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Pre-Operative, Intra-Operative, and Post-Operative Hair Transplant Procedure

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Pre-operative hair restoration procedure includes routine blood tests and screening tests for HIV and hepatitis. One should avoid alcohol, aspirin and other anti-inflammatory medications before the Hair Transplant, as these may lead to complications such as bleeding. Of course, if by chance you smoke, this should be discontinued as well. The morning of your procedure, all you need to do is shower and shampoo, wear loose-fitting clothes and eat breakfast without caffeinated beverages.

The hair transplant is generally an all-day procedure performed under local anesthesia and light sedation. During the procedure, patients rest comfortably, watch TV, or take a nap. After the administration of the anesthesia, the doctor removes the donor hair via a long, thin strip or through tiny round incisions. The strips (or extracted grafts) are placed under microscopes for further dissection into individual follicular units of 1-4 hairs each. After all the hair is harvested, tiny recipient sites (needle-size incisions) are made in balding areas of the scalp. The follicular unit grafts are then placed into these sites using very fine instruments. Once all the grafts are placed, the scalp is cleaned, a tennis-band dressing is applied and the patient is set to go home.

In hair transplants, the transplant is visible for about a week to ten days after the procedure. Some patients cover the area with their existing hair and others choose to wear a hat when they are in public. Patients can resume normal activities the second day following their hair restoration surgery, although there are some restrictions on certain exercises and in smoking and drinking. New hair growth starts to appear 2 to 3 months after the hair transplant and the hair restoration is usually fully grown out in about a year.

The perception that people may have on hair transplantation, where patients leave the office with their heads wrapped in bandages and have significant bleeding and pain, is from experience with the out-dated, plug techniques. In modern follicular unit hair transplant, patients leave the office with only a hat and headband and are able to shower and shampoo their hair the day after the hair restoration surgery.

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