#AskDrJohnWatts
Patients often have numerous questions about baldness, hair grafts, hair loss, hairlines, hair transplant procedures, post-transplant care, and medical treatments for hair loss. This is especially true for followers of Dr. John Watts, who frequently inundate his popular channel with queries on these hair-related topics.
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In this educational video, Dr. John Watts explains whether baby hair growing on the scalp is removed and replaced with DHT-free hair grafts during a hair transplant procedure. Are hair grafts implanted only in the gaps of the scalp without touching the existing baby hair? Is this true? What is the scientific rationale behind this approach?
Dr. John Watts — a renowned dermatologist, trichologist, and one of Hyderabad’s top hair transplant surgeons — provides detailed answers and insights on these questions.
SS Uday Bharghav asks: “Sir, I want to know if baby hair growing on the scalp are removed and replaced with DHT free hair grafts during a hair transplant procedure? Please explain.”
Baby hair, also known as vellus hair, often appears around the edges of bald spots on the scalp. This type of hair is usually in different stages of the miniaturization process, which can precede noticeable baldness. Baby hair tends to be finer and shorter than regular hair, and its presence can be a sign of ongoing hair loss.
In this educational video, Dr. John Watts addresses whether it is feasible to ask a hair transplant surgeon to replace miniaturized baby hair with DHT-free hair grafts during a hair transplant procedure. The short answer is that this is not typically done. Dr. Watts explains that hair transplant surgeons generally do not encourage such requests. The reason is that existing baby hair, even though it is thin and short, contributes to the overall density and appearance of the hair on the scalp after a hair transplant procedure.
Dr. Watts clarifies that while baby hair might seem less robust, it still holds potential for growth, especially when treated with hair medication post-transplant to preserve the existing hair. The surgeon’s focus during the procedure is primarily on filling in areas where there is a complete lack of hair, rather than replacing existing baby hair. This approach ensures that the new DHT-free hair grafts are strategically placed to fill gaps and create a fuller appearance.
After the transplant, the implanted DHT-free hair grafts will eventually grow into longer, stronger hair. This new hair can be cut, trimmed, or styled according to personal preference. Dr. Watts emphasizes that the existing baby hair, when combined with the newly transplanted grafts, helps in achieving a natural and dense look. The combination of new grafts and existing hair contributes to a more seamless and aesthetically pleasing result.
Conclusion
In summary, while it might be tempting to replace miniaturized baby hair with DHT-free grafts, it is not a standard practice in hair transplant procedures. Baby hair plays a role in maintaining the overall density and natural appearance of the scalp. Hair transplant surgeons focus on addressing areas of complete hair loss and leave existing baby hair as is. Post-transplant care and medication can help the existing baby hair grow stronger, and the new grafts will eventually blend in to provide a fuller look.
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