Regular Member johnsmith20172017 Posted February 17, 2017 Regular Member Share Posted February 17, 2017 The incisions the doctors make as I understand influence the direction the hair will grow in but does the way a hair is put into the incision play a part? Link to comment Share on other sites More sharing options...
Senior Member hsrp10 Posted February 17, 2017 Senior Member Share Posted February 17, 2017 If you don't have any existing hair and transplanting into bald scalp the angles most surgeons use will have the hair growing downwards towards your forehead to give as much coverage as possible, while if the surgeon is transplanting into existing hair they will try to match the hair angles of what is already there. If you have a bald area in your hairline or temple corners they also try to use a swooping curve angle to give as much coverage as possible (as opposed to just having the angles straight). There is an article that mentions the exact angles they aim for and I will try to dig it up. go dense or go home Unbiased advice and opinions based on 25 plus years of researching and actual experience with hair loss, hair restoration via both FUT & FUE, SMP, scalp issues including scalp eczema & seborrheic dermatitis and many others HSRP10's favorite FUT surgeons: *Dr. Konior, *Dr Hasson, Dr. Rahal HSRP10's favorite FUE surgeons: *Dr. Konior, *Dr. Bisanga, Dr. Erdogan, Dr. Couto (*indicates actual experience with doctor) Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted February 17, 2017 Administrators Share Posted February 17, 2017 Here is an a Q&A from Dr. Bernstein I think it pretty much answers your question "Great question. You are correct, the angle of the recipient sites largely determines the hair direction. Hair should be planted the way it grows (i.e., in a forward and horizontal direction at the frontal hairline.) It is extremely important that it is transplanted that way to look natural. The body will alter the angle a bit as it heals, usually elevating it slightly and re-creating any prior wave (yes, waves are determined by the scalp, rather than by the hair follicles per se). In a properly performed hair transplant, a straight-up appearance should be due to grooming, it should not have been a result of the actual procedure. Hair should never be transplanted perpendicular to the scalp."- Dr. Bernstein https://www.bernsteinmedical.com/answers/does-surgeon-determine-angle-of-hair-in-hair-transplant/ I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted February 17, 2017 Senior Member Share Posted February 17, 2017 For the most part hair is transplanted based on the natural angulations of the native existing hair. At the same time, the angulations can also be manipulated such as with hyper-acute angulations to create more visual coverage in larger bald areas. In essence, the angles are brought down closer to the scalp surface before the grafts are implanted. Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Regular Member johnsmith20172017 Posted February 20, 2017 Author Regular Member Share Posted February 20, 2017 So just to confirm it does not make a difference how a technician puts in a hair. It is determined by the way the incision is made prior to this? Link to comment Share on other sites More sharing options...
Senior Member Davis91 Posted February 20, 2017 Senior Member Share Posted February 20, 2017 It does make a difference how techs put in hair. Experienced techs know how to follow the angulatiom of slots made. Slis can be made with needles (bigger hole), or blades and may have vertical of horizontal slits. Techs need to know the intention of the design and that means communication with the doc. How a scalp heals can alter angulatiom slightly as noted. Imagine using corse and curly beard hair in a donor depleted scalp. Forced at a wrong angle on insert it could grow at an awkward anlgle. So while the doc's positioning of the angle is CRITiCA, the techs also have a part to play. Some docs on this site have shown work with some acute angels for coverage. Others have shown work with hair more "straight up." It is theoretically easier to place straight up and down vs acute because it means less manipulation of placers hands. Some docs may make more up and down vs flats angles if they don't have experienced techs or a small team. Researching this is advance with your prospective doc is CRITICAL as docs can and do have their own philosophy and skill set in this. It's not JUST about matching angulatiom of old native hair, it can include trying to cover more of your individual scalp OR in some cases matching angles of another doc's work if you have switched surgeons. Great topic and not discussed enough in my opinion. Link to comment Share on other sites More sharing options...
Senior Member Speegs Posted February 20, 2017 Senior Member Share Posted February 20, 2017 Lateral slit technique is pretty important. The angle that the hair exits the scalp is absolutely critical for achieving a natural appearing final result. This is typically where the custom cut blades come to play so that the surgeons tools exactly fit the follicular units of the patient. Every transplant should ultimately be a custom job, which is why you need to do your diligent homework to be in the hands of a top notch surgeon that has a grasp of the best techniques and a sense of aesthetics. Healing is also vastly improved by a surgeon employing a lateral slit because the grafts will fit perfectly into the recipient sites maximizing oxygenation, promoting faster healing, and increasing graft survival. Hair loss patient and transplant veteran. Once a Norwood 3A. Received 2,700 grafts with coalition doctor on 8/13/2010 Received 2,380 grafts with Dr. Steven Gabel on 9/30/2011 Received 1,820 grafts with Dr. Steven Gabel on 7/28/2016 Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted February 21, 2017 Senior Member Share Posted February 21, 2017 Graft placement is critical because even if the recipient site is perfectly created at the right angles, the grafts can be misplaced if the tech is new or inexperienced in placing them so they protrude out of the scalp properly. Most surgeons will come in and take a final look at the grafts that were placed and sometimes may adjust the depth and/or angle they are placed into the sites before the patient is checked out of surgery. Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Dr. Alan Feller Posted March 9, 2017 Share Posted March 9, 2017 Link to comment Share on other sites More sharing options...
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