Dr Dilan Fernando- Hair Loss Blogger For Consulting Rooms

hair transplant surgeons at the treatment rooms london

Dr Dilan Fernando, Lead Hair Transplant Surgeon at The Treatment Rooms in London is now the author of Consulting Rooms’ Blog on Hair Loss.

Dr Fernando will be blogging all about hair and hair care. From hair loss, its prevention and treatment all the way through to hair transplant surgery and the future of potential treatments.

Blog 1- Hair: What is it and how does it grow?

Hair is an organ, just like your heart and brain

In his first blog he describes in detail the properties of healthy hair and how it grows, laying the foundation of what it means to have hair loss.

To read this blog, click HERE.

Blog 2- Hair loss: how to identify it and the initial considerations to make

“Suffering from hair loss … with up to 50% of both men and women being affected by the age of 50, the issue is a common one”

In his latest hair loss blog Dr Fernando shares his opinion on how to identify hair loss and what a suffer should do in the first instance.

To read this latest blog, click HERE.

Blog 3- Diagnosing Male Hair Loss

You might have noticed you are losing hair but what steps do you need to take to diagnose your condition? Find out more and read Dr Fernando’s blog on Consulting Rooms.

To read this latest blog, click HERE.

Blog 4- Diagnosing Female Hair Loss

Hair loss in females can be very distressing. You may notice your hair is thinning but what diagnosis do you have? Read Dr Fernando’s latest blog on Consulting Rooms to find out more.

To read the latest blog, click HERE.

Read more blogs!

Planning Your Hairline Hair Transplant

new hair line for hair transplant

Receding hairline? With rumours surrounding footballers like David Beckham and David Silva having a hairline hair transplant, the procedure is becoming popular (1,2).  Planning your hair transplant is a tricky process. You need to think carefully about how you will continue to bald in the future so any new hairline doesn’t look unnatural. In this blog we take you through what you need to think about when planning a hairline hair transplant. 

patient hairline before and after hair transplant surgery
Before and after 2000 graft hair transplant for the frontal hairline

Key Points

  1. Where is your hairline at the moment?
  2.  How much hair do you have that you can transplant?
  3. How old are you and will your hairline recede further?
  4. Will you be able to prevent any further hairline recession?

 

Where is your hairline at the moment?

You may notice that you fall into the following categories: 

  1. You hairline has receded so much that you have no hairline
  2. Your hairline has receded in the temples so you have an “M” shaped hairline pattern or a “widow’s peak”
  3. Your hairline has receded to the middle of your scalp (between your crown and forehead)
  4. Your hairline has thinned but has a general outline

In most types of hairline recession, the main cause is male pattern baldness (3). This process is caused by DHT (dihydrotestosterone) which causes the hair follicles to become weak and fall out. It is called a “pattern baldness” as the same pattern of hair thinning and balding appears in most men affected. The different types of pattern depend on how severely you have been affected by hair loss. They are summarised in the Norwood Scale as you can see in the picture below. 

norwood scale for hair loss
Norwood scale of balding showing the different stages of hair loss

By looking at the Norwood Scale you will be able to classify where your hairline is at the moment. If you hairline is at Norwood 2/3 then you should be able to bring your hairline forward to restore it your preferred position. If you are at stage 4a/5/5a/6 you need to think about how much hair you can use to create a hairline that you are happy with. You might better off with a hair transplant that gives you hair you can style over areas of balding. Your plan should be to restore your hairline to a position of Norwood 2 or 3.

How much hair do you have that you can transplant?

The amount of hair you have left at the back of your head is crucial. If you have dense hair at the back then it is likely you will have enough hair to achieve a hairline you would like. For those who don’t have enough hair then carefully plan how you can achieve a hairline you want- especially if you are Norwood Scale 4a/5/5a/6. If you don’t have much hair you may decide to have a hair transplant that gives you coverage of hair. This allows you to style your hair the way you want over areas of hair recession. 

How old are you and will your hairline recede further?

If you are young (<26 years old) then you might want to wait until you’re 26 years old. This means your surgeon can assess the full pattern of your hair loss. It is important to know how you have receded so far, so your hair transplant surgeon can plan future hair loss and plan a hairline that would suit you as you age. 

Will you be able to prevent any further hairline recession?

It is likely that everyone will recede further, so you need to make sure you plan for future hair transplants or stabilise you hair loss with medications like Finasteride. Taking Finasteride is an important decision and as with all medications there are side effects. 

However, particularly if you are planning to have children, taking finasteride can be tricky. You will need to plan when to stop taking finasteride (when you are trying to conceive) and when to restart (when your partner stops breast feeding). Planning this in advance with your hair transplant surgeon is important- make sure you discuss this with them! Whether or not you are taking finasteride, planning a hair transplant around your family plans is certainly achievable.

So what hairline should I go for? 

Seeing a hair transplant surgeon is the first step to answering this question. At The Treatment Rooms London our surgeons make sure to take you through all the considerations you need to make before deciding on a hair transplant. We prefer to plan a hairline that is mature which will suit you for the rest of your life.

A lot of patients request for their hairline to be brought down to match the hairline they had when they were in their teens. It is our opinion that this is not a good idea. Not only will this require many hair grafts that thin your donor zone but also your ongoing balding process will mean a hairline that is too low will look odd. As you age, your temples will recede and a hairline that is low will look like a strip of hair separated from the hair behind it. It will look unnatural and it won’t suit you in your middle- late age. 

mature frontal hairline hair transplant
Bringing your hairline too low won’t suit you as your recede in your temples. Choose a mature hairline that will look good for the rest of your life. It also helps to save more hair in your donor area if you choose to have a second procedure down the line.

Our advice is to plan for a mature hairline. Going for a mature hairline will mean your hair grafts can be used for dense, natural results without thinning your donor zone. The hairline will also be fashionable throughout the rest of your life. Another benefit from choosing a mature hairline is that you have saved more grafts at the back of your head incase you need a second hair transplant. 

Further information about hair transplants can be found by clicking: 

  1. Hair Transplant Surgery
  2. Patient Results
  3. Surgery Recovery
  4. Hair Transplant Side Effects
  5. Hair Transplant FAQs

References

  1. https://www.thesun.co.uk/tvandshowbiz/7893362/david-beckham-new-hair-victoria-brooklyn/
  2. https://deadspin.com/thank-god-david-silvas-hair-transplant-is-finally-takin-1830940593
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4812885/
  4. https://www.nhs.uk/conditions/hair-loss

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Itching After Having A Hair Transplant?

male itching after hair transplant

Many patients complain of itching after having a hair transplant. It is a common symptom but rest assured it does go away! There are simple things you can do at home to reduce the sensation and make yourself feel comfortable. At The Treatment Rooms we have perfected our treatments to soothe the irritating itching feeling and in this blog we will give you some key tips!

Why Is It Itchy?

Suffering from an itchy head is common and can easily be managed. After having a hair transplant you may realise the back and top of your head become very itchy. This is due to the ongoing healing process your scalp goes through in order to repair itself following hair extraction and implantation.

How Long Does it Last?

Itching following hair transplantation tends to last one week but can in rare cases last up to four weeks. Itching can be particularly worse in the four-to-five days after hair transplantation where you are unable to wash the top of your head. You will notice a big improvement after you wash this area for the first time.

Treatment For Itching After Hair Transplant Surgery

Feeling itchy is incredibly uncomfortable especially at night! There are few remedies and tips which can be used at different times during your recovery following hair transplantation.

1. Do not scratch the itch!
2. Salt water spray
3. Taking an anti-histamine
4. Medicated shampoo
5. Steroid scalp solution

Do not scratch the itch!

At The Treatment Rooms London we understand how tempting it can be to itch your head after a hair transplant. It is important that you avoid this entirely. If you scratch your implanted hairs you risk introducing a skin infection or hair follicle infection (folliculitis). In the worst case you may pull out transplanted hairs entirely, this could have a bad impact on your final results. We advise you wait 14 days until you start using anything but the flats of your hands when touching your hair.

Salt water spray

For four-to-five days after your procedure you won’t be able to wash your transplanted hair. Your clinic should provide you with a salt water spray to use during this period. This not only helps nourish the hairs but also clears away debris and dry skin which may contribute to the itchiness. Spray your scalp as copiously as you want to help sooth the transplanted area. Ensure the water comes out in a spread out burst rather than a single jet as this can damage hairs.

Taking an anti-histamine

Histamines are chemicals released when the scalp goes through its repair and healing process. It is this which creates an itchy sensation. By taking an anti-histamine you reduce the histamines that are released in your scalp and therefore you feel less itchy after having a hair transplant. There are many anti-histamines you can buy over the counter at any local pharmacy.

At The Treatment Rooms London we recommend a long acting anti-histamine that is non-drowsy and an extra short-lasting anti-histamine that makes you feel sleepy at night.

One regime we recommend to our patients as The Treatment Rooms London Anti-Itch Plan is a combination of Cetirizine and Chlorphenamine (Piriton®).

Cetirizine– acts to fight the histamine for 24 hours and does not cause drowsiness

Chlorphenamine – this lasts for a shorter duration of time and makes you feel sleepy. This is the perfect medication to take at night to reduce the itchiness in your scalp and help you get to sleep easier. Be careful- we advise you not to take this medication if you are about to drive or work with machinery as you can feel sleepy and we don’t want any accidents!

Sticking to our Anti-Itch Plan will help you get through the first 7-14 days of itching. After this period you will likely not have any further scalp itching.

Medicated shampoo

A small number of people may have ongoing itching two weeks after their hair transplant. They should continue with their anti-histamine treatment above. However, for extra comfort we provide them with a Ketoconazole shampoo . This is a medicated shampoo which also helps reduce itchiness. Stronger forms of this shampoo are available by prescription only so you should speak to your surgeon if this is something you think you might need. Shampooing your head twice a week for 2-4 weeks should help nip the itching in a bud!

Steroid scalp solution

In rare cases where itching lasts longer than 3-4 weeks we may decide to use a steroid scalp solution which treats and reduces the itch almost within a day! Applying the solution for seven days helps to cure the itching and any remaining inflammation in your scalp after having a hair transplant. Again this medication is prescription only and you would need to see our Hair Loss Doctors and Surgeons in clinic to start this treatment.

Still worried about itching after hair transplantation?

Send us an email or Whatsapp us by clicking the icon to ask for our advice. Our Hair Loss Doctors and Surgeons are happy to help!

Suffering from itchy skin? Read here to find out more about what the NHS recommends for treatment.

If you wanted to read more about the side effects of a hair transplant read our blog by clicking HERE.

If you are interested in having a hair transplant at The Treatment Rooms London- click HERE to find out more and book your free consultation today.

 

Hair Transplant Recovery: What You Need To Know

Hair Transplant recovery Before and After hair growth

“What is the recovery like after a hair transplant?” This is a question asked by all of our patients at The Treatment Rooms London! As it is such an important topic, we decided to write a blog explaining what you need to know about the recovery after your hair transplant procedure.

We will cover five main points:

  1. What will I look like after the hair transplant?
  2. How long will I need to rest for and when can I go back to work?
  3. When can I start to wash and style my hair like I normally do?
  4. How long will it take for my hair transplant to grow?
  5. What happens if I start to lose more hair?

If you wanted to see a series of blogs by a patient recovering after their hair transplant at The Treatment Rooms London- Click Here!

What will I look like after the hair transplant?

During your hair transplant you will have your hair cut to a grade zero on the back and sides with lots of small “red dots” where hairs have been extracted (donor site). You will see implanted hairs sitting freely at the top of the scalp (recipient site), these will embed into their new position. Any bandages you have are usually removed the very next day after operation. So essentially you are left with a very short hair cut, with “red dots” on the back and scabby hairs on top.

Our patients often worry how long they will look like this. Of course it varies from person to person. If you’re someone with thick hair that grows quickly, the donor site can be covered in as quick as three days. For most people it is well healed and covered in five days.

The implanted hairs in the recipient site can be more obvious. At The Treatment Rooms London we can perform our hair transplants without having to shave the top of your head. So your existing hairs can be used to cover the implanted hairs immediately. We also take care to clean and hydrate the transplanted hairs to reduce any scab formation. Scabs that do form should disappear by seven days after the hair transplant. You can help by gently soaking the scabs with the salt water spray provided for you. It is very important not to pick the scabs, as this may pull the new hair roots out with it, let the scabs fall out naturally!

Most people have no visible signs of surgery by seven days apart from your newly implanted hairs.

It takes 14 days for the implanted hair grafts to fully embed within your scalp after a hair transplant. For that reason we advise all our patients to take care for the first two weeks.

How long will I need to rest for and when can I go back to work?

At The Treatment Rooms London we advise at least four days rest even though most people are technically fit to go back to work the very next day. It is important to remember your new hairs are very delicate and need more attention in the first few days as they start to embed into the scalp. Our busiest patients often have their procedure on a Friday; allowing them to rest fully on the weekend; then work from home on Monday and Tuesday; finally returning to the office on Wednesday. You may prefer to take a few more days off as your transplant will disguise better with time. Some people may need to take off up to two weeks if their work involves strenuous activity.

When can I start to wash and style my hair like I normally do?

It takes 14 days for the implanted hair grafts to fully embed within your scalp after a hair transplant. For that reason we advise all our patients to take care for the first two weeks. By day five you are able to wash your hair. By day ten you should be able to style your hair whichever way you prefer and apply hair products you normally use. After 14 days following your hair transplant, you are free to do whatever you like to your hair including going to the gym and having a hair cut as your new grafts are now “rooted in”.

How long will it take for my hair transplant to grow?

At The Treatment Rooms London we have seen our patients grow their transplant as quick as 5 months. This is very quick and rare! We advise that full results are seen at 12-18 months post-transplant.

Patience following a hair transplant is key as you will need to wait for the hairs to initially shed and then regrow over 1 year. After the first 8 months approximately 80% of your implanted grafts should have started to grow. By 12 months 100% of your grafts should have grown. However, over the next 6 months these hairs will become thicker giving your hair a fuller appearance.

What happens if I start to lose more hair?

At The Treatment Rooms London we make sure we create a master plan for your hair loss. Although transplanted hairs are lifelong you may continue to lose surrounding hair throughout your lifetime so it is important to plan for it. This may include a combination of medications and hair transplantation, but by doing so we help you tackle hair loss now and for the future, reducing the chances of you undergoing another hair transplant.

If you would like to find out more then book in for a free consultation with one of our surgeons – simply click here to contact us now.

 

  1. https://www.nhs.uk/conditions/cosmetic-treatments/hair-transplant/
  2. https://www.nhs.uk/conditions/hair-loss/
  3. https://patient.info/health/male-pattern-baldness
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2956961/

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