Hair transplantation (transplant) – what it is, the before and after photos, results

Initially transplant techniques were developed by Japanese doctors Okuda, Scagway and Tamarai in order to assist the soldiers who received burns of the scalp in 20-40 years of the 20th century. Over time, hair recovery surgical techniques became available to Europeans.

The demand for such operations was huge. Has been gradually developed methods of hair transplantation on the head with the body, restoring and increasing the density of eyebrow and eyelash hair transplant in the region of the beard and mustache.

Why they fall

Hair loss can occur for a number of reasons. In some cases, the density and length of hair replenishes over time. In others, baldness is becoming persistent. Here we consider the reasons that lead the patient to the doctor-transplant.

Wide baldness

Androgenetic alopecia

The most common cause of hair loss is androgenic alopecia or hair loss in male pattern. The basis of pathology lies a genetic anomaly that makes the hair follicles located in the skin of the frontal and parietal regions that are sensitive to dihydro-testosterone.

Under the influence of hormone in the hair follicle occurs a spasm of the vascular bundle, which nourishes hair follicles.

Because first, the hair is thinning become lighter, grow slowly and do not reach considerable length. Then the hair growth of these follicles is stopped, the mouth of the follicles are overgrown by epithelial tissue. The resumption of atrophied follicles is almost impossible.

Contrary to popular belief, androgenic alopecia affects not only men, but women as well. Approximately 10-30% of women have symptoms of baldness male pattern, but due to the high content of estrogen, the disease rarely manifests itself at a young age and often does not lead to complete hair loss.

Typical for women is the occurrence of baldness and reduction of hair density in the parietal region. In some cases, this may be a slight thinning of the hair in the region of the median part. In other cases there is a pronounced decrease so that the remaining hair is not enough to close the skin of the scalp.

An important feature of this process is the different sensitivity of hair follicles to dihydrotestosterone in different parts of the scalp.

Those which are located in the small strip of skin above the ears and on the nape are not affected by degenerative changes, even when in the frontal and parietal region was formed a bald spot. These follicles are suitable for transplantation and after engraftment can give the growth of healthy hair throughout a person’s life.

Scar atrophy

The scar tissue that develops at the site of skin injuries and burns, does not contain hair follicles. In cases where scarring is a significant area of skin, can form a separate receding hairline or extensive area of skin devoid of hair. In this case, they are transplanted with those areas where they have been preserved in sufficient quantity, including the body.

Traumatic alopecia

In this case, meaning the constant pulling of your own hair as a symptom of mental illness called trichotillomania. Permanent traumatic effects gradually cause damage to the hair follicles and halt hair growth.

You should consider the fact that you first need to undergo treatment and achieve sustained remission of trichotillomania, and only then start looking for a suitable clinic for hair transplantation.

Damaging factors

Lead to patchy baldness can such effects as radiotherapy of tumors. In the place where the beam passes through the skin to the tumor for which the action is directed, the hair follicles can be permanently damaged and die. With time, baldness can be close planted in this area hair follicles.

Hair, eyebrows and eyelashes, beards and mustaches

  • Skin trauma and replacing it with a scar as a result of physical impact, chemical, thermal or electrical burn.
  • Diseases of internal organs, skin and its appendages that cause hair loss in the eyebrows and eyelashes.
  • Diseases of neurotic character, when a man pulls on my hair constantly and can’t control this habit.
  • Eyebrow reason for the decline in density and the formation of bald patches can become a constant plucking of the hair to add eyebrows shape.
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Remedies for hair loss

Hair loss affects self-esteem, as it changes the way the body. This problem is especially acute is experienced by women since hair loss is associated in our society with a reduction in sexual attractiveness, aging, illness, and masculine.

Both men and women in order to relieve the tension arising from thinning hair, begin to take action, often based on information from advertising and unverified sources such as the Internet.

According to the American authors for qualified help accessing only 3% of all those who notice a persistent decrease of hair density. Self-treatment is based on the acquisition and use of any means of baldness, which promises a guaranteed result. There are two possible options:

  • Effective treatment.

Once a person buys a tool that actively restores hair follicles and promotes long-term preservation of hair density. To date, these funds a bit. In States where the control of drugs and food products are very strict, efficient recognized by just two drug:

  • Minoxidil as external funds 2% for women and 5% for men;
  • the drug finasteride for oral administration, which is assigned only to men.

Their application allows to reduce the degree of baldness, to restore the growth of damaged follicles, and eventually to postpone the hair transplant procedure.

  • Ineffective treatment.

As means, which are positioned as a means of hair loss, there may be:

  • means that accelerate the growth of new hair, but do not affect the damaged follicles or increased stop loss (herbal extracts, zinc, local irritating means, vegetable oil, etc.);
  • tools that improve the state of the body and the hair quality is affected indirectly (vitamins, for example).

The means of both groups can be effective in case of telogen baldness, which is the body’s reaction to sudden weight loss, stress at work, lack of sleep, changes in hormonal balance after birth and other adverse conditions.

Feature telogen baldness is that the follicles if it is not damaged. And after the impact of adverse factors are eliminated and the condition of the body is normalized, the density of hair is restored to 100%. The use of the above agents can speed up the hair growth process.

You should consider the fact that in some cases, drugs that enhance hair growth with the telogen baldness, can cause significant worsening of androgenic alopecia.

An example of such a vehicle could be mustard, which very many were added to mask hair loss. If a person is observed in androgenetic alopecia, the mustard will help the flow of blood to the follicles, rich in DHT. So, the damaged follicles will be much faster.

Inefficient use of resources leads to the fact that the patient loses time and hair, and eventually forced much earlier to seek help to the doctor-transplant.

Theoretical foundations

Donor Dominance

In 50-ies of the 20th century, it was experimentally established phenomenon of survival of the hair follicle, regardless of where it is transplanted, even if it is the skin of the palms and feet. The transplanted follicles will produce hair growth throughout a person’s life. This phenomenon was later called Donor Dominance.

The donor area

The donor area where taking skin with hair follicles for transplantation is the occipital region, as the follicles of this region is not sensitive to hormonal effects.

The head is the donor area, even when transplant is not due to androgenetic alopecia. Even if now the patient has no manifestations of alopecia of male type, they may appear later than that will spoil the result of the transplant.

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Graft is a patch of skin up to 1 mm, which holds up to 5 hair follicles.

Mini-graft may contain 2-3 hair follicle and micrograft carries only 1 -2 of the follicle.

Transplant techniques

Conventionally all methods of hair transplantation can be divided into the seam and seamless. The methods, leaving behind the suture, includes the so-called Strip method where a strip is a strip of skin that od the microscope is separated into grafts.

Video: FUE

The strip may be a length from ear to ear at the occipital region, but a cosmetic defect it becomes as covered with hair. Seamless is the hair transplant FUE because the micro grafts are collected from the donor area with a special, thin tube. For transplantation of micro — and minigrafts in the area of the recipient surgical instruments or a laser beam are thin incisions or punctures of the skin, and move your transplanted follicles.

Indications for surgery

  • Androgenetic alopecia any degree.

If the indication for the transplant was the hair degree of baldness according to Norwood is not less than the third, now the transplant can be done even at the initial stages, when only begins to shift the line of hair on his forehead.

The reason is simple. If earlier in the course was the strip method, then repeat the operation was only possible three times. A relatively new transplant techniques allow for repeated operations without restrictions.

  • Alopecia baldness.

In cases where conservative treatment cannot lead to permanent hair growth in areas of patchy hair loss is transplantation.

  • The desire of the patient to reduce a too large forehead.

In this case, due to hair transplant you can place the hairline on the forehead below.

  • Camouflage scars from circular facelift.

Often, the hair of face-lift can not grow in the area of scars, to change the direction of growth. Even the scars beauty is not added. Because the scars are closed the transplanted follicles.

  • The presence of scars that do not grow hair.

In this case, the grafts transplanted into scar tissue. This applies to a special technique. The cost of hair transplant surgery 1 graft in the scar more than the cost of a transplant in the skin.

  • Creating sideburns.

Hair follicles in this case are transplanted into the region sideburns with the back of the head.

  • Restore lost eyebrows, eyelashes, beard, mustache.
  • The desire to get thicker eyelashes, change the location, shape and size of the eyebrows.

To change the shape of the eyebrows old eyebrow first removed by laser or any other persistent hair removal. And then by the transplant formed the new eyebrows.

  • The operation is performed at any age.

Though the surgery of hair transplantation is considered cosmetic, but it is not subject to limitations associated with age. In the case of alopecia, scarring alopecia and other conditions involving hair loss, surgery can be performed with 5-6 years in order that the child is not disrupted social adaptation because of a cosmetic defect.

Contraindications to surgery

Reasons why the operation might have to postpone or abandon her, not so much, but they should know:

  • parasitic, bacterial, fungal diseases of the scalp;
  • violation of blood coagulation;
  • allergic reactions to local anesthetics;
  • decompensated diabetes mellitus.


In the first stage, the patient consult the doctor-trichologist and transplant doctor. If necessary before surgery will need to undergo a series of tests, but the list is small and is determined by the doctor during examination and questioning.

Determines the number of grafts transplant which can give satisfactory cosmetic defect.

A number of clinics that provides computer simulation results of the operation depending on the number of follicles transplanted to the patient some idea of the result he will get.

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Video: male pattern Baldness

The progress of the operation

The patient comes to the clinic on the day of surgery, prior hospitalization is not required. Is hair transplantation under local anesthesia, because the operation is no prohibition on receiving food and fluids, and during operation it is possible to watch TV. Time is from 2 to 6 hours depending on which method is used, and the number of grafts transplanted.

Regardless of the method any operation consists of three stages:

  1. In the first stage there is a collection of tissue containing follicles from the occipital region of the patient.
  2. The second stage is processed and prepares the skin in areas where you will transfer the grafts.
  3. In the third stage the prepared grafts are placed in the prepared incisions or punctures of the skin with tweezers or other tool.


If the operation was done with a strip method, you will need to put bandages and to treat the surgical area with antiseptic. If you did seamless transplant, then the next day you can return to daily activities. The only thing undesirable to exercise or perform heavy physical work, so sweat can cause irritation and inflammation in the area of the transplanted grafts.

Some doctors recommend special kits to care for hair plugs, and even include the cost of these sets in the cost of the operation. In this case, the doctor gives detailed instruction for use.


After the operation, in place of the extracted skin areas transplanted follicles and redness and blood crust. The wound in the place of the transplanted grafts heal in 6-10 days. Of transplanted almost immediately starts hair growth. Because for the past month or two we can expect a significant increase in the density of hair.

Do not expect that after the operation the density of hair will increase significantly. Full restoration, as it was in adolescence, perhaps in the case when patches of baldness a small area or a large part of hair extensive areas of baldness is still intact.

The optimal result is the density at which the hair line is not visible scalp.

Adverse effects

  • headaches;
  • swelling of the scalp and face, especially the eye area;
  • numbness of the scalp;
  • suppuration of transplanted grafts with subsequent scarring.

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The cost

The price is determined primarily by the number of grafts that should be transplanted for best results. In second place in the list of criteria that determine the cost, is a method of transplantation.

The name of the service and the region the cost
hair transplant (price per graft 1 in Moscow) 50-150 rubles
transplantation of the graft 1 in the clinics of Europe 1-3 euros

The cost can exceed the price of such an operation, carried out in clinics of Turkey, even including the cost of tickets and need for payment. Despite the fact that the quality of the service and subsequent results are in some Moscow clinics may not be on top.

Photos before and after hair transplant

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