Thoughtful distribution: Proper graft distribution is important to define the hairline and transition zone. Specifically, single and double grafts are used to create the hairline, while multiple grafts are used to add density. These should therefore be implanted gradually to achieve a progressive thickness effect. An important point to note: from one graft to another, the result can be very different depending on the distribution of the follicles... And this by implanting the same number of grafts! The doctor's artistic sense is therefore a key element in completing the aesthetic result.

Perfect control of the angle of implantation: As you may know, it is much less obvious to control the angle of implantation of a graft with the FUE hair transplant technique, as it involves depositing the follicles in receiving holes. As the name suggests (Follicular Unit Extraction), FUE is just an extraction method! The DHI method creates the right angle for the graft and thus achieves the right density for each implantation area. In fact, the delicacy of the process lies in the adequate creation of the narrowness of this angle. Why? From the implantation phase onwards, it is important to take into account the fact that as the skin heals in the months following the operation, it retracts, which will naturally affect the movement of the hair. For example, at the point where the hair direction changes, the hair angle varies between 10 and 15°. At the peak of the hairline, an angle between 15 and 20° is more suitable. On the temples, the hair is much thinner and slanted: 5 to 10° should be respected. As you can see, the implantation is a real work of goldsmith that must guarantee a natural result. 

An analysis of the temples and lateral areas: Depending on the age and capacity of the donor area, the temples and lateral areas are not necessarily treated. Only the expert doctor can determine the best implantation plan for your body type.

A point of honour on the work of irregularities:  The layout work carried out in the transition area allows for a smooth entry into the density, softening the appearance of the gulfs and avoiding the undesirable "brick wall of hair" effect. The zigzags along the transition zone make it easier to reproduce the hairline. Because if the front line is too straight, the result looks artificial... Remember that the front line is not drawn with a ruler!

To create hyperdensity in the frontal line, dense-packing may be recommended by the medical expert. The aim is to implant approximately 60 grafts per cm2 at the transition zone and the hairline, very close together. The DHI method, exclusive to Maison Lutétia, allows this hyperdensity because it does not require any reception hole (as in FUE) to implant the grafts. There is therefore no need to establish a safety margin between follicles, as there is no hole diameter to consider. When receiving holes are made as in FUE, it is possible that they will eventually join and form even larger holes. This leaves visible traces in the hippocratic wreath, but above all, regrowth cannot be guaranteed: in the end, the leek field effect is unfortunately very likely.

Often our patients who come from other clinics for a corrective session speak in grafts. For our part, we have decided to refer to the hair rather than the grafts for the sake of transparency. A graft can indeed include 1 to 5 hairs! The final number of hairs is therefore not guaranteed if only the number of grafts is given. You will therefore get more density if you are offered a number of hairs rather than a number of grafts.

Furthermore, if the extraction is poorly performed, there is a risk of transection (the grafts is cut in half), so the rate of regrowth will be directly affected. This is true regardless of the ratio, i.e., the number of hairs per follicle. If only one hair in the follicular unit is traumatised, the others will not be able to develop and grow back. Hence the importance of choosing a highly specialised doctor who practices the art of hair transplantation, in its entirety, but also in its details.

To accompany the evolution of your androgenetic baldness, we would like to talk about a hair project. As baldness can evolve (until it stabilises at around 55 years of age), it is important to plan the number of transplants that will be necessary in each case. A way to plan the spacing of the procedures according to the stage of the Norwood, the speed at which the hair falls out, but also according to the capacity of the donor area. You may already know that while the transplanted implants do not fall out, the native hair continues to weaken because it is genetically programmed to fall out. Hence the importance of strengthening them with treatments such as the application of Minoxidil, but also a hair mesoLED protocol.

Of course, it is ideal to have a donor area with a large capacity. Unfortunately, we are inherently unequal when it comes to genetics! So to make up for a lack of density in the hippocratic wreath, it is best to call on a doctor who has mastered the art of extraction. A highly specialised doctor will optimise the result of the operation by reducing the manipulation of the follicular unit, but also by collecting the graft without cutting the arrector muscle to avoid the risk of transection, and by avoiding pulling on the stem to avoid damaging it. It is also important to work quickly and efficiently to preserve the vitality of the follicle. And to complete the care of the grafts, we choose to preserve them in HypoThermosol, which is unfortunately considered too expensive by other clinics.

In Maison Lutétia's exclusive method, everything is designed to avoid traumatising the follicular unit, to protect it and thus preserve the donor area. Because a quality extraction will require fewer grafts to be harvested to achieve a dense result, controlled handling of the graft will ensure its regrowth. Less extraction also means that another transplant will be possible in the future. Also, in the case of extensive extraction work for a large graft, a subtle sense of aesthetics is required so that the removals are undetectable. Here is an example of an FUE overtreatment that left indelible marks on the back of the head, and a photo of the back of a patient's head after a DHI procedure.

A hair transplant session, called "perfecting", is suitable if you are over 45 years of age, your hairline is thinning and your hair is no longer in place. Even if you are not affected by androgenetic baldness, hair thins with age. This session therefore makes it possible to counteract the effects of ageing, without imposing any constraints, as only an undetectable shaving line under the hair is recommended to access the grafts. In all, this represents 1,000 hairs, with a cost of 2,900 euros for half a day's work. This session is also suitable for those who want to perfect the results of their hair transplant... Because there’s no such thing as too much hair!