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Hair Transplantation

Techniques Used in Hair Transplantation?

FUE, SAPPHIRE FUE or DHI?

There are three main techniques used in hair transplantation: The Follicular Unit Extraction (FUE) Sapphire FUE and Direct Hair Transplantation (DHI). The harvesting of hair roots in all of these techniques are the same, however, there are major differences between them in the way the recipient sites are prepared and the harvested roots are implanted to the recipient area.

Root Harvest

root harvest hair transplant

In all modern hair transplantation techniques, the hair roots are harvested individually, by circularly cutting knives. These knives are called ‘punch’, and may be manuel or electrically powered (also called as micro-motor). Next, these grafts are manually collected from the back of the head with a forceps

Root Treatment

Hair Follicles in Petridish

Harvested roots are washed, then the damaged ones are screened and excluded. While waiting for reimplantation, these roots are kept moist in a special cold solution that can keep the cells alive.

Preparation of the Recipient Site & Root Implantation

Slit pen is a tool for Hair Transplantation
FUE (Follicular Unit Transplantation)

In FUE technique, the recipient are is prepared by opening slit type (longitidunal) wounds in the scalp by specific blades. Then the hair roots are placed into these pre-cut slits one-by-one, with forceps.

Sapphire Blades using Tool for Hair Transplantation
SAPPHIRE FUE

In Sapphire FUE technique, the blade used to prepare the recipient area is not rectangular but spear-head type. The aim is to create a more rounded recipient hole with less dead space, so that the inserted hair is less likely to move and change direction. Then, the hair roots are placed into these hole with forceps, as in the traditional FUE.

DHI pen is a tool for Hair Transplantation
DHI (Direct Hair Implantation)

In DHI, each root is first introduced into a pen (Choi-pen), which has a self-cutting needle that inserts the hair root automatically into the scalp with a needle prick. This technique may be seen as a more advanced way of achieving what the Sapphire FUE technique aims: Putting a root into a snugly fitting recipient hole to prevent dislocation. Moreover, DHI does recipient area preparation and root implantation in a single step, minimizing both the root and surrounding tissue trauma.

Advantages of DHI

DHI and to some extend Sapphire FUE techniques have several advantages over the classical FUE technique:

  • The roots can be positioned safely at any angle in DHI, however, in FUE technique they can move and change direction in FUE slits until they heal. So DHI creates a better hair design. 
  • As the roots are placed into a tight recipient pocket in DHI, the chances of traumatic dislocation of the transplanted roots are less when compared to FUE.
  • The size of a DHI needle prick is much smaller than a FUE scalpel slit, so DHI creates less tissue trauma and consequently less edema and bleeding. That means DHI has a better postoperative recovery time.
  • Again due to the size difference of the scalp cuts between FUE and DHI, the latter technique can be safely used to implant hair roots in between native hair roots in recipient areas which are not totally bald. With FUE, the chances of damaging neighbouring hair roots during slit opening is higher. So In such areas DHI is preferred.
  • With DHI, a more dense implantation is possible when compared to that in FUE technique.

Disadvantages of DHI

The main disadvantage of DHI technique is the time consuming nature of the procedure. Therefore a maximum of 2500 to 3000 units can be transferred with DHI in one session, whereas in FUE this number can go up to 4500 roots/session. Another disadvantage of DHI is the increased cost due to the special equipment used in this procedure.

You do not need to choose one of these techniques over the other, if necessary a mixed technique may be used in different areas of your scalp, together providing both the speed of FUE and preciseness of DHI. Dr. Demirkan will help you to create the best treatment approach according to your hair loss style.

What Should I expect?

The Result Depends on More Than One Variable

Hair transplantation is a successful surgical treatment for male patter boldness. The techniques used in transplantation has evolved significantly within the last decade, leading to more dense and more natural looking results. However, a good result is not all depended on the technique used. There are many variables that will affect the outcome:

Hair Transplantation What Should I expect Foto of Patient
Hair transplantation before after tip 6

Better Results

  • Hair loss in smaller area
  • Thicker hair
  • A negative family history of complete baldness
  • Younger age
  • Not smoking
  • Meticulous postoperative care
  • Prevention of postoperative infections
  • Prevention of postoperative trauma
  • Halting of genetic hair loss after transplantation
  • Use of hormone blockers against dehydroepiandrosterone

Lesser Results

  • Wide areas of hair loss
  • Thin hair
  • Curly hair
  • Sparce hair at the donor site
  • Repeat hair transplantation
  • Advanced age
  • Smoking
  • Lack of adequate postoperative care
  • Infection of hair follicles after the transplantation
  • Exposure of the scalp to trauma
  • Ongoing genetic hair loss of the native hair at the recipient site

Beyond those variables, the most important part that will affect the survival of the transplanted hair follicles during your surgery is cleanliness (sterility) of the surgical enviroment and delicate treatment of the hair roots during all phases of the transplantation.

Non Surgical Treatments for Hair Loss

None is as Effective as Hair Transplantation

Hair loss in men is caused by a genetically increased sensitivity of hair follicles to the male hormone “dihydrotestesterone” (DHA). Despite normal DHA levels, these individuals have a constant thinning and subsequential loss of the hair in the frontal, temporal regions and at the top. The end point of the hair loss is also genetically predetermined. Understanding the molecular mechanisms of this problem have provided us some effective medical treatment options that can slow down the hair loss, revitalize dying hair strands or boost the results of hair transplantation.

Majority of these medical treatments are anti-androgenic medications targetting blockade of DHA activity on hair follicles. Others support hair follicle life cycle by improving regional blood flow or through the action of growth factors they provide.

As dehydrotestesteron presents continuously in the bloodstream at a constant level, any medication that fights with male type hair loss, has to be used continuously. However, androgenic hormone levels drop significantly after 50, and hair loss may get stabilized spontaneously.

Medications and Treatments Effective Against Hair Loss in Men

  • Finasteride (oral* or topical)
  • Dudasteride (oral or with mesotherapy)
  • Minoxidil (oral or topical*)
  • Latanoprost (topical)
  • Microneedling
  • PRP
  • Low Level Laser Light Therapy*
  • Stem Cell and Fibroblast injections
  • Exosome therapy
  • Supplements & Topical Oils

* FDA approved treatment

Finasteride: It is a medication that blocks dehydrotestesteron production and has been in use for male type hair loss for more than 2 decades. It is used as 1 mg tablets taken every day, and it shows its effects after several months. It is more more effective in treating balding at the vertex, rather than at the frontal scalp, and more effective if started early. It should be used continuously otherwise the effect will wear out in couple of months. In long term use, it may cause some sexual dysfunction such as erectile or ejaculatory problems or loss of libido in a small percent of cases.

Moreover, depresion may be added on top of sexual dysfunction which is called post-finasteride syndrome. If any side effects do occur, the drug should be discontinued as these side effects may not be reversible in some persons. Anew topical gel formulation is available with much less side effects with similar results.

Dudasteride: This is another dehydrotestesteron production blocker that functions at two different steps, so it is much more potent than finasteride. It is used as 0,5 mg tablets /day and it is more efficacious than finasteride at increasing hair counts at 24th week of use. It has similar side effects like finasteride and is twice more expensive. Dudasteride may be administered as local injections, and by this way it has much less side effects due to its limited systemic absorption. Dudasteride mesotherapy is performed every three months.

Minoxidil: It is a anti-hypertensive drug that can induce hair growth all over the body, as a side effect. Therefore topical use as 2-5% lotion or foam twice a day is advised. Its effect is variable but with a dedicated application, usually an increase inhair density and thickness is observed after 4 to 7 months. Again the use has to be continuous. Due to difficulty of applying a serum twice a day to hair, compliance is the major problem, and therefore a low dose oral administration, between 0,25 to 1,25 mg/day, is now proposed.

Latanoprost: This lotion is a prostaglandin F2 analogue and used as 0,1% lotion topically, everyday. It increases the growth of hair follicles after 24 weeks. Similar lotions have been in fashion to augment eyelashes and eyebrows in the last decade. They are effective, however, high cost of the drugs limit their usage.

Microneedling: This is a safe adjuvant therapy that can be performed by the patient himself at home with commercially available rollers. Small percutaneous wounds are induced with small needles, resulting in the release of growth factors that enhance the number and thickness of hair follicles. The advocated needle size differs between 0,6 to 1,2 mm. This treatment actually prepares the scalp for other topical medications by creating channels to improve absorption. Combined applications with topical finasteride and minoxidil solutions, or even with PRP has been shown to be synergistic.

Low Level Laser Therapy (LLLT): Since 1960s, low fluence red laser at 655 nm whas been known to grow hair. In the last decade, LLLT has emerged as a more commercially available therapeutic method for treating male type hair loss through invention of home-use devices that are available in the forms of combs, helmets, and caps. The Capillus® laser cap and Hairmax® Lasercomb/Laserband are two such devices that are FDA-cleared for the management of male type hair loss.

They are used daily or every other day for 10 to 15 minutes, and after 4 months an increase in density is observed. Combination of LLLT with minoxidil or finasteride may improve the efficacy.

Platelet Rich Plasma (PRP): It is not curative, generally indicated for patients with early-stage hair loss, and needs to be repeated regularly to maintain the effect. The problem with maintainance is the semi-invasive nature of the procedure: approximately 10-30 mL of blood are drawn from the patient’s vein and centrifuged for 10 min in order to separate the plasma from red blood cells. The platelet-rich plasma, containing numerous growth factors, is then injected into the deep dermis or subcutaneous tissue at a volume of 4-8 mL per session.

There are different protocols for the frequency of applications, however, it was shown that more frequent use during the first 3 months (montly or twice/month), followed by quarterly boosts induces a quicker onset of action. Usually the patient satisfaction is high and majority continue with the maintainance therapies.

Stem Cell Therapies:
  1. Mesenchymal stem-cells are isolated from fat harvested by liposuction, and these cell are injected into the scalp for supporting hair follicle growth. The results are variable and the stem cell harvest needs a surgical procedure.
  2. Follicular stem-cell can be obtained by mechanical centrifugation of scalp’s punch biopsy, and injected back to hair depleted scalp without any processing, to improve the hair density.
  3. Recently fibroblasts, which has been shown to have stem-cell like capabilities have been advocated for treatment of male type hair loss. Fibroblasts are obtained by punch biopsies from the patients skin and proliferated in cell cultures and then injected into the scalp to induce follicular growth.

Exosome Therapy: Exosomes are nano-sized, membrane-bound vesicles secreted by stem cells. They represent a new frontier in regenerative medicine. They contain potent growth factors that can stimulate hair follicle at several levels. They are free of cells, so they can be manufactured and used without immunological concerns. Their application is with injection in to the scalp, with intervals, like PRP. ExoFlo and ExoCel are two comercially available preparations for male type hair loss.

Supplements & Oils: A deficiency in vitamins B12, C, D, or H are known to cause hair loss. However, male type hair loss is not related to vitamin deficiencies unless there is a concomitant nutritional problem. The nutritional supplements used in male type hairloss are formulated with phytocompounds which are natural suppressors of androgen activity (saw palmetto, etc), have anti-oxidant effects (resveratrol) or increase local blood flow.

Nutrafol®
is a well studied hair supplement. Topical caffeine used in shampoos and lotions has an interesting boosting effect on follicle proliferation. Rosemary oil, pumpkin seed oil and tea-tree oil are plant based oils which have some clinical evidence about their effectiveness on male hair loss.


However, it is not practical to use hair oils on a daily base, a fact aversing patients from these products. A marine complex oral supplement (Viviscal®) obtained from sharks and mollusks has demonstrated hair growth promotion in male type hair loss patients, and later shampoo and cream versions are released.

Transplantation Procedure

An Overlook

Hair transplantation may be performed in a two-night visit to Istanbul, if you can arrive with a morning flight and return with an evening one. Here is a short schedule of a typical hair transplantation trip:

DAY 1
DAY 2
DAY 3
  • Airport transfer (2 hr)
  • Hotel check-in (15 min)
  • Transfer to the hospital for blood tests (20 min)
  • Blood tests (30 min)
  • Transfer to the hospital (20 min)
  • Consultation with Dr.Demirkan for discussion and planning (30 min)
  • Hair shaving (10 min)
  • Photography (5 min)
  • Change of clothes to surgical gown and room arrangements (10 min)
  • Anesthesia in prone position (10 min)
  • Root harvest (1 to 3 hrs)
  • Root screening and counting ( performed while the harvesting is going on)
  • Break for lunch (30 min)
  • Root implantation (1 to 3 hrs)
  • Return to hotel (20 min)
  • Check-out from the hotel (10 min)
  • Transfer to the hospital (20 min)
  • Removal of the bandages and hair wash (30 min)
  • Photography (5 min)
  • Hair wash and other instructions (20 min)
  • Transfer to the airport

Beyond those variables, the most important part that will affect the survival of the transplanted hair follicles during your surgery is cleanliness (sterility) of the surgical enviroment and delicate treatment of the hair roots during all phases of the transplantation.

Better Results

  • Hair loss in smaller area
  • Thicker hair
  • A negative family history of complete baldness
  • Younger age
  • Not smoking
  • Meticulous postoperative care
  • Prevention of postoperative infections
  • Prevention of postoperative trauma
  • Halting of genetic hair loss after transplantation
  • Use of hormone blockers against dehydroepiandrosterone

Post-Operative Period

It is a Procedure with a Very Long Recovery Period

It takes 9 months or a year to see the results of hair transplantation. This is related to long life cycle of hair follicles. After transplantation, the newly implanted hair follicles typically enter a resting phase (telogen), leading to the shedding of the transplanted hairs within the first few weeks to months. The recovery period allows for these hairs to shed and the hair follicles to rest before the new growth cycle begins. As seen in the above photos, typically there is a shedding of the implanted hair 1 month after the transplantation, then the hair starts to come back after the 3rd month and continues to grow until 9 months.The donor area heals in 3 weeks.

Proper care and adherence to post-operative instructions in the early recovery period are essential to ensure the best possible outcomes.

Immediately After Surgery:

Dressing Removal: The medical team will remove the bandages and dressing used to cover the donor areas. After washing the donor area may be closed with a dressing again for one more day.

Instructions for Washing: You will receive detailed instructions on how to wash the transplanted area, and also see how it is done from the medical team as they wash your hair. this is an important part of early healing because scabs are formed around implanted follicles due to oozing blood and liquids and these scabs have to be removed by gentle daily washing within the next 15 days. If the stay longer they may create infection in the form of folliculitis. The special shampoo and cream conditioner will be provided to you. The team will show you how to use your hands during washing and how to dry your head with a towel.

Itching: If there is itching in the transplanted area do not rub but use the spray given to you.

Medications: There will be an antibiotic, pain killer and anti-edema medication that should be taken for a few days. You may use hair specific vitamins for the next 6 months. Anti androgenic pills or lotions may also be prescribed according to the needs of individual cases. may be prescribed medications to prevent further hair loss or promote hair growth.

First Few Days (Days 1-3):

Swelling: Some degree of swelling, particularly around the forehead and eyes, is common during the first few days. It usually resolves within a week. You may wear a head band to prevent edema to descend towards your face.

Pain and Discomfort: Patients may experience mild pain, tightness, or discomfort in the donor and recipient areas. Pain medications prescribed can help manage this.

Sleeping Position: Typically sleeping on your back is advised for 3 weekswith some head elevation to minimize swelling. Sleeping on your side may cause loss of the implanted follicled due to friction.

Avoiding Physical Exertion: Strenuous physical activity, heavy lifting, swimming, sauna and exercise should be avoided for at least a few weeks.

Scab Formation: Small scabs will form in the recipient area, which is a normal part of the healing process. These scabs will typically start to fall off within a week or two.

First Week (Days 4-7):

Shampooing: The transplanted area should be washed gently, daily, with the moisturizing cream and shampoo given. Proper washing and care are essential to prevent infection and promote healing. After 15 days you can use your regular hair care products.

Return to Work: Many patients can resume work and most daily activities within a week, depending on their comfort level.

Avoiding Sun Exposure: You should avoid prolonged sun exposure to the treated areas to prevent sunburn, irritation and hyperpigmentation.

2-5 Weeks After Surgery:

Shedding: It’s common for the newly transplanted hairs to shed after the third week. This is a normal part of the process, and new hair growth will gradually begin.

Avoiding Trauma: You should avoid any activities that could traumatize the transplanted area, such as scratching, rubbing, or wearing tight headgear.

Gradual Healing: The donor and recipient areas will continue to heal and improve over the next several weeks.

Haircut: You may have a haircut after 1 month with scissors. Electrical cutters may be used after the third month.

Months After Surgery:

New Hair Growth: After the initial shedding, patients will start to see new hair growth in the transplanted areas. This can take several months, and the final results may not be fully visible until 9-12 months post-surgery. Hair Dying: This can be done after the 6th month.

Hair Transplantations Packages

You Need to Spare Just a Weekend!

Hair transplantation is a fairly safe procedure performed in 4-6 hours under local anesthesia. If you are a healty individual without other medical problems, a two-nigh / three day visit to Istanbul may be sufficient for a successful result. If you would like to do some sight-seeing as well, you may add a few days to your trip planning.

SAPPHIRE FUE Package

  • Up to 4000 grafts with Sapphire FUE technique
  • PRP Injection
  • Airport round-trip transfer
  • Three-night accomodation at 4* Hotel
  • Preoperative blood tests
  • Consultation with Dr. Demirkan
  • Translation service
  • Per-operative medications
  • Special shampoo and lotion
  • Hair wash demonstration

DHI Package

  • Up to 2700 grafts with DHI technique 
  • PRP Injection
  • Airport round-trip transfer
  • Three-night accomodation at 4* Hotel
  • Preoperative blood tests
  • Consultation with Dr. Demirkan
  • Translation service
  • Per-operative medications
  • Special shampoo and lotion
  • Hair wash demonstration

+ Fibroblast Injection*

  • 50 Million cells after the 4th week
  • 50 Million cells after the 8th week
  • Airport round -trip tranfer, twice
  • One might accomadation at 4* Hotel, twice
  • A control visit with Dr. Demirkan, twice

VIP PACKAGE

  • Up to 4000 grafts with mix Sapphire FUE & DHI technique
  • PRP Injection
  • Airport round-trip transfer with luxury minivan
  • Four-night accomodation at 5* Hotel, double occupation
  • Preoperative blood tests
  • Consultation with Dr.Demirkan
  • 7/24 Translation services
  • Complimentary dinner at a Michelin Starred Restaurant for two
  • Per-operative medications
  • Special shampoo and lotion
  • Hair wash demonstration
  • Two sessions of hyperbaric oxygen tx**
  • Fibroblast Injection package included (2000 € value)

*Fibroblast injection treatment

Fibroblasts are collagen producing cells living in the skin. They can be harvested by a small cut in the skin and then can be cultured in the laboratory. When they are injected back in to the skin it is observed that they may exert stem cell like effects by the exosomes they secrete. Fibroblast injection has become more popular over stem cells, recently, because of the following reasons:

  • They can be multiplied to millions, while stem cell cannot be modified or multiplied due to legal restrictions. They can only be used as much as they can be harvested from the fat or hair follicles.
  • The exosome effect is quite strong and fibroblasts are a good source of exosomes
  • Fibroblast harvest is a short procedure that can be performed in the office, while mesenchymal stem cell harvest from fat requires an operation (liposuction)

**Hyperbaric Oxygen Treatment

Hyperbaric oxygen treatment after hair transplantation has been shown to reduce itching, folliculitis incidence and shedding rate in scientific studies. Administration of 100 % oxygen under high air pressure increase oxygen transportation to the transplanted follicles and reduce the injury they suffer during the period they stayed out of the body. It is given 2 to 7 sessions after the transplantation starting from the transplant day.

FAQ

Frequently Asked Questions in Hair Transplantation

Is it better to have hair transplantation early or later?

There is no tests that can predict the fate of your hair loss, in other words, when it will stop. As this is a genetically transmitted problem, one might look at the hair condition of the men among the relatives, particularly ones on the mother’s side as a clue. Dr.Demirkan advices to have the hair transplantation when it really becomes a nuisance for you and in a period the hair loss is at least partiallly stabilized. During the earlier years in life is the physical appearance is psychologically more important and most of the time there is another chance for a second hair transplantation. Moreover, the lesser the hair loss, the better the result is.

Is hair transplantation a painful procedure?

It is a procedure which is not very painful, thanks to the new devices that apply the anesthetic solution to your scalp. The so called “needle free anesthesia” does actually uses a pressure pump effect to disguise the pain related to the injection. Due to the anatomy of scalp innervation, after a one-line peripheral anesthetic injection, the whole scalp can be anesthetized.

Should I quit smoking before the hair tranplantation?

Smoking decreases the blood flow in all tissues. There is no direct relationship between the success of hair transplantation and smoking, however, as this is a grafting depending on blood circulation in the recipient area, procedure it is better to stop smoking 2 weeks prior to surgery and keep that abstinance 2 more weeks, after the transplantation. Just decreasing the amount of smoking has no positive effect.

How many grafts do I need?

The amount of roots you need depends on the extend of hair loss and the diameter of your hair follicles in the donor area. For a rough estimate the following table may provide some information for you:

Classification Number of Grafts

When the amount of transplantation exceeds 4000 in FUE and 2500 in DHI, a two session transplantation is adviced because the transplantation time will be to long. Implanting hair over these limits may have untoward effects such as:

  • A new dose of anesthesia may be required and that may exceed safe total daily amount of the medications
  • All hair follicles has to be harvested before the implantation phase as the posture will be changed from prone to supine. If there are too many roots to harvest,, the duration of waiting of roots in the petridish before implantation will exceed 2,5 hr which will decrease their survival.

Do I need more than one session?

If you need a total graft amount more than 4000 in FUE and 2500 in DHI techniques you will need a second session. A second session is usually performed 9 months after the first tranplantation when the results are obatained. By this way the older transplantation area can be revised if necessary. You may plan the pattern of implantation for each session with Dr.Demirkan according to your priorities. The usual approach is to cover the frontal area first then doing the top part in the second session.

What is the maximum amount of grafts that can be harvested for hair transplantation?

The maximum amount of hair follicles that can be harvested from the back of the head is about 6000 in average. It may be less according to the diameter of the hair and the amount of hair loss.

Should I use any medication after the hair tranplantation?

Dr. Demirkan suggests you to use finasteride for at least 1 year after the transplantation as this is the most effective medication that will halt your hairloss. By this way you may more clearly see the results of your haiir transplantion which will come out after 9 months. The hair brought from the back do not fall once they survive the first 3 weeks of transplantation.

If there is any hairloss afterwards it is usually the native hair at the recipient site intermingled between the implanted hair. However, it is difficullt for patients to understand which is which as the tranplanted hair do fall down after 4 weeks and come bacter after 3 months.

Should I use a hair band after the surgery?

The edema formed in the hairy scalp swell significantly after the transplantation and this edema fluid will travel downwards towards your face by gravity after the transplantation. Therefore a hairband may be useful to decrease the facial edema.It can be used for a week.

Can I wear a hat after hair tranplantation?

It is better not to wear any hat after the transplantation because while putting it on and off you may accidentally dislocate some of the transplanted hair follicles. The band part of the most hats may sit directly on the recipient follicles something that must be avoided.

Will there be a scar in the donor area after hair transplantation?

The donor area usually heals without any scar. There may be a temporary redness for a few weeks.

When I will get the result after hair transplantation?

The results will be available only after 9 months due to the long life cycle of hair follicles.

Will the result be permanent?

The results are permanent when the transplanted hair follicles survive the critical early postoperative period which is about 3 weeks. They will be resistant to the effects of androgens and will stay even if the native hair around them may fall. If the native recipient area hair falls after the transplantation a peculiar ‘negative2 image will occur as in the following case:

Hair Transplantation second time

 

Here you may see the transplanted hair in the new hairline and frontal part survives while the native hair falls. The right photo is after the second hair transplantation.

Why some hair transplantations are not successful?

It is expected and acceptable to lose about 10 % loss of transplanted follicles. However, if the loss is more than that it may be a partial or total failure. There are several reasons for a hair transplantation to fail:
  • Infection of the hair follicles: This might originate from a break in sterility during the implantation procedure or from post operative contamination. The latter usually happens from sweating too much or scratching the scalp. Being exposed to dust or bad air conditions may be another risk factor. A hair follicle infection reflects itself in the form of a pimple that might be overlooked:

 

Pimple
 
  • Follicle root trauma during harvest and implantation: The hair roots are sensitive to forceps pressure and may die due to harsh handling. A good transplantation team with a respect for tissues is required.
  • Follicle Ischemia: Hair follicles are screened and counted after their harvest but has to be kept moist for some time in petridishes before implantation. If this period exceeds 2,5 hours, the hair root may die as there is no circulation or fluid around it necessary for the cellular activity. Dr. Demirkan gives significant importance to this ischemia time and also uses special preservation solutions that are used in organ transplantations to extend their survival.
  • Mechanical Trauma: This is another common cause of hair loss after the tranplantation. Any friction or rubbing in the recipient are may dislodge the implanted follicles during the first three weeks. This may happen by hitting the head accidentally, from turning around too much during sleep, scratching, or washing the hair without care.

How much time do I need to get back to work?

You may go back to work 1 to 2 weeks after the hair transplantation with necessary precautions (not wearing a hat, protecting from trauma, sweating, etc). However it will be obvious that you had a hair transplantation due to the swelling, hair cut and some redness in the area.

When can I have a hair cut after hair transplantation?

You can have a haircut 1 month after the transplantation.

When can I go to the gym after the operation?

It is better to wait for at least 3 weeks before any sport activities because it will increase sweating, sweeping and trauma risks.

Does any hair grow at the donor site?

The area from where a hair root is harvested will stay empty. Therefore one in every 3 or 4 roots in a row is harvested to keep the donor area in good shape.

Can I have more than one hair tranplantation?

You may have 2 effective hair transplantations, a third one is usually not possible.

Does my other health problems have an impact on hair tranplantation eligibility or success?

If you have other medical problems you should mention these early during your consultation. Diseases like diabetes may affect your wound healing and graft take. Hypertension may cause more bleeding and crusting around follicles. More importantly these medical problems may exacerbate and create additional health problems during hair transplantation if they are not under adequate control.

How much does hair tranplantation cost?

Hair transplantation costs differ significantly between countries and even within a same city. The prices for sapphire FUE and DHI are higher as special equipments and more trained personnel are required in these procedures. Please see our Packages for the pricing.