Hair, like you've
never lost it.
™
HAIR TRANSPLANT SPECIALIST
Crown Restorations
Hair Restoration
Manual Vs Motorised FUE
Hairline Restoration
Crown Restorations
FUE in Afro-Caribbean Hair
Beard Transplants
Eyebrow Transplants
Art in Hair Restoration
Corrective FUE
Scar Correction
Unshaven FUE
Combination FUE
​Aesthetic FUE
Crown Restoration
The restoration of the crown is a unique challenge and if done well can be exceptionally rewarding for the patient. We are fortunate that we can reflect from nearly half a century of substandard work to have landed in a place where we can create natural looking crowns. As our understanding has improved, we have managed to understand the complexity of the angles and orientation of the crown, we are fortunate to live in an era where we can replicate these angles.
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Unlike the frontal area of the scalp where the hair cascades giving the illusion of fullness in the front, one needs to understand that because the angles and orientation of the grafts in the crown flow in different directions. One needs to have reasonable expectations as to the eventual outcome might not be as dense at the front.
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Here are 2 scenarios whereby the texture of the donor hair will determine the overall outcome.
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Scenario 1: This patient has the perfect texture of hair to achieve an illusion of fullness even with the use of only 4000 Hair.
Scenario 2: This patient had reasonably fine textured hair and despite using 4000 Hair, one could argue that the density still might not be perfect.
Main Issues That Are Generally Overlooked
When Counselling
Patients For A
Strip Surgery Are:
Quality Control
After the strip is dissected, it is generally passed on to a team of technicians who trim the strip into individual grafts. During the process of trimming there is an unknown entity that becomes into play. That is the skill and motivation of the technician. Hence it is a known fact that surgeons that have consistent teams achieve far better results than someone that relies on freelance technicians. Whilst exploring options of a strip surgery, it is advisable for a patient to meet the team and get to know the team that will be operating.
Scarring
It is a well known fact that strip surgery can produce significant scarring in the donor area, when performed by untrained hands. A simple test a patient can perform is to pinch the back of the scalp to check for signs of laxity. If the client is known to have a tight scalp the chances of poor scarring with a strip surgery increase exponentially.
Placement of
Grafts
Historically strip surgery has been promoted as a surgery that has better outcomes because of the presence of galar fat at the bottom of the grafts. Whilst it might offer better leverage for the technicians whilst replacing the grafts, studies have shown that the growth of the grafts is not dependent on the presence of the galar fat. With improvements in extraction and placement of grafts by FUE, the outcomes are much better with a strip surgery.
Quality of
Grafts
During the process of extraction of follicles using strip surgery, the number of follicles per graft is significantly less compared to that extracted by FUE. This is because most of the grafts that are extracted with a strip surgery have follicles containing single and double hairs. Whereas with a FUE, the surgeon has complete control over the grafts and he can pick and choose the ones that give maximum benefit to the client. Besides, the technicians are encouraged to keep the grafts skinny by dissecting most of the tissue surrounding the grafts as this helps in quicker placement of grafts. I believe the preservation of the pilosebaceous unit is key maintain the natural appearance of follicles and this is where FUE trumps FUT.
FUE Scarring
There is a common misconception that FUE leads to pitting scarring. Though it is a fact that badly performed FUE can lead to visible ‘dot’ like marks on the back of the scalp; with improvements in FUE, the chances of visible scarring is negligible and by following certain protocols and extraction there is evidence to suggest that the scarring is almost invisible.
Duration of
Surgery
Whilst everyone acknowledges the fact that FUE takes a lot longer to perform and hence the grafts might stay outside the body for a longer duration than in FUT, my argument is that one can achieve good outcomes with FUE with fewer grafts than with FUT. This helps with improving the yield as it decreases the duration of the surgery and also the fatigue factor associated with technicians replacing a large number of grafts associated with FUT surgery.
Our clients have voted our FUE as one of the least painful surgical procedures they have undergone. Most of our clients are back at work in under 48 hours.
Recommended
by many.
We believe in a business model that is solely based on recommendations and hence 90% of our clients come through a personal recommendation. With the personal trauma suffered from sub-optimal surgery, Dr Reddy has a personal motto of making sure that none of his patients go through the same
