ENENGLISH

F.A.Q, frequently
asked questions

The following are some common questions that arise. If you have any additional concerns or questions that have not been covered, please contact us.

How do I get started?

A photo consultation or an in-person consultation is the first step in the process.

Where will the consultation take place?

Generally, our consultations take place in Turkey. At times, we organize consultations in other countries.

When is the appropriate time to have hair transplantation surgery?

Some patients present themselves for surgery with very early hair loss and a significant amount of miniaturization. In a situation such as this, the better solution is to treat the condition with medication and to wait until a transplant is necessary. However, with recent improvements, there is no need to wait until hair loss has progressed to such an advanced degree that it causes emotional distress and anxiety.

Is an undetectable hair transplant possible?

Yes, using a combination of artistry, technology and the proper techniques, hairlines and crown coverage can be recreated in a manner that defies detection.

How many hairs would you estimate that I need?

Your personalized estimate depends on your bone structure, your density needs, and the amount of hair already present.

How long should I wait between hair transplant procedures?

We typically schedule a second surgery 12-14 months after the first one. The visual inspection of growing hair allows the surgeon to accurately place the new grafts.

Are hair transplants painful?

The procedure is performed under local anesthesia. Once the skin is anesthetized, no other pain or discomfort is experienced during the procedure. Our on-staff anesthesiologist, according to the patient?s age and physical condition, medical history and the duration of the procedure, makes the selection of pre-surgical medication and of local anesthesia.

What is the advantage of lateral slit technique (coronal angle grafting)?

This method allows for a more accurate control of hair graft angulation and direction. Lateral orientation causes less tissue damage, permits closer graft placement, and makes hair strands shingle, creating the illusion of more volume.

Is hair transplantation a reasonable option for women?

With modern techniques, many women with pattern hair loss are now candidates for the procedure. The most important factors are the long-term donor/recipient area ratio and the patient?s expectations of the surgical result.

Why manual FUE?

We continue to closely monitor the development and advancement of new technology that can help to improve our results. We are convinced that the FUE process is the most effective technique that has been developed until now. With manual FUE, we are able to control the procedure during its execution. We are also able to maintain control of the adjacent area, so that we can preserve and use the donor area as effectively as possible. The examination of each graft for its quality prior to extracting another is possible with FUE and every moment of the procedure can be adjusted and changed as it is deemed necessary. In implementing this technique, every piece of equipment used is sterilized.

Is growth from grafts transplanted at mega-sessions affected in a particular way?

Megasessions can provide excellent density, coverage and naturally undetectable results without compromising the growth. However, it is not an option for every patient. It is important to have an experienced team perform such a surgery.

How does Finasteride help or hinder a hair transplant?

Finasteride is an effective medication in the maintenance and, in some cases, the regrowth of hair. In patients with existing thinning hair, medical treatment in conjunction with hair transplantation will provide the maximum potential for density.

Where does Finasteride work?

Finasteride has the potential to work wherever there are miniaturized hairs.

Are there any medications that I need to avoid before surgery?

Yes.You can find a list of these medications in our pre-op instructions. If you have additional questions regarding medications, please ask us.

Do I need to mention or make AsMed aware of any medical condition that I might have?

Yes, definitely. Please notify us.

What is shedding (shock loss) after surgery?

Some shedding (effluvium) after hair transplantation is a relatively common occurrence. It is noticeable beginning from the week following the surgery, and can continue for up to six weeks. Some patients do not shed, and the transplanted hair continues to grow. In general, those patients who have experienced more miniaturization and more rapid hair loss will most likely experience shedding from the surgery. For the majority of patients, it is a minor issue and should not be the cause for concern. Finasteride use may decrease the risk of shedding following hair transplants.

How will the transplanted area look after surgery?

The transplanted area will have scabbing and may look pink for 7-10 to days after the surgical procedure. There is usually a bit of redness in the transplanted regions that dissipates in the range of 2-4 weeks.

How long will I need to be off work after the surgery?

We recommend that you take at least two full days off work after the surgery. After that point, it is a matter of personal choice. Bear in mind that there will be some swelling and scabbing. Swelling can be avoided by using ice packs. Scabbing, however, will most likely be visible. A loose fitting hat may be worn, but if a hat is not an option for you, it might be better to take a week to ten days off work while the scabbing heals.

Will smoking affect my hair transplant procedure?

Smoking causes decreased blood flow to the scalp thus contributing to poor wound healing. Smoking is also considered to be a factor in poor hair growth. A common recommendation is to abstain from smoking for at least 1 week prior to the surgery, and for at least 2 weeks after the procedure has been completed.

What is platelet rich plasma (PRP)?

PRP is an autologous preparation of blood plasma with platelets. It contains growth factors and other bioactive proteins that aid in wound healing. In order to obtain it, a patient?s blood is spun in a centrifuge that separates the solid from liquid components. Some hair transplant surgeons use PRP in either by, storing the grafts until they are placed on the scalp, or by injecting PRP into the scalp prior to the placement of grafts. The results of studies on the use of PRP as an adjunctive modality in hair transplantation remains controversial.

How do you store grafts?

Graft storage is important for graft survival. We use a storage solution composed of HypoThermosol and Liposomal ATP. The combination of both elements brings together two benefits: one of graft stress reduction during storage with another that addresses cellular deficiency during and after graft storage. Additionally, we use a storage device that chills grafts from 0C to 4C and maintains this temperature. The ability of hypothermia to suppress metabolism is the key to maintaining tissues.

What is hypothermic storage solution (hypotermosol)?

HypoThermosol is specifically designed for intracellular-like platforms. It supports and protects tissue that is being kept at low temperatures before transplantation. It also contains antioxidants.

What is liposomal ATP?

Grafts must undergo revascularization in order to survive. The transplanted graft requires about 5 days to revascularize and to become replenished by the new blood supply. Once the graft is removed, tissues are immediately cut off from their supply of oxygen and other necessary nutrients. Oxygen and glucose are required for the production of the cell's primary fuel, ATP. If oxygen is inadequate, loss of the entire follicle or a percentage of the follicle may occur, resulting in new hair growth that is fine and weak. One method to replace graft oxygen deficits is to use liposomal adenosine triphosphate (ATP). When used as an additive to the holding solution and as a post-operative spray, liposomal ATP was shown to enhance graft survival and graft quality.

After surgery, how long will it be before I see a difference?

It takes 6-8 months to begin to see a cosmetic difference. The period between surgery and new hair growth is typically 2-3 months. Each hair has its own timetable. Therefore, the change will happen gradually. About 20% of the hair grows between the second and fourth months, while about 60-70% grows between the fifth and eighth months. Hair continues to mature for up to 18 months after the surgery.

For any other question, ask directly to Dr. koray