Surgical hair restoration or hair transplantation has evolved from the late 1950s. When it started to be considered as a cosmetic procedure. But how do hair transplant patients and the public feel about the latest methods? Has much has really changed, how well have the techniques evolved? Has the knowledge of the doctor´s improved? Including artistic understanding of the anatomy.
The techniques have improved immensely from the old plug grafts. Bunches of hair placed back into the scalp giving an unnatural tufted look. Sometimes derogatorily known as “toothbrush” or “dolls hair” look.
Follicular Unit Transplant (FUT) and Follicular Unit Extraction (FUE) can give perfectly natural results. Undetectable from your native growing hair. One reason for this is the placement of the hairs. Now placed in a natural grouping known as follicular units. Normally from 1 to 4 hairs per natural group. This allows for a natural hairline to be designed. No longer any large bunches of hairs.
Natural hair density, or to put it correctly, the look of natural hair density has been one major step forward. The spacing between each graft has reduced over time to now in a single procedure a natural dense looking result can be achieved.
With the advent of these two techniques, a high degree of skill is required. That does not just rely on the Doctor´s medical training. But an innate understanding of artistry and proportions. Of the facial features and bone structure to rebuild a natural head of hair.
Another aspect that has improved for the right candidate is the size of the procedures. It was not that long ago a large procedure was considered to be around 1000 grafts. Even just a few years ago 2000 grafts were considered to be very large. Now, more so with FUT, it is common to see procedures of 4-5000 plus follicular units. Performed in one day. Even FUE which is slower and in the early days would produce 500 graft procedures are now on the right candidate reaching 3000 grafts.