The Hair Transplant

en 2020-04-30 16:09:00 2020-09-07 09:11:04 Hair Transplantation
Watch video to see step by step procedure

Hair Transplantation

There are many new methods of hair transplants, most of which build on the biggest advancement in hair transplant technology, the Follicular Unit Extraction (FUE) method. Gone are the days of having scars in the rear of the head (from the strip surgery of early 2000’s) as well as the unnatural-looking hair plugs (from the 1980’s and 90’s). Now, with the FUE method (and its many variants), as well as the DHI method of transplantation, results look natural and are long lasting. 

A hair transplant can be a permanent solution for hair loss, and is carried out with minimal surgical intervention. Individuals with scars, or those who have lost hair due to various diseases, can also safely undergo a hair transplant surgery. Women and men can both benefit from this procedure.

Read more about the most common methods below, all of which are offered at Dr. Serkan Aygin Clinic. Our clinic in Istanbul is a cost-effective, award-winning alternative to a hair transplant in the UK, US, or other expensive markets. (Istanbul is like its own Harley Street or Beverly Hills, for this reason.) Our hair transplant procedures are available for men and women, and all types of hair.

Follicular Unit Extraction (FUE) Hair Transplant Operation

The FUE hair transplant is the gold standard of hair transplant surgery. This method was developed in the early 2000s and introduced in 2005. This technique has been in continuous development with and refinement, but the basic principles of FUE remain the same today. It is used at nearly all hair transplant clinics around the world.

The most advanced technique in hair transplantation is the FUE technique.

The FUE technique leaves no scars and its recovery time is shorter than past methods. The FUE technique can be performed with a variety of different instruments, all while under local anaesthetic. The technique is known with different names, such as Classic FUE (via micro motors), Robotic FUE. DHI technique (FUE performed with Choi implanters), and Sapphire FUE (FUE performed with Sapphire blades).

For example, a FUE hair transplant conducted with sapphire blades allows a high number of hair follicles to be transplanted in one session. The difference between classic FUE and Sapphire FUE is that the tip of the instrument uses steel vs. sapphire blades; the latter is a much smoother material, and allows for faster healing with much less scarring. The DHI technique is preferred for high-density hair transplants, which look every bit as natural.

 

infographic showing the stages of sappire fue

A Complete Pain Relief Method in Hair Transplantation

Sedation tube

Thanks to the use of sedation given under the direct supervision of our Anesthesiologist, you will no longer feel any pain during the administration of local anesthesia prior to the hair transplant procedure. As a consequence, you will be having a more comfortable and pain-free hair transplant experience. Even though hair transplants are generally considered as painless procedures, this new method will help our patients who suffer from Trypanophobia (needle phobia), to feel at ease, allowing them to relax during the procedure. Owing to this, the level of pain that was currently at minimum is now completely eliminated.

What is Sedation?

Sedation is the action of producing a state of calm or sleep under controlled sedative drug administration, monitoring the depth of sedation with the types of drugs used and the amount given tailored specifically to each patient needs.

Do I Have to Receive Sedation?

Sedation is efficient and safe even in young children and as we previously mentioned, it assures the patient a discomfort free hair transplant procedure with zero pain. But then again, we continue to offer hair transplant procedures without sedation for patients who do not prefer. sedation to be administered

Process of Hair Transplantation

Every technique used in hair transplantation share basic principles.These principles are:

  1. Harvesting hair follicles 
  2. Creating incisions
  3. Transplanting hair follicles

Harvesting Hair Follicles

This is a charachteristic of FUE which allows the hair follicles to be collected with an extremely high aesthetic success rate. With the FUE method, the hair follicles are harvested one by one using fine tips. This way the follicles can be harvested with minimal distortion.

Depending on the length of each follicular unit it is important to utilize needles that have a diameter of 0,7mm to 0,9mm or if the follicular unit grafts contains 3-4-5 hairs needles with a diameter of 1,0 mm should be used. The sharpness of the needles as well as being single-use with each patient, are the elements that have a considerable impact on the operation's success. Another important factor is to extract hair follicles with precise accuracy so as to avoid any follicular damage. For example; if the person who is having a hair transplant has very curly hair, by using a curved punch called u-graft during the process of extracting follicular units, the risk of follicular damage can be eliminated. All of these elements are refinements planned by the doctor prior to the operation, which are tailored specifically to each patient's condition.

Recipient Site Preparation

In the classic FUE technique, steel blades are utilized for creating the recipient sites within the transplanted area. Nowadays the much sharper and smoother sapphire blades are used. The use of sapphire blades makes it much easier to determine the correct angle and direction of the transplantation.

While making slits in the recipient area, it is very important to follow the direction and angle of the existing hair in that region.

With the use of sapphire blades the healing process is much shorter.

For each patient, according to hair follicle thickness, just a few blade tips will needed. Once again, the blades should only be used on an individual patient during a single procedure.

Transplanting Hair Follicles

Animation of harvesting and transplanting  hair folliclesThe final stage, which is transplanting the hair follicles; is the process of transplanting the follicles one at a time at an angle of 40-45 degrees, within the incisions that have been created at directions that enables accurate placement. All three phases have certain specific technicalities and the most important technicality within all stages is certainly experience.

FUE is a hair transplant technique that doesn't leave any marks or require any stitches.

Hair Transplant Basics

  • Individuals aged between 20 and 60 years can undergo a hair transplant surgery.
  • The patient who will undergo a hair transplant surgery will only need 3 days for pre-operative preperation and for recovering.
  • Although the duration of surgery varies according to the number of grafts that will be transplanted, it usually lasts about 6 to 8 hours.
  • In order to respond to possible complications, the operation must be conducted in a fully-equipped hospital.
  • A hair transplant procedure is performed with a doctor and at least 3 medical technicians.
  • It may take around 6 to 18 months to see the final outcome of hair growth. Starting from the day following the operation, the patient can expect to see hair growth until the 18'th month.    

7 Stages Of A Hair Transplant Process

  1. Consultation: This is the stage where the doctor develops the patient's operation plan and creates the hairline design.
  2. Preparation: It covers the stages of sterilization and sedation to the patient's operation area on the day of the procedure.
  3. Extraction: The process of extracting hair grafts from the donor area of the patient.
  4. Opening Canals: It is the process of determining the hair transplantation line and opening canals suitable for the natural hair growth direction in this area.
  5. Transplantation: This is the process of placing the grafts in recipient sites at right angles to hair direction. 
  6. Postoperative Processes: This stage incorporates the processes of wound-dressing for the transplanted site and PRP Therapy to speed up the healing process of the operation site.
  7. Postoperative Care & Hair Wash: This is washing process that is to be carried out for 15 days. Both the donor and the transplanted area will be sensitive during this period, so it important to carry out the washing process with extra care.  

Hair Transplantation with Laser Hair Therapy

Hair Transplantation with Laser Hair Therapy
Hair Transplantation with Laser Hair Therapy, is the application of low-level laser therapy also known as cold laser with hair transplantation. The main objective of applying low level laser therapy after hair transplantation is to speed up the healing time, to help reduce side effects such as redness, swelling as well as pain within the operated area and to promote the fastest hair growth possible. In individuals who have undergone hair transplantation, laser therapy helps reduce the recovery time and also provides good pain control, which is linked to better wound healing. As this laser application which is performed after a hair transplant procedure allows to penetrate without heat, it has no side effects such as a burning sensation.

For treating hair loss conditions, we use a different low level laser device. When it is applied on the scalp twice a week for 20 minutes, the progression of hair loss stops and with long-term use it is found to have a promoting effect on hair growth. After a certain improvement level is reached, it is possible to sustain the improvements obtained by reducing to one session carried out in a week. 

At Dr. Serkan Aygin Clinic we apply low-level laser therapy. Laser hair therapy is a clinically proven, effective treatment for men and women who have mild to moderate hereditary pattern hair loss. Laser hair therapy increases the production of adenosine triphosphate (ATP), which induces the release of nitric oxide. This in turn leads to enhanced hair growth. Additionally, it has been also observed that laser therapy was capable of reducing scalp tissue DHT, which may help slow, or even stop hair loss and improve hair growth.

Laser hair therapy that uses medical-grade lasers delivers low level laser light to the scalp. Laser therapy stimulates the hair follicles simply by increasing the blood flow to both the hair follicles and the surrounding scalp. Through this treatment you can reverse hair thinning and stimulate the natural growth cycle of hair. The result is increased hair volume and improved hair health.

Laser hair therapy is a treatment that has been approved by the FDA

The low level laser therapy device that we use at our clinic consists of 5 modules, with each transmitting energy from 364 sources.

Our application that possesses 6 different therapeutic frequencies, can be specially adapted to the individual needs of our patients’.

The advantages of the FUE technique

  • Hair transplantation can result in a more natural-looking and denser appearance.
  • It is a permanent solution for treating moderate to severe hair loss.
  • It is a comfortable technique that is designed to ensure patients with the least amount of discomfort, leaving no external scars after the procedure.
  • FUE hair transplant technique offers patients faster recovery times; They can conveniently return to their daily routine and are able to travel one day after the procedure.
  • With the right operation plan, no damage will be caused in the donor area and no change in the appearance even after multiple operations.
  • 98% of the transplanted grafts will grow as normal hair. 

Beard to Hair Transplant

infographic showing hair transplant using body hair extracted from beard area

Hair transplant using beard grafts, is generally performed in cases where the patient has inadequate scalp donor supply and when the bald patches are too wide to be covered. Beard grafts remain in the growth (anagen) phase for long periods and after the back of the scalp, are an excellent alternative donor source for hair transplantation. Beard grafts are known to be thicker than the grafts at the back of the head. For this reason, to provide better volume in the transplanted area, hair grafts extracted from the beard are transplanted in the top and crown area, but it may not be the best option for front hair restoration.

Body Hair Transplantation

infographic showing hair transplant using body hair extracted from chest area

For men planning on undergoing a hair transplant, body hair is considered as a third source of grafts recipient. If grafts extracted from the back of the head, then the beard area are still not sufficient for coverage, among other options, chest hair can be considered as a good alternative source of hair follicles in hair transplantation. There are 2 underlying reasons why body hair is considered as the 3'rd additional donor source in hair transplantation. The first reason is; body hair grafts, particularly chest hair, have a similar structure as beard grafts; they are thick and contain one or two hairs. As for the second reason; as the anagen phase of body hair is much shorter; body hair grows shorter. This being said; hair grafts obtained from the chest cannot be used in front hair restoration.

Patients have achieved natural, successful and satifactory results with 'Hair Transplantation' performed at Dr. Serkan Aygın Clinic. If you are considering a hair transplant or would like to obtain more information on hair transplantation, do not hesitate to get in touch with us.

 
 
 
 
 

How should I proceed in order to have the operation at your clinic? How should I proceed in order to have the operation at your clinic?

Hair transplant

Initially, you can contact us and schedule your appointment for consultation.
If you’re living in another city or country, for a preliminary assessment you can send us your photos taken from the front, sides, top and the back.
After the online consultation session, our patient coordinators will get in touch with you and inform you about the next steps.
To learn more about the process please refer to our 'hair transplantation' page

Is there a recommended age to have a hair transplant? Is there a recommended age to have a hair transplant?

Hair transplant

The doctor will determine a patient's suitability for hair transplantation after the consultation session.
Hair transplantation is recommended after evaluating the patient's hair condition and hair loss stage.
Apart from this, there is no specific age for having a hair transplant procedure.

Do you provide any official documentatation after hair transplantation? Do you provide any official documentatation after hair transplantation?

Hair transplant

Yes, after the operation we provide a document that contains detailed information on your hair transplant procedure.

How long does a hair transplant procedure take? How long does a hair transplant procedure take?

Hair transplant

Depending on the number of grafts being transplanted and the technique used, the operation usually takes about 5 to 6 hours.

Does hair grow back in the donor site after the hair transplant is done? Does hair grow back in the donor site after the hair transplant is done?

Hair transplant

The primary source of donor hair that is used in hair transplantation is located at the back of the head.
As the hair follicles in the region along the back of the head and between the ears are resistant to hair loss, they remain as the primary source of grafts used in hair transplantation.
The hair follicles extracted from the donor area does not grow back again, for this reason efficient utilization of the donor area remains the most significant element in hair transplantation.
Hair follicles are extracted from the donor area homogeneously so the donor site will not be noticeable after the surgery

Can I cut my hair before having a hair transplant procedure? Can I cut my hair before having a hair transplant procedure?

Hair transplant

Prior to the hair transplant procedure, if you maintain the length of your hair, without having it cut or shaved, during the consultation session, your doctor will be able to obtain more information and assess your hair loss condition more accurately.

Do I need to stop taking drugs that I regularly use before the operation? Do I need to stop taking drugs that I regularly use before the operation?

Hair transplant

First of all, you should inform your primary care physician about the hair transplant operation and once you have received approval to temporarily stop taking your medication, you should discontinue taking any medication that might thin your blood such as aspirin for about three days prior to the operation.
Prior to the hair transplant operation, please inform us about your current health condition and the medications (if any) that you are taking.

Is a hair transplant procedure painful? Is a hair transplant procedure painful?

Hair transplant

A hair transplant is usually carried out under local anaesthetic, which means you will not feel any pain. As of 2019, Dr. Serkan Aygin Clinic has started to carry out hair transplantation with sedation so as to make their patients feel more comfortable during the operation. In hair transplantation combined with sedation, as the patient will remain awake without feeling any discomfort, he/she will not feel the graft extraction, recipient site creation and transplantation processes. The patient undergoes the procedure without feeling any pain or discomfort.

When will I see the results of my hair transplant operation? When will I see the results of my hair transplant operation?

Hair transplant

After a hair transplant procedure, the amount of time required for recovery, healing and growth of the new hairs, is extended over a period of 12 months.
Between 2 to 3 weeks after a hair transplant procedure most patients experience a phenomenon known as “shock hair loss“, where the new hair grafts enter a resting phase and the hairs are shed.
This is a perfectly normal and natural process that most patients experience after a hair transplant procedure. There is nothing to worry about.
After the shedding of the newly transplanted grafts your new, healthy hairs will soon begin to grow in their place.
In about 2 to 2.5 months your transplanted hair will be entering its normal growth cycle and grow approximately 1.5 cm every month.
From 9th month onwards, the transplanted hair will improve in texture and at the 12-month mark, it will get thicker blending with the person’s own natural hair structure.

Are hair transplants permanent? Are hair transplants permanent?

Hair transplant

After a hair transplant procedure, the amount of time required for recovery, healing and growth of the new hairs, is extended over a period of 12 months.
Between 2 to 3 weeks after a hair transplant procedure most patients experience a phenomenon known as “shock hair loss“, where the new hair grafts enter a resting phase and the hairs are shed.
This is a perfectly normal and natural process that most patients experience after a hair transplant procedure. There is nothing to worry about.
After the shedding of the newly transplanted grafts your new, healthy hairs will soon begin to grow in their place.
In about 2 to 2.5 months your transplanted hair will be entering its normal growth cycle and grow approximately 1.5 cm every month.
From 9th month onwards, the transplanted hair will improve in texture and at the 12-month mark, it will get thicker blending with the person’s own natural hair structure.

Will I lose hair after a hair transplant? Will I lose hair after a hair transplant?

Hair transplant

The only shedding experienced after hair transplantation is a phenomenon called “shock loss”. Shock loss which occurs after about 2 to 4 weeks following the hair transplant procedure, is a result of a short-term trauma occurring in the transplanted hair follicles and scalp after the operation. It is an inevitable process seen after transplantation. This is a normal and temporary condition. Even if the transplanted hair falls out during the phase of shock loss, the follicles are not be damaged and provide the required space for new hair to grow.

Do you have hair transplant services for women patients? Do you have hair transplant services for women patients?

Hair transplant

Although the majority of hair transplantation patients are still men, a high percentage of women have also started looking into a hair transplant procedure as a hair loss treatment.
Women opt for hair transplantation generally to lower their hairline or to add more volume.
Women are not required to have their heads completely shaved.
To carry out the extraction process only a small area in the donor site is shaved but will remain completely ‘undetectable’.
Women with long hair can easily conceal the donor area with their hair let down and this way, no one will be able to tell that they have undergone a hair transplant procedure.
For this reason hair transplantation is highly favored amongst women.

How long do I have to wait to go back to work after the procedure? How long do I have to wait to go back to work after the procedure?

Hair transplant

Generally most patients are able to return to work after 2 days.
Additionally, we recommend patients who are engaged in work activities that may represent risk exposure to dust, sunlight and head injuries, to take one week off from work. You can book your flight 1or 2 days after your hair transplant procedure. Please, bear in mind that the scabs will remain on the transplanted area for around 12-15 days.

Why should I opt for Hair Transplantation with Laser Therapy? Why should I opt for Hair Transplantation with Laser Therapy?

Hair transplant

The main objective of applying low level laser therapy after hair transplantation is to speed up the healing time, to help reduce side effects such as redness, swelling as well as pain within the operated area and to promote the fastest hair growth possible. As this laser application which is performed after a hair transplant procedure allows to penetrate without heat, it has no side effects such as a burning sensation.

What are the advantages of FUE hair transplant technique? What are the advantages of FUE hair transplant technique?

Hair transplant

- A FUE hair transplant can result in a more natural-looking and denser appearance. - FUE hair transplant technique provides a permanent solution for treating moderate to severe hair loss. - It is a comfortable technique that is designed to ensure patients with the least amount of discomfort, leaving no external scars after the procedure. - FUE hair transplant technique offers patients faster recovery times; They can conveniently return to their daily routine and are able to travel one day after the procedure. - 98% of the transplanted grafts generally grows as normal hair.

Why should I opt for Soft FUE? Why should I opt for Soft FUE?

Soft FUE

In the narrowest sense of the term, the soft FUE technique refers to carrying out hair transplantation under sedation.
As the patient will remain awake without feeling any discomfort, he/she will not feel the graft extraction, recipient site creation and transplantation processes.

The Qualities of Soft Sedation The Qualities of Soft Sedation

Soft FUE

- Soft FUE provides high levels of comfort to patients as well as the medical team.
- The patient receiving sedation does not feel any pain during the administration of local anesthesia.
- The patient remains conscious over the course of the procedure.
- The patient is allowed to eat and drink prior to the operation. This does not prevent sedation to be administered.
- The patient can meet all his/her needs during the operation (such as going to the toilet, eating and drinking).
- The patient can return home or to the hotel without having any difficulty as soon as the operation ends.

What are the side effects of hair transplantation? What are the side effects of hair transplantation?

Hair transplant

Complications such as infections of the scalp are very rare after a hair transplant procedure.
Some side effects patients may experience during the phase of recovery are; swelling, soreness and small crusts that forms on the areas of the scalp.

What should I do if I experience pain after my hair transplant? What should I do if I experience pain after my hair transplant?

Hair transplant

If you experience minor pain after the hair transplant procedure you can use a mild painkiller that has been prescribed by your doctor.

Where do they take hair from for a hair transplant? Where do they take hair from for a hair transplant?

Hair transplant

Follicles for transplanting are harvested from the donor area, which is usually the rear and sides of the head.
This area is also known as the "safe zone".
As the follicles on the sides and back of the head are not affected by the DHT hormone, they are not prone to hair loss.
When hair follicles are extracted from the donor area and transplanted to the areas that need coverage, they will be showing the same bald-resistant traits.
In cases where the donor areas remain weak and insufficient to supply the amount of hair for the transplant, then beard hair can be used as an additional donor resource for the procedure.
Beard grafts remain in the growth (anagen) phase for long periods and after the back of the scalp, are an excellent alternative donor source for hair transplantation.
Beard grafts are known to be thicker than the grafts at the back of the head.
For this reason, to provide better volume in the transplanted area, hair grafts extracted from the beard are transplanted in the top and crown area, but it may not be the best option for front hair restoration.

How long should I wait between two hair transplant operations? How long should I wait between two hair transplant operations?

Hair transplant

We advise waiting at least 6-7 months between sessions with 12 months being ideal.
Because in order to create an operation plan for the second hair transplant procedure, the results of the first hair transplant should be seen first.
A one year period is required to achieve maximum growth of the newly transplanted hairs and for all the incision marks to be undetectable.

Which hair transplant method should I prefer? Which hair transplant method should I prefer?

Hair transplant

During your initial consultation, the physician will determine which transplantation method is best for you based on your hair loss classification, the size of the thinning area, quality and quantity of your available donor hair.
For example if the patient has severe hair loss and bald patches are too wide to be covered, even if the patient wants to undergo a one session hair transplant procedure using the DHI method, he/she will be a better candidate for the FUE technique.
The reason for this is that the FUE technique enables to harvest higher amounts of grafts in a single session.

What are the differences between FUE technique and the DHI technique? What are the differences between FUE technique and the DHI technique?

Hair transplant

- DHI method replicates every step of the FUE method excluding incision and transplantation. In DHI the last two steps are merged into one.
- The major distinctive feature of the DHI method compared to other hair transplant methods is that the DHI technique employs a pen-like medical instrument called "Choi impanter" that creates the recipient sites and simultaneously transplants the grafts.
- FUE method allows to transplant around 3000 to 4500 grafts in a single session, whereas in the DHI technique around 3000 to 3500 follicular unit grafts can be transplanted during a single session.
- DHI method has a faster recovery period and can be performed with less bleeding compared to the FUE method.
- FUE method is ideal for covering larger areas, whereas the DHI method provides a better possibility for achieveing higher density.
- FUE method requires patients to have their heads completely shaved prior to the procedure, whereas the DHI method only requires the donor area to be shaved. This provides a significant advantage for female patients.
- The DHI method requires more skill and experience than other hair transplant methods. This in turn, requires the physicians and medical teams to be exposed to a long-term training period so as to specialize in utilizing this technique.
- DHI hair transplantation is generally a more costly procedure when compared to other hair transplant methods.

Will my hair transplant results look completely natural? Will my hair transplant results look completely natural?

Hair transplant

When a hair transplantation procedure is performed by an experienced physician and a professional team, the results will ineluctably look natural.
Obtaining natural results from hair transplantation depends on good planning.
Good planning can be accomplished through proper location and design of the hairline, framing the face proportionately.
However, the hair quality of the patient and donor density are also important factors affecting naturalness.
Hair grows at different angles and in different directions.
In order to achieve naturalness, hair transplantation should be performed by taking the growth angle and direction of the existing hair into account.

When can I cut or shave my hair after the hair transplant procedure? When can I cut or shave my hair after the hair transplant procedure?

Hair transplant

After one month you can shorten your hair with a scissor or clipper.
We advise you to wait for six months to shave your head with a razor blade.

Is PRP with hair transplantation defined as an organic hair transplant? Is PRP with hair transplantation defined as an organic hair transplant?

Hair transplant

Organic Hair Transplant is based on the idea of regenerating the transplantation area by injecting stem cell enriched fat tissue removed from the patient’s own body.
On the other hand, PRP is a special treatment that is applied after a hair transplant procedure.
PRP involves taking a small sample of blood and spinning it in a centrifuge to concentrate and separate the platelets and plasma from the other components of your blood.
In PRP, the concentrated plasma of blood including platelets, growth factors, leukocytes, and cytokine is injected back into the body at the injury site.
Hair transplantation supported with PRP enables tissues to heal faster, makes hair follicles remain in the active growth phase for a longer time and helps their adaptation to the transplanted area after the operation.


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