020 7935 1861 info@wimpoleclinic.com 11-16 Manchester Street, Marylebone, London, W1U 4DJ

Hair Transplant Questions

Is hair transplant surgery painful?

No. The procedure is performed under local anaesthetic and mild sedation. This means that both the donor and recipient sites are totally desensitised. You will experience a discomfort when the anaesthetic is initially applied. Surprisingly patients feel very little discomfort and can watch TV, listen to music or chat during the procedure. Some patients experience some discomfort 1-3 days after the surgery which is easily controlled with mild pain relief such as Paracetamol.

What is FUE?

FUE or follicular unit extraction is where individual hair grafts are harvested directly from the donor. A circular incision is made in the skin around the upper part of the follicle which is then extracted (pulled) directly from the scalp leaving a small open hole. The advantage of FUE is that it leaves no linear scar. FUE is reasonably pain free and has very rapid recovery. Professional sportsmen generally have this as it allows them to quickly return to their training regime.

What is FUT?

FUT or follicular unit transplant is where a strip of hair bearing scalp is extracted from the donor area. Using microscopes the extracted donor strip is then dissected into individual hair units known as grafts. Each graft contains from 1-4 hairs. A trichophytic closure (see below) is used so that the scar is barely visible to the naked eye.

What is Trichophytic closure?

Simply the best way to suture the donor wound. Trichophytic Closure is a technique used to make the scars caused by the removal of the strip of skin practically invisible. Further advantages over previously used methods are that the scar becomes a lot finer. One side of the existing skin is cut at an oblique angle so that hair follicles slowly grow through the tissue (i.e. through the ensuing scar), thereby concealing the scar and making it possible to cut the hair as short as 0.5 cm.

What is a hair transplant?

A hair transplant is a transfer of hair from a permanent source, the back scalp and strategically placing these donated hairs into the thinning, balding areas. The more density of hair at the back and sides, the better the results will be.

Should I Have a Hair Transplant?

Baldness can be an embarrassing problem for some men and one that many will face at some time in their lives and there are many ways of dealing with it, including hair transplant surgery. However, as men often see this dilemma as a cosmetic one, they can feel uncomfortable about pursuing it. This is not helped if friends, family and colleagues joke about them going thin or bald and then, conversely, rib them if they decide on hair restoration surgery, comb-overs, wigs, weaves or even hair dye.

It is not surprising therefore, that men will often choose to make the decision quietly and only involve their very nearest and dearest as part of the decision-making process. As a hair transplant is one of the most successful, natural-looking and discreet methods of restoring lost locks; it is now, for this reason becoming increasingly popular.

Baldness only worsens with time and the earlier it is treated, the better the results. The biggest regret of most hair transplant patients, over the age of 40, is not having the surgery sooner

Will I only need one session?

More than likely you will need more than one session to restore a natural looking head of hair. It is very rare to have just one session of surgery. A very good hair transplant will yield the highest number of transplanted hairs without depleting your donor integrity. A second session will usually top up, refine or add density and once you see the results of the first you will nearly always want more.

Will the results look natural?

Yes. Hair is carefully and strategically placed with microscopically dissected follicular units (the gold standard of individual and naturally occurring groups of 1-4 hairs). The gold standard yields the highest number of transplanted hairs in such a fashion that creates the most pleasing and natural looking hair. It is impossible for those who do not know to detect transplanted hair from your existing or natural hair.

Will I get a full head of hair?

Not literally. Because donor supply is limited, there is simply no way to restore a “full head of hair”, but with proper use of the limited donor hair, the surgeon can strategically place the follicular unit grafts over the balding region to create an “illusion of density”. This means that one can achieve the appearance of a full head of hair without obtaining the proper hair density required to achieve a ‘literal’ full head of hair. Most people suffering from hair loss don’t realise it until they’ve already lost about 50% of hair.

The reality therefore is to replace enough hairs to recreate the illusion of a full head of hair. In extensive baldness, the most important achievement will be to restore frontal scalp hair and the hairline to create a frame around the face. This will improve how you look to yourself and to others.

Why am I balding?

A tendency to baldness is genetic and can be inherited from either the mothers or fathers side of the family. Balding starts when dihydro testosterone (DHT) molecules bond with special receptor sites on hair follicle cells. This causes the hair follicle to gradually miniaturise and eventually die.

Is a hair transplant expensive?

No. It is one of the least expensive cosmetic surgery procedures. Once you have replaced your hair it is with you for life, therefore for a small investment you get long term guaranteed lasting results. Surgery starts from £2000. An accurate cost can only be given after examining your scalp and balding areas in person.

Who can have a hair transplant?

Men with MPB (male pattern baldness) and now more commonly some women. Not all men and not all women are suitable. It is therefore best to meet the surgeon at consultation if you are considering having hair restoration surgery.

Will my new hair eventually fall out?

Your newly transplanted hairs will start to grow 6-12 weeks after surgery. It will still be growing up to 12 months after. You will have the transplanted hair for life. We take the dominant hair from the back scalp as this is unaffected by DHT and will never be subject to the balding process. Your new hair will be with you for the rest of your life.

When will I see my new hair?

Within the first few weeks following a transplant most of the newly transplanted hair will fall out. The hair then enters a resting phase. The new hair will begin to grow some 6-12 weeks after. At six months it will be 1-2 cm long but will continue to grow up to 12 months following your transplant. It takes at least 9-12 to fully mature and to see the full results of your transplant.

Will the transplanted hair need special attention?

Immediately after surgery you will need to take care of you scalp and hair using the aftercare products that we supply. However when you hair grows you can treat it exactly the same as you did before you had the transplant. It can be combed, washed, dyed, permed and shaved with a normal range of products bought off the shelf.

Is there any special preparation before the surgery?

It is best to have a clean scalp. You should shampoo your hair the night before, get a good nights rest, avoid over indulgences in food or drink and have a normal breakfast. If you are regularly taking aspirin then this should be stopped 1 week before the operation.

Will I need time off work after my transplant?

This depends on your work and your choice of FUE. It also depends on your type of work. If you don’t have a physical or strenuous job, medically you can generally go back to work after just a couple of days, otherwise it is best to take 7-10 days.

FUE heals very quickly and allows a return to normal activities very quickly.

FUT (strip extraction) takes a little longer.

The other consideration is from a cosmetic view. If you do not have sufficient hair to cover the donor site or if you are very concerned about anyone knowing, then it’s probably best to take a two week holiday. You can wear a cap immediately after surgery, however hard hats and motor cycle helmets will be two weeks after your transplant. The sun should be avoided to prevent sun damage until the hair is long enough to cover the scalp.

Are there any risks or side effects to surgery?

Very few. As hair is only being moved from one area of the head to another, it is a very safe, minor cosmetic procedure. There are no medical risks associated with the surgery. You will answer a medical questionnaire at consultation and full disclosure is required.

Should I use Minoxidil lotion?

Yes. Minoxidil lotion is applied to the scalp every day, morning and evening.

Clinical trials prove that it re-grows hair in both men and women. Although the active ingredient is available in various percentages, there is no clear evidence that the higher strength works any better than the lower strength.

Using Minoxidil, Propecia or a combination of both for 6-12 months before hair restoration surgery will assist the hair replacement surgeon to create more density in areas that are the most important cosmetically and will maintain and stabilize hair loss.

Should I have a hair cut before hair transplant surgery?

No. FUT (strip extraction) surgery requires the removal of a small strip from the scalp. You should not cut your air as you will need to hide the donor site and the surrounding hair should be at least 2 centimetres to camouflage the area. For FUE transplant then the hair transplant surgeon will cut or shave the hair immediately prior to carrying out the surgery. The surgeon must do this himself so your remaining hair should not be shorter than 1 cm otherwise he will not be able to see where to strategically place the donated hair follicles. In short it is best not to cut your hair.

How long will the operation last?

An average the session will take 6-10 hours. You should set aside one full day and not make any arrangements on the day of surgery. If you are having a larger session of FUE (over 1500 FUE grafts) then you will need to attend for two consecutive days of surgery.

Is there any special aftercare following hair transplant surgery?

It is extremely important to follow the after care. You will be given written post-operation instructions. During the first night following the surgery the grafts are still sensitive and could fall out of the incisions are touched or manipulated. Avoid pulling shirts over the head. Do not brush, comb, rub, or even touch the transplanted hair for at least 24 hours after the surgery. Sleep in an upright position for three nights. A lotion will be given to spray onto the areas. Two days after the surgery you have the first hair wash. A shampoo will be given to you. It is important to wash and clean the scalp every day for at least two weeks after surgery.

Physical activity should be avoided as much as possible in the first week following surgery. This includes refraining from sexual activity and rapid movements of the head as this could result in the loosening of the grafts. You will be given medication / tablets to take for five days. You can start using Minoxidil after 5 days. Take Propecia tablets daily throughout with no break.

Swelling commonly occurs in the first few days but recedes after 3-4 days. The scalp will be desensitised from a few weeks to a few months. This is normal. Full sensation will be regained after 1-6 months. You may also experience crusting around the grafted area. This is normal and these fall away after 5-9 days. Do not pick or scratch as this may remove the newly transplanted

Can hair be used from family or friends?

No. This is a surprisingly commonly asked question. Hair from another person is not suitable from any other person but you. Even family cannot donate hair for the surgery.

Is there a booking fee?

Yes. There is a non-refundable deposit of £500 when you book your surgery.

Are there any bandages after the procedure?

No bandages are worn, full postoperative instructions are given and many patients who live in the London area come back to the clinic for routine washing and after care. If you have FUE then a small dressing will be applied to the back of the head where the hairs have been taken from.

Can a hairpiece be worn after the operation?

Yes, the hairpiece acts as a protective shield and as a cosmetic screen. This can only be clipped into place for at least 3-4 weeks after the surgery. The scalp should be washed daily avoid the build-up of sweat and bacteria.

I am a Norwood Classification 6/7 can I have a hair transplant?

Yes. If you have thick donor hair and you don’t have wild expectations, then a conservative hair transplant is definitely possible. Much depends on each individual. Creating a new hairline with thin coverage over the entire balding area will take years off a man. This result also works well if you maintain a shorter haircut as it look very good and youthful. You have to consider the choice between supply and demand v. your expectations and goals.

How many grafts will I need?

When you have your consultation with the surgeon before hair replacement surgery he will suggest how many grafts are available for your first procedure and any subsequent procedures. This number will be based on your present balding pattern and will take into account the predicted future of hair loss together with how much donor hair is available.

What is the best age to have a hair transplant?

A hair transplant should begin when your degree of hair loss is unacceptable to you. Starting early will often require multiple smaller sessions and your expectations may be unrealistic at that time. Medication such as Propecia and Minoxidil will stabilise you hair loss when you are in your 20’s and 30’s. Unfortunately if you start to lose your hair in your early twenties it tends to be aggressive. It is therefore vital to stabilise your loss with medication. Hair is subject to diffuse thinning over time. Men can have surgery throughout their life even into their 70’s.

Is FUE the future of hair transplants?

Cosmetic procedures of all kinds have unquestionably, become less invasive for both men and women. Many traditional surgical procedures have now been superseded by minimally-invasive alternatives which produce less scarring. Research and development of new techniques and increased awareness has created a greater demand that has steered the industry to continually improve the treatments offered.

With this in mind FUE (Follicular Unit Extraction) must be the future for hair restoration. Scars are a constant reminder of surgery and can create further anxiety. With FUE however, there are no visible signs of scarring and very speedy recovery rates. It is without doubt the method of choice for many public figures and celebrities who can return to work, training or the public-eye without showing tell-tale signs of any treatment. This type of surgery offers a cosmetically-enhancing & confidence-boosting option that is effective, minimally-intrusive & is very discreet

Do hair lasers and laser combs work?

Contrary to popular belief laser combs work. With regular use of a laser comb you should notice early and general improvements within the first 5 to 10 weeks. There may be a short period of shedding during the first 2 to 4 weeks. This is to be expected. Improvements seen should include noticeably shinier, fuller hair, and a thicker overall appearance. New hair growth takes more time. Typical results just begin to show at the 6 month mark, and should continue to improve and then plateau at about 2 years.

Does Hair and Skin Colour Affect Hair Transplant Results?

The contrast between the pigment of the skin and the hair colour has a significant impact on the results of a hair transplant – the lesser the contrast the better the outcome. If you have dark hair and a dark complexion or light hair and a pale skin tone the better the appearance of the hair coverage.

African hair, for instance, is dark and very curly and therefore provides the best coverage & least contrast and so gives the best, visually perceivable, hair transplant results. Dark hair on a pale complexion however, poses the greatest challenge and those with the most contrast may require more than one session in order to create the correct appearance of density.

What should I expect at Consultation?

During your initial consultation you will be asked about your medical history and your hair and scalp will be examined microscopically. Your hair density will be evaluated and we will look to compare the amount of fine hair to thick ones; we assess the degree of miniaturization of your hair strands caused by shrinking hair follicles and the diminishing of each hair’s diameter and length.

You will be advised on the best way to achieve the required end results and final look you that you would like to achieve. You will be given a full explanation of the entire hair transplant procedure, including any associated risks. There will be time to answer any questions or queries you may have and photographs will be taken.

It is advised that you bring a family member / friend or partner to your consultation as they can give a useful and added perspective.

Can I have my beard / side burns / goatee / facial hair be replaced?

Yes. If you are missing patches of facial hair, a transplant to a man’s face will give you back a full, thick beard, sideburns, moustache or goatee. The principles are the same as a regular hair transplant to your scalp. After a beard procedure, you will be able to shave and style your facial hair however you wish. The number of grafts can range from a few hundred to a few thousand. To provide a natural appearance, the hairs are transplanted as individual (and sometimes two hair) grafts. Great care is taken to assure natural growth and appearance including the careful placement of the grafts at the exact angle and direction of typical growth. Once placed, the microscopically dissected grafts of a beard transplant are permanent.

The procedure is essentially painless as is the recovery period.

For the first 5 days after the procedure, care is needed to keep the transplanted area absolutely dry. By the second day you can resume non strenuous activities. The transplanted hairs will fall out after about 2 weeks and then start to re-grow some three months later where they will continue to grow for a lifetime. A beard transplant can conceal scarring (such as acne) or trauma (such as scars, burns or accident).

The new growth will not fall out and will require normal trimming, shaving or styling to suit.

Should I use Propecia or have a hair transplant?

Yes. Propecia has been shown to be a useful adjunct to surgical hair restoration for a number of reasons.

  1. It works best in the younger man who may not yet be an ideal candidate for a hair transplant.
  2. It can re-grow or stabilise hair loss in the crown scalp.
  3. It is less effective in the front part of the scalp, the area where hair transplant surgery can offer the greatest cosmetic improvement.

In tests Propecia has been shown to be safe and effective in the long-term. It will assist the hair replacement surgeon to create more density in areas that are the most important cosmetically whilst maintaining hair on other areas of the scalp.

Trichology Questions

What is trichology?

Trichology is the science and study of hair (from the Greek ‘trikhos’ meaning hair). Clinical trichology (i.e. trichology in the context of practising members of the Institute) is the diagnosis and treatment of diseases and disorders of the hair and scalp.

Does a poor diet or regular dieting cause hair loss?

Your diet could potentially cause hair loss if you don’t watch what foods you eat. The typical western diet lacks many of the nutrients needed to sustain strong healthy hair, which is one of the main reasons hair loss is so typical an affliction in western society and so rare in many eastern regions. Diets should contain a diversity of vitamins and minerals found across vegetable and fish dishes as well as the occasional meat dish. Vary your diet for the best results and to ensure you are getting the vitamins and minerals that are needed to maintain strong, healthy looking hair.

I have Polycystic Ovarian Syndrome and have been experiencing hair loss. Is there anything I can do to prevent this?

Polycystic Ovarian Syndrome (PCOS) results in an increase in testosterone, or male hormone levels. Unfortunately, testosterone is a hormone that scalp hair follicles often do not like, especially if you have a history of hereditary pattern hair loss (baldness) in your family. Ensuring the PCOS is under control should help to prevent hair loss and improve hair growth. Most commonly, anti-androgen medication can be medically prescribed to help treat this condition. These are usually oral contraceptives that contain an anti-androgen such as cyproterone acetate. Anti-androgens aim to inhibit the action of androgens or male hormones, so they can be of benefit.

I wish to thicken my thinning hair but without hair surgery or hair extensions, do you offer any cosmetic products that work in this way?

We do have a range of hair thickening sprays and thickening fibres to offer as non-surgical options. They disguise any visible areas of scalp and they also help thicken the hair shafts, creating an illusion of a thick head of hair in an instant. They come in a range of colours to suit most hair shades. These products are available at the clinic.

I’m a female, feeling increasingly concerned about the amount of hair I keep finding in my brush every day and all over my wooden floors throughout my house. I think my hair is feeling thinner as a result. What shall I do, do you only treat men with hair loss?

We treat both men and women, in fact, more women than men are now seeking trichological advice – you are not alone. First stage is to carefully examine your scalp and detect how much hair has been coming out, it has to be determined if your loss is patchy, patterned or diffuse.

Depending on this and information taken on your diet, medical history and life style, specific blood tests will be recommended by the trichologist and a personal trichological treatment plan will be put together for you. Your hair will be reassessed and monitored regularly by the trichologist over the coming months.

Is it dangerous to shampoo my hair every day, could more fall out?

There are no dangers to shampooing your hair every day, even if you are experiencing hair loss. In fact, the scalp and hair benefit enormously by being kept clean and clear of dead skin and grease build up. The hair will have body added to it and will be kept in good condition by frequent shampooing and conditioning. Your hair will not fall out any further or any faster, don’t worry!

I have suffered an irritable scalp now for many years, the scalp also looks red when I part my hair near the front hairline. Nothing over the counter seems to be working, should I see a trichologist?

Yes, a trichologist will be able to diagnose the problem for you than once it is known what is wrong the most suitable treatment can be started. There are many scalp problems a trichologist encounters every day, psoriasis and dermatitis are examples of the most common. Most scalp problems can be treated trichologically and without the use of steroids that may otherwise be prescribed by a GP. But a diagnosis is required in the first instance-get it checked as soon as possible.

I’m in my late teens and my hair is already thinning out like my father hair, is this normal at my age?

Hereditary hair loss can begin as early as puberty but eighteen through to thirty happens to be the most common time to notice it emerging. It would be necessary for you to consult with a qualified trichologist to get the problem diagnosed as there are other types of hair loss apart from hereditary balding. Even if it is confirmed as being genetic hair loss, there are treatments available to help stabilise it, especially if the problem is in its early stages.

What should I expect from a trichology consultation?

The consultation process is very thorough and may take up to an hour. During the consultation all aspects of your scalp/hair problem will be discussed at length with folliscope examination to determine the correct diagnosis of your condition. The trichologist will explain the nature of your disorder, give specific advice, answer your questions, and if necessary suggest a treatment regime. Sometimes, certain blood tests or other tests may be required for further investigation.

What are the Conditions treated by a trichologist?

Male pattern baldness, Female hair loss, Patchy hair loss, Diffuse hair shedding, Seborrhoeic eczema, Contact dermatitis, Psoriasis, Scaling conditions, Itching scalp, Folliculitis, Scalp Infections, Afro/Caribbean conditions

Can trichologists treat ‘alopecia’?

Alopecia is a general term meaning hair loss of which there are many types and causes. Most types of hair loss can be treated, however some cannot. A qualified trichologist will be able to advise you further.

Who is a ‘qualified' trichologist’?

So far as the Institute is concerned, a qualified trichologist is someone qualified by and registered with the Institute of Trichologists. They use post nominal letters such as AIT, MIT or FIT. There are other people who have nothing to do with the Institute, who may claim to be ‘qualified’ but they are not recognised by the Institute as ‘qualified trichologists’.

What safeguards does membership of The Institute of Trichologists offer?

The Institute of Trichologists is over 100 years old (founded in 1902) and has built up a high reputation for standards of training and professional practice. All registered members are fully and properly qualified. All Institute members are bound by the Institute’s strict and enforceable Code of Professional Practice and Ethics.

General Questions

Should I have a hair transplant in the UK?

Some individuals are concerned about having hair restoration surgery in the UK. This is a fear however that is unfounded. There are very successful and experienced surgeons in the UK that have been carrying out transplants for many years. The numbers of surgical cases completed by a surgeon will give you an indication of his experience. (these should run into the high thousands).

As you are able to discuss the procedure with the surgeon you should feel comfortable with his expertise. A good surgeon will advise candidly the likely outcome of hair transplant surgery.

Do women have problems with balding?

Women experience hair loss, although not as commonly as men. Some women with ‘female pattern hair loss’ have genetically determined hair loss and are suitable to have a hair transplant. Others may experience hair loss following injury, surgery, pregnancy or during an illness. Depending on the type of hair loss women may or may not make good candidates for surgery.

Why can’t some women have hair restoration surgery?

Hair transplantation involves the transfer of hair from an area of greater density to an area of hair loss. This is almost invariably from the back of scalp (donor area) to areas on the front, mid scalp and crown. Some women have generalised thinning  which may include thinning in the back scalp area. In this instance, it may not be beneficial to transplant hair that has already been weakened.

There is also the possibility that the hair in the recipient area is more fragile and some or all of the original hair in this area may be lost. This process is called “Telogen Effluvium” and usually it reverses in 3 to 6 months following the surgery. Minoxidil can often help but will take 6-12 months to see any results from regular daily use.

Is hair restoration surgery suitable for men considering gender re-assignment?

Yes. Hair transplanting can be very successful for men embarking upon gender re-assignment. Any hair loss from male pattern balding will be arrested as soon as gender re-assignment hormone treatment commences. Consequently the maximum advantage can be gained in creating a very natural feminine hairline that varies significantly from a male hairline. Each case has to be considered individually and a personal consultation is always necessary.

Is a hair transplant different for women & men?

When women are suffering hair loss and considering a hair transplant there are important differences in expectations when compared to men in the same position. Invariably, a woman will not be happy with ‘some hair’ to thicken the areas of thinning. A woman is generally looking for the appearance of full thickness after her transplant and will in almost all cases will require 1-3 sessions to achieve a happy outcome.

A big difference between women and men is the possibility of ‘telogen’ hair loss, the loss of pre-existing hair in the transplanted areas due to the shock of surgery (see our news article on Shock Loss). Women will suffer with shock loss in perhaps 25 to 50% of cases. It’s important to note that if it is healthy hair then what is lost it will return, albeit 6-12 months after surgery. During this period, it may appear to women that hair transplant surgery has been unsuccessful.

There is no way to pre-determine which women will suffer telogen loss post-surgery. So it is vital that women should be told about this possibility before surgery. Finally, women should not be put off considering hair restoration. As with men, they can see great results following the procedure and just as with men, those results will depend on the degree of hair loss, the quality of the remaining hair and, of course, having realistic expectations.

I am a woman with Afro hair – can I have a hair transplant?

Women of Afro Caribbean origin often maintain hairstyles that are opposite to their naturally occurring hair growth pattern and so are infinitely more prone to thinning hair, alopecia and balding. Regular use of hair relaxers, chemical straighteners and tension hairstyles, such as braiding, are more likely to give rise to dry, easily broken and unmanageable hair.

In fact, the biggest cause of hair-loss in women comes from repeat use of popular hair lengthening trends such as lace front wigs, hair extensions, hair pieces and artificial hair integrations. Clip on extensions, sew-ins or glued hair pieces can result in severe baldness and hair loss.

The use of Minoxidil lotion 4% and hair implants, however, can reverse hair loss for good. Excellent results can be achieved through a combination treatment of Minoxidil and hair surgery.

Should I continue to use Minoxidil lotion?

Minoxidil lotion is applied to the scalp every day, morning and evening. Clinical trials prove that it re-grows hair in both men and women. Although the active ingredient is available in various percentages, there is no clear evidence that the higher strength works any better than the lower strength. Minoxidil is the only medicine available to treat female pattern hair loss and it will help 85% of women. Women also tend to respond better to continued use of Minoxidil than men.

Although the only proven hair re-growth product on the market for women is Minoxidil results of treatment appear to be better when combined with Florisene or Maxi Hair. It takes at least 4-6 months for any re-growth of hair to be seen and treatment needs to be continued for at least 12 months to achieve maximum benefit.

We generally advise that women use Minoxidil lotion for female pattern balding before considering hair transplant surgery.

For 6-12 months prior to having a hair transplant, men benefit from using a combined treatment of Minoxidil and Propecia

Can I have eyebrows Restored?

Eyebrows that are very sparse from plucking or fine, thinning eyebrows will benefit from eyebrow restoration. An eyebrow transplant uses your own hair to restore lost brows it gives a completely natural look. What’s more it is permanent. An eyebrow hair transplant is an extremely delicate procedure that requires a significant amount of skill and experience to perform properly. Individual hairs are taken from the back of the scalp – as this is the most natural and closest match to eyebrow hair – and carefully angled with painstaking precision, in order mimic naturally occurring eyebrow growth. Usually, only one procedure is needed and anything up to 400 hairs can be placed into each brow. Men as well as women can benefit from this procedure. It is virtually painless and recovery is relatively short. Eyebrows will need to be trimmed regularly but you will have permanent eyebrows that will restore a more youthful and well-groomed appearance.

What can I do to protect my head in the sun?

Most bald men know, but people with thinning hair tend to forget that hair and scalp skin burn just as easily as skin on the body. It is prone to irritation, peeling and burning which can over time cause cell changes and skin cancer.

Sun protection is a must even if you are not balding. Thinning / receding hair makes the skin of the scalp more prone to drying out and sun burn. The hot humid weather will also damage the cellular structure of the skin and hair follicles. Being in the sea / salt water will add to the damage caused. Try to keep hair hydrated and protected and always use sun cream on your thinning / balding areas.

Is Afro hair good for hair transplant?

It is very rare to see experts anywhere in the worldwide who can carry out good hair transplants for men or ladies of Afro Caribbean descent. So often it is difficult to seek out genuine help if you are suffering with hair loss. It takes a huge amount of experience and expertise to successfully transplant Afro hair.

The roots of Afro hair are extremely curly which makes it incredibly difficult to extract and dissect perfect hair grafts. This requires a technical ability that most surgeons and their technicians do not possess. Hair density when compared to other ethnic groups is also less and as a result management of the donor hair is essential. Generally it is better to create a flatter hairline for both males and females as this is a natural trait with Afro Caribbean hair.

Both FUE and FUT can be performed on Afro hair and the Wimpole clinic has two world class surgeons that have extensive expertise with Afro hair.

I am having a facelift, how long after this can I have a hair transplant?

You should wait at least three months to have a hair transplant following a facelift procedure. This will allow for the swelling to go down and the full healing process to be complete. It will be then easier to plan the options of adding hair, in or around, any problematic surgical scars, and will provide the ability to add hair to any area of thinning that might result from the facelift.

What causes hair loss in women?

It has already been stated that hair loss can result from a series of medical conditions or genetic inheritance. It may also have followed surgery or injury. Because some hair loss in women can be caused by underlying medical conditions it is important that women are either evaluated by their own GP or a suitably qualified and specialist Trichologist. Blood tests may be required to determine an underlying medical condition such as anaemia, thyroid disease, connective tissue disease, gynaecological conditions and emotional stress. There are also a considerable number of medications which can lead to problems.

How should I proceed if I want a hair transplant in the UK?

You are able to discuss the procedure with our surgeon. He will examine your scalp, take into account various factors such as your age, skin colour, hair characteristics and balding pattern and advise on advisability and likely outcome of hair transplant surgery.

Are there any complications from this operation?

Complications such as infection or bleeding are possible following any surgical procedure but, following hair restoration surgery, they are infrequent, usually minor and can be well handled by the surgeon and his nursing staff.

Will new medications make surgical hair restoration obsolete?

No. Medication such as Propecia / Proscar / Finasteride tablets and Minoxidil / Regaine work best when used in conjunction with a hair transplant. These treatments will prevent further hair loss and therefore reduce the need for further surgery

Is it possible to restore a full head of hair?

No. All hair transplant procedures move hair around from an area rich in hair to one thinner. No procedure creates hair. However, if performed skilfully, hair transplantation can make an incredible improvement in your appearance.

Do scalp reductions save hair from future loss?

No. Hair is a limited resource, it is used up regardless of how it is moved and scalp reductions are just another method of moving hair around. However some men do still wish to have the mid scalp and crown area reduced and the surgeon at the clinic is able to discuss and advise on this procedure.

Are lasers state of the art treatment?

No. The laser works by using a beam of very high energy to burn a hole in the skin. The beauty of follicular unit transplants is that the tiny follicular unit grafts can fit into very small sites that are made with a needle slit rather than by an instrument that removes healthy tissue. In this way the blood vessel rich tissue that is to receive the grafts is not destroyed or cauterised (i.e. burnt).

Do large grafts produce a better, denser result than smaller grafts?

High quality hair transplant surgery requires fine instruments and small, delicate grafts. These grafts can only be prepared using magnifying loupes or the dissecting microscope and are ideally inserted as follicular units. The follicular unit of the adult human scalp is a naturally occurring bundle of 1 to 4 (occasionally 5) terminal hair follicles with associated sweat gland, erector muscles, a nervous and vascular plexus and fine fibre sheath which surrounds and defines the units. During hair transplant surgery, these grafts can be distributed in a way that provides the most natural result. Nowadays the patient should seek out clinics which are able to insert sufficient numbers of small follicular units to produce the desired result.

Is it better to begin hair transplant surgery early on in hair loss?

A hair transplant should begin when your degree of hair loss is unacceptable to you. Starting early will often require multiple small sessions and your expectations may be unrealistic at that time.

What is the difference between density and fullness?

The word fullness rather than density describes the visual phenomenon – i.e. what we perceive as thick versus thin hair. So the concept of fullness is broader and more inclusive. Density – the number of hairs per cm square – is only one of several contributing factors that are required for the visual impression of hair that appears thick. Other factors include hair shaft diameter, colour, texture and curl.

How much hair do I need?

When you have your consultation with the surgeon before hair replacement surgery he will suggest how many grafts are available for your first procedure and any subsequent procedures. This number will be based on your present balding pattern and will take into account the predicted future and how much donor hair is available.

How much hair do I have?

There are 7 classes of hair loss in the main series as originally described by Dr. O’Tar Norwood. Discussion with the surgeon at the Wimpole Hair Restoration Clinic will help you determine how extensive your hair loss may become.

What will happen to the donor area from which the hair is taken during hair replacement surgery?

During hair transplant surgery, we use a strip of donor hair about 1 cm wide. The width allows the edges of the skin to come together easily and they are sutured with an absorbable monocryl stitch without tension. There may be some minor discomfort for a few weeks, however, as the excision is neither deep nor wide the end result in virtually all patients is a fine hardly discernible linear scar – easily hidden by the surrounding hair. At any subsequent surgery the excision is made incorporating the existing scar ensuring that the strip is not too wide and the closure is again carried out under minimum tension.

How long does it take for the transplanted hair to grow?

The new hair starts to grow between 14-16 weeks and will take at least 6 months for the new hair to make a significant cosmetic difference to your appearance.

What happens after leaving the clinic?

No bandages are worn, full postoperative instructions are given and many patients who live in the London area come back to the practice for routine washing and after care.

What medical conditions should the physician know about?

The patient should tell the physician of any unusual physical conditions and in particular any history of abnormal bleeding, haemophilia, heart attacks, epilepsy, allergic reaction to drugs or any drugs being taken to thin the blood.

How much time is required for each operation?

You will be in the clinic for 5-10 hours depending on the size of the session of surgery and you should have a full day set aside to have the surgery carried out. Do not make any other arrangements on that day.

How many operations will be necessary?

This varies with the patient and the size of the bald region. In order to achieve acceptable density it is likely that a minimum of 2 sessions with a space of 6 months in between will be required.

Is hair transplant surgery a painful procedure?

No. The procedure is performed under local anaesthetic and mild sedation. This means that both the donor and recipient sites are totally desensitised. You will experience a discomfort when the anaesthetic is initially applied. Surprisingly patients feel very little discomfort and can watch TV, listen to music or chat during the procedure. Some patients experience some discomfort 1-3 days after the surgery which is easily controlled with mild pain relief such as Paracetamol.

In what type of baldness is this procedure helpful?

On some male pattern baldness and now more commonly in women who are thinning (or occasionally balding), hair transplant surgery can be very effective.

What are the reasons for male pattern baldness?

The tendency towards male pattern balding is genetic and can be inherited from either the mother or father i.e. it is not sex (gender) linked. Balding is started when dihydro testosterone molecules bond with special receptor sites on hair follicle cells. This causes the hair follicle to miniaturise and, eventually, to die.

FAQs on Stimulating Hair re-growth laser therapy program

How long is each treatment and how soon will I see results?

Stimulating Hair re-growth laser therapy sessions typically last 30 minutes; 3, 6 and 12 month programs are offered. We also offer a maintenance program to help our clients for continued results.
Laser Hair Therapy has been found to work for clients with a variety of hair loss and scalp conditions, including male and female pattern hair loss, alopecia, chemical damage, eczema, seborrhoea, hormonal changes, certain medications and diet or stress factors.

Why should I begin now?

Medical professionals agree that it is beneficial to begin a hair treatment program as soon as you notice hair loss. The sooner you start your treatments the sooner you will stop hair loss. If the hair follicles die there is nothing much that can be done to bring them back. The earlier you start, the better your results.

Is the treatment painful?

There is absolutely no pain.

Are there any side effects?

Laser therapy does not cut, burn, or harm the skin in any way. Unlike pharmaceutical preparations, laser therapy has no known side effects. Photo-medicine or laser therapy provides proper therapeutic treatment without unwanted and dangerous side effects.

Is it safe?

This is one of the first questions many people have. The answer is absolutely. Laser therapy has been used successfully for more than 30 years to treat a broad spectrum of medical conditions. This therapy has no side effects and is both painless and non-toxic. The type of laser light used in low level laser therapy (LLLT) meets all international safety standards and legislative specifications of a “non-significant risk” product, and is classified as a Class IIIA cosmetic laser.

What should I expect?

Hair re-growth generally can be expected to begin somewhere between the 3 to 6 month. Many may experience thicker and healthier hair as first signs of improvement.

Who is suitable for laser therapy program for hair?

This is for all men and women who want to improve weak thinning hair. It is however important to note, with any therapy early intervention is very important.