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Types of hair transplant procedures
At 2pass Clinic we use the following methods:
Follicular Unit Extraction (FUE) - shave method:
FUE is the abbreviation for Follicular Unit Extraction. In this procedure, the individual hair follicles are removed one by one, usually from the back of the head and transplanted to the problem areas via tiny incisions. The donor area can be shaved or not. With this method, individual hair follicles are removed one by one, usually from the back of the head and transplanted to the problem areas via tiny incisions. The donor area can be shaved down which makes the treatment easier to access, resulting in a faster treatment.
Step 1: Hairline design & sedation
- By taking into consideration the rules of the facial proportions and the existing physiognomy of the patient, the desired shape is marked in the recipient area, the recipient area is shaved down and the scalp is sedated.
- FUE is a virtually painless procedure. The patient is administered conscious sedation, a combination of medicines to help the patient feel no pain and also to remain calm and relaxed during the long-lasting procedure.
Step 2: Removal of the grafts
- After prepping the scalp, the "harvesting" of the grafts begin. This is done with a micro-drill of 0.3 mm and is done one by one. This takes about two hours. The removed grafts are checked and prepared for implantation
Hair technicians harvesting grafts according to the FUE method.
Step 3: Opening the incision channels
- Minimal incisions are made in the recipient area with a very small blade or scalpel.
Step 4: Implanting the grafts
- The grafts are implanted back into the incisions one by one.
Advantages of the FUE method
- This method is faster than DHI.
- This method is slightly cheaper than DHI due to lower material costs.
- Lasting results.
- Hardly any visible scars.
- The donor area remains unchanged if you choose the no shave method.
- Very natural result.
- Minimum sensitivity during and after the procedure.
- The maximum number of grafts can be removed.
- No stitches needed.
- Ideal for treating small areas, areas with low hair density or scars.
Follicular Unit Extraction (FUE) - no-shave method:
At 2pass Clinic, we use the no-shave FUE technique for hair transplantation. This is the removal of the hair in its long form in which there is no need for the patient to shave any part of the head prior to the procedure. It is also called “unshaven FUE”, “non-shaven FUE”, “U-FUE (or Undetectable FUE)” or long hair FUE.
This has the double advantage of not having to shave and not having a linear scar on the back of the head. The disadvantage is a considerable time investment, because it slows down treatment time.
Step 1: Hairline design & sedation
- We design the hairline in consultation with the patient. Particular attention is paid on the creation of a natural female hairline. By taking into consideration the rules of the facial proportions and the existing physiognomy of the patient, we mark and design the recipient area. The hairline doesn't follow any linear model but gives the sense of being asymmetrical and incidental.
- FUE is a virtually painless procedure. The patient is administered conscious sedation, a combination of medicines to help the patient feel no pain and also to remain calm and relaxed during the long-lasting procedure.
Step 2: Removal of the grafts
This is the most demanding stage of the procedure since the proper removal of the follicular units will define the result.
- We use a hair transplant machine with a very thin hollow bur of under 1mm in diameter to extract hair follicles. This means that it is not very invasive and that it will leave minimal to no scarring. The only thing that can be detected is white dots, but since the hair will cover them, they will be close to unnoticeable.
- With a surgical punch of 0.7mm – 0.8mm diameter, the hairs are extracted one by one.
- Due to the particular way of follicular unit harvesting (hair by hair), the FUE procedure lasts many hours. If more grafts are needed than can be harvested in one day, the procedure can be spread over multiple days. You can book a stay in our guesthouse if you wish, or return home after the procedure.
Step 3: Opening the incision channels
- Local anaesthesia is injected in the area where the hairs will be transplanted.
- Little holes or channels are created to “plant” the freshly harvested hairs. Specific standards are followed regarding their distribution, size & direction. In order to mimic the natural hair growth and ensure maximum density, the recipient sites should be as small as possible & closely situated.
Step 4: Implanting the new hairs
- The follicular units are placed at the proper angle and direction, as the we take into consideration the growth conditions of the recipient area.
- Single follicular units create a natural and refined hairline.
- 2-hair follicular units are placed exactly behind the single follicular units and 3-hair and 4-hair follicular units are placed in the central area of the scalp, as well as the crown.
- The placement of the follicular units is performed through specialized implanters, which perfectly fit the size & shape of each follicular unit in order to protect it from traumatism.
Aftercare instructions
At the end of the procedure, we examine the donor and the recipient area. We will then provide you with all the necessary postoperative instructions before you return home.
Direct Hair Implantation (DHI) - shave method:
Direct Hair Implantation is the latest hair transplantation technique where it is no longer necessary to make channels or incisions in the recipient area. By means of a special implantation device, the DHI Implanter or choi pen, the hair follicles are directly implanted or 'punched' into the scalp. In order to work efficiently, this method requires shaving.
Step 1: Hairline design & sedation
- By taking into consideration the rules of the facial proportions and the existing physiognomy of the patient, the desired shape is marked in the recipient area, the recipient area is shaved down and the scalp is sedated.
- The patient is administered conscious sedation, a combination of medicines to help the patient feel no pain and also to remain calm and relaxed during the long-lasting procedure.
Step 2: Removing the grafts
- After prepping the scalp, the "harvesting" can begin. Using a DHI Implanter or Choi Pen, the hair follicles or grafts are removed from the donor area.
A choi pen of DHI Implanter is used to harvest and implants grafts.
Step 3: Implanting the grafts
- With the DHI Implanter or Choi pen, the graft is immediately "punctured" in the skin without first opening the channels or incision areas in the recipient area.
- Thanks to this method, there is almost no bleeding during the implantation process.
A DHI Implanter of choi pen
Advantages of a DHI hair transplant
- The quality of the hair follicles remains optimal during the process
- Lasting result
- No visible scars
- The donor area remains unchanged
- Very natural result
- Minimum sensitivity during and after the procedure
- Maximum grafts can be removed
- Less visible wounds
- Better healing process
- Creating more density thanks to the DHI Implanter or Choi pen
- It is not necessary to shave the hair completely, only the donor area
All techniques require about 12 months aftercare.
Frequently asked questions
Hair transplant before or after FFS?
We advise having your hair transplants after your FFS. There's a couple of reasons for that. The first is that the incision on your scalp disrupts the blood flow and can cause you to lose hair around the incision. Usually, it's temporary but sometimes it's not. Future transplants can cover this area. The other reason is that the hair transplant can be used to hide any scar tissue.
Is it necessary to shave my hair before hair transplant?
In our practice not. We use the No-Shave FUE method. This offers the possibility of a hair transplant without anyone ever knowing that you had one.
Will my hair regrow if I start using hormones?
There is a reversal of male pattern baldness in transgender women starting with hormone treatment to a degree dependent on age and likely other factors. Hormone therapy for male-to-female transgender patients with estrogen and spironolactone can not only reduce male-pattern hair distribution but can also reverse previous effects of androgen on scalp hair patterns.
The mechanism responsible for achieving hair regrowth in transgender women is the suppression of testosterone to normal female levels.
Androgenetic alopecia, also known as male pattern baldness, is a process by which hair loss from the scalp occurs in a progressive, predictable pattern. Recent research has proposed that it is a result of the presence of sufficient androgen in a person with genetic predisposition. Without therapeutic intervention, hair loss will become more severe over time.
Will the long hair fall out after the hair transplant or stay the same length?
We cut the long hair before reimplanting it. This hair also falls out after 2 weeks. It will start to regrow 3 to 6 months after hair the transplant.
How long does it take for you to be able to dye the hair after surgery?
What would be recovery time for this. When would I be able to brush my new hair?
After about 2 weeks the newly transplanted hairs will fall out. New hair will start growing after about 3 months until about 12 months after your hair transplant. En of course, if you have long hair, the new hairs will need a while to catch up.
How long do you recommend I leave between ffs surgery and a hair transplant?
We advise waiting 6 months after your FFS to have hair transplants.
I'm a cis-gender women, can I also have a no-shave hair transplant or is it only for trans women?
Cis-gender women are more than welcome as well:)
Can a No shave FUE be performed the day before or after intensive electrolysis?
This is perfectly possible. You should look op availability in the calendar of electrolysis and hair transplant to find a good match.
What is a PRP treatment for hair loss?
Hair thinning or hair loss is caused by poor blood circulation or by a shortage of certain essential nutrients. If you are considering a hair transplant, it can help to prepare the scalp by having PRP treatments done. It improves blood flow, making it easier for the grafts to attach themselves to their new location and for the scalp to recover. In addition, PRP treatments after hair transplant surgery ensure that the grafts develop better and that hair follicles become stronger, ultimately resulting in a thicker head of hair. If you want to topple hair loss using a preventative approach, the treatment course usually does not create new hair growth, but makes the hair healthier and fuller. The natural hair growth process is also boosted, as the blood flow to the hair follicles is stimulated. PRP treatment courses for hair loss are therefore often successfully used as a preventive measure in the case of androgenetic alopecia.
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