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 • 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)

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


 
 
 
 
 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 



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

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

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

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

CASE 1 Post-Op Pre-Op 


6 Months 1 Week

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

During Op Pre-Op

Post-Op

CASE 3 Pre-Op (‘Strip’ Method)

During-Op (‘Strip’ Method)

Placing Grafts Post-Op

CASE 4 Before and After

CASE 5 Before and After

CASE 6 Before and After

CASE 7 Before and After