From the moment a patient arrives to the post-procedure care, each step is carefully designed to ensure optimal results and patient comfort. Upon arrival, we prioritize the patient’s well-being by ensuring they have had a nourishing breakfast to maintain their comfort throughout the procedure. The journey begins in the consultation room, where we take detailed photographs to document the starting point and discuss the patient’s goals.
A crucial part of this step is designing a natural-looking hairline that is age-appropriate and harmonious with the patient’s facial structure. The hairline is carefully marked, considering the original hairline and adjusting based on the patient’s age to achieve a realistic and flattering result. Once the patient approves the plan, we administer medication such as Valium or Versed to help them remain relaxed during the procedure.
For men, we shave only the donor area at the back of the head, blending it into a fade for a natural appearance post-procedure. For women, we take a different approach—shaving only a small portion of the donor area while keeping the longer hair intact to conceal the shaved section. This allows women to maintain their usual hairstyle throughout the process.
The next phase takes place in the surgery room, where the patient is positioned face down for follicle extraction, also known as harvesting. I prefer using the SAFE System, a technology designed to minimize trauma and maximize the survival rate of extracted follicles. Unlike other extraction methods, this system uses a blunt punch that carefully oscillates around each follicle, preserving the integrity of surrounding hairs and reducing the risk of transection.
The punch size is carefully selected based on the diameter of the hair, not the depth. For scalp hair, we typically use a 1.0 or 1.2 mm punch, while finer areas such as the eyebrows require a smaller punch (usually 0.9 mm) to accommodate the delicate nature of the hair. Each follicle is extracted with precision and placed in a saline dish on ice to preserve its viability. Throughout the process, we meticulously follow the natural direction of hair growth to ensure optimal survival and seamless results.
Eyebrow Hair Transplants: A Specialized Technique
Eyebrow transplants demand even greater precision than scalp procedures. Each follicle must be implanted at the correct angle and density to replicate the natural eyebrow growth pattern. Using a smaller punch size (typically 0.9 mm), we extract the follicles and implant them at a low, flat angle, ensuring they align naturally against the skin.
The natural growth pattern of eyebrows varies across different sections, requiring careful placement to create a soft, realistic arch. Unlike microblading, which is semi-permanent, eyebrow transplants offer a permanent, natural solution using the patient’s own hair.
Creating Recipient Sites and Graft PlacementOnce the necessary number of grafts has been harvested, we transition to the critical step of creating recipient sites. This phase is as important as extraction, as the placement, density, and angle of the new hair must mimic natural growth patterns.
One of the most common mistakes in hair restoration is placing grafts too closely together, which can compromise blood supply. To ensure long-term survival, each graft must be spaced appropriately, allowing optimal circulation. Additionally, the incisions must be made at the correct angle to prevent hair from growing in unnatural directions. For eyebrow transplants, positioning is even more meticulous, ensuring the implanted hair seamlessly blends with the natural brow hair.
Patients also have the option of Platelet-Rich Plasma (PRP) therapy, which is highly beneficial in stimulating healing, strengthening hair follicles, and promoting better graft survival. I prefer incorporating PRP immediately after extraction to maximize its regenerative effects on the transplanted follicles.
Post-Procedure Care and Hair Growth Timeline
Proper aftercare is essential for optimal healing and successful results. Each patient receives a comprehensive aftercare kit with detailed instructions, and we maintain continuous follow-ups at three, six, and twelve months post-procedure. For patients who cannot visit in person, virtual consultations are available to monitor progress and address any concerns.
Hair typically begins to grow within a few months, with full results visible at 12 to 18 months. Women may experience a slightly longer growth timeline compared to men. To support long-term hair health and prevent further loss, we may recommend additional treatments or medications tailored to the patient’s needs.
A Collaborative Effort for Natural, Lasting Results
Successful hair restoration requires a combination of advanced technology, skilled technique, and a dedicated team. By utilizing the SAFE System, carefully planning extraction and placement, and ensuring proper aftercare, we achieve natural-looking results that restore confidence and self-esteem.
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