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Faqs

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Hair Loss (3)

What Causes Hair Loss?

Hair loss can have many causes, from environment to stress and diet, disease or illness or commonly, male pattern hair loss.  A certain amount of hair loss occurs naturally as a part of the hair’s life cycle, and noticing a few loose hair on a brush, pillowcase or in the sink is  not cause for alarm. People regularly shed up to 100 hairs each day, which are normally replaced with new growth.

Androgenic Alopecia

Alopecia is a term that means “Hair Loss.” Androgenic Alopecia is hair loss caused by hormonal activity, and is the cause of baldness experienced by most men. Some studies suggest that 25% of men will start experiencing Alopecia by age 30 and 66% of men will see hair loss by age 60. This type of hair loss is triggered genetically, and can (occasionally)  appear soon after puberty.

Androgenic Alopecia may be instigated by the action of DHT (a form of testosterone, called dihydrotestosterone.) DHT appears to make the hair follicle deteriorate to the point where it can no longer produce normal hair. Some topical medications and shampoos claim to work by blocking DHT.

Dr. Hasson and Dr. Wong both frequently recommend Finasteride to combat further hair loss and hopefully prevent damage done by DHT. While the results vary between patients, the impact is noticeable for most.

Other Causes

Hair loss can also be caused by emotional stress, physical trauma, poor nutrition, pregnancy, medications and environmental factors. Medications that impact hormonal levels and medications for blood pressure, heart disease and diabetes can all cause hair loss. Medications used for chemotherapy are often associated with rapid (and temporary) hair loss.

Rapid Hair Loss

If you are experiencing rapid hair loss, or your hair is falling out in clumps, seek professional medical advice. Hair loss can indicate serious underlying health issues.

Women’s Hair Loss

Women are also susceptible to genetic pattern hair loss, although it is less common than in the male population.


How can I tell?

While this seems like a simple question, there are no simple answers.  Many methods have been devised and tried,  but even counting individual hairs is not reliable, since healthy hair goes through a phase where it falls out then regrows months later.  So, just because you see hairs on your pillow or in your sink, it does not mean you are suffering from permanent hair loss.

The truth is, there is no easy, reliable way to monitor your hair loss.  All you can do is be aware of your overall density, how easy or difficult it is to see your scalp through your hair, where your hairline rests and how all of that changes over time.  It is too easy to be paranoid and obsessive about hair loss, and all of that stress is surely not helpful.

If you are losing hair due to an illness, stress or disease, you may see rapid hair loss, hair falling out in clumps or bald spots appearing on your head and should consult with a physician. Rapid hair loss can result from serious underlying factors and should always be investigated with your doctor.

Our best suggestion to monitor your hair is to take standardized photos of yourself every 6 to 8 months and compare them. Set up your camera so you can duplicate the same position, lighting and pose when you retake your photos.

Check our photo guide for more detailed instructions and a list of poses.

 

 


Hair Retention (5)

How can I tell?

While this seems like a simple question, there are no simple answers.  Many methods have been devised and tried,  but even counting individual hairs is not reliable, since healthy hair goes through a phase where it falls out then regrows months later.  So, just because you see hairs on your pillow or in your sink, it does not mean you are suffering from permanent hair loss.

The truth is, there is no easy, reliable way to monitor your hair loss.  All you can do is be aware of your overall density, how easy or difficult it is to see your scalp through your hair, where your hairline rests and how all of that changes over time.  It is too easy to be paranoid and obsessive about hair loss, and all of that stress is surely not helpful.

If you are losing hair due to an illness, stress or disease, you may see rapid hair loss, hair falling out in clumps or bald spots appearing on your head and should consult with a physician. Rapid hair loss can result from serious underlying factors and should always be investigated with your doctor.

Our best suggestion to monitor your hair is to take standardized photos of yourself every 6 to 8 months and compare them. Set up your camera so you can duplicate the same position, lighting and pose when you retake your photos.

Check our photo guide for more detailed instructions and a list of poses.

 

 


Propecia / Proscar / Finasteride

Propecia and Proscar are a brand names for Finasteride, a medication taken as a pill. If you are susceptible to pattern baldness and want to keep your hair for as long as possible, Finasteride can help.

If you are considering hair transplant surgery, you will also want to think about the continued long-term loss of your hair. While Propecia does not promote hair growth in all patients, it is effective in preventing further hair loss for many. Hasson and Wong are all about achieving outstanding, natural-looking cosmetic and aesthetic results. If you have a surgery today, we’ll do our best to make you look good, but if you continue to lose hair, your transplanted hair may begin to look less natural and may not cover as well as it initially did. It makes sense to maintain your appearance by taking Finasteride.

While it is rare, some patients report side-effects and feel unable to take Finasteride, we often suggest the topical Minoxidil as a second-line of defense, but the results are not nearly as robust. We currently have thousands of patients successfully using Propecia with no side effects and can help adjust your dosage in cases where there is extreme sensitivity.


Rogaine / Minoxidil

Rogaine is a brand name for Minoxidil. Minoxidil is a topical (cream or spray) that can be applied to the scalp daily to promote hair growth. The mechanism behind Minoxidil is not well understood, but it appears to work as a vasodilator, and likely improves blood flow to the area, bringing additional oxygen and nutrients which may encourage hair growth.

In our experience, Minoxidil can help some patients hold onto or even regrow some hair, but patients who use the oral medication Propecia (Finasteride) experience much better results. Your first line of defense in keeping your hair is to look into the use of Propecia. Our Patient Advisors are fond of comparing Propecia to toothpaste: if you want nice teeth for the rest of your life, you need to brush them daily, and the right toothpaste helps! If you want to keep your hair from falling out, a daily dose of Finasteride might be the right stuff. For those patients who cannot take Finasteride, Minoxidil is often the next best solution.


Laser Treatment & Laser Caps


Hair Transplant Surgery (26)

Propecia / Proscar / Finasteride

Propecia and Proscar are a brand names for Finasteride, a medication taken as a pill. If you are susceptible to pattern baldness and want to keep your hair for as long as possible, Finasteride can help.

If you are considering hair transplant surgery, you will also want to think about the continued long-term loss of your hair. While Propecia does not promote hair growth in all patients, it is effective in preventing further hair loss for many. Hasson and Wong are all about achieving outstanding, natural-looking cosmetic and aesthetic results. If you have a surgery today, we’ll do our best to make you look good, but if you continue to lose hair, your transplanted hair may begin to look less natural and may not cover as well as it initially did. It makes sense to maintain your appearance by taking Finasteride.

While it is rare, some patients report side-effects and feel unable to take Finasteride, we often suggest the topical Minoxidil as a second-line of defense, but the results are not nearly as robust. We currently have thousands of patients successfully using Propecia with no side effects and can help adjust your dosage in cases where there is extreme sensitivity.


Rogaine / Minoxidil

Rogaine is a brand name for Minoxidil. Minoxidil is a topical (cream or spray) that can be applied to the scalp daily to promote hair growth. The mechanism behind Minoxidil is not well understood, but it appears to work as a vasodilator, and likely improves blood flow to the area, bringing additional oxygen and nutrients which may encourage hair growth.

In our experience, Minoxidil can help some patients hold onto or even regrow some hair, but patients who use the oral medication Propecia (Finasteride) experience much better results. Your first line of defense in keeping your hair is to look into the use of Propecia. Our Patient Advisors are fond of comparing Propecia to toothpaste: if you want nice teeth for the rest of your life, you need to brush them daily, and the right toothpaste helps! If you want to keep your hair from falling out, a daily dose of Finasteride might be the right stuff. For those patients who cannot take Finasteride, Minoxidil is often the next best solution.


Laser Treatment & Laser Caps


Eyebrows and Facial Hair

Yes! Many people experience patchy hair loss in facial hair and eyebrows.  We have had great success with facial hair transplants, however, each persons case is unique, and when it comes to facial hair, an assessment and careful consideration are required.

Other treatments may provide better options for some types of facial hair loss.  Scalp MicroPigmentation has been successfully used to cover up facial hair loss and create the appearance of thicker hair or facial stubble.  Scalp MicroPigmentation uses non-permanent pigments injected into the top surface of the skin to emulate hair growth.  While we don’t perform SMP in the clinic, we can certainly help you  determine if this is the right solution for your situation.


How long does the surgery take?

The length of your procedure depends greatly on the number of grafts being processed. If you have a surgery with more than 5000 grafts, you can expect to be in surgery for 8 or more hours. Surgery is conducted in comfortable operating rooms with televisions and plenty of breaks to ensure your comfort. We also provide meal service when you are here through lunch or dinner.

Smaller surgeries of less than 2000 may be completed in 5 or 6 hours. There are many factors that can impact the amount of time required to extract, process and transplant your grafts, so these estimates are very general and may not be accurate for your own procedure.


Will there be a Scar?

Yes, both the Strip Excision technique (FUT) and the punch extraction method (FUE) leave scars.

In FUE, the individual holes produced by extraction will produce scars. When FUE is performed, extractions are dispersed widely throughout the donor zone to reduce concentrated stress and minimize appearance. The scars produced are very small and hard to see.

In the FUT method practiced by Dr, Hasson and Dr. Wong leaves a thin linear scar in the donor area. Scars from the Strip method are easily hidden by short hair growth and are generally imperceptible. Our videos feature a comb-through segment where we try to show the scars created by FUT, you’ll see how difficult they are to spot, and in some patients it is almost impossible to see.
Read more about FUT (Strip) method here.


Will the grafts fall out?

Each follicular unit (graft) is carefully and individually planted in the recipient area. The incision for each graft is created with a blade that is carefully measured specifically for your procedure. Once the graft is planted, the surrounding tissue clamps onto the graft and the incision begins healing, locking the graft in place.

It is very rare to lose a graft after transplant, but it can happen due to strenuous activity, profuse sweating or infection. Transplant patients are cautioned to reintroduce strenuous exercise slowly in the weeks after their transplant to ensure the maintenance of the grafts.


When Will It Grow?

The full impact of hair transplant surgery can be experienced after approximately 8 months, when we typically see the majority of grafts producing viable hair follicles. In the months immediately after your surgery, your grafts will go through a number of phases and the follicles may fall out before the graft starts producing new hairs.

You can read a first-hand account of hair transplant recovery here.


Cloning

We constantly monitor industry news and medical developments for any new advances in hair transplant technology and we know that cloning healthy hair grafts is still many years away.  There have been some promising advances in working with stem cells to promote follicular growth, but there are still many obstacles to overcome and lots of testing to do.

While we are excited by some recent advancements, there is still no effective way to multiply your donor hair .

 


FUT vs. FUE

FUT is a general term that stands for Follicular Unit Transplant. While imprecise, the term is frequently used when speaking about the Strip Excision technique of harvesting donor hair grafts.

FUE  is a form of FUT that uses Follicular Unit Extraction to harvest donor grafts.  In FUE, grafts are extracted individually from the donor area.

The major difference between Strip Excision and Follicular Unit Extraction is that Strip Excision leaves a single strip scar in the donor area while Follicular Unit Extraction leaves tiny individual marks.  Dr. Hasson and Dr. Wong have both specialized in the Strip technique for more than 18 years, and are proponents of the technique because of the greatly improved results they experience. Scars from the Strip method are easily hidden by short hair growth and are generally imperceptible.

FUE Illustration

Illustration showing the Follicular Unit Extraction (FUE) technique. A specialized punch pierces the scalp and grasps the graft unit. Hasson and Wong rarely use this method.

There are great debates online about which method is “better,” and we encourage you to learn more.  It may also be helpful to remember that the final cosmetic results of a hair transplant depends on where and how the grafts are planted in the recipient area more than where they came from.

FUT-Strip-Extraction-illustration

FUT Strip Extraction Illustration. A strip is removed and then the scalp is stitched together. The strip is then processed and individual grafts are carefully excised.

You can learn more about these techniques here, or by joining our free “become an expert” program.


FUT – Strip Extraction Method

While the debates continue about which method of extraction is “better”, Dr. Hasson and Dr. Wong both have chosen to practice Strip Excision to extract healthy donor hair grafts. Over the course of thousands of hair transplant procedures, there is no debate about the results they are able to achieve.
The doctors consistently see more successfully grown grafts and better results when Strip Excision is used. Additionally, the strip method allows for “megasessions” where thousands of grafts can be transplanted in one session. Strip FUT also enables “dense packing” which allows us to achieve much denser transplants and a more natural looking result.

fut microscope

This magnified top view of an excised strip shows how technicians can precisely position their blade to extract individual grafts.

It may be that the individual hair grafts survive better when they are harvested from the strip rather than individually extracted from the donor zone as in FUE. When the strip is excised, technicians are able to view it under a microscope with excellent lighting and make precise incisions to gently extract the grafts. The strip is placed on the dissecting surface and magnified, giving the technicians a side-view where they can see the whole hair shaft and root through the tissue and can make precise cuts.

In FUE, the punch tool used to extract the hair can only be approximately placed, as the donor area can not be as well lit and accessible as is the case with the removed strip method.


Megasession

Patients with advanced patterns of hair loss usually want the maximum number of hair grafts transplanted in as few surgeries as possible.  We classify any hair transplant surgery requiring 3000 or more grafts as a  megasession. Our patients enjoy more dramatic results with fewer hair transplant procedures when we perform these megasessions.

Follicular unit transplantation combined with dense packing in megasessions provides  patients with outstanding results in a single surgery.

The advantages of megasessions include:

  • Fewer hair restoration surgeries are required
  • Better graft yield and survival
  • Less donor scarring
  • Less downtime for the patient
  • Aesthetically excellent results
  • No plugginess between surgeries
  • Greater overall value

Megasessions are safe and produce exceptional results when performed by experienced hair transplant surgeons with well trained technicians.

 


Dense Packing

If you have sufficient donor density, dense or ultra dense packing can be performed to restore hair density to levels previously regarded as unattainable using other hair transplant techniques. Density is critical in determining the quality of the transplant results.

Hair density is measured in numbers of follicular units per square centimeter of scalp. This varies enormously within a population and even more between different racial groups. In Caucasians the average density is usually between 90 and 120 follicular units per square centimeter. The density is lower in other racial groups and is lowest in those of African descent.

A key component of dense and ultra dense packing is the Lateral Slit Technique: the creation of recipient sites customized to the exact size of the follicular unit of the individual hair replacement patient. The technique is made possible by the invention by Hasson & Wong of a custom blade cutting device. This device is now commercially available and used worldwide by various respected hair restoration surgery clinics.


Will People notice my Surgery?

The result of Strip Excision is a narrow scar in your donor zone – at the back or sides of your head. The Doctors work diligently to minimize the appearance of a scar and it is rarely visible and can usually be covered by just 1/2 cm of hair growth.  Our goal is to provide you with the most natural looking result, with your transplanted hair blending perfectly with your natural growth.


Where is the Clinic?

The Hasson and Wong Clinic is located in Vancouver, British Columbia, Canada. See a map and address information here.

The majority of our clients visit us from the USA, other parts of Canada, Italy, the UK and Spain.  Dr. Wong and Dr. Hasson have helped people from more than 70 countries.

 


Natural Looks

The goal for most hair transplant surgeries at Hasson and Wong is to provide an aesthetic or cosmetic effect that mimics your natural hair growth as closely as possible. You can see from these real client result pictures how natural the results can be.

growth vectors

The direction of hair growth varies across the landscape of your scalp, and is different in every person. The direction and placement of transplanted grafts are pivotal to achieving a natural look.

We achieve these results by studying your hair growth patterns, understanding your loss progression and working with the donor hair you have available. The doctors employ specific techniques when designing age-appropriate hairlines and strategizing specifically where and how to plant each graft.


Do I have to Shave My Head?


How long do I need to stay in Vancouver?


Booking a Consultation

Hasson and Wong have consultants in Canada, the USA, Europe and the UK. You can check here to see the schedule of upcoming consultation sessions.

If you are in Vancouver, you can book a consultation in the clinic by calling 604-739-4247.

You are always welcome to use our online consultation form to send us your information and pictures, and we will provide you with an evaluation and an estimate of how many grafts might be required to meet your goals and the estimated cost of that surgery.   There is no cost and no obligation.


Submit a Question

Yes! Please search our site and FAQ for the latest answers, illustrations and videos about hair transplants. If you can’t find the answers you need, you can send in a personal online consultation or use the contact form below to send in your questions.


The Donor Zone

The Donor Zone is the area at the back and side of your head where the hair grafts are taken from.  You’ll notice that as men lose their hair, the back and sides are generally still intact even after the front and crown have receded.  The hair that grows in the donor zone is less susceptible to pattern baldness and maintains this resilience even after being transplanted to a different area.

hair transplant donor-zone

Illustration showing a typical donor area (purple) with safe donor zone (blue)


Scalp laxity

Scalp laxity is a measure of how loose the scalp is in your donor area.  If you scalp is tight, the width of the donor strip will be limited and the number of donor grafts depends on the size of the strip.  If you scalp is loose in the donor area, the strip can be wider and more grafts can be excised.

laxity-illustration

Illustration showing how laxity impacts the safe donor zone. Strips are customized to suit each patients unique situation

We have seen many patients with tight scalps exercise the donor area and greatly improve their laxity, allowing for more grafts and better results.  You can see how scalp laxity exercise are done in this short video.


Cost (3)

The cost for your procedure is dependent on a number of factors. Every hair transplant operation is unique and specifically planned to meet your goals.   The final price will depend on how much work you want done, what kind of results you are looking for, how much actually  needs to be done and  how much donor hair is available.

Prices are based on a per-graft unit.   A graft is a grouping of individual hair follicles that grow collectively as a unit.  To find out how many grafts you would need to achieve your goals, you’ll need to send us some pictures so we can assess your hair loss and donor availability.  Once we are able to estimate the number of grafts, we can estimate how much your procedure would cost.  During your actual procedure, the number of grafts are carefully and exactly counted, so you pay only for what you receive.

For a free, no obligation assessment, send us your pictures using this form.  You can see our graft pricing chart / cost calculator here.

follicular-units-grafts

Follicular Units (Grafts.) Human hair grows individually, in two’s or in groups of three.


Financing

Hasson and Wong do not provide financing for hair transplant surgery, however, financing can be acquired through independent medical financing companies. Hasson and Wong has no association with any financing companies.

Some of our patients have used these financing services:

Canada

Crelogix Healthcare Financing (Canada only) can help you afford your medical procedure today. Crelogix pays your doctor or medical service provider in full for your treatment immediately and offers you a flexible and affordable monthly repayment plan with loans from $2,000 and customized financing terms from 24 to 72 months
Call Crelogix Financing toll-free at: 1-877-621-8686.

USA

MedicalFinancing.com (U.S. only) offers convenient financing programs and flexible payment options. With available limits from $1,000 to over $25,000, including financing programs for even those with less than perfect credit. Rates start as low as 5.99% and there are no prepayment penalties.


Per Graft Cost *

Up to 2000 grafts $5 / graft
Each graft over 2000 grafts in the same surgical session $3 / graft

 

Cost Calculator

Enter # of Grafts:
  $
*before tax

 

Cost Examples *

Grafts / Surgery Cost Calculation Cost * Average Cost/Graft
2000 ($5 x 2000 grafts) $10,000 $5.00
2500 ($5 x 2000 grafts) + ($3 x 500 grafts) $11,500 $4.60
3000 ($5 x 2000 grafts) + ($3 x 1000 grafts) $13,000 $4.30
3500 ($5 x 2000 grafts) + ($3 x 1500 grafts) $14,500 $4.14
4000 ($5 x 2000 grafts) + ($3 x 2000 grafts) $16,000 $4.00
4500 ($5 x 2000 grafts) + ($3 x 2500 grafts) $17,500 $3.89
*cost listed is before tax