On October 10th 2013 I had my 2nd transplant with Dr Hasson for 1755 grafts to the frontal third of my scalp.

To recap I had 3 old style transplants in 1996/7 and 1998 for around 450 grafts each time, the first one at the age of 23, the result was 3 wide scars and a pluggy unnatural hairline which was initially covered by my native hair.

I had very aggressive hair loss and progression to a Norwood 6 pattern, I was not taking any medication or using Rogaine partly because in the early stages neither were available in the UK and I was put off using Propecia by a hair Trichologist.

After loosing nearly all of my native hair by 2002 aged 29 I had pretty much given up on ever looking normal and covering this unnatural hairline that people would double take. By accident in 2005 a pop up for hair transplants started my obsession again into researching what could be done. On the 1st of June 2006 I had a 4856 graft procedure with Dr Hasson, this procedure was going to be my last throw of the dice to get as much coverage as possible and hide that old pluggy hairline.

The hairline was lowered a fraction and many grafts were placed into the frontal area to cover the old mini and micro grafts, the density was then reduced as we went into the mid scalp and the crown was given a light coverage. To maximize the number of grafts available it was agreed that a new scar should be taken. After one year there was quite a transformation both in my hair and personality and I enjoyed this new look for 4 years.

In 2010 I had a scar revision with Dr Hasson to remove part of an old scar that had stretched, at the same time I guess around 300 grafts were gained and these were split into 623 singles to refine the hairline. The result of how I look in October 2013 is below. Nearly everything you see on the top of my head is the result of hair transplants.

Before my latest Hair TransplantHairline CloseForwardTop

 

 

 

 

 

 

 

 

 

Left Left Hairline closeRight ProfileLeft Profile

 

 

 

 

 

 

 

 

 

Left Side CloseCrown farCrown CloseCrown

 

 

 

 

 

 

 

 

 

For a full guide to travel to Vancouver, the surgery and post op help and tips please visit here http://hassonandwong.co.uk/guide-uk-patients-hair-transplant-hasson-wong/

This represents a diary of my latest experience on my hair transplant surgery on 10th of October 2013 and the following months that follow.

Surgery Day- Thursday.

 On arrival at the clinic I filled out the health questionnaire and read through the paperwork before going to the surgery room. My blood pressure and pulse were taken and I was given the antibiotics and a valium.

Dr Hasson then shaved the recipient area and I got into position to assess my donor area. Dr Hasson spend around 15 minutes planning the route of the scar and testing for laxity. As I have had multiple surgeries in the past and 3 previous strip scars before my one with Dr Hasson in 2006 careful planning was needed. It had been decided in my consultation the day before that because I had a very low scar that could not be revised (from 1997) it would be futile to revise another scar unless it really bothered me and it did not anymore. This was a scar that was below the one that was revised back in 2010 and despite working hard on laxity exercises the scalp in this area was just not loose enough. Whilst I had managed to loosen the top part of my scalp the underlying tissue was not moving so well with it. Dr Hasson then shaved the donor area that he planned to remove, next was the part that I like the least and that was the injections to numb the donor area, whether I had got used to them or I had built them up as worse than they were they didn’t seem as bad this time around. Then Dr Hasson injects tumescence which is a combination of saline and adrenaline, this make the area expand and easy to work on and lowers the blood loss. It took around 1 hours for Dr Hasson to remove the strip this was made particularly hard as I am a repair patient of multiple surgeries and had a lot of scar tissue to contend with. The strip that was removed was around .8cm wide by 30cm long and eventually yielded 1755 grafts of which 584 were single, 1048 were doubles and 123 were 3’s or 4 hair grafts. Dr Hasson cauterizes the blood vessels to stop the bleeding and then closes the wound with surgical staples. Once closed I turned over on my front to have the injections into the recipient area to numb and then again the tumescence was added to make the area easier to work on. Dr Hasson started on making the incisions into the recipient area and these were being counted by a technician with a clicker for each one. Whilst this is happening the technicians are slivering my grafts under microscope and then trimming them into the natural occurring fu’s and removing the excess tissue from them. Once trimmed the grafts are measured so each single hair graft and each multi hair graft is measured and using the custom cut blade cutter. These blades are cut to fit the individual so that the width of the incision fits the graft perfectly causing as little trauma as possible to the recipient area.

Other technicians come in and start planting one on each side of my head, once the grafts have all been trimmed the final graft count is known Dr Hasson makes more recipient incisions for the remaining grafts. Once this is done the technicians can come back and plant the final grafts. The whole process took around 6 hours which is a little longer than normal for that number of grafts due to my scarring in the donor.  Then the recipient area is washed with a saline solution for around 15 minutes to clear the area from blood as much as possible. I had lunch and plenty of drinks during the surgery. No pain is felt once the anesthesia has been administered, if you do feel any pain you should let someone know. Every patient is given a goodie bag on leaving the clinic including a black baseball cap which you can wear loosely fitting back to the hotel. I would suggest a taxi to get back to the hotel. You are given a bottle of shampoo, antibiotics for 4 days after and painkillers for a couple of nights plus a sleeping tablet for the first 2 nights. You are also given a pillow case for any bleeding from the donor scar and you should avoid sleeping on the recipient area for the first few nights so you are also given a neck support and should sleep propped up in bed. It is fine to rest the back of your head on the pillow but if you have crown work you should avoid laying the recipient area on the pillow. I was pretty tired so headed back to the hotel and propped myself up, took a couple of pain killers and the sleeping tablet.