Regular Member shanti Posted July 27, 2009 Regular Member Share Posted July 27, 2009 If a doctors creates a recipient site at a certain angle to the skin (lets say for example at an acute angle at the temple points)....but then the actual grafts are placed in the site by a technician afterwards...... Is the angle of the hair pre determined by the angle of the recipient site the doctor created (and will heal and grow at that angle), or could the graft be placed at a different/ rotated/ more or less vertical angle by the technician and because of skins elasticity it will heal and grow at the angle the technician placed the graft? Appreciate your comments. Link to comment Share on other sites More sharing options...
Senior Member mmhce Posted July 27, 2009 Senior Member Share Posted July 27, 2009 shanti, Welcome to this community! From my limited knowledge, I believe the ultimate angle of growth is determined by the slits initially made by the surgeon. Even if the follicle is not set in at the exact angle, it will naturally adjust to match the slit. Other more expert members will give their comments. P.S. one of the girls in my office is named Shanti... take care... Link to comment Share on other sites More sharing options...
Senior Member Cam Simmons MD ABHRS Posted July 30, 2009 Senior Member Share Posted July 30, 2009 Originally posted by shanti:If a doctors creates a recipient site at a certain angle to the skin (lets say for example at an acute angle at the temple points)....but then the actual grafts are placed in the site by a technician afterwards...... Is the angle of the hair pre determined by the angle of the recipient site the doctor created (and will heal and grow at that angle), or could the graft be placed at a different/ rotated/ more or less vertical angle by the technician and because of skins elasticity it will heal and grow at the angle the technician placed the graft? Appreciate your comments. Shanti A recipient site is actually like a little tunnel that has an angle and a direction to it. When grafts are planted they are guided into the tunnel and must follow the angle and direction of the tunnel. If the tunnel is bigger than the graft, the graft can shift within the tunnel. To avoid shifting, hair transplant doctors make sure that the grafts and recipient sites are matched well. Cam Simmons MD ABHRS Seager Medical Group, Toronto, Ontario, Canada Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Regular Member swim Posted July 30, 2009 Regular Member Share Posted July 30, 2009 What if the guy has curly hair? Is the direction of the curl genetically determined/programmed? If so, if the follicle /hair placed in the recipient, inside the skin, follow the direction of the slit/tunnel, what happens when gets out? It will curl in a direction as programmed before was taken outside the donor,which might be other than the direction of the slit? No? I think patients don't care about the direction of the hair in the tunnel, inside the skin. They care what direction hair takes when is out.... Link to comment Share on other sites More sharing options...
Senior Member Cam Simmons MD ABHRS Posted July 30, 2009 Senior Member Share Posted July 30, 2009 Originally posted by swim:What if the guy has curly hair? Is the direction of the curl genetically determined/programmed? If so, if the follicle /hair placed in the recipient, inside the skin, follow the direction of the slit/tunnel, what happens when gets out? It will curl in a direction as programmed before was taken outside the donor,which might be other than the direction of the slit? No? I think patients don't care about the direction of the hair in the tunnel, inside the skin. They care what direction hair takes when is out.... Swim Curly hair also curls under the skin. People with curly hair usually have "C"-shaped grafts. Usually curly-haired grafts are placed so that the grafts exit the scalp at specified upward angles but the hairs tends to curl down toward the scalp. Some doctors have created sites in a curving path with straight instruments and others have used curved instruments. Even if straight tunnels are used, the proper exit angle from the scalp and direction can be achieved if the graft is oriented to curl the right way. Cam Simmons MD ABHRS Seager Medical Group, Toronto, Ontario, Canada Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Regular Member swim Posted July 30, 2009 Regular Member Share Posted July 30, 2009 Even if straight tunnels are used, the proper exit angle from the scalp and direction can be achieved if the graft is oriented to curl the right way. Thank you Dr.Simmons So regarding Shanti question, am I wrong to conclude that whoever puts the graft in the slit, has to position the graft (orient the graft?) to curl the right way? In other words, in a case of patient with curly hair, not only the angle of the slit determines which direction the hair will curl, but also in which way the graft was positioned, or oriented, by whoever put it in the slit? Link to comment Share on other sites More sharing options...
Senior Member Cam Simmons MD ABHRS Posted July 30, 2009 Senior Member Share Posted July 30, 2009 Swim You are right. Cam Simmons MD ABHRS Seager Medical Group, Toronto, Ontario, Canada Dr. Cam Simmons is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Raphael84 Posted July 30, 2009 Share Posted July 30, 2009 Interesting!!! Patient Advisor for Dr. Bisanga - BHR Clinic ian@bhrclinic.com - BHR YouTube Channel - https://www.youtube.com/channel/UCcH4PY1OxoYFwSDKzAkZRww I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
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