Despite frequent questions from our patients for an opinion on vitamins for hair, biotin, natural remedies to accelerate hair growth, preparations against hair loss and various other means to stimulate, strengthen and boost hair growth we recommend only two drugs that are FDA approved (Food and Drug Administration ), i.e. Minoxidil and Finasterid. With our prescription they can be purchased at any better pharmacy.

Minoxidil

Minoxidil (Rogaine, Regaine, Pilfud) exists as a 2% solution for women and 5% solution for men. Minoxidil dilates blood vessels around hair follicles which increases the flow of nutrients and thus the growth of hair. It should be used as soon as possible; the best candidates are those who have thinning hair but have not completely lost hair.

The drug is rubbed into the scalp 2 times a day, 1 ml in the morning and in the evening. In a small number of patients it may lead to a re-growth of hair while in 80% of patients it is possible to slow hair loss. It must be used for six months to see improvement. Side effects are rare, but usually, it is irritation, dryness of the scalp, and fingers used to rub in the substance.

Finasterid

Finasteride (Propecia, Proscar) inhibits the type II 5 α-reductase, the enzyme that converts testosterone to dihydrotestosterone (DHT). It can stop hair loss. In 80% – 90% of patients it slows or even stops hair loss in androgenic alopecia. A small number of patients observe the thickening of hair in the crown area.

The recommended dose is 1 mg per day. Progress is seen after 3-6 months. In some patients, in the first few months of use, the side effect is decreased libido (sexual desire). When the drug is stopped using, the side effects cease.

Hair loss is a manifestation, not an illness, that is usually caused by our genes and hormones. It is the so called androgenic alopecia, which affects over 50% of adult men and 40% of women. There are other types of hair loss which distinction helps us in choosing the best treatment or surgery.

With a healthy back, the so-called donor, region on the scalp hair transplant surgery is probably possible. We always recommend a free consultation examination to assess the specific case, and determine the justification, the size and the cost of the probable FUE hair transplant intervention. If you are unable to come, you can send us photos and we can comment them over the phone together.

Causes of hair loss

Hereditary occurrence of hair loss (androgenic alopecia), an increased amount of the male hormone dihydrotestosterone (DHT) in the hair follicle and age contribute to hair loss or baldness.

Two androgen hormones play a part in the mechanism of hair loss, and they are testosterone and dihydrotestosterone. DHT is a derivative of testosterone. The enzyme 5-α reductase converts the relatively inactive testosterone in a more active form of DHT. The key enzyme in the androgenetic hair loss, 5-α reductase is located in and around the hair follicles. Once DHT is formed it has the ability to bind to androgen receptors on the hair follicle. Plain testosterone can also affect hair follicles but its influence on hair loss is significantly weaker. As a result of the interaction of these hormones and their binding to the follicles, we have a change in the quality of hair and its fallout.

Over time the hair growth cycle changes. The anagen phase (growth phase) is reduced while the catagen (transitional phase) and the telogen (resting and fallout phase) extend. The number of hairs in the resting phase and the fallout phase is increased from 10% to 20%.

Over the years, under the influence of DHT part of the affected hair follicles disappears, and most of the hair follicles are reduced. The hair that grows from these follicles over time changes so from long, thick and strong hair we get thinner, lighter and shorter hair. The sebaceous glands, which are located along the hair, continue to produce the same amount of sebum but as the hair is thinner we get the impression of an oilier scalp and hair.

Genes

The loss of hair occurs in people who have a specific genetic code in their chromosomes. This genetic code responsible for hair loss is carried on one or a group of genes and can be inherited from the mother or the father.

For the genetic code for hair loss to be active there must be a gene expression due to hormones, age, stress levels, etc. Specific hair loss genes have not yet been identified, but scientists agree that this gene or genes are responsible for the synthesis of: male hormones, the enzyme 5-α reductase and the androgen receptors in hair follicles, and these are the three main stakeholders in hair loss.

Hormones

The hormones responsible for hair loss are called androgens. Androgens like all hormones bind to specific receptors located in the cell membranes or inside the cells. Androgenic hormones may have different effects on individual hair follicles, so for example, can lead to hair loss in the scalp, but also to the growth of hair in the armpit, on the face or body.

There are three explanations of why in some people androgenic alopecia occurs, while in others does not although all have hormones and receptors that cause hair loss:

• In the part of the scalp where hair loss occurs, the number of androgen receptors in the hair follicles is larger than usual so that the same amount of androgens in the blood has a more pronounced effect (hair loss);
• Receptors in the follicles are more sensitive to androgens than normal;
• Increased activity of the 5-α reductase enzyme in areas where hair is lost leading to the conversion of testosterone to DHT. The higher the value of DHT as compared to testosterone, the more pronounced is the hair loss process.

Aging

The period of time for the loss of hair varies from person to person and depends on the personal genetic expression and the amount of androgen in her or his blood. It also requires a number of years during which the hair follicles will be influenced by hormones.

When there is no predisposition for androgenic hair loss, as people get older the part of hair in the scalp will become shorter in length and width. This process is called miniaturization of hair as a result of which such hair falls out, and the number of follicular units is reduced.

Stress

In some cases hair loss is associated with stress. The most common form of hair loss is telogen effluvium. With this type of hair loss the hair stops growing and falls out after 2-3 months, and after 6-9 months it grows back.

Another form of hair loss associated with stress is alopecia areata, which occurs when white blood cells attack hair follicles and cause sudden hair loss. Most often the hair is lost in circles, but it can also affect larger parts of the scalp. In the majority of cases over time the hair re-grows while in a smaller number of cases hair transplantation is needed.

Hair loss in men

The cause of hair loss in men, in more than 95% of cases, is androgenic alopecia, i.e. the existence of hormonal receptors in the root region of hair. Receptors stimulated by the male hormone dihydrotestosterone (DHT) cause the gradual formation of an insulating layer that inhibits the passage of blood and nutrients to the roots of the hair. Usually the front and the top of the scalp are affected, and then the area of the scalp’s crown. There are no such receptors where the hair is permanent and that is the back and the side parts of the scalp.

The size of the areas where hair loss occurs is genetically determined by one or both parents. Hair loss usually begins in the front line of the scalp but often results in larger losses in all areas.

The hair is lost due to changes in the life cycle of hair caused by the DHT. The cycle of a hair consists of the anagen phase (growth phase), the catagen phase (transitional phase) and the telogen phase (resting and falling phase). Before hair loss the anagen phase lasts up to seven years, and the telogen phase 3-4 months. With time the anagen phase becomes shorter and the telogen phase extends. After falling out there is no new hair growth or the hair grows thinner and shorter.

The Norwood Hamilton Scale is used to measure the extent of hair loss in men and it is a common standard to describe hair loss.

Norwood Hamilton Scale – stage 1

Very minor or no recession of the hair line, therefore no need for treatment. Unless you have a family history of baldness there is no need to worry. If there is a family history of male baldness, you may want to monitor the situation closely and decide the appropriate time for treatment.

Norwood Hamilton Scale – stage 2

The front line of the scalp is pulled back and whiskers are formed, usually on both sides of the temporal region. Also hair thinning can occur in the central part of the front line of the scalp. The initial discrete signs of hair loss are becoming evident.

Norwood Hamilton Scale – stage 3

Most scalps at this stage have deep symmetrical recessions showing at the temples that are bare or only sparsely covered by hair. With stage 3 the loss of hair is primarily from the vertex with limited recession of the front temporal hairline.

Norwood Hamilton Scale – stage 4

The recession at the front temporal areas is more pronounced than in stage 3. There is a decisive lack of hair on the crown. The areas of hair loss, i.e. the front area and the crown, are separated by a band of moderately dense hair extending across the top of the scalp. This area also bridges between the densely hair covered areas on the side of the head, above the ears.

Norwood Hamilton Scale – stage 5

At stage 5 hair loss at the vertex region is still separated from the frontal region but the division is much less distinct. The band of hair extending across the crown is noticeably narrower and thinner. Hair loss at the vertex and front temporal regions are larger. When viewed from above, stages 5 to 7 show the remaining hair at the sides and back as a distinct horseshoe shape.

Norwood Hamilton Scale – stage 6

In stage 6 in the uppermost part of the scalp only sparse hair remains. The front area and the crown are now joined into one area. Hair loss extends sideways.

Norwood Hamilton Scale – stage 7

It is the most serious or advanced stage of hair loss. Only a small area in the shape of a horseshoe remains in the side and back regions of the scalp with hairs which can be thinner and sparse, and finally form just two semicircles above the ears.

Androgenic alopecia

The hormones responsible for hair loss are called androgens. Androgens like all hormones bind to specific receptors located in the cell membranes or inside the cells. Androgenic hormones may have different effects on individual hair follicles, so for example, can lead to hair loss in the scalp, but also to the growth of hair in the armpit, on the face or body.

There are three explanations of why in some people androgenic alopecia occurs, while in others does not although all have hormones and receptors that cause hair loss:

• In the part of the scalp where hair loss occurs, the number of androgen receptors in the hair follicles is larger than usual so that the same amount of androgens in the blood has a more pronounced effect (hair loss);
• Receptors in the follicles are more sensitive to androgens than normal;
• Increased activity of the 5-α reductase enzyme in areas where hair is lost leading to the conversion of testosterone to DHT. The higher the value of DHT as compared to testosterone, the more pronounced is the hair loss process.

There are two androgen hormones involved in the hair loss mechanism, i.e. testosterone and dihydrotestosterone. DHT is a derivative of testosterone. The enzyme 5-α reductase converts the relatively inactive testosterone into a more active form DHT. The key enzyme in androgenic hair loss, 5-α reductase, is located in and around the hair follicle. Once DHT is formed it has the ability to bind to androgen receptors on the hair follicle. Normal testosterone can also affect the hair follicles but his influence on hair loss is significantly weaker. The interaction of these hormones and their binding to the follicles results in changes in the quality of hair and its fallout.

Over time the hair growth cycle changes. The anagen phase (growth phase) is reduced while the catagen (transitional phase) and telogen (resting phase and fallout) are extended. The number of hairs in the resting phase and the fallout is increased from 10% to 20%.

Telogen effluvium

Hair loss due to the increased number of follicles in the resting and the fallout phase. The most common causes are: thyroid abnormalities, anemia, high doses of vitamin A, medications for lowering blood pressure, medications for gout, diet, and physical and emotional stress.

The diet can cause hair loss. Diet programs have strictly regulated dietary supplements, vitamins and meals however they cannot prevent hair loss in rapid weight loss.

Surgery, serious illnesses and stress can also cause hair loss. At such moments the body stops or slows down the hair growth cycle, and redirects the energy to vital body structures. In most cases, only 3 months after the physical or emotional stress, hair loss occurs, and it takes 3-4 months to begin regrowth.

 Scars due to surgical procedures

In various surgical procedures on the scalp, such as removing moles or atheroma, taking of old STRIP transplant hairs, and often after a face-lifting surgery, there is the possibility of hair loss along the scar or the area around it. The transplantation procedure is possible.

 Alopecia areata (hair loss in circles)

It is an autoimmune condition where the body produces antibodies against its own hair. The change usually occurs in one or more isolated areas in the form of circles, and the loss of scalp can be complete (alopecia totales). In extreme cases the loss all the body hair can occur (alopecia universalis). Only in limited and permanent cases hair transplantation is justified.

Chemotherapy and radiotherapy

Most drugs used in chemotherapy act in a way to attack malignant cells, i.e. inhibit their growth. A side effect of this is the effect on healthy cells in the body including the hair follicles. Fortunately in most cases after the end of chemotherapy hair grows back again.

In the treatment of tumors with radiation hair loss occurs only in areas exposed to radiation. After completing radiation, hair does not always re-grow but hair transplantation is possible.

Scars from burns or chemicals

Chemicals used for dyeing, bleaching, fixing or softening hair can cause hair damage or hair loss that is not permanent. If used improperly these chemicals can damage the skin and thus the root of the hair which may result in permanent loss of hair. Likewise burns can affect only the surface of the skin or also the hair roots, and thus cause temporary or permanent hair loss. Hair transplantation in most cases is possible, depending on the thickness of the remaining skin, i.e. on the thickness of the “fertile soil”.

Traction alopecia

Traction alopecia is hair loss as a result of strong and long-term pulling or tightening of hair, usually with wearing the “ponytail”. In shorter wearing hair growth can recover while with the long-term wearing hair loss may be permanent. The deficiency is most commonly seen (in both women and men) as a loss or thinning of hair in the frontal region of the scalp. Hair transplantation is possible.

Skin changes

Localized skin problems such as eczema, scars and infections can cause temporary or permanent loss of hair. The procedure of hair transplantation may be considered only when skin condition is  dormant.

Trichotillomania

Trichotillomania is a compulsive disorder when a person uncontrollably pulls his/her hair, eyebrows or eyelashes. It is a psychological disorder, and the person is unable to stop in the above action. Such pulling of hair can result in areas with no hair. Before the potential transplantation, the patient should definitely undergo a psychological therapy.

Medicines

Over one hundred different medicines cause hair loss, for example, drugs against blood clotting, thyroid medications, chemotherapy for malignant diseases, birth control pills.

Hair loss in women

Female hair loss is less evident, but is also advancing. Normal hair loss is from 100 to 130 hairs a day. Loss of hair occurs when hair replacement is absent or daily losses rise.

Unfortunately women only after a prolonged time have the courage to seek medical advice or intervention because the customary, but wrong, attitude is that women do not lose hair. Most often occurs the thinning of hair at the top of the head or the crown. Even though the appearance of hair loss in women is often similar, causes may vary. In some cases, prior to consulting a surgeon it is recommended to consult a dermatologist, endocrinologist and gynecologist.

We always recommend a free consultation examination to assess the specific case, and estimate the justification, the size and the cost of a possible FUE hair transplantation. If you are unable to come to us, you can send us photos and we can comment them together over the phone. With a healthy back, the so-called “giving”, region of the scalp hair transplant surgery is probably possible.

Ludwig’s scale of female hair loss

Ludwig’s scale – stage 1

At this stage, most women do not notice hair loss because the frontal part remains relatively unchanged. Hair loss can occur at the top and in the front of the scalp. The loss is visible in the front area and the area of the parting.

Ludwig’s scale – stage 2

At this stage women notice the following: thinning, falling and a general lack in the amount of hair in the central part which continues to expand over time. At this stage, the hair transplantation is usually performed.

Ludwig’s scale – stage 3

This is the most extreme form of female hair loss. At this stage the hair is extremely thin and hair loss is pronounced so that it is difficult to hide the skin that is clearly visible to the naked eye.

Androgenic alopecia

The female pattern hair loss is a hereditary incidence, not a disease that is hormonally more complex than the male pattern. The sensitivity to the effects of androgens (hormones responsible for hair loss) in the scalp and hair follicles causes the thinning and fallout of the hair. It usually occurs when male hormones rise which occurs when levels of female hormones decline as during menopause.

Women do not develop the same way of hair loss nor complete hair loss as in men. In women rarely there is the withdrawal of the front line of the scalp.

One in three women develop androgenic alopecia. It is common in women after menopause, but can occur any time after puberty. It affects 15% of women before menopause, and 75% of women after 65 years.

Both in women and in men the hormone testosterone, under the influence of the enzyme 5-α reductase, converts into dihydrotestosterone (DHT). Under the influence of DHT hair thins or falls.

Hair transplantation in some cases is possible and is justified.

Traction alopecia

Traction alopecia is hair loss as a result of strong and long-term pulling or tightening of the hair, usually in wearing the “ponytail” and is much more common in women than in men. Most commonly it affects the front part and the front line of the scalp. The often use of electric curlers can also lead to traction alopecia.

Pregnancy and childbirth

Many women testify hair loss several months after birth. This is due to the cessation of normal hair loss during pregnancy when due to increased amounts of estrogen hair is in the anagen phase (growth phase). In other words, hair becomes more luxuriant during pregnancy and postpartum the hair returns to a normal state. Usually the process lasts 6-12 months after birth during which half of the hair is in the telogen phase (resting phase and fallout).

Polycystic ovary syndrome

One in five women may have this syndrome that results in increased values of androgens (testosterone and DHT) for which we know that cause hair loss.

Menopause

Menopause has a number of effects on our bodies and thus also on the hair due to reduced levels of estrogen. Estrogen keeps the hair in the anagen phase and due to its lack the growth cycle of the hair is shorter and the hair falls before reaching its normal length. With hot flashes, mood swings and appearance of hair on the face, we can expect hair thinning, pulling of the scalp line and hair loss.

Anemia

Anemia is a blood disorder caused by lack of iron. The cause of anemia can be a diet low in iron or insufficient absorption of iron. Iron contains ferritin that helps create protein in the cells of the hair, prolongs the anagen phase and hair growth in the appropriate length.

Telogen effluvium

Hair loss due to the increased number of follicles in the resting and the fallout phase. The most common causes are: thyroid abnormalities, anemia, high doses of vitamin A, medications for lowering blood pressure, medications for gout, diet, and physical and emotional stress.

The diet can cause hair loss. Diet programs have strictly regulated dietary supplements, vitamins and meals however they cannot prevent hair loss in rapid weight loss.

Surgery, serious illnesses and stress can also cause hair loss. At such moments the body stops or slows down the hair growth cycle, and redirects the energy to vital body structures. In most cases, only 3 months after the physical or emotional stress, hair loss occurs, and it takes 3-4 months to begin regrowth.

Hormonal changes are a common cause of hair loss. Many women do not know that hair loss can occur after pregnancy or after taking birth control pills. It is important to emphasize that the loss of hair may occur 3 months after hormonal changes, and it can take up to six months for hair to re-grow.

It most often affects the scalp, eyebrows, and eyelashes, but all hair-bearing regions can be affected. In some extreme cases, all scalp hair can be lost- alopecia totalis or even whole bodily hair- alopecia Universalis.

Sometimes, sudden loss of pigment represents the first sign of diffuse alopecia areata. The presence of exclamation point hairs is characteristic of alopecia areata.

TELOGEN EFFLUVIUM

Telogen effluvium is usually manifested as excessive shedding of hair which affects the whole scalp. The underlying cause is increased number of follicles entering the stage when the hair normally falls out- telogen. The process of shedding hair in the telogen phase is a normal occurrence that happens every day and leads to shedding up to 100 hairs per day.

The cause of telogen effluvium is physical, emotional, or other stress that a person experiences 3-5 months prior to the phase of excessive hair shedding. hat stress causes premature entry of hair follicles into telogen phase from the anagen phase (phase of hair growth).

Apart from stress, other common causes are anemia, thyroid disease, fever, surgical procedures, medication, and, in women, delivery. Telogen effluvium most often does not require treatment and the prognosis is generally favorable if the underlying cause is recognized.

For example, cessation of medication which caused telogen effluvium typically leads to the cessation of excessive hair shedding and hair growth starts over.

TRICHOTILLOMANIA

Trichotillomania is a compulsive disoreder in which the affected person uncontrollably pulls out their own hair, eyebrows or eyelashes. It is a psychological disorder in which a person is often unable to stop doing so. Before eventual transplantation, the person should undergo psychological therapy.

Professional examination of the affected area can be useful in the diagnosis of trichotillomania. Professional examination of the affected area can be useful in the diagnosis of trichotillomania.

HOW TO TREAT ALOPECIA?

Therapeutic options in androgenetic alopecia include medications such as minoxidil and finasteride as well as hair transplantation.
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Minoxidil is an antihypertensive drug that, apart from its effect on lowering blood pressure, causes hypertrichosis when taken orally. The formulation of the drug is developed as a 5 percent solution which is rubbed on the scalp to focus the effect of minoxidil on the follicles.
Minoxidil causes prolongation of the anagen-hair growth phase and increases the hair diameter. In doing so it counters the negative effect of androgens on the follicles. The greatest effect is achieved in the early cases where there is some hair thinning but no complete hair loss.

It is rubbed in the scalp twice per day- 1mL in the morning and in the evening. For a small proportion of patients, it leads to hair regrowth and for 80% it reduces the rate of hair loss. It must be used for six months to see improvement. Side effects are rare, but usually, it is irritation, dryness of the scalp, and fingers used to rub in the substance.

Finasterid comes from another group of medications with proven beneficial effects in the treatment of androgenetic alopecia. It blocks type 2 5α reductase, the enzyme which converts testosterone into dihydrotestosterone.

Dihydrotestosterone is a derivative of testosterone that is considered to be a major cause of hair loss in androgenetic alopecia. It is used as an oral medication in a dose of 1mg per day and it is highly effective. 90% of the of patients keep their current hair and up to 65% report noticeable hair regrowth. It has to be used for at least 6 months to notice the results. In a small number of patients, one of the side effects is decrease in libido which stops with the cessation of therapy.

Dutasterid is a second, novel member of the same group of medications as finasteride which blocks type 1 and type 2 of 5α reductase. It is considered an equally safe but even more effective option than finasteride.

Our team makes sure to follow up on recent research in the field of androgenetic alopecia in order to provide contemporary data and treatment options to our clients. Some of the promising new treatment options include clascoterone (antiandrogen) and Oronazol (antimycotic medication)

Are there any bandages after the surgery?

There are no folds on the scalp after the surgery. In the area of the donor region, there is a gauze which is removed the next morning at home.

Will I have to take medications after the procedure?

The patient receives an antibiotic that is taken the next four days and a spray with which the receiving region is moisturized in the following four days.

Is it possible to spend the night somewhere near the policlinic?

If this is a several-day procedure or for personal reasons you do not want to return home the same day, we provide you an adequate stay in a hotel or private accommodation in our neighborhood.

Can I travel home the same day?

Yes, you can travel on the same day. If it is a two-day FUE transplant procedure, we recommend sleeping in Zagreb. After the FUE transplant surgery, there is no pain. We recommend complying with the post-operative instructions.

Will there be swelling (edema) after the surgery?

After the FUE transplant surgery there is no pain. We recommend complying with the post-operative instructions.

Will there be swelling (edema) after the surgery?

In a smaller number of patients, more often after a two-day procedure, there may be slight swelling in the forehead but it disappears 2-3 days after the procedure. Ttreatment is not required. Terapija nije potrebna.

Are there possible side effects of the FUE hair transplantation?

In the donor region we have never seen side effects, and in the receiving region, if it is frontal, sometimes there can be a little swelling that withdraws after 2-3 days.

Are there scars after the FUE hair transplant?

The purpose of the FUE hair transplant procedure is to avoid linear scars in the scalp that were characteristic for the old hair transplantation method, the so-called strip” method. In the donor region sometimes some microdots can be visible only in a small number of patients and only in the back, the so-called donor region with very short or shaved hair.

Are patients satisfied with the results?

With a good quality donor region the FUE hair transplant surgery for men and women provides results and gives satisfaction to patients. We have been performing this procedure and monitoring patients for 12 years now. The procedure is equally successful in the first as in the repeated interventions.

What is the first step?

We recommend you a free consultation examination to assess your case and establish the justification, size and price of the FUE hair transplant procedure. If you are unable to come in person, you can send us photos and we will comment them together over the phone.

How can I know if I am the appropriate candidate for the procedure?

In a consultation exam you can gain insight into your case, and assess the feasibility and the extent of a possible procedure. It is also possible to send photos of the donor and the receiving regions that we can comment together over the phone. The ideal way to find out the experiences of patients and see the results of previous interventions is to attend an FUE hair transplant procedure for a patient that already had surgery.

Is microscopic follicular hair transplantation always successful?

With a good quality hair in the donor region, the FUE hair transplantation method is always successful. Success is not just hair growth but it is equally important that it is not visible that this hair has been surgically received. With the microscopic processing of follicles scars and irregularities are avoided which were typical for older methods of hair transplantation.

What can I expect during my transplantation procedure?

The medical team will take care and do everything for your complete comfort. The procedure lasts 5-6 hours, is performed under local anesthesia (as at a dentist), and is painless. There may be breaks, and time is best shortened with a phone.

How many hair follicles can be transplanted in one day?

In one day it is possible to transplant, depending on the density and the quality of the donor region, between 2000 and 2500 follicles. The surgery can last up to 6 hours. In a two-day procedure that lasts for up to 12 hours up to 5000 follicles can be transplanted. During the procedure the phone can be used and, if necessary, you can go to the toilet.

How many procedures are necessary for the reconstruction of my scalp?

The number of procedures for the reconstruction of the scalp depends on the size of areas without hair, the possibilities of the donor region and the wishes of the patient. The FUE hair transplant procedures can be repeated to increase the density or to restore subsequent loss of hair. For most patients two procedures in a lifetime are enough.

Is FUE transplantation painful and when you see hair growth?

The FUE hair transplant is a completely painless procedure because it is performed under local anesthesia (the same as at the dentist). After the procedure, there is no need to take analgesics (painkillers).
The start of hair growth is seen 4 months after the procedure. Most of the hair will grow in 7-8 months, and the rest in 10 months after the procedure. The hair obtained via the transplantation grows for a lifetime.

Will the appearance of my hair be natural?

The appearance of hair after the FUE transplant procedure is natural. The resulting hair will grow for a lifetime. Thanks to the microscopic processing of all follicles we get a natural subsequent growth of hair in which there is no scarring and typical grafts (“tufts”) as in the old methods. The result is natural regardless of the size or density of the receiving region. Neither the hairdressers know that it is transplanted hair.

What will the density of new hair be?

The density of new hair depends on the size of the area in which the hair follicles are transplanted and the amount of follicles that can be obtained in the procedure. With one intervention 25 – 30% of hair density can be restored, and the maximum density that can be obtained by transplantation is 50% of the density of the donor region.

Is hair obtained with the FUE transplantation permanent?

The hair obtained with the FUE transplant is permanent, lifelong, i.e. grows as long and as well as in the back of the scalp where it was taken from. The hair in the back of the scalp, the so called donor region, is genetically different from the hair at the top and in the front of the scalp, the receiving region, and will never fall out. The skin tissue of the entire scalp, meaning both in the donor and the receiving region, is of equal quality and therefore the FUE transplantation is possible and successful.

Is there a limit of growth of transplanted hair?

There are no restrictions on hair growth. With the transplantation the hair retains the quality and the duration regardless of the location in which is transplanted.

Transplantation of hair from the body – how is it done?

Transplantation of hair from the body is carried out in the same manner as the transplantation of hair from the scalp. Few are the patients in which such surgery is possible, and the amount of hair that can be obtained is limited. We do this type of procedure when we want to fix minor flaws or scars in the beard, eyebrows or scalp.

How much does the pre-operative consultation examination cost?

The pre-operative consultation examinations in Zagreb, Split, Ljubljana and Trieste are free. If patients are unable to come they can send us photos, and together we can discuss them over the phone. In consultation with the patient, it is possible to attend a procedure.

Do I have to shave my head?

In the usual one-day procedure there is no need to shave your head. The hair is shortened only in the back of the donor region that, if necessary, can be covered with longer hair.

Can I travel in the morning on the day of the procedure?

It is possible to arrive on the day of surgery. The procedure can be started in the morning and in the afternoon.

Can I meet patients or see the procedure?

Yes, it is possible in consultation with the patient to attend the surgery. Many patients have already had the FUE hair transplantation procedure so that simultaneously one can see the results of previous interventions and the performing of an FUE hair transplant procedure.

Should I take a vacation after the procedure?

Immediately after the procedure the patient goes home, often with his own car or flies. If desired, a cap can be put after the procedure. It is recommended to take a few days off until all traces of the surgery disappear. Following the given instructions, it is possible in the shortest time to return to daily activities, sports, washing hair, etc.