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    Arrival (30 minutes): You will be greeted by the receptionist, who will ask you to pick out your lunch for the day. After We will take pre-operative photos and take care of any final paperwork.

    Meet with Physician (as long as necessary): After your photos, you will meet with your physician to review the surgery.

    General Preparation for Surgery (30 minutes): You will be escorted back to the surgery room to be prepared for surgery. You may wish to use the restroom at this time, however, you may take a break anytime during the surgery. Some of the things that will occur during this preparation stage are as follows:

    • You will be placed in a surgical gown and asked to sit in the surgical chair.
    • Your vital signs (blood pressure, pulse, and oxygen saturation) will be measured.
    • You will be given pre-surgical medications consisting of an antibiotic, Valium, and Prednisone prior to surgery. If you have questions or are allergic to any of these medications, please call us prior to your surgery.
    • You will be asked to pick out movies you may choose to watch during the day. We have a selection of DVD’s and Videos to choose from or you may bring in your own DVD’s or videos to watch. We also have channels such as CNN, Fox, etc. The surgery takes about 6-8 hours. Some patients sleep off and on during the surgery due to the effect of the Valium, while others stay awake and watch movies or listen to music of their choice. No Reading during surgery is allowed.

    Preparation of Donor Area FUT (15 minutes): The physician will examine the donor area and mark the exact location and size of the donor strip of hair that is to be removed. The area from which the strip will be removed is then trimmed and cleaned. Tape and surgical gauze are used to keep the rest of the hair up and out of the way of the selected donor area.

    Local Anesthesia for the Donor and Recipient Site Areas (15 minutes): The surgical assistants will inject the donor and recipient site areas with a local anesthetic. Lidocaine is injected using a very small needle. You may feel a mild stinging sensation with the injection which subsides within a minute. After the initial stinging sensation the area is numb.

    Strip Removal of the Donor Area (30 minutes-1hour): The donor strip of hair is now removed surgically by the physician, and the area is closed with sutures or staples. You should not feel anything during this process due to the effects of the local anesthetic. This is usually done with the patient lying on his stomach like in a massage chair.

    Creation of Follicular Unit Grafts: Immediately after the strip is removed, it is given to the surgical assistants to be microscopically dissected into follicular unit grafts. You may see 3-5 assistants cutting grafts with the use of microscopes. If you wish (and some patients do), you will be allowed to watch the graft cutting process through the microscope to see how perfectly and meticulously the grafts are prepared. This usually takes 1-4 hours depending on the number of graphs being prepared.

    Creation of Recipient Site Incisions: (1-2 hours) Once the physician finishes closing the donor area he begins making the recipient site incisions. The physician will make all the tiny incisions in which the grafts will be placed. Almost all incisions are made prior to placing the grafts in the incisions. As stated above this usually takes about 1-2 hours depending on the number of grafts

    Lunch: (30 minutes)You will be provided with lunch. Please let us know, in advance, if you have any dietary restrictions.

    Placing of Follicular Unit Grafts: (2-4)
    After lunch, the surgical assistants will start placing the follicular unit grafts. Most of the placement is done by the technical staff.

    Stick and Place and Fine Tuning. During the Placing process and at the end the physician will continually check the placement of the grafts. When there are a out 300-400 grafts left the procedure will be stopped and the pattern and distribution will be rechecked. At this time fine tuning with more incisions for the final grafts will be made and placed.

    Completion: Most surgeries are completed by 5-6:00PM. You will be given detailed post surgical instructions. If the next day is a week day, you may return to the office for a hair wash and check up. You will be given an after-care kit containing post-op medications (Prednisone to prevent swelling, and Vicodin for pain), gauze, and a spray.

    Suture/Staple Removal: This is done in 10-14 days. This can be done in our office at no charge. If you live out of town we can arrange for you to have your sutures/staples removed at a hair transplant clinic in your area, if there is one available. Or, the sutures/staples can be removed by your private physician or urgent care clinic.


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“Thank you very much for your attention. I am very happy with the results of the surgery. After 3 months only I already have full hair coverage in all the affected areas and don’t need to use the hair clips like I used to do for many years. Please give my beast regards to Dr. Shapiro and the team...”Read More

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