History of hair transplantation

Norman Orentreich produced the initial and only long-term remedy to loss of hair, making him the genuine inventor of hair transplantation.

He found that hair preserves its attributes even when taken from the donor area and implanted elsewhere on the scalp. This concept was called “benefactor supremacy” and also is what makes hair transplantation feasible.

Human beings experience different forms of hair loss, all with differing causes.

The primary type of hair loss is androgenic alopecia, commonly known as male and female pattern hair loss.

In males with this type of loss of hair, the roots become highly sensitive to the hormone dihydrotestosterone and eventually become calcified and riddled with scar tissue which prevents the hair follicle from producing hair.

This pattern manifests as a receding hairline and a balding crown.

Temporal and Crown Hair loss Male Androgenic Alopecia
Crown Hair Loss Typical Male Androgenic Alopecia

In female-pattern baldness, the cause is not as well understood, although androgen hormones are still believed to contribute to the hair loss cycle.

Pharmaceutical treatment or intervention for androgenetic alopecia is designed to control the androgen degrees in the scalp.

Treatments like minoxidil as well as finasteride are at least partially effective; however, the therapy has to continue permanently as any kind of preserved hair is shed when treatment ends.

The other significant reason for the loss of hair is alopecia areata. Alopecia areata is an associated autoimmune form of loss of hair where the immune system assaults the roots and can affect parts of, or the entire, scalp.

Alopecia areata was historically managed by modulating the immune feedback via corticosteroids.

Orentreich realized the tremendous potential to establish a singular hair loss therapy, a hair transplant, which could be utilized for all forms of hair loss.

By the mid-1980s, the medical hair restorations market was a mix of various options.

These included punch graft harvesting, strip harvesting, plugs, mini-grafts, micrografts, individual hair grafts, scalp decreases and also scalp lifts.

Hair transplantation had evolved slowly from 1958 onward, and by 1990 most doctors were planting plug-grafts starting on the hairline, with treatments commonly consisting of 50 to 100 grafts
in a single session.

The Plugs typically consisted of 15 to 16 follicular units and with approximately 35 hairs in each hair plug. The growth rate was excellent; however, the results were generally unnatural in appearance.

I always found it intriguing that doctors were not worried regarding an all-natural outcome.

Physicians were delighted to earn money hair transplanting hair as well as taken into consideration growth itself a success. The world was readied to change with a new breed of doctors extra concentrated on quality.

All-natural results quickly followed as well as the industry took off, therefore.

By concentrating on was of producing better quality results at some point evolved into follicular unit removal or otherwise known as FUE. The continuing innovation towards high-quality hair transplantation is the impetus for this blog site.

In 1990, many of the people who had their hair transplanted explained that they enjoyed having hair; however, they wanted the results to be much more natural.

This motivated many experts in the field to begin to create an extra all-natural outcome for hair transplant patients.

This objective required us to take a look at how hair grew on the scalp as well as to replicate a much more natural outcome.

We were quickly forced to recognize that hair did not expand in plugs. Instead, hair grew in all-natural follicular units starting with single hair units on the hairline.

In 1990 authors such as Manny Marritt suggested that we put 100 individual hair grafts on the hairline after establishing the hairline with plugs.

This generally leads to abnormal-looking hairlines for several years since 100 solitary hair grafts were
also, too few grafts to make an impact before a wall hair of plugs.

There was absolutely nothing natural, in all, concerning these hair transplantations and clients seldom had the last session of single hair grafts performed, even more, aggravating outcomes. The consequences for hair transplantation were abysmal.

The market, in its entirety, ended up being a laughing stock for other doctors as well as the patients felt like absolutely nothing short of cosmetic disasters.

Hence, how did a sector start in 1958 yet fall short of evolving for over three decades? The reality is that few doctors are leaders. The vast majority discover a method and rarely ever deviate from it Even more, doctors entrenched in an old technique rarely approve modification despite its advantage to individuals.

In 1988, Bobby Limmer wrote about a treatment using complete follicular systems to hair transplant a scalp.

Bobby was an excellent statesman as well as eventually came to be head of state of the ISHRS.

His initiatives changed the sector entirely, yet others only gradually accepted his ideas.

Beginning with Bobby Limmer, a focus on the recipient area began. It took many years for physicians to begin focusing on the recipient site also, and this emphasis was pivotal for the birth of FUE.

As you might anticipate, it took many years from creation for FUE to end up being the predominant technique for collecting hair grafts.

This is due precisely to the inaction of hair transplant doctors, most of whom were far too timid in adopting a more pioneering role in the evolution of the procedure. However, in due time, there were focused centres of the ongoing development of the procedure, eventually, new hair transplant pioneers did emerge, specifically in places like Toronto, Canada, and Tokyo, Japan.

What altered the field was 2 things. First, we had an influx of new physicians concentrated on FUE procedure, and secondly, patients recognized the advantages of FUE. As a result, clients started to demand FUE instead of strips.

Physicians who did dislike FUE had no option other rather than to use it.
Merely because the consumer demanded the service of them or they would have been forced to go out of business.

A number of these previous strip collecting medical professionals lacked the hand-eye synchronization to do FUE. Therefore, lots of medical professionals hired registered nurses to do the FUE extraction of grafts.

In retrospect, this was a poor idea since these nurses, now equipped to perform the surgical procedure, started working for plastic surgeons and also various other doctors that did not have any sort of expertise of the hair transplantation surgical procedure.

This all brought about a significant problem because some of these nurses were so proficient at their craft that they made their physicians look amazing, however, the physicians themselves were unqualified to perform the surgery due to a lack of practice.

Ultimately the effect was that great registered nurses were commonly employed off by various other centres for even more money, leaving these good but inexperienced physicians with novice registered nurses, that frequently performed poorly.

Fortunately, excellent doctors still exist, and also these great physicians train their groups to perform superior procedures with very good outcomes.

People can still get excellent results from high-quality physicians, but in today’s marketplace, the client must be much more vigilant than ever before.

A facility that may appear good with nurses performing the surgical treatment can in fact generate a very bad result for individual people.

Nonetheless, a fantastic center with an excellent doctor will consistently produce incredible results.

Dedicated to the development of FUE, we will certainly showcase some of these wonderful doctors for the advantage of our readers.

With proper training, our hope is that they will certainly stop using nurses instead to carry out the surgical procedure for them.

We also want to inform patients on the consequences of choosing a cosmetic surgeon without any formal training in hair transplantation surgery.

References

More on the pioneers of hair transplantation in Toronto
https://surehair.com/sure-hair-blog/hair-transplantation-history/

More on the history of hair transplantation on Wikipedia https://en.wikipedia.org/wiki/Hair_transplantation