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Hair Transplantation Frequently Asked Questions

What is a hair transplant?
It is a time proved medical procedure for replacement of hair in balding or thinning areas of the scalp. Hair transplant procedure uses one's own hair to replace the balding areas.

What is the procedure?
It is a small skin graft taken from the hair bearing area on the back of the head (donor area), and placed in the balding areas in a pattern that is aesthetically pleasing.

Where do you get the hair from?
The donor area is described as the "horseshoe" at the back of the head from ear to ear.

What happens to the "donor" area of my head?
With new techniques, the donor area is closed and the surrounding hair covers the site completely, usually leaving the surgery undetectable even immediately after the procedure. A scar is left in the where the hair is removed from the back of the scalp, but this is covered by hair around it.
However, the hair has to be long enough to cover the scar so you cannot buzz your hair to a short length and still cover the scar once you have had a procedure.

Can someone else donate hair to be used in my transplant?
No. We have to use your own hair.

What types of hair loss can be helped by this procedure?
The most common indication for hair transplantation is pattern baldness (androgenetic alopecia). Men and women in good health, between 18 and 75 years of age with sufficient donor hair, are candidates for transplant surgery. Other types of baldness that respond to this procedure are those which have resulted from accidents, operations, and inflammatory or infectious diseases of the scalp.

Can women with hair loss be helped by hair transplantation?
Yes. While women with an inherited tendency toward hair loss do not become totally bald, they can develop considerable thinning of the hair. Hair transplantation utilizing slit grafting has been used for several years to successfully treat hair loss in women. Dr. Al Rustom has special expertise in the treatment of female pattern alopecia with this type of procedure.

Does hair transplantation really work?
Absolutely. Hair transplantation results in permanent and natural hair which actually grows from the scalp. The hair can be cut, colored and styled as you please. The goal of the procedure is to improve or enhance the appearance in an undetectable manner, not to achieve perfection or a completely "full" head of hair. Many patients report that their results are so undetectable and natural that even their barber or hair stylist cannot tell they have undergone the procedure. Surgery is not an exact science, and because factors such as the healing process are not entirely under the control of the surgeon or the patient.

Is hair transplantation painful?
Hair transplantation is usually carried out using local anesthesia along with an oral sedative. Pain from the initial injections of anesthetic is generally mild and lasts less than 10 seconds. During the procedure, you will be relaxed and should experience no pain. Patients will usually watch a video or fall asleep during this time. After the procedure, the majority of patients require only Tylenol® for the remainder of the day. Finally, most patients report having less pain from hair transplantation than from routine dental procedures.

Can complications occur after hair transplantation?
Complications can occur following any type of surgery, but in our experience, the incidence of significant complications occurring after hair transplantation is exceedingly rare. The most common complications we encounter are minor in nature, such as swelling in the forehead, (which lasts a few days when it occurs), numbness on the top of the scalp, (which is usually resolved in a few months), and occasional ingrown hairs or cysts.

Is hair transplantation affordable?
Hair transplants are cost effective in that they can provide a permanent solution in the treatment of hair loss. Unlike hairpieces or hair replacement systems, hair transplants require no ongoing maintenance. Patients are charged by the session depending on the size of the area to be treated and on the amount of work necessary to create the desired result.
Dr. Al Rustom personally performs each procedure in a relaxed and professional environment. Unlike many clinics, patients are never rushed. Dr. Al Rustom spends a significant amount of time formulating an individualized treatment plan for each patient. Most patients can achieve a substantial improvement in their appearance in as few as two sessions. The total cost varies with the individual, of course, and depends on the number and size of sessions performed. This is determined by the size of the bald or thinning area, the patient's hair characteristics and the desired density. These factors will be discussed in detail during your consultation with Dr. Al Rustom.

What happens after surgery?
Following surgery, a dressing is placed on the head and can be removed the following day. The scalp is water rinsed the day after surgery and can be shampooed on the second day. Most people return to work or resume their normal schedule of activities by the second or third day after surgery. Vigorous physical activity should be avoided for one week following hair transplantation. Between two and four weeks after surgery, the transplanted hair enters a resting phase and will usually fall out. Approximately three months later, the transplanted hair reappears and continues to grow on a permanent basis at the normal average rate of about 1 cm per month.

How do I know which procedure is right for me?
Hair transplantation is a surgical treatment that provides a permanent solution for many patients with baldness and thinning hair. This treatment is sometimes performed in conjunction with scalp reduction, a surgical procedure designed to remove bald skin from the scalp. Certain types of hair loss may be more appropriately treated with medical therapy or with a hair replacement. To determine which method is best for you, we advise a thorough consultation with Dr. Al Rustom.

Does insurance pay for this?
No, this is considered cosmetic surgery.

Is there any guarantees that the transplanted hair will grow?
As in all surgical procedures results cannot be guaranteed. It is possible that some of the transplanted hair may fail to grow. Every effort will be made to give you the maximum yield from your transplanted hair. If a graft did not grow, we will replace it free of charge.

Do you use follicular unit grafts?
Yes, we use follicular grafts.

Do you use mircoscopes?
Yes.

Is Dr. Al Rustom board certified?
Yes, he is board certified.

See the Hair Transplantation Photos



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