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Hair Transplant FAQs

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Hair Transplant FAQS with Dr Golio


How many hairs per graft are we getting?

One of the questions I get here that’s very important is, “How many hairs per graft are we getting?”

A lot of times you have multiple different amounts of hair per graft, its not always the same.

So what we do is, we use a very high-resolution camera to evaluate the hair follicle.

The hair follicles can have one, two, three, and even four. Depending on each person individually.

So, what we do is, once we harvest those, we evaluate them under the microscope, we take a look at your hair line, and then we’ll place the one and two grafts in the front, and the three and four in the back to get you the most natural look that you can get.

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How Doc is it possible, that this hair is not going to fall out when the others did?

One of the major questions I get from my patients is, “How Doc is it possible, that this hair is not going to fall out when the others did?”

The hair in the back of your head is from a different embryologic germ layer than the hair on the front of your head. It’s the same color, the same texture, but a different area, and this makes all the difference genetically. The hair in the front is programmed to fall out, the hair in the back is not, and that’s why that donor area’s hair will never fall out.

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Is there scarring after hair transplant?

Another question I’m commonly asked is, “Is there scarring?”

With the follicular unit extraction there is no scarring at all in this procedure. It’s a very safe, a very common procedure, that leaves the most minimal scars possible that are not physical to the naked eye.

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What kind of instruments are we using?

So, I wanted to show you today what kind of instruments we are using here versus the conventional instruments.

Typically, in olden times, we would use a metal blade, number 11 blade or, in this case, a number 29 blade that does the job, but the problem with it is it dulls very quickly and doesn’t give you as good of a cut as you can get today.

What we are using currently now is a sapphire blade. Well, these blades if you look at it, it's very fine, very thin, very sharp. These blades are made from sapphires, which is one of the harder substances known to man. And, this blade never dulls, and it also gives you an incision that’s much more fine and much more controlled depth. So that when you get your transplant, you have the best result possible.

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How we evaluate the donor area for a hair transplant?

I’m about to demonstrate to our patients how we evaluate the donor area for transplant. What we use is a camera, that’s a magnifying camera, that’s hooked up to the video monitor, and we are able to sit down and look at the donor area to determine how many units of hair per follicle we can expect, so that we can plan accordingly to make your hairline the most natural possible.

We’ll evaluate each area of your scalp and be able to tell you exactly what and how many follicle units we can expect. So, in this case you can see that we have a very good donor area. You’ll see two, three, sometimes even four hairs in each follicle. That’s great in terms of transplanting it to the front of the scalp because it gives you a very natural look.

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Is it possible to undergo a hair transplant using hair from another person?

Another question commonly asked is, “Can I use another donor?”

The answer to that question is no. The reason for that is that donors and the people who are the recipients have different DNA, and they cannot receive grafts from anybody other than themselves. Your body will reject them and cause and create a tremendous amount of inflammation in the area, and you will lose all the grafts that we transplanted there.

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Is hair transplantation permanent?

One of the questions I’m always asked is, “Is hair transplant permanent?”

The answer to that question is yes. We are taking the follicles, follicle by follicle, and moving them from one part of your scalp to another. So, those are permanent. As long as you maintain the correct post-operative care, they are permanent.

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Why is my hair falling out right after the surgery?

One other question that many patients will ask is, “Why is my hair falling out right after the surgery?”

When you remove hair from one part of your head and transplant it to another, it will go to sleep, so to say it goes into a dormitory period, where the hair follicle will be healing. At that point, the hairs that’s attached to the follicle will fall out, and the new hair will start to grow. That varies from person to person, but typically can take about four to six weeks.

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What’s my recovery period?

One of the other questions that we receive often from patients is, “What’s my recovery period?”

Recovery period vary from person to person, but usually it’s about seven to ten days. The better you take care of yourself initially during your recovery period, the better your result will be.

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Is the hair transplant procedure painful?

One of the questions that I’m commonly asked is, “Is the procedure painful?”

Like any other procedure, there may be some mild discomfort. But, for the most part, you will not feel any major pain. We use long-acting local anesthesia to make you very comfortable during your procedure and after the procedure. You’ll also receive medications that you have to take and follow all your doctor’s instructions to give you the maximum comfort possible.

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