Beard Transplant Planning and Procedure

FUE, DHI & Hair Restoration Surgery

Hair transplant surgery restores hair density using advanced FUE and DHI techniques. Learn about the procedure, diagnosis of hair loss, and recovery process.

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Beard Transplant Planning and Procedure

A successful beard transplant is the perfect intersection of medical precision and artistic vision. It is not enough to simply move hair from one place to another; the direction, angle, and density must be perfectly calculated to mimic nature. At Liv Hospital, the beard transplant procedure is a meticulous, multi-step process performed in a sterile, JCI-accredited hospital environment to ensure your safety and comfort.

We understand that facial surgery requires a higher level of detail than scalp surgery. Your face is your identity, and our specialists approach every procedure with that responsibility in mind.

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Designing Your New Look

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When creating a beard design, the individual’s bone structure and muscle movements should be taken into account. Artificial and overly sharp lines should be avoided. For a natural result, the transitions in hair growth angles and distributions should be planned with millimeter precision to perfectly match the individual’s existing beard growth.

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The Consultation and Mapping

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On the day of your procedure, you will sit down with your surgeon to finalize the plan. We use specialized calipers and marking tools to draw the proposed beard lines directly on your skin. We consider:

  • Facial Symmetry: Balancing the left and right sides of the jaw.
  • Bone Structure: Using the beard line to define the jawline or hide a “weak” chin.
  • The Neck Line: Determining exactly where the beard should stop on the neck to look natural, not unkempt.
  • You are an active participant in this process. We will adjust the lines until you are completely satisfied with the proposed shape.

Preparation and Anesthesia

Once the design is approved, you will be prepped for surgery. Because Liv Hospital is a comprehensive medical center, we perform pre-operative blood tests to ensure you have no underlying infections or clotting issues.

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Step 1: Harvesting the Grafts (Extraction)

The first surgical phase involves harvesting the hair follicles. We almost exclusively use the FUE (Follicular Unit Extraction) method for beards because it leaves no linear scar.

By extracting individual units one by one, we can selectively harvest the finest, most compatible follicles—typically from the back of the scalp where hair is most resilient. This precision ensures that the donor site heals discreetly while providing the high-quality grafts necessary to mimic the natural texture of facial hair.

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Underlying Causes

Identifying the cause is critical because hair transplantation is primarily effective for genetic hair loss, whereas other causes may require medical therapy first.

The Selection Process

Using a micromotor with a tiny punch tip (0.7mm to 0.8mm), the surgeon extracts follicles from the “safe zone” at the back of your head.

  • Targeting Specific Hairs: For a beard, we specifically target grafts containing single or double hairs. Thick, multi-hair grafts (3-4 hairs) are often too bulky for the face and can look unnatural.
  • Preservation: Once extracted, the grafts are placed in a nutrient-rich solution (like Hypothermosol) to keep them alive and healthy while the recipient site is prepared.

Step 2: The Implantation Phase

This is where the artistry happens. Depending on your specific skin type and the density required, we will use one of two advanced techniques: Sapphire FUE or DHI.

Sapphire FUE (Follicular Unit Excision)

In this method, the surgeon uses a blade made from sapphire gemstone—which is sharper and smoother than steel—to create thousands of tiny incisions (channels) in the beard area.

Benefit: The V-shaped sapphire blades create smaller channels, leading to less bleeding and faster healing.
Process: The channels are opened first, and then the technician places the grafts into these holes.

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DHI (Direct Hair Implantation)

For many beard transplants, DHI is the preferred method. This technique uses a tool called the Choi Implanter Pen.

  • No Pre-made Channels: The graft is loaded into the pen, and the surgeon implants it directly into the skin. The pen creates the channel and places the hair simultaneously.
  • Precision: This gives the surgeon ultimate control over the depth and angle of every single hair, which is crucial for the swirling patterns often found in beards.

The Art of Angulation and Direction

The difference between a “pluggy” looking transplant and a natural one lies in angulation.

  • Flat Lay: Scalp hair often stands up at a 45-degree angle. Beard hair, however, tends to grow much flatter against the skin, often at 10 to 20 degrees.
  • Directional Flow: Facial hair changes direction across the face. It may point downward on the mustache, sideways on the cheeks, and downwards-and-backwards on the jawline.
  • Natural Variation: Our surgeons meticulously replicate these changes in direction so that when your beard grows out, it can be combed and styled naturally.

Immediate Post-Procedure Care

HAIR TRANSPLANT

The surgery typically takes 6 to 8 hours. Once the last graft is placed:

  1. Cleaning: The area is gently cleaned to remove any blood or plasma.
  2. PRP Therapy: We often apply Platelet-Rich Plasma (PRP) to the area to stimulate healing and graft survival.
  3. Dressing: A light bandage is applied to the donor area (back of head). The beard area is usually left open to the air to prevent grafts from sticking to bandages.

You will be given a post-op kit containing medications (antibiotics, painkillers, anti-swelling pills) and a special neck pillow to help you sleep without touching your face.

Why Choose Liv Hospital for This Procedure?

At Liv Hospital, we do not view beard transplants as a “one-size-fits-all” service.

  • Microsurgical Focus: Our surgeons use high-magnification loupes to ensure the integrity of every follicle.
  • Hybrid Techniques: We often combine Sapphire FUE for large cheek areas and DHI for the detailed mustache and goatee transitions.
  • Safety First: In the rare event of a reaction to anesthesia or medication, you are in a fully equipped general hospital with immediate access to emergency care—a safety net that small clinics cannot offer.

30
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With patients from across the globe, we bring over three decades of medical expertise and hospitality to every individual who walks through our doors.  

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FREQUENTLY ASKED QUESTIONS

Can I sleep during the surgery?

You will be awake, but many patients doze off because they are relaxed and feel no pain. We provide entertainment options (music/TV) to help pass the time. If you are very anxious, sedation is available.

Yes, usually the recipient area (face) needs to be shaved to ensure the surgeon can see the skin clearly and place grafts precisely. The donor area on the back of the head will also be shaved or trimmed short.

A full beard transplant (2,500+ grafts) can take 6 to 8 hours. Smaller procedures like filling a goatee or mustache may take 3 to 4 hours. We take a break for lunch, which is provided by the hospital.

No. Once the local anesthesia is applied at the beginning, the skin is completely numb. You will feel pressure or touching, but no sharp pain.

The Choi Pen is a specialized medical instrument that looks like a ballpoint pen with a hollow needle. It allows the surgeon to implant the hair follicle without touching the root bulb with forceps, increasing the survival rate of the graft.

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