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Before DHI Hair Transplant Procedure

Are there any long-term complications of local anesthesia administered before implantation?

No, only localized area of paresthesia can occur which eventually subsides.

How do you decide the angle of the hair before implantation?

We usually follow the angle of hair of the existing roots. If not present, we implant the new hair roots at an acute angle.

How do you design the sideburns?

The sideburns are usually marked with respect to the facial contour of the patient. They are designed in continuation with the hairline and a few grafts containing single and double hair roots are distributed evenly.

How do you design the sideburns?

The sideburns are usually marked with respect to the facial contour of the patient. They are designed in continuation with the hairline and a few grafts containing single and double hair roots are distributed evenly.

What are the important landmarks to be considered before designing the hairline?

The glabella, the arch of the eyebrows and the lateral tip of the eyebrows are used as reference points to create a new hairline.

The new hairline that is created, has a straight or a wavy pattern?

The new hairline has a wavy or broken pattern to create a natural look to the face.

Does hairline design differ in females?

The female forehead contour is different so the hairline should be designed according to her facial structure. The angles of the hairline always follow the natural curve of the forehead. It is usually receding up on males and curving down on female foreheads. The angles are measured from the lateral-most tip of the eyebrows.

How dense should the hairline be while distributing the number of hairs?

Approximately 5-8% hair in mega session can be put in the hairline. In a small or regular session where hairline is the major concern this number can be increased to up to 15%.

How do you count the number of hairs before implantation?

The DHI assistant with the help of a microscope counts the number of hairs after separation of grafts. We also encourage the client to take pictures of grafts to ensure transparency.

What precautions should be taken prior the hair transplant procedure?

No specific precautions should be taken prior the DHI hair transplant procedure. However it is advised that patients will not take blood thinners at least 7 days prior to the procedure, in order to avoid prolonged bleeding during implantation.

What can be the contraindications for hair transplant?

    The contraindications of hair transplant could be:
  1. Very poor donor area
  2. Keloidal tendency
  3. Unstable vitiligo or psoriasis
  4. Active infection on the donor or recipient area.
  5. Alopecia areata
  6. Hypertension

During DHI Hair Transplant Procedure

What is the angle of implantation?

The angle depends on the direction of existing follicles and it also varies from a very acute angle (15 degrees) on the hairline to 20-30 degrees on zone A & B to 50 degrees on zone C.

At what depth do you implant the grafts?

The grafts are implanted approximately 4 to 5 mm deep.

How is the patient positioned during implantation?

The position during implantation is lying down supine with an inclined head to the side or sitting position.

How is implantation done?

Implantation is done with the help of DHI Implanters of varied needle sizes. The hair grafts are loaded in the implanter device and placed directly on the scalp, in the recipient area. The DHI implanter permits the proper placement of all hair grafts at specific angles and the correct depth.

How frequently should the ice packs be changed during the procedure?

Too frequent a change of ice packs may lead to frequent fluctuations of temperature. Focus should be on maintaining 0- 4 degrees Celsius.

Does the hair graft ratio impact the final outcome?

Yes, a ratio less than 1.6 may not yield good results but individual variation occurs.

Does the time gap between extraction and implantation affect the survivability of grafts and the final outcome?

Yes, a gap of more than 6 hours will hamper the survival of grafts. Also the storage temperature can affect it further. The optimum temperature for storing the graft is 4 degrees Celsius.

What is the maximum permissible duration of extraction?

Maximum permissible duration of extraction should not be more than 4 hours.

What is the donor area or safe donor area?

A line drawn perpendicularly from the external auditory canal should define the anterior border of the “safe” area. The superior border – safe donor area begins on the anterior border where it is 6.5 – 7.0 cm wide and steadily narrows as one moves posteriorly. In the midline of the occipital area, the ultimate donor area is substantially narrower than it is superior to the external ear.

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