Frequently Asked Questions




Q1 - What are the causes and treatment for Hair Loss?

A - Hair loss results mainly from heredity. Other causes are stress, fungal or bacterial infection, affected liver or thyroid, crash dieting, dandruff, iron, calcium and vitamin deficiencies, systemic disease or side effect of prolonged medicines. These causes can be investigated and treated with suitable medicines. Hair loss that does not respond to treatment and has progressed beyond grade three requires replacement with new growing hair, which is done by hair transplantation.


Q2 - What is Hair weaving, Hair bonding, Hair fusion etc?

A - Hair weaving is tying a wig on the head with silk thread knots. Hair bonding is holding the wig with clips and hair fusion is sticking a light weight nylon wig with a double sided sticking tape. These are all temporary methods. Prolonged use causes bad hygiene, pull out of the anchoring hair and excoriation of skin. These methods are not done by doctors.


Q3 - What is Hair transplantation?

A - Hair transplantation is a one day procedure which gives permanent replacement of lost hair with new hair roots that grow. These can be cut, shampooed and treated like your own hair. Repeated visits to the clinic are not required.


Q4 - Do hair transplantation really effective?

A - Hair transplantation is really about relocating (transplanting) the baldness resistant hair follicles from the back of the head to the balding areas on the top of the head. This process works for a lifetime because the hair follicles taken from the back of the head are genetically resistant to baldness, regardless of where they are relocated to. The transplanted hair maintains it's own characteristics; color, texture, growth rate, and curl, after transplantation and re-growth. Over years, instruments and techniques have been developed that allow us to achieve truly natural results by transplanting small follicular unit grafts very close together. We have found that hair grows from the scalp in groups of one, two, three and four hair follicles. We transfer these groups of follicles after eliminating the excess surrounding fatty tissue. This allows the grafts to be placed closer together resulting in a denser and more natural result.


Q5 - Is undetectable hair transplantation possible?

A - Yes. Today's highly trained and up-to-date surgeons, using a combination of artistry and technology, can recreate hairlines and crown coverage in a manner that truly defies detection. Progressing beyond the old style 'plug-type' transplants has been possible using advanced techniques which allow the transplantation of large numbers of small grafts. An appreciation for the natural shape and patterns of hair growth allows surgeons to create wavy, randomized hairlines that look natural.


Q6 - Do you have to be completely bald for a hair transplant?

A - Follicular unit grafts can be used in - between thinning hair in men and women for adding density.


Q7 - Is hair transplantation painful?

A - The great majority of our patients are quite comfortable both during and after their hair transplantation procedure. Local anesthetics are used during the procedure. Some discomfort is to be expected as the anesthetic is injected into the scalp. Once the skin is anesthetized, there is no pain. If the numbing medicine wears off during the course of the procedure, more is injected to re-anesthetize the area. Most patients listen to music or nap during their procedure. Pain medication is always offered, though its use is limited generally to the first few days after surgery.


Q8 - What is post transplantation course?

A - The post-operative course will depend on adherence to the instructions given after surgery. Small scabs will form on the scalp at the graft sites. These scabs disappear in within 8-10 days. Shampooing can be resumed 48-72 hours after surgery. The suture (stitch) used in the donor area is undetectable as it is completely covered by your existing hair. The sutures need to be removed 2-3 weeks after surgery.


Q9 - What is the recovery time and When I can go back to work?

A - With today's very refined Follicular Unit Hair Transplantation procedure the incisions are very small and less invasive than past procedures. This results in more rapid healing. Most patients feel fine within a day or two following surgery, although some numbness and mild soreness can be expected for several days following surgery. Depending on the type of work you do, it is often possible to go back to work the next day. Your hair restoration surgeon will discuss this with you during the consultation.


Q10 - Are hair transplants expensive?

A - Despite the initial cost of the procedure, hair transplantation can be less expensive than an artificial hairpiece over the long run. However considering that the results are permanent, most people consider it a good investment in their future happiness.


Q11 - How many sessions will be required?

A - The number of the sessions will depend on the 1) area of scalp treated 2) the number and size of grafts used 3) the density which you desires and 4) the individual characteristics of you, e.g. coarse hair will provide a more dense look than fine hair. The estimate of the number of sessions can be discussed during the consultation with your surgeon.


Q12 - Where does the hair come from that is transplanted?
          Does the transplanted hair eventually grow on its own and "spread"?

A - The hair that is transplanted usually comes from the back of the head or the side of the head of you having the transplant. Unless you have an identical twin with extra hair to donate, you must serve as your own donor. The hair follicle that is transplanted, should it survive the transplant, will produce hair in its new location. The hair follicles will not divide and multiple to produce several hairs in its new location. So, in that sense, the hair that is transplanted will not "spread".


Q13 - Are there certain types of hair that do better with transplants than others?

A - The hair color, the texture of the hair such as whether it is straight or curly, all these things can affect the outcome in a significant way. Patients with lighter blonde type hair generally have a better result than patients with fine, straight, black hair. The curly hair often appears fuller once it begins to grow again than straight hair. You must have a great enough density of donor hair to allow us to harvest desired number of hair follicles and not be so thin that the harvest site becomes visible. There will always be a scar at the harvest site, but if it is covered by hair it will not be visible.


Q14 - What are potential risks from hair transplantation?

A - This procedure is usually done in an office setting or outpatient surgery setting and is most commonly done under topical anesthesia which simply involves injection of local anesthetic. One risk of any such procedure would be the small possibility of an allergic reaction to the anesthetic used. Qualified doctor will have the proper equipment and training to deal with this type of risk. The other risks associated with any surgical procedure including hair transplantation would be the possibility of infection or significant bleeding. This is usually easily controlled by properly trained plastic surgeons. There is the possibility of visible scars where the hair is harvested at the side or back of the head. This is especially true if you experiences ongoing significant hair loss. There is always a risk that some of the individual hair follicles transplanted will not "take". In this case, the hair follicles will not survive and hair will not grow from that particular transplant. If, for some reason, a significant number of individual transplants fail, then the operation will fall short of the desired goal. As we said earlier, it is often necessary to do two or three sessions in order to achieve enough hair density to meet yours goal. If you continues to have progressive loss when one has placed a new graft in thin hair, there may come a rather patchy looking endpoint. In that case, it is sometimes necessary to perform yet another mini grafts transplant.