In order for a hair transplant to be performed as pleasantly and successfully as possible, patients need to follow the various pre-operation instructions and restrictions. Following these instructions is not just important for the transplantation itself, but also for the healing process and the overall success of the FUT.
These instructions are available as a pdf file below the page under IMPORTANT INSTRUCTIONS.
On the day of the operation
Preparing the donor area for extraction
Transplantation of follicular units
Stick and place – the fine-tuning phase
It is now the turn of the Stick and Place technique. This is used to optimise the patient's appearance, making the transplantation look as natural as possible. This fine-tuning, which involves making additional incisions and directly implanting single FUs in certain areas, is of major importance for the end result, and in particular the shaping of the hairline, making it look as natural as possible.
End of treatment
The operation ends with a further medical hair-wash and Dr. Feriduni then checks the result, discussing the operation with the patient.
The patient is then given written instructions on what needs to be done over the next 24 hours. We provide our patients with a so-called after-care kit, containing a post-surgery mousse shampoo, post-surgery serum, post-surgery oil and hair spray treatment.
An inflatable cushion for the neck is also given to the patient as well as a bandana for covering as far as possible all visible signs of the treatment. The patient will receive an emergency telephone number, under which he can contact the surgeon and the head assistant on a 24-hour basis. After a final check-up by Dr. Feriduni, the patient is taken to his hotel by taxi. In most cases the operation lasts the whole day, generally ending sometime between 16:00 and 19:00.
The patient generally returns the next day for a postoperative check-up, he/she then has the opportunity to discuss any issues that might be relevant for the next few weeks. A medical assistant also washes the hair again. There are no stitches needing to be pulled.
Following an FUT transplant you should always follow our instructions (these can be found in the section Instructions & Paperwork and can be downloaded and printed out).
The instructions have a great influence on the healing process and the end result of the treatment and should be followed as closely as possible.
No two people are alike. This also applies to the growth of the grafts - in some people they grow faster, in others slower. In the field of hair surgery one speaks of fast growers and slow growers. What this means is that some patients will already start seeing results after just 6 months, whilst others may have to wait more than 12 months.
The natural healing process after a hair transplant involves thin scabs developing over the small incisions, as well as over the scar in the donor area. These scabs drop off by themselves in the course of the healing process. In the second or third week after the FUT, most of the transplanted hairs fall out. This is due to the reduced intake of oxygen and nutrients, leading to follicles being rejected. This weakening of the hair roots is not to be confused with their destruction - new strong hair growth will set in after 3 - 6 months.
In certain cases, for instance when dense packing has been performed, there is a possibility of not just the donor hairs falling out, but also neighbouring hairs. These will also grow again once this hair loss period has ended. This so-called shock loss is a phenomenon occurring in certain patients, probably triggered by operation stress.
The new hair roots start producing new hairs immediately after being transplanted. In the first three months, these are very thin, akin to flax. Afterwards the hairs get thicker and stronger and after about a year the end result is very visible. All transplanted follicles generally produce new hairs, although there are certain exceptions. These are fairly seldom.
Natural hair density does not just vary from one person to the next, but also from one area of the head to another. This is an important aspect needing to be taken into consideration if a hair transplant is to look as natural and aesthetical as possible. The logical consequence of this knowledge is that the success of an FUT is to a great extent dependent on how hair density is dealt with. The number of implanted FUs is not necessarily the primary factor here - of greater importance is an aesthetic and harmonious appearance. Dense Packing is the term used to refer implanting FUs in a certain recipient area in a certain density: medium or high/maximum-density.
The surgeon plays around with hair density, implanting donor hairs as sensibly as possible and doing his best to achieve a result looking as natural as possible. This attempt to mirror natural hair as far as possible is very patient-dependent, taking three factors into account:
Donor hair is not always available in sufficient quantities to satisfy a patient's wishes. Using the right technique, an experienced hair surgeon will be able to create the optical illusion of high density with just a few hairs, using donor hairs as efficiently as possible.
Modern techniques of extracting and implanting hair follicles allow results to look very natural and pleasing to the eye. Successfully transplanted individual hair roots and hair groups help to achieve this natural look. Hair density plays an important role here, offering the opportunity of achieving such naturalness. But there are also other factors such as hair thickness, hair structure, the number of hairs in a single follicle and the quantity of donor hair available determining the success of an FUT.
Mega Dense Packing is the term used to refer to implanting follicular units in a certain density in a certain recipient area. Such packing is done in just one session and has no negative effects on the patient's future appearance. In contrast to earlier hair transplantation techniques, Follicular Unit Transplantation allows well-prepared individual FUs to be inserted into tiny openings (incisions) very close together. In doing so, a high follicle density can be achieved in one or just a few sessions. This means that much more natural-looking hair density can be achieved without having to subject the patient to several operations.