Hair restoration, one hair at a time.
Today’s transplant is invisible!

A hair transplant, meticulous, quite natural and without scarring. The operation of the future is based on the FUE technique using Trilix

Baldness does not occur overnight. e fi rst stages that precede irreversible partial hair loss still leave room for hope, and the situation is often neglected. The real problem arises when the atrophy of the follicular matrix is complete: the hair stops growing and the only non-cosmetic and definitive solution is autotransplantation.
This trichological technique is certainly not new to aesthetic surgery, which has been practicing it for decades, but its success rate has always been relative. e particular vitality of the hair follicles undoubtedly allows the transplanted hairs to grow successfully, and the results generally last over time, because the bulbs come from an area that is not genetically subject to hair loss, the back of the head.
The real challenge for trichological surgery has, therefore, always been the actual aesthetic quality of the transplant”, confi rms Dr. Pallaoro, plastic surgery specialist in Padova.
In fact, while there is an excellent success rate in getting the transplanted follicles to take root, the same cannot be said for the naturalness of the result. “A strong deterrent for potentially good hair transplant candidates – the surgeon continues – is precisely the artificial appearance that the new hair may have, especially due to an overly schematic layout of the hairs and the hairline, as well as the presence of scars, a clear indicator of the surgery undergone, in particular the scar on the back of the head, unavoidable due to the removal of a strip of skin to be divided in order to obtain grafts with the follicles to be transplanted”. This may remind us of the hideous “doll” eff ect caused by a crude old fashioned autotransplant, which instead of eliminating the embarrassment of baldness, has the opposite eff ect on the unfortunate patient, who almost misses having no hair.
Therefore, trichological surgery is today carrying on a kind of silent microsurgical revolution, also thanks to innovations like the Trilix, a sort of micro-drill that allows transplantation of individual follicular units without any obvious scarring as a result. This is further explained by Carl Alberto Pallaoro, who is in fact the inventor of this previously unknown instrument. “The most up-to-date trichological surgery cannot ignore a few essential, if not strictly surgical, points that the patient sets as ideals: first of all, that the results of the operation should be natural, secondly that the surgery should be “discreet”, unnoticeable in other words, and that the hair replacement is effective, and therefore long-lasting”. The FUE autotransplantation technique carried out with the Trilix was developed in response to these very objectives. We will now see what it involves.

FUE: FOLLICULAR UNIT EXTRACTION
An acronym for Follicular Unit Extraction, FUE is defined as the technique for transplanting hair by removing individual follicular units. In other words, to restore hair to the bald or thinning area, living elements are used, the hair follicle and attached skin, taken from the back of the head, without the need to remove the long strip of skin typical of all other types of hair transplant. This transplant has an approach that differs from other types of surgical procedures, practically a micro version of the most effective trichological techniques. This is made possible by the use of the Trilix, the instrument that is capable of precisely removing an individual follicular unit and transplanting it without the need for scalpel incisions. “In the donor area – Dr. Pallaoro explains – the Trilix leaves a tiny hole which will heal spontaneously without surgical stitches. For implantation in the bald area, the same instrument is used to create the receiving hole, and therefore the dimensions of the micropatch of skin and the hole will match, avoiding continuous skin solutions and, consequently, results with scarring”.
With this method, the result of the transplant regrowth becomes visible gradually over a couple of months, as the transplanted follicles start producing hair again. Meanwhile the patient can resume normal activity. There will be no obvious signs of surgery, because by the end of one week the hair can already be washed, and the scabs typical of the healing process will fall away spontaneously in a short time.
An excellent stimulus for the resumption of the metabolic activity of the follicle is stimulation with a cold laser for trichological use, such as HairMax LaserComb, an FDA certified portable device.
“Patients normally repeat FUE autotransplantation session where hair replacement is very extensive, while in cases of moderate hair loss, all that’s needed is a final touch-up after
6 months, to define the forehead hairline more precisely”, Dr. Pallaoro specifies. There is, therefore, no comparison with cosmetic or prosthetic solutions, because the transplanted hair belongs to the same person and will grow in a natural and permanent manner.
Obviously, the specialist points out, each case must be carefully assessed before proceeding with the autotransplant: “the patient must be healthy, the skin must be in good condition and the degree of hair loss must not be too advanced, which would mean a lack of material to transplant”.
As regards the duration of the trichological repair, Dr. Pallaoro assures us: “the transplant can be defined as permanent.
The hairs on the back of the head are not in fact subject to falling out, due to their genetic make-up, and it has been proven that they maintain this characteristic even after transplantation”.

FUE AUTO-TRANSPLANT - what is it?
The follicles are extracted individually from the donor area and repositioned in the thinning or bald zone using the Trilix, a microsurgical instrument with an extremely high rotation speed and a hollow tip (designed exclusively by Dr. Pallaoro, plastic surgery specialist in Padova).
The RESULTS - benefits:
• no horizontal scar on the back of the head
• zero visibility of scars in the receiving zone
• natural positioning of the new elements
• natural appearance of the implanted hair, even with short hair
• long-lasting transplant
• gradual and discreet regrowth
• the patient is not shaved
THE OPERATING TECHNIQUE – benefits:
• careful precision in the design and positioning of the elements
• reduced bleeding
• no horizontal incision
• no use of the scalpel
• only the hairs to be transplanted are cut (the surgeon takes care of this)
• reduced invasiveness
• rapid post-operative recovery
• possibility to enhance the result in a subsequent visit
• correction of old-style autotransplants with the “doll” effect
• removal of scars on the scalp (also those caused by tri chological surgery)

The male hair loss process is catalogued according to the Hamilton scale, which identifies seven stages of thinning, summarized here in three phases. Hair loss in the early stages can be corrected effectively by means of a personalized transplant using the FUE technique, after having assessed the feasibility on a case by case basis.

1 BEFORE – 1 AFTER
Transplantation of individual follicular units using the Trilix technique is the ideal for creating a new hairline that follows an outline very similar to the natural layout of the hair. erefore a study of personal appearance is essential, in order to plan precise and accurate restoration of hair.
2 BEFORE – 2 AFTER
Generally, when a hair transplant is carried out, the aim is not to restore a thick head of hair, which would look out of place on a face that is no longer young.
Instead, certain characteristics, such as a high forehead and a degree of harmonious recession on the temples, are maintained, so that the surgical intervention will not be too noticeable.
The effectiveness of the FUE autotransplantation also comes from the gradual nature of the regrowth, which allows other people’s eyes to become slowly accustomed to the change in appearance.

For women, the thinning process follows a diff erent progression to that of males. Women do not normally lose all their hair, nor does the area subject to hair loss become completely bald. Instead, there is an overall thinning of the hair and the forehead hairline is maintained. For this
reason too, the FUE hair transplant is purposely designed for each type and “pattern” of hair loss. For example, it is more important than it is for men for the parting area to be implanted, so that the scalp does not become visible with typical female hairstyles.
BEFORE AFTER woman
The case shown is that of a woman, certainly not elderly, who suff ers from a rather acute form of thinning, a fact that has a severe psychological impact on the person who has to live with this condition.
Hair restoration with the FUE technique was designed to be quite natural and discreet , and was spread over two surgical sessions.