Hair transplantation is the most accepted aesthetic operation in health tourism in recent years and the most applied method in this field is the FUE technique
The FUE technique consists in extracting the follicular units from the donor area (nape area) with the help of a manual punch or a micromotor and transplanting them into the affected area by opening channels with a sapphire scalpel.
With the FUE method, natural hair is obtained by transplanting up to 6,000 follicular units in a single session.
Stages of FUE hair transplant
Analysis before hair transplant: tests related to bleeding, clotting, complete blood count and infectious diseases are extremely important for hair transplantation. Before the hair transplant, the analysis is carried out in our center.
Analysis of the donor and recipient area: this is the procedure performed to obtain information on the skin structure of the donor area, on the quality of the grafts and on the possible presence of a skin disorder with the help of a high-resolution instrument. Although it may seem like a simple procedure it is very important to see in advance if there is a skin disorder and start treatment before cutting your hair.
Hairline planning: the hairline is extremely important for achieving a natural look. Line, facial muscles, anatomical structure, age, race and sex are of major importance in line planning. Donor area planning is an extremely important step in defining the number of grafts to be harvested.
Hair length in FUE hair transplant: If the recipient area is suitable, it is possible to perform the hair transplant without shaving. During the preliminary interview or during the examination in our clinic, detailed information on shaving is provided. In the donor area, the hair is cut completely because the harvest will take place.
Types of anesthesia in FUE hair transplant:
Local anesthesia with the Dermojet (Comfort Inn): is a local anesthesia technique applied with the help of a special device to reduce pain before local anesthesia.
Local anesthesia: It is the most commonly used method which involves the injection of anesthetic into the donor and recipient area
Sedation anesthesia: it is a method of anesthesia applied by an anesthesiologist which consists in the administration of anesthesia intravenously. Painless method preferred by patients who have needle phobia. With this type of anesthesia, the patient feels a slight sensation of sleep, relaxation with partial alteration of consciousness.
General anesthesia: it is an unwanted technique due to its side effects. It occurs through the administration of intravenous drugs by an anesthetist.
Follicular unit extraction phase in the FUE method: it is the process of removing the follicular units with the help of a manual punch or a micromotor after applying local anesthesia to the donor area. Depending on the availability of the donor area, up to 6,000 follicular units can be extracted. During this removal process special care must be taken not to damage the follicle and prevent scar formation with a homogeneous extraction. Based on the structure of the bulbs, the specialist selects the most suitable punch with dimensions ranging from:
0.7mm x 0.4mm,
0.8mm x 0.4mm
0.9mm x 0.3mm.
Channel opening phase (sapphire): After the extraction phase is finished, local anesthesia is applied to the frontal area (front line area). By selecting the sapphire tip that best suits the size of the bulbs, the surgeon opens the channels based on the quantity of bulbs taken. If the canals are opened giving the right direction, paying attention to the depth, more natural results can be obtained and this is why it is considered a very important phase that must be performed by a surgeon
phase of the bulbs: it is the phase of grafting the bulbs after the opening of the channels. The grafts held in special solution are transferred into the open canals with the help of surgical forceps taking care not to damage them.
Advantages of the FUE method
- Up to 6,000 follicular units can be transplanted in one day
- Easy planning in case of numerous grafts
- More natural appearance of the implant area using sapphire scalpels,
- Painless operation after anesthesia
Criteria to consider before FUE hair transplant
Clinical history before FUE hair transplant
Since hair transplantation is a surgical procedure, the team should be informed about the patient’s medical history prior to surgery. The patient should report to the doctor if they have drug allergies or have chronic or infectious diseases (such as heart disease, diabetes, high blood pressure, arrhythmia, eczema), if they use anticoagulants or other medications related to a certain disease and inform about previous surgery.
Diabetes mellitus is a chronic disease characterized by an excessive amount of sugar (glucose) in the blood above the normal level. If sugar is not regulated in a person with diabetes, wound healing will be delayed, thus adversely affecting the process.
High blood pressure is a condition characterized by high blood pressure in the arteries, which is determined by the amount of blood that is pumped by the heart and the resistance of the arteries to blood flow. It can cause serious health problems such as heart disease and brain bleeding. If medications are not used regularly and blood pressure is not maintained in the normal range, it will adversely affect the procedure and the result of the hair transplant.
Allergy is an altered and excessive reaction of the immune system to foreign substances, or allergens that would be harmless, such as dust mites, pollen, foods, mold or epidermal derivatives of pets. Allergy can be seen in childhood and old age. As various drugs are used during and after hair transplantation, the patient should warn the doctor if he has drug allergies to avoid any complications that could compromise the result of the operation or even health.
Heart disease refers to a variety of acute and / or chronic conditions that can affect one or more components of the heart. Any pathology that damages the heart or decreases its oxygen supply, or decreases cardiac function and therefore alters its ability to pump oxygenated blood to all vessels and organs, has serious consequences that can manifest themselves systemically. It is vital that the patient inform the doctor if he has a heart condition and if he is using medications to avoid any complications during and after the operation.
An infectious disease is a disease caused by microbial agents that come into contact with an individual, reproduce and cause an alteration within the organism. Pathogens can belong to different categories and are mainly viruses, bacteria and fungi. Transmission can take place in various ways
Hepatitis B is a liver disease caused by a virus called the “hepatitis B virus”. The infection is transmitted through the blood and body fluids. Once the virus enters the body, it multiplies mainly in the liver. The main modes of transmission are sexual intercourse, instruments contaminated with infected blood, from mother to newborn during childbirth. It is a preventable and treatable disease in our country and in the world. The team should be informed to avoid contamination during the hair transplant process.
Hepatitis C is a disease caused by a virus, HCV, which attacks the liver and leads to inflammation and can be transmitted through contact with infected blood. Hepatitis C is a chronic disease that must be carefully monitored by a doctor periodically, as the infection can also lead to cirrhosis (scarring of the liver) and liver cancer. Therapies for the treatment of hepatitis C have made great strides, and today it can be said with serenity that hepatitis C is a treatable disease in all patients. Patients who come to our clinic can undergo transplantation after the doctor’s control.
Human immunodeficiency virus (HIV) is a virus that attacks the immune system, specifically a type of white blood cell, CD4 + T lymphocytes, which play an important role in the body’s defense mechanisms against infection. Once the infection has occurred, the immune defenses progressively weaken and the body becomes susceptible to infections caused by other viruses, bacteria or fungi. There is no cure or vaccine to eliminate the virus. Currently available therapies for the treatment of HIV infection consist of drugs that slow the progression of the disease.
Medicines used before FUE hair transplant
Patients taking medications on a daily basis should notify the clinic as the doctor may ask to suspend for a certain period of time. Ask your doctor if this suspension can cause problems
Smoking, alcohol and drug use before FUE hair transplant
Before the hair transplant, cigarettes, alcohol and drugs negatively affect the procedure as they affect anesthesia and circulation.
Clothes before FUE hair transplant
During the hair transplant procedure, do not wear a pullover, shirt or similar clothing that does not have buttons or zips to avoid damage to the grafts after the procedure. Shirt-style button-up front dresses or zippered sweatshirts are more appropriate.
Important note: For a more comfortable operation, sleep well the night before the transplant and have a good breakfast.
Details to consider after the hair transplant
The first three and eight days after the hair transplant are very important.
For the first three days, avoid lowering your head for a long time (reading a book or looking at your mobile phone) to avoid swelling of the forehead, eyes and cheeks. Edema is a normal reaction of the body, absolutely not dangerous.
The transplanted grafts adhere to the transplanted area in literally a week. Any trauma, rubbing and impact during this period can cause the loss of grafts in that area, violent shocks can even cause tissue loss.
The first wash after the hair transplant is done by our clinic after 24 hours. The first and subsequent washes are extremely important so perform as shown in the clinic and continue for at least 10 days until the scabs have fallen off
Fall of the scabs:
After the hair transplant, there will be scabs due to wound healing in the transplant and donor area. These scabs provide healing for the scalp but negatively affect circulation if they stay on for a long time. Between the 10th and 14th day, the peeling process should be done as explained in the clinic
Use of drugs and dietary supplements:
After the hair transplant, fully use the medications given in the clinic to avoid dangerous consequences such as infection.
Using recommended dietary supplements will increase the hair regrowth potential as it will positively affect circulation.
Tobacco, alcohol and other substances that affect circulation:
After the hair transplant, smoking and drugs negatively affect the circulation so you have to stay away from these substances otherwise, it can affect the result of the operation.
Avoid using alcohol with medications provided by the clinic after transplantation
Especially in the first eight days, you need to protect your head from blows, rubbing and trauma, otherwise, it could cause the loss of grafts or even tissue due to circulatory disorders
Emotional stress can lead to hair loss, especially if these conditions persist for long periods. You have to stay away from severe stress for 12 months.
Avoid sex for the first five days.
Precautions to be taken for the first 30 days
- Avoid heavy work
- Do not do strenuous activities (cardio after 15 days)
- Avoid sauna and hammam
- Avoid the sea and swimming pool
- Do not expose yourself directly to sunlight
Hair cutting and dyeing
Although the effectiveness of hair transplantation seems linked to the technique performed (FUE OR DHI), the most important point should not be overlooked, the care performed after the hair transplant, which is as important as the transplant performed by our surgeon. The Estetive clinic provides support and advice until the final result, therefore during the first 12 months following the hair transplant.
If necessary, our coordinators will always be available for advice.