In our practice, Hair Transplantation procedures are performed under local anesthetics with mild sedatives in our clinic facilities or at our affiliated hospitals in Phuket. You will be operated as an outpatient and you are allowed to leave the clinic on the same day after the procedure. Although in some cases, you might be considered for admission in our affiliated hospitals.
The Surgery: Hair transplant is a surgical procedure that transfers hair follicles from a donor area to a recipient area. After your hair transplant surgery, a turban-like bandage may be applied after the operation and left in place overnight to keep the transplanted hairs secure and properly oriented.
Three Main Steps:The plastic surgeon follows three steps in hair transplantation:
Harvesting: The donor hair strip is harvested under sedatives with local anesthetics and the wound is closed with sutures.
Dissecting: The donor hair strip is sliced into narrow strips and then dissected into individual follicular hair units under a microscope.
Transplanting: The follicular hair units are transplanted into the bald or thinning areas of the head.
Dense results might not be achieved with one session of hair transplant. Generally 2-3 sessions might be required. Each session may be done as far apart at least 6 months between next the session.
Follow our given instructions carefully to avoid loss of grafts
Growths will not be as thick as you or we would want. The top of head originally had between 30,000 – 50,000 hairs before it began to lose hair. Typically even with multiple procedures, we only move 12,000 – 18,000 hairs.
Hair growth will not occur as fast as you would like; in fact, you will probably see no growth before four months. Be patient. For most people, it takes at least 6-7 months to begin seeing positive change and 12 months to see the full benefit. As a result, you should wait at least a year after the first surgery to allow complete healing and full growth of transplanted hairs before assuming any failure of transplanted hair-growth.
In some cases, it may actually look thinner after the transplant. This is more likely to occur when pre-existing hairs are presented in the transplanted zone .These hairs may thin out in the three months after transplantation; however, will usually grow back about the same time and rate that the grafts grows in. Do not worry when you look thinner at three months after transplantation. Your reward comes at 6-12 months.
You will not get the maximum benefit from your transplant until 9-12 months after the procedure because the hair must have this amount of time to re-grow in length and thickness of the shaft. You will see improvement at four to six months in the form of fine hair though results peak out from 9 to 12 months.
Hair loss is a relentlessly progressive occurrence; therefore, you would likely want an additional hair replacement procedure in the future to thicken or cover new areas of loss. This is also the reason why we strongly recommend the use of Propecia or Avodart and Rogaine to help prevent this progression.
Clasp your hands and place on the back of your scalp as shown in the photos above and below. Find the area on your skull that has the ridge running along the back. Place your hands slightly above this ridge with your palms flat.
Find the area on your skull that has the ridge running along the back. Place your hands slightly above this ridge with your palms flat.
Pull your hands forward toward your forehead while at the same time moving your scalp up and down. Press hard enough against your head so that your scalp moves and your hands don't simply slip over your hair. Perform this exercise for 5 minutes in the morning and 5 minutes in the evening.
Exercise 1: Clasp hands behind head and move your scalp up and down in the direction(indicated by the arrows)
Exercise 1: Profile view of hands clasped at back of scalp
Scalp Laxity Exercise 2
Place your hands firmly at the side of your head as in the above photo.
Move the scalp up down as far as scalp movement will allow without your hands slipping on your head.
Perform this exercise for 5 minutes in the morning and 5 minutes in the evening.
Exercise 2: Move the scalp up down as far as your scalp allows
Get Ready For The Big Day (Before, During & After)
Grow your hair before hair transplant: Growing your hair fairly long over the donor site at the back of the scalp for about 5cm long or more is recommended. When you are using Minoxidil, you will be asked to stop using it until after surgery as Minoxidil is a blood vessel vasodilator as well as a hair growth promoter.
2 Weeks Before: Do the Scalp Laxity Exercises which facilitates the closure and help to reduce incidence for scar widening of the donor site after the operation. You will be taught how to perform the ‘Scalp Laxity Exercises’.
1 Week Before: Stop smoking well in advance of surgery. Stop using skin creams like Retin-A and any anti-inflammatory drugs as taking these substances can cause increase bleeding. Inform us about any medications you are currently taking.
3-4 Days Before: Wash you hair with an antiseptic shampoo on each day for the two or three days prior to the hair transplant. Do not use hair gel or mousse or hairspray.
On Hair Transplant Day
Food: Have a light breakfast. Avoid caffeine intake so you are as relaxed as possible. When you’re a liquids-only breakfast person, you should eat something.
Medication: Take antibiotics or medications prescribed by the clinic.
Clothes: Wear a shirt with buttons or zipper in front so you don’t have to pull it out on your head. No jewelry. Bring a baseball –style cap to wear after the surgery.
Prior to the procedure, go to the lavatory as there will be long periods when you have to lie or sit still for removing the donor hair and for implanting the hair follicles.
Same Day Discharge: You will be given a written instruction on when to take your antibiotics, anti-inflammatory and analgesic pills and you’ll be advised on the date of your follow-up visit. When the grafted area or the stitches in the donor area bleeds, you can usually control the problem by applying pressure to the area with a cold pack. Use a soft cloth saturated with ice-cold water or an ice cube wrapped in a wet cotton cloth. However when the bleeding does not stop with firm pressure applied for 15 minutes, please call us immediately. A pimple-like lesion might develop occasionally at the recipient site. When this happens, please notify the doctor to prescribe a specific medication for this problem.
24-48 hours post transplant: A small crusts will form on each graft and fall out after 7-10 days. Hair Grafts are held in place by coagulated blood. Return to the clinic to have your hair washed. After this, you can wash your hair everyday at home. It is important to follow our recommendation for post op hair washing. Using this method, scabs typically fall off between 8-12 days.
3 – 5 Days After: Expect some swelling around the area of the forehead and maybe around the eyes. Swelling peaks between the third and fifth day and will be gone by the 7th day. Rarely, the blood work its way down into the eyelids producing a black eye. Avoid intake of Aspirin and alcoholic beverages for at least 3 days following the transplant.
1st – 7th Day After: Apply a thin layer of antibiotic ointment with your fingertip to the stitches on the back of your head twice daily for 7 days and use a loose hair cap or hat with care. Please take special attention to the transplanted areas. Take extra precaution to protect your head. Limit strenuous exercise and avoid swimming for at least 7 days.
1 Week After: Combing of all areas including use of hair spray and hairdressing on any hair presented in the grafted zone can be done. You should not touch the grafted area.
Day 0: Day of hair restoration surgery. Just relax. Do not wash your hair at all.
Day 1: Post-operative hair washing at the clinic. Make sure to follow the recommended hair washing technique per instruction.
Day 2 - 3: Fill a cup with water mixed with baby shampoo and pour gently over your head several times. Gently massage the shampoo into the donor area, cleaning the area around the scar. Wash donor area, working around the scar with care to work off any dried blood. Apply as much pressure as needed however avoid using so much pressure that causes pain.
Day 4: Assuming that your shower pressure is reasonable and not too harsh, let the water from the shower head hit your head normally. Massage shampoo in your hands until it lathers. Gently touch the grafts with the shampoo in the palm of your hands and gently touch with your finger tips. Avoid any massaging of the transplanted hair at this point. Continue washing donor area normally from this point on, paying attention around the scar as to work off any dried blood and keep the area clean.
Day 5: Repeat the instructions from day 4 however, add very gentle back and forth motions with your finger tips through the transplanted hair. Avoid using your nails at all costs.
Day 6: Resume normal hair washing however be extra gentle with the hair grafts.
Day 7: Begin showering twice a day; however, use extra care on the follicular unit grafts. Spend extra 10 minutes in the shower both in the morning and evening, massaging the hair grafts in a circular motion with your fingertips in order to start working off the scabs. Do not apply a lot of pressure. The trick is to apply a constant circular motion to gradually work off the scabs rather than simply picking them off. Picking the scabs should be avoided at all costs.
Day 8 onwards: Whatever scabs that’s left or doesn’t come off in the shower, will come off after subsequent showers and circular massaging. Your patience is important and please don’t force anything off.
Full payment of the operating expenses must be paid in full before the operation. This package is applicable for elective, uncomplicated patients only. When you have any underlying diseases such as hypertension, heart disease, diabetes, etc, you will be required to undergo a basic, preoperative medical check-up at an additional expense..
Doctor’s fee, local anesthetics, operating room charges, home medications and follow-up visit.
Charges for in-patient stay or intensive care, when necessary; charges related to underlying condition such as Diabetes, Asthma, Hypertension, Thyroid, Drug Allergy, Heart Disease, etc.
It is highly recommended for patients to stay in Phuket or nearby places for at least 10-14 days because hair transplantation surgery is an aesthetic reconstructive procedure other than purely aesthetics. Since this is a complex operation requiring highly technical skills which have variable presentations in each patient with high chances of developing early post-operative complications, it would be beneficial when our surgeon could closely follow-up and monitor your recovery while you’re still in Phuket.
There are no promises for the results as the outcome varies in each individual patient and it will take many months to see the result. In the event that the patient requires additional operations, there will be no doctor’s fee; however, the patient must pay for the operating room charges, anesthesia and hospital fee.
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