Hair transplantation is not a routine act. Neither is it risk-free nor does it have 100% guaranteed success. “ It is an option for people who have androgenic alopecia , who must be diagnosed by a dermatologist to verify that it is just the type of alopecia they suffer and that they have not responded adequately to medical treatment,” explains Eduardo López Pharmaceutical Mail. Bran, dermatologist of the Trichology Group of the Spanish Association of Dermatology and Venerology (AEDV). Another requirement to undergo a hair transplant is to take into account the ratio between the donor area and the recipient area, “since if the patient does not have an abundant number of follicles in the donor area it will not be possible to perform a transplant with good results”, Add.
Intervention planning is essential, as is the diagnosis of the patient. “It is necessary to know the type of alopecia of the patient, because not all are candidates for transplantation. For this, it is necessary to resort to some non-invasive diagnostic techniques, such as digital tricoscopy . The prior assessment of the patient’s health status is also essential to minimize anesthetic risks, ”says López-Bran.
Before performing the intervention, the patient should follow a treatment prescribed by the dermatologist. “In this process the collaboration of the pharmacist is important, which should recommend products that do not carry alcohol to avoid irritating the area,” says Sergio Vañó, dermatologist, trichologist, hair surgeon and director of the Trichology Unit of the Ramón y Cajal Hospital, of Madrid , and the Trichology Unit of the Pedro Jaén Group Clinic . He adds that there is still great ignorance in this field, “where it would be important for pharmacists to have more information.”
After undergoing a transplant of these characteristics, experts recommend continuing to care for long-term hair, “to prevent hair loss that tends to fall out; that is, the non-transplanted, ”says López-Bran. In fact, he adds that more and more effective therapies and doses are known to establish a medical treatment with good results by lotions , pills or injections based on minoxidil, antiandrogens or platelet-rich plasma, “and that it is complementary to the transplant in a 99 percent of cases. ”
The first 24 hours
In Vañó’s opinion, during the first 24 hours of the transplant it is important to leave the graft area at rest, without washing it. “We recommend thermal water to hydrate the area every 2 or 3 hours.” After the first day, explain that it is important to use a neutral shampoo and apply it without rubbing. “It will spray and leave a few minutes, and then it will clear up without pressure. It’s what I call washing hair without touching it. ”
During the second week, experts advise to exert some pressure with your fingers. ” If the patient had scabs, he can use a toothbrush to remove them and, if they are numerous, we will use master formulas with salicylic acid to treat them,” says Vañó. From the first two weeks, “the patient will be able to live a normal life with regard to washing (always with neutral and mild shampoos) and cosmetics: dyes (especially in the case of women), lacquers and jelly beans”, Add.
Most common mistakes
To achieve the best possible result it is necessary to correctly perform the treatment recommended by the dermatologist. “Inadequate capillary hygiene, an incorrect application of post-transplant medical treatment or not performing it for the necessary time, as well as the non-protection of the transplanted area against the sun (it is possible to use fluid sunscreens), can lead to poor growth of the transplanted hair, ”says López-Bran.
The hair grows at six months and the results are seen annually . “As it is taken from the neck it will not fall again, but we must continue with a treatment for alopecia to avoid losing transplanted hair,” concludes Vañó.
Treat non-transplanted hairs
Caring for the area during the first 24 hours after the transplant is very important. Dermatologists recommend soothing and moisturizing the area with powdered thermal water , and later washing it with neutral shampoo and without rubbing.
Once the intervention is performed, it is recommended to follow a treatment for alopecia with minoxidil or antiandrogens, among other drugs. Remember that non-transplanted hairs, if not treated properly, will tend to fall out.
Androgenic alopecia option
Hair transplantation is an option for people with androgenic alopecia, which always has to be diagnosed by a specialist.
Before undergoing the transplant, the person must be careful not to use products that irritate the scalp , which do not have alcohol, as well as use a mild and neutral shampoo in the wash.
In this phase, the pharmacist’s advice, together with that of the Trichology expert, play a fundamental role.