FAQ about Hair Transplants (Strip, FUE, ARTAS Robotic Hair Transplant)

FAQ about Hair Transplants (Strip, FUE, ARTAS)

For enquiries, call us at +65 8742 1266 or e-mail us at hair@knightsbridgeclinic.sg
1Does hair transplantation completely fix balding issues? Does that mean it’s a permanent cure for balding? Or will the transplanted hair experience the possibility of falling out as well?
Hair transplantation is basically a safe, minimal downtime surgical option to restore hair in areas that have been affected by balding. With it, I can create an natural-looking new hairline or to increase your hair density in hair thinning areas. The hair follicles transplanted are permanent and will not bald or fall out. The rate of survival of transplanted hair follicles is around 90-95%.

This is especially important in the frontal and temple region where NON-SURGICAL METHODS ARE UNABLE to cause regrowth of lost hairs. Only hair transplant CAN REGROW hairs in these areas. Please do not be misled by non-medical companies making unsubstantiated claims of recovering balding hairs at both temple regions.

Having said that, the other original hairs will still be subjected to the continuous balding process as Male Pattern Hair Loss ( also known as Androgenetic Alopecia) is a medical condition that is permanent. IT DOES NOT GO AWAY OR IMPROVE WITHOUT TREATMENT!

To control and/or reverse this balding process, the patient must be compliant with Fina 1mg per day and Minoxidil 5% two times a day. I also highly recommend low level light therapy (LLLT – iGrow hair laser helmet), the Pilose Home Haircare Set, to complement the medical treatments. For patients who want to go all out to arrest their hair loss, the exclusive Korean Scalp Stimulation Treatment can be performed as well to stimulate scalp health and hair growth.
2I’ve heard that scarring is a problem that can occur. What sort of scarring problems do we encounter as patients, and how do we resolve it?
In hair transplantation, there are two methods of extracting the hairs. For the strip surgery method, a horizontal wound is present after extracting. There would be significant post-operative pain and a linear wound present.

For the FUE method, multiple small depressions are present on the scalp and I space the hair extraction sites apart, to ensure good blood supply to each wound and to prevent coalescing of the wounds into a bigger one. For FUE, there will be no visible scars and the donor area looks as per normal when the non-extracted hairs grow out.

Patients also play a big part by ensuring good wound care after the surgery by not causing trauma to the wound, not contaminating the wound, and also applying antibiotic cream religiously.
3You mentioned that it takes six months or so to be fully recovered. So what will my hair look like between that time? I’m more concerned about how to maintain my image while my transplant takes shape.
Recovery only takes up to 2 weeks and that is when extreme caution must be paid to the wound and the implanted hairs, to prevent wound infections and implanted hairs from dislodging.

If the implanted hairs have survived after the first 1-2 weeks, they will be a permanent fixture thereafter. In the first 2-3 months, the new implanted hairs will drop off due to ‘shock loss’, which is a phenomenon whereby hairs shed temporarily due to a stress of surgery to the scalp. They will regrow from the 3rd month post-surgery and a good cosmetic result will be witnessed from the 6th month onwards. Hairs take time to grow, therefore I advise you to undertake a hair transplant at least 6 months to 1 year before an important event, so that you may have the best aesthetic result then.

It is up to your discretion to maintain your image with headpieces or comb-overs but please take note that at no point after surgery would your hair appear lesser or thinner than when it was before consultation. That is, of course, if you comply with my prescribed treatment closely.
4Can I expect a completely natural look ? I have heard of hair transplants turning out to be un-natural looking.
Yes, you can expect a completely natural look. I firmly believe that “it is not good enough for your hair transplant doctor to perform the ‘science’; he must deliver the ‘art’ as well.” In fact, that is my main dedicated focus, on top of ensuring a smooth uncomplicated surgery.

I was attached to Maxwell Hair Clinic (the top hair clinic in Seoul, winning Best Doctor and Best Clinic awards) recently and I learnt first-hand from the medical director, techniques to create a natural looking hairline.

Some of this techniques include creating macro and micro-irregularities on the frontal hairline, using only the finest hairs for the hairline, implanting every hair graft in the correct direction and angle and creating a increasing density from the frontal hairline to the middle.

When you undertake hair transplantation at The Knightsbridge Clinic, you can be assured of the aesthetic results. After all, my belief is that ‘bad hair’ is worse than ‘no hair’.
5Will my newly transplanted hair start to bald if I do not take Propecia?
No, transplanted hair are permanent and will grow forever. This is due to the principle of “DONOR DOMINANCE”. Hair located in the middle of the back of the head are resistant to balding. That is why men always retain the U-shaped band of hair from the back of the head extending to the area above both ears, even in the latest stage of the Norwood chart.

When we take hair follicles from this area and plant it on the balding areas at the front, these new hairs behave as if they are still in the back of the head – they are still resistant to balding and continue to grow as if they have not been moved. This principle means that transplanted hair are permanent and resistant to balding even if you do not take Propecia.

However, the original non-transplanted hairs on the top and crown area may start to bald further if you do not take Propecia to control the condition.
6I went to the doctor and he prescribed Fina. However, I am reluctant to take it because of the possible side effects of erectile dysfunction.
The questions you have asked are very good. Firstly, let me clear the common misconceptions about Fina.

It is FDA-approved as FIRST-LINE TREATMENT to work for male pattern hair loss except at at the front or temples). In clinical studies for Fina, 2-3% of men on Fina experienced certain sexual side effects, such as less desire for sex, difficulty in achieving an erection, or a decrease in the amount of semen. The side effects went away in men who stopped taking Fina because of them.

For some men, the side effects went away after a few months despite not stopping the medication. 98% of men on Fina have no such problems and swear by it as their hair-saver. Therefore, the side effects are rare, and if experienced, temporary in nature and resolves with stopping of Fina.
7Will Fina really help to restore the hairs on all my balding regions?
Fina is the only medication that stops production of (DHT), the culprit hormone that causes male / female pattern hair loss. Fina works well for arresting hair loss and initiating hair growth of the central and crown regions. Treatment with Fina for at least 3-6 months,allows regrowth of hairs in the central and crown regions and reduces the number of hairs needed if a hair transplant is eventually needed. Usually we do not transplant those areas immediately unless the patient wants a fast result. Fina does not work well on the temple and frontal regions of the scalp. I would advise early hair transplantation if the front hairline is affected.
8I'm 21 years old, male, and I suffer from male pattern hair loss. It's still in the early stages. I'm honestly fine with this. I visited the doctor and he prescribed Propecia and Minoxidil lotion. I am thinking that I will save myself money by allowing myself to bald and then approximately 10 to 15 years down the road, get a hair transplant to rectify this issue. However I'm not sure if this is a wise way to approach this? Would using Propecia allow me a better "successful" hair transplant later on down the road?
Your plan may sound feasible in theory. However, there's one factor you may not be considering. While surgical hair restoration is a viable solution for many men and women with genetic pattern baldness, the donor hair supply is limited. Also, you may need to have more surgeries when you present at a late stage, as there is a limited number of hairs that can be transplanted in one session. Since hair loss is progressive and how far and fast it will progress is unpredictable in nature, it would benefit you to work toward getting your hair loss under control now with proven treatments, fina and Growell (minoxidil). Low Level Laser Therapy, Scalp injections of nutrients and minerals, Pilose home haircare set and oral supplements like Inversion are highly recommended as well.
9When should I consider a hair transplant?
1. Tried all medical treatments for balding but aesthetic improvement is not satisfactory. ( includes male / female pattern hair loss, scarring, traction and areata hair loss).

2. Temporal / Frontal Hair Loss ( does not respond to Propecia).

3. Wants immediate augmentation of balding patches due to a certain important life-event coming up ( take note : best aesthetic results will be after 9 months when transplanted hair follicles develop fully).

4. Wants to have thicker eyebrows, or get a new designer moustache, goatee or beard.
10I have heard of different methods of hair transplants. Which method is suitable for me?
I will list out the differences in the 2 methods of Hair Transplant currently. The differences are only in the extraction of hair follicles.

The implantation process is the same for both methods for a particular doctor (different doctors have different implantation methods).

You will need to see which method of extraction suits your lifestyle, budget, scalp quality and hair loss severity more.
11I think a hair transplant is very expensive. Maybe I should get a wig or go to the popular trichologists for treatment instead.
That is a very common misconception. Let me enlighten you on this subject. A good quality hairpiece (wig, toupee) costs from $1000-$5000 and they may last up to 1 or 2 years. Assuming you need it for the next 20 years of your life, you will be spending at least $20,000.

Popular trichologist treatments cost less than $100 per session, however, they always advocate treatment in a package for at least 30-50 sessions for best results. A package lasting for 1 year may cost between $5000 to $10,000. For the next 20 years of your life, you will be spending at least $100,000! They are also not backed by scientific studies, therefore the efficacy is also not known.

In contrast, a hair transplant costs only $6000-$9000 depending on the severity of your hair loss. The hair is your own, the hairline is natural-looking and permanent. Hair transplants have proven results for more than 30-40 years. Also, you do not have to worry about your transplanted hair dropping off during swimming or exercise and it will improve your lifestyle, self-esteem and confidence immediately. A hair transplant is definitely cheaper than the other methods.
12I heard about the ARTAS Robotic Hair Transplant. Is it suitable for all patients?
The ARTAS Robotic Hair Transplant is good for patients with nice round heads and thick healthy thick-stranded donor areas. Otherwise, the transection rate may be high and a conversion to the normal FUE method may be needed for such non-optimal scalps. Patient selection is EXTREMELY IMPORTANT for ARTAS Robotic Hair Transplant. We always choose our ARTAS Robotic Hair Transplant patients carefully.
13How much is the ARTAS Robotic Hair Transplant?
It costs between $10-$11 / graft. We only implant viable grafts ( with good tissue and clear healthy bulbs, as visualised on our $8000 Mantis Microscopes by trained staff), therefore, you will have your value for money unlike other centres.
14Is the FUE Method or ARTAS Robotic method better?
Each has its own pros and cons, although I would say ARTAS Robotic Hair Transplant is the future of hair transplants available today at The Knightsbridge Clinic, and its precision, accuracy and speed beats that of a human hand. In fact, when it comes to harvesting grafts, it is like comparing a Flintstone vehicle (self-propelled) vs a Porsche or Ferrari.
Follicular Unit Strip Transplant Follicular Unit Extraction
Traditional method for more than 30 years. New scarless technique for 10 years.
No need for shaving. Need to shave back of head.
Long, horizontal wound present. Multiple small red ‘dot-like’ wounds, heals without a scar.
Every graft in the harvested strip is utilized for implantation after microscope dissection. Not every graft in donor area is harvested - need to keep enough hair grafts between harvesting spots.
Future surgeries can be performed on the original area with minimal distortion or difficulty – only 1 scar regardless of number of surgeries. Future surgeries will have to rotate on a different donor area.
Big transplant sessions of 3000 - 4000 can be performed in a day. Around 2000-2500 grafts can be harvested per day.
Shorter surgery time. Slightly longer surgery time.
Good scalp elasticity needed. Scalp elasticity not major issue.
Utilizes optimal part of donor area (middle part of the back of head with densest, definite balding-resistant follicles). Able to utilize any area of the donor area or even chest and body hair.
Cost lower than FUE method. Cost higher than that for Strip Method (due to the painstaking effort of harvesting).
Only used to harvest hair at back of head. Can be used to harvest body hair.
Low-cost involved in surgery but manpower intensive. Higher cost involved (machine cost) requiring less manpower.
For enquiries, call us at +65 8742 1266 or e-mail us at hair@knightsbridgeclinic.sg