Hair transplant Health Dictionary

Hair Transplant: From 1 Different Sources


A cosmetic operation in which hairy sections of scalp are removed and transplanted to hairless areas to treat alopecia (baldness). There are several different techniques.

In strip grafting, a strip of skin and hair is taken from a donor site, usually at the back of the scalp or behind the ears. The removed hairs and their follicles are then inserted into numerous incisions made in a bald area, known as the recipient site. The procedure usually takes 60–90 minutes. The patient is given a mild sedative and anaesthetic on the donor and recipient sites. The donor site heals in about 5 days. Transplanted hairs fall out shortly afterwards, but new hairs grow from the follicles 3 weeks to 3 months later.

Other transplant techniques include punch grafting, in which a punch is used to remove small areas of bald scalp, which are replaced with areas of hairy scalp; flap grafting, in which flaps of hairy skin are lifted, rotated, and stitched to replace bald areas; and male pattern baldness reduction, which involves cutting out areas of bald skin and stretching surrounding areas of hair-bearing scalp to replace them.

Health Source: BMA Medical Dictionary
Author: The British Medical Association

Hair

See SKIN; WHITE HAIR.... hair

Bone Marrow Transplant

The procedure by which malignant or defective bone marrow in a patient is replaced with normal bone marrow. Sometimes the patient’s own marrow is used (when the disease is in remission); after storage using tissue-freezing technique (cryopreservation) it is reinfused into the patient once the diseased marrow has been treated (autologous transplant). More commonly, a transplant uses marrow from a donor whose tissue has been matched for compatibility. The recipient’s marrow is destroyed with CYTOTOXIC drugs before transfusion. The recipient is initially nursed in an isolated environment to reduce the risk of infection.

Disorders that can be helped or even cured include certain types of LEUKAEMIA and many inherited disorders of the immune system (see IMMUNITY).... bone marrow transplant

Fetal Transplant

A procedure in which cells – for example, from the pancreas – are taken from an aborted FETUS and then transplanted into the malfunctioning organ (pancreas) of an individual with a disorder of that organ (in this case, diabetes). The cells from the fetus are intended to take over the function of the host’s diseased or damaged cells. Fetal brain cells have also been transplanted into brains of people suffering from PARKINSONISM. These treatments are at an experimental stage.... fetal transplant

Transplantation

Transplantation of tissues or organs of the body are de?ned as an allotransplant, if from another person; an autotransplant, if from the patient him or herself – for example, a skin graft (see GRAFT; SKIN-GRAFTING); and a xenotransplant, if from an animal.

The pioneering success was achieved with transplantation of the kidney in the 1970s; this has been most successful when the transplanted kidney has come from an identical twin. Less successful have been live transplants from other blood relatives, while least successful have been transplants from other live donors and cadaver donors. The results, however, are steadily improving. Thus the one-year functional survival of kidneys transplanted from unrelated dead donors has risen from around 50 per cent to over 80 per cent, and survival rates of 80 per cent after three years are not uncommon. For a well-matched transplant from a live related donor, the survival rate after ?ve years is around 90 per cent. And, of course, if a transplanted kidney fails to function, the patient can always be switched on to some form of DIALYSIS. In the United Kingdom the supply of cadaveric (dead) kidneys for transplantation is only about half that necessary to meet the demand.

Other organs that have been transplanted with increasing success are the heart, the lungs, the liver, bone marrow, and the cornea of the eye. Heart, lung, liver and pancreas transplantations are now carried out in specialist centres. It is estimated that in the United Kingdom, approximately 200 patients a year between the ages of 15 and 55 would bene?t from a liver transplant if an adequate number of donors were available. More than 100 liver transplants are carried out annually in the United Kingdom and one-year-survival rates of up to 80 per cent have been achieved.

The major outstanding problem is how to prevent the recipient’s body from rejecting and destroying the transplanted organ. Such rejection is part of the normal protective mechanism of the body (see IMMUNITY). Good progress has been made in techniques of tissue-typing and immunosuppression to overcome the problem. Drugs are now available that can suppress the immune reactions of the recipient, which are responsible for the rejection of the transplanted organ. Notable among these are CICLOSPORIN A, which revolutionised the success rate, and TACROLIMUS, a macrolide immunosuppressant.

Another promising development is antilymphocytic serum (ALS), which reduces the activity of the lymphocytes (see LYMPHOCYTE) cells which play an important part in maintaining the integrity of the body against foreign bodies.

Donor cards are now available in all general practitioners’ surgeries and pharmacies but, of the millions of cards distributed since 1972, too few have been used. The reasons are complex but include the reluctance of the public and doctors to consider organ donation; poor organisation for recovery of donor kidneys; and worries about the diagnosis of death. A code of practice for procedures relating to the removal of organs for transplantation was produced in 1978, and this code has been revised in the light of further views expressed by the Conference of Medical Royal Colleges and Faculties of the United Kingdom on the Diagnosis of Brain Death. Under the Human Tissue Act 1961, only the person lawfully in possession of the body or his or her designate can authorise the removal of organs from a body. This authorisation may be given orally.

Patients who may become suitable donors after death are those who have suffered severe and irreversible brain damage – since such patients will be dependent upon arti?cial ventilation. Patients with malignant disease or systemic infection, and patients with renal disease, including chronic hypertension, are unsuitable.

If a patient carries a signed donor card or has otherwise recorded his or her wishes, there is no legal requirement to establish lack of objection on the part of relatives – although it is good practice to take account of the views of close relatives. If a relative objects, despite the known request by the patient, sta? will need to judge, according to the circumstances of the case, whether it is wise to proceed with organ removal. If a patient who has died is not known to have requested that his or her organs be removed for transplantation after death, the designated person may only authorise the removal if, having made such reasonable enquiry as may be practical, he or she has no reason to believe (a) that the deceased had expressed an objection to his or her body being so dealt with after death, or (b) that the surviving spouse or any surviving relative of the deceased objects to the body being so dealt with. Sta? will need to decide who is best quali?ed to approach the relatives. This should be someone with appropriate experience who is aware how much the relative already knows about the patient’s condition. Relatives should not normally be approached before death has occurred, but sometimes a relative approaches the hospital sta? and suggests some time in advance that the patient’s organs might be used for transplantation after death. The sta? of hospitals and organ exchange organisations must respect the wishes of the donor, the recipient and their families with respect to anonymity.

Relatives who enquire should be told that some post-mortem treatment of the donor’s body will be necessary if the organs are to be removed in good condition. It is ethical (see ETHICS) to maintain arti?cial ventilation and heartbeat until removal of organs has been completed. This is essential in the case of heart and liver transplants, and many doctors think it is desirable when removing kidneys. O?cial criteria have been issued in Britain to recognise when BRAIN-STEM DEATH has occurred. This is an important protection for patients and relatives when someone with a terminal condition

– usually as a result of an accident – is considered as a possible organ donor.... transplantation

Bone Transplant

The insertion of a piece of bone from another site or from another person to ?ll a defect, provide supporting tissue, or encourage the growth of new bone.... bone transplant

Hair Jellyfish

The Australian colloquial term for Cyanea - also known as Lion’s Mane in many other countries.... hair jellyfish

Hair, Removal Of

See DEPILATION.... hair, removal of

Heart-lung Transplant

An operation in which a patient’s diseased lungs and heart are removed and replaced with donor organs from someone who has been certi?ed as ‘brain dead’ (see BRAIN-STEM DEATH). As well as the technical diffculties of such an operation, rejection by the recipient’s tissues of donated heart and lungs has proved hard to overcome. Since the early 1990s, however, immunosuppressant drug therapy (see CICLOSPORIN; TRANSPLANTATION) has facilitated the regular use of this type of surgery. Even so, patients receiving transplanted hearts and lungs face substantial risks such as lung infection and airway obstruction as well as the long-term problems of transplant rejection.... heart-lung transplant

Human Organs Transplants Act

UK legislation that lays down the framework and rules governing organ transplantation. The UK Transplant Support Service Authority (UKTSSA), a special health authority set up in 1991, is responsible for administering the NHS Organ Donor Registry and the Act (see APPENDIX 7: STATUTORY ORGANISATIONS).... human organs transplants act

Organ Transplantation

See TRANSPLANTATION.... organ transplantation

Peripheral-blood Stem-cell Transplants

These have almost completely replaced BONE MARROW TRANSPLANT, used to treat malignancies such as LEUKAEMIA and LYMPHOMA for the past 20 years. The high doses of CHEMOTHERAPY or RADIOTHERAPY used to treat these diseases destroy the bone marrow which contains stem cells from which all the blood cells derive. In 1989 stem cells were found in the blood during recovery from chemotherapy. By giving growth factors (cytokines), the number of stem cells in the blood increased for about three to four days. In a peripheral-blood stem-cell transplant, these cells can be separated from the peripheral blood, without a general anaesthetic. The cells taken by either method are then frozen and returned intravenously after the chemotherapy or radiotherapy is completed. Once transplanted, the stem cells usually take less than three weeks to repopulate the blood, compared to a month or more for a bone marrow transplant. This means that there is less risk of infection or bleeding during the recovery from the transplant. The whole procedure has a mortality risk of less than 5 per cent – half the risk of a bone marrow transplant.... peripheral-blood stem-cell transplants

Small-bowel Transplantantion

Before the advent of small-bowel transplants, long-term intravenous feeding (total parenteral nutrition or TPN) was the last option for patients with chronic intestinal failure. Most recipients are children, and small-bowel transplantation is currently reserved for patients unable to continue on long-term parenteral nutrition. The main constraints to small-bowel transplantation are the intensity of rejection (necessitating high levels of immunosuppression), and the lack of donors who are the same size as the recipient (a particular problem for children).... small-bowel transplantantion

Transplant Support Services Authority

In the UK, this NHS authority (UKTSSA) provides a 24-hour service for matching, allocating and distributing organs. It is also responsible for keeping the records of all patients awaiting transplants. Established in 1991, the authority allocates donor organs without favour, following protocols set by advisory groups. It also administers the Human Organ Transplant Act on behalf of the Department of Health. (See TRANSPLANTATION.)... transplant support services authority

White Hair

The greying or whitening of hair which takes place with age is due to a loss of its pigment, MELANIN, and the collection of air bubbles in the shaft of the hair. There is no evidence that hair ever goes white overnight, whether in response to shock, strain or any other cause. Rapid whitening may occur patchily in a matter of days, but it is more often a matter of weeks or months. In the more rapid cases the cause is thought to be a form of ALOPECIA in which the dark hairs which fall out are replaced by white hairs. An alternative cause is VITILIGO. Certain drugs, including mephenesin and CHLOROQUINE, may also cause whitening of the hair.... white hair

Hair Analysis

Hair is believed to be a “time capsule” of a person’s metabolic activity. Believed to be a useful means of acquiring information regarding the concentration of mineral nutrients and toxins. Alone, it does not provide sufficient evidence for purposes of diagnosis, but helpful in building a picture of the nutritional state of the patient. ... hair analysis

Tea For Hair

Tea is a natural beverage that helps us stay healthy. It has plenty of health benefits related to our body - and this includes our hair, as well. Tea can act as a natural treatment for our hair. Find out more about teas for hair! Why choose tea for hair Tea can help you with various hair problems. Even if you do not have problems, you can use it as a natural “conditioner”. Benefits of tea for hair include: promoting hair growth, keeping your scalp clean, making your hair soft and shiny, acting as a mild, natural hair dye. Tea for hair Green tea is useful when it comes to preventing hair loss. Consumption of green tea reduces DHT levels and promotes blood circulation. To get these benefits, you can either drink green tea daily, massage your scalp after having rinsed your hair with green tea, or use hair care products which list green tea among their ingredients. Black tea also reduces hair loss. Besides this, it makes your hair soft and shiny, and it also acts as a mild, natural hair dye. Rinsing your hair with black tea can either darken it or bring out your natural highlights. Teas can help with hair growth, too. Types of tea which promote hair growth include nettle tea, lemongrass tea, rosemary tea and chamomile tea (which also helps you relax and reduces stress). Chamomile tea helps with scalp problems, as well, and so do burdock tea, comfrey root tea, calendula tea and marshmallow tea. Also, if you have problems with damaged hair, rinse it with neem tea. Side effects of tea for hair Side effects of green tea and black tea are related to the caffeine content which can be found in the Camellia Sinensis plant. If you know that coffee is not good for you, you might get some of these symptoms: dizziness, insomnia, loss of appetite and irritability. Rosemary tea should not be given to children under 18. Also, it should not be drunk by people taking blood-thinning drugs or high blood pressure medications. And as for marshmallow tea, it should not be drunk by people who suffer from diabetes or liver diseases. Tea can act as a natural conditioner for your hair. At the same time, when drinking it, you get many more health benefits, as well. Make sure you use these teas for hair!... tea for hair

Hair Care

Hair, like nails and skin, is a protein material built up on amino acids. It is rich in minerals, especially sulphur. A sebaceous gland at the base of the hair follicle secretes sebum, an oily substance, which acts as a lubricant. When vital minerals and vitamins are lacking in the blood the quality of fibre and sebum deteriorates resulting in lustreless hair and change of texture. Healthy hair depends upon good personal hygiene, brushing, and washing with gentle-acting materials instead of harsh detergent shampoos which remove natural oils from the scalp and spoils its condition.

An adequate daily intake of essential fatty acids is assured by the golden oils (Sunflower, Corn, etc) which can be well supported by Evening Primrose oil capsules.

Internal: Bamboo gum. Nettle tea, Alfalfa, Horsetail, Soya.

Topical. Shampoo. Soapwort or Yucca. Chop 2 tablespoons (dry) or 1 tablespoon (fresh) leaves or root. Place in cup of warm water. Stir until a froth is produced. Decant and massage liquor into scalp.

Aloe Vera gel is noted for its moisturising effect and to provide nutrients. It may be used as a shampoo, hair set and conditioner. Jojoba oil has been used for centuries by the Mexican Indians for a healthy scalp; today, it is combined with Evening Primrose and Vitamin E with good effect. Olive oil stimulates strong growth.

One of several herbs may be used as a rinse, including Nettles, Rosemary, Southernwood, Fennel, Chamomile, Yellow Dock and Quassia. Hair should be washed not more than once weekly with warm water and simple vegetable soap; rinse four times with warm rinse, finishing off with cold. Brunettes should add a little vinegar; blondes, lemon juice. Selenium once had a reputation as a hair conditioner; recent research confirms. Selenium shampoos are available.

Supplements: Vitamins B (complex), B6, Choline, C and E. Copper, Zinc, Selenium, Vitamin B12 (50mg thrice daily).

Aromatherapy. 2 drops each: Sage, Nettles, Thyme; to 2 teaspoons Gin or Vodka, and massage into the scalp daily. ... hair care

Hair – Oily

To condition. Calendula, Clary, all kinds of mints, Horsetail, Lavender, Lemon Balm, Rosemary, Southernwood. Internal and external. ... hair – oily

Hair – Surplus

See: HIRSUTISM.

HAKIMS. A group of herbal therapists, usually Indian or Muslim, who practise the Ayurvedic system of medicine. See: AYURVEDIC.

HALFA SUDANI. Sudanese grass. Hamareb. Traditional reputation in Egypt and the Sudan for breaking- up gravel and stone. Due to high salt content in soil and water, gravel is a common native affliction.

Tea: whole plant: 1oz to 1 pint water simmered 5 minutes. 1 cup freely until all is taken during the day. Continue until positive results ensue. ... hair – surplus

Corneal Transplant

See corneal graft.... corneal transplant

Hair Removal

Hair is usually removed from the body for cosmetic reasons.

It may also be shaved from around an incision site before surgery.

Temporary methods include shaving, waxing, depilatory creams, and waxing; electrolysis is the only permanent method of removal.... hair removal

Lanugo Hair

Fine, soft, downy hair that covers a fetus. Lanugo hair first appears in the 4th or 5th month of gestation and usually disappears by the 9th month. It can still be seen in some premature babies. Lanugo hair sometimes reappears in adults who have cancer. It may also occur in those with anorexia nervosa or be a side effect of certain drugs, especially ciclosporin.... lanugo hair

Renal Transplant

Another term for kidney transplant.... renal transplant

Hair Follicle

a sheath of epidermal cells and connective tissue that surrounds the root of a *hair.... hair follicle

Hair Papilla

a projection of the dermis that is surrounded by the base of the hair bulb. It contains the capillaries that supply blood to the growing *hair.... hair papilla

Hair – Dry

Internally, and externally where lotions, creams etc are available. Burdock root, Comfrey, Elderflowers, Geranium, Marshmallow, Nettles, Parsley, Sage.

Itchy scalp. Catmint leaves and flowers, Chamomile, Comfrey. ... hair – dry

Hair Falling

To arrest recent fall-out where baldness has not been established. See: HAIR LOSS for internal treatments.

Topical. Massage scalp with creams or lotions of Jojoba, Aloe Vera, or wash with strong teas made from Burdock, Sage, Elder leaves, Walnut leaves or Nettles. Apple Cider vinegar.

Aromatherapy. 2 drops each: Sage, Nettles, Thyme to two teaspoons Gin, Vodka or strong spirit. Massage into scalp daily.

Supplements. Biotin, a growth factor, seems to slow down hair loss and is a substitute for oestrogen in a penetrating cream applied to the scalp. Inositol 300mg; Zinc 15mg, daily. ... hair falling

Hair – Greying

Rinse hair with strong decoction of Rosemary, Red Sage or Oak bark: believed to temporarily allay greying of the hair.

Supplements: PABA, Vitamin B-complex, Kelp, Selenium, Zinc. ... hair – greying

Hair Loss

Alopecia. Baldness. Shedding of the hair in patches leaving glossy bald areas. It is normal to lose about one hundred hairs a day, but severe stress such as unemployment, divorce or death in a family may considerably increase hair loss. Losses of long-standing are seldom recovered.

Causes: hormone deficiency (Agnus Castus) in females, where it may be associated with failing thyroid or ovarian function. In such cases, other agents include: Helonias, Motherwort, Black Haw bark. Other causes may be pregnancy, the menopause, or simply discontinuing The Pill. Certain skin diseases predispose: ringworm (Thuja), eczema (Yellow Dock), from thyroid disorder (Kelp, Blue Flag root).

Exposure to some cosmetics, excessive sunlight, strong chemicals and treatment of cancer with cytotoxic drugs may interfere with nutrition of the hair follicles. To ensure a healthy scalp a correct mineral balance is essential calling for supplementation of the diet with vitamins, selenium, zinc and silica. Yellow Dock is believed to counter toxicity of chemicals; Pleurisy root opens the pores to promote sweat and action of surface capillaries.

Baldness sometimes happens suddenly; eye-lashes or beard may be affected. Though emotional stress and a run-down condition is a frequent cause, most cases are not permanent, returning to normal with adequate treatment.

Baldness of the eyebrows alerts us to a lowered function of the thyroid gland, being an early outward sign of myxoedema. A pony-tail hair style or the wearing of a crash helmet may cause what is known as traction alopecia. Heavy coffee drinkers invariably lose hair lustre.

Soviet Research favours silica-rich plants internally and as a lotion: Horsetail, Burdock, Nettles, Bamboo gum.

Growth of hair is assisted by improving surface circulation of the scalp which is beneficial for conveying nutrients to the hair roots and facilitating drainage. Herbal vasodilators stimulate hair follicle nutrition and encourage growth: Cayenne, Pleurisy root, Black Cohosh and Prickly Ash, taken internally. A convenient way of taking Cayenne is the use of a pepper-shaker at table.

Topical. Hair rinse. 2-3 times weekly. Infusion: equal parts Yarrow, Sage and Rosemary. 1oz (30g) to 1 pint (500ml) water. Simmer gently five minutes. Allow to cool. Strain before use.

Cider vinegar – minimal success reported.

Day lotion. Liquid Extract Jaborandi half an ounce; Tincture Cantharides half an ounce; Oil Jojoba to 4oz. Shake well before use.

Oily lotion. Equal parts Olive and Eucalyptus oils.

Bay Rhum Lotion. Oil of Bay 50 drops; Olive oil half an ounce; Rum (Jamaica or other) to 4oz. Shake well before use.

Oil Rosemary: rub into hair roots.

Russian Traditional. Castor oil half an ounce; Almond oil 1oz; Oil Geranium 15 drops; Vodka to 6oz. Rub into hair roots.

Aromatherapy. To 1oz Castor oil and 1oz Olive oil add, 10 drops each – Oils Neroli, Lavender and Rosemary.

Gentian plant extract. Japanese scalp massage with extract from roots to thicken thinning hair. Some success reported.

Supplements. B-vitamins, Kelp, Silicea Biochemic salt. Zinc. Low levels of iron and zinc can cause the condition.

Note: Studies show that male occipital baldness confers a risk of heart disease, being associated with a higher total cholesterol and diastolic blood pressure than men with a full head of hair. Frontal baldness has not been found to be associated with increased risk of coronary heart disease and myocardial infarct. “It seems prudent for bald men to be specially vigorous in controlling risk factors for such conditions.” (S.M. Lesko, Journal of the American Medical Association, Feb 24, 1993, 269: 998-1003) ... hair loss

Heart Transplant

Replacement of a patient’s damaged or diseased heart with a healthy heart taken from a donor at the time of death. Typically, transplant patients have advanced coronary artery disease or cardiomyopathy. During the operation, the function of the heart is taken over by a heart–lung machine.

Most of the diseased heart is removed, but the back walls of the atria (upper chambers) are left in place.

The ventricles (upper chambers) are then attached to the remaining areas of the recipient’s heart.

Once the immediate post-operative period is over, the outlook is good.

Patients face the long-term problems associated with other forms of transplant surgery.

(See also heart–lung transplant.)... heart transplant

Liver Transplant

Replacement of a diseased liver with a healthy liver removed from a donor. Liver transplants are most successful in the treatment of advanced liver cirrhosis in people with chronic active hepatitis or primary biliary cirrhosis. People who have primary liver cancer are rarely considered for transplantation because there is a high risk that the tumour will recur.During this procedure, the liver, gallbladder, and portions of the connected blood and bile vessels are removed.

The donor organs and vessels are connected to the recipient’s vessels.

After the transplant, the recipient is monitored in an intensive care unit for a few days and remains in hospital for up to 4 weeks.... liver transplant

Heterotopic Transplantation

see orthotopic transplantation.... heterotopic transplantation

Islet Cell Transplantation

a new technique still under evaluation for curing type 1 *diabetes mellitus, which involves the injection of donated cells from the pancreatic *islets of Langerhans into the liver, where it is hoped they will seed and survive. The transplanted cells then take over insulin production from the recipient’s diseased pancreas.... islet cell transplantation

Menkes Kinky-hair Disease

a genetic disorder characterized by severe learning disabilities, seizures, poor vision, colourless fragile hair, and chubby red cheeks. It is inherited as an X-linked (see sex-linked) recessive characteristic. There is no treatment and affected infants usually die before the age of three. [J. H. Menkes (1928–2008), US neurologist]... menkes kinky-hair disease

Nhs Blood And Transplant

(NHSBT) a *special health authority established in 2005 to provide a safe and reliable supply of blood, organs, stem cell services, and diagnostics to hospitals. NHSBT also provides specialist therapeutic apheresis services, which remove or replace a single component of blood (e.g. malignant white cells or low-density lipoprotein), at six sites in England.

NHS Blood and Transplant website... nhs blood and transplant

Transplant Surgery

Replacement of a diseased organ or tissue with a healthy, living substitute. The organ is usually taken from a person who has just died. Some kidneys are transplanted from a patient’s living relatives (see organ donation). The results of surgery have also been improved by testing for histocompatibility antigens and tissue-typing.

Rejection is a major problem. However, a combination of a corticosteroid drug and ciclosporin are given in order to suppress this response.

Every patient who undergoes an organ transplant operation must take immunosuppressant drugs indefinitely. (See also heart transplant; heart–lung transplant; liver transplant; kidney transplant.)... transplant surgery

Orthotopic Transplantation

transplantation of a donor organ or tissue (usually the liver) into a recipient at the site where the recipient’s organ has been removed. In contrast, heterotopic transplantation involves the preservation of the recipient’s organ in its natural site and the addition of the donor organ at another site.... orthotopic transplantation

Renal Transplantation

see transplantation.... renal transplantation



Recent Searches