Address: 1113 Budapest, Edömér u. 6. | Phone: +36 20 373 3087 | E-mail: info@sikos.hu
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Hair transplantation facts, FUT and FUE hair transplantation. Basics about baldness, hair loss. Sikos Clinic Budapest
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The most frequent form of baldness is the so called male pattern baldness, medically referred to as alopecia androgenetica. Alopecia means baldness, the word androgen shows the hormonal origin of the process. This kind of baldness is genetically inherited, not only from father to son but from distance or female relatives also .Alopecia androgenetica is characterised by its development: most frequently starts at both temples in a triangular fashion, causing receding of the frontal hairline slowly. Meanwhile sheding at the vertex region is increasing permanantly, and the two area contact to each other at the top of the head. Male pattern baldness can occur in females mostly in quadratic manner, diffusely.
By our contamporary knowledge this process can not be influenced definitively, the time and form of its development varies greatly and individually. The only known natural and permanent treatment is the hair restoration plastic surgery, and its mostly developed and modern technique: Hair transplantation with follicular units (FUT and FUE ) (hair restoration surgery)Aquired baldness, hair loss can develop as the result of surgery, medical treatment, trauma, burn injuries or different deaseses. Hair transplantation can be performed succesfully in these cases too. Special modificiation should be utilized in some cases. So hair,  eyebrow or beard can be reconstructed after burn injuries.

LT3eukettoskep
LThajvonalFine hairline creation with FUE hair transplant

Whom hair transplantation is proposed to?

Degree and form of sheding and sparsing individually varies greatly. In general everybody has his own judgement about his problem. Smaller sparsing of the hairy scalp can be a great problem for someone, while the same condition does not bother the other.Hair transplantation (hair transplant, hair implant, hair restoration surgery) is offered to those patients, who are disturbed by their sheding, and this condition is detectable. Operation also advised to perform when smaller areas (e.g. at temple or vertex region ) are effected or diffuse sheding is reported as with females. The indication from one hand is based on the patient’s decision. When sheding is in process, hair transplantation can maintain hairy appearence despite of continous hair loss and baldness never will be seen considerably.
Most people try hundreds of treatments to stop their hair loss. They visit several doctors in years but with male pattern baldness they could not see any definitive progress. Medical treatments can only slow down or stagnate the process but not capable to stop it.
Hair transplantation if performed in right time can shortend this period and increase the patient’s appearence greatly.

Norwood classification chart

To establish the operative indication and the expected result , we must take several facts and conditions into consideration. The most usual are:
  • Origin of baldness
  • Form and degree of baldness
  • Patient’s anamnesis ( formal interventions on the scalp, family heritage )
  • Hair and scalp characteristics
  • Patient’s requests, expectations
These factors must be judged individually, and knowing them, in form of a personal consultation the operation plan is established together with the patient. This plan concerns not only the actual surgical treatment but involves the possibility of any next operation due to further hair loss.
Our candidates are examined and informed in detail. We establish the origin, form and degree of the patient baldness, and evaluate the attributes of the donor site given. We ask for previous medical treatments, surgeries, illnesses, allergie to medicaments etc. Clearing up the patient’s expectation and informing them about the details of the procedure, we concludes to the possible operative solution. Our candidates have the choice to see our previous patients’ results in photos or get in touch with some of them to have personal informations.

What does hair transplantation with follicular units means ? How is the surgery happens? 

The basic of this intervention is the fact that hair follicules at the occipital and fringe regions are not sensitive against hormons so those who are going to be bald even in great extension have their remaining hair at that areas. According to the principle of the so called „donor dominance” follicules transplantated from this areas bring and maintain this feature at the recipient site so from the transplantated follicules hair grows normally what does not shed later.
Formally utilized types of surgeries with bigger skin-islands containing 6-10 or more hairs, or 300-400 grafts transplantation in one seat are not justified any more in our modern era.
The contemporary microsurgical method of transplantation with follicular units (follicular unit transplantation) gives much more: entirely natural appearence, no more „brush like” disturbing hair knots or heavy scars. Our method gives acceptable density and even from short distance no one can see that the new hair is transplanted.Be aware of hair transplant techniques, methodes, namesDuring surgery grafts, ( follicular units with hairs) are taken ( harvested) from the donor site and then implanted ( placed) into the recipient site ( bald or sparsed area of scalp). There are different techniques for harvesting and placing as well, but one should be aware the appellations used not be cheated or misleaded!

DONOR HARVESTING METHODS

FUT (Strip harvesting) hair transplant method, FUSS ( Follicular Unit Strip Surgery)

FUT -Strip hair surgery is usually recommended to patients with long hair who do not like to be shaved, especially women.
Donor area is the occipital region of the scalp. By the regular "strip" donor harvesting method we remove in horizontal direction a long, narrow strip from ear to ear of the hair-bearing skin. The edges of this wound are closed, so there is no lack of hair, only a narrow, soft scar line what is invisible in the hair. This scar is closed with the special "trichophytic suture", which by means hair are growing through the scar, so it would not be seen in a short 0.5 cm hair even.
This strip are sliced into slivers, and from this very small skin islands (grafts) are cut, containing only 1-2, or 3-4 hair follicules ( follicular units). These are called follicular unit grafts, Preparation and cutting of the grafts is an extremely precise and meticulous work under microscope, survive of the grafts are greatly upon the technique utilized. We make small incisions with special instruments at the recipient area, and the grafts are positioned in them one by one, graft implantation, graft placing.
Transplantation (implantation of grafts) is done by 1-2 hairs FU grafts at the frontal hairline with ultrafined technique, while the rest of the scalp are covered with mixtured type ( 1-4 hairs) follicular grafts. No scar formation is detectable nearby the transplanted grafts, direction and mood of hair growing is natural by the utilization of the correct technique.


FUT harvesting pictures

FUE harvesting method
Follicular Unit Excision - FUE, FUE Hair Transplant, FUE hair trans, FUE method, FUE harvesting


WAW-DUO
FUE technique, "fue method", fue harvesting  (Follicular Unit Excision, formally FU Extraction technique) means the removal of the follicular units each by each, individually by the use of micro punch (cylindrical) knife (usually diameter 0.75-1 mm) from the donor site, sides and back of the hairy scalp.  The extracted hairs are growing later at the recipient site ( bald area), while at the donor site FUE harvesting leaves several white dots of minimal scars on the donor area (instead of the thin linear scar of the strip after FUT surgery).  These very small scars are not visible even in 2-3 mm long hair.
We provide the one of state-of-art powered FUE harvesting technique.  With this technique we can achieve cc. 800 -3000 FU grafts or more /surgery/day. (cc.5000-7000 hairs) Transplantation (implantation or planting of grafts) is done by 1-2 hairs FU grafts at the frontal hairline with ultrarefined technique, while the rest of the scalp are covered with mixtured type ( 1-4 hairs) follicular grafts. No scar formation is detectable nearby the transplanted grafts, direction and mood of hair growing is natural by the utilization of the correct so called " lateral slit" technique. Immediate recovery after FUE hair transplant is short, usually takes one week only, but redness, itching and numbness can take place for some weeks as the skin regenaration needs some time to be complete. Keep in mind, that the donor site (back and side of the head) shall be shaved in most of the cases for secure, quick extraction of vast numbers of grafts. Recipient site is usually shaved as well for better visualization during surgery, and for easier scalp cleaning postop. 
Donor management is an important part of the treatment in order to keep the hairy apperance at the donor site as well.
WAW DUO FUE System with Wireless Control. State-of-art professional tool for FUE harvesting used at Sikos Clinic
The new version of the WAW System now offers its app with wireless control of the three main parameters to get optimal Fue's: Choose the acceleration speed, oscillation mode and angulation. It also offers a beneficial scoring counting. WAW DUO FUE System, with its Bluetooth connection between the pedal and any mobile device, supported by the new Application. The app helps to control the angulation and speed directly from phone or tablet. Furthermore, it allows to visualize the movements of the punch with precision and facilitate the settings of the WAW pedal considerably. 
Hair transplant surgery is not recommended in some condition, e.g. when the baldness is large, but the donor site is very few. You should ask the specialist who can judge the indication for your HT surgery.
Also we do provide No- shave FUE technique, when no haircut is needed for the surgery


Donor site immediately after removal of  2430 FUE grafts by FUE technique

Donor site immediately after removal of  2430 FUE grafts by FUE technique

Recipient site immediately implanting of the follicular units with lateral slit technique with high density

Recipient site immediately implanting of the follicular units with lateral slit technique with high density

How can we achive the best possible yield?

Close investigation of the hairy scalp shows hairs growing in special groups. This anatomical – physiological bundles are called follicular units. Each of this unit contains 1-2-3-4 hair follicules. During the later mentioned graft preparation and transplantation procedures we put emphases to maintain these units for the best quality an quantity of grafts in order of the most natural appearance, reminding of the original state.

2,3 hair / mm2

1,7 hair / mm2

Different density of the hairy scalp

From the strip the preparation and cutting of the grafts is an extremely precise and meticulous work, survive of the grafts are greatly upon the technique utilized. We make small incisions with special instruments at the recipent area, and the grafts are positioned in them one by one.Transplantation is done by 1-2 hairs FU grafts at the frontal hairline, while the rest of the scalp are covered with mixtured type (2-3-4 hair) FU grafts. No scar formation is detectable nearby the transplanted grafts, direction and mood of hair growing is natural by the utilization of the correct technique.Surgery is performed under local anasthesia, with some pain and discomfort for 3-4 minutes, but total anaesthesia can be achived for the entire procedure. The operation lasts for 5-6 hours, patients are resting, sleeping or chating during this time in great comfort. The procedure is outpatient, patients can leave the office on their own feet. Following surgery there is no pain, small tension at the donor site is possible, but it disappears step by step. For one day headbandage is applied, removing it careful haedwash is necessary for every day in the first 10-14 days to eliminate the crusts around the incisions.One can count on some swelling (reactive oedema) on the forhead which disappears in about 10 days itself.This FUT and FUE methods and its smaller modifications are considered as the most contemporary one and its popularity is well known all over the world. The procedure is not troublesome for the patient, goes with only some discomfort. The method offers a reliable and permanent solutions to those who are suffering or disturbed by their baldness or hair loss. Both methods are equally effective, the suitable one shall be choosed up to the patient requests and possibilities, due to his/her hair characteristics and other features regarding hair loss. 

What result can be expected ? How the success should be provided?

The number of the transplanted grafts are determined by the the extend (the need) of the recipient area and the capacity (number and quality of hairs) of the donor site. In averege at Sikos Plastic Surgery clinic 2000-3000 follicular unit grafts are transplanted in a single session, rarely less but in some case more. The grafts are positioned in a network manner on the bald area for the contribtion to the natural effect. The number of the grafts and their positioning is decided in every patient individually due to all of the above mentiond facts and circumstances. Increasing the density some of the cases second or more sessions are indicated no earlier as 6-8 months, to make the result close to the original state.Healing of the small and sharp incision wounds are almost invisible, so about two weeks after the surgery and the elimination of the small crusts (scubs) literally there is no trace of the intervention. No scars around the graft can be detected, hairs are emerging from the skin regularly in natural manner.The frontal hair zone needs special interest. This part is the most conspicuous, where the frontal skin meets the hairy scalp. The natural look of the frontal hairline can be provided by the special placing of very fine 1-2 hairs micrografts. Survival of the 95-98% of the transplanted hairs could be guaranteed by the use of the proper technique. Regeneration of the hair follicules after transplantation takes usually 2-3 months, the hair shafts starts to grow after this resting period. From this moment the hair can grow even 1 cm/month, so in 6-8 months hair will be 3-5 cm long. The newly growing hair held its characteristics, corresponds in every respects of the original one at the donor site. Hair wash, cutting, colouring, combing is possible in genuin manner.One of the secret of the success of the follicular unit transplantation is the well prepared and trained surgeon-assistents teamwork. Utilizating the most precise and meticolous atraumatic technique the survival of the transplanted hair could be provided the best. A well trained team is capable to prepare and implant in average about 2000- 3000 or more follicular unit grafts in one session within 5-6 hours. The doctor -medical assistents team of Sikos Clinic is prepared to meet this requirements due to some years of practice of this special technique.Though restoration of the original density can not be our goal, the available result (just as well with one session ) enough to eliminate the bald appearance of the patient and hair gives younger look also.

What complication can occur by hair transplantation?

Hair transplantation is a surgical procedure so complications can occur. Their incidence are very rare. Considering the remarkable vascularity of the scalp, inflammations almost never occur or only mildly which can be treated easily. Ejection or death of the transplanted grafts can be avoided applying the above mentioned atraumatic technique. Scar formation at the donor area rearly can ended with somehow wider scar, which is still invisible, whilst the hair is 0.5-1 cm long at least. The experience of the surgeon is most of importance, especially creating the natural appereance at the frontal hairline. The effect of an unnatural hairline is very disturbing. Hair loss can occur after the surgery.The so called „shock loss” phenomenon means falling out of the exisiting hairs at the recipient site in some degree.This  happens with a bit women more frequently. It is not occuring all the time, but if yes, it can be disturbing for female patients. These hairs are growing back by reasonable time for sure.
So this hair loss is only temporary, the hair will grow back with the transplanted one and will provide you good coverage.

About our experiences

Sikos Plastic Surgery, Hair Transplant Clinic is a modern private institute, providing the state-of-art hair transplant methods as FUT (Strip) and FUE (individual follicular extraction) powered harvesting techniques as well since 1995. We have great experience in hair transplantation surgery. Excellent FUE hair transplant service in Hungary, hair transplant expert in Budapest. Sikos Plastic Surgery is specialized in hair transplantation state-of-art follicular unit transplantation technique, FUE (Follicular Unit Extraction harvesting technique) and have experiences with many patients for more than 25 years in this field.

We have a specially trained assistancy team and dr.Sikos has accomplished trainings, courses and congresses in the USA (FUT course in Los Angeles 1998, FUE course in Denver 2006 and several other appearences) and in other countries and occasions. He is the member of the International Society of Hair Restoration Surgery (ISHRS) and the Formal General-Secretary of the European Society of Hair Restoration Surgery 

Sikos dr. is among the The World’s Top Hair Transplant Surgeons in 2019, 20, 21,22,23 and 2024 again!

"A certified plastic surgeon since 1984, Dr Sikos is a board-certified plastic surgeon and hair transplant specialist. He has undertaken comprehensive training in the US and other countries and is a member of a number of important hair restoration industry associations. His Sikos Hair Transplant Clinic is highly regarded in Europe as a quality practice where patients will receive the highest standard of care. Around half of the patients who attend the clinic come from other European countries, to avail themselves of his world-class services and reputation. Dr Sikos performs mostly FUE surgeries however will also provide FUT-strip harvesting techniques. As well as scalp hair restoration, patients can seek treatment for restoration repairs, beard transplant and chest and pubic hair restoration." (by SPEX)

WHO SHOULD A HAIR IMPLANTATION BE DONE AND WHO IS NOT?

At the Sikos Clinic, we choose with great care who we recommend hair transplants to, and if so, in what form. If, based on the conditions listed, the expected surgical outcome does not typically improve the existing condition, we do not recommend intervention.

If we undertake a hair transplant, we will do our best to succeed as expected and ensure the effective result that is currently available.

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