Androgenetic alopecia – FUE hair transplant as one of the more effective treatment methods

Hair transplantation offered to patients as one of the treatments for androgenetic alopecia is gaining ground every day and is becoming an increasingly popular method of treating the problem of hair loss for both men and women. The first hair transplants performed back in the 1960s and 1970s had a high risk of producing very unnatural final results. This was due to the technical and substantive limitations of the clinics or doctors who performed such procedures. Overly large hair units, so-called “plugs”, or grafts consisting of several hair units, were transplanted, later resulting in very unnatural regrowth effects, often called the “doll effect”.

Absolutely no consideration was given to the aesthetic aspect of the procedure and the patient’s expectations. The end results of the procedure were very sparse, highly artificial and far from natural appearance. It was not until the development of hair transplantation technology in the 1980s and 1990s that a completely new and innovative approach was introduced. Hair transplantation procedures began to use the technique of so-called mini-grafting, consisting of, transplanting hair units containing a maximum of 4-5 hair follicles, and the use of small hair units, 1 and 2 follicles to restore the hairline was initiated.

androgenetic alopecia

Treatment of androgenetic alopecia
Hair transplantation

The real revolution in hair transplantation technology was yet to come. In the mid-1990s, with the rise in popularity of the mini-grafting method, research began into a brand new hair transplant technique, followed by the introduction of FUE ( follicular unit extraction) i.e. taking individual hair units directly from the donor area, without the need to cut a strip of skin, as was the case with the FUT- STRIP method.

The first FUE procedures, of course, cannot be considered a full aesthetic success, but they offered hope for revolutionizing the hair transplant method. The real boom and flourishing of the new method came at the beginning of the 21st century. Along with the development of new technologies and medicine, patients’ expectations for hair transplantation procedures also increased. They were looking for surgical treatments that would guarantee a quick return to work, daily life, activity and, of paramount importance, a method that would reduce post-operative complications to a minimum. All of these aforementioned advantages were offered by only one hair transplant method and that was FUE.

In recent years, there has been a steady increase in the sophistication of the hair follicle harvesting method and the equipment used for this purpose. Currently, one of the most precise devices available on the market is the WAW system, which uses a blunt hybrid drill (barb) and rotational-oscillatory motion to harvest hair units. However, even the best medical equipment available in the world is useless if it is not operated in the hands of a capable androgenetic alopecia treatment specialist who, in addition to high manual skills, also has extensive knowledge of performing hair transplantation procedures and has undergone thorough training in FUE HYBRID hair transplantation.

The standard of hair transplant treatment in the world is to take care of the most natural aesthetic effect of the patient, to fully understand the patient’s expectations, but also to orient the patient to the real achievable results for different degrees of alopecia disease.


Rhinoplasty – removal of a defect or deformity of the nose

The nose is a very important part of the body, through it we can breathe and smell. It also has a significant impact on the appearance of the face, and for this reason it often becomes a source of complexes: it can be too big, too long or hunched. The solution to these problems is rhinoplasty, or nose surgery. What does it look like step by step and for whom is it recommended?

Nose surgery – rhinoplasty – is it worth it?

Currently, rhinoplasty is one of the most commonly performed operations in the field of plastic surgery. It is estimated that it is performed up to several thousand times a year in Poland. Rhinoplasty surgery is a suitable solution for people who do not like the appearance of this part of their body, which may be influenced by a congenital defect or injury. It is also required for problems with free breathing due to nasal obstruction (in which case a septal straightening procedure combined with correction is performed). It is worth opting for rhinoplasty, if only for the sake of psychological comfort. Sometimes it happens that complexes related to the appearance of the nose negatively affect the mood, lead to lower self-esteem and even withdrawal from social life.

A crooked nasal septum, a hump and bumps on the ridge or a disproportionately large nose are not all indications for surgery. It is also performed on people with a nose that is too long or wide, post-splitting deformity and other congenital defects, as well as a nose tip that is too large or drooping.

How does rhinoplasty surgery proceed?

The first, very important stage of rhinoplasty is a consultation, during which a detailed interview with the patient is conducted. The person who has decided to undergo surgery should inform the doctor about any health problems, for example, diabetes. The surgeon will provide lists of necessary laboratory tests and possible consultations. It is important to be vaccinated against hepatitis B, as well as to discontinue medications that reduce blood clotting a few days before the planned surgery.

Whichever way the surgery is performed, it is most often done under general anesthesia. There are two methods of performing it: closed and open. In the closed method, the cut is carried out in the nasal passages, so it is not visible to the outside. It is also performed in the open method, in which an additional cut is made on the nasal pillar, where a fine scar is left. During the operation, it is necessary to detach the skin from the cartilage and bone structure. Then the surgeon corrects the shape of the nose, and then the skin is put back on. If the patient has decided to have a complete nose correction, they stay in the clinic for one day.

After the operation, there is swelling, which lasts for several days. The patient may also experience discomfort, associated with the placement of setons in the nasal passages, which are removed on the second day after the procedure. There is usually no need for pain medication, and recovery takes up to 10 days. The surgery itself usually takes 90 to 120 minutes, and the final results can be assessed after 12 months, after the nose has completely recovered.

Is rhinoplasty safe?

Only healthy individuals can undergo rhinoplasty surgery. Before it is performed, the patient is required to undergo detailed tests: urine, blood count, blood group determination, clotting index, electrolytes, glucose levels, as well as ECG. If the results turn out to be abnormal, the operation will not be carried out. This means that you should not fear for your safety when opting for rhinoplasty. It should be noted that the operation is performed only when the nose has reached its mature shape. Most often this occurs after the age of 18. It is up to the doctor to decide whether to perform rhinoplasty in younger patients, for example, due to medical indications or the result of injury.

Rhinoplasty – contraindications.

One of the contraindications for rhinoplasty is pregnancy. It is also not performed in patients with vascular blemishes, purulent infections of the skin and mucous membranes, and coagulation disorders. In addition, rhinoplasty is not considered for people with unregulated diabetes, heart disease or hypertension.


Deep Plane Face Lifting and Neck Lift

We often associate lifting procedures with artificially stretched facial skin. However, knowledge of human anatomy and the possibilities of aesthetic medicine continue to reach a higher level. Deep Plane Lifting is a new facial rejuvenation technique that has completely revolutionized the traditional approach to facial plastic surgery. It allows you to turn back the clock by decades, producing a natural-looking rejuvenation effect.

It has been said that 40 is the new 30. We are living longer and longer, and we are active longer. We would like our appearance to reflect our strength, vitality and appetite for life, sometimes directly proportional to our metric. Even the best rejuvenating care and non-invasive treatments are not able to give such results as the skilled hand of a plastic surgeon. Especially if we expect quick changes. The decision to have a facelift is never easy. After all, it is a major operation. However, if you want to look fresh and young, it is worth going for a consultation to see if you qualify for a Deep Plane Lifting procedure.

What is Deep Plane Face Lifting and what makes it different from a traditional facelift?

A young face is shaped like a V, the so-called inverted triangle. Unfortunately, from the age of 25, the skin begins to lose collagen, which is its natural scaffolding – in addition, the soft tissues of the face begin to droop, the cheeks and zygomatic area lose volume, “hamster cheeks” appear, the chin becomes less pronounced and, what adds most to our years, a “hanging” loose neck. There is an inversion of proportions: now the face is inscribed in a triangle with a wide base and apex on top, or it becomes square.

The goal of the Deep Plane Face and Neck Lift is to lift the facial tissues and improve the appearance of the neck.  In a traditional facelift, facial tissues are lifted by tightening the SMAS flap – a fascial and muscular structure. However, the aging process affects all tissues, including those that lie deeper – the fatty tissue and the superficial fascia and underlying muscles.

The deep facelift technique has recently become such a desirable surgical method because it lifts both the skin, including the fascial-muscular layer (SMAS), and also repositions the deep fat pads of the cheeks and the areas of the face that lie in the central part of the face, which was limited with traditional facelift methods.  During the procedure, the skin is lifted only in a limited area. This has numerous advantages, including that the facial surface is naturally rejuvenated and smooth, rather than tightened, as with a classic facelift. It also helps maintain blood flow to the face, which allows for faster healing, and shorter recovery. Deep face lift also gives the face a lift without tension – this gives a more stable effect of the surgery over time, and restores volume in the zygomatic and infraorbital areas. Thus, there is no need for additional facial contouring with fat or filler.

It’s also worth noting that a traditional facelift tightens the face horizontally or toward the ears and can make it look stretched and the cheeks flattened. The Deep Face Lift technique allows for a real lifting of facial structures, rebuilding the shape of the cheeks and lifting the drooping corners of the mouth. The face regains the shape of a youthful triangle, as if the forces of gravity had not previously acted on it. The effect of the procedure – depending on our lifestyle – lasts 10-15 years.

What does the recovery look like?

With today’s advanced, minimally invasive surgical techniques, patients can expect to return to their daily routine after about 14 days. Most patients experience pain the night after surgery and the next day. After two days, the vast majority can already function without painkillers. Cold compresses can be applied to reduce swelling, and rest is also indicated. Recovery is also accelerated by hyperbaric oxygen therapy, as it increases oxygenation of facial tissues and stimulates the growth of new blood vessels, which in turn contributes to faster recovery. The relatively short healing time means that a facelift can also be considered by those with busier schedules.

Is it time for a facelift

Aging is a highly individual matter. There is no ideal age or time for a facelift; it all depends on how the patient feels about themself, their expectations for improving their appearance and how much time they can devote to recovery. Typically, patients between the ages of 40 and 70 opt for a facelift. Often, however, patients as young as 30 come in for the operation, not so much to “rejuvenate” and restore a youthful appearance before time makes its mark on their faces, but to improve the appearance of the neck, to restore its correct contours.


FUE method – what is it and is it possible to recover lost hair?

Hair loss is a problem affecting both men and women. There are situations when the use of specialized cosmetics or dietary supplements does not bring the expected results, this happens, for example, with androgenetic alopecia. A chance to replace lost hair, and regain the former appearance and self-confidence, is provided by plastic surgery. Hair transplantation using the FUE method is considered the most effective solution in this field.

What is the FUE method?

The FUE method is a method of hair transplantation that takes place without the use of a scalpel and sutures, resulting in no visible scars remaining on the skin. The procedure involves taking follicular units, or a cluster of 1 – 5 hair follicles, from the occipital region of the head. This is done using a special device, the diameter of which is less than one millimeter. This guarantees the highest possible quality of the transplant and satisfaction with the results. It may happen that follicular units are taken from other places, for example, the chin. Importantly, there are no unsightly traces left on the skin after taking the hair, only small scabs appear on the skin, which fall off after a few days. Up to about 6,000 hairs (2,500 follicular units) can be transplanted using the FUE method at one time. The main indications for the procedure include androgenetic, post-traumatic and post-inflammatory alopecia in remission, but it can also be performed to correct eyebrows, pubic hair or facial hair.

Hair transplantation in women

What does a FUE hair transplant look like?

On average, a hair transplant using the FUE method takes from 6 up to 12 hours. This is affected by several factors, including the condition of the scalp and the number of follicular units to be transplanted. The procedure is not painful, as it is performed under local anesthesia. The hairs in the area from where they will be taken are shortened to a length of about 1 mm. They are then carefully removed, inspected for damage and divided, taking into account the number of follicles per unit. This is the first stage of the procedure, in which the patient lies on their stomach and when they feel discomfort they can take a short break, such as a walk.

The second stage of the procedure takes place in a semi-sitting position, and begins by anesthetizing the area where the hair will be transplanted. Small, microscopic incisions are made in the scalp, and in the third stage of hair transplantation, which takes place after a long break, the follicular units harvested earlier are inserted. Different sized implants, which resemble needles in shape, are used for this. After the implantation is finished, the donor area of the head is protected with a sterile dressing, the recipient area must be sprayed with a special solution every 15 minutes by the patient.

FUE method – is it effective?

People suffering from excessive hair loss often have doubts about whether a transplant using the FUE method will achieve the desired results. The procedure is safe, as it is performed by specialists, in the operating theater using sterilized instruments. It is also very effective. For several weeks after the transplant, the hair in the recipient area of the head will grow and then fall out. Approximately 4 months after the procedure, an initial, uneven growth of new hair is noticeable, with final regrowth after 9 months. Due to the location where the follicular units are taken, the hair is not sensitive to androgens, so it remains in its new location for the rest of its life.

Hair transplantation in men

The FUE method has helped revolutionize hair transplantation. It takes a week to fully recover from the procedure, and although proper scalp care and caution are necessary during this time, the patient can return to daily activities the very next day after the transplant. The FUE method is continually improving, and this also applies to the equipment used during the procedures. It has made it possible to regain lost hair and provide patients with a very natural result.


Piezo method – ultrasonic nose job

The use of ultrasound technology gives the surgeon the precision to sculpt the nasal bones, changing their shape and thickness as needed, and even cutting through them without causing any damage to the surrounding soft tissue of the nose. For this reason, piezo rhinoplasty is considered a true revolution in plastic surgery.

What is Piezo?

Piezo is an innovative surgical method that uses ultrasound to correct the nose. Initially, piezo technology was used in dentistry. However, its potential and translatability to the needs of rhinoplasty was soon recognized.

The operation is performed using a device that generates ultrasound vibrations powering small blades, allowing them to act on selected bony tissues without disturbing soft structures. This method makes it possible to achieve unprecedented precision, minimize the risk of complications and shorten the healing time. Using piezo rhinoplasty, it is possible to correct such defects as a hump on the nasal crest, curvature of the bone pyramid, crooked septum and more.

What to expect from an ultrasound nasal correction procedure.

The operation is performed under general anesthesia and takes about 90-120 minutes. A small incision is made to the nose, through which the surgeon, using a piezo device, appropriately alters the shape of the nasal bone. Powered by ultrasound, precise cutting tips ensure perfect results of the operation, while reducing the incidence of bleeding and minimizing postoperative bruising and swelling.

How to prepare for the Piezo procedure.

This procedure does not require special preparation. However, it is advisable to definitely limit or stop smoking cigarettes for a period of 2 weeks before the procedure. In addition, you should avoid any preparations that affect blood clotting during this time. If necessary, any further recommendations will be presented to the patient during the initial consultation.

What to do after the Piezo procedure?

Swelling, bruising and pain after piezo nose correction are significantly less than with other rhinoplasty methods, resulting in a shorter recovery time and a faster return to normal function.

What are the contraindications to the procedure?

Piezo nose correction – as a rule – has no specific contraindications highlighted that would prevent it from being performed. The only contraindication may be the anatomy of the nose, which in the opinion of the specialist does not allow or does not require surgery by this method.