A procedure typically involves the placement of 200 to as many as 4000 + one and two hair grafts, depending upon the desired density and the size of the areas to be covered. Performed usually under a mild oral sedative, the 3 to 6 hour procedure is essentially painless, as is the recovery period. The only exception is when filling large areas of the chest, the anesthetizing process can be somewhat uncomfortable, therefore some patients choose to have it performed under intravenous sedation under the supervision of an anesthetist in Dr. Epstein’s accredited procedure room. For the first 5 days after the procedure, tiny crusts are around each transplanted hair. By the second day, patients are able to return to normal activities with the wearing of a shirt or other concealing clothing, without any sign of having had a procedure. Sutures that are placed in the donor area are removed at 10 to 12days. The transplanted hairs fall out at around 2 weeks, then start to regrow at 3 months, where they will continue to grow for a lifetime.
There are few risks with the procedure, and most are those associated with standard hair transplants. The donor site incision typically heals as a 2 mm wide incision, easily concealable with hair that is cut with anything longer than a razor with a #2 or #3 guard.
I had ~4000 grafts to the chest mid-August ’08 with no significant discomfort other than some itching about 1 week later as the grafts healed. The procedure itself was no big deal and virtually painless. Many of the hairs fell out after a few weeks but several stayed and the only noticeable change was a few small bumps here and there where the implanted grafts were placed. Some of the new hairs started growing in around 2 1/2 months and many more by 3. It’s going on 4 months now and there’s noticeable change in the overall appearance. Looks like most if not all of the grafts are going to take. My thanks to Dr. E and crew for an easy and almost pleasurable procedure. Updates to follow!
Posted by Jeffrey S. Epstein, MD, FACS