What are the phases of hair growth?
Around 80-90% of all the hair on your scalp is in different stages of active growth. Each hair follicle has a specific life cycle. There are three distinct phases of the hair cycle: anagen, catagen, and telogen.
Anagen is an active growth phase of the hair cycle. This phase differs from person to person and can last between two to six years.
Catagen is a transitional step that lasts between two and three weeks. It is a transition from the active phase to the resting phase of the hair cycle. About 3% of your hair is in the catagen phase at any given time.
Telogen is the “resting” phase of your hair cycle. No hair growth occurs at this point. Around 25 to 100 hairs shed off every day due to the telogen phase. The telogen phase lasts about three months, and after that, go into the anagen phase, and active growth starts.
What is the mechanism of hair loss?
When hair loss starts, the typical mechanism is the disruption of the hair growth cycle. It occurs in two ways happening at the same time; 1) hair shedding faster than usual, 2) poor re-grow or no growth back at all. Hereditary male and female pattern baldness (Androgenetic Alopecia ) is the most common cause of hair loss. But there can be other conditions that cause hair loss;
⦁ Pre-existing medical conditions (i.e., thyroid disorders, anemia, chemo-radiotherapy, etc. )
⦁ Drugs and medication-induced alopecia (i.e., anticonvulsants, blood thinners, BP drugs, etc. )
⦁ Stress and trauma
⦁ Dietary deficiency
⦁ Alopecia Areata (Autoimmune alopecia)
⦁ Scarring alopecia, scalp disorders and infections
⦁ Traction Alopecia (Hair loss due to excessive tension)
⦁ Hair-pulling disease in which there is an irresistible urge to pull out hair (trichotillomania)
Is hair loss always genetic?
The usual and most common cause of hair loss seen is called Androgenetic alopecia. It is also widely referred to as Male Pattern Baldness (MPB) or Female Pattern Baldness (FPB). MPB or hair loss occurs due to Dihydro Testosterone (DHT), a testosterone derivate. And some males are genetically more sensitive to DHT.
Men have much higher levels of testosterone hormone (hence DHT as well) compared to women. That is why men more affected by androgenetic alopecia.
What can other hair loss types be?
As mentioned before, the leading cause of hair loss is by far Androgenetic Alopecia, known publicly as male pattern baldness (MPB). As much as 70% of men are affected by MPB throughout their life. But androgenetic alopecia is surprisingly high in women as well. Almost 1/3 of females, or basically, up to 30% of women have Female Pattern Baldness (FPB) or hair loss.
Is there a certain age for hair loss?
The age for Male Pattern Baldness varies tremendously across the patients. Some of the men start their hair loss as teenagers or as young adults, and some begin to have hair loss on their forties or fifties. Female Pattern Baldness age differs as well. Most of the time, we see it during/after the pregnancy, traumas (physical and mental), or during menopause. Scientists think it is due to the hormonal imbalances that happen during these stressful periods.
Can stress or trauma cause hair loss?
A crucial point here is that we should separately evaluate an ongoing or Androgenetic Alopecia (MPB) from sudden hair shedding, a.k.a. Telogen effluvium. Telogen effluvium may occur at any point in someone’s life. The primary cause of this can be a trauma (physical, emotional, or mental), medications, or acute disease. In the telogen effluvium phenomenon, the hair grows back in 6-12 months.
What are the ways to lower the risks of hair loss?
There are different causes of hair loss men can have. Simple rules and methods can help you with that—a healthy and balanced diet (no fast food, no high carb diet, etc.), non-surgical hair regrowth treatments (i.e., Minoxidil 5% foam; Finasteride 1mg pill-a-day, etc.). These are very effective medications at the initial stages of hair loss.
What is the Involutional Alopecia and hair loss with age?
With the age hair growth cycle slows. We have more follicles that go into the terminal telogen (resting) phase. A number of hair follicles in the anagen (active) phase lower, hair follicles become thinner and shorter. This phenomenon is normal hair physiology and called involutional alopecia.
What kind of medical hair loss treatments are available today?
In the world today there are 4 FDA approved treatments for hair loss;
One is surgical; three is non-surgical.
⦁ Hair Transplantation (Surgical)
⦁ Minoxidil 5% Foam/Spray (Medical)
⦁ Finasteride 1mg tablets (Medical)
⦁ Low-Light Laser Therapy (LLLT)
Finasteride is a medication that blocks the formation of DHT. DHT binds to receptors in hair follicles and causes them to shrink, weaken and eventually die. Decrease of the dihydrotestosterone levels stabilizes hair loss and improves the thickness of follicles.
The best results were seen in the crown and mid-scalp areas. Finasteride is used only in Male Type Alopecia.
Minoxidil 5% foam/spray applied over the skin of the scalp. It increases the blood flow to the hair follicles. It supplies more nutrition, stimulates, and prolongs the anagen phase of the hair cycle. Minoxidil approved for the use of both male and female pattern baldness.
Low-Level Laser Treatment (LLLT) is a novel non-surgical hair loss treatment. The laser light used to stimulate cell growth and regenerate hair follicles. It combats with hair loss several ways; increases the volume and appearance of hair.
FDA approved LLLT for both male and female pattern baldness treatment. It is specifically efficient in androgenetic alopecia, which is also known as male or female pattern baldness.
Do non-surgical hair loss treatments work?
Non-surgical hair loss treatments are often useful in the early stages of male and female pattern baldness.
What are the side effects of non-surgical hair loss treatments?
As in any treatment, there are potential side effects of non-surgical hair loss treatment; fortunately, they are not very common. For more information, please click here – Buraya Medical Treatment sayfasının linkini koyalım.
What kind of surgical hair loss treatments we have today?
There are two main types of hair transplant surgeries;
⦁ Follicular Unit Transplantion (FUT a.k.a. Strip Metod)
⦁ Follicular Unit Extraction (FUE)
Also, there is a modified FUE, also known as Direct Hair Implantation (DHI) or Choi Pen method.
What is the correct time for the Surgery?
The answer to this question is very individual. It depends on many factors. It is the equation with many unknowns to be answered.
In our practice, we prefer medical treatment of male pattern baldness at the early stages. And prefer surgical procedures in patients with advanced hair loss. As a borderline Stage III on the Norwood Scale is the cutoff point for Surgery.
But there may be patients who want to restore their outlook at the early stages of the hair loss. It is a very individual approach and decision.
What is the mechanism of hair transplant and where the grafts are taken from?
A hair transplant is taking healthy hair follicles from the region of the scalp, where they’re genetically resistant to the effects of DHT, keep growing, and redistributing them to the open areas of the head. The grafts are taken from our main donor area – back of the head.
What is the difference between individual hair transplant techniques?
In the FUT technique, a thin strip of skin with hair is removed from the back of the head. After that, hair follicles dissected individually into grafts and transplanted into open areas. After the strip removal, a longitudinal scar left at the donor area.
FUE differs from FUT in point that we extract individual follicular units from the scalp compared to the strip removal. In the FUE technique, the scars are much slower and barely visible.
Which hair transplant technique is the best?
The primary point before the comparison is that an outcome in all types of surgeries is almost the same. All methods like DHI, FUT, FUE can give natural results when performed by professionals.
The following table summarizes the differences between Follicular Unit Extraction (FUE) and Follicular Unit Transplant (FUT) hair transplant techniques;
DONOR HEALING TIME 1 WEEK 2-3 WEEKS
POSTOP BLEEDING NONE TO MINIMAL NONE TO MINIMAL
DONOR LOOK SMALL DOT LIKE SCARS LINEA SCAR MAY BE VISIBLE
RECIPIENT HEALING TIME 10-14 DAYS 10-14 DAYS
STITCHES NO YES
POSTOP DISCOMFORT NO YES
BODY HAIR EXTRACTION YES NO
GRAFT QUALITY DIFFERS HIGH
NATURAL RESULTS YES YES
PAIN NO* NO*
NUMBNESS RARE CAN OCCUR AROUND THE DONOR SCAR
SCARRING SMALL DOT-LIKE SCARS LINEAR SCAR
REPEAT SESSIONS YES** YES**
NUMBER OF GRAFTS 2.500-3.500 2.500-3.500
TIME OF SURGERY 6-10 HOURS*** 6-10 HOURS***
*After local anesthesia application.
** FUE can be done after FUT, but after FUE procedure, FUT can not be performed.
***Given periods of Surgery are an average and may differ according to individual features of the patient.
What is the earliest stage the patient can have a hair transplant?
Hair transplantation surgery is aesthetic surgery, and having it is an individual decision of the patient. In our clinic decision for the operation is given upon two factors;
⦁ The hair loss stage of the patient
⦁ Personal decision of the patient.
At Actual Hair Clinic, we guide the patient during the decision making step, explaining all the pros and cons according to the individual features of the patient. We do prefer to perform Surgery starting at stage III on the Norwood Scale. At this stage of hair loss is already noticeable at the temples and vertex of the head.
How many hours hair transplantation surgery last?
On average, hair transplantation surgery lasts 6-10 hours depending on the number of grafts, individual features of the patient, and an area we work on.
What are the criteria for hair transplantation surgery?
Before you decide to have hair transplantation surgery, we inform you of all the possible options in your case. During initial online and a later face-to-face meeting, at the clinic, your surgeon will guide on all of the options and give an approximate result you can realistically expect to achieve. Factors affecting the decision for the type of treatment depend upon your age, previous medical history, stage of the hair loss.
Is there anyone who is going to coordinate me about the details and traveling?
You will have a case manager assigned to you. He/She will guide you through all the steps, coordinate, and arrange your travel plan. Twenty-four hours before your departure to Turkey, your case manager will notify you regarding all the information on the driver, hotel, location of the meeting, and all other necessary details.
Do the doctor and medical team speak English? Do you provide a translator if needed?
Dr. Ahmedov fluently speaks English, Persian, Russian, and Turkish. We provide German, Serbian, Bosnian, Albanian, Romanian, Spanish, Italian, Arabic, and French (and other languages upon request) interpreters in our clinic.
Who performs the surgeries at your clinic?
Dr. Ahmedov is a co-founder and an attending surgeon of the Actual Hair Clinic. He carries out and supervises all the steps of the operation with the assistance of a highly experienced and skilled team of surgical assistants.
Who are the members of your medical team?
We use the title of surgical assistants for our medical team members. All members of our team are professionals with medical background (nurses, anesthesia technicians, surgical assistants) with specialized training in hair transplantation techniques. All members of the group are full-time employed. We do believe that hair restoration surgery requires special care and experience. All of them are trained and educated; they have profound experience in this field. Our senior assistants have 6-10 years, and juniors at least 3-5 years of experience. We continuously improve their skills and knowledge with training programs and education courses.
For how long is your clinic performing hair transplant surgeries?
The Actual Hair Clinic founded in October 2019. Dr. Ahmedov has been performing hair transplant surgeries since 2015 at top medical facilities accredited by the Ministry of Health of the Turkish Republic.
Most members of the team, work with him since then.
What kind of technique do you use?
We perform our surgeries via FUE or DHI method. We use a micromotor with punches of different diameters to extract the grafts and separate them according to the number of the follicles.
Do you have any individual devices during the Surgery?
The transaction rate of the grafts plays a crucial role in the success of Surgery. We use surgical loupes with 2.5 magnification during all the steps of the operation.
What devices do you use for incisions?
For the creation of recipient sites (incisions/channels), we use classic slits or sapphire blades, according to the individual needs of the patient.
What happens to my existing hair during the Surgery?
Every single strand of hair is essential for us. We know that the more of the own hair patient has, the better and more natural is the result. During Surgery, we use surgical loupes, so we can see all the strands and avoid damaging them.
Do I need any specific aftercare?
After the Surgery, you will have a brief with your surgeon before the discharge. Your doctor will explain some significant points of aftercare, and you will have a file with all the instructions inside. Also, we will supply you with a first aid kit with all accessories and medications you will need for the first couple of days.
Is hair transplant surgery painful?
The only part of the Surgery when you will feel pain is during the application of local anesthesia in the donor and recipient areas. Local anesthesia takes around 10-15 minutes. The effect of the local anesthesia lasts throughout the Surgery; thus, patients have no pain and feel comfortable. Still, every once in awhile there may be some add on injections of local anesthetic during the surgery.
What are the possible side effects of hair transplant surgery?
We do not see severe side effects often. We do our best to minimize all possible side effects with continuous education, training of our medical staff. But there can still be some minor side effects due to the Surgery, i.e., itchiness, bleeding, edema (swelling) of the front head, around the eyes, some bruising. But all of them are eventually gone in 10-14 days after the Surgery with proper aftercare.
What is non-shave FUE, and do you perform it?
Non-shave FUE creates significant confusion across the patients and even healthcare providers. Some patients think it is shaving the donor area, and leaving the recipient area with hair, some think it is neither donor nor recipient area shave procedure. It is both of them; the difference is that each donor/recipient area non-shave can be performed with appropriate candidates. Yes, we do perform non-shave MicroFUE procedures. This technique is more challenging than the classic FUE technique, and we explain to the patients that the best possible results acquired with the traditional FUE method with both shaved donor and recipient area. Because cutting all the fields will show us receding regions that otherwise are masked with hairs and facilitate more appropriate planning.
Will the transplanted hair last forever?
Most of the hair we do transplant to the recipient area last for a lifetime. During extraction, Dr. Ahmedov marks the safe donor area. The hair used for the transplantation extracted from the regions that are resistant to the DHI effect, which causes the male pattern baldness.
Do you perform surgeries with sedation or general anesthesia?
We do not perform the surgery under general anesthesia or sedation. We carry out all the operations under local anesthesia, so the patient is awake during the Surgery. We can supply the patient with a mild oral sedative (alprazolam, i.e.,) before the Surgery to relieve anxiety and help to relax during the procedure.
Where are the operations carried out?
Turkish Ministry of Health strictly regulates the medical and aesthetic field, including hair transplantations. The surgeries should be carried out at the Hospitals or Daycare Surgical Clinics, which must be licensed. We perform all the operations in a fully equipped hospital with an emergency medicine department that admits patients round the clock. All doctors and medical staff certified and trained by AHA-ACLS (American Heart Association – Adult Cardiac Life Support) standards.
Can I listen to music or watch a show during the process?
As we mentioned before, there is no pain except the local anesthesia. Surgery is comfortable, and you can listen to music or watch the show on your phone/tablet.
I had a hair transplant in another clinic, but I am not happy with a result. Can it be redone?
One of our areas of expertise is the revision of hair transplant surgeries. As a fact, around 25-30% of our patients come for a revision hair transplant surgery after having it in a black market clinic without doctors and medical staff. We have good experience in this kind of scenario.
Can I have a preliminary evaluation before traveling for hair transplantation?
We encourage our patients to have a preliminary evaluation before Surgery. Please use our contact information (Whatsapp/Viber/Telegram/e-mail) for this.
You have to send us the pictures of the head;
-from the front,
-from the back,
-from the right
-from the left
-from the top
-form the top rear of the head.
(*See the picture for information)
Please, don’t forget to mention your age, the onset of hair loss, any previous hair restoration surgeries (number of grafts), chronic diseases, medications, allergies, and your expectations. Our attending surgeon will make a preliminary evaluation of your case.
Please, be noticed that this is the preliminary evaluation. The treatment plan and technique may change after the live assessment in the clinic.
Who will carry out a consultation before the Surgery?
All the consultation is carried face-to-face with Dr. Ahmedov before the Surgery. He will explain to you all the aspects and steps of the operation, evaluate your case, and do the planning.
Do I have to pay for a consultation?
All our consultations are free of charge (online/live).
Is there a waiting list before the Surgery?
It depends on the number of patients we have. To preserve high-quality standards and time needed for each patient, we perform only 1-2 surgeries/day. Our mean waiting time is about 2-8 weeks before Surgery. For this reason, it is essential to book the consultation/surgery a couple of months ahead.
Do you have any routine blood tests before the hair transplant surgery?
We routinely screen our patients for Hepatitis B, Hepatitis C, and HIV before Surgery. It is done for the safety of the patient and the medical team. If the patient tests positive for Hepatitis C or HIV, we do not perform surgeries. If the patient tests positive for Hepatitis B, the operation can be carried out.
Can a patient with chronic disease have hair transplant surgery?
During a preliminary and one-on-one consultation, please do not forget to tell us about any chronic diseases
(Diabetes, Rheumatologic Diseases, Neurological Disorders, Hypertension, etc.) and medications you use. Having Surgery may be contraindicated in some patients.
The decision regarding Surgery in patients with chronic conditions is given on an individual basis. We may require consultation from your primary physician or attending physician in our clinic.
I have diabetes, can I have a hair transplant surgery?
Diabetic patients with well-regulated blood sugar and HbA1c levels can be operated with no problems.
I have hypertension, can I have a hair transplant surgery?
Patients with high blood pressure are prone to more bleeding during surgery. If the BP is well regulated and under control, the operation can be carried out with no problem.
Are there any specific chronic conditions contraindicated for hair transplant surgery?
The decision regarding Surgery in patients with chronic conditions is given on an individual basis. We may require consultation from your primary physician or attending physician in our clinic. Please get in contact with us to get more information.
I use some medications. Do I have to take them on the surgery day?
Please inform us regarding any medications you take regularly. Some drugs contraindicated before Surgery. The pills for chronic diseases like diabetes, high blood pressure should be taken as prescribed. For other types of drugs, please contact us for detailed information.
I’m using Minoxidil and Propecia. Do I have to stop them before Surgery?
You should stop using Minoxidil one week before the Surgery. You can continue taking Finasteride.
We also ask the patients to stop alcohol consumption a few days before the Surgery.
I am taking anti-coagulants. Can I Have Surgery?
Blood-thinning drugs (anti-coagulants) like Aspirin, Warfarin, Clopidogrel, etc., should be stopped as they increase the risk of bleeding during surgery. The primary care physician of the patient should give the decision regarding stopping and using these kinds of medications. Please inform us regarding any medications you use.
Do you have experience with afro-textured patients in your clinic?
Yes, we do have experience with afro-textured hair. These kinds of patients require special care and technique, and we have performed these kinds of surgeries.
Does hair transplant surgery give successful results?
Hair transplant surgery is still a definite treatment for hair loss. But the results may differ among the patients. Many factors affect the success of the hair transplant surgery, i.e., donor area size, donor area density, hair density, quality of the donor area, and hair. For example, thick and curly hair will give a better outlook compared to straight and thin hair, etc.
It is worth to mention that hair restoration surgery is giving the illusion of the hair. It is not a hair replacement therapy. It is impossible to provide the density and pattern of the hair you had before. It is the redistribution of the hair from the donor area to the open spaces of the scalp. When doing so, a surgeon gives it a density, direction, and angle of natural hair, thus achieving the realistic results.
At Actual Hair Clinic, we do promise rational and realistic outcomes to our patients. We do not give false hopes and falsify the number of grafts and the results of our patients. Our main advantage is that we do extensive planning of the area we are going to work on – head, back of the head, face, and forehead assessed thoroughly. We examine hair follicles, and procedure accurately planned, the approximate number of grafts calculated with their area of distribution. The patient is informed about all possible consequences understandably, so he or she has a clear idea about all the aspects and outcomes of the Surgery.
Will I have extensive scarring after a hair transplant?
After the FUE procedure, only tiny dot-like scars may be visible at the donor area, but they can ideally be masked with number 2 or 3 haircut style. On the recipient site, there are no visible scars left.
How many sessions will I need?
The number of sessions needed is individual in the hair transplant field. For some patients undergoing more than one course may be required for satisfactory results. There are many reasons for the second or even third Surgery, i.e., increasing the overall density after the initial procedure, transplantation to the areas of the new hair loss, etc.
And unfortunately, some patients come to our clinic for revision surgery after unsuccessful surgery in other clinics, mostly black-market clinics where the operations performed without a doctor or even medical professionals.
How much time needed between hair transplant procedures?
An average time needed between two surgeries may vary between 12-18 months. Before deciding for the second session, we do evaluate the growth in the recipient area and donor area recovery.
Do you guaranty that the hair transplant will work for me?
In the field of medicine, there can be NO 100% guaranties. Hair transplant is a medical/surgical procedure, and outcomes, just like in any area of medicine, may vary among the patients. There are many factors mentioned before that affect the outcomes. A patient whose donor area has low density, receding, sparsed zones with thin hair will not have a result like a patient whose donor area has a good density, thick hair with multiple grafts.
If someone claims that they give you a guaranty for the outcome most probably lying and is a clinic that does not know what they are doing – Black market, our team, led by Dr. Ahmedov, will do its best to get the real results without giving you false hopes.
What are the possible risks and complications with an FUE hair transplant?
Hair transplant surgery is a robust medical field nowadays when performed correctly with following all the modern approaches, and there are minimal risks and complications with the Surgery. For this reason, the most significant threat is poor technique, inadequate planning, and wrong patient selection.
But we should not forget that this is the medicine and some complications like folliculitis (ingrown hair), shock hair loss (temporary hair loss) of their natural hair in the donor or recipient areas, an infection can be seen. Actually, these complications may occur with any minor or major surgical intervention; fortunately, they are rare in hair transplants.
What is shock hair loss?
Shock hair loss (shedding) is a natural and physiological step after hair transplant surgery (FUT, FUE, DHI, etc.). It happens due to the entering of the grafts into the resting phase. It may occur in the donor or recipient areas. Please don’t worry. Shock hair loss starts around 2-8 weeks after the surgery, and the new hair regrowth starts 8-16 weeks after Surgery.
When do I need to come to the clinic for control?
You are always welcome to our clinic. If there is no emergency, we make an appointment with our patient on the second day after the Surgery. We check-up the donor area, recipient area, change the dressing and perform the first wash in the clinic. The patient will also have a small brief with Dr. Ahmedov and team members regarding the haircare, medical treatment options, etc. during this visit. We will ask for the pictures of the patient scalp periodically to track the healing process after the surgery.
Do I have to be full before the Surgery, or should I come on an empty stomach?
On the day of Surgery, please have a good breakfast before arriving at the clinic.
We provide lunch at the clinic as well, as it takes long hours during the Surgery. Lunch is free of charge.
I purchased an all-included package. Is there any extra payment after arrival in Turkey?
An all-included package includes all the services we provide (transfers, accommodation, surgery, first aid kit). You will only get the ticket and pay for the extra services of the hotel if you use them.
What should I get with me on surgery day to the clinic?
On surgery day, please wear comfortable clothes (shirts are preferred). We will provide you with a sterile surgical gown in the clinic. Please, bring your passport with you as we will need your data for the hospital registrary system.
Do I need a VISA for traveling to Turkey?
If you are an EU Citizen, you don’t need a visa. For the U.K., the U.S., and other countries, please visit an electronic visa website of the Turkish Republic. All the information is listed there regarding your country of origin. You can get an e-visa if you are eligible from this web address as well.
I am coming first time to Istanbul. How long should I stay there?
Over 85% of our patients are foreigners from all over the world. We require you to stay for at least 3 Days/2 Nights, but the best option would be 4Days/3Nights. With the latter option, you will have a chance to have your first hair wash at the clinic. You will be coming to Istanbul – one of the most beautiful and historic cities in the world, and the only city located on two continents, Europe and Asia. If you wish, you can stay for a longer time to visit the historical places of this magic city. Istanbul welcomes millions of tourists every year. Despite being such a metropolitan and busy city, it’s one of the safest megapolises as well.
When do I pay for the procedure? What payment options you have?
The payment for the procedure is done after arrival at the clinic and having a consultation with Dr. Ahmedov. You can pay by cash. We accept the following currencies for payment: Euro, USD, GBP, and Turkish Liras (According to the exchange rate on the date of hospital arrival). Make sure that the money provided by you will not be torn or dirty as Turkish banks do not accept them. You can pay with a credit/debit card as well, but there will be an extra commission of +%5 of the total sum of the money (Conversion Rate of the bank). We accept Visa and MasterCard. You can also make a bank deposit before your arrival.
Do you accept any health insurance?
We do not have an agreement with insurance companies, thus not accepting insurance for our services. Hair restoration surgery is an aesthetic operation; so, no insurance company provides coverage for these kinds of treatment plans.
How can I stay in contact with the clinic after Surgery?
The motto of our clinic is – You are the patient, not a customer. We value our patients after the surgery, as well as before the procedure. We are always with you to help consider the lifelong impact of your decision – meaning that we care about not only before the operation but after all steps are behind.
The case manager assigned to you will always be glad to help you with all aspects after Surgery. You can keep in touch with Dr. Ahmedov as well. We are here with you and for you.
For how long dressing stays on my head after the hair transplantation?
The dressing will be removed before your first hair washes on the second day after the Surgery. After that, you will not need a dressing anymore. We will supply you with a headband to prevent swelling around your eyes. You should use it for 2-3 days more.
How noticeable will be the scarring and redness after the Surgery?
Scarring and redness can vary among the patients. During FUE, tiny incisions created at the recipient site scarring is almost invisible to the untrained eye. At the donor area, the patient will also have small dot-like scars, but with a good haircut, it will be hidden under the hair. There can be some redness at the donor and recipient area that can last for 1-3 months. Most of the time it is resolved on its own, using some moisturizing creams may help to reduce it as well. Patients who have a fair skin experience skin redness for a more extended time.
When can I start wearing a hat?
You can start wearing a hat 2-3 days after Surgery. The single rule here is that the hat/cap should not be very tight. You can wear a hat we supply in your bag, or you can wear your hat/cap unless it doesn’t press or rub the recipient area. But we advise our patients to start using the hat, etc., ten days after the Surgery when the grafts are stable. We recommend it since if something happens to the grafts while wearing the hat, we will not be close to help them o fix the problem.
When can I start wearing a helmet?
You can start wearing a helmet for work (construction, i.e.,) 2-3 weeks after the Surgery when the scabs shed off, and everything healed unless the helmet does not rub on the recipient grafts or the donor area hair. Rubbing may cause problems. Please avoid wearing the helmets used in biking, motorbiking, skiing, etc. for one month. They can cause too much rubbing/friction over the grafts.
When can I start doing exercises and going to the gym?
You can start light exercises (walking 1-2 miles/day, i.e.,) 7-10 days after the Surgery. Avoid direct sun exposure to donor or recipient sites. You can resume moderate activities (jogging, cardio machines, etc.) 2 weeks after the Surgery when all the crust and scabs shed off. Avoid any strenuous exercise (heavy weight lifting) for at least one month. If you perform any close contact martial arts like boxing, i.e., avoid them for three months.
How often should I wash my hair after the MicroFUE Surgery?
For the first month after the MicroFUE Surgery, you should wash your hair once a day the way we thaught you. After the first month, you can wash your head the way you used to once in 2-3 days.
For how long should I use my antibiotic cream after Surgery?
You should use the antibiotic cream we provide you in the first aid kit ONLY in the donor area 1-2 times a day for the next five days after the Surgery.
For how long should I use haircare foam after the Surgery?
You should use hair care foam with D-Panthenol; we provide you in your first aid kit once a day before hair wash for two weeks. It should wait on your head for 25-40 minutes, so it softens the crust and scabs in the recipient area.
Can I use a haircare foam at the donor area as well?
Yes, you can use the hair care foam with D-Panthenol at the donor area as well.
Can I have sex after the hair transplant?
You can have regular sex three days after a hair transplant as long as you don’t do anything to rub the transplanted area. You should avoid strenuous effort and be cautious of increased blood pressure in the area.
When can I have a hair cut after the hair transplantation?
You can start having a haircut one month after the Surgery. You can use clippers for the DONOR area after one month. For the RECIPIENT area, use scissors for the first three months. After three months, you can use clippers in the recipient area as well.
When can I dye my hair after the hair transplantation?
You can dye your hair four weeks after Surgery.
What should I do if the swelling progresses?
First of all, you should not worry. Swelling after the procedure may occur in some patients after the Surgery. There are some basic rules to follow, and swelling will resolve in 3-5 days. Apply cold compressions for 10 minutes every 1-2 hours. Perform a gentle massage on the swollen zones; it will boost the circulation and help the swelling resolve faster.
My new hair is shedding off. Is it normal?
Yes, it is very typical. You are experiencing a physiologic phenomenon called Shock Hair Loss. You are losing the hair shafts. Hair roots or stem cells where your hair originates from are intact, and beneath your skin, so your hair will grow back.
When can I have a sunbathe after the hair transplant?
Brief and moderate sun exposure (walking under the sun for 15-30 minutes, i.e.,) following the hair transplant should not cause harm to your new hair. But it is best to wear a hat because the skin is still in the healing process. Extensive exposure to the sunlight can cause darkening and thickening of the scar tissue. For this reason, direct sun exposure for the first 6-12 months after the surgery is not recommended. Wearing a hat and putting the sunscreen will be a good option.
Finasteride and Minoxidil usage is a must after the hair transplant?
Neither Finasteride nor Minoxidil is an obligatory medication after the hair transplantation. But both of them can improve the final result. Finasteride is the most potent medical treatment we have today to avoid androgenetic alopecia. The combined therapy of hair transplant + finasteride/minoxidil may have a better outcome compared to hair transplantation alone.
Do you recommend having a PRP or Mesotherapy after the hair transplantation? How often?
Yes, we do recommend having PRP or Mesotherapy after hair transplantation. The use of PRP in the hair restoration field is relatively new, and different clinics have different protocols. PRP is a concentrated plasma rich in platelets and growth factors derived from your blood. PRP enhances healing, vascularization of the recipient area. It also helps the miniaturized hair follicles to become healthier and thicker. We advise our patients to have PRP once a month for 4-6 months after the hair transplant surgery.
How long should I sleep carefully after the FUE surgery?
You should sleep carefully for the first 7-10 days after surgery, depending on healing speed.
I have some pain in my donor area. What should I do?
Pain can be seen in some patients after Surgery. It is a temporary condition that will resolve. If the pain is severe, you can use the medications (NSAID, Paracetamol) we supply to you.
I have some pimples post-op. Should I be concerned?
Having pimples at the donor or recipient area is a normal finding after the hair transplantation. They can be the first sign of hair growth, and indicate an ingrown hair inside the pimple. We call these pimple-like lesions folliculitis. If there are few sporadic bumps, they will usually clear up without treatment. You do not have to worry, just wait. If you have some soft and white pimples with pus inside, you can squeeze them for cosmetic purposes. If you have a bunch of them in a specific area, antibiotic treatment may be needed.
I had local anesthesia with a needle-free device. When will the marks be gone?
Needle-free local anesthesia utilizes pressurized air and can cause marks at the application side. They usually resolve 1-3 months after the Surgery. Please, avoid direct sun exposure to them and use a sunscreen.
What is the recovery time after FUE surgery?
Recovery time for the donor and recipient zones may vary from patient to patient. On average, donor area heals 10-14 days after the Surgery. Recipient zone can take 14-21 days, and generally, after the scabs shed off there are minimal signs of the Surgery
When will I see the results of the hair transplant surgery?
After 2-8 weeks after the surgery, you will have a temporary shock hair loss. After the 8’th week, permanent hair growth starts. The first results are seen 4-6 months after the hair transplant surgery. This time, 30-40% of the effect is seen. Good results take up to 12 months, and final results may take up to 18 months. After every month beyond six months, the recipient area will look fuller and denser.
When can I be back to work after hair transplant surgery?
You can go back to work 10-14 days after surgery. As mentioned earlier, you may have some swelling, scabs, and redness the first days after the Surgery.
I smoke cigarettes. Will it affect hair transplantation?
Smoking decreases the blood flow in the scalp region, and diminished circulation can lead to delayed wound healing. Low blood flow also affects hair growth negatively. We recommend our patients to avoid smoking seven days before and fourteen days after the Surgery.