Montreal hair transplant center

Follicular unit hair transplant

We perform follicular unit hair transplantation. Hair naturally grows in follicular units. Follicular units are composed of one to four hairs that grow together and are related to the same glandular structures. Only by respecting this follicular unit arrangement can a natural appearance be obtained in the transplanted area. Maintaining the integrity of the follicular units will also ensure maximal growth. In order to ensure a natural appearance and a soft hair line, the frontal region must be created using only single hair follicular units. Occasionally, in order to obtain a higher density, multiple follicular units can be combined, but only in areas that are not highly visible. Eyelash transplants are performed using two hair follicular units. Facial hair transplants, including beard and eyebrows, use exclusively single hair follicular units.

Follicular unit extraction (FUE)

Follicular unit extraction or FUE uses small 0.7 to 1.0 mm punches in order to individually extract follicular units. Once these individual follicular units are obtained, they are implanted using techniques identical to strip excision, the classic technique. Instead of one linear scar at the back of the head, there will be hundreds to thousands of small punch scars throughout the scalp. Follicular unit extraction takes two to three times longer and is usually twice more expensive than Follicular unit strip excision. Follicular unit extraction sessions are generally limited to smaller cases, while classic strip excision will routinely produce over 2000 follicular unit grafts. There can be substantially less growth after FUE than classic strip excision. Follicular unit extraction (FUE) is appropriate for smaller cases, or when the scalp is no longer sufficiently loose to allow for Follicular unit strip excision. Dr Clas will discuss these options with you during your evaluation.

Hair transplantation for men

Almost all hair loss in men is hereditary. This is known as male pattern baldness and is caused by dihydrotestoterone in genetically susceptible men. Men lose hair both at the front and at the back of the head. Some men lose hair in only one area. Both regions can be corrected with hair transplants. It is generally considered more desirable to graft the frontal region first as this frames the eyes and improves your appearance more rapidly. Most hair transplants heal with few problems.

Donor hairs come from the back of your head. Even the baldest person that you see has a ring of hair at the back of the head. These are permanent hairs that resist the effects of dihydrotestosterone, the cause of male pattern baldness. We use these hairs to correct the bald areas. The amount of bald area that can be corrected will depend on how much hair is available at the back of your head. The amount of hair that can be taken will also depend on the laxity of your scalp. There are solutions even for men with advanced baldness.

During your evaluation, Doctor David Clas will question you on your health history, your health habits, your family history of hair loss, and your treatment objectives. He will examine your scalp to exclude possible medical conditions that can cause hair loss. He will pull out hairs in several areas of your scalp to fully assess your situation. He will test for the laxity or your scalp and look at any scars that you may have. Only then, will it be possible for Doctor David Clas to recommend a treatment plan. Obviously, you will have a budget in mind that must also be discussed to establish the best plan for you.

Hair transplantation is not expensive when compared to the annual cost of less effective treatments for hair loss. A treatment plan can be devised for men with a limited budget. Come visit Doctor David Clas for a free personalized evaluation. If you desire maximal confidentiality, for a fee, Doctor David Clas will evaluate you at work or at home.

Hair transplantation for women

Most hair loss in women is hereditary. This female pattern baldness seems less dependent on hormones than in men. Non hereditary causes of hair loss must be excluded as they will not necessarily be corrected by hair transplantation. Women generally lose hair on the top of their heads. The frontal hair line is usually intact. Some women have hair loss in both temporal regions which can leave them with a masculine appearance. Both types of hair loss can be corrected with hair transplants. Women tend to have thinner scalps and more remaining hair. Extra care is required when grafting women. The hair transplantation procedure is identical to that in men.

Donor hairs come from the back of your head. Even the baldest woman that you see still has a ring of hair at the back of the head. These are permanent hairs that do not fall out. We use these hairs to correct the bald areas. The amount of bald area that can be corrected will depend on how much hair is available at the back of your head. The amount of hair that can be taken will also depend on the laxity of your scalp. There are solutions even for women with advanced baldness.

During your evaluation, Doctor David Clas will question you on your health history, your health habits, your family history of hair loss, and your treatment objectives. Doctor Clas will obtain a detailed history to evaluate all medical causes of hair loss in women. He will examine your scalp to exclude possible medical conditions that can cause hair loss. He will pull out hairs in several areas of your scalp to fully assess your situation. He will test for the laxity or your scalp and look at any scars that you may have. Only then, will it be possible for Doctor David Clas to recommend a treatment plan. Obviously, you will have a budget in mind that must also be discussed to establish the best plan for you.

Hair transplantation is not expensive, and can even be less expensive than the annual cost of many popular but less effective treatments for hair loss. A treatment plan can be devised for women with a limited budget. Come visit Doctor David Clas for a free personalized evaluation. If you desire maximal confidentiality, for a fee, Doctor David Clas will evaluate you at work or at home.

Eyebrow and eyelash transplants

These procedures are performed in both men and women. Men lose their eyebrows from burns, scarring or congenital absence of eyebrows. Women also can experience these conditions but most grafts are performed to correct excessive plucking. We also graft to increase length and density of eyelashes. Hair transplants to the eyebrows will appear more natural than tattoos and will last forever. Permanent makeup and tattoos need to be retouched periodically. Eyebrow transplantation however, is permanent. We can graft into your existing eyebrow tattoo or permanent makeup. Should you prefer to remove the tattoo, you must have this done before your eyebrow hair transplant.

For a natural appearance, eyebrows must be grafted using only single hair follicular units. We use two hair follicular units for eyelashes. You will need to train your lashes and eyebrows to curve in the desired direction using eyebrow curlers and styling gels. Occasionally, transplanted hairs do not grow in the desired direction and must be plucked. Both eyebrows and eyelash transplants will need to be trimmed every 10 to 14 days.

Beard and moustache hair transplants

Beards and moustaches can be augmented or their contours improved with hair transplants. We can also use hair transplants to hide scars on the face. Scalp hair is most often used to augment density and improve contours of beard and moustaches. In some cases, we can use beard hairs from underneath your chin.

Sideburn transplants

Sideburn transplantation is used to hide scars or to correct and augment the contours of sideburns in both men and women. Men most commonly want fuller sideburns. Women generally need sideburn transplantation to hide scars from cosmetic surgery, generally face lift procedures. We can use either beard, body or scalp hair for sideburn transplantation depending on the desired appearance and the quality of the available hair.

Body hair transplants

It is possible to add hair anywhere on the body. Chest hairs and pubic hairs are the most common body hair transplants. We can use scalp or body hairs. This will depend on what is available on your body. If we use scalp hairs, they will need to be trimmed every 10 to 14 days.

Transgender hair transplants

Special patients have special needs. Depending on your needs, we can feminise or masculinise your hairline. We are experienced in grafting beards and moustaches. We can add chest hairs, change the pattern of pubic hairs, thicken the eyebrows and change their contour, or correct non sex specific balding.

Hairtoo

It is possible to add hair to an existing tattoo or to create a tattoo using only hair. You can change the appearance of your hair tattoo by trimming or shaving.

Revisions of previous hair transplants and scalp scars

There are several reasons for unsightly scars on the scalp. Generally, scars are wide and visible because hair root angles were not respected or the incision was closed under too much tension. This is true for scars from accidents or previous surgery. Neurosurgery craniotomy scars often require revision. Paradoxically, some patients have wide scars because they have very elastic scalps. Attention to precise alignment of the wound edges, minimizing wound edge tension by undermining the scalp, multilayer closure and the tricophytic closure are all elements important for a narrow scar. Scars can either be excised and revised using a trichophytic excision and multilayer closure or hidden with follicular unit extraction grafts.

Procedures