Domaine scientifique

Greffe de cheveux et autogreffe : FUE et FUT | CRLAB

Collaboration scientifique entre le Professeur Marco Toscani et le Docteur Pasquale Fino, Chaire de Chirurgie Plastique, Reconstructive et Esthétique, Centre de santé Umberto I – “Sapienza” Université de Rome.

Cures and surgery for baldness are related to the degree of hair loss, type of situation around the donation area and the patient’s expectations. Thus, no surgical treatment is guaranteed to work for all situations.

Two avant-garde techniques are available: F.U.T. And F.U.E.

Autotrapianto dei capelli con tecnica F.U.T.

Cures and surgery for baldness are related to the degree of hair loss, type of situation around the donation area and the patient’s expectations. Thus, no surgical treatment is guaranteed to work for all situations.
Two avant-garde techniques are available: F.U.T. And F.U.E.
The F.U.T. (Follicular Unit Transplantation) autotransplant makes use of a sample of a strip of scalp taken from the occipital region, the ideal donation area because it is not subject to hormonal influences that facilitate hair loss.
The donation area is sutured using a particular technique which, by respecting the angle of hair growth, leaves a very thin linear scar (around 1-2 mm) that is easily disguised and often cannot even be found (aesthetic scar).

Trapianto dei capelli con tecnica F.U.E.

As soon as the strip of scalp is taken, it is “processed” by highly specialized personnel who divide the sample into thousands of follicular units of 1, 2, 3 or 4 bulbs, with the aid of optical stereomicroscopes.

The grafts thus obtained are then counted and aligned according to their size and passed on to the surgeon, who will then carry out the transplant in the designated micro-incisions made in the receiving area.
The F.U.E. (Follicular Unit Extraction) technique is a method listed as minimally invasive hair thickening, because it does not require the use of strips of scalp taken from the nuchal region; The downside is that, in order to apply the F.U.E., it is necessary to cut hair down to the root and this is often not readily accepted, especially by women.
Moreover, as it is slower than the F.U.T., this technique has the disadvantage of not allowing a large number of grafts per unit of time. The F.U.E. Technique leaves punctiform scars that may be noticeable solely under careful observation. Follicular units are extracted from the donation area (occipital or parietal) with a special 0.8/0.9/1.0 mm instrument, via a minimally traumatizing technique. The open holes generated for the hair follicle extraction by the micro scalpels close up by themselves in a few days and do not require stitches, resulting in thousands of off-white one millimetre micro-scars in the donation area.

Come avvengono gli interventi di trapianto e autotrapianto dei capelli con tecnica FUT e FUE?

The follicles are immediately transplanted to the receiving area, via special transplant instruments. The F.U.E. is particularly recommended for patients with hair loss in small areas or limited aesthetic regions such as the eyebrows, eyelashes and moustache; patients with insufficient scalp elasticity for strip excisions; patients that tend to suffer from the forming of large, thick or keloid scars; or when the body or beard serve as donation areas. The F.U.T. and F.U.E. techniques may be combined to some extent, in order to increase the capacity of the donation area and allow for the extraction of more grafts.
The operations are conducted in an operating room under local anaesthesia plus a mild sedation performed by an anaesthesiologist who will be present throughout all stages of the operation, thus allowing the patient to face the procedure as calmly as possible.

At the end of the operation, the patient will have neither head wraps nor bandages, will be welcomed by in a comfortable recovery room and may go home as soon as he/she receives permission from the anaesthesiologist.
The next day, a shampoo will be performed by specialized personnel, all the grafts will be checked and directions and instructions will be provided concerning cleaning treatments to be performed at home.
After approximately 12 days, the stitches in the donation area will be removed by the surgeon.
The transplanted hair will begin to crop up after around 3 months, and will grow approximately 1 cm per month; after 6-8 months the hair will have grown by 80%. After a year, the patient will be able to enjoy the final result.
Alternatives to surgery are medical drug therapies and vitamin supplements that slow and block hair loss, and the P.R.G.F. (plasma rich growth factor) or P.R.P.H.T. technique that uses the growth factors present in blood platelets of the patient, which, are immediately injected into the scalp after they have been activated, and will stimulate the stem cells present in the miniature or resting bulbs to produce thicker and stronger hair.

Peau sèche ou astéatose

Dry skin or asteatosis is a scalp condition deriving from a lipid deficiency.
It is often associated with a situation of exacerbated dehydration. We can identify both internal and external causes for this anomaly.

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Dry hair

Both men and women of any age may have dry hair. This situation is endured not only as an aesthetic problem, but in time may represent a problem concerning hair health. Dry hair often appears weak, fragile and tends to become brittle and to break.
Dry hair often has split ends and other forms of damage to the shaft.

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Psoriasis du cuir chevelu

La psoriasi è una frequente dermatosi cronica eritemo-squamosa con squama tipica (psoriasica), circoscritta o diffusa.
La psoriasi è un problema del cuoio capelluto non annoverata tra le cause che comportano la caduta dei capelli.

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Douleur du cuir chevelu

Scalp pain and irritation (or trichodynia) are pathological conditions that affect both women (in a greater percentage) and men (in a lower percentage). The pain felt on the scalp, spontaneous or caused by treatment, and in particular around the roots of the hair, may be more or less intense, alternating at times between periods of disappearance, associated with burning, tingling or itching.

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Hyperséborrhée

Hyperseborrhea or hypersecretion of sebum is simply a scalp problem due to an excessive production of sebum caused by hyperactivity of the sebaceous glands. Immediate symptoms of hyperseborrhea are scalp itchiness and pain. However, a later symptom is hair loss.

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Premature hair loss

Recent studies have demonstrated that around one in five young men tend to lose their hair prematurely over time.
This problem does not affect only young men but also young women.

In the majority of cases, it is androgenetic alopecia (pattern hair loss) and therefore is hereditary/genetic. However, it is important to remember that often factors of psychological origin like performance anxiety, trauma and emotional stress take over, thereby becoming a source and cause of hair loss from stress.

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