New developments arising with each passing day in the field of hair transplantation, has provided innovative ways to improve patient experience and to achieve high levels of comfort. Soft FUE hair transplantation is a technique announced by Dr. Serkan Aygın Clinic for the first time as of 2019. In the narrowest sense of the term, the soft FUE technique refers to carrying out hair transplantation under sedation.
Before we provide detailed information on the application of Sedation, we shall explain the basic steps of hair transplantation.
Hair Transplantation Stages
Hair transplantation mainly consists of 4 stages. These stages are:
1. Preparation for Hair Transplantation
The preparation stage actually refers to the disinfection of the harvesting (donor) and transplantation (recipient) area, and more importantly, the administration of anesthesia.
Although it is a procedure before hair transplantation, in a sense, the phase that determines the comfort of the operation is this stage where anesthesia is administered. At this point, the issue of how anesthesia is administered exhibits the difference of Soft FUE.
2. Graft Harvesting
The process to be performed after the administration of anesthesia in hair transplantation is the separation of hair follicles from the skin using low-speed rotating cylindrical needles, called micro-motor. At this stage, the factor affecting the success of hair transplantation is the way to harvest hair follicles. The key to perfecting and achieving a natural looking hair transplant after the procedure, is leave very tiny, dot-like scars in the donor area, invisible to the naked eye. For this, hair follicles should be harvested from the donor area with a homogeneous distribution.
3. Recipient Site Creation
The process of creating the recipient site is the most important stage for achieving natural-looking results. The determining factor of the naturalness in hair transplantation is to transplant the grafts in close proximity to achieve greater density and to create the sites at the right angle as well as direction of hair growth.
This angle is the angle elevation of the hair to the skin, which is approximately 40-45 degrees. Direction on the other hand refers to the natural direction of hair growth.
Recipient site incisions made in accord with these two points will produce the most natural results after hair transplantation.
4. Transplantation of Hair Follicles
Graft placement is the final step in the hair transplant process. At this stage, it is necessary to prevent the risk of tissue damage by having less contact as possible with the hair follicles.
As is seen here, the hair transplantation process begins with the administration of anesthesia. For this reason, the administration of sedation at the beginning of the operation is the primary factor that affects your comfort throughout the operation process.
Anesthesia in Hair Transplantation
Anesthesia is the most painful stage in the process of hair transplantation. Today, the anesthesia process is carried out in two common ways.
1. Anesthesia administered by injection
In this method, the initial administration of anesthesia is given by injection. Despite the fact that these needles have very thin tips, they cause a sense of pain.Furthermore, as this anesthesia is administered to the scalp, this can induce more intense pain sensations for the patients.
Today, this method is the most commonly used anesthesia type since it is cost-efficient.
2. Anesthesia administered by applying pressure
This process is carried out using a device that can administer the anesthetic agent into the skin through applying pressure, which was developed with the aim to reduce the pain felt anesthesia given by injection. This device touches the skin and delivers a more fluid anesthetic agent to the skin surface with a high pressure in itself. Subsequently, anesthesia is administered by injection. Basically this first anesthetic agent administered does not spread homogeneously in the skin and cannot penetrate deeply. For this reason, in the anesthesia procedure to be performed in the subsequent process, the sense of pain may remain, although slightly.
At this point, the application of sedation takes precedence over anesthesia administered by applying pressure.
Sedation, which can actually be used on even infants, is one of the most advanced and important facilities of medicine within the field of anesthesia. Sedation is the administration of analgesic active ingredients to the body at an appropriate dose based on the physical condition of the person. In this procedure, the person remains conscious but his/her sensations are reduced. Thus, no pain is felt during injections or other medical interventions.
The presence of an anesthesiologist during the application of sedation is a significant point. Because the dose of sedation is determined by the physician based on the physical activity and pain threshold of the person.
The Qualities of Soft Sedation
Soft FUE provides high levels of comfort to patients as well as the medical team.
The important qualities of the application of sedation for hair transplantation in Dr. Serkan Aygın Clinic are as follows:
- The patient receiving sedation does not feel any pain during the administration of local anesthesia.
- The patient remains conscious over the course of the procedure.
- The patient is allowed to eat and drink prior to the operation. This does not prevent sedation to be administered.
- The patient can meet all his/her needs during the operation (such as going to the toilet, eating and drinking).
- The patient can return home or to the hotel without having any difficulty as soon as the operation ends.
The advantages of Soft Sedation over conventional sedation are as follows:
- The cooperation between the patient and the medical team never fails under soft sedation.
- The patient can be informed in a healthy and timely manner at all stages of the operation.
Thus, the patient is more satisfied and pleased at the end of the operation.
Sedation Cannot be Administered Without Supervision of Physician
At Dr. Serkan Aygın Clinic, sedation is administered under the supervision of an anaesthesiologist and based on the results of individualized analysis. In other words, the person to receive sedation undergoes this procedure as a separate stage managed by a physician other than the hair transplantation physician. Before the procedure, the anesthesiologist administers sedation personally based on the person's height and body activity. This procedure is usually carried out by establishing a vascular access through the arm. During the procedure, heart rhythm and other vital signs are continuously monitored. For this reason, the presence of the anaesthesiologist in the operating area is a very important factor.