Everyone who contemplates a hair transplant procedure knows in general terms what they’re getting into. Hair follicles are extracted from one area of the head and transplanted to another. That’s all generally known. The real question that needs answering is what goes on during those six or seven hours and what makes the difference between natural-looking results and unnatural ones. The process is more detailed than people tend to realise, and that’s the whole point.<\/p>\n\n\n\n
Prior to any surgery taking place, the doctor has to evaluate what the patient actually has. This entails examining the extent of the hair loss and determining which parts of the head require covering. Not all donor areas are equal. The density of hair in the donor zone determines how many grafts are available, which in turn determines what can realistically be achieved.<\/p>\n\n\n\n
This is also where the hairline is designed. The front hairline is not drawn arbitrarily. Its position, shape, and the way it transitions from dense to slightly less dense toward the temples require careful thought. A hairline placed too low looks unnatural at any age. One drawn without accounting for future hair loss leads to problems down the line. The design is agreed upon before surgery begins, and it drives every decision that follows.<\/p>\n\n\n\n
On the morning of the procedure, the donor area is shaved down. This allows the surgeon to see each follicle clearly during extraction. Local anaesthesia is then administered to both the donor and recipient areas. This takes a few minutes to take full effect, and from that point the scalp is numb for the duration of the procedure.<\/p>\n\n\n\n
Most patients find the anaesthesia the most uncomfortable part of the day. Once it is in place, the rest of the procedure is largely painless.<\/p>\n\n\n\n
Follicular Unit Extraction is the procedure where individual follicular units are harvested by means of using a punch instrument in a round form. A follicular unit represents a group of one to four hair follicles with a common root system. Follicles are selected and harvested in a systematic fashion.<\/p>\n\n\n\n
Extracting numerous grafts from a limited area will result in a thinning effect in the donor area. It is better to conduct extractions over a more extensive area, thus ensuring natural results regardless of how many grafts have already been harvested. This is something that becomes apparent months later, when the hair grows back, and it is why the surgeon’s technique during this phase has consequences that go beyond the immediate result.<\/p>\n\n\n\n
Extracted follicles are kept in a preservation solution while the rest of the extraction is completed. The condition of the grafts during this period affects how well they survive once implanted.<\/p>\n\n\n\n
Once extraction is complete, the surgeon moves to the recipient area. Fine micro-incisions are made across the balding or thinning regions where the grafts will be placed. It is important for both the angle and the placement of the incisions to be exact. The hair will not come out of the scalp completely straight. It comes out at an angle, which differs in various areas of the scalp.<\/p>\n\n\n\n
The density distribution across the recipient area is also planned during this phase. More grafts are concentrated toward the hairline where the visual impact is greatest, with slightly lower density behind it. This produces a result that looks graduated and natural rather than uniformly dense in a way that would look artificial.<\/p>\n\n\n\n
The extracted grafts are placed into the recipient sites one by one. Each follicle goes into its designated incision at the correct angle and depth. This is the most time-consuming part of the procedure and the one that most directly determines the final aesthetic result.<\/p>\n\n\n\n
The team works methodically across the entire recipient area. Larger sessions involving several thousand grafts take several hours to complete at this stage alone. Breaks are scheduled throughout the day to manage fatigue for both the patient and the surgical team.<\/p>\n\n\n\n
Once implantation is complete, the scalp is cleaned and instructions are given for the days that follow. The transplanted area has small crusts around each graft. These need to be left undisturbed for the first few days and wash off gradually over the first week or two.<\/p>\n\n\n\n
The transplanted hairs shed within the first few weeks. This is a normal part of the process and not a sign that the grafts have failed. The follicle remains in place beneath the skin even after the hair shaft falls out, and new growth begins from that follicle around three to four months later.<\/p>\n\n\n\n
A hair transplant is not a quick procedure because it cannot be. Extracting and implanting several thousand individual follicles, each placed at the correct angle in the correct location, takes time to do properly. Rushing any part of it compromises the result. The six to eight hours are not a sign of inefficiency. They are what the work actually requires.<\/p>\n\n\n\n
Two surgeons using the same technique can produce very different results. The quality of the hairline design, the care taken during extraction, the precision of the recipient site incisions, and the attention to density distribution are all judgement calls that cannot be reduced to a formula. Experience and an understanding of what natural hair growth actually looks like are what separate a transplant that is obvious from one that is not.<\/p>\n\n\n\n
At Creas, hair transplant procedures are carried out by Dr. C Senthil Kumar, board-certified by both national and international bodies with a cosmetic fellowship from the UK. For anyone considering the procedure, a consultation is where the conversation starts.<\/p>\n","protected":false},"excerpt":{"rendered":"
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