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Facial Hair Transplant The Beard Mr Michael W. May FRCS
27th January 31 st January Facial Hair Transplant The Beard - - PowerPoint PPT Presentation
27th January 31 st January Facial Hair Transplant The Beard - - PowerPoint PPT Presentation
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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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)
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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
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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
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Follicular Unit Extraction (FUE) Less Invasive No Linear Scar Younger men with smaller sessions, who keep hair very short or shaved
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Donor Hair and Beard Hair
Donor Hair – Follicular Units
- f 1-4 Hairs
Beard Hair – Mainly Thick Single-Hair Follicular Units
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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
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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
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Pre-Op
Post-Op
CASE 1
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1 Week
6 Months
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Donor Area Pre and Post-Op (FUE Method) CASE 2
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Pre-Op During Op
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Post-Op
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Pre-Op (‘Strip’ Method) CASE 3
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During-Op (‘Strip’ Method)
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Placing Grafts Post-Op
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Before and After CASE 4
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Before and After CASE 5
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Before and After CASE 6
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