How it works
Everything begins with a consultation. Your doctor will listen to what you are hoping for, examine your scalp, your thinning areas, and the area meant for harvesting, and assess your pattern of hair loss along with the thickness and quality of the follicles in the donor area. Together you will sketch out the hairline and the areas to cover, weighing your face, your age, and the chance of further loss over time, and then agree on roughly how many follicles to harvest and which method makes sense for your case.
A hair transplant is usually done under local anaesthetic, sometimes with light sedation to help you relax, which means the donor and recipient areas are numbed while you stay awake. Because the number of follicles is often large and the work is painstaking, the procedure can run for several hours, sometimes close to a full day, so you will sit or lie down for a long stretch of time. The exact type of anaesthetic will be decided by your doctor based on your health and the size of the area being treated.
Your doctor harvests the follicles from the donor area in small units. Depending on the technique, follicles may be taken one by one directly, or a strip of scalp may be removed and then divided into small grafts; each approach has its own advantages and its own marks left behind, and your doctor will talk through the method that suits you. The doctor then creates very small sites in the recipient area and places each follicle in, paying attention to the angle, the direction of growth, and the density, so that the hair flows in a natural shape and the hairline looks soft.
Because each follicle is placed by hand at the planned angle and density, especially along the hairline, this is work that calls for patience and an eye for detail. When it is finished, the recipient area usually shows only tiny pinpoint marks and the donor area is lightly dressed. The total time varies with the number of follicles and with each individual case.