Q & A
1. Can I have implantation of only a few hairs on both sides of the hairline?
- The site of the hair transplant may be affected by the patient's age, family history of hair loss, duration of hair loss and so on, so the doctor should analyze the patient's possible changes of current and future hair loss, explain to the patient of the rationale behind the design and the amount of hairs needed. Not all patients are suitable to have a small session of implants on both sides of the hairline.
2. I want to lower the hairline, the lower the better?
- Almost every client wants to lower the hairline to an extent more than a doctor plans, as it makes people look younger. However, the proportion of each part of our face changes with time and it makes your face look very unnatural when you gets older if a very low hairline is planned now. It is not certainly the lower the better. The mutual communication between the doctor and his patient is very important when designing an agreed hairline.
3. Will the implanted hair fall out? When can I see the final result?
- Two weeks to one month after surgery, 30 to 70% of the transplanted hairs will fall out but the hair follicles will stay there and grow later. Hair follicles begin to grow new hairs 3 to 6 months after hair transplantation. The final result will be seen 12-18 months after the procedure.
4. What kinds of patients are suitable for hair transplantation?
- Hair transplant surgery can be done over the hairline, mid-scalp, crown, and it can also help reconstruct the eyebrows, eyelashes, beard, moustache and chest wall hairs. Transplanting over the old scar after burn, trauma and radiotherapy can also expect very good results.
5. How many times can this procedure be done?
- On the average, people have about 80,000 to 125,000 hairs. The safe donor area accounts for about a quarter of the scalp area, therefore approximately 10,000 hairs can be utilised for hair transplantation. For a session of 3000 hairs, only 3 surgeries are feasible. Of course, people may have 4-5 surgeries, but we need to carefully consider the number of hairs for each session and carry out a detailed assessment before each surgery.
6. How long is the interval between 2 operations ?
- In general, the first surgery and the second surgery should be separated by a period of 10 -12 months.
7. Does the process hurt?
- Only very mild pain is expected when the local anaesthetic is injected, there is almost no pain for the subsequent procedure. Some patients may have some mild pain during the first 1-2 days, and they will be provided with analgesics for use on an as required basis.
8. How long does it take for a hair transplant surgery ?
- Depending on the amount of hairs needed, the time needed is generally about 2 to 8 hours without hospitalization, patient can go to work on the very next day.
9. Does it need to take medicine after the surgery?
- Male pattern baldness is related to male hormone, DHT, a metabolite of testosterone. The transplanted hairs from the safe donor areas are resistant to the harmful effect of DHT, but the locally existing hairs are not. In order to maintain the good result after hair transplantation, patients are strongly advised to take finasteride which can lower the level of DHT and help maintain the health of the locally existing hairs. Topical minoxidil is another option be used to enhance the growth of hair follicles.