FAQ’s

Hair styles before and after a hair transplant

How long does my hair need to be, before the procedure and how long after the hair transplant can I cut it?

Many men close crop their hair to disguise their thinning hair or receding hairlines. However, unless you are having FUE (where the whole head ideally should be shaved), then it is best to leave your hair a bit longer at the back, to cover the stitches in the first 10 days. In the recipient area, where the hair is replaced, then ideally that should be trimmed. In the real world, many people need to avoid drastic changes to their appearance and you do not need to shave your head. Having said that, it is fair to say that we can achieve higher densities or greater coverage if the patient does shave their recipient areas. It is your choice. Afterwards, it is better to leave it until 3-6 months and the scar has faded before cutting too short. Most men can manage a clipper grade 3-4 afterwards and some even heal so well now with the trichophytic closure, that grade 2 is possible. Hair styles after that are up to you. Most men find a medium length, clippers grade 4-6 works well but some still go for a spikey buzz cut and yet others experiment with longer styles as the transplanted hair can grow much longer than the wispy hair it replaces. Choose whatever styling works for you – comb it forwards or backwards but never “combover!” You should experiment and you should expect that you could have a different hairstyle afterwards.

Hair implants

what if you have an itchy flakey scalp,would the procedure still work? And does this condition cause hair loss? Do you have to have long hair in the area you will be taking hair out of?

Dandruff and similar problems are not usually a problem for hair transplantation. The hair does not need to be overly long – clippers grade 4 is usually ok.

Age

Is their a certain age you need to be to qualify for a hair transplant?

There is no specific age – we have performed surgery from 17 to 83 years! However, generally we recommend waiting for hair transplants until 25, after taking Propecia to stabilise the hair loss first.

Waiting times

I just wondered if you could give an idea of waiting list times here,unless i have missed it somewhere else on the website,cheers. Current waiting times are from 4 weeks, although we also offer short notice cancellation availability for those who can be flexible about dates.

Hair loss

Can shaving the head cause hair loss? Or wearing hats?

No – shaving has no effect on hair loss, only the appearance of the visible hair shaft. Likewise, most hair products are unlikely to cause hair loss. People often ask about hats, but in fact, a recent study seems to show hat wearing is associated with a reduced risk of hair loss, compared to men who never wear hats.

Propecia

Can a female use propecia after hair surgery? is it necessary to prevent further hair loss? can some one use it without doctors prescription to prevent hair loss after a hair surgery?

Propecia is not licensed or recommended for female pattern hair loss and is proven to be of no benefit in such women. However, it is effective in some women with a male pattern type of loss, especially in conjuction with anti androgens such as Cyproterone. Also, Propecia is a prescription only medicine, so you do need to consult with a doctor.

Propecia. – I do not want to take any medication to prevent hair loss. What results can I expect if I opt for a hair transplant without taking propecia? I have very thick curly hair. I have crown baldness and it is receeding at the front and top. I have plenty of donor hair at back and sides.

You can get very good results with hair transplants alone, especially if you do have good characteristics such as thick curly hair. Also, if your hair loss is gradual and not too extensive, then that is an advantage.

Female Hair Loss

I have suffered thinning hair for over 20 years,and I now wear a hair system,attached with a special adhesive. My head’s shaved on top to enable a better hold. I would love the chance to have natural hair again, but wonder would it be possible to wear a wig whilst new hair grew?

It is possible, but you do need to be careful with it and probably change the method of attachment. You really need a detailed consultation to be sure.

Hair replacement

How many grafts can be taken from the back of the head?

For most people, between 5-7000 in total, in a lifetime. This is normally over a number of sessions.

When will I see growth?

Usually, when the grafts are placed, the hair bulb tends to go into a dormant phase before growing again at around 12 weeks. Some hairs will start growing before then and some will take longer but by 6 months, most of the hair will be growing and have reached a length of an inch or two. Many people will then book their next sessions.

How long does hair transplant surgery take?

The procedure normally takes 3-4 hours but longer if we do 1000 grafts or more. However, you are not sitting there in the chair all that time. After we take the strip, we then give you 15 minutes in the patient’s room to have a coffee, sandwich and a stretch before bringing you back in for placement of the grafts. This arrangement makes it quite a pleasant experience for the patient – there’s never a feeling of urgency at Westminster Clinic.

Does surgery cause hair loss?

Surgery doesn’t damage surrounding hair but can occasionally accelerate the loss of fragile hair, already affected by Dihydrotestosterone, which would be shed anyway within the next few weeks. This however, can be reduced by taking Propecia beforehand, at least four weeks previously.

Who’s suitable?

Most men and many women are suitable except for significant medical illness. However, some people are better candidates than others but this can be discussed in consultation with Dr Rogers.

What sort of results can I expect? Is a full head of hair possible?

It always depends on your degree of hair loss and your type of hair. If you are younger, with early hair loss and you are taking Propecia to stop further loss, then it is possible to have a full head of hair. But if you have had significant hair loss for 20 years and only fine, sparse donor hair, then you won’t get a full head of hair back unless you choose the hair piece option. However, many men in their 40’s and 50’s who are quite bald do get a very good result by transplanting the front 2/3 of their scalp. This hair frames their face again which makes them look and feel younger. The back of the head (crown) is not so visible anyway and many men will accept that.

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What our patients say

Dr Rogers Compliment Letter 2015 – SG

When I arrived at the clinic on Harley Street I was welcomed warmly by the staff and did not have to wait long before the Surgeon (Dr Richard Rogers) came and introduced himself. I then sat down with Dr Rogers who spent time getting to know me, asking very detailed questions. He then spent some time with me penciling on different hairlines giving me plenty of time to think, whilst giving his expert opinion and advice on what would look the most realistic. When I had decided on the placement of my new hair line Dr Rogers made sure that I was happy with the outline drawn one last time walking round showing me it from different angles using a mirror.

Through Dr Rogers being so intent on making sure I was 100% happy with the procedure before going ahead really helped me feel comfortable and sure with my decision. With my hairline drawn and having been made to feel completely relaxed by Dr Rogers I was walked to the surgery. Even then Dr Rogers continued to make me feel comfortable introducing me to each of his nurses and explaining each step to me in detail of what they would be doing whilst he performed the procedure.

Having talked through the procedure with me and going over everything in extreme detail Dr Rogers asked me to place myself on the chair and then began to adjust the position making sure that I was completely comfortable. Now that I was sat comfortably and ready for the procedure to begin Dr Rogers began to guide me through each step before doing so. To begin with he explained that he would be administering general anesthetic to numb the surrounding area, and told me that it may hurt a little like a pinch. However, I did not feel a thing! In fact I didn’t even realise Dr Rogers had begun, he was so gentle and light handed I was shocked and of course extremely pleased!

With the first part out of the way and the surrounding area completely numb, Dr Rogers told me that he would now begin to remove the strip of skin. At this stage I could honestly not believe how it was possible that I could not feel my skin being cut away. Throughout the procedure I was not once in pain and Dr Rogers continually made sure that I was ok and checked that I was in no kind of pain.

Better still Dr Rogers talked to me throughout the procedure and joined in with conversations between the nurses and myself. This really made me feel at ease and at times I nearly forgot that I was having a hair transplant. With my strip of skin removed and the nurses now taking each hair follicle from the skin, Dr Rogers began to stitch my skin back together. Even now I could not feel a thing and before I knew it Dr Rogers had finished.

Whilst the nurses continued to separate the hair follicles Dr Rogers offered me some water and asked if I had any food to eat to help boost my sugar levels. Once I had eaten a snack and topped myself up with water Dr Rogers made sure that I was comfortable before the procedure continued. He then explained that he would be administering some local anesthetic to the surrounding area for the hair follicles to be placed. With the area numbed and having been told what was to happen next Dr Rogers began to make tiny pin pricks into my skin for the hair follicles to be placed in by his nurses. I cannot stress enough how I did not feel a thing and it was over with so quickly, he was a magician with his hands! It was now time for the final part of the procedure; the nurses began to delicately place my hair follicles in one by one.

With the procedure now finished and my new hairline complete, I was given plenty of time to slowly sit myself up. Dr Rogers then offered me some water and food to help boost my sugar levels. Now that I had my bearings back, Dr Rogers walked me into a quiet room and showed me to a mirror. He then said that he would leave me for a few minutes to look at the hairline. After a few minutes had passed he knocked on the door and asked if I was happy with the outcome, to which I found myself near on speechless! I told him how happy I was with it and continually thanked him for doing such an amazing job.

He then asked me to take a seat and began to explain in detail how to care for my new hair each day and gave me a detailed plan on paper. He then gave me a spray that he explained would help to clean any blood away from the surrounding area. After making sure that I was completely happy with the outcome and asking if I had any questions Dr Rogers shook my hand and wished me the best of luck with my new hairline.

SG