Hair transplantation is among the aesthetic methods applied regardless of male or female. Baldness, especially due to psychological and hereditary reasons, is annoying. Today, hair transplantation is the most aesthetic operation performed after rhinoplasty. Since men feel uncomfortable in the social environment due to the retraction of the front hairline after the age of 20, they have hair transplantation to reduce or regain their hair loss.
Different methods are used for hair transplantation. Hair transplant operations are performed with FUE or FUT methods. Today, 99% of hair transplants are done with the FUE method.
FUT METHOD
The FUT method entails planting by cutting a piece of skin 1-1,5 cm wide and 12-15 cm long from the nape donor area and separating the roots one by one under the microscope. It is not a preferred method because there is a scar in the form of a line in the nape area and more than 1000-1200 grafts cannot be transplanted. In cases where the donor area is insufficient, it is done two or three times followed by the FUE method. Although successful results are obtained it is not preferred because of the scar in the nape area and because it is a painful procedure.
FUE METHOD
The main reason why the FUE (Follicular Unit Extraction) method is the most preferred hair transplant method today is that more grafts are planted and a natural result is obtained. Hair transplantation done with FUE is carried out with up to 4,000-6,000 grafts. In FUE hair transplantation, grafts are collected one by one with the help of micro motor or manually with the help of very thin punches from the donor area. The grafts collected can be transplanted in a short time with the help of forceps with two or three people.
Today, people are doing research on hair transplantation forums on which method hair transplant took place. There are only two types of hair transplantation methods in the world. One is FUE and the other is FUT. Only grooving and planting methods differ. Among the grooving methods, there are sapphire, slit, keep, percutaneous and DHI planting methods. Instead of researching which is the best hair transplant method, it would be healthier to investigate how many years the team working at the hair transplant center has been trained on this method.
HOW IS HAIR TRANSPLANT DONE?
Hair transplantation process consists of three stages. According to the person’s hair loss, first hair follicles are taken, then grooves are opened, and finally the hair follicles are placed in the opened grooves. The FUE method we mentioned in the previous headings is performed in this way. In the FUT method, the hair follicles taken from a 1.5 cm wide and -10-15 cm long scalp piece taken from the nape are placed in the opened grooves by separating the follicles one by one under the microscope. Hair transplantation will take 6-7 hours in total.
1- FOLLICLE REMOVAL: It is the process of taking the non-shedding indexed air follicles one by one from the nape area between the two ears with micro motor or manual apparatus. At this stage, it is important to make a homogeneous extraction without disturbing the capsules of the hair follicles from the donor area. If the speed of the micro motor is used as low as possible in the process of taking the follicles with the micro motor, both the follicles and the scalp will not be damaged. In transplantations made by taking the maximum grafts in one session, both permanent scars are left in the donor area and the number of wastage in the transplanted grafts increases since the blood circulation in the area to be transplanted cannot feed all the follicles. This stage takes an average of 1.5-2 hours, depending on the number of follicles removed.
2- GROOVE OPENINGS: Groove opening in hair transplantation is done in the form of sapphire, slit and percutaneous. In today’s technology, there are transplants made with the latest sapphire tip. Since sapphire tip tissue healing is faster and the probability of necrosis is less, more dense hair transplantation can be performed. In percutaneous hair transplants, the probability of necrosis is less and more frequent hair transplantation is performed. Although it is an advantage to have a more frequent transplant from the sapphire tip, the number of percutaneous hair transplants in TURKEY is very low, since more than 1,500 grafts per day cannot be transplanted. This stage will take 40-60 minutes depending on the number of grooves to be opened.
3- GROOVE TRANSPLANTS: It is the process of placing the hair follicles taken from the donor area into the opened grooves. At this stage, the important thing is to place the follicles without breaking the roots without skipping the opened grooves. This stage will last approximately 2-3 hours depending on the number of grafts to be transplanted.
SAPPHIRE (DIAMOND TIP) HAIR TRANSPLANTATION
Sapphire FUE method: It is the method of opening the grooves with the tips made of Sapphire metal with 45-degree angles. Among the advantages of the sapphire tip are that the opened channels are more frequent and there is no necrosis. Sapphire tips, due to its structure, allow the skin to heal faster by giving minimal damage to the scalp. Since it causes minimal damage to the capillary structures under the skin and does not disturb the nutrition of the transplanted hair follicles, it allows the transplanted follicles to grow in a healthy way. Since it has 45-degree angles, it allows the front hairline to look more natural.
SLIT HAIR TRANSPLANT METHOD
Slit hair transplant method: It is a method of opening grooves with the help of a portökü by cutting the hair grafts according to their thickness with razors used by male hairdressers.
Today, these razors are specially produced for hair transplantations with dimensions of 0.7-0.8-0.9 mm in ready-made sizes. Compare to the Sapphire FUE method, wound healing is slightly delayed, tissue healing is more reddened, and most importantly, necrosis is more likely.
DHI HAIR TRANSPLANT METHOD
DHI hair transplantation method: It is a method of opening grooves and planting at the same time by placing the grafts of the hair follicles, which are taken with the help of manual or micro motor, with the tip similar to a 0.8 lead pencil, which is more pointed and hollower. Among its advantages, we can say that more frequent hair transplantation, less shedding in shock loss and earlier results are obtained. The disadvantage is that it may not be healthy to plant more than 1,500-2,000 grafts per day, since only one person does the planting per day. It may not be healthy because the grafts taken out take longer to stay outside. 1,500-2,000 grafts per day can yield good results. Due to the high cost of DHI pens and dividing the transplant by the day, it is a little more expensive than other hair transplants.
PERCUTANEOUS HAIR TRANSPLANT
Percutaneous hair transplantation: It is a hair transplantation method that is performed one by one in the grooves opened with 0.7 0.9 needle tips. Due to the difficulty of the process, it is not possible to plant more than 1,000-1,200 per day. Therefore, the pricing of this method is also a bit expensive. Of the disadvantages of this method, is the 3-4 days planting stages and price. Among its advantages are more frequent groove openings and faster wound healing compared to other methods.
How Long Does Hair Transplant Take?
Hair transplant takes between 6 and 8 hours depending on the number of grafts to be transplanted. For example, if the number of grafts to be transplanted is between 1,500-2,000 grafts, the hair transplantation process will be completed in 4-5 hours. Not only the number of grafts determines the hair transplant process. The patient’s skin structure and the bleeding time may also cause the hair transplant period to last longer. In hair transplantation, follicle grafts take about two hours, groove openings take 45-60 minutes, and planting takes 2-3 hours. The most difficult part for the patient is the face down position during graft removal. At this stage, the follicle grafts are taken by lying face down according to the direction of the follicles. In other stages, you can spend time watching television and using the phone as you will be lying on your back.
Is Hair Transplant the Final Solution?
When the right hair transplant treatment is chosen, highly positive results are obtained. FUE is among the endlessly trusted methods in this field. In order to get definite results in hair transplantation, it is necessary to comply with some criteria. First of all, the grafts to be taken from the donor area should be healthy and dense. Unfortunately, three out of ten people who decide on hair transplantation are not suitable for hair transplantation. In cases where the hair quality in the donor area is poor and sparse, the image may not appear at a level that will cover the area to be transplanted. In these cases, the image we call the “grass-man” image appears and this image can reach levels that can disturb the person. In cases where the donor area is healthy and suitable for open hair transplantation, the quality of the team that will perform the hair transplantation comes to the fore. The experience and quality of the hair transplant center affects the result. Hair transplantation is an aesthetic operation. Therefore, having a plastic surgeon, medical aesthetic or a dermatologist in the hair transplant center will contribute to your hair transplant with a natural result. In hair transplantation, when the right team at the right time takes place, you will get a natural result.
How Much Are Hair Transplant Fees?
Hair transplant fees vary according to the hair loss of the person. For example, since the hair transplantation of a patient with a hair loss greater than Norwood 4 will be in two sessions, the price of the hair transplant will be close to double. Hair transplant prices also vary according to the number of grafts to be transplanted.
Hair transplant fees in Turkey are usually taken in the form of a session fee. It is applied as a single price for the entire procedure, regardless of the number of grafts. Hair transplant prices vary depending on the city you live in. There will be a difference between a hair transplant center in the southeast or east region and a hair transplant center in Istanbul, Ankara or Izmir. Hair transplant fees vary according to the methods applied by hair transplantation centers. Since the cost of DHI and Sapphire FUE methods is high, hair transplant fees will also be high. Due to the labor difficulty in percutaneous hair transplantation, the fees will be high based on the number of transplant days.
There are also hair transplant centers that receive euros and dollars according to the number of grafts. Accordingly, the fee is calculated over the number of grafts to be transplanted multiplied by the euro. For example, in a hair transplant procedure where 4,000 grafts will be transplanted, a hair transplant cost will be 4,000 x 2 = 8,000 euros at 2 euros per graft.
Hair transplant fees also vary according to the services provided. It varies according to the services (accommodation and transfers) to be provided for the patients of the hair transplant center coming from abroad or from outside the city.
ANKARA HAIR TRANSPLANT FEES
Hair transplant fees in Ankara: Due to Ankara’s, Turkey’s capital, proximity to the cities of Central Anatolia, there are many hair transplant patients who prefer Ankara for hair transplant from the surrounding provinces. Accordingly, there is competition in hair transplants and hair transplant fees due to this competition. As we mentioned in our previously, fees differ according to the number of grafts to be transplanted and the method to be applied. Since Ankara is a civil servant city, it is possible to find Ankara hair transplant fees a little more affordable than Istanbul hair transplant fees.
BEFORE AND AFTER HAIR TRANSPLANT
Since it is not legal to share the photos before and after hair transplantation it is not legal to share them from a web page or on social media. That’s why you can look at it in face-to-face meetings or hair transplant forums. Six months after a hair transplant, 70-80% of the transplanted hair follicles will have grown. In general, the hair transplantation results are completed in the eighth month and the thickening phase has begun.
PROCESS AFTER HAIR TRANSPLANT
Hair transplantation process on average takes 6-8 hours. After hair transplantation, especially in the first 7-10 days, the transplanted area should not rub against any object. For the first 2-3 days after hair transplantation, it will be good to rest the donor area, from which the grafts are taken and by lying on your back against a pillow and not exceeding the angle of 10-45 degrees, so that your face does not swell. The swelling of the face has no side effects on the transplanted grafts, only the bruises under the eyes last for 5-7 days.
It will be healthy to do the first hair wash at the hair transplant center after 2 days of going to bed. It will healthier to do the first wash at the hair transplant center to see if there is any infection or necrosis in the first wash process. After washing for 10 days, the crusts formed after the washing phase starts to fall. After the 3rd week of hair transplantation, 80% of the transplanted hair will fall out. Hair loss will continue until the 6th week. After the 3rd month, the hair on the front line starts to grow. Outputs accelerate in the 4th and 5th months. In the 6th month, 70-80% output is observed and reaches the level for combing.
There will be antibiotics, painkillers, blood thinners, anti-edema and vitamins to be used after hair transplantation. Medicines given by the hair transplant center will be started in the evening. In some special cases, a spray is also given to increase blood circulation under the scalp.
IS THERE PAIN IN HAIR TRANSPLANTATION?
Pain in hair transplantation: With the development of technology, more comfortable and more natural images are obtained in hair transplantation. Hair transplantation procedures:
1- Local anesthesia
2- Pressurized anesthesia device
3- Sedation anesthesia
LOCAL ANESTHESIA: It is the process of applying local anesthetic drugs directly to the scalp with the help of a needle.
PRESSURIZED ANESTHESIA DEVICE: It is the process of administering local anesthetic drugs under the skin with the compressed air method without a needle. When local injections are made after the pressure anesthetic device, the pain that will occur will be felt 50-60% more.
SEDATION ANESTHESIA: The sedation anesthesia procedure is the administering of anesthetic drugs to the sleeping patient through the patient’s intravenous line without pain. It is the same as the anesthesia method used in colonoscopy and endoscopy surgical procedures. In addition to the comfort of this method, anesthetic risks should also be considered.
FIRST WASH AFTER HAIR TRANSPLANT
The first wash after hair transplant can be done after 48-72 hours. In some special cases, the time may be increased even more. It would be healthier to do the first wash at the hair transplantation center. Necrosis or infections that may occur in the first wash appear in the first wash. Thus, it is recommended to have the hair wash at the hair transplant center in order to prevent any complications that may occur.
In the hair washing process, carried out regularly for ten days, is done with special lotions and shampoos. Lotions containing panthenol and aloe-vera, which accelerate wound healing are used. Panthenol foam versions are more preferred because they are easier to wash off during washing. It is recommended that shampoos with a pH of 5.5 are changed after using them for the first month. Using the shampoos recommended by the hair transplant center after the first month will positively affect your hair transplant process.
ANKARA HAIR PRP
PRP treatment is a completely natural method, a method prepared from the patient’s own blood. It is the process of injecting the plasma formed after the separation made in the centrifuge of the tubes taken from the person’s own blood into the scalp.
PRP treatment is not just a method applied to the scalp. PRP enriched with plasma is used in dental treatment, orthopedic surgeries, sports injuries and skin rejuvenation processes.
PRP treatment after hair transplantation only helps the hair to grow earlier.
In the PRP treatment, which is made to make the hair look healthier, results can be obtained if it is done in a minimum of four sessions. The four sessions of PRP will be beneficial for a maximum of 8-12 months. There will be no new hair growth in PRP treatment. Only the existing hair looks healthier.
DOES TRANSPLANTED HAIR FALL IN THE FUTURE?
One of the most frequently asked questions in hair transplantation, is the transplanted hair permanent for life? In hair transplantation, it is necessary to carefully select the hair taken from the donor area. In particular, it is necessary to choose the hair follicles taken between the two ears, which we call the non-shedding index. In hair transplantation performed at the age of 25, there is a decrease in the hair transplanted, albeit a little, in the future. Hair transplant methods made in the form of a guaranteed hair transplantation certificate do not reflect the truth. Hair loss occurs in advancing ages due to the decrease in the fat layer under the skin and depending on age. In addition to the decrease in the fat layer under the skin as the age increases, additional diseases and the decrease in vitamin levels will also lead to loss of transplanted hair.
BEST HAIR TRANSPLANT CENTER IN ANKARA
Ankara hair transplant centers, Ankara hair transplant doctors, Ankara best hair transplant doctor… are one of the most searched topics on search engines by people researching hair transplant. Hair transplant centers are not important when doing research. Since there are teams that make more than one hair transplant in hair transplant centers, it will be healthier to research the experience and skills of the people who will perform the transplant. Since there are centers that perform hair transplant for 10-20 people on the same day, your priority will be to get to know the hair transplant team, which will help you get healthier results.
WHAT IS IGF TREATMENT?
Another hair treatment method is IGF. IGF Insulin-like Growth Factor or somatomedin is an insulin-like protein. The effect of IGF on growth hormone is similar to that of insulin. IGF deficiency causes various diseases. The biggest deficiency symptom is short stature. It is applied by injecting under the skin in sessions, just like PRP. The interval and number of sessions will differ according to the type of shedding and age of the person.
4,000 GRAFT HAIR TRANSPLANT PRICE
Although hair transplant prices vary according to the number of grafts to be transplanted, some hair transplantation center prices are based on session fees. The fewer grafts transplanted in one session, the higher the probability of retention. Planting 7,000-8,000 grafts in one session may not yield healthy results. Non-healing wounds may occur in the donor area during maximum graft transplantation in one session. Therefore, it would be healthier to decide according to the capacity of the donor area and the size of the opening, rather than performing hair transplant at low prices with maximum grafts in one session. Hair transplant prices in Turkey for 2022 vary between 5,000 TL and 100,000 TL. In addition to the number of grafts to be transplanted, the hair transplantation method applied and the experience of the team that will do the procedure also changes the hair transplant prices.
HAIR TRANSPLANT DOCTORS
Unfortunately, the number of doctors performing hair transplants in Turkey is too few to exceed the fingers of both hands. With the law enacted in 2018, the Ministry of Health gave hair transplant authorization to anesthesia technicians and nurses. Only medical centers, hospitals and polyclinics were authorized to do procedure under the supervision of a doctor. It has authorized hair transplants to dermatologists, plastic surgeons and aesthetic medical doctors.
HAIR TRANSPLANT REVISION
Hair transplant revision is the name given to transplants that are corrected due to necrosis, non-adherent places or unnatural hairline after hair transplantation. In the correction of unnatural hairlines, the number of grafts transplanted and the transplanted area should be closely examined. If the hairline is completely faulty, it is necessary to reduce it with laser epilation or needle laser device and replace it with a new hairline. If there is a faulty transplant only in the temporal regions, the transplanted hair can be removed and transplanted again. There are difficulties in the correction process according to the direction of the previous planting. Only single grafts should be transplanted to the most anterior line of the hairline. If the number of single grafts is sufficient, the second row can be planted. The first criterion for the natural hairline is to plant thin and single grafts on the front line.
AUTOLOGOUS HAIR GRAFT CELL TREATMENT
Our hair weakens and falls due to genetics, aging, vitamin deficiency, environmental factors (sun, dust, oily environment, etc.), stress and jell sprays. If the shed hair is treated, it can revive and grow back. Shedding due to genetic reasons cannot be completely stopped. Other hair loss can be corrected with early diagnosis and treatment. At this stage, the first treatment that should be done is to determine the reason for the hair loss and the treatment method to be applied accordingly. For example, mesotherapy, PRP or autologous hair graft cell treatment applied to someone with vitamin deficiency will be a temporary solution even if successful results are obtained. Now let’s mention about autologous graft cell therapy, which is an effective solution for hair loss.
Autologous hair stem cell transfer is a method applied in the treatment of genetic hair loss and other forms of hair loss. In the treatment, the process is injecting suspensions of autologous cells in the patients’ own hair follicles.
It is the injection of the skin and hair grafts taken from the back of the ear with 2.5-3 mm punches into the scalp by separating them in a special device. The results of autologous hair stem cell treatment will appear to increase visibly after 2-3 months on average. The difference between autologous hair stem cell therapy from other methods is that it is much more than the number of stem cells obtained from PRP.
Stem cell therapy can be applied to everyone, regardless of whether it is applied to men or women. The process will take an average of 20-30 minutes. You can continue your normal routine after the procedure. It will be good for your health not to undertake sports, Turkish bath, sauna or swimming pool for 2-3 days.
FAD HAIR TRANSPLANTATION (OIL INJECTION HAIR TRANSPLANTATION)
Fatty tissues in our body are the richest tissues in terms of stem cells. In FAD hair transplantation, the fat tissues taken from the abdomen are separated in a special device and injected under the scalp to be transplanted, and then hair transplantation is performed 2-3 weeks later. Performing both stages in the same session is not recommended as it will reduce the number of stem cells. Although the results of FAD hair transplantation are positive, it is not necessary for every hair transplant patient. Applying it to people who have thin scalp and no fat tissue under the skin will make the result of hair transplantation more successful.
Stem cells obtained from fat are used in the treatment of chin, nose, nasolabial lines and forehead lines as well as hair transplantation. Since the stem cells obtained have a long and natural residence time in the body, their treatment results are positive. You can also find articles on Google for organic hair transplantation.
IS A SCAR LEFT IN THE DONOR AREA?
In hair transplantation, there is no scar after removal from the nape area. In hair transplantation performed with the FUT method, a line in the form of a strip remains on the nape. In today’s FUE method, there is no trace because the roots are taken one by one with a micro motor. The scars are evident in the thick punches we take from the roots. In homogeneous sowing, the scars will not be obvious in 3-4 number shavings. In transplantations made in the form of maximum grafts, non-healing scars remain in the donor area. Therefore, instead of maximum grafts, it will be healthier to take as many grafts as needed without disturbing the appearance of the donor area.
HAIR TRANSPLANT REVISION
Revision (correction) can be done after a minimum of 8 months for hair transplants that are unsuccessful. The revision is made with hair grafts taken from the nape donor area for the hair grafts that do not hold in hair transplantation.
Hair transplant revision:
The necrosis that takes place and corrected hair transplants are applied to the places that do not hold due to the rubbing of the planted area and to the gaps that may occur in the planted area.
HAIRLINE CORRECTION
Hairline correction is one of the most common revision hair transplants. A hairline that is not suitable for the person’s facial features makes the person unhappy. A suitable hairline should be determined according to the age, facial line and hair thickness of the person. It is necessary to determine the lateral triangles, which we call temporal, according to the age and facial line of the person. Hairline correction procedures differ according to the number of hair transplant grafts and the structure of the skin. Only the temporal parts can be corrected by removing the transplanted grafts with the help of a micro motor. The correction of hair transplants made on the muscle that is not suitable for the hairline facial line can be corrected with a laser-epilation device. The hair taken from the temporal areas can be transplanted back into the planted area.
