Microsoft word - hair transplantation.

Aesthestic Plastic SurgeryMaxillo-facial SurgeryFollicular hair transplantation Hair transplantation
Prior to treatment:
No aspirin or other medicine that thins the blood should be taken (otherwise there is anincreased tendency to haemorrhage)No sedatives are to be taken on the day of treatment. You will receive the appropriatemedication from us, if required.
Please wash your hair before you leave home or on the morning of the operation and do notuse any hairspray!Please have a light breakfast on the day of the treatment.
Only in case of general anaesthetic / sedation treatment: Do not eat / drink 6 hours before theoperation.
ClothesIf possible, please do not wear a shirt or piece of clothing with a wide neckline on the day oftreatment so that hair transplantations are not put to risk by a neckband that is too tight whenputting on or taking off clothes.
If you have an Allergy Pass: please bring it with you!Your hair should not be cut too short at the point of treatment. A hair length of approximately 2-3cm is necessary in order to provide adequate cover of the area from which hair is taken.
Please massage the back of the head strongly right down to the nape of the neck every day inthe weeks leading up to the operation. The loosening of the scalp makes it easier for yourdoctor to remove the tissue and then close this area.
Treatment Procedure
Hair transplantation is usually carried out under local anaesthetic. Treatment can also be carriedout under sedation, if requested. The hair is parted in the treatment area at the back of the headand a strip of skin with the roots of the hair is removed under local anaesthetic. The edges ofthe area from which the skin is removed are then finely stitched up. The previously parted haircovers this suture so that the area from which the skin has been removed is not noticeableduring the healing process.
Individual grafts (follicular units) are prepared during this period of time: The strip of skin isdivided up into hundreds of individual transplants whereby one micro graft contains 1-2 rootsand one mini-graft contains 3-4 roots of hair. The result of this almost microscopic work is tinyskin spots measuring a diameter of between 0.7 and 1.3 mm in size. Each root of hair isincorporated into the circulation of the blood and thus remains completely functional, becauseall roots are completely intact and surrounded by tissue when removed.
MiraMed, Berchtesgadner Str. 11, 5020 Salzburg, Tel 0662-83 08 08, Fax 0662-83 08 08-11, www.miramed.at, The appropriate amount of transplant incisions is now created in the balding area. The preparedtransplants are inserted with tweezers. The treatment is over when all transplants have beeninserted.
If possible patients should remain in our clinic for a further 30 to 60 minutes after treatment.
You can then go home or travel to your hotel.
After treatment:
 A P P E A R A N C E
The small scabs that form on the transplants will fall off within 10-14 days when you wash your hair. Underneath you will see pale pink spots at first (like with any other wound that ishealing). You can cover these spots with concealer to make them invisible if the remaininghair does not cover them completely. The area from which the skin is taken does not standout as it is covered by the remaining hair on the rear of the head.
 W A S H I N G Y O U R H A I R
Please wash all your hair daily after the second post-operational day; wash your hair carefully with a mild shampoo (i.e. a baby shampoo). The scabs will fall off within the first 10 -14 days.
If scabs still remain on the head after this period of time, you can carefully soften and thenremove them. You can use a shampoo of your choice after 14 days.
 S T Y L I N G Y O U R H A I R
You should comb your hair carefully over the first 8 days in order to ensure that the teeth of the comb or the brush do not get entangled in the hair and entwined with the scabs. Youshould also avoid using hairspray for the first few days after the operation. You can, however,style your hair over the treated area as usual until the transplanted hair becomes sufficientlylong. There are otherwise no restrictions. Please avoid chemical treatments (colouration,perm etc.) for approximately 8 weeks, until the scalp has completely settled down again.
 T H E S U T U R E
The stitches in the suture should be removed 10-14 days after treatment.
It is neither difficult nor painful to remove the stitches. This can also be carried out by you G.P. or other specialists, if requested.
Everybody has a different perception of pain. This usually goes from “no pain at all” to “bearable wound pain”. We will therefore provide you with a prescription for suitable painkillers, just in case.
MiraMed, Berchtesgadner Str. 11, 5020 Salzburg, Tel 0662-83 08 08, Fax 0662-83 08 08-11, www.miramed.at,  S W E L L I N G
Swelling can occur as a completely natural tissue reaction. This normally appears a few days after treatment in the area of the brow and upper facial region. This swelling is not normallypainful and subsides within a few days.
 H A I R G R O W T H
The stubble remaining in the transplanted roots of hair is often (but not always) repelled during the operation, within the first two weeks. This is a completely normal reaction.
The hair bulb, however, establishes new hair, which is visible on the surface of the skin after approx. 12 weeks. One year after treatment the hair will be approx. 10 cm long – andcontinues to grow throughout a person's lifetime. You have up to 98% assurance that thetransplanted hairs will grow in the balding area.
 H A I R T H I C K N E S S
Even if we can transplant hair to already bald patches and thus provide our patients with a rejuvenated appearance; we cannot multiply the amount of existing roots – we can onlyredistribute them cleverly. We will never be able to recreate the thick hair of a 16 year old.
Numerous treatment sessions may be necessary in order to attain the required opticalthickness of hair depending on the initial situation.
 H E A L I N G P R O C E S S
The healing process is, of course, not the same for everyone. It can take between one and three weeks depending on the patient’s skin type till the treated areas do not stand out. Inmany cases you can comb your own hair over the treated area and thus “camouflage” it (likewith the area from where skin was taken at the rear of the head).
 F O L L O W – U P T R E A T M E N T S
If you are thinking of having further treatment sessions then we would recommend that these are carried out no earlier than four months after the initial treatment. The reason for thiswaiting time is that your doctor can only evaluate the complete treatment result after thisperiod of time and thus plan and carry out any further treatment or thickening you haverequested.
 P O S S I B L E R I S K S
The risk of infection can never be ruled out as with every surgical operation. It is, however, extremely low when the operation is carried out by a team of experienced surgeons.
Spots:Small spots sometimes occur. These are usually in-growing hairs (like in the area of skin around the beard). These spots can be immediately made to subside by opening, squeezingand finally disinfecting them.
MiraMed, Berchtesgadner Str. 11, 5020 Salzburg, Tel 0662-83 08 08, Fax 0662-83 08 08-11, www.miramed.at, There can be a slight loss of feeling in the treated area at times. This arises, because the fine networks of nerves have been affected and it takes some time for fusion to take place. If thisis the case then it could take up to 12 months until these fine nerves have regenerated.
Please pay attention to the following in order to ensure that the healing process goes as
smoothly as possible:
Activity:
You should avoid carrying out any heavy physical work, especially lifting heavy objects, within
the first three days after transplantations. You can return to your job on the day after the
transplantation as long as you do not carry out any heavy physical work.
Sport:
Wait for three weeks before doing sport or cut down to a reduced programme depending on
the type of sport you do.
Sauna:
Do not go to the sauna for the first three weeks.
Sun/Solarium:
The treated area should not be overexposed to the sun for four weeks.
Salt Water:
The treated area should not come into contact with salt water for the first ten days.
Helmets:
You are not to wear helmets (motorbike, bicycle, construction etc.) for two weeks.
MiraMed, Berchtesgadner Str. 11, 5020 Salzburg, Tel 0662-83 08 08, Fax 0662-83 08 08-11, www.miramed.at,

Source: http://www.miramed.at/uploads/media/Hair-transplantation_en.pdf