How to do hair transplant?

Hair transplantation is carried out in a hospital environment by a team of hair transplantation specialists with approximately 4 to 8 hours of operation, by transferring the hair follicles from the donor area to the predetermined bald area. How is hair transplantation done by explaining the stages of hair transplantation? We will answer the question in detail.You will find detailed information about how hair transplantation will be. 

Hair transplant consists of 7 basic stages.


1-Preparation for Hair Transplant Operation

2-Preoperative Anesthesia

3-Collection of grafts

4-Preparation of Grafts collected for sowing

5-Opening Channels

6-Placing Hair Roots

Before the operation of the hair transplantation, there are some responsibilities of the patient in order to make hair transplantation easier and successful in the preparation stage for the hair transplantation operation. 

  • When deciding on the day of operation, you should choose a time period after which you can rest for at least 3 days.
  • Light meals should be eaten on the day of operation and a light breakfast should be served.
  • After the operation, in order to prevent damage to the hair follicles planted, it is necessary to go to the center of hair transplantation with easy-to-wear casual clothing. You should prefer open or buttoned clothes that will be comfortable to wear.
  • Your patient counselor will welcome you when you go to the hair transplantation center.

Hair transplantation center consists of 5 basic stages of preparation for operation.

Before the operation, your general health status is checked and some tests are required. The reason for this is to understand whether there are a number of problems in the hair transplant operation that would put your general health condition at risk. The tests to be carried out allow us to learn the existence of a situation that prevents you from having a hair transplant operation. In order to check the general health status, nurses take 1 tube of blood from your vein via the injection needle on the day of the operation and send it to the laboratory for analysis. Taking blood takes about 1 minute.

Your blood is thoroughly examined for sugar level, Hepatitis B, C and HIV viruses, blood clotting rate, and some other infections and viruses. Your blood values are checked carefully to see if there is any obstacle to hair transplantation. If there is no risk to the operation of the hair transplant operation, the process of preparation for the operation continues.

While some diseases constitute obstacles for hair transplantation, some precautions can be taken in the presence of some diseases and hair transplantation operation can be performed. You can take a look at our article “What diseases can be done in hair transplantation“ to find out whether or not hair transplantation can be done.

2. Signing of the Patient Approval Paper:

Although signing of the patient approval paper is a feared situation for the individuals encountered for the first time, it is mandatory to fill out a form in our country that is adequately informed before the operations and the consent of the patient is obtained. You should read the form carefully.

There are some points you should know before signing the patient’s approval paper:
  • Do not hesitate to ask your expert about the operation. Ask your specialist if you have any questions on your head before the operation.
  • Do not sign the given form completely without reading.
  • In addition to the patient’s approval paper, it is necessary to fill in a form asking you some questions about you. Please note that you must complete the information in this form completely correctly. This is very important for your health. Talk to your specialist face-to-face if you have a clue that you deem necessary.
  • It is very important for your health to know your allergies and diseases.
  • Please tell your doctor about the medications you use, whether or not you use vitamin aspirin or whatever you drink on or before the operation day.

3.Hair Treatment Planning:

After the approval paper is signed, a preliminary interview will be made with the expert and hair transplant planning will be started. Your expert in the forensic interview with you gives you the information you need to know about the operation. After that, hair transplantation planning starts. To ensure correct hair transplantation, do not cut your hair before the operation. Haircut is done at the center of hair transplantation after the hair transplantation planning. This is very important for accurate planning of hair transplantation.

The maximum amount of hair follicles that can be taken from the patient’s donor site and the amount of hair follicles required to close the patient’s bald areas are compared.


Forehead line planning is very important for a natural appearance in hair transplantation. For more information, please read our article “Why is the hairline important?”

What is done in hair transplantation planning?
After the decision, the regions to be sown and how many hair follicles to be made are marked with pencil.
  • How many grafts will be collected from the donor site,
  • How many hair follicles to transplant,
  • The shape of your forehead and where to start,
  • It is determined which hair transplantation technique to use.

4. Hair Shaving:

As we mentioned before, the most important point to know here is; your hair should not be cut beforehand. On the day of operation, your specialist should see the natural state of your hair at the center of hair transplantation for hair transplantation planning. After hair transplantation planning, haircuts are performed by nurses at the center of hair transplantation.

Today, unshaven hair transplantation can be done. If you have such a request, you should talk to your specialist in advance.

Hair transplantation without hair shaving, prolong the operation process and makes the operation a little difficult. The ideal hair length for hair transplantation is the number 1 shaved hair follicles. The number 1 haircut means about 3 mm hair length. The cut length is the ideal length for graft picking, especially with micromotor. After shaving, the patient is ready to hang on to the operation room.

5. Taking the Patient into the Operation Room

Hair transplantation operations are performed with special sterile operation clothes. The patient wears the operation suit given to him before moving to the operation room.

Hair transplantation operations are long-term operations that last between 4 and 8 hours. However, in this process, the patient will not feel any pain or pain due to local anesthesia. The patient who will be hungry during the operation of the hair transplantation can eat a light meal that will not disturb him when the operation is interrupted.

How to do hair transplantat? -Anesthesia Types-
  • Hair transplantation operations are performed under local anesthesia.
  • Because it contains various risks and is not necessary, hair transplantation is not done by general anesthesia.
  • Since local anesthesia creates a local numbness, the patient is awake and completely self-contained during the operation.
  • Some people may experience phobia-grade operation or fear of needles. In such cases, a needleless and short-term sedation may be performed to induce the patient during local anesthesia.

On the stretcher that is taken to the operation room, it will primarily lie on its face. For local anesthesia, the entire head area is disinfected. After disinfection, an injection needle and anesthetic drugs are applied to the nape area where the grafts will be collected. During the administration of local anesthesia, the patient may feel a small-scale burning. However, this burning passes within a few minutes. The duration of action of local anesthesia varies from person to person, but it ranges from about 15 to 20 minutes. Thanks to local anesthesia, the person does not feel any pain . If the person has a fear of needles, sedation is performed based on the principle of inhalation of anesthetic drugs prior to local anesthesia. The patient is sedated for 10 to 15 minutes with sedation. This process prevents the patient from feeling the local anesthetic process that lasts about 10 minutes. With sedation, the patient does not feel the needles to be made to the neck area for local anesthesia. After the local anesthesia, the effect of the drug is expected to show and then begins the process of hair transplantation.

3- Collection of grafts:

If the FUE Method is preferred in operation, How is Hair Transplantation performed?

Nowadays, the latest hair transplantation technique in medical literature is FUE. FUE is also the most widely used hair transplantation technique in the world. FUE is a technique that determines how the grafts are collected. The FUE Technique has two different applications. These are FUE with Manual-punch and Micromotor.

During the collection of grafts, which are the first and most basic stage of hair transplantation, the hair follicles in the nape region are loosened individually by manual punch or micromotor.

  • Manuel-Punch FUE
  • The hair roots are loosened by the needles attached to a pen called ir Piasemen “. The tool is not a machine. So it is also known as manual, ie manual purchase. After loosening, the hair follicles are collected with another tool, similar to the tweezers called micropen-set. This manual operation requires more labor and time than a FUE. The manual-punch method has been replaced by more micromotor applications today.
  • Micromotor FUE
  • It is a much newer and improved method than manual punch. FUE with micromotor, as the name suggests, is an electronic device. With the introduction of the micromotor device, many doctors have started to use micromotor, leaving manual-pierce. In the Micromotor device, which can be adjusted according to a specific application speed, the grafts are loosened by the needles at the end of the device and collected by means of micropen-set.

The hair roots loosened with one of these two applications are collected by means of a tweezers-like medical device called a pen-set. The collected hair follicles are taken into glass containers in the form of saline serum, which are prepared for planting.

After the graft is collected until the number of hair follicles to be sown, the donor area is cleaned and bandaged. The bandage in the donor area will not be removed until the first wash. In hair transplantation operations, the first wash can be done on the 3rd or 4th day with the recommendation of the doctor. The opening of the bandages and the first washing process is done by the hair transplantation center on the given day

4- Preparation of collected grafts for planting


After collection of the grafts, these grafts should be made ready for planting. While grafts are collected in hair transplantation, it is placed neatly by taking hair roots from grafts collected by nurses. The hair follicles that are separated individually are kept in a certain coldness and specially in order to remain alive until the sowing stage. The preparation of collected grafts for sowing consists of two basic stages. These consist of two stages: the collection of the collected grafts and the proper preparation of the hair follicles for sowing and the preparation of the correct grafts. These; removal of grafts and preservation of hair follicles.

Extracting the graft

The collected grafts include hair follicles and skin, fat, or tissue fragments. After these grafts are collected by means of the Micropen-set, saline is carefully separated from the unnecessary tissue pieces in the serum. Hair roots are taken and ready for planting. Extracted grafts are placed in a special solution by placing on gauze.

Preservation of Hair Roots

As is known, hair transplantation operations last between 4 – 8 hours. The collection of the grafts is between 2 – 4 hours. After harvesting, hair follicles should be kept in the most accurate way without losing their vitality until the planting is done. Because every 1 hair follicle is very important. The most preferred method in our country is known as “Saline Method Ul. In the Saline Method, hair follicles are stored in a saline solution known as ”saline”.

5- Grooving the hair channels:

Grooving is the most important stage of hair transplantation.

Grooving is the most important stage in hair growth that affects naturalness. In order to avoid pain or pain, local anesthesia is applied to the area to be sown before the opening process. It is important to note that: Local anesthesia is not limited to specific time intervals. Depending on the patient’s pain threshold, local anesthesia may be performed again during the operation.

Of course, all stages of hair transplantation are very important, but the way in which the channels are grooving is directly related to the natural appearance as it is directly related to the hair follicles’ exit directions. That is to say, the hair follicles to be transplanted should be transplanted at a natural angle so as not to give a grass image. Therefore, the most important stage of the question am How to Make Hair Transplantation is the grooving of channels.

What is a Natural Angle?

The concept of grass man, which was started to be forgotten due to successful hair transplantation operations today, emerged due to unopened channels. When you look carefully at your hair follicles, you notice that there are outlet directions and angles. The new hair follicles to be planted in your existing natural angle in which the channels should be opened in the most appropriate angle, depth and direction.

There are 3 basic points that specialicts pay attention to in grooving.

  1. Width and Hight of the Canal to Be Opened: For the natural image, the hair follicles that will be transplanted at the front forehead should be transplanted at a 30 degree angle and the hair follicles should be facing towards the face. The channels should be opened at a depth appropriate to the size and structure of the hair follicles.
  2. Angle of the Channel: The temple zones should be opened to the sides at an angle of 45 degrees. In the hill region, this degree increases slightly and can reach up to 60 degrees. Finally, the channels to be opened to the rear part are directed towards the neck.
  3. Direction of the Channel: The natural direction and cycle of hair follicles is made possible by the correct direction of the channel. The fact that the natural structure of your hair lies to the right or to the left, whether it is perpendicular or ahead, is related to the direction of the channel.

The correct depth, angle and direction are important in the grooving process. If the channels are not opened at the right angle, direction and depth for your scalp, the grass image is inevitable.

6. Placing the hair follicles:

In the first stage, the hair roots were collected, the second stage was removed and in the third stage the channels were opened. In the fourth and final stage, the hair roots that are kept in a cold environment are placed in the opening channels. The operation is completed after the placement of the hair follicles. The duration of this procedure may vary depending on the number of hair follicles to be sown, but may last approximately 1-2 hours. After the hair follicles are placed, the planting area is left open.

After October, the hair roots planted are very sensitive. It should be well protected against any pressure or impact. Most of the patients can crash into the car roof after the operation. Let us underline the need to pay attention to this issue.

The patient does not need to stay in the center of the hair transplantation after the hair transplant operation. After the operation, the patient can rest at home. Since it stays in the operation for a long time, it is preferable to have a person next to the patient when he returns home. After the hair transplantation, fulfilling the duties of the patient correctly will help your hair grow healthier.

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