You will discuss various hair replacement options with Dr. Jimerson. You may require several surgical sessions to achieve fullness, and it requires time to heal between each procedure. Because of this, it can take up to two years before you see the final results.The procedure involves taking small pieces of hair bearing scalp grafts from a donor site and placing them in the bald or thinning area of your scalp. There are different size grafts that differ by shape and size.
Your donor site will be trimmed short for easier access. You may have punch grafts taken with a special tube-like instrument, or Dr. Jimerson may use a scalpel to take small sections of the donor scalp. The donor site will have sutures placed where the grafts were taken.
After the grafting process is completed, the scalp will be cleaned and covered with gauze. You may require a pressure bandage for several days.
An alternative to grafting is flap surgery. A section of bald scalp is removed and a flap of hair bearing skin is lifted and repositioned, then sewn into place while still attached to its original blood supply. This is often used in tandem with scalp reduction surgery.
Scalp reduction involves pulling the hair-bearing scalp forward to fill hair in a bald crown area. After an injection of local anesthetic, a segment of bald scalp is removed, and the section of hair-bearing scalp is brought together and sutured. This will produce a strong tugging feeling and occasional pain while it heals.