True. Styles that put tension on the hairs – such as tight ponytails, plaits or corn-rows – can cause hair loss. Winding hair tightly onto rollers (particularly heated rollers) can have the same damaging effect.
Hair extensions can cause hair loss
True, if not done properly. If the hair extensions are too tight, they can pull on the hairs and cause bald patches (which in severe cases could be permanent).
Brushing the hair 100 times a day will stimulate the circulation and prevent hair loss
False. Vigorous brushing is more likely to injure the hairs and make the problem worse.
Frequent shampooing makes hair fall out
False. Shampooing simply gets rid of the hairs that have already fallen out.
Blow-drying and heated brushes can worsen hair loss
True. The reason is that extreme heat damages the proteins in the hairs, making them fragile and liable to break off. Brushing the hair during blow-drying causes more damage. Careless use of heated brushes or heated hair straighteners can even burn the scalp, so that the hair follicles are permanently damaged in that area.
Protein-containing conditioners and shampoos nourish the hair and help it to grow
False. Protein-containing conditioners only temporarily fill in defects on the surface of the hair shaft, making it smoother and thicker.
Hair dyes, perms and hairsprays worsen hair loss
False. Hair dyes, perms and hairsprays do not affect thinning hair. Perms and hairsprays can help to disguise the problem.
If your father has a full head of hair, you will not go bald
False. A tendency to baldness is inherited and probably involves a combination of genes. So you are not automatically in the clear even if your father has a full head of hair. It is not true, as sometimes claimed, that only genes from the mother’s side are involved.
Stress can cause hair loss
True. Scientists have now identified some chemicals that are produced in the body during periods of stress, which can affect hair growth (Journal of Investigative Dermatology 2004;123:455–7).
It is normal to lose hair from our early 30s
True. A person aged 20–30 years typically has 615 hair follicles per square centimetre. The number falls to 485 by 50 years of age and to 435 at 80–90 years of age. Also each hair is thinner. So, with ageing, hair becomes both finer and sparser.
Is Follicular Unit Transplantation permanent? Does it really work?
Transplanted hair behaves in a similar way to the hair where it was taken from. It will last a lifetime for most people or at least into old age when the procedure is done correctly. We simply re-distribute existing permanent hair to your thin areas. Sometimes in old age one may experience hair thinning throughout the donor area. If this happens then the transplanted hair will follow suit.
Does it look natural?
Yes. Carefully and skillfully performed Follicular Unit Hair Transplants look very natural, and with single hair follicular unit grafts a natural-looking regular hairline is attainable. It is almost impossible for a lay person or even a hairdresser to detect.
Does Follicular Unit Transplantation leave scars?
The art of a hair transplant is to conceal the scars. When performed by skilled surgeons, Follicular Unit Hair Transplants will only be detected by thorough expert medical examination. The donor site however will have a very fine scar completely hidden by your hair. The technique of trichophytic donor closure is now rendering donor scars extremely difficult to detect even with no covering hair. Having said that, we would not recommend shaving the back of the head because healing and scarring can vary from person to person.
Will I need time off work after my surgery?
This depends on your type of work. If you don’t have a physical or strenuous job, medically you can generally go back to work after just a couple of days, otherwise return after 7. The other consideration is from a cosmetic view. If you do not have sufficient hair to cover the donor site or if you are very concerned about anyone knowing, then its probably best to have your surgery just before a week’s holiday or so. You will be able to wear a hat immediately after surgery. The sun will not damage your grafts, but as your scalp will still be numb you need to wear a hat to avoid sunburning your scalp.
Are there any bandages after the procedure?
No. There is no need for bandages after modern hair transplantation. A small dressing may be applied to the back of the head where the hairs have been taken from. This may be required to stay on for up to 24 hours.
When will I notice any growth from my new hair?
The initial hair that is transplanted will normally fall out within the 1st 8 weeks and the new hair growth will break through skin after 3 months after the procedure. However, it can take up to 6-8 months for the new hair to make a significant cosmetic difference to your appearance. Hair continues to mature for over 12 months after surgery.
Can anybody have a Follicular Unit Transplant?
Yes, except for hemophiliacs and people with significant or relevant medical conditions. Sometimes, although physically you can have a transplant, the surgeon may advise against it for a variety of reasons including your young age, future hair loss considerations, high expectations, etc.
How long will it take before I achieve what I’m looking for?
Our hair transplants will generally restore 25-35% of the original density in the treated area of the scalp after one operation. For most this is suffient to give a good hair coverage. It is generally not possible to achieve greater than 50% densitity even after a 2nd treatment.
Is age a limiting factor?
There is no upper age limit if a person is in good health. Lower age limit is very much dependant on the degree of hair loss. Generally speaking, it is very unwise to consider hair transplant surgery if you’re less than 25 years of age, at a very early stage of hair loss and have a family history of advanced hair loss.
Is the surgery expensive?
Not when compared to alternative treatments. Of course there is a cost involved, but the naturalness of growing your own hair makes hair transplants much more cost effective.
Remember that there are no other expenses involved afterwards. No lotions or chemicals to buy continually. No wigs or hairpieces to be continually maintained serviced and replaced. So in the long run, hair transplants are not only the most natural solution; they can also be the cheapest. Although a rough estimate of cost can be given from good photos, the cost in detail can only be worked out after examining your scalp and assessing your hair loss at the consultation with one of the doctors. Treatments start from £1900.
Will I regain a full head of hair?
Not literally. We are only redistributing your existing permanent hair to your thin or bald areas. We are not creating new hair. Having said that, in expert hands the limited donor hair available can be used to create the illusion of a lot more hair in people with significant hair loss. In extensive baldness, the most important achievement will be to restore frontal scalp hair and the hairline to create a frame around the face. This will improve how you look to yourself and to others.
What is the different between Strip and FUE hair transplant surgery
The only difference in the 2 treatments is the way in which the hair is extracted from the back of the scalp. The implantation process is the same.
Strip procedure requires the harvesting of a strip of scalp from the donor area. The strip is only 1 millimetre in diameter and is removed using a small scalpel. The strip is placed under a microscope and divided into grafts containing 1 or 2 hairs.
Follicular unit extraction (FUE) is a process that utilises a small punch tool that removes hairs from the donor sites. The tool removes grafts that contain either 1 or 2 hairs. FUE procedures use a much larger donor area than strip procedures. The punch tool will likely be used across a large area of the scalp to extract healthy hairs.
Both procedures insert 1 or 2 hairs at a time into tiny incisions. Some patients find that the incision sites for strip procedures are somewhat larger and more noticeable than that of FUE procedures. Both procedures require incisions that are less than 1 millimetre in diameter.
Strip procedures are beneficial to those who have large areas of balding. This is because a much larger number of grafts can be harvested per hair transplant session.
Individuals who wish to keep their hair shorter than 2 centimetres, may prefer FUE procedures. These procedures have less scaring than strip procedures because they do not require a large harvest site.
The surgical team will help patients determine which procedure is best.
What are the disadvantages of hair transplant surgery?
There are a number of disadvantages to hair transplant surgeries. It’s important that all patients weigh the risks of hair transplant procedures against the benefits. Ultimately, there is little to no medical risk associated with the surgeries. This means that while disadvantages do exist, they are generally not negative enough for patients to refuse the procedures.
Minor medical risks associated with hair transplant surgeries include haemorrhaging and infections. Patients who follow the advice and recommendations of the surgical team are unlikely to experience either of these medical risks. If infections or excess bleeding does occur, simple treatment options are available. There is also a minor risk of nerve damage associated with hair transplant procedures. This nerve damage is most common in surgeries which remove a portion of the scalp.
Scarring is another potential disadvantage of hair transplant procedures. Although scarring is usually minimal, there is always the chance of improper healing or noticeable scars. The scars associated with FUE procedures are small dots or bumps at follicular insertion sites. FUT procedures usually result in thin, unnoticeable scars at the follicular insertion sites and a 1 millimetre scar at the donor site. These scars are generally invisible, but may become visible if patients choose to shave the hair.
Occasionally hair loss is experienced after transplant surgeries. Sometimes this is simply shedding, which means that the hair will grow back in a month or two. It is possible, however, for a small to large percentage of transplanted hairs to die and fall out. The risks associated with strip procedures are extremely low, just 2%-5% of transplanted hairs do not survive the procedure. FUE procedures are far more likely to result in the death of previously healthy hairs, but most procedures will only result in the death of about 10% of the transplanted hairs.
Most patients find that hair transplant procedures are extremely successful. The surgical team will help patients maintain realistic expectations, which is the key to avoiding disappointment. It is impossible to create a thick, full head of hair in an individual who has experienced a large area of balding. Realistic expectations and following the guidelines of the surgical team should ensure a successful hair transplant experience.
How long does the hair last after hair transplant surgery?
The follicles that are transplanted during the surgical procedure will last for the lifetime of the patient. These hairs are genetically resistant to balding, which means they will never fall out. Some patients, however, may not experience hair growth for up to sixth months following the hair transplant procedures. Additionally, some patients may experience initial hair loss due to the transplantation process. These hairs will grow back in 2-6 months. Once the hair begins to grow normally, it will continue to do so for the patient’s lifetime.
Does hair transplant surgery hurt?
No. Patients undergoing hair transplant surgeries are given local anaesthetics during the hair transplant procedures. Most patients do not report any pain during the procedure, however, there may be slight discomfort during hair insertion and extraction.
After the procedure, patients will experience some minor soreness and numbness. The majority of patients find that the surgery and recovery are far less painful than they expected. It is advised that patients wear shirts that can be unbuttoned on the day of the surgery and for a few days afterwards. This is to avoid accidentally rubbing the scalp, which may cause pain or discomfort the first few days after surgery.
FUT procedures and other cosmetic surgeries that cut or remove portions of the scalp, will result in more pain and tenderness than less invasive surgeries.
Ultimately, the recovery time of hair transplant surgeries is short and relatively pain free.
Should I have my hair cut before hair transplant surgery?
It is not necessary for the hair to be cut prior to the transplant surgery. FUT surgeries require the removal of a small strip from the scalp. If patients wish to hide this scar, the hairs surrounding the donor site must be at least 2 centimetres in length.
Generally, hair transplant surgeons will cut or shave the hair during the transplant procedure. However with FUE the patient has a no1 cut all over. .
Due to the inability of patients to predict the length of hair necessary for the hair transplant procedures, it is best to refrain from cutting the hair prior to surgery.
Is there any special aftercare following hair transplant surgery?
It is extremely important to follow the aftercare procedures of the hair transplant surgery. During the first night following the surgery, the grafts are still sensitive and could fall out of the incisions if touched or manipulated. Avoid pulling shirts over the head. Do not brush, comb, rub, or even touch the transplanted hair for at least 24 hours after the surgery.
Patients should sleep in a mostly upright position the first three nights following the procedure. This will avoid accidentally rubbing or shifting the grafts.
The surgical team will provide each patient with a bottle of lotion. This lotion should be sprayed on the transplanted hair every 30 minutes for the first night following surgery.
It is important that patients wait at least a week before taking a shower. The force of the water could cause the grafts to shift or fall out. Patients must also wait 48 hours before shampooing their hair. A mixture of water and ph-based shampoo should be gently worked into the hair and scalp. Water can be gently poured from a receptacle over the patient’s head, but faucets and showers should be strictly avoided.
If a portion of the scalp was removed during the hair transplant procedure, it is important to vigourously clean the incision every day. This can be achieved by firmly rubbing the scar or by using a small cleaning brush. Washing the incision helps prevent crusting, which can result in a longer recovery time and increased scaring. Additionally, antibiotic cream should be applied to the scar twice a day for the first week following the procedure. This cream will help prevent scaring and infections.
Physical activity should be avoided as much as possible in the first week following surgery. This includes refraining from sexual activity and rapid movements of the head. Patients should not bend forward, shake their head, or blow their nose too strongly. These activities could result in the loosening of the grafts.
Patients should not submerge the hair in water for at least two weeks following the surgical procedure. This includes swimming. Patients must also abstain from alcohol for at least 48 hours following the surgery and avoid sun exposure for as long as the insertion sites remain red and raw.
It is important that patients take the full dose of the medications prescribed by the surgical team. Even if patients are not experiencing pain or swelling, they must take the full dosage of medication.
Patients may begin or continue taking minoxidil about five days following the surgery. Propecia and Follifuel can usually be taken before, after, and during the surgical procedure.
There are a few issues that may arise in the days or weeks following the hair transplant procedure. Swelling commonly occurs in the first few days after surgery. Ice can be applied to the forehead, but should not touch the grafted area. Icing the grafted area could result in the death of the grafted hairs. Ice can be applied to the donor area at the back of the head if necessary.
Bleeding can occur as a result of the surgical procedure. Patients are advised to apply pressure to bleeding areas with a compress or clean linen.
Decreased sensitivity is another possible side effect within the first few months after surgery. Most patients regain full sensation in the scalp within one year of the surgery.
Patients may also experience crusting around the grafted follicles. This is completely normal and the crusts will fall off on their own around a week after surgery. It is important that patients refrain from picking at the crusted area. Picking could result in the removal of grafts.
Patients will need to return to the surgical site to have their stitches removed about two weeks after the surgery. The surgical team will check the healing progress to ensure a healthy recovery.