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Dr Bertram Hair Transplant 美絲植髮
Hong Kong 香港

Frequently Asked Questions

Resources - Clear, evidence-based answers for informed decision-making.

1. Candidacy & Procedure Basics

Who is considered a good candidate for a hair transplant?
A suitable candidate typically possesses sufficient donor hair in the permanent zone (the back and sides of the scalp), which is genetically resistant to balding. Additionally, the pattern of hair loss should be relatively stable. Realistic expectations are crucial; while results are natural, they may not fully replicate the density of youth. A medical evaluation is required to assess scalp laxity, hair caliber, and long-term needs.
Is there an age limit for hair transplantation?
Age itself is not a limiting factor. Patients in their 50s, 60s, or older often make excellent candidates because their hair loss pattern has stabilized, making long-term planning more predictable. Conversely, very young patients (e.g., early 20s) may be advised to wait until their pattern stabilizes to avoid unnatural results as balding progresses. Overall health and donor supply are more significant indicators than chronological age.
Can hair be transplanted from one person to another?
Practically, no. While technically possible with heavy immunosuppressive drugs (as seen in organ transplants), the risks and side effects make this unsuitable for cosmetic procedures. Modern hair transplantation exclusively uses the patient's own hair follicles (autografts). This ensures zero risk of rejection, no need for immune suppression, and permanent, natural growth based on the principle of "donor dominance."
Is hair transplantation a specialized field distinct from general surgery?
Yes. While historically performed by doctors from various backgrounds, hair restoration has evolved into a standalone subspecialty. It requires specific expertise in hair biology, aesthetic design, micro-surgical techniques, and long-term donor management. General dermatologists or plastic surgeons must undergo dedicated, focused training to perform these procedures to the highest standard.

2. Results & Expectations

Do hair transplants produce natural-looking results?
When performed by a skilled surgeon, results are indistinguishable from natural hair. The key lies in artistic design: creating an irregular, age-appropriate hairline and implanting grafts at the correct angle and direction to mimic natural growth patterns. Single-hair grafts are used at the front for softness, while multi-hair grafts provide density behind the hairline.
Are the results of a hair transplant permanent?
Yes, transplanted hairs are typically permanent. They are harvested from the "permanent zone" at the back of the scalp, which is genetically resistant to the hormone (DHT) that causes balding. Once moved, these follicles retain their resistance and continue to grow for a lifetime. However, like all hair, they may undergo slight thinning due to the natural aging process over decades.
Will medical medication still be needed after surgery?
Often, yes. While transplanted hair is permanent, the native (non-transplanted) hair surrounding it may continue to thin due to genetic progression. Medications like Finasteride and Minoxidil are frequently recommended to stabilize this ongoing loss, protect the investment, and maximize overall density. A personalized plan combining surgery and medical therapy yields the best long-term outcome.

3. Procedure & Recovery

Is the FUE procedure painful?
Discomfort is minimal. The procedure is performed under local anesthesia, often supplemented with mild oral sedation to help the patient relax. Ultra-fine needles (30–32G) are used for anesthetic injection, similar to those used in cosmetic dermatology. Most patients remain comfortable throughout the session, and many even sleep. Post-operative pain is typically mild and manageable with standard analgesics.
What is the typical recovery timeline?
Recovery is rapid. Most patients can return to non-strenuous office work within 2 to 3 days. Small scabs form around the grafts and typically shed within 7–10 days with gentle washing. Strenuous exercise and heavy lifting should be avoided for about one week. Facial swelling is minimal when proper post-operative protocols (such as head elevation) are followed.
Are there visible scars after an FUE procedure?
FUE (Follicular Unit Extraction) leaves tiny, dot-like scars in the donor area. When performed with ultra-fine punches (0.7–0.8mm), these scars are virtually invisible, even if the hair is worn short. There is no linear scar associated with this method, unlike the older strip surgery (FUT) technique.
When does new hair growth become visible?
Transplanted hairs typically shed within the first 2–4 weeks (shock loss), which is a normal part of the cycle. New growth usually begins around month 3 or 4. Noticeable improvement is seen by month 6, with full maturity and final density achieved at 12 months. Patience is essential during this biological process.

4. Safety & Standards

Should cost be the primary factor in choosing a clinic?
No. Hair transplantation is a permanent surgical procedure, not a commodity. Prioritizing low cost can lead to poor graft survival, unnatural design, or donor depletion that is impossible to fix. The skill of the surgeon, the safety protocols, and the artistic design are far more critical. It is advisable to review documented before-and-after cases and verify the surgeon's qualifications before making a decision.
Is it safer to have the procedure in a large hospital?
Not necessarily. Hospitals treat patients with various infectious diseases, and shared facilities can theoretically increase cross-contamination risks. Specialized hair transplant clinics operate in controlled, dedicated environments with strict sterilization protocols specifically for elective, healthy patients. Since the procedure uses local anesthesia, hospital admission is unnecessary. A dedicated, accredited clinic often offers a safer, more focused environment.
Can the number of grafts be determined over the phone?
No. An accurate assessment requires a physical examination of the donor density, hair caliber, scalp laxity, and the extent of thinning. Furthermore, future hair loss progression must be evaluated to create a sustainable long-term plan. Phone estimates are often inaccurate and can lead to unrealistic expectations. A formal consultation with a surgeon is essential for a precise recommendation.
What defines a high-quality hair transplant center?
A reputable center ensures that the procedure is doctor-led from diagnosis to surgery, rather than delegated to technicians. It adheres to international medical safety standards, prioritizes donor conservation for future needs, and provides transparent, realistic counseling rather than sales pressure. Verification of the surgeon's credentials and review of consistent, long-term results are key indicators of quality.

Last Updated: June 18, 2026

This website is continuously reviewed and updated. Archived versions are not authoritative.