery. On the day of the operation, we assess the general health of the patient and perform all necessary preoperative preparation.
After hair transplant
After the procedure, the patient receives a detailed written instruction on how the scalp is to be taken care of and the patient can leave the polyclinic Maletić without a head bandage on the same day. From the transplanted follicular units the hair usually falls out ten days after the transplant, and new ones begin to grow again in 15-16 weeks after surgery.
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