Hair Loss Surgery

Find out more about our hair transplant procedures and other hair loss surgery.Norwood 7 - Donor area

Many people believe that hair transplantation is the only hair surgery method available to them but there are other choices.

Although hair transplants are the most popular surgical method, with 90% of our customers using hair transplant techniques there are a number of different types of hair loss surgery methods available. The alternative hair loss surgeries to hair transplantation are discussed in more detail below.

IMG_2654It is important to understand though, that all hair loss surgery uses the fact that normally, men do not lose their hair from the donor area and this hair can be transplanted. The donor area is usually the horse shoe shaped area of hair, at the back of the head and above the ears, that persists even in advanced MPB (see Norwood 7 on the Norwood scale of male pattern hair loss).

The size of this area varies from person to person and cannot be accurately predicted in each patient, so we tend to assume everyone will eventually become Norwood 7, although this isn’t true for everyone.

The margins of the donor area include hair in front of the ears, the lower part of the crown and also the nape of the neck. All of these areas can start receding, although most people only think of the hair on the top of the head thins.
Body hair can be transplanted but is not as successful as scalp hair and should be seen as the last resort.

To understand more about different hair transplant treatments available visit the hair transplant page:

Hair Transplant Treatments
Feel free to request an online consultation with one of our doctor’s at any time to find out which surgery method will be the best option for you and please read the articles accessed via the side bar links Strip hair transplant and FUE hair transplant

Hairloss surgery techniques
Hair Loss Surgery is the only treatment available that will reliably and consistently replace hair in bald areas. Over the years, many different types of hairloss surgery have been tried and we will detail the different surgical hair loss treatments below. Essentially though, all hair surgery techniques are redistributing the hair on the head, not creating new hair.

Hair Transplantation Surgery
As discussed above, the main type of hairloss surgery is hair transplantation. To find out more about alternatives to Hair Transplant surgery procedures, please read below:

Frechet Scalp Reduction
Scalp reduction is only performed on the crown area of the scalp, or ‘the monk’s bald spot’. In this hair loss surgical procedure, the bald skin on the crown is removed and the hairy sides of the scalp above the ears are drawn together. Normally, the bald scalp requires 1 – 2 sessions to remove it (utilising a Frechet extender under the skin, which pulls the skin together so that the central scar does not widen). The third and final procedure is a very clever three way transpositional flap, which relocates the final scar and hair direction into the classic crown swirl. Although not so often used now, it can be a very effective form of hair loss surgery, giving great results within three months. However, it is very dependent on good patient characteristics and the skill of the surgeon, such as Dr Frechet himself.

Hairline Advancement

Female hair line advancement

It is common for us to see women for female hairline advancement because they’ve always had a high hairline. This is not due to hair loss but is just their genetic pattern (Amanda Holden for example). It is perfectly normal and just simple genetic variation, however, many women are very distressed by it. It does look a bit like male pattern hair loss (particularly temple loss) and can give a masculine look sometimes and so women do try to hide it with fringes, scarves or more elaborate hair cuts. High female hair lines can be treated very successfully with hair transplants however – hair transplant information

Male hair line advancement

Hair line advancement surgery (not hair transplantation) is often used in male to female transgender reassignment surgery, when there is extensive frontal loss only. It literally involves pulling hair forward, from further back on the hair bearing scalp, to join with the top of the forehead (the skin in between is removed). It gives quick results but has limitations – the hair further back needs to be thick and dense, and the new hairline still tends to be receding, so will still need hair transplants to give a more curved, stereotypical feminine pattern.

Flap Rotation – Juri Flap Hair Loss Surgery
This hair loss surgery involves raising a flap of the hairy skin from the side donor area (above the ears) and rotating it into an incision made in the frontal hairline. The two flaps from either side then meet in the middle of the hairline. It gives a very strong hair line but unfortunately it tends to be too thick and straight and because of this unnaturalness, this type of hair loss surgery is rarely used nowadays. Variations of this hair loss surgical procedure are used to restore patches of hair loss when patients have scalp burns etc. The alternative is:

Balloon Expander Hair Loss Surgery
This technique implants an expandable balloon of saline under the scalp which is slowly filled in size over a number of months. This gradually stretches the hairy skin enabling the surgeon to cover a large gap of missing hairy scalp (typically a burn) in one operation. If the skin wasn’t prestretched, it would contract back and the scar reform. The surgical hair loss methods above are probably the most well known and relevant techniques used and there are many variations of them.

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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.