Medical consultation is one of the most important questions when it comes to a capillary or surgical medical treatment.
In the medical consultation you will know whether you are a suitable candidate for hair transplant or not.
In this consultation the doctor will evaluate the type and degree of baldness and diagnose which alopecia is present.
During this consultation you will be shown cases of patients with similar baldness.
Refrain from consulting commercial clinics: they will always consider you a suitable candidate.
This is why each patient will have their individualised consultation where their degree of baldness will be evaluated through study methods:
After this consultation the patient will have a realistic forecast of how they will look in the future, once the hair transplant is made.
The objective of hair transplantation is to implant alopecic areas where hair has been lost. These areas will not respond to pharmacological treatments because they are bald areas. In this case, hair transplant would be the best option, if the doctor deems it right.
Before a hair transplant it is always important to be aware of some basic factors:
The doctor will diagnose the type and possible causes of alopecia presented by the individual.
Alopecia is different in males and females.
Male alopecia is more localised and widespread, with follicular miniaturisation.
In women, alopecia is more diffuse throughout the head.
The younger the patient is, the less stable the alopecia.
For better hair distribution, it is better when a patient has stable alopecia.
The degree of alopecia is probably the most important criterion in patient selection.
Patients who have extensive alopecia should know that more interventions may be necessary to solve their problem.
The consultation is very important to set realistic expectations. The least realistic expectation corresponds to density. Patients with fine hair cannot expect a significant increase in density.
The patient must be warned that subsequent transplant sessions may be necessary due to the progressive nature of alopecia.
To this end, the doctor who diagnoses alopecia should try to stabilise its progression.
The donor area from which the follicular units are extracted is the occipital zone.
Most suitable patients have an extensive donor area and a smaller receiving area. Therefore, alopecia should be controlled with medication, thus allowing a complete repair of the alopecic area.
Most advanced kinds of alopecia can be partially restored with moderate densities, but will need future interventions for complete repair.
In addition, stability also allows us to be more aggressive with the density on the affected area, since we will not expect significant progression of alopecia.
Hair density is the number of existing follicular units per square centimetre. The greater the density in the donor area, the greater the number of follicular units that can be transplanted. Patients with densities lower than 60 follicular units per cm2 are poor candidates.
We know that follicular units can have 1, 2, 3 and even 4 hairs. Our objective in the extraction is always to have between 2.0 and 2.5 hairs per follicular unit. When the patient does not have the desired units and the ratio is lower than 2.0 hairs per unit, coverage is negatively affected.
Depending on ethnic background:
Follicular units of 1 hair are usually predominating in Asians. They tend to have very straight hair and a lower density than Caucasians.
In Caucasians, follicular units of 2 and 3 hairs usually predominate, thus producing a higher density.
Black people of African descent usually have curly hair and lower follicular density, with many follicular units of 1 and 2 hairs. Most people ignore that their hair is thinner than that of Caucasians.
Hair thickness is a key factor when having a hair transplant.
When a hair has a diameter of less than 40 microns, it is fine hair and does not provide good coverage.
Hairs with diameters of 50 to 60 are considered of average thickness.
Those whose hair has a diameter of more than 70 microns are considered to have thick hair.
It refers to the type of hair of the individual in relation to whether it is straight or curly.
Curly hairs need more follicular units for better coverage.
Straight hair has a greater spatial volume.
Black hair: greater visual effect when the hair colour contrasts with the skin colour of the scalp, giving the appearance of a greater coverage.
White or blond hair: they also have good visual effect.