Hair Transplant Surgery

Hair transplant is the only permanent method of hair restoration in which one’s own hair roots (follicles) from the back and sides of the head are extracted and implanted on the bald area.

What You Need To Know
  • Current practice of hair transplant surgery involves 2 ways of hair extraction: Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE).
  • In Follicular Unit Transplantation (FUT), also known as strip harvesting, a strip of skin from the back of the head is removed with scalpel. The gap at the back of the head is then sutured together. The strip is then divided into grafts for hair transplant.
  • Follicular Unit Extraction (FUE) is the most advanced technique of hair restoration in which hair follicles are extracted from the back of the head with special micropunch and implanted in the bald area. No scalpel or stitches are required. Aside from hair loss, FUE technique applies for other body parts such as eyebrows, eyelashes and moustache.
  • 1 follicular unit graft contains 1 to 4 hairs. The donor site is the area where grafts are extracted whereas the recipient site is the balding area where we plant the grafts.
  • In general, 2000 to 3000 grafts would be enough to cover from frontal hairline to crown region. However, the actual number is subject to the severity of your condition. Factors to consider include hair density of the donor site, hair color, skin color and texture of your hair.
  • This may not be a good idea. Hair transplant surgery is not just about “relocating” hair follicles to bald area and achieve maximum density. We need to ensure their survivability as well. Transplanting too many grafts at once may damage the scalp tissue and reduce the chances of survival of the transplanted hair follicles. In conclusion, let’s go steady.
  • Normal hair density falls between 90 – 100 hair per square cm and imperceptible to the naked eye. The hair transplant surgery requires only a small amount of hair follicles to produce the best visual results. Usually, 25 – 30 hair per square cm is adequate to achieve the desired aesthetic results. Thus, it does not cause any defects to the donor site.
FUE Procedure

Minor shaving on donor site (hair length of 1.5-2mm) in order to observe the direction and angle of hair growth. Followed by donor site disinfection and local anesthesia injection.

Extraction of follicular unit grafts by doctor with
micropunch (0.8-1.0mm diameter).

Assistant pulls out the grafts with a tweezer.

Grafts are categorized according to number of hair.

Recipient site disinfection. Tiny holes are created on recipient site according to the natural density, angle and direction of hair growth.

Grafts are placed one by one.

Approximately 90% or more of the transplanted hair will grow within 3 to 6 months after the surgery.

After Surgery
  • Scabs will form after surgery and require 7 – 10 days to fall off.
  • No stitching is required for FUE hair transplant. The wound will heal within 5 days.
  • Elevate the pillow around 30 degrees while sleeping.
  • Numbness and itching sensation are normal. They are temporary.
  • Patient is able to resume work life maximum within 3 days.
  • How to wash your hair: For 10 days, use a gentle stream of cool water and pat gently with fingertips. Do not rub. Do not apply undiluted shampoo directly to scalp. Please dilute shampoo with cold water and pat gently on head. Do not use hot water or strong pulse of water. Gently towel dry your hair (no rubbing). Blow dry your hair on cool air setting.
  • Follicular Unit Transplantation (FUT): Since a strip of skin will be removed from the back of the head, the scar will form as a line.
  • Follicular Unit Extraction (FUE): No visible scar as the process requires no scalpel or stitches.
  • Scabs will start coming off with the hair shafts approximately 1 week after the hair transplant surgery. Please be patient as the follicles are entering telogen phase, which is a resting phase. Your hair follicles are intact, and hair regrowth will start around 3 months after.
  • Approximately 90% or more of the transplanted hair will grow within 3 to 6 months after the surgery. Initially, the new growing hair appears fine and short. It will thicken over time, and takes about 9 months to achieve final results. The results are permanent.
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