Modern techniques has enabled advanced methods for surgical hair transplants that can help restore lost hair, replace or re-shape hairlines with your own natural, growing hair, which needs no more care than the ordinary washing, styling and trimming you have always done. Hair transplantation is so advanced that often barbers and hair stylists cannot tell the difference between natural growing hair and the hair grafts that have been placed.
Who can benefit from hair transplant surgery?
Anyone who has experienced permanent hair loss may be a candidate for hair restoration surgery, including:
- Men with male pattern baldness
- Women with female pattern hair loss
- Men or women who want to restore or change the shape of their hairline
- People with areas of scarring from injuries or "scarring" skin diseases, and also patients who experienced some hair loss after surgery, such as face lift procedures
- People who want to thicken or restore eyebrows, eyelashes, and beards
- Men and women who want hair in an area where they have little or no hair
Hair Transplant Surgery - The process
Hair transplants involves removing permanent hair-bearing skin from the back and/or sides of the scalp (donor area).
Then, using stereoscope microscopic dissection, the tissue is dissected into follicular unit grafts (containing 1-4 hairs) and multi-follicular unit grafts (containing 3-6 hairs each). These microscopic grafts are then meticulously planted into the bald or thinning area of the scalp (recipient area) so as not to injure any follicles already existing in the area and at the same exact angle as the other hairs present.
The creation of microscopic follicular unit grafts has enabled the hair surgeon to create very natural, feathered hairlines, which do not have the abrupt, "pluggy look" that was commonly seen in hair transplants in the UK in recent years. Some surgeons prefer to transplant exclusively with follicular unit grafts, while others feel that placing the multi-follicular unit grafts into the central areas of the scalp allows them to better create central density. Depending on the degree of balding in the frontal, mid-scalp, and vertex (crown) areas, usually 2-3 procedures are performed.
Hair transplant surgery today is remarkably well tolerated. Within 24 hours small crusts will form on each graft that are then shed in approximately 4-14 days. The grafted hairs will often start to grow by 10-16 weeks after the procedure and will continue to grow for most, if not all, of one's life. (As men and women age, in many there is a slight loss of hair density all over the head, which would naturally also affect the transplanted hairs).
What to expect during surgery
- Out-patient surgery
- Takes 4-8 hours
- Performed under local anaesthetic
Hair transplantation surgery is considered to be "minor out-patient procedure".
Hair transplant procedures can take from 4-8 hours and performed using local anaesthesia on an out-patient basis. There is typically little discomfort during the surgical procedure, but please consult the surgeon if you are feeling some pain.
The donor areas, where the grafts have been harvested, are closed with sutures, these are usually removed in 7-14 days. The recipient sites, where the grafts are placed on top, are essentially small, superficial slits in the skin of the scalp. At the conclusion of the procedure, the surgeon usually checks the final placement of the grafts, and an assistant then explains the postoperative instructions, which are supplied in written form as well.
Hair in the donor area is clipped to a 2mm length. If the hair in the donor area is left 1.5 - 2" long, the hair above the donor site can be combed over and completely camouflages these areas immediately after the procedure.
The donor area and the recipient area are anaesthetised by injecting a local anaesthetic with a very small gauge needle. Anaesthetising the area is the only uncomfortable part of the session.
After the local anaesthetic has taken effect, a scalpel is used to cut narrow strips from the donor areas and the wound is closed with sutures. (A similar method can also be used to remove scars in the donor area). This tissue it then divided in to a number of graft sizes.
There are two hair transplant procedures available: FUE Transplant and FUT Transplant. Crown Clinic’s hair transplant surgeons will consult and advise on the most suitable procedure. Call us for a consultation appointment today or for more information.
What happens after hair transplant surgery?
Hair transplantation is a very safe, relatively minor surgical procedure.
Following your hair transplant procedure, there is usually little or no discomfort in the grafted area. Most patients feel some "tightness" in the donor area for 1-2 days and are prescribed a mild analgesic to help cope with this. Patients may be asked to use sprays and to sleep in a semi-upright position for 2-3 days following the procedure to minimise swelling and bruising. Small crusts may form on each graft, and these can usually be camouflaged by any existing hair that can be combed over the recipient area. Numbness that may occur in the donor or recipient area usually disappears within 2-8 months following surgery.
Complications are rare, which is why it’s vital that you consult with a professional and expert UK hair transplant surgeon for your procedure. Minor inflammation can occasionally occur around a newly transplanted hair follicle, similar to an infected ingrown hair or pimple, and usually responds to simple warm compresses. The scar that occurs in the donor scalp as a result of the removal of donor skin is usually quite narrow and can be easily hidden by the surrounding hair. The graft sites in the recipient frontal area heal with minimal scarring and are covered by the transplanted hair. A minority of patients may experience mild swelling in the forehead area for a few days following surgery. It typically appears around the 3rd post-op day and goes away after 3-4 days.
If you have any concerns following your hair transplant surgery, please call us today.
When is the best time to start surgery?
We advise beginning medical treatment of significant hair loss as soon as the problem has been identified.
Patients may have hair restoration surgery at any age after their mid-20's. However, the decision for any given patient may be different, depending on a number of factors. The vast majority of hair transplant patients in the UK tend to have their first procedure while they are not yet completely bald. Medical treatments such as propecia and minoxidil are usually recommended for men with hair loss to help preserve or partially reverse thinning hair in the crown.
Hair transplants can be used to fill in the front hairline and thicken the front half of the scalp. Medical treatments can be used to maintain hair behind the transplants and to possibly enhance the long-term results of hair restoration surgery.
Crown Clinic will work with you to design an individualised plan to fulfil your specific needs.