How we help you at AKESO to preserve donor area for future ?

How can we help you preserve the donor area for the future at Akeso?

If you are doing serious hair transplant research, this article reading is a must.

90 % of people need to learn that the number of hair grafts available on the scalp (the back side of your head) is very limited. When we remove them during hair transplant, they do not grow again in your donor area.

Suppose you use 70 % of available donor area hair and transplant fails then no doctor in the world can repair it without compromise. This fact is the most important aspect of hair transplant. Above fact is why people are ready to spend even 10 times more money even if much cheaper options are available in the market.

Still, hair transplant companies and famous doctors divert the topic and base their entire marketing on before–and after videos or photos. The fact if the same result costs you 1.5 times the donor area, then it’s probably not in your best interest even if a hair transplant is successful.

Donor area capacity is normally 5,000 to 8,000 hair grafts over multiple sessions of hair transplant in your life.

How do you lose the donor area in a hair transplant?

1. Non-expert planning – Planning for more than the required number of grafts – Can save up to 30 – 40 % of grafts.
2. The donor area graft excision process (FUE) is performed by hair assistants, hair transplant technicians, or inexperienced Doctors.
3. Surgical factors – Surgeon experience, Surgical technique,  Improper selection of hair graft extraction tools, Lack of proper magnification during surgery, Lack of adequate positioning during hair transplant

Now let us consider these factors in detailed View

Incorrect planning – Let us explain it with simple examples

We will try to explain you by mathetmical examples that how planning can preserve your donor area and monetary expense. We will assume two surgeon SURGEON AA and SURGEON BB

1. Suppose you went to SURGEON AA. He draws your hairline level and marks the area concerned. He does not measure area with the help of graph paper or divide the area into multiple geometric shapes (rectangles, triangles, or circles ). SURGEON AA assumes that your area is approximately 75 square centimetres in his mind. He thinks that a density of 40 grafts per square centimetre is fine. So he gives you an estimate of 75 X 40 = 3000 grafts. Now you meet SURGEON BB . He measures the area correctly, your area comes to 63 square centimetres instead of 75 square centimetres. The actual requirement is 63 X 40 = 2520 grafts. SURGEON AA will ends up putting 480 extra grafts ( 3000 inseatd of 2520 ) just because he is not willing to spend 15 – 20 extra minutes to plan correctly in your surgery.
2. Now, let us assume that the SURGEON AA has the concept of very high density. Suppose the the SURGEON AA has a the concept that density should be 55 grafts per square centimetre so that it looks denser in photos and videos and attracts more patients by seeing patient results on social media. Then SURGEON AA will plan for 75 X 55 = 4125 grafts . According to SURGEON BB the hair transplant requirement was 63 X 40 = 2520 grafts. Now SURGEON AA is planning for  1605 extra grafts (4125 – 2520)  for area where 2520 grafts were enough to provide satisfactory result .
3. The situation can be further aggravated if the SURGEON AA is not an expert or allows his surgical assistants or hair technicians to extract grafts from your donor area. suppose their damage rate is 30 % when they do FUE from your donor area. Then for 4125 grafts extaction – 1238 grafts will be damaged. Total donor area consumed will be 4125 + 1238 = 5363 grafts donor area. So, When SURGEON AA performs surgery then the extra donor area consumed is 5363 – 2520 = 2843 grafts. In this case, you are getting a good hair transplant result but at the expense of an extra 2843 grafts. These 2843 grafts could have been used for future hair transplant surgeries if you require them or if this hair transplant fails for any reason.

So, I hope you know the significance of proper hair transplant planning.

How we help at AKESO in this aspect

• Plastic surgeon Dr Akhilesh Jangid himself does all plannings
• On the morning of surgery, 20 minutes are dedicated to calculating the markings and explaining the area calculation and graft calculation to the patient
• The patient can easily understand the calculation as calculation involves simple formulas ( length X width for rectangles and Base X height/2 for triangles, area X density for graft calculation )

Follicular unit excision from the donor area by an Expert

At 99 % of Turkish hair clinics, 95 % of Indian hair clinics, and 70% of US and Western clinics,  hair grafts from the donor area are excised ( follicular unit excision—FUE ) by Surgical assistants/hair technicians rather than doctors.

Surprisingly, graft excision from the donor area in FUE is claimed to be a very easy process with transection rates of just 1 – 4 % . But this is far from true. Initially, even qualified doctors may have a graft damage rate of 50 %, especially in curly hair or high FOX-grade patients. Clinics may argue on the transaction rate, but the fact is that non-experts have a minimum damage rate of 20 – 30 % in your donor area FUE. But you do not get to know about it because the number of grafts removed and + the graft Damaged number is less than the donor area capacity.

The result in the transplant area is not influenced by extra graft damage in the donor area, which is why Clinics have simply deleted the doctor’s role in the extraction of donor area hair grafts.

When you ask, they try to prove that almost every hair clinic uses assistants rather than doctors, so why should they lose revenue if four cases can be done under the same doctor’s name by reducing his role in surgery?

According to the Indian National Medical Board (NMC ) and US Board – planning, follicular excision ( FUE ) from the donor area is the duty of the Doctor. In the front area or in the bald area, to decide the direction and density, the doctor makes incisions (also know as channels, or slit pattern)

Assistant role according to Indian NMC and US Guidelines – The assistant can pluck them out after the Doctor makes the excision. Then, the assistant counts the grafts. Then they insert the grafts into the incisions or channels or slits, which the Doctor makes to decide the direction and density of hair in the bald area.

How we help you protect your donor area in this aspect

We at AKESO always get your donor area FUE from a qualified doctor. Right Now, in all packages, it is done by Dr Akhilesh Jangid. If the website introduces any package in which Dr Akhilesh Does not do FUE from the donor area, we ensure that a qualified Doctor always does it. We never allow surgical assistants or technicians to perform FUE excision steps in your donor area. Their role is limited to pulling out the graft from the donor area after a surgeon has done the Follicular excision. We will not claim that even highly expert surgeons have a 0 % damage rate, but you can expect 1 – 5 % depending on anatomical variations in your scalp hair anatomy.

Surgical technique influence on donor area hair extraction

Clinics struggle with many problems with perfect donor area hair extraction.

Magnification – Sometimes surgeries are done by doctors who are not trained for microsurgery, and they try to use magnifying glass like Optovisor or specs ( single lens to magnify ), then more magnification options include non prismatic loupes ( two lens assembly without prism – have very low working distance so impractical to stay far from body ), prismatic loupes ( 2 – 5 X options with working distance 300 mm – 500 mm ), Surgical microscopes ( 5 X – 25 X options with working distance 300 – 500 mm ).

AKESO uses minimum Prismatic loupes or SURGICAL MICROSCOPE ( in MAGP technique ) to extract your donor area hair.

Motor and movements – around 98 % of clinics use rotation as a single mechanism to extract grafts from your donor area. A few years back, multiphasic devices came where the upper layer is cut by rotation, and the deeper layer is cut by oscillation. Right now, these devices work on timers rather than surgeon manual commands. Technology requires slightly more expertise to prevent the burying of graft but makes FUE much more reliable. At Akeso, we have developed our own motor MSDF, which can be manually switched by foot switch between rotation and oscillation. Combined with the expertise of Dr Akhilesh Jangid, it gives you the perfect donor area hair extraction.

Hair punches, tool shapes and motor settings – all adjustments are Made by Dr Akhilesh Jangid for each case himself after trying for the first 50 – 100 grafts.