The procedure is possible for both men and women. Provided there is hereditary hair loss (androgenetic hair loss/AGA) and there is still enough hair available in the harvesting area (hairline/donor area) that can be harvested and transplanted as donor hair. Consequently, patients with other diagnoses of hair loss and patients with too few donor hairs (insufficient hair crown) cannot be treated with hair transplantation. These include, for example, sufferers of alopecia areata and also sufferers of diffuse hair loss.
Hair transplantation has been proven to be the most effective method for the treatment of androgenetic hair loss (AGA).
As mentioned above, the hair follicles taken from the donor area are insensitive to the dihydrotestosterone (subhormone of DHT) which causes hair loss. After hair transplantation, the transplanted hairs retain their genetic defaults (the insensitivity) in their new location. They will continue to grow there and will not fall victim to hereditary hair loss.
However, the scientific basis of hair transplantation2 is that the new hair from the donor area will only grow in the new area as long as it would have grown in its original place.
Therefore, it must always be mentioned that the results can become thinner with age, namely if the rim of hair thins out somewhat with age, especially with high NW degrees such as NW 6.
Additional information: The majority of hair surgeons believe that the active substance finasteride can stop or at least weaken the above-mentioned process.
No. A hair transplant is not a hair increase, but only a hair redistribution! The number of hair follicles to be harvested in the band of hair is limited or, in other words, the donor area cannot be harvested at will. Therefore, every serious hair surgeon will handle the available donor grafts as carefully and economically as possible during hair transplantation. Places that are important for the visual appearance, such as the front areas with the hairline, are planted more densely and other areas are given less density. In the end, a transplantation always creates the illusion of significantly more hair than is actually present on the head!
As a rule, hair surgery is always charged according to the number of grafts transplanted. However, how many grafts one needs depends on several individual factors: What are one’s goals? How high/low should the hairline be? How large is the area to be grafted? What density should be transplanted?
Also, the number of grafts required always depends on the characteristics of the donor hair (hair color, hair thickness, hair structure (wavy, curly, or straight hair), as can also be read in the article „Hair Restoration Surgery: The State of the Art“ 4.
For more information, please read the chapter on hair transplantation costs
Patients who have already had a hair surgery describe it as a similar experience to going to the dentist. Before the surgery, you will always receive a local anesthetic in the treated areas. The incisions are made carefully and are easily tolerated. After the transplantation, however, there may be soreness and feelings of tension and numbness. The pain can be managed well with mild painkillers and the tightness and numbness will gradually improve until they have completely disappeared.
– 4-5 days before the operation you should abstain from any alcohol consumption as well as coffee on the day of the surgery.
– Go to bed early the day before the surgery so that you can start the hair transplant rested.
7 days before the procedure you should avoid food supplements and/or drinking vitamins that contain vitamin B and/or E.
– On the day of the hair transplantation, it is best to wear comfortable clothing such as a shirt that does not have to be pulled over your head for dressing/dressing.
– 10 days before the operation, do not take any medication containing aspirin/acetylsalicylic acid or any medication similar to aspirin (ibuprofen, diclofenac, etc. …). The same applies to any kind of stimulants and/or anesthetics. However, if you are in pain before the hair transplant, the painkiller paracetamol is allowed.
– Do you have to take medication prescribed by a doctor regularly? Please inform your hair surgeon in advance.
– If you have been prescribed medication against blood coagulation disorders (coumarin-containing, e.g. Marcumar), this must also be made known before the hair transplantation and your treating general practitioner must be consulted.
– Do you use hair loss remedies containing minoxidil such as Regaine, Regain, Rogaine, Lipoxidil? Please discontinue these 7 days before the hair transplantation.
Finasteride (Propecia/Proscar) may continue to be taken.
After the hair restoration surgery, there may be slight, sometimes considerable swelling in the area of the recipient.
These may also appear on the face 2-3 days after the operation. All in all, perhaps similar to a boxer after a fight. There is usually no pain, but many patients feel disfigured after the hair transplantation and therefore avoid the company of others until the swellings have subsided after about 5-7 days.
In order to support a complication-free, optimal healing after the operation, heavy work, sweating, dust and moisture as well as sport should be avoided for 2-3 weeks after the hair transplant. You should wait about 4 weeks before you resume wearing a toupee, going to the sauna, swimming (with regard to chlorine), and strong sun exposure (also use of a solarium).
Yes, after the transplantation, the grafts first fall into a resting phase until they start to grow after 3-5 months.
About 1-2 days after the hair transplant, painless but unattractive swellings appear, which are also visible on the face in the form of a puffy appearance and cause an overall feeling of discomfort. About 5 days after the operation, the swellings have subsided to the extent that nothing unusual is noticed by third parties (in some cases this can take up to 3 weeks).
After the hair transplantation, crusts form on the treated areas, but they disappear after about 10 days. Many patients therefore plan a holiday for this period and usually manage with 2 weeks.
After the crusts fall off, the scalp appears pink to red, which is familiar from other healed wounds. It can take up to 2-3 months after the hair transplant until the skin has adapted to the colour of the rest of the scalp. A cosmetic concealer, which is available in many skin colours in pharmacies and drugstores, can help. If new hair (grafts) was transplanted in the midst of existing residual hair, the overall appearance of the hairstyle can still give an unattractive impression for about 3-5 months. On the one hand, this is due to the slight colour deviations of the skin and on the other hand, because the residual hair goes into a resting phase due to the so-called “shock fall-out”.
It can take up to 3-5 months after the hair restoration surgery until the remaining hair starts to grow after this resting phase and also the new transplanted hair. Consequently, a rather worse hair situation is to be expected for this period of time.
No, not necessarily. With the FUE method, usually, at least the hair in the donor area must be shaved so that the fine hollow needle of 0.8 – 1 mm in diameter can be inserted into the skin around the follicular unit and the graft removed. In the recipient area, hair can often be left long after consultation with the hair surgeon. However, there are hair surgeons who prefer a full shave and this issue should always be clarified before the hair transplantation.
In the meantime, the FUE method offers the possibility of transplant without any shaving, neither in the hairline nor in the recipient area. However, due to the higher time expenditure and the fact that a lot of experience and know-how is required, this hair transplantation variant is only offered by very few hair surgeons.
Many of those affected wish to be socially acceptable again quickly after the transplant (especially for women, shaving a large area is often unthinkable).
This probably greatest wish of every patient can only be realised by an “unshaven” hair transplant (and only if there is still enough existing hair in the recipient area to cover it!), as Manager Magazin also reported about hair transplantation without shaving.6
However, only a handful of hair surgeons (even worldwide) have mastered such a transplantation without any shaving (no shaving, no shaving – neither in the receiving nor in the removal area) and those affected must be informed about the advantages and disadvantages.
Approximately 1-2 days after the procedure, painless but unattractive swellings develop, which are also visible in the face through a puffy appearance and cause an overall feeling of discomfort.
About 5 days after the operation, the swellings have subsided to the extent that nothing unusual is noticed by third parties (in some cases this can take up to 3 weeks).
After the surgery also crusts form on the treated areas, but they disappear after about 10 days. Many patients therefore plan a holiday for this period and usually manage with 2 weeks. After the crusts fall off, the scalp appears pink to red, which is familiar from other healed wounds. It can take up to 2-3 months after the operation until the skin has adapted to the colour of the rest of the scalp. A cosmetic concealer, which is available in many skin colours in pharmacies and drugstores, can help.
If the surgery was performed using the strip method (FUT), the stitches can be removed after about 14 days (there is no need to remove the stitches with FUE). However, you do not need to make another long journey, but can also have the stitches removed at your family doctor or dermatologist.
The transplanted hairs will fall out again within 2-6 weeks after the procedure. However, this is no cause for concern: the transplanted hairs suffer a lack of oxygen in the course of the treatment, fall into a resting phase and shed the hair.
3 to 5 months after the transplantation, the first hair roots begin to develop new hair again – gradually and also at different rates, depending on the patient. Small pimples may also appear, which are caused by a new hair shaft making its way outwards.
6-10 months after the transplantation, the hair becomes thicker and thicker. Even in month 11, serious positive changes can often still be seen until the final result is expected in month 12.
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There are also exceptions. For example, there are cases in which significant new growth was not seen until 6-8 months after the hair transplant, but there are also patients who were able to see a remarkable increase in hair and thus an astonishing visual improvement after only 3-5 months. Although these cases are the absolute exceptions, they should nevertheless not go unmentioned.
12 months after the hair transplant, all transplanted, new hair should grow in any case, so that one can speak of the final result after 12 months. Apart from the growth rate, however, significant changes can often still be achieved in terms of appearance after the 12 months up to 18 months after the hair transplantation. Since isolated hairs initially appear quite fine and filigree, they can gain in “strength/thickness” over time and thus make an impressive, positive change in terms of hair volume.
Hair “transplanted” normally continues to grow for a lifetime. You are welcome to do with your “new hair” what you were used to before. Whether you use shampoo or other care products, hairspray, or gel – style and style your hair as you wish without worrying! You do not need any special care products to care for your hair.
No, but it would be advisable. Although the transplanted hair will not fall out for a lifetime after the hair transplantation, the existing hair can continue to fall out due to hereditary hair loss. Therefore, if the hair loss progresses, in many cases a hair transplant must be performed again. Medications such as finasteride or minoxidil can help to slow down further hair loss as much as possible, or in the best case even stop it. This means that you can enjoy the results for longer.
In principle, no hair transplant is completely without scars! With the FUT strip hair transplant technique, a linear scar is created, which, however, can usually be sufficiently concealed by longer hair in the hair crown, and with an FUE hair transplant, small fine round scars are created, which, however, are usually hardly perceived as scars by outsiders, even with short hair.
No. The costs of hair restoration are not usually covered by health insurance.