Hair Transplant Gone Wrong

February 21, 2024, 2:45 pm

With advancements in medical technology, hair transplant procedures have become more accessible and seemingly safer. However, like any surgical procedure, hair transplants come with their own set of risks. When things don’t go as planned, the consequences can be distressing for individuals seeking to regain their confidence and appearance.

What Can Go Wrong with a Hair Transplant?

To execute a successful hair transplant procedure, many factors must be considered and certain essential steps must be implemented. If any one or more of these potentially important factors are not properly considered or if any necessary steps are neglected or omitted, the outcome can be unsatisfying or even worse, disfiguring. Let’s delve into some of the reasons why a hair transplant might go wrong, how to avoid a bad hair transplant and what to do if you’re a victim of a poor result.

Errors In Judgement

1. Ignoring Progression Of Hair Loss

A hair transplant surgeon’s consideration of future hair loss in a hair transplant patient is paramount for ensuring the long-term success and satisfaction of the procedure. Beyond just addressing immediate concerns, a skilled surgeon recognizes the progressive nature of hair loss and plans the transplant accordingly. By taking this into consideration, we aim to provide a result that not only satisfies the patient’s immediate expectations but also stands the test of time as the natural progression of hair loss continues. Communication between the surgeon and the patient is key to ensuring realistic expectations and long-term satisfaction with the results.

2. Transplantation At Too Early An Age

Performing a hair transplant too early in life may not properly account for future hair loss, resulting in an unnatural appearance as the patient gets older.

3. Poor Candidate Selection

Not all individuals are suitable candidates for hair transplantation. Factors such as inadequate donor hair supply, unrealistic expectations, or underlying health conditions may affect the success of the procedure. At Hasson and Wong, we offer free consultations to determine if you are a good candidate for a hair transplant procedure at our clinic.

4. Poor Design of The Transplanted hairline

The design of the transplanted hairline is crucial for a natural appearance. A poorly designed hairline can draw attention to the transplant, making it look unnatural and obvious. Incorrect temporal angles can lead to an unnatural look. A proper understanding of facial aesthetics and proper hairline design is crucial for a successful outcome. We have a great article about hairline hair transplants and the artistry behind it.

hair transplant gone wrong and hair line

Errors in Technique

1. Use of Grafts that are too large

Unsightly pluggy looking grafts emphasizes the importance of advancements in technique. Modern methods using smaller, naturally occurring follicular units have improved results significantly.

2. Improper Angulation of Grafts

Incorrect placement of grafts can result in an unnatural appearance. Proper angle and direction ensure that transplanted hair aligns with the existing hair for a seamless transition.

3. Poor Graft Management

Inadequate preparation of grafts can compromise their viability and success. Proper graft handling and preparation are essential for the survival of transplanted hair.

4. Poor Donor Site Harvest

Aesthetic outcomes are also influenced by how well the donor site is managed and the harvest is executed. Lack of skill, technology or technique can adversely affect the outcome. Poor management of the donor area can lead to poor growth and excess scarring, affecting the overall appearance. Improper handling of the donor area can also affect future hair transplant procedures and may further limit subsequent harvests. This can occur in both FUE and FUT procedures. We have an entire page devoted to hair transplant scarring.

Repair Procedure

Logical Approach To Revision

Once an unfavorable result occurs, a systematic and logical approach to repairing the previously unfavorable work becomes crucial. Open communication and collaboration between the surgeon and the patient are vital throughout the repair process, ensuring realistic expectations and a shared vision for the final outcome.

Outcome

Repair procedures can help reverse the negative effects of a poorly executed hair transplant. The extent of the damage and remaining donor reserves will play an important role in what is possible and how good the result can be. Don’t make the same mistake twice. If your previous surgeon significantly missed the mark the first time due to unsound practices, they are unlikely qualified to identify, plan and execute a successful repair.

Limited Options

Options for revision may be limited, emphasizing the importance of preventing errors in the initial procedure. Scar tissue, depleted donor areas, and altered scalp characteristics pose challenges that may restrict the feasibility of certain corrective approaches. Therefore, meticulous planning and execution during the primary transplant are paramount to minimize the need for revisions.

Example Of A Hair Transplant Gone Wrong

This patient had older technology with large grafts that looked unnatural. While his surgeon was obviously not the right choice, thankfully the hairline was placed high enough that the repair was not too difficult. Instead of needing to remove the old work, we could simply reconstruct a new natural hairline that was lower and completely hide the previously transplanted grafts. This patient was lucky that we could reverse this unnatural looking mistake and achieve this result in one session. Others may not be as lucky and multiple procedures my be required.

Hair Transplant Gone Wrong Conclusion

In conclusion, although hair transplant procedures provide hope for those experiencing hair loss, they entail risks and outcomes can vary. A successful hair transplant requires a combination of sound judgment, technical expertise, and an understanding of aesthetic principles. A competent and skilled surgeon who implements modern, refined techniques can significantly improve the chance of a great outcome. A thoughtful and strategic approach to revisionary surgery is essential when faced with unfavorable results. However, repair cases can be difficult and costly, so it’s crucial to conduct thorough research and exercise careful consideration before undergoing a hair transplant. The most important result of extensive research is choosing the right reputable clinic in the first place. This will avoid the need for a corrective procedure to fix a hair transplant gone wrong.

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Hair Plugs

May 30, 2024, 4:44 pm

≫ Next: Dr. Wong Returns to Europe!

≪ Previous: Hair Transplant Gone Wrong

What Are Hair Plugs?

Older hair transplant procedures from as early as 1952 up until the 1980’s were commonly referred to as hair plugs. Large round punches were used to harvest groupings of hair that would commonly consist of up to 30 hairs per unit or graft. This now outdated approach to hair transplant surgery resulted in an unnatural outcome resembling the appearance of doll’s hair due to large graft size and spacing between plugs. The donor area was also negatively impacted as the harvest of these large grafts left a considerable amount of potentially noticeable scarring and damage that would also limit further harvests. With advancements in technology and surgical techniques, such as follicular unit transplantation (FUT) and follicular unit extraction (FUE), the era of hair plugs is thankfully behind us. These modern methods involve the transplantation of individual follicular units, resulting in more natural-looking hairlines and improved aesthetic outcomes, while minimizing scarring and at the same time enabling a faster

hair transplant patient with hair plugs before repair

Hair Plugs vs Hair Transplant

Natural Result: Both FUT and FUE provide much more natural-looking results compared to the outdated hair plug method of extraction.
Reduced Scarring: Modern techniques in the right hands leave minimal scarring, making it difficult to detect that a hair transplant was performed.
Improved Aesthetic Outcomes: The smaller grafts which therefore require smaller and more precise incisions enable better graft placement and integration with the existing hair, creating a more cosmetically pleasing outcome.
Enhanced Recovery: Patients experience quicker recovery times and less post-operative discomfort and side effects with these newer more modern methods.

Hair Plugs Repair

When adopting a plan for a hair plug repair, the surgeon carefully evaluates the patient’s scalp to determine the best course of action. This includes determining whether the location of the plugs is appropriate and if the angle and direction is acceptable. If they are, the repair can be easier if the surgeon can eliminate the negative appearance of the plugs by transplanting the necessary number of grafts in front of and around the old work to completely camouflage.

In more difficult scenarios, removing the outdated plugs is necessary for the best outcome. Removed plugs can be broken down into the correct units and repurposed elsewhere on the scalp. After a period of healing, the newly created landscape, usually the hairline and frontal zone, can then be reconstructed using the modern techniques mentioned above to achieve the desired natural result. As long as the previous work has not severely compromised the donor hair and there remains a sufficient number of grafts available in reserve, outcomes can be very good.

In those cases where donor hair is very limited and there is not enough in reserve to adequately repair the previous work, removal without reconstruction is also an option. No hair or a bald appearance will be more natural than the doll hair/plug look. Ultimately, hair plug repair offers a transformative solution for individuals dissatisfied with the unnatural results of previous hair transplant procedures. By combining surgical expertise with modern techniques, patients can often reclaim a natural-looking, full head of hair and regain confidence in their appearance.

Hair Plugs Before And After

This patient learned the hard way that choosing a surgeon based exclusively on price is likely going to be a poor decision. Opting for a very low-cost procedure in a foreign country did not achieve the expected results, leaving him in worse condition than before. After experiencing this very disappointing outcome, he conducted further research and discovered that Hasson and Wong were far superior to his previous doctor, and he hoped we could correct his earlier mistake. Fortunately, he still had enough donor hair for a significant transformation. However, due to the poor quality and location of the previous work on his scalp, additional steps were necessary to ensure the best possible, natural-looking result.

Removal Of Existing Plugs

The hairline is not only placed too low, especially in the corners but the hair direction is also incorrect. To properly repair this patient, many previously transplanted hair plugs needed to be removed.

hair plugs being mapped out for a repair surgery

Mapping Out The Plug Repair

These mapped out plugs in the old hairline were targeted for removal. In addition, the first row of plugs in the temples needed to be excised.

hair plugs patient after hairline was raised

Raising The Hairline

After phase one, the hairline was affectively raised and the most offensive plugs were removed to pave the way for the new hairline.

patient showing hair plugs repair two weeks after corrective surgeyr

Two Weeks After Hair Plugs Repair

2 weeks after the final reconstruction, the transplanted hair effectively blends with any old plugs making them now a non-issue.

Post Surgery Results

After removing all of the old hair plugs deemed necessary, 3,170 grafts were used to reconstruct the new hairline and frontal zone. The extra steps taken by Dr. Hasson and his team, including an additional removal session, ultimately paid off. The results speak for themselves, and although the process was costly and time-consuming, it was a life-changing transformation for this patient.

hair transplant patient after having hair plugs removed showing his results

Before And After Plugs Repair #2

This patient also had large, unsightly grafts from a previous procedure. Despite issues such as poor angle and direction, the previous surgeon did not place the hairline too low or advance the temples. Therefore, removing the previously transplanted grafts was unnecessary. Dr. Hasson could design and reconstruct a lower hairline to effectively camouflage all the old grafts.

Redesigned Hairline Effectively Hiding The Bad Work

With the new lower hairline and significantly higher density compared to the previous work, the old, unnatural-looking frontal zone is completely concealed.

Before

After

Correct Angle And Direction

In many repair cases, previously transplanted grafts are placed at incorrect angles and directions. If these misalignments are not too extreme, they can be overcome with a lower hairline and sufficient density. By placing enough new grafts in front of and around the old ones, the new hair can influence the appearance of the old grafts, allowing them to blend in seamlessly with the new grafts.

Before

patient showing right temple hair transplant repair of plugs

After

Final Results

The top priority was to restore a natural appearance to the front, using any remaining donor reserves necessary to achieve that goal. Often, in cases like this, donor reserves are compromised, limiting what can be done. However, this patient was fortunate to have a good remaining donor supply. As a result, Dr. Hasson and his team could not only restore the hairline, frontal zone, and mid-scalp, but also completely cover the entire balding areas, including the crown, achieving a remarkable transformation.

Before

After

Before

patient showing hair plug repair results in his hairline

After

Hair Plugs Cost

In such a case as referenced above where old hair plugs are appropriately placed with correct angle and direction, the cost can be similar to a typical reconstruction on a virgin scalp. However, in cases that require hair plug removal, costs can be greater. In addition to the removal phase or phases, some cases will require not only one but perhaps two sessions to reconstruct.

A few scenarios and how they may affect cost:

No need for old plug removal: The cost will be similar to a hair transplant procedure on a virgin scalp.
Some removal of plugs required and one session to reconstruction after removal: 25 – 50% above the price of scenario #1.
Extensive removal of plugs requiring two removal sessions: closer to 50% above the price of scenario #1.
Extensive removal of plugs requiring two removal sessions and two sessions or more required after removal: 100% or more above the price of scenario #1.

Hair Plugs Scars

Scars from hair plug procedures are more noticeable when hair is cut to shorter lengths on the sides and back. In addition to an unnatural hairline, the resulting donor area scarring can also be an issue. In the best possible outcome, both the recipient area and the donor area can be improved. In a typical case, as much of the scarring from the hair plug harvest will be excised reducing the total area of scar tissue. The extent of the scarring among other factors can influence the best approach but because a hair plug harvest usually leaves a large area of scarring creating areas of lower density as well, FUT can be the preferred method of extraction provided the scalp has sufficient laxity. By removing as much of the scarring as possible, its impact on the appearance is reduced. At the same time, grafts harvested within the strip are used to reconstruct the new hairline. FUE can also be considered to add hair into the pencil eraser sized scars. However, in these cases the patient will need to have enough remaining donor hair. We’ll need enough grafts to completely reconstruct the hairline and any other necessary areas in addition to having enough to fill in the donor area scars.

Hair Plugs Summary

With the arrival of more advanced techniques like FUT and FUE, the transition from hair plugs marked a significant improvement in hair transplant surgery results. These modern methods are not only superior to older methods of the past but also reduce the negative impact on the donor area. Thankfully, hair plug procedures are mostly a thing of the past, but unfavorable techniques and procedures can still be found today. While it is far less likely you’ll receive a procedure that achieves a result more typically found decades ago, choosing a clinic or surgeon with extensive experience in modern techniques to ensure the best possible outcome is still important today. A “repair” patient is the last thing you’ll want to be considered because of a bad hair transplant decision.

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Dr. Wong Returns to Europe!

August 12, 2018, 11:00 am

≫ Next: How Hair Transplants Can Transform Appearance

≪ Previous: Hair Plugs

Please note: This event is now over. For our latest events please visit: https://hassonandwong.com/consultations-in-your-city/

Once again Dr. Wong is set to embark on his annual trip to Europe. Many of you that have done your research may know Hasson and Wong is popular among Italians and we have long been the clinic of choice for many of these well-informed patients.

In addition, this year he will be making a long awaited return to London. Many patients from the UK have been patiently awaiting another visit and this year we have obliged. It has been a while and Dr. Wong is looking forward to the first leg of his trip starting in London. Updated information and exact locations coming soon.

London: October 20-21, 2018

Milan: October 23-24, 2018

Rome: October 26-28, 2018

When you meet Dr. Wong at your live hair transplant consultation, here’s what you can expect!

An evaluation of the cause of your hair loss, its’ current state and likely progression
A hair retention strategy
An assessment of your hair characteristics, including scalp laxity and donor density
A realistic review of your hair restoration goals
An estimate of the number of grafts required and available for hair transplant surgery
A discussion of FUE and FUT extraction methods
A hair transplant cost estimateSessions will typically last up to 15 minutes. We may have a camera set up to take clear photos of your head from several distinct angles and may record video so the doctor can refer to your images if you decide to pursue a hair transplant procedure at our clinic.

For Milan and Rome, Consultations are available in the following languages: Italian – English – French – Spanish

For London: English ,German, Norwegian, Swedish, Danish and Polish.

In order to reserve your spot and ensure you are a candidate that qualifies to see Dr. Wong, we’ll want you to please fill out the form below which will then direct you to upload photos.

For Italian French, Spanish and English speaking patients needing further assistance for Milan and Rome, email to italia@hassonandwong.com

For German, Norwegian, Swedish, Danish or Polish speaking patients needing further assistance for London, email to Thomas@hassonandwong.com

English speaking patients for any city can also contact one of those corresponding email addresses or also: info@hassonandwong.com

Don’t use gel or wax the day of your consultation and don’t shave your head/hair at least 2 weeks before your appointment.

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How Hair Transplants Can Transform Appearance

August 22, 2018, 11:32 am

≫ Next: Hair Transplant Turkey

≪ Previous: Dr. Wong Returns to Europe!

We all want to look in the mirror and like what we see. For those of us who experience hair loss, it starts slowly and gradually becomes more of a distraction and presents issues when we try and style our hair to make it look presentable. Each passing month and year offers new challenges and eventually for some of us there is very little if any hair in the front to style.

Over time with continued hair loss the mirror becomes a reminder that we just don’t feel as good about our appearance anymore and certain things in our life may start to suffer as a result of our lowered self-esteem. For some of us there comes a point in time when we’ve had enough and we would like to seek solutions for this problem. In the case of this Vancouver area patient he was fortunate enough to have the answer right in his backyard so he decided pay a visit to Hasson and Wong.

As is the case with many patients, a full head of hair was the ultimate goal. For some this is possible, for others expectations need to be slightly or substantially tempered. When Dr. Hasson evaluated this stage 6 patient he determined his donor hair was sufficient enough to provide reasonably good coverage to the considerable amount of balding scalp. It was explained that with this large area to cover in mind, this would be a two-stage process.

The first session would rebuild a new hairline, restore the frontal zone and mid scalp working to the front of the crown. This would provide a significant cosmetic benefit by re framing the face and therefore take many years off of his appearance. Dr Hasson and team accomplished this goal using 5474 grafts obtained using the FUT method of extraction. For stage 6’s or 7’s on the Norwood scale who have a considerable amount of area to cover, FUT is usually the preferred method for it’s ability to provide a few more grafts in total over FUE.

A second procedure, if desired, would complete the coverage by restoring the crown. For the second procedure, it’s likely either an FUT or FUE option would be possible. You can see in these photos the hairline design suits the patient well and the predictable transformation is quite impressive. It also goes without saying that the patient was very happy with the result and positive affect it has had on his self-worth.

This is just another good example of what a hair transplant can do for one’s appearance and how they feel about themselves. These are essentially two totally different people. One being the balding aging man unhappy with his appearance before the procedure, the other being a more youthful and confident handsome looking man after. He feels a little different about those trips to the mirror these days.

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Hair Transplant Turkey

June 28, 2019, 9:38 am

≫ Next: Our Favourite Transformations Of 2019!

≪ Previous: How Hair Transplants Can Transform Appearance

He Went To Turkey To Save Money On A Hair Transplant

Hear What He Has To Say About His Decision

Stephen Mason was just 22 years old when he first began to lose his hair. By the age of 28 his hairline had receded noticeably, and by age 30 he was starting to experience thinning throughout his frontal region, mid-scalp and crown. As is the case with many young men in his situation, Stephen’s hair loss dealt a significant blow to his confidence, prompting him to look for ways to address – and hopefully even reverse – the situation.

It wasn’t long before the concept of hair restoration surgery caught his attention. Looking to gain more information on the subject, Stephen approached Hasson & Wong for an initial consultation in December of 2016. During the consultation, Dr. Hasson confirmed what Stephen already suspected: that he was indeed experiencing male pattern hair loss, and that the sooner he sought treatment for it the better. He recommended a 3500-graft FUE surgery to the frontal zone of his scalp, as well as Proscar to prevent further hair loss in his mid-scalp and crown.

Unfortunately, Stephen found the cost of the hair transplant at Hasson & Wong to be somewhat prohibitive and decided instead to pursue his options abroad. He travelled to Istanbul, Turkey in March of 2017, where he underwent a 3500-graft FUE procedure at what he considered a much more reasonable price. Having failed to conduct proper research before selecting a clinic, however, he fell victim to the idea that all hair transplant surgeries are created equal. While there are a select few capable surgeons in Turkey, Stephen had unluckily found himself at a less reputable establishment – with the results to prove it.

Part One

Stephen Discusses His Corrective Surgery And Talks About His Decision To Go To Turkey

Part Two

Stephen Shares His Results At His 6 Month Post-Surgery Mark

Dissatisfied with the outcome of his procedure in Turkey, Stephen approached Hasson & Wong for advice. Upon evaluation of the work done in Istanbul, Dr. Hasson noted that the hairline and tissue exhibited ridging, cobblestoning, misdirected hairs, multi-hair grafts and low overall density. In addition, his temporal angles had been blunted – resulting in the unnaturally-shaped and ‘pluggy’ hairline characteristic of a poorly performed procedure. A well-executed modern hair transplant should never present any of these characteristics, as they are unnatural and thus prone to drawing the wrong type of attention. Thankfully, Dr. Hasson agreed to perform a second procedure on Stephen in order to repair the damage incurred in Turkey. Shortly after his consultation, he returned to the clinic to have 95 misdirected grafts in the temporal angles removed – a sacrifice necessary for the creation of the masculine, natural-looking hairline he has today. Dr. Hasson and his team then went on to rebuild his hairline and frontal zone by means of a 2000-graft FUE procedure. Of these grafts, 343 were single-hair grafts, 1329 were doubles and 328 were 3-4 – hair grafts. A year later, he now boasts a full, dense and entirely natural-looking head of hair.

Part Three

Stephen’s Final Results!

In the final video of this three part series, Stephen shares his final results one year after his surgery. You can clearly see the difference in density when you compare Dr Hasson’s work with the work of the clinic in Turkey, where Stephen had his first surgery.

Summary

Sadly, Stephen’s story is not an uncommon one, and it should serve as a warning to all: when it comes to cosmetic procedures of this nature, you truly do get what you pay for. As Stephen himself remarked, ‘if you’re trying to get a hair transplant for the best price, then you shouldn’t get a hair transplant at all’. Fortunately for Stephen, we were able to salvage his result – but this is not always the case. So whether you elect to have surgery at Hasson & Wong or a reputable clinic abroad, it’s best to do your research and get it right the first-time round.

Listen to what Dr. Hasson has to say about Stephen’s case!

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Our Favourite Transformations Of 2019!

January 19, 2020, 10:15 pm

≫ Next: Hair Transplant Crown Area

≪ Previous: Hair Transplant Turkey

At Hasson & Wong, we pride ourselves as world leaders in the hair restoration industry – constantly striving to refine our techniques in order to attain new levels of perfection for our patients. 2019 was an exciting time for us, and we are proud to look back on some of the most dramatic and noteworthy transformations of the year.

A Brand-New Man

Originally from Abbotsford, this patient in his early 50’s came to Hasson & Wong hoping to address his heavily receded hairline and thinning crown. He started losing his hair at the relatively young age of 22, and his hair loss gradually worsened over time – eventually putting him at stage 5-6 on the Norwood Hair Loss Scale.

Upon examination of his scalp, Dr. Hasson determined that he was a candidate for a large-scale FUT procedure dedicated to restoring maximum density to his frontal zone and crown. On the day of surgery, Dr. Hasson and his team of skilled technicians transplanted a total of 6514 grafts into his frontal zone, mid-scalp and crown during a single day-long session.

At first glance, it’s hard to believe that the two people in these images are in fact the same person. His hair transplant has easily made him look 10 years younger! Needless to say, he left the clinic a completely changed (and very happy) man.

Unrecognizable For All The Right Reasons

Originally from the USA, this patient in his mid 30’s came to Hasson and Wong hoping to restore density to his thinning hairline, frontal zone and crown. He first started losing his hair at the age of 28, and rapidly progressed to a Stage III Vertex (Diffuse Pattern Alopecia) on the Norwood Hair Loss Scale – characterised by recession in the hairline (particularly the temple regions), as well as thinning in the crown. Without surgical intervention, he would likely have progressed to a Stage VI. Upon examination of this patient’s scalp, Dr. Wong determined that he was a candidate for a large-scale FUT surgery (4000-4500 grafts) dedicated to restoring his hairline and frontal zone. Due to the advanced extent of his hair loss, however, he would most likely require a second surgery to restore density to his crown.

During the patient’s first surgery in May 2016, Dr. Wong and his team successfully harvested 4527 grafts via FUT and transplanted them to his hairline and frontal zone. The surgery itself was very successful, and his post-op procedures in the following days went smoothly. His second surgery took place over three years later in November 2019. During this procedure, Dr. Wong and his team harvested 3820 grafts via FUT and transplanted them into the patient’s crown.

The transformation to the patient’s frontal zone is undeniably impressive: he now boasts a full, dense hairline that can be styled in any manner he desires. Over the course of the next 11 months, we expect equally great things from his crown!

Behind The Blur, There’s A Smile

This Vancouver BC-based patient in his mid-40’s approached Hasson & Wong hoping to restore his hairline and frontal zone to its former glory. During his in-person consultation at the clinic, Dr. Hasson observed that he had exceptional donor hair as well as a tighter-than-average scalp – making him a good candidate for a large-scale (4000+-graft) FUE procedure. These grafts would be dedicated to rebuilding patient’s hairline and frontal zone.

On the day of surgery, Dr. Hasson and his skilled team of technicians harvested 4035 grafts via the FUE extraction method and transplanted them into the desired regions. Only 9.5 months later, this patient would go on to boast one of the most spectacular results the clinic has ever seen. He now has a full, entirely natural-looking head of hair that frames his face in a manner that enhances his masculine features.

This patient’s results reflect the incredible progress that Hasson & Wong have made in the field of FUE over the past few years. We can safely say that our FUE results are some of the best in the world – comparable to (if not better than) FUT.

His Face Says It All

This Vancouver-based patient in his early 30’s approached Hasson & Wong seeking a long-term solution to his receding hairline and weak frontal zone. He first started experiencing hair loss around the age of 25, and from then on, he rapidly progressed to a Stage 4 on the Norwood Hair Loss Scale. Fortunately, he had good, relatively dense donor hair that made him an ideal candidate for hair restoration surgery. However, Dr. Hasson observed that his scalp was fairly tight – making him better suited to the FUE extraction technique than FUT.

Dr. Hasson and his team successfully managed to harvest 4210 grafts via FUE over the course of two full days of surgery. These grafts were transplanted into the front 1/3 of the patient’s scalp in order to restore density his hairline and frontal zone.

The patient’s results, photographed approximately 1-year after his surgery, reveal a truly stunning transformation. He now boasts a full, natural-looking hairline that frames his face properly and contributes to a more youthful appearance. Another home run for Hasson & Wong!

Incredible Hairline Transformation!

Originally from Vancouver, this patient in his late 20’s came to Hasson & Wong in order to rebuild his receding hairline and thinning frontal zone. He first started losing his hair at the relatively early age of 20, most likely due to a genetic proclivity to male pattern hair loss on his father’s side. His hair loss progressed fairly slowly – ultimately putting him at a Stage 3 on the Norwood Hair Loss Scale.

Upon examination of his scalp, Dr. Hasson informed him that he was an ideal candidate for hair restoration surgery. The patient opted to undergo surgery by means of the FUE extraction technique, since he liked to wear his hair very short in the back and therefore wanted no visible scarring. Dr. Hasson and his team successfully managed to harvest 3462 grafts over a two-day FUE procedure. These grafts were transplanted into the front 1/3 of the patient’s scalp – successfully rebuilding his hairline and frontal zone.

At 12 months post-op, this patient now boasts one of the finest hairlines ever to come out of the clinic. His amazing result is a reflection of the dense-packing technique that has been refined and perfected by Hasson & Wong over the years. A truly stunning transformation!

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Hair Transplant Crown Area

February 23, 2021, 10:39 am

≫ Next: Is A Hair Transplant Permanent

≪ Previous: Our Favourite Transformations Of 2019!

Why Crown Hair Restoration Requires A Highly Skilled Surgeon

Men often experience hair loss differently. While some may experience a receding hairline, others may lose hair on the top, back part of the scalp commonly referred to as the crown. Just as one might expect, experienced surgeons must take a different approach when restoring hair in the crown than they do when re-creating a hairline. In this article, we address some of the common misconceptions related to crown hair restoration and why a highly skilled hair transplant surgeon is required to create a truly natural and dense looking result.

The Natural Whorl Pattern in the Crown

Unlike the rest of the scalp, hair grows in a circular pattern in the crown, commonly referred to as the whorl or swirl. Many average doctors can transplant hair. But strategically creating incisions in order for hair to appear both dense and natural is an art form that only a handful of outstanding surgeons possess. The hair transplant surgeon must create tiny incisions placed closely together at varying angles that mimic the natural swirl. Simply creating random incisions, even if they are placed closely together might grow hair, but it simply may not look natural, can result in styling restrictions and it may be obvious to the public that something just isn’t right. Moreover, implanting the actual follicular units into the incisions correctly can be challenging. It is important that the technicians don’t inadvertently damage the grafts or harm the surrounding ones in the implantation process.

3004 FUE Grafts Only 6 Months Post Op!

The ‘after’ images in the before and after comparison photosets below, were taken six months after this patient’s surgery. The patient will continue to see increased growth and density in the crown area, with full growth usually occurring around 12 months post-op.

Crown Hair Transplant Timeline

No matter where on the scalp the hair is placed, the hair transplant timeline is essentially the same with slight variations. It is said that hair placed in crown might take a little longer to grow, it typically takes a full year and, in some cases, up to 18 months for the hair to fully mature.

After a crown procedure, the recipient area will take about a week or two to appear fairly well healed. Four to six weeks later, most if not all of the transplanted hair in the crown will shed in most cases. After about 3 to 4 months, tiny hairs lacking full pigment will begin to sprout although they won’t all grow at the same time. Over the next couple of months, these hairs will darken and grow as they mature and begin to look more like normal hair. After about six months, typically the transplanted hair will be approximately 60 to 70% mature. Finally, after one year, most of the transplanted hair will have fully matured although sometimes it may take up to 18 months as previously mentioned. Some “slow growers “may experience delayed growth.

How Much Does a Crown Hair Transplant Cost?

The cost of a hair transplant to address the crown is essentially the same as a procedure to address other areas such as the hairline/front or mid-scalp. But the cost does depend on a number of factors. For starters, the type of procedure will affect the price. For example, follicular unit extraction also called FUE is typically more expensive than follicular unit strip surgery or FUT. Secondly, clinic location can affect the price. But even in the same location, one clinic might charge one price while the price will be different at another. In addition to the other factors, the total cost of the procedure often revolves around the number of follicular units being transplanted. That said, cost per graft for FUT typically ranges from $4 to $6 per graft (please confirm pricing with a representative as these prices are subject to change). While cost per graft for FUE can range from $6 to $8 per graft (please confirm pricing with a representative as these prices are subject to change). For large procedures performed at our clinic where any grafts over 2,000 are priced lower than the first 2,000, the average cost per graft will be reduced. For this reason, one can argue that the more grafts necessary or possible, the greater the value. One must also be aware that not all clinics are not created equal and the quality of a clinic’s result is not necessarily related to their pricing. You may underpay or overpay for the same substandard result.

Does the Crown Area Grow Slower Than Other Areas?

Some hair transplant patients have reported slower growth in the crown than the hairline and mid-scalp areas. But is this actually true or is it just an illusion? While all hair can grow at different rates, there is no real evidence that transplanting hair in the crown will cause it to grow slower than the rest of the scalp. Because hair takes on a different pattern in the crown, it may appear that hair in the crown is growing slower because the area may be thinner than the rest of the scalp. This may be due in part to the whorl pattern, as hair fans out from a central location, it may not appear as dense as hair in the front that will have the benefit of a more hair heading in the same direction. But because the donor hair supply is limited and the cosmetic impact is greatest with reconstruction of the hairline and frontal zone versus the crown, surgeons may limit the number of grafts they use in the crown to create an illusion of density. Committing too may grafts to the crown may mean sacrificing some density in the hairline and mid scalp areas which may compromise the quality and naturalness of the result. Patients with above average donor hair and potential future needs that will not exhaust the donor supply can have greater densities safely placed in the crown. The patient referred here would be one of those cases.

The Importance of Selecting a Stellar Crown Hair Transplant Surgeon

Not all hair transplant surgeons are equal in their talent, skill and ability. As a result, it is vital for those considering a hair transplant procedure in any areas of the scalp to research all surgeons they are considering. Location and price should be the last factors when considering a hair transplant. It is far better to travel to a surgeon with a stellar online reputation known for producing excellent results than taking a risk with an unknown doctor just because they are charging you less and/or are local. Sure, you might receive a discount, but if there is a problem, the hair doesn’t grow, or it looks unnatural, it will cost far more in the end to have the previous work repaired by a surgeon who can do the job correctly. It is far more cost effective and cosmetically appealing to get it done right the first time by researching and selecting a surgeon who is capable of performing state of the art crown restoration procedures.

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Is A Hair Transplant Permanent

February 7, 2024, 11:27 am

≫ Next: Hairline Transplant

≪ Previous: Hair Transplant Crown Area

Hair loss is a common concern for many individuals, prompting a search for effective and lasting solutions. Among the various options available, hair transplantation has gained popularity for its ability to provide a natural-looking and long-lasting solution. However, a pertinent question remains: Is a hair transplant permanent? A common question we’re asked at Hasson and Wong. In this article, we dive into the permanency of hair transplants, what makes them permanent and what impacts the lifespan of a transplanted hair follicle.

Is An FUE Hair Transplant Permanent?

FUE is a modern and minimally invasive technique that involves extracting individual hair follicles directly from the donor area using a small punch tool. Unlike FUT, FUE does not require a strip of scalp to be removed, resulting in less visible scarring and a quicker recovery time. Similar to FUT, the permanency of an FUE hair transplant is attributed to the DHT-resistant nature of the transplanted follicles. The harvested follicles maintain their genetic resistance to DHT, ensuring sustained growth in the recipient area. There is no difference in the permanency of an FUE graft versus an FUT graft all things being equal.

Is An FUT Hair Transplant Permanent?

FUT, also known as strip harvesting, involves removing a strip of scalp from the donor area, typically the back and sides of the head, and then dissecting it into individual follicular units for transplantation. The remaining wound is closed with stitches or staples. FUT has been a traditional method, appreciated for its efficiency in transplanting a large number of grafts in a single session. The permanency of an FUT hair transplant lies in the fact that the transplanted hair follicles are resistant to the hormone dihydrotestosterone (DHT), which is responsible for causing hair loss. The DHT-resistant nature of these follicles ensures that the transplanted hair continues to grow even in areas prone to balding. Consequently, FUT is considered a long-term solution for hair restoration. In general, as long as the donor area remains viable and there are no underlying conditions, the transplanted hair will stand the test of time.

What Makes a Hair Transplant Permanent?

The key factor contributing to the permanency of a hair transplant, whether FUT or FUE, is the genetic resistance of the transplanted hair follicles to DHT. DHT is a byproduct of testosterone that can shrink hair follicles over time, leading to hair thinning and eventual loss. Hair follicles from the donor area (usually the back and sides of the head) are considered in most cases genetically resistant to DHT, making them an ideal choice for transplantation. Additionally, the meticulous process of harvesting, preparing, and transplanting the follicles plays a crucial role in ensuring the success and longevity of the procedure. Skilled surgeons, adherence to proper techniques, and post-operative care are essential components that contribute to the overall permanency of a hair transplant.

How Many Years Does A Hair Transplant Last?

The longevity of a hair transplant can vary from person to person, and there isn’t a one-size-fits-all answer. Generally, a well-executed hair transplant is considered a permanent solution to hair loss. The transplanted hair follicles are typically resistant to the effects of dihydrotestosterone (DHT), the hormone responsible for hair loss, making them less prone to thinning or falling out over time.

In most cases, the transplanted hair continues to grow naturally for the rest of the person’s life. However, it’s important to note that the success of a hair transplant is influenced by various factors:

Individual Factors: The patient’s genetics, overall health, and response to the transplant procedure can impact the long-term results. Some individuals may experience continued hair loss in untreated areas, necessitating additional procedures.
Technique and Surgeon Skill: The skill of the surgeon along with the best technology and technique play a crucial role in the success of the procedure. A well-executed transplant with proper planning and attention to detail is more likely to yield lasting results.
Post-Operative Care: Following post-operative care instructions can be important to ensure the success and longevity of the transplant. Proper care can contribute to the healing process and reduce the risk of complications.
Progression of Hair Loss: While transplanted hair is generally resistant to DHT, the surrounding native hair may still be susceptible to further loss. The progression of natural hair loss in untreated areas can impact the overall appearance over time.

It’s important for individuals considering a hair transplant to have realistic expectations and understand that the procedure does not halt the natural progression of hair loss in non-transplanted areas. Some individuals may choose to undergo additional procedures to address ongoing hair loss or to enhance density further. However, for some patients genetically predisposed to a less aggressive final hair loss pattern or who have reached their final hair loss stage, further loss beyond the transplanted area may not occur and therefore the likelihood of needing subsequent procedures would be reduced.

Is Hairline Transplant Permanent?

A common question among individuals considering a hairline transplant is whether the results are permanent. Understanding the longevity of the procedure can be important for making an informed decision. The transplanted hair follicles are typically resistant to the hormone dihydrotestosterone (DHT), which is responsible for hair loss in genetically predisposed individuals.

This resistance to DHT makes the transplanted hair more resilient and less prone to falling out. However, it’s important to note that individual factors such as genetics, age, and overall health can still influence the longevity of the results. While a hairline transplant can provide long-lasting and natural-looking results, maintenance and ongoing care may play a role in preserving the overall health of the hair and ensure continued satisfaction with the outcome.

We have another great article on our blog that discusses this topic titled: Is a hair transplant permanent?

Is Hair Transplant Permanent Conclusion

In summary, a well-executed hair transplant can indeed provide a permanent solution to hair loss. However, the longevity of the initial results may vary among individuals due to factors like the progression of natural hair loss over time and individual considerations. The expertise of the surgeon and their team is likely the most crucial factor, as their skill and experience can significantly impact the success of the procedure.

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Hairline Transplant

February 9, 2024, 10:50 am

≫ Next: Hair Transplant Gone Wrong

≪ Previous: Is A Hair Transplant Permanent

A hairline transplant is a cosmetic surgical procedure aimed at improving the appearance of the hairline. This procedure is often sought by individuals experiencing receding hairlines, balding, or those who wish to modify their natural existing hairline for cosmetic reasons. This type of hair transplant focuses on restoring or reshaping the frontal hairline to enhance overall facial aesthetics. For those experiencing receding hairlines or desiring a lower hairline, hairline transplants have become a transformative solution. This article explores the intricacies of hairline transplants, covering the procedure itself, the associated costs, considerations for receding hairlines, incredible before-and-after transformations by Hasson and Wong, the artistry behind hairline design, and the question of permanence in hairline transplants. The aim of a hairline hair transplant is to create a natural, well-defined hairline that enhances a patient’s overall appearance.

Hairline Transplant for Receding Hairline

Receding hairlines, a common concern for both men and women, can significantly impact self-esteem. A hair transplant to restore an appropriate hairline offers a solution for individuals seeking to address this issue. At Hasson and Wong, we carefully assess the degree of recession, potential for future hair loss, quality of donor hair, and other factors in developing a personalized plan to achieve the most natural-looking hairline.

Designing A Hairline For A Hair Transplant

When designing a hairline, a good hair transplant surgeon must keep in mind some important factors:

HAIR DENSITY AND DISTRIBUTION

Achieving the right balance of hair density and distribution is essential. The surgeon strategically places grafts to mimic the natural density of hair in the frontal area.

FACIAL SYMMETRY

Ensuring that the hairline complements the overall facial features and maintains a sense of symmetry is crucial. The surgeon considers the patient’s unique facial features and structure to create a harmonious and balanced appearance.

AGE-APPROPRIATE HAIRLINE

A good surgeon recognizes the importance of designing a hairline that is age appropriate. The hairline should suit the patient’s age and not appear unnatural or out of place.

Natural Hairline Variation:

A natural hairline is not perfectly straight. It includes subtle irregularities and variations in the hairline shape to mimic the randomness found in nature.

Temporal Points:

Temporal points, or the peaks on either side of the forehead, play a significant role in framing the face. If any degree of temporal reconstruction is deemed necessary, the surgeon carefully considers the placement and prominence of temporal points for an authentic appearance.

Hairline Shape:

The shape of the hairline is critical. Surgeons aim for an aesthetically pleasing transition from the forehead to the hairline. The correct angles and shape can prevent the appearance of an artificial-looking transplant.

Hairline Height:

Determining the appropriate height of the hairline is important. It should be in proportion to the patient’s facial features and follow established guidelines for a balanced appearance.

Donor Hair Management:

The surgeon assesses the donor area to ensure that an adequate supply of healthy hair follicles is available for transplantation. This involves considering the texture, color, and characteristics of the donor hair. The donor supply and final hair loss pattern may influence exactly where the hairline is placed and how aggressive the surgeon can be with the overall plan and design.

How Much Does A Hairline Transplant Cost?

The overall cost of a hairline transplant varies based on factors such as geographical location, the reputation of a clinic, the surgeon’s experience, and the extent of the transplant. It’s important to consider the long-term benefits when evaluating the cost. While the initial investment may seem significant, many individuals find the improved appearance and increased confidence to be invaluable.

The primary determinant of the cost of a hairline hair transplant is the number of grafts required. This number can vary based on certain factors, including the unique characteristics of the patient’s hair, such as thickness and quality, the condition of the donor area, and the surgical technique utilized by the surgeon. Typically, in a standard hair transplant procedure, anywhere from 1,000 to 2,500 grafts are transplanted into the hairline to achieve a natural appearance. To estimate the cost based on the number of grafts needed, our hair transplant cost calculator proves to be a valuable tool, allowing users to input a range of grafts and receive a corresponding cost estimate.

The emphasis on higher densities and larger sessions in hairline transplants is a distinctive approach that Hasson and Wong have adopted to achieve what is believed to be the best and most impactful cosmetic result. For this reason, you will find that our estimated number of grafts needed to achieve the optimal result will likely be higher than most clinics.

Before and After Photos Of Hairline Transplants

The transformative nature of hairline transplants is perhaps most evident in the striking before-and-after photos of patients. These images showcase the journey from a receding or sparse hairline to a revitalized and natural-looking one. It’s important to note that the final results may take some time to fully manifest as the transplanted hair gradually grows and integrates with the existing hair.

Patients often express not only satisfaction with their enhanced appearance but also a newfound confidence and self-assuredness. These visual testimonials serve as powerful indicators of the positive impact a well-executed hairline transplant can have on an individual’s life.

Is A Hairline Transplant Permanent?

We have another great article on our blog that discusses this topic titled: Is a hair transplant permanent?

Conclusion

Hairline transplants have evolved into a sophisticated and effective solution for individuals seeking to address issues related to their hairlines. As technology and surgical techniques continue to advance, hairline transplants remain at the forefront of cosmetic procedures, offering individuals an opportunity to reclaim their confidence and achieve the hairline they desire. Choosing the right surgeon is the most critical factor in the success of a hairline transplant. The surgeon’s expertise, experience, and artistic skills significantly impact the outcome of the procedure. The decision to undergo a hairline transplant is a personal one, and individuals considering the procedure should consult with experienced professionals to explore their options and make informed choices tailored to their unique needs and goals.

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Hair Transplant Gone Wrong

February 20, 2024, 6:18 pm

≫ Next: Hair Plugs

≪ Previous: Hairline Transplant

What Can Go Wrong with a Hair Transplant?

Errors In Judgement

1. Ignoring Progression Of Hair Loss

2. Transplantation At Too Early An Age

Performing a hair transplant too early in life may not properly account for future hair loss, resulting in an unnatural appearance as the patient gets older.

3. Poor Candidate Selection

4. Poor Design of The Transplanted hairline

Errors in Technique

1. Use of Grafts that are too large

Unsightly pluggy looking grafts emphasizes the importance of advancements in technique. Modern methods using smaller, naturally occurring follicular units have improved results significantly.

2. Improper Angulation of Grafts

Incorrect placement of grafts can result in an unnatural appearance. Proper angle and direction ensure that transplanted hair aligns with the existing hair for a seamless transition.

3. Poor Graft Management

Inadequate preparation of grafts can compromise their viability and success. Proper graft handling and preparation are essential for the survival of transplanted hair.

4. Poor Donor Site Harvest

Repair Procedure

Logical Approach To Revision

Outcome

Limited Options

Example Of A Hair Transplant Gone Wrong

Hair Transplant Gone Wrong Conclusion

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Hair Plugs

May 30, 2024, 11:33 am

≫ Next: Shock Loss After Hair Transplant

≪ Previous: Hair Transplant Gone Wrong

What Are Hair Plugs?

Hair Plugs vs Hair Transplant

Natural Result: Both FUT and FUE provide much more natural-looking results compared to the outdated hair plug method of extraction.
Reduced Scarring: Modern techniques in the right hands leave minimal scarring, making it difficult to detect that a hair transplant was performed.
Improved Aesthetic Outcomes: The smaller grafts which therefore require smaller and more precise incisions enable better graft placement and integration with the existing hair, creating a more cosmetically pleasing outcome.
Enhanced Recovery: Patients experience quicker recovery times and less post-operative discomfort and side effects with these newer more modern methods.

Hair Plugs Repair

Hair Plugs Before And After

Removal Of Existing Plugs

Mapping Out The Plug Repair

These mapped out plugs in the old hairline were targeted for removal. In addition, the first row of plugs in the temples needed to be excised.

Raising The Hairline

After phase one, the hairline was affectively raised and the most offensive plugs were removed to pave the way for the new hairline.

2 Weeks Post Hair Plugs Repair

2 weeks after the final reconstruction, the transplanted hair effectively blends with any old plugs making them now a non-issue.

Post Surgery Results

Before And After Plugs Repair #2

Redesigned Hairline Effectively Hiding The Hair transplant Plugs

With the new lower hairline and significantly higher density compared to the previous work, the old, unnatural-looking frontal zone is completely concealed.

BEFORE

AFTER

Correct Angle And Direction

BEFORE

AFTER

Final Results

BEFORE

AFTER

BEFORE

AFTER

Hair Plugs Cost

A few scenarios and how they may affect cost:

No need for old plug removal: The cost will be similar to a hair transplant procedure on a virgin scalp.
Some removal of plugs required and one session to reconstruction after removal: 25 – 50% above the price of scenario #1.
Extensive removal of plugs requiring two removal sessions: closer to 50% above the price of scenario #1.
Extensive removal of plugs requiring two removal sessions and two sessions or more required after removal: 100% or more above the price of scenario #1.

Hair Plugs Scars

Hair Plugs Summary

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Shock Loss After Hair Transplant

June 28, 2024, 2:41 pm

≫ Next: Do Hair Transplants Hurt

≪ Previous: Hair Plugs

What Is Shock Loss?

It is important to distinguish the difference between “temporary” shock loss and “permanent” shock loss. We will first discuss temporary shock loss and further discuss permanent shock loss later in the article.

Shock loss (temporary), also referred to as telogen effluvium, is a common and typically temporary phenomenon that can occur following a hair transplant procedure. It involves the shedding of both transplanted and existing hairs due to the stress the scalp and follicle undergoes during a procedure.

Hair growth occurs in four stages. Each stage plays an important role in the life cycle of hair. The four phases are:

Anagen (growth phase)
Catagen Phase (transition phase)
Telogen Phase (Resting Phase)
Exogen (shedding phase)

Some experts consider the telogen phase the shedding phase as well.

Disruptions in the cycle, such as a hair transplant procedure, can lead to hair loss conditions such as shock loss/telogen effluvium, where many hairs enter the telogen or exogen phase prematurely.

Hair Transplant Shock Loss Timeline

When will you begin to notice the first signs of shock loss? Understanding the timeline of shock loss following a hair transplant can help manage expectations and alleviate concerns. Here’s a breakdown of what to expect:

Early Phase of shock loss (Weeks 2-8)

Weeks 2-4: Noticeable shedding of transplanted hairs starts

The shedding of both transplanted and native hair is often called “shock loss” and is a normal part of the hair transplant process. Hair can start to shed within a few days of the procedure but most of the transplanted and existing hair will remain in the first 2 weeks. Often at the 1-2 week mark, you get a preview of what’s to come and things are looking pretty good. At that 2 week point you may notice the hair starting to thin in mostly the recipient areas. Usually by week 4-5, all the transplanted hair and any of the existing hair that may have been shocked will fall out. In a very small percentage of cases, the hair will not fall and continue to grow from day one of the transplant. However, you should not count on this rare occurrence.

Weeks 4-8: Continued shedding of transplanted hairs.

During this time, most of the hair will have shed due to the trauma of the procedure. While some hair can continue to shed after 5 weeks, most all the hair that will shed will do so by week 5.

Intermediate/final Phase

Months 2-3: Peak period for shock loss. Most all the transplanted hair will have shed and some native hairs might have also shed, leading to a temporary decrease in hair density. Considered the “ugly duckling” phase, this period is when you may look the thinnest.

Months 3-4: Shedding is mostly done and new hair growth from the transplanted follicles begins. These new hairs might be fine and lighter in color initially. Typically, at month 4, you will have more hair and look better than before the procedure or very close to turning the corner. In some cases, there is a notable improvement even at just 4 months post-op. Each individual’s timeline can vary.

Does everyone get shock loss after a hair transplant?

Not everyone experiences shock loss after a hair transplant, but it is quite common. The extent and occurrence of shock loss can vary widely from person to person. Several factors influence whether someone will experience shock loss and how severe it might be:

Skill of the Surgeon:

Experienced surgeons using advanced techniques can minimize the trauma to the scalp, reducing the risk of shock loss. Precise angle and direction control of the recipient site incisions using smaller custom sized blades can reduce the chance of shock loss.

Procedure Type:

Different hair transplant techniques, such as Follicular Unit Extraction (FUE) and Follicular Unit Transplantation (FUT), might have varying impacts on shock loss. The type of method used for extraction should have little to no effect on shock loss in the recipient area. However, shock loss in the donor area can be affected differently by each method. With FUT, there can be some temporary shock loss above and/or below the incision that will grow back. “Permanent” shock loss can also occur if a lesser skilled surgeon transects some of the follicles along the incision line. In this case that area where hair will not grow back just parallel to the scar line can in essence visually increase the width of the scar. With FUE, temporary shock loss can also occur depending on the punch size and other factors including the technology and skill of the extractor. Permanent shock loss can also occur if extraction techniques and technology are poor, the donor area is overharvested or there is a general lack of skill by the operator. At Hasson and Wong, temporary shock loss in the donor area is uncommon, permanent shock loss is averted.

Scalp Sensitivity And Shock Loss:

Some patients will have a more sensitive scalp which may react slightly differently to the trauma of surgery, making them more prone to shock loss.

Hair Characteristics And Shock Loss:

The type, density, and health of the existing hair can influence the likelihood and extent of shock loss. A healthy hair follicle that is not experiencing any miniaturization and is deemed permanent may be less prone to shock than a hair follicle that is shrinking and producing thinner hair.

Hair Health:

Individuals with pre-existing conditions like androgenic alopecia (pattern baldness) might experience different levels of shock loss compared to those without such conditions. As earlier mentioned, thinning miniaturized hair is at greater risk of shock.

Medication:

Certain medications prescribed for hair loss (e.g., minoxidil or finasteride) may influence the rate and extent of shock loss. Medications such as XYON Health’s topical dutasteride can impact temporary shock loss. When these medications increase the health of the hair follicle making it stronger, it may be less prone to shock.

While not everyone will experience shock loss after a hair transplant, the majority will and all patients should be prepared for it.

Dr. Victor Hasson

Hair Restoration Physician

Will my hair grow back after Hair Transplant shock loss?

If the shock loss is telogen effluvium or temporary, yes, it will grow back. If it is not telogen effluvium and more of the permanent variety, the hair will not grow back.

What exactly is “permanent” shock loss?

Permanent shock loss is what the name implies, the loss is permanent and hairs damaged by transection (cutting across the existing hair follicle) will not grow back.

While temporary shock loss is expected and quite common, any permanent shock loss of viable hair can also occur and should be avoided. While temporary shock loss could be described as a phenomenon associated with indirect trauma, permanent shock loss can be the result of a more direct trauma. When making recipient site incisions among existing hair, those incisions must be precise and well executed so as not to cut into the neighboring follicles thus preventing them from surviving the procedure. The field of vision must also me optimal and certain technology must be employed.

There are a few factors that will greatly reduce the chance of permanent shock loss.

Small custom sized blades.

To successfully make incisions between existing hair without causing damage, in general the smaller the blade the better. If the blade size is not custom sized to the follicle and is larger than needed, the larger blade working in tight quarters has a greater chance of causing damage. In this case the incisions will need to be placed farther away from the existing follicle to prevent damage which will result in a lower density transplant.

The angle of the recipient site incisions

The angle of the recipient site incisions must be exact and parallel to the existing hair. If the angle is slightly off and the incision cuts across the adjacent existing hair follicle and transects it, the follicle will no longer produce a viable hair. What should have been temporary shock loss then becomes permanent.

Shaving of the recipient area.

When hair in the recipient area is too long, it can create a couple issues. At a certain length, the hair will obstruct the field of vision and also make it more difficult to assess the exit angle of the hair shaft. To precisely make an incision parallel to the existing follicle, the exact exit angle of this native hair must be determined. Longer hair can distort the exit angle making it more difficult to detect. Therefore, a shave of the recipient area is necessary. Once the hair shaft is shaved to the necessary length, the angle of that hair shaft can be established and the correct incision can be made parallel to the adjacent follicle. This will eliminate any transection or damage to the follicle or “permanent” shock loss.

Surgeon skill.

Especially in cases where high density is desired and necessary, the surgeon must have an extensive understanding of how to avoid permanent shock loss and the necessary tools and expertise to prevent it. The more density required, the higher the degree of difficulty when transplanting among existing hair. Experienced surgeons who routinely achieve high densities will take the necessary steps mentioned above to produce the best outcome. Transplanting among existing hair without a shave, without custom blades, without a high degree of skill etc. may be possible without causing damage but the density will likely not be acceptable to the patient. At some stage, the patient will want a better result with more density and these steps will ultimately need to be employed.

“I have always been mindful of the potential dangers associated with transplanting among native hair. Any form of permanent shock loss which could compromise the result was and still is unacceptable. Once I began shaving recipient sites and using our technology, including the lateral slit technique and custom-sized blades, I was able to achieve high densities in areas with existing hair without causing significant damage.”

Dr. Victor Hasson

Hair Restoration Physician

Hair Transplant Donor Area Shock Loss

What Does Hair Transplant Shock Loss Look Like?

Here are a few examples of what shock loss in the donor area might look like, including examples of recovery times and what the recovery process could look like as the area returns to normal.

In this FUT case, within the first 2 months post-op, the scar is healing nicely but some temporary shock loss was apparent in the donor area above and slightly below the scar.

At 3-4 months post-op, those fallen hairs started to grow back and there is virtually no evidence of the previously shocked follicles.

In this FUT case, the worse of the temporary shock loss was confined mostly to an area of the donor in the back. The loss was substantially above and below the scar line at 3 months post-op just before it started to grow back.

At 5 months post-op, those shocked follicles are producing hair again. From this point forward, the area will continue to improve each month until full maturation.

Hair Transplant Shock Loss Conclusion

In most hair transplant procedures, some degree of shock loss is likely to occur. Understanding that shock loss is usually temporary and a normal part of the hair transplant process can help manage expectations and alleviate some of the anxiety. Be prepared for the possibility of your hair looking thinner before it gets better. New hair growth typically starts around 3-4 months post-op, with substantial improvements occurring within 6-12 months. Full results from a hair transplant can take up to 18 months. The use of medications such as topical dutasteride can reduce the severity of temporary shock loss. We can provide personalized advice and support if shock loss occurs. And most importantly, make sure you are in the capable hands of a surgeon who recognizes the impact permanent shock loss can have on a result and who is adept at preventing it.

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Do Hair Transplants Hurt

August 20, 2024, 4:11 pm

≪ Previous: Shock Loss After Hair Transplant

Do Hair Transplants Hurt? : Introduction

A common question we hear at our clinic is, “Do hair transplants hurt?” The discomfort associated with hair transplants varies depending on the individual and the technique used, but overall, the procedure is generally well-tolerated. At the start of the procedure, local anesthesia is administered to numb the scalp, effectively minimizing any pain during the transplant. While some patients might feel mild discomfort or pressure, the procedure is generally not painful. At Hasson and Wong, we aim to ensure that our patients experience virtually no pain during the transplant and carefully monitor their comfort levels throughout to provide the most comfortable experience possible. When the anesthesia wears off hours after the procedure, you may experience some soreness, tenderness, or a mild aching sensation in the treated areas. This post-operative discomfort can typically be managed with over-the-counter pain relievers or medications prescribed by your surgeon.

Most patients report that any discomfort is manageable and subsides within a few days to a week after the procedure. Overall, while there may be some discomfort involved, it is generally minimal and temporary.

How Long Does The Pain Last After A Hair Transplant?

As mentioned above, pain after a hair transplant is generally mild and temporary, with most patients experiencing discomfort that lasts for a few days to a week. Here’s a more detailed breakdown of what you can expect:

do hair transplants hurt in the donor area

First 24-48 Hours

First 24-48 Hours: You may experience some soreness, tenderness, and mild pain in the treated areas. The donor site (where hair was taken from) might feel more uncomfortable than the recipient site (where hair was implanted). Swelling and redness are also common during this period.

First 24-48 Hours

3-7 Days Post-Op

3-7 Days Post-Op: Discomfort typically decreases significantly after the first couple of days. Any remaining pain is usually mild and can be managed with over-the-counter pain relievers or medications prescribed by your surgeon. You might still experience some tightness or itching as the scalp begins to heal.

3-7 Days Post-Op

do hair transplants hurt 1-2 weeks post surgery

1-2 Weeks Post-Op

1-2 Weeks Post-Op: By this time, most of the initial pain and discomfort should have subsided. Some patients may still experience minor tenderness or itching, but this is generally not painful and continues to diminish.
Patients who undergo hair harvesting with the FUE method typically experience significantly less postoperative pain compared to those who undergo the FUT method. However, by day 3 post-op, pain generally subsides almost entirely with FUT while patients who have FUE often report only minimal pain as early as 1 day post-op.

If pain persists beyond two weeks or becomes severe at any point, it is important to contact your surgeon to rule out any potential complications. Overall, while there is some discomfort associated with the recovery process, it is usually manageable and short-lived.

1-2 Weeks Post-Op

How To Control The Pain After A Hair Transplant?

Controlling pain after a hair transplant can make for a more comfortable and smoother recovery. Here are several strategies to help manage discomfort:

1. Medications

Pain Relievers: Over-the-counter pain medications like ibuprofen or acetaminophen can help alleviate pain. Your doctor may also prescribe stronger pain relievers if necessary.

Antibiotics: These may be prescribed to prevent infection, which can cause additional pain and complications.

Post-op package: We will provide the necessary items including medications to help make the recovery process as easy as possible.

3. Elevation

Keeping your head elevated, especially while sleeping for the first few days, can help reduce swelling and discomfort. Use multiple pillows or a recliner to keep your head elevated.

4. Gentle Care of the Transplanted Area

Avoid touching, scratching, or rubbing the transplanted area.
Follow your doctor’s instructions for washing your hair gently to avoid disturbing the grafts.

5. Avoid Strenuous Activities

Refrain from vigorous activities and heavy lifting for at least a week after the transplant to avoid unnecessary increased blood flow to the scalp, which can cause swelling and pain.

6. Hydration and Nutrition

Stay well-hydrated and maintain a balanced diet to support the healing process. Proper nutrition can aid in faster recovery and reduce discomfort.

7. Follow-Up Appointments/post-op instructions

Attend all follow-up appointments with your surgeon and/or follow post-op instructions to ensure the healing process is progressing as expected and to address any pain or concerns you might have.

8. Relaxation Techniques

Practicing relaxation techniques such as deep breathing, meditation, or listening to soothing music can help manage pain by reducing stress and anxiety.

9. Avoid Smoking and Alcohol

Smoking and alcohol can interfere with the healing process and increase the risk of complications, leading to more pain.

10. Topical Treatments

Some doctors may recommend topical treatments, such as aloe vera or medicated ointments, to soothe the scalp and reduce pain. Make sure you check with your doctor for approval before using.

How Long Does The Donor Area Hurt After A Hair Transplant?

After a hair transplant, pain in the donor area is a common experience but is typically manageable with proper care. In the initial days following the procedure, patients often report soreness, tenderness, and mild pain in the donor region. This discomfort generally starts to subside within the first week, with most individuals noticing significant relief by day 3-4 post-op. By the second to fourth week, any remaining minor discomfort is usually gone with occasional itching or tightness as the area continues to heal. Complete recovery of the donor area typically occurs within a few months, with any lingering sensations gradually resolving. Following post-operative care instructions can help minimize pain and promote faster healing. The donor area will heal quicker with FUE than it will with FUT.

Burning Sensation In Donor Area After Hair Transplant

Patients experiencing pain in the donor area may describe it as a burning sensation, which is more commonly associated with the FUE method of extraction. During an FUE procedure, thousands of small punch holes are created to extract the grafts. This process can temporarily damage the skin and superficial nerve endings, leading to hypersensitivity and the burning sensation. This type of discomfort can be managed in the same way as other typical donor area pain, using the strategies previously mentioned.

Do Hair Transplants Hurt Conclusion

In conclusion, this article addresses the question, “Do hair transplants hurt?”. While hair transplants do involve some level of discomfort, the pain is generally manageable and temporary. The most significant pain is typically experienced in the first few days after the procedure, both in the donor and recipient areas, but it gradually subsides with proper care, medication, and time. Modern techniques, such as Follicular Unit Extraction (FUE), have made the process less invasive and reduced the overall discomfort compared to older methods such as FUT. FUE will generally heal quicker with less discomfort compared to FUT. The surgeon’s skill is also a critical factor that can influence postoperative pain, particularly with the FUT method. The extent of post-op pain can often be directly related to the efficiency of the strip removal process.

At Hasson and Wong, our FUE and FUT harvest methods are among the most efficient in the industry, and we anticipate that this will be reflected in higher levels of postoperative comfort. Patients can expect a smoother recovery by following their surgeon’s post-operative instructions, taking prescribed medications, and practicing good aftercare. If severe pain, signs of infection, or persistent discomfort occur, it is important to consult the surgeon promptly. If you have concerns about pain or the procedure itself, the team at Hasson and Wong is just a phone call or email away to assist you. Additionally, we provide a care package that includes detailed post-op instructions to ensure a smooth recovery following your procedure. Ultimately, the brief period of discomfort is outweighed by the long-term benefits of a fuller, more confident head of hair.

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