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27th January 31 st January Facial Hair Transplant The Beard Mr Michael W. May FRCS The Wimpole Clinic Introduction Beards are in fashion Some clinics are performing 3-4 beard hair transplants per month

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  1. 27th January – 31 st January

  2. 
 
 
 
 Facial Hair Transplant 
 The Beard 
 Mr Michael W. May FRCS The Wimpole Clinic

  3. Introduction • Beards are in fashion • Some clinics are performing 3-4 beard hair transplants per month • 7% of hair transplant surgeries are now to non-scalp areas, such as eyebrows, eyelashes and beards. • Beards consist mainly of single-hair follicular units, which start during puberty. They are driven by Androgens (as compared to scalp hair)

  4. Reasons for Beard Transplants • Scars • Traction Alopecia (for example, with Sikh men) • Congenital Hypo/Alopecia • Post Folliculitis Scarring • Long-standing Alopecia Areata • Ethnic Groups: Middle-Eastern Men > Caucasian Men > Oriental Men STRONG BEARD > MODERATE BEARD > WEAK BEARD

  5. 
 
 
 
 
 Definition 
 The Follicular Unit consists of 1-4 terminal follicles, 1 vellus follicle, a sebaceous gland and arrector pili muscles, with its own blood and nerve supply surrounded by a fibrous sheath. 
 Two Extraction Methods 
 Conventional ‘Strip’ Method 
 Large Sessions 
 Perfect Grafts – Microscopic Dissection 
 Men with no intention of shaving their head – often older 


  6. 
 Follicular Unit Extraction (FUE) 
 Less Invasive 
 No Linear Scar 
 Younger men with smaller sessions, who keep hair very short or shaved

  7. Donor Hair and Beard Hair Donor Hair – Follicular Units Beard Hair – Mainly Thick of 1-4 Hairs Single-Hair Follicular Units

  8. Local Anaesthetic of Beard Area • Very painful • Nerve blocks can be used • Infraorbital nerve: Gingivolabial Sulcus between canine and premolar – Moustache area and upper lip • Mental Nerve - Gingivolabial Sulcus between two lower premolars Lower lip and chin area • EMLA cream afterwards. FIELD ANAESTHESIA

  9. Placing Grafts • Moustache: 400 Grafts • Goatee: 600-800 Grafts • Both Cheeks: 1200-1500 Grafts • Avoid deep incisions • Incisions are sharply angled • Direction of beard growth changes. Follow any existing hairs. • Vital nerves, ducts, vascular structures, branches of V and VII, parotid gland and duct, superficial veins and arteries

  10. CASE 1 Post-Op Pre-Op 


  11. 6 Months 1 Week

  12. CASE 2 Donor Area Pre and Post-Op (FUE Method)

  13. During Op Pre-Op

  14. Post-Op

  15. CASE 3 Pre-Op (‘Strip’ Method)

  16. During-Op (‘Strip’ Method)

  17. Placing Grafts Post-Op

  18. CASE 4 Before and After

  19. CASE 5 Before and After

  20. CASE 6 Before and After

  21. CASE 7 Before and After

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