Cosmetic surgery for baldness is aimed mainly at androgenetic alopecia – i.e. hair loss that occurs for genetic and hormonal reasons; it represents 90% of cases. As a result, a prior consultation is essential to define the procedural indication correctly and optimise the results.
At our Centre, we make every effort to reproduce hair growth naturally by using implants that are as small as possible:
while respecting the anatomy of the follicles (hair roots are naturally grouped into small “families” of 1 to 3 bulbs, which we respect). As a result, this surgery will achieve a very high cosmetic result.
The procedure takes place under local anaesthetic only, with or without the help of relaxing premedication.
A strip of hair is taken from the back (donor zone) in the occipital region of the head where the hair is programmed to last a lifetime. The strip is 10 to 20 cm long and 1 to 2 cm wide, depending on the flexibility of the scalp, the density of the hair and the number of grafts planned. These details are established during the first consultation.
The strip of hair is taken immediately by the team, which then slices it up based on the criteria stated above.
The area to receive the graft (recipient zone) is then prepared: Local anaesthetic, infiltration of the scalp to allow for very small incisions to be made (specific locations or like slits), corresponding to the grafts to be put in place. The incisions are counted and strictly match the number of grafts prepared.
Finally, 2 or 3 assistants meticulously insert the grafts.
The technique we use, as you can see, is exclusively manual. We do not use any mechanical instruments – either for taking the graft, slicing it or reimplanting it. This enables us to save as much hair as possible, unlike mechanical methods that are much faster, but which waste hair.
Using a laser to remove the hair is totally pointless. Using one to reimplant the grafts has demonstrated slower and less dependable regrowth on account of the “carbonisation of the edges”.
Our meticulous technique, which is totally manual as we have just seen, obviously takes longer and the procedure lasts for 2 to 4 hours in total.
The post-treatment rules are simple:
Who is able to benefit from this hair surgery? Men usually, but also women of any age (from 19 to 85!).
Diffuse hair loss is the condition we encounter most frequently, but it is entirely possible to treat a scar caused by an accident, from surgery or resulting from any other issue with the scalp.
Finally, a graft can be used for the eyebrows, eyelashes, moustache, beard, pubis, and scars from lifting procedures.
As an outline, we will transfer 500 to 1000 grafts in a session (sometimes more), which equates to implanting 1000 to 3500 hairs.
While for the receiving area we can estimate accurately the number of grafts we will put in place, it is absolutely impossible to define exactly how many hairs we will take for the grafts.
Patients think they will pay more for having more hair grafted. Only the donor zone can dictate that, because the denser the hair is in that area, the more grafts we will be able to harvest, all of which will be reimplanted. To ensure everyone’s satisfaction, we don’t waste a single hair!
Also, it is impossible to verify the number of grafts and this can create a climate of suspicion between patient and doctor.
Our policy, therefore, is to charge a fixed amount, which we put at between €2,450 and €3,000, depending on the extent of the work to be carried out. This fee is all-inclusive and extends to immediate post-procedure and remote follow-up.
This means that only the initial consultation will be charged in addition.