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Mild soreness or tightness afterwards is common and generally controlled with simple analgesia.","preparation":["Consultation with donor density assessment and hairline planning","Medical history review and realistic expectation discussion","Pre-operative blood tests where required by the clinic","Follow clinic advice on medications, supplements, alcohol, smoking","Donor hair trimmed short on the day","Wash hair; avoid hats or tight garments","Discontinue or adjust antiplatelet/anticoagulant medications"],"recovery_timeline":[{"phase":"Days 0-3","description":"Mild swelling, tenderness and small scabs in donor and recipient areas; first gentle wash per clinic instructions.","restrictions":["Do not rub or touch grafts","Sleep with head elevated","Avoid strenuous activity"]},{"phase":"Days 4-14","description":"Scabs detach and redness settles; most patients return to desk work within the first week.","restrictions":["Avoid sweating, strenuous exercise, swimming, sauna"]},{"phase":"Weeks 2-4","description":"Transplanted hairs begin to shed; exercise resumes gradually, redness may still be visible.","restrictions":["Protect scalp from trauma and direct sun"]},{"phase":"Weeks 4-12","description":"Shedding may make the scalp look thinner before new growth; routine daily activity is tolerated.","restrictions":[]},{"phase":"Months 3-18","description":"New hair grows gradually and density continues to mature.","restrictions":[]},{"phase":"At any time","description":"Seek prompt assessment for fever, spreading redness, pus, worsening pain or swelling, heavy bleeding, allergic reaction, or eye symptoms.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":10,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities; scabbing and redness settle within about 7-10 days"},"result_longevity":"Transplanted hairs from the donor area are typically long-lasting, but native non-transplanted hair may continue to thin, so results depend on ongoing hair loss progression and may need maintenance treatment.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Single DHI session in adults; unplanned corrective transplant within 18 months. Planned extra sessions excluded."},"scars":"Tiny round dot-like scars (about 1 mm or smaller) at extraction sites in the donor area, usually not visible with normal hair length; no linear scar. Recipient sites heal without noticeable scarring in most patients.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One session, usually a single day; larger areas sometimes need a second session."},"stages":[{"code":"extraction_and_implantation","label":"Follicular unit extraction and direct implantation with Choi implanter pen","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure"}}],"qualifier":"Single-session procedure; follow-up checks are not counted as sessions"},"success":{"metric":"Share of implanted follicular units with visible growth at 12-15 months","value":85,"unit":"percent","horizon":"12-15 months after primary session","population":"Adults with androgenetic alopecia and adequate donor hair, single primary DHI session","evidence_status":"limited"},"techniques":[{"name":"DHI (Direct Hair Implantation) with Choi implanter pen","suits_whom":"Patients with adequate donor hair who want hairline or crown restoration, including those wanting less hair shaving in some protocols","recovery":"Small scabs in recipient and donor areas heal in about 7-10 days; visible results develop over 12-18 months"},{"name":"Conventional FUE (pre-made channels)","suits_whom":"Patients needing larger graft numbers in a single session","recovery":"Similar to DHI, with small scabs healing in about 7-10 days"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":6,"max":10,"unit":"hours","qualifier":"One session for a typical moderate graft count (roughly 2000-4000 grafts), including breaks"},"initial_assessment_documents":["Front view photo of hairline and forehead","Top and crown photos of the scalp","Left and right side profile photos","Back of head photo showing donor area","List of blood thinners and hair-loss medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session outpatient surgery; stay about 2-4 days for the procedure, first wash and check before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask who will be involved in performing the surgery","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/before-you-choose-a-surgeon/","host":"fightthefight.ishrs.org","quote":"Who will be involved in performing my surgery?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask about the surgeon's education, training and experience in treating hair loss","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/before-you-choose-a-surgeon/","host":"fightthefight.ishrs.org","quote":"What is their education, training and experience in treating hair loss?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask whether the physician had additional training in a medical or surgical specialty","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/before-you-choose-a-surgeon/","host":"fightthefight.ishrs.org","quote":"Did the physician have additional training in a medical or surgical specialty?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you are satisfied with the facilities and standards of the clinic where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Clinic markets under a brand name without naming the surgeon responsible for your care","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/hair-transplant-black-market-red-flags/","host":"fightthefight.ishrs.org","quote":"if a clinic markets under a brand name without naming the physician responsible for your care, ask why.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Consultation focused on selling a procedure rather than finding treatment for you","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/hair-transplant-black-market-red-flags/","host":"fightthefight.ishrs.org","quote":"A consultation should be about finding the right treatment for you, not selling a procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The doctor you meet has only a brief role while others perform the surgery","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/hair-transplant-black-market-red-flags/","host":"fightthefight.ishrs.org","quote":"In some operations, the physician’s role is limited to a brief meeting or drawing the hairline while others perform the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"Marketing stresses devices, graft counts, or \"scarless\" and \"painless\" promises","scope":"procedure","source":{"url":"https://fightthefight.ishrs.org/hair-transplant-black-market-red-flags/","host":"fightthefight.ishrs.org","quote":"Marketing increasingly emphasizes devices, graft counts, and promises of faster, “scarless,” or “painless” procedures.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Excessive bleeding from the scalp","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21519-hair-transplant","host":"my.clevelandclinic.org","quote":"Excessive bleeding from your scalp.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe redness or pain on the 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leave.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've 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pen-shaped tool and implanted into the balding part of your scalp.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"conventional-fue","name":"Conventional FUE (pre-made channels)","how_it_works":{"text":"Channels are cut in the scalp before follicles are implanted","source":{"url":"https://www.healthline.com/health/dhi-hair-transplant","host":"healthline.com","quote":"In FUE, a surgeon manually cuts channels in your scalp before implanting hair 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