HAIR TRANSPLANT

The Procedure

"The Permanent and Natural Treatment for hair loss in men and women"

Step 1: Consultation with Dr. Arambulo

• - Discuss expectations and concerns with the patient.
  - Designing of hairline or planning with the patient's participation.
  - Determining the cost of the procedure
  - Selecting a convenient schedule for the procedure
  - Signing of contract
  - Paying of downpayment (usually 10-50%)

Step 2: Day of the Procedure

- Laboratory tests results and cardio-pulmo clearance submitted before surgery
- Full payment will be made before procedure

DONOR SITE HARVESTING

• - Local anesthesia will be administered utilizing a relaxing technique to facilitate less discomfort and pain. Hair transplantation is considered a minor surgical procedure. Intravenous sedation is not necessary.
  - The use of Zeiss Loop with 5x magnification increases visibility during harvest of the donor strip resulting in less transection of hair follicles.
  - Trichophytic closure of the donor area is made to produce an almost invisible scar.
  

GRAFT DISSECTION

• - The use of dissecting microscope by a well-trained staff on slivering of hair strip and dissection into micro and mini follicular grafts gives greater yield of hair especially in dealing with white, gray and blond hair.
  
  - The art of coronal vs. sagittal slit technique is done, requiring close attention to hair direction and depth to fit the height of graft. Use of Zeiss loop will increase visibility especially in the eyebrow area.
  

GRAFT INSERTION

• - Two-handed technique is used for faster and less traumatic graft placement or insertion of grafts.
  - Use of Zeiss Loop with 5x magnification shortens the procedure by increasing visibility, especially helpful in eyebrow restoration.
  - Procedure may last 5-7 hours depending on the number of grafts.
  - Patients may expect to be in a stress free environment during procedure.
  - Entertainment and food of choice will be provided by our friendly staff.
  - Patients may expect to go home the same day after the procedure.

Step 3: Follow up and removal of sutures

Patients are instructed to come back after 7 days for removal of sutures. For patients who cannot come back for follow-up, absorbable sutures may be used. Questions concerning post-op instructions will be gladly answered by Dr. Arambulo or her staff members.

EXPECTATIONS

During the procedure:

Patients will be awake and under local anesthesia only, often accompanied with oral medication for mild sedation and relaxation.

Patients can expect to go home the same day since hair transplantation is a minor surgical procedure.

Procedure may take 3-8 hours depending on the patient's number of grafts and condition.

A light dressing will be applied over the donor/sutured area, accompanied with a clean bandana or hat to protect the grafts.

Day 1 post op:
Patients may have some oozing and pain but it is tolerable. Oral pain relievers and antibiotics will be provided.

Day 3 post op:
Patients may have some swelling in the forehead (rare). Not to worry. Anti-inflammatory medicines will be used during the procedure or prescribed after the procedure to avoid this problem. It is normal to find brown scabs with crusting.

Day 4-7 post op:
Scabs will start to fall off within two weeks and is considered normal.

Patients 'follow up schedules: 24 hours after, for the 1st shampoo and on the 5th day for removal of retention sutures .Absorbable sutures may be used upon requests for patients who cannot make it for follow-up 14 days after the procedure.

3 months post-op:
The first growth begins to appear.

6 months post-op:
50-60% of your hair starts to grow.

1 year post-op:
Hair will be at its maximum growth and will look very natural. You may style and trim it the way you like. No stylist or barber would notice the difference.