1 What is the purpose of this information?
In the following we will inform you about how our two hair medical treatments PRP mesotherapy and hair transplantation work, what are the risks and potential side effects and for what purposes these treatments are performed. You will also learn how you should behave in order to make your treatment as successful as possible.
2. PRP Mesotherapy
2.1 PRP Mesotherapy, how does it work?
Mesotherapy is a minimally invasive treatment method. It involves injecting (injecting) active ingredients into the skin using fine needles.
In our PRP mesotherapy, your own blood is used as the active ingredient: After we have taken a little blood from you, the so-called platelet rich plasma (PRP) is isolated from it and then injected into your scalp. So that you do not feel any pain during the treatment, we perform a local anesthetic.
PRP mesotherapy is an outpatient treatment, which means that you can leave our clinic after the treatment.
2.2 How long does the treatment last and for what purposes is it performed?
PRP mesotherapy usually consists of four sessions ("PRP sessions"), each lasting about 30 minutes. The PRP sessions take place at intervals of four weeks, which means that the entire PRP Mesotherapy treatment lasts just under four months. During this time you are basically fully fit for work.
Approximately six months after the last PRP session, a hair scan is performed to check the results of the treatment ("follow-up").
The goal of PRP Mesotherapy is to boost hair growth, provide your hair roots with essential nutrients, and promote cell renewal and cell regeneration. In addition, PRP mesotherapy can reduce hair loss.
Since each person reacts differently to the treatment, we cannot guarantee your success.
2.3 Behavioral instructions
2.3.1 How do I prepare for the treatment?
From one week before the PRP sessions, it is generally necessary to refrain from taking blood-thinning medications so that platelet formation is not inhibited. Medications containing acetylsalicylic acid (Aspirin, Alca C, Togal, Contra pain, etc.) have a blood-thinning effect. You should also avoid taking other painkillers such as Voltaren or Ibuprofen. Please contact us if you have any questions.
Before discontinuing any medications, be sure to consult with your treating physician as well as your primary care physician and find out whether discontinuing them could cause you serious medical disadvantages and what alternative medications are available.
2.3.2 What should I pay special attention to after the treatment?
If you have had a PRP session with us, you should not go out in the sun, swimming pool, sauna or solarium on the same day, do not wash your hair and avoid sports activities.
If you have any questions about any other specific activity, we will be happy to help you.
2.4 When is PRP mesotherapy not possible (contraindications)?
PRP mesotherapy cannot be performed in case of:
- Autoimmune diseases
- Blood clotting disorders
- Hepatitis, HIV, cancer or liver diseases
- neurodermatitis, psoriasis or acute herpes
- Thrombocytopenia (lack of blood platelets)
PRP mesotherapy is also not recommended for all acute or chronic skin diseases in the scalp and face area.
2.5 Risks and side effects
PRP mesotherapy is a minimal intervention on your body. That is why there are usually no visible scars left behind. The probability of allergies, intolerance reactions and infections is low, but unfortunately cannot be excluded. In exceptional cases, injury to nerves, vessels or organs may occur.
Other possible side effects may include temporary redness, swelling, itching, minor bruising, mild pain with pressure sensitivity and sensitivity disorders on the scalp. Rarely, tissue hardening and inflammatory reactions occur.
3. Hair Transplantation
3.1 Hair transplantation, how does it work?
A hair transplant is the transplantation of your own body hair. At the beginning you will be locally anesthetized at the hairline. After the local anesthesia, grafts (hair roots) are taken with a fine hollow needle and transplanted to the previously marked bald areas (FUE method - "Follicular Unit Extraction"). These bald areas are also anesthetized locally beforehand.
Our hair transplantation is an outpatient treatment, which means that you can leave the clinic after the treatment.
We only offer hair transplantation using the FUE method described above.
3.2 How long does the hair transplantation take and for what purposes is it performed?
We usually perform your hair transplant in a single appointment. This appointment lasts about two to eight hours, and the duration of the treatment depends in particular on the area to be treated (section). The transplantation is followed by up to six follow-up visits within a year. In addition, we enrich your hair roots with essential nutrients after the transplantation through one or more PRP session(s).
It is completely normal for transplanted hair to fall out and grow back after treatment. The new sprouting hair usually becomes visible after about three months. After twelve to eighteen months you will see the final result of your hair transplant.
It can happen that not all transplanted hairs grow as desired, so that a new operation becomes necessary. The success of the hair transplant depends on the quality of the transplanted hair and the aftercare. Unfortunately, we cannot guarantee success.
3.3.1 How do I prepare for the treatment?
From one week before the hair transplantation, it is generally necessary to refrain from taking blood-thinning medication, so that there is no increased risk of bleeding. Medications containing acetylsalicylic acid (Aspirin, Alca C, Togal, Contra-Pain, etc.) have a blood-thinning effect. You should also refrain from taking minoxidil preparations (Reagine, Spectral, Rogaine, etc.) during this period. Please contact us if you have any questions.
Before discontinuing any medication, be sure to consult with your treating physician as well as your primary care physician and find out if discontinuing could cause you serious medical disadvantages and what alternative medications are available.
You should refrain from cutting or shaving your hair from 5 days before the treatment. From this time on, you should also refrain from drinking alcohol or taking other drugs.
On the day of the treatment, it is also necessary to refrain from using hair products (gel, wax, etc.) and drinking beverages containing caffeine.
3.3.2 What should I pay special attention to after the treatment?
The time after hair transplantation is planned individually for each client by our doctors. We will instruct you in detail about the further procedure.
Whether you need to wear a headband after the transplantation or the treatment is otherwise recognizable also depends on your individual treatment. Swelling, which can also occur on the forehead and face, should be counteracted by cooling. However, cooling of the area where the hair was transplanted should be avoided.
Please note that you are not allowed to drive a vehicle after the treatment on the same day.
In principle, you are able to work on the first day after the treatment, as long as you do not do any physical work. Physical work is defined as any activity that requires light to heavy exertion.
We recommend that during the first week after transplantation you do not engage in any physical activities that require light to heavy exertion, and do not expose yourself to extreme weather or the sun. Visits to saunas, indoor swimming pools or solariums should also be avoided. During the first week after treatment, you should also sleep with your upper body elevated (e.g. with the help of a neck pillow), avoiding any pressure on the implantation zone. If you have any questions about a specific activity, we will be happy to help you.
For an optimal result, the scalp should be spared as much as possible during the entire treatment. In particular, you should avoid rubbing or scratching the scalp and use the shampoos we recommend.
3.3.3 How do I wash my hair after hair transplantation?
After hair transplantation, gentle and high quality products should be used for washing your hair and taking care of your scalp. If possible, please use the products recommended by your attending physician.
On the day of the hair transplantation and the first two days after, you must not wash or rinse your hair. Washing your hair is generally possible from the third day after the treatment. Please follow these recommendations:
- gently cleanse your hair with lukewarm water, letting the water flow over your hair from front to back with little pressure.
- carefully dab the shampoo onto the implantation site.
- rinse your head again with lukewarm water (little pressure) from front to back.
After twelve days you can wash your hair normally again, but continue to apply as little pressure as possible. Your attending physician will inform you in detail about hair washing.
3.3.4 Medication after hair transplantation
Taking medication may improve the result of hair transplantation under certain circumstances. Please ask your attending physician as well as your general practitioner for personal and comprehensive advice on whether you are suitable for taking medication. In particular, pay attention to the risks and side effects as well as any intolerances.
3.4 When is hair transplantation not possible (contraindications)?
Hair transplantation cannot be performed in the case of:
- Autoimmune diseases
- Blood coagulation disorders
- Hepatitis, HIV, cancer or severe diabetic disease
- Neurodermatitis, psoriasis or acute herpes
- cardiovascular diseases, uncontrolled high blood pressure
Hair transplantation is also not recommended for all acute or chronic skin diseases in the area of the scalp and face, as well as for circular hair loss.
3.5 Risks and side effects
Hair transplantation is a relatively minor operation on your body. Therefore, as a rule, no visible scars remain. The probability of allergies, intolerance reactions and infections is low, but unfortunately they cannot be excluded. In exceptional cases, injury to nerves, vessels or organs may occur.
Other possible side effects may include temporary redness, swelling, itching, minor bruising, secondary bleeding, blood crust formation, numbness, mild pain with sensitivity to pressure, and sensitization disorders. Rarely, tissue hardening and inflammatory reactions occur. It is also possible that hair may temporarily fall out (tissue trauma) in the areas where hair was harvested for transplantation (hair crown).
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