Apart from male and female hair loss treatment, micro and mini graft hair transplantation is now widely used in hair transplant repair procedures and reconstructive surgical hair restoration procedures. With the increasing use of micro and mini grafts along trapianto di capelli turchia  with the follicle transplants of single hair units, the reconstructive hair transplant surgeries now account for about 8-10% of the total hair restoration surgeries.

Mini grafts

Because of their small size, the micro and mini grafts have lower metabolic requirements than the plug grafts and a better survival rate than the follicular units, which can be damaged during dissection. Because these grafts are able to grow successfully on burned scalp or fibroid areas, they appear to be a promising outcome for reconstructive hair transplants.

The only precaution in hair transplantation with these mini and micrografts is that the prepared mini and micrografts are placed in the scalp as soon as possible after a silt has been made. Transplanting the grafts in the shortest possible time increases the chances that the hair follicles will survive the hair transplant and actually grow into hair. In order to speed up the above hair transplant procedure, the assistance of the assistant is enlisted, who immediately inserts a graft into the slot once it is created by the hair transplant surgeon. The blades used for the operation are so small and sharp that they leave almost no noticeable scar on the scalp.

Hair transplant: facial hair restoration

The hair transplant procedure to restore facial hair (eyebrows, mustache and sideburns) is more difficult and different. When a hair transplant surgeon makes slits near other grafts, the adjacent grafts tend to “pop” out of their corresponding slits. The hair transplant surgeon makes the slits provisionally in such cases, with the grafts being inserted a few minutes later. The rest of the hair transplant procedure is exactly the same, when the hair transplant surgeon withdraws his needle, an assistant implants the graft with jeweler’s forceps. An experienced hair transplant surgeon always pays close attention to the natural direction of growth during a reconstructive hair transplant and makes sure to insert his blade or needle at a sharp angle, to the side of the eyebrows.

Successful reconstruction

For a successful reconstructive surgery, restoring the natural direction of growth of the restored hairs is more important than the number of hairs. For beard and mustache hair loss restoration, a hair transplant surgeon keeps his blade as flat as possible on the surface of the lip to ensure downward growth.

For eyelids, hair transplantation is more complicated because the eyelids are very thin, flexible and very tight to the eye. The most difficult aspect of hair transplantation in this case is maintaining the direction of hair growth. Usually the eyebrow hair is used as donor hair and about 10-12 micrografts are placed per eyelid in two separate sessions of hair restoration surgery performed with about 8-12 months between them. Using a curved needle for eyelid hair restoration is the new innovative technique that hair restoration surgeons adopt for facilitating hair transplant surgery.

Correct preservation

Proper maintenance of these micro and mini grafts is of paramount importance throughout the hair transplant process. The grafts are kept in Petri dishes filled with saline to keep them moist. For long procedures lasting more than 3-4 hours, the Petri dishes containing these grafts are placed in saline over an ice-filled basin.

Transplant surgery

A procedure that lends itself to any hair transplant operation is the technique of placing the grafts in such a way that the epidermis of the graft remains superficial to the epidermis of the recipient site. The goal of this surgical hair transplant procedure is to prevent the formation of inclusion cysts at the insertion points and also to prevent hair ingrowth. After any hair transplant, the grafts look like bumps. After healing, the epidermis of the grafts begins to turn into a crust and it takes about 10 to 14 days to finally slough off. The transplanted area will now be smooth as before. Hair growth in the recipient area is only visible after 3 to 4 months. But once the growth becomes apparent, it will continue to improve over the next few months.

Recent advances such as the use of mini and micrografts and
follicular unit transplants have greatly improved the aesthetics of hair transplant surgery. Hair transplantation has proven to be a boon in restoring hair on burned scalp or congenital deformities like cleft lip etc.

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