February 18, 2025

Hair Transplant: A Plastic Surgeon’s Guide

February 18, 2025

Image blog hair tranplant

Hair loss is a common concern for many men and women, with various factors such as genetics, ageing, and medical conditions contributing to thinning or baldness. While non-surgical treatments may slow hair loss, hair transplant surgery provides a lasting solution by restoring natural hair growth in areas with reduced density. Advances in surgical techniques allow for precise and natural-looking results, ensuring that transplanted hair blends seamlessly with existing hair.

This guide outlines the key aspects of hair transplant surgery, including who may benefit, available techniques, the surgical process, recovery, and expected outcomes.

Who Can Benefit from a Hair Transplant?

Hair transplant surgery is suitable for individuals experiencing hair loss due to various factors. The best candidates typically include:

Men with Male Pattern Baldness: Those experiencing receding hairlines or thinning at the crown due to hereditary hair loss.

Women with Localised Hair Thinning: Suitable for women with specific areas of hair thinning rather than diffuse hair loss.

Individuals with Hair Loss from Scarring: Those with hair loss caused by injuries, previous surgeries, or burns.

Stable Hair Loss: Candidates should have a predictable pattern of hair loss with sufficient donor hair to achieve desired coverage.

Hair Transplant Techniques

There are two main techniques used in hair transplant surgery, each with distinct approaches to extracting and implanting hair follicles.

Follicular Unit Transplantation (FUT)

This technique involves removing a thin strip of scalp from the donor area, usually the back of the head where hair is denser. The strip is carefully dissected into individual follicular units under a microscope before being implanted into the recipient site.

  • Benefits: Allows for the transplantation of a larger number of grafts in a single session, making it ideal for those requiring extensive coverage.
  • Considerations: Leaves a linear scar at the donor site, though it is typically concealed by surrounding hair.

Follicular Unit Extraction (FUE)

In this method, individual hair follicles are directly extracted from the donor area using a specialised micro-punch tool. The harvested follicles are then implanted into the recipient area to restore hair density.

  • Benefits: Leaves minimal scarring and allows for a quicker recovery period.
  • Considerations: Suitable for those preferring shorter hairstyles, as there is no linear scar, but may require multiple sessions for significant hair loss.

Both techniques aim to produce natural results, with the choice depending on factors such as hair loss extent, donor hair availability, and personal preferences.

Step-by-Step Hair Transplant Procedure

Consultation and Planning: A thorough scalp assessment is conducted to determine the most suitable technique and the number of grafts required. The hairline is carefully designed to achieve a natural and balanced appearance, considering facial proportions and hair density.

Preparing for the Procedure: The donor and recipient areas are trimmed if necessary. Local anaesthesia is administered to numb the scalp, ensuring comfort throughout the procedure.

Hair Follicle Harvesting: In follicular unit transplantation (FUT), a thin strip of scalp is removed from the donor area and dissected into individual follicular units under magnification. In follicular unit extraction (FUE), each follicle is extracted individually using a specialised tool, leaving minimal scarring.

Graft Preparation: The harvested follicles are sorted, cleaned, and preserved to maintain viability. Only healthy and intact grafts are selected for transplantation to optimise growth and coverage.

Recipient Site Creation: Tiny incisions are made in the thinning or balding areas, following the natural angle and direction of hair growth. This ensures that the transplanted hair blends seamlessly with surrounding hair.

Graft Placement: The prepared follicles are meticulously implanted into the recipient sites, ensuring proper spacing and density to achieve a natural, full appearance.

Post-Procedure Care: The treated areas are gently cleaned, and protective bandages are applied if needed. Patients receive detailed aftercare instructions to promote healing and ensure the survival of transplanted follicles.

What to Expect During Recovery

Initial Healing

Mild swelling, redness, and scabbing are expected in the first few days as the scalp begins to heal. Some discomfort or tightness may occur but is manageable with prescribed medication. It is necessary to keep the scalp clean and follow post-surgical care instructions to prevent infection.

Most patients can resume non-strenuous activities within a few days, while strenuous exercise, heavy lifting, and direct sun exposure should be avoided for at least two weeks to protect the newly transplanted follicles.

Long-Term Care

During the first month, the transplanted hair sheds, which is a natural part of the healing process before new growth begins. Hair regrowth typically starts around three to four months, with progressive improvements in density and coverage over time. By six months, noticeable changes can be seen, but full results take 12 to 18 months as the hair thickens and blends naturally with existing hair. Ongoing scalp care and a healthy lifestyle contribute to the longevity of the results.

Conclusion

Hair transplant surgery provides a long-term solution for restoring hair growth in areas affected by thinning or baldness. Whether through FUT or FUE, the procedure offers natural-looking results with minimal downtime. A thorough consultation ensures a personalised treatment plan tailored to individual needs and goals.

Schedule a consultation today to explore the most effective approach to hair restoration and take the next step towards regaining fuller, natural-looking hair.