Hair Transplantation FAQ

Does hair need to be shaved in a “strip’ procedure?

– No. In a “strip” procedure the donor area is not shaved. The hair is kept at its normal length. The hair above the incision covers the donor area.

How much of the donor area needs to be shaved in a FUE procedure?

– This depends on the amount of grafts being used in the case and the length of the existing donor area. In men with shorter haircuts the sides and back of the head will need to be shaved to a level of one with a shaver.

What are the hair transplantation options for men?

– There are presently two options for hair transplantation: either the FUE technique or the “strip” technique. These techniques both relate to how the donor hair is removed from the scalp. In either case, the grafts utilized are within their follicular units. Hair grows from the scalp in follicular units (i.e. hairs exit from the skin in groups of typically 1-4 hairs). It is these follicular units which are transplanted in both the FUE and the “strip” procedures, lending to natural appearing results.

What are the hair transplantation options for women?

– Women have the option, like men, of undergoing both “strip” and FUE procedures. In women with long hair styles the donor area in the back can be shaved while preserving a “ponytail” to hide the donor area. The density of the donor area will determine the amount of grafts which can be obtained while concealing the donor area. Also, as is more common, women can undergo the “strip” procedure where significant number of grafts can be obtained and the donor area does not need to be shaved.

Is hair transplantation permanent?

– Yes, the transplanted hairs are permanent in that they are taken from an area of the scalp which is not susceptible to hair loss. Once transplanted the hairs are long-lasting in the recipient area. However, given that hair loss is generally a progressive process, you will continue to lose youe existing hair in the recipient area. In the case of FUE procedures, it is prudent that hairs only be extracted from what is called the “safe donor area.” Over-aggressive extraction in the donor area may result in hairs being taken from parts of the scalp which may ultimately be susceptible to hair loss. Experienced hair loss surgeons will avoid extraction from areas outside of the “safe donor area.”

What is “shock loss”?

– Shock loss is the term used for hair loss immediately following a hair transplant. When hair is transplanted into an area where there is existing hair, you are susceptible to shock loss. It is thought that the inflammation to the surrounding scalp results in the hairs to temporarily fall out. If Dr. Bared feels that you are at increased risk for shock loss, he may recommend measures such as starting medical therapy and delaying a hair transplant. Despite attempts to prevent from occurring, shock loss may still occur. The hairs loss to shock loss do regrow.

Are secondary procedures needed?

– Hair loss is a progressive entity. While hair restoration provides a static and permeant solution for hair loss, hair loss will progress at a certain rate individual to each person and determined by their genetic makeup. Hair restoration needs to be performed in a manner that accounts for future hair loss. Secondary procedures may be desired if hair loss progresses and density is lost in other areas of the scalp in time.

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