Dr. Nuttorn NARUPAVES
Cosmetic Surgeon
Nanofat and hair restoration
Objectives: The objective of nanofat is induce regeneration in treated scalp and hair at the molecular level and prevent shockloss hair after hair transplantation. Longhair transplantation is to safely transfer hair follicles from the donor area to the recipient area without shaving or trimming to obtain a natural-looking result and restore hair volume.
Introduction: Hair transplant is becoming the most common cosmetic procedure across the world with demand for higher density and coverage of baldness.
NS-FUE was introduced in 2016 and has the advantage of donor area preview. With no need for donor area shaving.
A possibility of postoperative donor hair effluvium is reported, which can happen post-surgery. The condition may appear after few weeks of the surgery and slow diffuse hair loss.
Nanofat can improve neovascularization and graft survival.It has been successfully used in several procedures in regenerative medicine.
Materials / method: We improved the nanofat processing for restore hair growth and treat different types of hair loss. A total of 30 patients (28 men and 2 women). Nanofat is maintain hair health before and after NS-FUE. Nanofat was processed via mechanical emulsification and filtration. Injecting into the scalp for female pattern hair loss, and were treated for male pattern baldness. They had Norwood Type III baldness to Type VII baldness. NS-FUE was applied after received nanofat two months.The total surgery time was approximately 5 hours.it harvest donor hair without shaving.The recipient area looked natural.
Results: Shock loss or recipient-site effluvium was not seen in patients who continued to have preexisting hair within the transplant zone. Nanofat helped in reducing the risk and early recovery. All patients showed natural hair transplant results at their follow-up visits and were satisfied with the results.
NS-FUE was the immediate visualization of the result at 1 year postoperatively. In addition, the recipient area looked natural and was camouflaged by long hair.
The patient's photographs were taken. The body hair with scalp has enhanced the visual density, coverd in all grades of baldness.
Conclusion: This finding confirmed that nanofat promoted hair growth, a higher number and density of hair. In each case shock loss can be prevented by using nanofat for anagen effluvium, telogen effluvium. Beyond that, combination method showed result in hair promotion. These result further supported nanofat and longhair transplantation (NS-FUE) are working in combination, leading to and additively effect.
Althogh I've found the beneficial effect of combination on hair growth. There're still existed some limitations. Firstly, the difference of age and hair morphogenesis should be further analyzed.