Hair Loss

Why do I have hair loss?

There are a number of potential causes.  The most common form of hair loss in both males and females is androgenetic alopecia or genetic pattern baldness.  The effects of androgens or hormones and ones sensitivity to them is the main cause of hair loss.

Other causes of hair loss include telogen effluvium, autoimmune disorders and illness. 

What treatments are there for hair loss?

There are two FDA approved treatments for hair loss, Finasteride and Minoxidil. 

Finasteride is an enzyme inhibitor which reduce the level of DHT in the blood thus reducing its potency in the role of hair loss.

Minoxidil is a topical solution used to increase the number of hairs in the anagen phae of the growth cycle.  The solution also increases blood flow to the scalp providing a better environment for the growth.


Hair Transplant

Do I need to have my head shaved for the procedure?

In order to produce optimal results and accuracy in extraction, it is essential that the donor region is buzzed short.  This ensures quick and accurate extraction of follicles.  Female patients and males with longer hair can opt for an executive session in which only a small donor area is shaved, allowing the remaining longer hair to fall and cover the area.  This will require subsequent sessions to reach the total number required for the restoration.

Does the procedure hurt?

The procedure is performed under locally administered anaesthetic.  The administering of the anaesthetic is likened to a small dentist injection after which the area is frozen.  Once the area is anaesthetised there is no pain during the entire procedure.

How long do you recommend I take off work?

This will depend upon your desire to hide any evidence of the procedure.  Physically all patients are capable of returning to work after one week post procedure, however, evidence of the procedure is likely to remain.  The donor area typically takes one week to heal whilst the recipient region is likely to have scabs remaining up to four weeks. 

Why do the transplanted hairs fall out?

When a graft is extracted, it is extracted along with the DNA required for its regeneration.  When the graft is implanted in its new site (the recipient) the DNA will detach from the hair and regenerate in the epidermis (skin).  The original hair sheath will then become a DNA less body and as such will be rejected and shed by the scalp.  The DNA will regenerate and produce the new hair.

Will I get swelling post operatively?

The use of fluid and anaesthetic during the procedure causes a slight facial swelling for three or fur days post operatively.  This is not dangerous and is common in all procedures.

How do I take care of my hair post operatively?

Your recipient area will be sensitive post operatively and it is essential that you treat it with great care.  You will need to sleep at a 90 degree angle to ensure your head does not come in to contact with anything and that the swelling is decreased as quickly as possible.  It is important that you hair is washed carefully and we will provide special instruction on how to perform this process.

Do I need to use medications post operatively?

Though it is not 100% necessary Alvi Armani do recommend you minimally use a selected range of medications for optimal growth.  Post Transplant, it is recommended that Minoxidil is used for one year to increase blood flow to the new grafts.  This will increase the yield and success of the procedure.  Finasteride is also recommended to assist in the survival of your existing hair and to strengthen hair towards the crown and mid scalp.

What is Minoxidil?

Minoxidil is a vasodilator which increases blood flow to the periphery of the skin.  Minoxidil is an alcohol based product which can cause irritation to the scalp in a percentage of patients.  Alvi Armani have developed an alcohol free based Minoxidil to counteract this.

What is Finasteride?

Finasteride is a chemical compound which inhibits the enzyme 5 – alpha reductase.  5 alpha reductase is a naturally occurring enzyme which binds to testosterone and forms dihydrotestosterone.  dihydro Testosterone or DHT is the main culprit in hair loss.

When can I get my hair cut?

You can after one month, using scissors only to trim the hair.

What can I use to style my hair?

Post transplant we recommend not using any products which may be deleterious to the growth of the new grafts.  If a product is to be used it must be organic and contain only natural ingredients. 

How much donor hair do I have?

The amount of donor hair is dependent upon each patient’s individual characteristics.  The formula is simple, the amount of donor hair will determine the supply of grafts which will determine the demand which can be satisfied.  The demand must be inline with patient expectation and what is achievable.

How many procedures will I need?

The number of procedures will be determined by the number of grafts you require to meet the demand created by your expectation.  The more work required the more likely the procedure will spread over two sessions.  In instances where donor density is low the number of procedures may spread over three sessions.  

Will my donor hair look thinner?

In extracting grafts we will only be taking a smaller percentage relative to what you have naturally and as such the artistry and pattern in which they are removed ensures there is no aesthetic difference in appearance. 

How will the transplant look when it initially grows in?

The transplant will look natural but appear thin at first.  This will continue to thicken and increase in density over time.

How soon can I fly after the procedure?

An airline flight can be deleterious to the grafts as the air in the cabin is dry.  Dehydration of the scalp is common in this instance and will likely produce a suboptimal result.  Flights longer than 4 hours must be taken 5 days after the procedure and NOT before.

Can I drive immediately after the procedure?

100% No.  The anaesthetic may not have warn off for 24 hours.

Are there any instances when you would recommend taking more than one week off of work?

One week is typically enough, however, if you work in a dusty environment then the risk of infection is increased and as such two or three weeks is recommended.  The same applies if your job requires a hat or headwear.