Regular Clinic Hours
Monday - Friday: 9:00am - 5:00pm
Tuesday: 9:00am - 6:30pm
Saturday: 10:00am - 3:00pm
Fax: 408 996 0300
1471 Saratoga Ave., #200
San Jose, CA 95129
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Hair Restoration Frequently Asked Questions
Our mission at Jenesis Hair Transplant Center is to consistently provide high-quality, permanent hair restoration results to all our patients. We are committed to treating each patient individually, taking into account their personal needs and aspirations.
Our commitment is to deliver our services in a friendly environment that offers ease of mind, comfort and convenience before and during the hair transplant procedure. KHR is constantly aligning itself to the highest medical standards and high-performance equipment that bring visible benefits in the shortest time possible.
Hair Transplants FAQ
- Does Follicular Unit Transplantation leave scars?
The art of a hair transplant is to conceal the scars. When performed by our skilled hair technicians, Follicular Unit Hair Transplants will only be detected by thorough expert medical examination. The donor site however will have a very fine scar completely hidden by your hair.
- Does it look natural?
Yes. Carefully and skillfully performed Follicular Unit Hair Transplants look very natural, and with single hair follicular unit grafts a natural-looking regular hairline is attainable. It is almost impossible for a lay person or even a hairdresser to detect
- Is Follicular Unit Transplantation permanent? Does it really work?
Transplanted hair behaves in a similar way to the hair where it was taken from. It will last a lifetime for most people or at least into old age when the procedure is done correctly. We simply re-distribute existing permanent hair to your thin areas. Sometimes in old age one may experience hair thinning throughout the donor area. If this happens then the transplanted hair will follow suit.
- Will I need time off work after my surgery?
This depends on your type of work. If you don’t have a physical or strenuous job, medically you can generally go back to work after just a couple of days, otherwise return after 7. The other consideration is from a cosmetic view. If you do not have sufficient hair to cover the donor site or if you are very concerned about anyone knowing, then its probably best to have your surgery just before a week’s holiday or so. You will be able to wear a hat immediately after surgery. The sun will not damage your grafts, but as your scalp will still be numb you need to wear a hat to avoid sunburning your scalp.
- Are there any bandages after the procedure?
No. There is no need for bandages after modern hair transplantation. A small dressing may be applied to the back of the head where the hairs have been taken from. This may be required to stay on for up to 24 hours.
- When will I notice any growth from my new hair?
The initial hair that is transplanted will normally fall out within the 1st 8 weeks and the new hair growth will break through skin after 3 months after the procedure. However, it can take up to 6-8 months for the new hair to make a significant cosmetic difference to your appearance. Hair continues to mature for over 12 months after surgery.
- Can anybody have a Follicular Unit Transplant?
Yes, except for hemophiliacs and people with significant or relevant medical conditions. Sometimes, although physically you can have a transplant, the surgeon may advise against it for a variety of reasons including your young age, future hair loss considerations, high expectations, etc.
- How long will it take before I achieve what I’m looking for?
Our hair transplants will generally restore 25-35% of the original density in the treated area of the scalp after one operation. For most this is suffient to give a good hair coverage. It is generally not possible to achieve greater than 50% densitity even after a 2nd treatment.
- Is age a limiting factor?
There is no upper age limit if a person is in good health. Lower age limit is very much dependant on the degree of hair loss. Generally speaking, it is very unwise to consider hair transplant surgery if you’re less than 25 years of age, at a very early stage of hair loss and have a family history of advanced hair loss.
- Will I regain a full head of hair?
Not literally. We are only redistributing your existing permanent hair to your thin or bald areas. We are not creating new hair. Having said that, in expert hands the limited donor hair available can be used to create the illusion of a lot more hair in people with significant hair loss. In extensive baldness, the most important achievement will be to restore frontal scalp hair and the hairline to create a frame around the face. This will improve how you look to yourself and to others.
- What is the different between Strip and FUE hair transplant surgery
The only difference in the 2 treatments is the way in which the hair is extracted from the back of the scalp. The implantation process is the same.
Strip procedure requires the harvesting of a strip of scalp from the donor area. The strip is only 1 millimetre in diameter and is removed using a small scalpel. The strip is placed under a microscope and divided into grafts containing 1 or 2 hairs.
Follicular unit extraction (FUE) is a process that utilises a small punch tool that removes hairs from the donor sites. The tool removes grafts that contain either 1 or 2 hairs. FUE procedures use a much larger donor area than strip procedures. The punch tool will likely be used across a large area of the scalp to extract healthy hairs.
Both procedures insert 1 or 2 hairs at a time into tiny incisions. Some patients find that the incision sites for strip procedures are somewhat larger and more noticeable than that of FUE procedures. Both procedures require incisions that are less than 1 millimetre in diameter.
Strip procedures are beneficial to those who have large areas of balding. This is because a much larger number of grafts can be harvested per hair transplant session.
Individuals who wish to keep their hair shorter than 2 centimetres, may prefer FUE procedures. These procedures have less scaring than strip procedures because they do not require a large harvest site.
The surgical team will help patients determine which procedure is best.
- How long does the hair last after hair transplant surgery?
The follicles that are transplanted during the surgical procedure will last for the lifetime of the patient. These hairs are genetically resistant to balding, which means they will never fall out. Some patients, however, may not experience hair growth for up to sixth months following the hair transplant procedures. Additionally, some patients may experience initial hair loss due to the transplantation process. These hairs will grow back in 2-6 months. Once the hair begins to grow normally, it will continue to do so for the patient’s lifetime.
- Does hair transplant surgery hurt?
No. Patients undergoing hair transplant surgeries are given local anaesthetics during the hair transplant procedures. Most patients do not report any pain during the procedure, however, there may be slight discomfort during hair insertion and extraction.
After the procedure, patients will experience some minor soreness and numbness. The majority of patients find that the surgery and recovery are far less painful than they expected. It is advised that patients wear shirts that can be unbuttoned on the day of the surgery and for a few days afterwards. This is to avoid accidentally rubbing the scalp, which may cause pain or discomfort the first few days after surgery.
FUT procedures and other cosmetic surgeries that cut or remove portions of the scalp, will result in more pain and tenderness than less invasive surgeries.
Ultimately, the recovery time of hair transplant surgeries is short and relatively pain free
- Should I have my hair cut before hair transplant surgery?
It is not necessary for the hair to be cut prior to the transplant surgery. FUT surgeries require the removal of a small strip from the scalp. If patients wish to hide this scar, the hairs surrounding the donor site must be at least 2 centimetres in length.
Generally, hair transplant surgeons will cut or shave the hair during the transplant procedure. However with FUE the patient has a no1 cut all over.
Due to the inability of patients to predict the length of hair necessary for the hair transplant procedures, it is best to refrain from cutting the hair prior to surgery.
- Is there any special aftercare following hair transplant surgery?
It is extremely important to follow the aftercare procedures of the hair transplant surgery. During the first night following the surgery, the grafts are still sensitive and could fall out of the incisions if touched or manipulated. Avoid pulling shirts over the head. Do not brush, comb, rub, or even touch the transplanted hair for at least 24 hours after the surgery.
Patients should sleep in a mostly upright position the first three nights following the procedure. This will avoid accidentally rubbing or shifting the grafts.
The surgical team will provide each patient with a bottle of lotion. This lotion should be sprayed on the transplanted hair every 30 minutes for the first night following surgery.
It is important that patients wait at least a week before taking a shower. The force of the water could cause the grafts to shift or fall out. Patients must also wait 48 hours before shampooing their hair. A mixture of water and ph-based shampoo should be gently worked into the hair and scalp. Water can be gently poured from a receptacle over the patient’s head, but faucets and showers should be strictly avoided.
If a portion of the scalp was removed during the hair transplant procedure, it is important to vigorously clean the incision every day. This can be achieved by firmly rubbing the scar or by using a small cleaning brush. Washing the incision helps prevent crusting, which can result in a longer recovery time and increased scaring. Additionally, antibiotic cream should be applied to the scar twice a day for the first week following the procedure. This cream will help prevent scaring and infections.
Physical activity should be avoided as much as possible in the first week following surgery. This includes refraining from sexual activity and rapid movements of the head. Patients should not bend forward, shake their head, or blow their nose too strongly. These activities could result in the loosening of the grafts.
Patients should not submerge the hair in water for at least two weeks following the surgical procedure. This includes swimming. Patients must also abstain from alcohol for at least 48 hours following the surgery and avoid sun exposure for as long as the insertion sites remain red and raw.
It is important that patients take the full dose of the medications prescribed by the surgical team. Even if patients are not experiencing pain or swelling, they must take the full dosage of medication.
Patients may begin or continue taking minoxidil about five days following the surgery. Propecia can usually be taken before, after, and during the surgical procedure.
There are a few issues that may arise in the days or weeks following the hair transplant procedure. Swelling commonly occurs in the first few days after surgery. Ice can be applied to the forehead, but should not touch the grafted area. Icing the grafted area could result in the death of the grafted hairs. Ice can be applied to the donor area at the back of the head if necessary.
Bleeding can occur as a result of the surgical procedure. Patients are advised to apply pressure to bleeding areas with a compress or clean linen.
Decreased sensitivity is another possible side effect within the first few months after surgery. Most patients regain full sensation in the scalp within one year of the surgery.
Patients may also experience crusting around the grafted follicles. This is completely normal and the crusts will fall off on their own around a week after surgery. It is important that patients refrain from picking at the crusted area. Picking could result in the removal of grafts.
Patients will need to return to the surgical site to have their stitches removed about two weeks after the surgery. The surgical team will check the healing progress to ensure a healthy recovery
- How Soon will Grafts Grow After a Hair Transplant?
Everyone is different but on average the new hair will begin to emerge from the surface of the scalp at the four month mark following surgery. The range within individuals is from 2-6 months and is not easily predictable. However, results will continue to improve for around 18 months following a hair transplant:
- A postoperative evaluation at 5-6 months should show early new transplant growth
- Abundant growth and consequent cosmetic coverage is not anticipated until the nine-month mark following the procedure
- By 12 months most all of the transplanted hair has begun growing
- Over the ensuing six to twelve months the individual hair shafts thicken to a fully mature state and this contributes significantly to the overall appearance of the transplant
A man or women with prior transplantation – particularly that done in the intermediate or remote past will not experience growth until later.
- What Should I Expect to Look Like after the Procedure?
For the first week following the procedure the transplanted are will have small crusts associated with the creation of the receptor site incisions and a variable degree of redness depending on a patient’s skin type. Swelling of the forehead is a potential consequence of a hair transplant; particularly one focused upon the hairline and frontal aspect of the head. After a week or so, this subsides and the appearance is normalised.
The sutures placed inconspicuously in the donor region are removed on the 10th day following the transplant.
The transplanted hair frequently responds to the act of relocation by entering the dormant or resting stage of the hair growth cycle. When a hair enters this stage the hair shaft breaks off and is shed leaving the follicle residing beneath the skin alive and well.
From this resting follicle a new hair shaft will grow in 3 to 4 months. The hair then continues to participate in the natural cycle of hair growth for several years alternating with ‘rest periods’ of several months length.
- How soon can I wash my hair after the procedure?
You will bathe the next day and wash your hair at that time. We will give you specific post-operative instructions on the day of your procedure as to how to care for your hair in the post-operative period. In short, the transplanted zone is washed by gently pouring a mild shampoo and water mix over the head and similarly rinsing is accomplished by carefully hand pouring water over the transplanted zone.
The remainder of your scalp including the sutured donor region can and should be washed in a normal fashion on a daily basis following the transplant. Hair can be either air dried, gently patted dry with a towel or dried with a hair dryer on a cool setting.
- How Soon Can I Dye My Hair After a Transplant?
>We recommend that you wait five to six weeks after the procedure before coloring or dying your hair. Hair can be colored within the week leading up to the procedure.
You can have your hair cut or styled one week after the sutures are removed from the donor area. The sutures are typically removed ten days following the transplant.
- What Activities Do I need To Avoide After Surgery and For How Long?
We will provide you with a complete list of all activities that should be avoided in the post-operative period. Strenuous physical activity inclusive of vigorous aerobic exercise and power weight training should not be performed until two weeks following the procedure. After the sutures are removed at ten days one can slowly begin to reintroduce an exercise regiment beginning with cardio and slowing adding back weight training.
Early excessive movement and particularly stain on the healing donor wound can increase the likelihood of a widened donor scar. Ideally patients should reduce their activity profile and ensure adequate rest during the week immediately following the surgery.
- When Can I Go Back to Work?
We recommend taking at least taking three days off from work following the procedure.
Thereafter it becomes a question of one’s comfort level in terms of appearance as to the timeframe of returning to the workplace. As residual erythema (redness) typically lingers for 5-6 days after the procedure, many individuals take off a full week from work. In instances where a hat can be worn, detectability is concealed immediately.
- Do I Need a Certain Sleeping Position After Surgery?
We instruct you to sleep in a reclined position at about a forty-five degree angle. If you have a recliner at home this is an ideal sleeping device for the first several nights following the procedure. Alternatively, utilizing two or three pillows in bed will do the same.
- What is ‘Hair Shock’?
Any medical treatment for hair loss carries with it some slight risk factors. Shock occurs in a very small percentage of recipients of hair transplantations. Shock can occur when placing grafted hair between growing hair. Trauma from the procedure can cause some additional hair shedding. The strong hairs will grow back, while the weak hairs that were destined to fall out may or may not return.
- Will I experience ‘hair shock’ and if so how much?
The medical term for ‘hair shock’ is telogen effluvium. This entity is an event in which a population of one’s native hairs synchronously enter the dormant or resting stage of the hair growth cycle and are shed. A number of situations can precipitate telogen effluvium inclusive of a hair transplant. The impact on one’s appearance if he or she experiences ‘hair shock’ is usually not cosmetically significant, though on occasion the temporary loss can present an additional styling challenge to someone already contending with less hair than they are comfortable with. All competent hair transplant surgeons are aware of this potential consequence of a hair transplant and attempt to minimize it’s occurrence through careful recipient site creation and avoidance of injuring the native hair in the region. Our extremely small instrumentation further minimizes the risk.
The fate of a hair involved in ‘hair shock is related directly to its state of health. If the affected hair was genetically coded to live for an extended period of time then the hair will return as actively growing hair in about three month’s time. If conversely the involved hair was approaching the end of its natural life cycle, then the possibility exists that the transplant procedure may prematurely end this hair’s existence.
- How do I assess my risk of ‘hair shock’?
In general the higher the percentage of miniaturized hair one has and the more rapid the pace of one’s hair loss, the greater the risk of telogen effluvium shedding from surgery. Patients with longstanding and stable patterns of hair loss are less likely to be affected by ‘hair shock’.
- Can I Wear a Hair Piece While My Hair Transplant Grows In?
Yes, you can, but it should be clipped on and not attached with glue or another adhesive. Tape can be used in the front, but only so long as it is lower than the level of the grafts and will not interfere with the transplanted hair.
There are a variety of ways to transition out of a hairpiece, and we can help you work through these scenarios.
- What Complications are Associated with a Hair Transplant Procedure?
Today’s hair restoration surgery is a low risk and very safe procedure and complications of any form are a rarity. Infection is virtually unheard of provided one adheres to postoperative instructions. An adverse or allergic reaction to the local anesthesia is possible through practically never encountered.
Ingrown hairs can occur when the hair first begins to emerge from the scalp. These are a minor nuisance and will resolve completely. Postoperatively patients experience transient numbness in the donor region which abates within weeks. This is a normal consequence of the procedure. Swelling involving the forehead and in extreme instances the whole of the face can occur following a hair transplant; particularly one focused upon the hairline or the front of the head. If swelling occurs it begins the day following the surgery and resolves within the first five days postoperatively in most instances.
- Will it Really Look Natural?
Yes, proper use of follicular units will be detectable only under a microscope or to a trained professional. The only people who know will be those you tell.
Hair loss surgery is not what it used to be. Microscopic Follicular Unit Grafting as performed our team of Surgeons, has reached new heights of artistic and scientific perfection. “Natural” is by far the most common reaction we hear about our work.
- How Long will the Transplant Last?
The transplanted hairs will last and grow forever. This is the result of harvesting follicular units from the permanent zone of hair in the back and sides of the scalp. This hair is genetically different than the hair on the top of the head and within the crown that is affected by the hormone DHT [the culprit in male hair loss responsible for miniaturization of the hair and eventual baldness.
When these ‘lifetime’ follicular units are transplanted they maintain their original immunity and thus grow as they would have within the donor area. This phenomenon is termed ‘donor dominance’ and though not entirely understood from a histochemical standpoint is the well established foundation for hair transplantation that is now time tested over nearly fifty years
- Are There Certain Types or Styles That Make Transplants Look Better?
Light hair on light skin has minimal contrast and results in a very natural look. Dark, thick hair on light skin is the most surgically challenging. This is true when dealing with either men’s or women’s hair loss. Curly or wavy hair can also give the appearance of greater density. When styling, it is better to part the hair to one side. This will create a layering effect and the appearance of greater density.
- How Thick Will it Be?
This is always a difficult question to answer. Density is a function of hair shaft thickness and number of hairs. One thousand thin hairs do not appear as dense as one thousand thick hairs. Your surgeon can help you understand this concept. The appearance of thickness or density will depend on how you style your hair, how much existing hair you have, how much hair you continue to lose, and how big the area is that you wish to transplant into.
Completely bald patients need to understand that, when they had full heads of hair, there were about 60,000 hairs on the portion of the head into which we usually transplant and about 30,000 hairs when they began to notice they were thinning. If you transplant 2,500 follicular units, you will get about 6,000 hairs. If you spread these out over the entire head, you can imagine that it will not look as thick as when you had 60,000 hairs over the same area. Having said that, the results of this type of procedure can make a dramatic and positive impact on one’s appearance.
- Can I Tell the Surgeon Where I Want the Hairline?
We work very hard to meet the needs of our patients. However, there are some patients that have unrealistic goals or do not understand how a transplant is going to look once it grows in. Our surgeons have a lot of experience designing hairlines that look natural according to age, race, and gender. More importantly, they understand how they will look once they have grown in. We enjoy working with our hair loss patients on the custom surgical plan, but if a patient insists on something that our surgeon believes would be cosmetically inappropriate, then the surgeon has the right not to perform the procedure.
- Is it possible to restore a full head of hair?
Although the cosmetic benefit can be dramatic a hair transplant by nature involves the relocation of hair that is redistributed within the transplant zone in a density that is less that nature’s original density. As such the goal of literally replacing all the hair that is absent from an area is usually impossible unless the involved area is quite small.
Fortunately the appearance of full or at least substantial coverage can be obtained by the introduction of a smaller number of hairs into the affected area(s) provided they are artistically arranged to create an optimal cosmetic effect. We have the technological proficiency to provide density on par with industry leaders and our team is unsurpassed in the even more important area of creative artistry.
- Will the Transplanted Hair be Curly?
Transplanted hair does tend to have a slight wave as we are extracting hairs from your donor area (which tends to be wavier) and creating natural looking results through follicular unit grafting. If your donor hair is straight, it will not become curly.
Occasionally following a hair transplant the emerging hair exhibits characteristics dissimilar to one’s native hair in the early stages e.g. excessive curl. It is felt that this uncommon and temporary phenomenon is related to collagen activity in the skin surrounding the grafted hair its impact on the hair’s attributes as the hair emerges from the skin’s surface. The usual outcome in this scenario is the normalization of hair characteristics over the ensuing twelve months.
- Why Does the Transplanted Hair Sometimes Initially Look Dry?
Dry hair is felt to be causes by excessively tight trimming of the follicular units during the graft preparation stage and the inadvertent removal of the sebaceous glands surrounding the hair follicle. These glands provide a lubricating action to the surface of the hair and skin and their absence can create dry hair. Proper attention to detail during the process of graft preparation eliminates this. This is a temporary post-operative effect.
- How Will I Know If I’ve Lost Any Grafts?
Every day following the procedure the transplanted grafts become more secure in the scalp. Graft loss should be only 1%. If a graft is lost it is almost invariably associated with some sort of trauma to the head and accompanied by bleeding.
Hair shedding is a different entity than graft loss and is expected following a transplant session. This hair will regrow after its dormant phase.
* All patients are actual patients of our practice who have provided consent to display online. Readers should understand that results do vary and not all individuals achieve the results depicted here.
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