Hair transplant surgery restores hair density using advanced FUE and DHI techniques. Learn about the procedure, diagnosis of hair loss, and recovery process.
Send us all your questions or requests, and our expert team will assist you.
The planning and procedure for a trichotillomania hair transplant is a carefully coordinated journey that begins with a thorough medical evaluation and ends with sustained, natural‑looking results. International patients who struggle with self‑induced hair loss often wonder how a transplant can be tailored to their unique pattern of pulling and scalp condition. At Liv Hospital, our multidisciplinary team combines expertise in dermatology, transplant surgery, and patient support to create a transparent roadmap from the first consultation to long‑term follow‑up.
According to recent studies, up to 30 % of individuals with trichotillomania experience significant thinning that does not respond fully to behavioral therapy alone, making surgical restoration a viable option. This page outlines every stage of the process, helping you understand what to expect, how to prepare, and which after‑care measures maximize graft survival. Whether you are traveling from abroad or seeking a local solution, the information below will guide you through each critical step.
The journey starts with an in‑depth consultation where our specialists assess the extent of hair loss, scalp health, and underlying psychological factors. A comprehensive evaluation ensures that the transplant will address both aesthetic goals and the root causes of pulling.
During this appointment, patients receive a personalized report that outlines suitability for transplantation and outlines the next steps in the planning and procedure pathway.
After the clinical assessment, our transplant surgeons develop a customized plan that aligns surgical technique with the patient’s unique hair‑pulling pattern. The plan balances donor‑site preservation with optimal coverage of the affected zones.
Goal setting includes determining the number of grafts, defining the target density (typically 30–40 grafts per cm² for a natural look), and establishing a timeline for staged procedures if required. The treatment plan is documented and shared with the patient, ensuring transparency throughout the planning and procedure process.
Proper preparation reduces intra‑operative complications and enhances graft survival. Patients receive a detailed pre‑operative checklist that covers medication adjustments, lifestyle modifications, and logistical arrangements for international travelers.
Our patient‑education team provides multilingual video guides and printed materials that explain the day‑of‑surgery schedule, anesthesia options (local with sedation), and what to expect in the recovery room. This thorough preparation is a cornerstone of the overall planning and procedure framework.
On the day of surgery, the operating team follows a standardized protocol that ensures consistency and safety. The procedure typically lasts 6–10 hours, depending on graft volume and technique selected.
Throughout the planning and procedure phase, surgeons continuously assess graft quality and adjust the implantation density based on real‑time observations. The use of advanced microscopes and, when applicable, robotic assistance, maximizes precision and reduces trauma to surrounding tissue.
Successful outcomes depend as much on diligent after‑care as on surgical skill. Liv Hospital provides a structured post‑operative protocol that guides patients through the critical first weeks and months.
Typical visible growth starts at 3–4 months, with full maturation around 12–18 months. Patients are encouraged to maintain a balanced diet rich in protein, iron, and biotin to support hair follicle health. The comprehensive planning and procedure model ensures that each stage—from the initial consultation to the final follow‑up—works synergistically to deliver lasting, natural‑looking results.
Liv Hospital is a JCI‑accredited, internationally recognized medical center in Istanbul, offering a 360‑degree patient experience for visitors from around the world. Our multidisciplinary team combines expertise in hair restoration with dedicated international patient services, including visa assistance, airport transfers, interpreter support, and comfortable accommodation options. By choosing Liv Hospital, patients benefit from state‑of‑the‑art facilities, personalized treatment plans, and a commitment to safety and excellence that aligns with global standards.
Ready to start your journey toward lasting hair restoration? Contact Liv Hospital today to schedule your personalized consultation and take the first step in the comprehensive planning and procedure that will transform your confidence.
Send us all your questions or requests, and our expert team will assist you.
During the first appointment, specialists evaluate the patient’s past surgeries, medications, and any skin conditions. A detailed scalp examination—often with dermoscopy—identifies scar tissue, inflammation, or active pulling sites. Digital imaging maps hair density to calculate the number of grafts needed. A psychologist screens for readiness and helps address underlying pulling behaviors. Finally, the doctor discusses realistic outcomes, timelines, and any concerns, providing a personalized suitability report.
Follicular Unit Extraction (FUE) is minimally invasive and leaves tiny dot scars, ideal for patients with limited donor hair and who prefer short hairstyles. Follicular Unit Transplantation (FUT) yields a higher graft count per session, useful for extensive coverage, but leaves a linear scar. Robotic‑assisted FUE offers precise extraction and consistent graft quality, though it is more expensive and depends on equipment availability. The choice depends on donor‑site availability, desired coverage, and patient preferences.
Patients must stop anticoagulants, NSAIDs, and certain supplements at least one week before surgery to reduce bleeding risk. Smoking should be avoided for two weeks to improve blood flow to grafts. The scalp should be washed with a mild shampoo 24 hours prior. International travelers need to arrange airport transfers, interpreter services, and accommodation through the hospital’s patient department. Ongoing counseling or behavioral therapy is recommended to manage post‑operative pulling triggers.
First, local anesthetic (with optional mild sedation) is administered to donor and recipient areas. Hair follicles are then harvested using FUE, FUT, or robotic tools. Extracted grafts are dissected under a microscope and stored in a specialized solution. Surgeons create recipient sites at precise angles and depths to mimic natural growth patterns. Grafts are implanted one by one, ensuring correct orientation and spacing. Hemostasis is achieved, a sterile dressing applied, and the patient is monitored for vital signs and given first‑day care instructions.
Patients should keep their head elevated for the first 48 hours to reduce swelling. A short course of antibiotics and anti‑inflammatory drugs is prescribed for 7–10 days. Gentle shampooing can begin 48 hours after surgery, avoiding vigorous rubbing. Strenuous exercise and heavy lifting are prohibited for two weeks. Ongoing psychological counseling helps prevent re‑pulling. Follow‑up appointments are scheduled at 1 week, 1 month, 3 months, and 12 months to assess graft survival and scalp health.
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