Hair Transplant में Grafts क्या होते हैं? | What Are Grafts In Hair Transplant? | HairMD, Pune


Hello, I’m Dr. Sachin Pawar, Hair Transplant
Surgeon, Hair MD, Pune. Friends, in hair transplants, what do hair
grafts mean? Are hair strands and
grafts the same or different? Let’s see why grafts are so important in hair
transplant. Grafts play a very essential role in hair
transplant surgery. How many grafts will
be required, how to extract them, whether to store them or to implant them
immediately, and in what pattern to implant them are all important elements in
the planning and execution of your surgery. Graft handling is crucial in hair transplant
surgery. In fact, it is important for any surgeon or
clinic to follow all the necessary steps for graft survival. In fact, in hair transplant surgery, grafts
are transplanted from one area to the other area. Let us first understand what grafts are, how
they are made and what role they play in hair transplant? Firstly, you will have to understand the difference
between graft and hair. Discuss this with your doctor. During FUT procedure, graft is extracted as
the donor strip. In FUE procedure, follicular units are individually
extracted to be made into grafts. See, in both FUT and FUE procedures, graft
means follicular unit which is removed from the donor zone or permanent hair
zone that is unaffected by dihydrotestosterone (DHT). In this, there can be 1,2,3, or 4 hair. In Indian patients, each graft has 1.7-2.3
hair on an average. Grafts are first extracted, incisions are
made, and then they are implanted into the recipient area at the right angle and
depth. For a hair transplant to seem natural, the
angle and depth are very important. In FUE procedure, it is important to preserve
the grafts properly after extraction and before implantation. Grafts need to be stored as per the appropriate
medical standards and requirements. Grafts should be stored at a temperature of
5-10 degrees, in saline, ringers lactate, hypothermosol, or patients own plasma. Without this, the grafts survival rate can
diminish resulting in failure of your surgery. So let us now understand, during surgery,
how does one know the number of grafts that are required? Surgeon should not remove more or less number
of grafts than required. In fact,
it is important to plan exactly how many grafts are required after assessing the
recipient and donor areas and forming a design. Your surgeon will also assess the grade of
your baldness prior to surgery. The higher the grade, higher is the number
of grafts required. Baldness is assessed using the Hamilton Norwood
scale. The grade is multiplied by 1000/1500 to calculate
the number of grafts required. Besides this, the thickness and texture of
your hair is also evaluated and the donor and recipient areas are assessed to
help calculate the grafts. In fact, the
colour of your hair and skin will also determine the number of grafts. For example, if you have dark hair with a
light skin tone, any sparseness or bald patches will be easily noticeable. That is why, in such cases, you will require
more grafts to fully cover the scalp well. If your hair is curly or wavy, then you need
fewer grafts. If your hair is thinning, then you need more
grafts. Apart from this, the patient’s goals and expectations,
as well as the characteristics of the donor area also play
an important role in graft harvestation. So if your donor area does not have enough
hair, then you need to be realistic in your expectations because you will observe
fewer grafts. That’s why you should choose a surgeon with
experience so that he can skillfully and maximally exploit the transplant
limited donor area. Friends, in every follicular unit, the grafts
may be present singly, or in groups of 2,3 or 4. That’s why in some cases, more hair growth
can be observed with fewer follicular units while in other cases,
less hair may be seen with greater number of follicular units. If your surgeon gives you a number for the
grafts, then a greater number of hair are present in those grafts. This means that if you require about 2000
grafts, then your surgeon will be implanting over
4000 hair. If your surgeon gives you a number for the
hair, then the number of grafts required will be less than that. So if you require 2000 hair, then only about
1000 grafts need to be extracted. Some clinics try to take advantage of patients
for the purpose of profit, and charge them for hair transplant surgery in
terms of per hair, instead of per graft. If you get the procedure done by an experienced
surgeon, then the yield of your hair growth may be improved further. But if you go to an inexperienced
surgeon, then it’s possible that in every graft, there are more transections of the
hair root, leading to a poorer yield. In both these cases, the number of grafts
is the same, but the number of hair would be reduced if surgery is performed by
an inexperienced surgeon. This could lead to a decrease in the density
of hair, leading to your loss. To get the best results of your hair transplant
surgery, the graft placement has to be correct and your surgeon has to pay careful
attention to the hair coverage, hair density and quality as well as to graft
extraction, handling, and storage. Now let’s talk about graft survival and graft
sustainability. Friends, graft sustainability depends on how
much tissue is there around the extracted hair follicle after graft extraction. In strip surgery, the entire section of the
skin is removed with a scalpel. Then they are made into individual follicular
units. But even after this,
surrounding tissue stays connected to the follicles. This protects your graft and
keeps it hydrated. In FUE (Follicular Unit Extraction), a cylindrical
punch is used to make follicular units. The diameter of these punches is so small
that there is no tissue around these units. That’s why in such cases graft survival is
difficult because these grafts get exposed to moisture and air. Hence to avoid this, it’s important to either
immediately implant the grafts after graft extraction or to store them in a medically
approved storage facility. A well-equipped clinic, skilled staff and
an experienced surgeon will take all the necessary precautions to extract your grafts,
handle them carefully and implant them correctly. That’s why you must select the right surgeon
and the right clinic for you. We have made a video on that topic as well,
please do watch. Do not fall for any marketing gimmicks or
discounts and get hair transplant done from any random place. I hope that you have received all the desired
information regarding grafts from this video. If you have any doubts, please don’t hesitate
to ask us on our website. Friends, it is the responsibility of every
experienced surgeon and clinic to extract the grafts and handle them carefully,
store them in medically approved storage facility if needed, and to implant
them correctly. This will offer you optimal results for your
transplant. All the best. Thank you.

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