All 1 – 4 haired FUs can be used to transplant an area. In some cases 2 FUs can be combined, called FU Families, and can be used behind the frontal transplant zone to allow for more coverage of the scalp.
While the donor grafts are being dissected by the hair transplant assistants, the patient has ample opportunity to take bathroom breaks, have a snack and to watch a movie. There are lots of breaks during an 8-hour operation. The patient will stop for lunch and stretch periods.
Once the donor grafts are all dissected then the recipient area, where the grafts are to be placed, is anesthetized. Dr Cotterill will then personally make all the recipient sites himself, taking care to ensure proper angle, direction, depth of incision site and spacing between grafts. Once Dr. Cotterill has made all the sites, then the surgical assisstants will plant the grafts into the sites under the supervision of Dr. Cotterill. Once all the grafts have been planted then the patient goes home, to be called by Dr. Cotterill that evening. Pain tablets are given and may be required for the first 6 – 8 hours after the procedure. The following day , when the patient returns for about 30 minutes to have the hair washed and area assessed by Dr. Cotterill, the patient will likely not need any pain medication. Grafts are held in place by coagulated blood. Bandages are seldom required anymore. The following day Dr. Cotterill likes to see all transplant patients from the day before so that the treated area is cleansed and the hair washed.
The patient is instructed to return 7-10 days post operatively for suture removal.
The patient is instructed to take 5-7 days off work due to the possibility of forehead swelling. Ice packs are given the day of surgery to be placed on the forehead and the patient is instructed to sleep at a 45 degree angle for 3 nights. A medication called prednisone can be offered and has the benefit of reducing swelling. The patient is asked to refrain from exercise for 1 week post operatively. The patient will then be called at 1 month and 6 months after surgery to enquire about how the patient is doing. We then call the patient at 1 year after surgery to return for the official assessment of the transplants.