Your Hair Transplant Questions Answered by Dr. Ziya Yavuz
Jonas Butt - Medical Content Writer
Posted Oct 4, 2022
Dr. Ziya Yavuz is a hair transplant specialist with his own clinic in Istanbul. With almost 20 years’ experience, he has an impressive record that elevates his expertise on the procedure to an extensive understanding. He not only uses his knowledge to employ up-to-date techniques on his patients, but also to give personalised service to them.
He recently shared some insights with us, unpacking some of the main concerns people have about hair transplant surgery. If you’re worried about hair loss and are thinking about getting a transplant, Dr. Yavuz’s elaborations might help you feel more confident about going ahead with it.
What Goes Into the Process of Designing a Patient’s New Hairline?
Designing the new hairline lets the patient envisage their new look and informs the surgeon how much balded area there is to fill in. Dr. Yavuz stresses the importance of this initial process in detail:
‘First of all, the front hairline should be natural. It should match the person's age. It should be in harmony with the facial features. I attach great importance to these 3 rules when drawing the front hairline on my patients. If an unnatural front hairline is drawn, the result will look very bad no matter how many grafts are planted. But when the front hairline is natural, even if few grafts are planted, the result can be very impressive.
Before I start drawing the front hairline, I take some measurements on my patient's face. I identify some numbers and make a drawing in line with those numbers. After drawing the front hairline according to the numbers, I make small changes in the front hairline according to the person's head shape, age and the graft structure, and then give the final shape.
The gender of the person is also very important when creating the front hairline. For example, while transplanting in the temple area, I usually leave the temple open for male patients. Otherwise, men may have a feminine front hairline. Or vice versa, if we leave the temple open for female patients, there will be a masculine front hairline.
Along with a natural drawing in the front hairline, the direction of hair growth and transplanting are also important. In the channel-opening phase of hair transplantation, the direction of hair growth should be at the right angles and in the right directions. This process is completely related to the dexterity of the doctor. In order for the transplantation to be correct, single grafts must be planted on the anterior hairline. Otherwise, there will be no natural front hairline.’
What Is the Difference Between Filling in the Crown Area and Bringing the Hairline Forward?
Hair loss can often strike at both the front hairline and the crown area, creating two points of balding for the transplant surgeon to tackle. However, these areas actually require different considerations, as Dr. Yavuz explains:
‘When planning my patient's hair transplantation, I generally divide the transplantation area into two areas: the anterior half and the posterior half, the latter being the crown area. If the patient has both anterior and posterior baldness, I plan to transplant more grafts in the anterior half in the first session. The reason for this, unfortunately, is that both halves do not get covered well in a single session. If the crown area is bald, good coverage is usually achieved in two sessions.
When transplanting, we transplant single grafts on the front hairline, and thicker and more multiple grafts with 3 or more roots in the crown area.
All corner areas of the body, such as heels, knees and elbows are areas with poor circulation. Since the crown is also a corner area, its circulation is less than the front half of the head. Therefore, sometimes some of the transplanted grafts do not come out healthy. I inject PRP during transplantation to increase the circulation of the crown area in my hair transplantation operations. Therefore, the percentage of the viability of grafts transplanted in the crown area is generally good.
In addition, since the skin of the crown area is thick, the opened channels should be opened 1mm deeper than in the anterior region. Otherwise, superficial grafts may lose their vitality.
While forming the front hairline, the angles and directions of the channels are slightly narrower, but in the crown area, the angles should be slightly steeper. Also, in order for the hair transplant to be natural, the spiral in the crown area should be made by the doctor in accordance with the original.’
What Do You Say to Patients That Want the Procedure Without Having to Shave Their Hair Beforehand?
Shaving your head for a hair transplant is standard procedure, since it makes it easier for surgeons to both extract and plant follicles. However, exceptions are sometimes made.
‘In order for hair transplantation to be a successful procedure, I think it must be completely shaved, because when it is, the planting area can be seen more clearly, making it a cleaner process. But sometimes our patients want a shaveless transplant - especially my female patients - so we do offer shaveless transplantation. We only shave the donor area from which we extract, and we can transplant grafts in the transplant area without shaving. In order for a patient to be suitable for shaveless transplantation, less than 3000 grafts must be transplanted and the hair in the donor area must be long enough to cover the shaved donor area.’
What Factors Can Make the Recovery Processes Different Between Patients?
Before the transplanted hair can start growing normally, there is a phase of recovery to get through. Typically, the full results of a hair transplant will take between 9 - 12 months to completely show. There are a number of individual factors that affect the process, which our partner doctor points out:
‘The recovery period after hair transplantation lasts for about 10 days, and after 2 weeks it is not understood that the hair transplant is done because the transplanted hair also grows. Of course, recovery time is different for everyone. If the person does not have any chronic diseases such as diabetes, hypertension or circulation problems, recovery is faster. The PRP solution that we inject into the scalp during hair transplantation also has a healing effect. But in general, recovery after hair transplantation is affected by all of the following factors:
Chronic ailments, if any
Number of grafts transplanted
Experience of the doctor and team
Patient’s compliance to the aftercare routine
Quality of the donor area
Products used during and after the transplantation
Diameter, sharpness and material of the harvesting tool (‘punch’) used in FUE hair transplantation
Blades used for opening channels
I open the channels, that is, the sockets of the grafts, with Sapphire blades in order to accelerate the recovery after hair transplantation. Because sapphire blades are sharper than steel, they are smoother at opening channels; a properly opened channel also heals and closes faster. Again, the punches we use while collecting the grafts are micro-punches with a diameter of 0.75 - 0.80mm, so it creates less trauma. I also recommend special lotions, shampoos and products containing Aloe vera to my patients for faster healing of the donor and transplant area. Aloe vera visibly accelerates wound healing.’
What Medication Should Patients Take After the Transplant?
There are various medicines on the market that can help boost the results of your transplant. Patients under Dr. Yavuz’s care receive recommendations personally suited to them.
‘After a hair transplant, I give antibiotics, painkillers and steroids to my patients. Normally, the risk of infection on the scalp is very low; the antibiotics are purely for protection. The person may be exposed to a dusty environment or the water in which they wash their hair after the operation may not be clean - that's why I prescribe antibiotics for one week. In my hair transplant operations, there is usually no pain after the operation. I give painkillers for the comfort of the patient. I also recommend some herbal supplements and vitamins to my patients for better results, such as saw palmetto, nettle leaf extract, horse chestnut, biotin, zinc, and vitamins B5, B6 and B12. If there are chemical drugs that my patients must use, then I also recommend finasteride or minoxidil, but I don't give them to every patient. I choose these drugs based on my patient's graft quality, age and hair structure. If my patients do not want to use chemical drugs, I also recommend further herbal supplements, serums or local treatments such as PRP and mesotherapy.’
You’re Guaranteed to See an Expert When You Book Through Qunomedical
We understand that committing to a hair transplant is a big step, but we also know just how much having a fuller head of hair again can boost people’s confidence. We’ve helped thousands of patients travel abroad for their procedures, where professionals like Dr. Yavuz perform outstanding surgery for a much better price.
Reach out to us so we can tell you more and send you a free quote. We’d be happy to help you get your hair back.