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Our Team

A team of professionals dedicated to your well-being. Hair transplantation is an art: it requires solid knowledge, undeniable technical expertise and an artistic eye. But your stay doesn't end with your hair transplant session. The administrative team welcomes you and remains at your disposal throughout the day to make sure you have a good time, in complete confidence and relaxation.The team in operation has an experience of at least 5 years and maximum 15 years.


Mustafa Yilmaz


My vision of hair transplantation is totally in line with this perspective: to be at the service of regained well-being through effective techniques that give natural results. The hair, in women of course, but in men, it is the force of life, it is the finery. Losing them is truly an injury, a trauma. It’s terrible!

Also, I enjoy listening to my patients and never judging them. I am then able to give them the best advice and allow them to regain their self-confidence.

I naturally surrounded myself with a caring, expert and extremely rigorous team in its field to be sure to offer men and women who suffer from baldness solutions that work, without ever ignoring safety and reliability.

The used techniques depend on Dr. Mustafa Yilmaz decision after doing the medical diagnosis, Choi Pen / DHI - Sapphire - Micro FUE are used normally in our operations.

Emine Karabash


I started dermatology almost 15 years ago now and thanks to my encounters with other dermatologists, I quickly turned to medical aesthetics.

More and more women and men want to feel good about their hair, and when this is the case, one gains confidence in oneself, in everyday life, in social life and in work.

I have also always remained "classic", in this movement that is now called the "Soft touch", namely to privilege discretion, elegance, and of course, naturalness. Not ostentatious! I prefer to repair what is damaged, rather than change or modify.

The used techniques depend on Dr Emine’s decision after doing the medical diagnosis, Choi Pen / DHI - Sapphire - Micro FUE are used normally in our operations.

Ayshe


She is the one who sees you in consultation and who makes the diagnosis. On D-Day, Ayse. starts the procedure with local anesthesia in your donor area. She is present throughout your intervention, ensuring its perfect completion, with the support of her team of experts.

Before & After


Do you need more information on
hair transplant ?

Doctor Emine Karabash together with Doctor Mustafa Yilmaz and the entire Turkey Hair Expert Clinic team in Istanbul are at your disposal. Contact us for a tailor-made hair transplant consultation and quote.

Let us take care of you We only treat one client at a time, very privately.


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  • Tags: Hair implants, Hair transplant, THE DIFFERENT STAGES OF BALDNESS

    Hair implants, Hair transplant, THE DIFFERENT STAGES OF BALDNESS

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    Hair implants - Hair transplantBaldness (alopecia) is a pathology that can have several origins but the most common cause, both in men and women is a..

    Hair implants - Hair transplant

    Baldness (alopecia) is a pathology that can have several origins but the most common cause, both in men and women is androgenetic alopecia with two associated factors:

    - a therefore hereditary genetic factor, with the presence of genes inherited from parents, which program hair loss.

     

     - a hormonal factor with the action of a hormone, dihydrotestosterone (DHT) which has a detrimental effect on the hair root.

     

    In men , alopecia often appears after adolescence and evolves over fifteen years. It is difficult to predict the speed of its installation but we know that  the earlier the fall, the more important it will be afterwards . Two out of three men are affected to varying degrees. Hair loss is sudden, gradual, continuous and irreversible. It often begins at the level of the frontal region with a digging of the temporal gulfs. The progression is towards the top of the skull resulting in the creation of a tonsure. Conversely, some baldness can be revealed by the appearance of a tonsure.Note that the hair located on the temples and at the level of the occiput (posterior and lower part of the skull), an area called the "Hippocratic crown", does not fall out and continues to grow throughout life, including when implanted in another area.

     

    In women , androgenetic alopecia can also appear early (around the age of 20) but most cases are described after menopause (30 to 40% of women are affected). Unlike men, alopecia affects the entire scalp including the "Hippocratic crown". It is expressed by a diffuse rarefaction of the hair with predominant attack of the top of the skull. The frontal region is often preserved. The woman, on the other hand, never becomes completely bald.

     

    The psychological impact of baldness, both in men and women, is significant (loss of self-esteem, feeling of premature aging, worry, stress, depression). If some are resigned to the baldness that appears to be an inevitable fact, many are those who try to fight against this phenomenon. If androgenetic alopecia is irreversible, it can be slowed down by the use of preventive medicinal treatments orally (finasteride) or locally (minoxidil) as well as by injections of PRP (plasma rich in platelets). However, the permanent solution is the implantation of hair by hair transplant (micrografts, microtransplantation).

     

     

     

    THE DIFFERENT STAGES OF BALDNESS

     

     

                 1) IN MAN

     

    To better understand the different forms of baldness that strike men in general, it is possible to refer to the Norwood-Hamilton classification which describes the different stages of baldness in ascending order of aggravation on a scale ranging from I to VII.

     

     Evolution of male pattern baldness

     

     

     

    Stage 1  : appearance of temporal gulfs.          

     

    Stage 2 : retreat of the temporal gulfs with clarification and disappearance of the frontal point.

     

    Stage 3  : deeper digging of the temporal and frontal gulfs, thinning of the hair at the top of the skull.

     

    Stage 4 : significant symmetrical hollowing, complete alopecia at the level of the tonsure.

     

    Stage 5 : type IV + confluence of the anterior and posterior zone.

     

    Stage 6 : hair loss that extends behind the tonsure.

     

    Stage 7 : hippocratic alopecia where there remains a low crown of hair on the temples and the nape of the neck.

     

     

     

     

                 2) IN WOMEN

     

    Alopecia is manifested by diffuse rarefaction with selective involvement of the top of the skull. The classification of severity is described in the Ludwig classification.

     

     

     

     

    Stage 1  : moderate alopecia of the vertex, with a large antero-posterior axis with widening of the line. There is a respect of the anterior frontal line on 2 to 3 cm.

     

    Stage 2  : the hair loss is clear on the top of the skull but the anterior frontal line still measures more than 3 cm.

     

    Stage 3  : the hair loss of the vertex is almost total but a minimal frontal line persists.

     

     

     

    CONSULTATION

    The consultation is a very important and essential step before undertaking a hair transplant. She must first of all look for all the information relating to the medical or surgical history, to the treatments in progress but also to the family history of baldness. It is then necessary to be interested in the personal history of the hair loss (date of appearance, possible triggering factors, treatments followed or interventions already undergone).

     

    It is necessary to look, especially in women, for certain diseases that may be responsible for hair loss (thyroid dysfunction, iron deficiency, etc.).

     

    The consultation allows to examine in detail the degree of baldness, the quality of the crown, its flexibility, its capillary density, the texture of the hair...

     

    In the field of hair transplants, to guarantee a good result there are 4 criteria to be taken into consideration:

     

     patient expectations

     the stage of alopecia.

    the characteristics of the hair (quality, texture, thickness, etc.) --> be careful, frizzy hair cannot be the subject of a hair transplant +++.

    the capacity of the donor area.

    Finally, the doctor will devote all the time necessary to his patient to give him explanations as clear as possible on the technique, on the implementation of a strategy in the short, medium or long term . It is important that the patient and doctor agree on honest and achievable goals for the procedure and that the patient continues to maintain achievable goals for future procedures.

     

     

     

    MICROGRAFT USING THE FUE TECHNIQUE (follicular units extraction or follicular extraction technique)

     

     

     

     

    The principle of hair transplantation is based on a redistribution of hair from the Hippocratic crown (donor area) to a sparse area of ​​the scalp.

     

    The medical office, with 20 years of experience in hair micrografts, has exclusively chosen the FUE technique   because it is a simple technique, without strips, without pain, without scalpel, effective, durable, and without risk of rejection. .

     

    The postoperative consequences are light, the result is natural, the resumption of activity is immediate.

     

    This technique of capillary micrografting is also called “graft without suture”, “graft without scar” or “graft without surgery”.

     

     

     

     

     

    THE INTERVENTION TAKES PLACE IN 3 STEPS:

     

     

     

             1) THE FIRST TIME; FOLLICULAR UNIT EXTRACTION

     

     At the level of the sampling zone having been previously anesthetized, the doctor performs the extraction of  the follicular micrograft units   which include 1 to 3 hairs.

     

    The extraction is carried out using a "punch" which is a very fine cylindrical instrument whose diameter is between 0.8 and 1 mm , which has the advantage of not leaving a scar.

     

    The sample is usually done manually by drilling the skin, at the level of the previously shaved crown on a more or less large rectangular area  . The drilling of a very high precision must be carried out perfectly in the axis of the hair , at the using magnifying glasses, to avoid cutting the hair roots deeply and thus preserve the integrity of the graft. The drilling is done step by step and when the grafts are cut, they are detached one by one by traction using a micro-tweezer. Very fine grafts are thus extracted directly from the crown, most often containing 1 to 3 hairs each (ultra-micro-grafts) which are temporarily stored in a preservation solution before their implantation.

     

     

     

     

     

     

     

     

             2) THE SECOND TIME; PREPARATION OF THE AREA TO IMPLANT

     

    After having practiced a new local anesthesia at the level of the region intended to be grafted, it is necessary to carry out on the bare skin many small cutaneous incisions of approximately 1 millimeter in width called slots or slits using a micro -sapphire blade or a triple-beveled needle.

     

     

     

     

     

     

     

     

             3) THE THIRD TIME; FOLLICLE IMPLANTATION

     

    Finally, the grafts should be placed one by one in the micro-slits using a very fine instrument (micro-tweezers or implanter). Each graft is gently inserted in its entirety into each slot a few millimeters deep. The 1 hair grafts will preferably be placed on the frontal area for an even more natural look.

     

    The duration of the intervention largely depends on the total number of grafts to be implanted. It varies between 3 and 7 hours .

     

    The number of grafts implanted in one session varies between 500 and 1200. A graft provides on average 2.3 to 2.5 hairs (example 1000 grafts implanted = 2300 to 2500 hairs).

     

     

     

     

     

     

    OPERATIVE FOLLOW-UPS

    It is a painless procedure. The patient can shampoo on the fourth postoperative day , rubbing very gently, followed by very gentle rinsing with lukewarm water; avoid drying the hair with a hot dryer, rather use a towel by dabbing. The resumption of social and professional activity is immediate upon leaving the medical office.

     

    Small crusts in the reimplanted areas are present for 7 to 10 days.

     

    Do not practice intense sport or put your head under water (pool or sea) for 15 days. Traditional sports activities can be resumed after 8 days.

     

    Wearing a cap or a hat is quite possible and also recommended for patients working in a dirty atmosphere (agriculture, construction, etc.).

     

    The patient does not leave the practice with hair on his head! The transplanted hair will fall out but from its bulb, a new hair will appear after about 3 months. The final result can only be appreciated after 9 to 12 months, when the hair has reached sufficient thickness and length, with hair regrowth occurring at a normal rate of 1 cm per month.

     

     

     

    COMPLICATIONS AND INCONVENIENCE

    Complications of hair micrografting are extremely rare.

     

    The usual or inevitable manifestations inherent in hair transplantation are:

     

    oedema , fleeting and inconstant because only one out of two patients is affected , consists of swelling in the forehead and eyes. It mainly appears during a hair transplant in the frontal area. It resolves in 48 to 72 hours on average.

     microcysts,  for their part, take the form of one or more small pimples at the level of one or more micro-implants. After the hair transplant, they sometimes occur at the time of the regrowth phase, that is to say after three months. We can compare this phenomenon to beard hairs which, stuck under the skin, become infected. Healing is spontaneous most of the time, sometimes local care and antibiotic treatment are necessary.

    The complications inherent in any medico-surgical act (infection, inflammation, hemorrhage, hematoma, necrosis, allergic reactions to one of the products used, etc.) are exceptional in terms of hair micrografting by the FUE technique.

     

     

     

    VARIOUS INFORMATION

    It is possible to perform a micrograft at any time of the year .

    Large bald spots with a weak donor area (stage VI and VII of the Hamilton classification) cannot be treated.

    In women, the transplant is reserved for a few specific cases but often the gesture is impossible because the hair in the donor area (attacked by the disease unlike men) is too thin and only gives an extremely limited density. .

    It is possible to perform several transplants in your life , but the exhaustion of the donor area is the limiting factor, the hair reserves decreasing with each session . This is the reason why, for young patients, it is appropriate to adopt a strategy aimed, always the long term and the treatment of baldness on all its surface, but with a moderate density of hair, rather than to treat a single location with maximum density, without being able to subsequently treat the rest of the skull, "lack of stock".

    Hair transplantation in mature men (over 45) is much easier to consider, for the simple and unique reason that from the age of fifty, baldness has reached a certain level of stability , and that it no longer evolves, or that it evolves, but slowly and gradually.

    The transplanted hair is genetically programmed not to fall out. They are as strong as the original. We can do brushings, perms, colorings.

    Some hair types cover more surface area than others . Blonde, white or “pepper and salt” hair is excellent for transplantation because it reflects light a lot. Dark, fine hair has lower covering power. The number of grafts is therefore also a function of these factors.

    The only reason for (relative) dissatisfaction with a transplant may be the lack of hair density obtained in a single session. This is why it may be necessary to perform a second transplant session in addition to the first. All this must be explained at the time of the first visit.

    Local treatments intended to slow the fall (minoxidil) must be stopped 15 days before the procedure and resumed after completion of the healing phase (3 weeks).

    No dressing will be applied after the session. The patient leaves the practice as he arrived. We recommend wearing a shirt or jacket to avoid snagging the implants when dressing .

    It is possible to return to your hairdresser after 3 to 4 weeks .

     

     

    MEDICAL TREATMENTS (anti-hair loss treatments, stimulation of hair regrowth)

    Many drugs aimed at combating baldness have emerged. Their effectiveness varies from one patient to another, especially in androgenetic baldness. A search for the cause of the baldness is essential before undertaking a therapeutic protocol. Among the best known treatments are:

     

    Minoxidil in 2% or 5% solution : this is a medicine to be applied locally to the scalp morning and evening, every day. It stabilizes hair loss. It is more effective in younger patients. It is particularly indicated for women with thinning hair. Its side effects, quite rare, can be local irritation of the scalp, localized allergy, headaches, lower blood pressure. It must be applied without interruption for at least 4 to 6 months to be able to judge its effectiveness. The downside is that when treatment is stopped, the hair begins to fall again after 3 months.

     Finasteride tablets (Propecia®): this is a medicine to be taken orally at a dose of 1 mg per day continuously. It reduces on the scalp the action of a male hormone (DHT or dihydrotestosterone) responsible for the miniaturization and disappearance of hair. Finasteride seems to be more effective on the posterior region of the scalp (tonsure) after several months of treatment with stabilization of the hair loss. Although it is well tolerated, some fairly rare side effects (1 to 2% of cases) may appear (low libido, impotence, gynecomastia, etc.). These side effects are reversible upon discontinuation of treatment. Finasteride can be combined with a hair transplant. It can also be prescribed in combination with Minoxidil.It is contraindicated in women. Finasteride is delivered on medical prescription.

     PRP (platelet-rich plasma):  This is a booming regenerative medicine technique. LPRP injections, by developing local microcirculation, slow down thinning and hair loss, particularly in androgenetic alopecia. There is also a stimulation of hair regrowth. Indeed, the growth factors contained in the platelets will wake up the stem cells of the hair follicle. After the first session, the hair becomes silkier, shinier, thicker. At the second, there is a clear decrease in hair loss and after the third, sometimes some hair begins to grow back but this last phenomenon is inconstant and depends mainly on the cause of the hair loss. Regrowth is very clear in telogen effluvium (post-stress hair loss, depression, pregnancy, breastfeeding, surgery, anesthesia, etc.), but it is much less marked in androgenetic alopecia. It is especially necessary to wait for this treatment,thickening of the hair and a strong slowing down of hair loss in androgenetic alopecia. PRP complements the action of Minoxidil and Finasteride. :  ( PRP - Platelet Rich Plasma ) .

     Hair mesotherapy or anti-hair loss mesotherapyis a medical technique that consists of superficially injecting multiple places on the scalp with medicinal mixtures that promote hair growth and the vascularization of the bulbs. It is done painlessly by the use of micro-needles. Active ingredients containing group B vitamins, trace elements and vasodilators are injected locally. The treatment refers to different protocols, the most widely used of which is the performance of 3 sessions at 15-day intervals in the attack phase, followed by a maintenance protocol at the rate of one session every 2 to 3 months (spacing determined according to the cause of the hair loss). This treatment is indicated in case of recent and transient hair loss.

     Dynamic LED phototherapy  is a technique that stimulates hair growth, densifies it, slows hair loss and regulates seborrhoea. It amplifies the results of hair mesotherapy sessions. All the information concerning dynamic phototherapy can be found in the chapter:  (dynamic phototherapy by LED ) .

     Anti-androgens: they are used only in women in case of androgenetic alopecia. The best known is spironolactone (ALDACTONE). Estrogen-progestogen contraceptive pills with an anti-androgen progestogen are also recommended (DIANE 35, JASMINE, JASMINELLE, TRIAFEMI, BELARA, YAZ...). ANDROCUR is now banned due to possible serious side effects.

     Vitamin therapy associated with the correction of deficiencies in iron, fatty acids, zinc is recommended in temporary hair loss (telogen effluvium).

     

     

    COSMETIC TREATMENTS: TRICOPIGMENTATION®

    Tricopigmentation® is a patented technique for scalp micropigmentation. It is a non-surgical treatment , a specific tattoo which makes it possible to densify the hair.

     

    The main indications are:

     

    androgenetic alopecia (in place of or in addition to hair implants).

    patients who do not have a sufficient donor area for hair transplantation.

    patients who wish to improve the visual effect of hair transplantation (by 20-50%).

    patients who do not want a hair transplant or a wig.

    patients who do not want to use camouflage cosmetics (powders, lacquers).

    All the information concerning this technique can be found in the chapter:  ( Tricopigmentation®-Micropigmentation of the scalp) .

     

    HAIR CARE AND IMPLANT PRICES

    Doctor Patrick PATURAL is a European inter-university graduate in the treatment of baldness and restorative surgery of the scalp.

     

    As of 01/10/2012, the public authorities have decided to subject medical procedures and cosmetic surgery to VAT. It applies to the legal rate in force (20%). The prices are expressed inclusive of VAT.

     

    First consultation:   duration = 1 hour. €50 (not reimbursed by the CPAM, deducted if hair implants are performed).

    Anti-hair loss mesotherapy with dynamic phototherapy by LED = 120 € / session

    PRP (platelet-rich plasma) = € 250 / session

    Micro-graft technique FUE   =  the number of grafts needed can only be determined after the initial consultation . The maximum number of grafts implanted in one session is 1200 (i.e. approximately 2700 to 3000 hairs) for a duration of intervention of 6h30 to 7h. Severe baldness requiring 2 sessions from the outset is treated on 2 separate days .

    REMINDER: 1 graft gives on average 2.3 to 2.5 hairs

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