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Soft FUE – FUE Hair Transplantation with Soft Sedation

en 2020-03-24 09:40:00 2020-07-07 11:36:20 Soft FUE
Watch video to see step by step procedure

Soft FUE

New developments arising with each passing day in the field of hair transplantation, has provided innovative ways to improve patient experience and to achieve high levels of comfort.Dr. Serkan Aygin Clinic stands out as one of the early adopters of Soft FUE hair transplantation; an innovative method that has been established in 2019. In the narrowest sense Soft FUE method indicates; hair transplantation performed with sedation.

Before we provide detailed information on the application of Sedation, we shall explain the basic steps of hair transplantation.

Hair Transplantation Stages

Hair transplantation mainly consists of 4 stages. These stages are:

Hair Transplantation Stages

1. Preparation for Hair Transplantation

The preparation stage actually refers to the disinfection of the harvesting (donor) and transplantation (recipient) area, and more importantly, the administration of anesthesia.

Although administration of anesthesia is considered as a preoperative phase of hair transplantation, it actually is the stage that determines the overall comfort of the operation. This, in turn, can only be established if the hair follicles extracted from the donor area homogeneously.

2. Graft Harvesting

Following the administration of local anesthesia, individual follicular unit grafts are extracted using a micro motor, operated with fine tips at low speed. Proper extraction of the hair follicle is paramount to ensure the success and viability of the transplanted hair. The key to perfecting and achieving a natural looking hair transplant after the procedure, is leave very tiny, dot-like scars in the donor area, invisible to the naked eye. This, in turn, can only be established if the hair follicles extracted from the donor area homogeneously.

What is the difference between hair graft and follicle?

3. Recipient Site Creation

The process of creating the recipient site is the most important stage for achieving natural-looking results. 
The determining factor of the naturalness in hair transplantation is to transplant the grafts in close proximity to achieve greater density and to create the sites at the right angle as well as direction of hair growth.

This angle is the angle elevation of the hair to the skin, which is approximately 40-45 degrees. 

Direction on the other hand refers to the natural direction of hair growth.
Recipient site incisions made in accord with these two points will produce the most natural results after hair transplantation.

4. Transplantation of Hair Follicles

Graft placement is the final step in the hair transplant process. At this stage, it is necessary to prevent the risk of tissue damage by having less contact as possible with the hair follicles.

As is seen here, the hair transplantation process begins with the administration of anesthesia. For this reason, the administration of sedation at the beginning of the operation is the primary factor that affects your comfort throughout the operation process.

Anesthesia in Hair Transplantation

Anesthesia is the most painful stage in the process of hair transplantation. Today, the anesthesia process is carried out in two common stages.

1. Anesthesia administered by injection

In this method, the initial administration of anesthesia is given by injection. Despite the fact that these needles have very thin tips, they cause a sense of pain.Furthermore, as this anesthesia is administered to the scalp, this can induce more intense pain sensations for the patients.

Today, this method is the most commonly used anesthesia type since it is cost-efficient.

2. Anesthesia administered by applying pressure

This process is carried out using a device that can administer the anesthetic agent into the skin through applying pressure, which was developed with the aim to reduce the pain felt  anesthesia given by injection. This device touches the skin and delivers a more fluid anesthetic agent to the skin surface with a high pressure in itself. Subsequently, anesthesia is administered by injection. Basically this first anesthetic agent administered does not spread homogeneously in the skin and cannot penetrate deeply. For this reason, in the anesthesia procedure to be performed in the subsequent process, the sense of pain may remain, although slightly.

At this point, the application of sedation takes precedence over anesthesia administered by applying pressure.

Sedation Procedure

Sedation Procedure

Sedation, which can actually be used on even infants, is one of the most advanced and important facilities of medicine within the field of anesthesia. Sedation is the administration of analgesic active ingredients to the body at an appropriate dose based on the physical condition of the person. In this procedure, the person remains conscious but his/her sensations are reduced. Thus, no pain is felt during injections or other medical interventions.

The presence of an anesthesiologist during the application of sedation is a significant point. Because the dose of sedation is determined by the physician based on the physical activity and pain threshold of the person.

The Qualities of Soft Sedation

Soft FUE provides high levels of comfort to patients as well as the medical team.

The important qualities of the application of sedation for hair transplantation in Dr. Serkan Aygın Clinic are as follows:

  • 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.

The advantages of Soft Sedation over conventional sedation are as follows:

  • The cooperation between the patient and the medical team never fails under soft sedation.
  • The patient can be informed in a healthy and timely manner at all stages of the operation.

Thus, the patient is more satisfied and pleased at the end of the operation.

Sedation Cannot be Administered Without Supervision of Physician

At Dr. Serkan Aygın Clinic, sedation is administered under the supervision of an anaesthesiologist and based on the results of individualized analysis. In other words, the person to receive sedation undergoes this procedure as a separate stage managed by a physician other than the hair transplantation physician. Before the procedure, the anesthesiologist administers sedation personally based on the person’s height and body activity. This procedure is usually carried out by establishing a vascular access through the arm. During the procedure, heart rhythm and other vital signs are continuously monitored.  For this reason, the presence of the anaesthesiologist in the operating area is a very important factor.

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 implanter" 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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