• Hair transplant in London

Understanding hair transplants in Bordeaux, Royan and London

Hair transplants, also known as capillary transplants, have been used to treat androgenic alopecia since the 1950s. Norman Orentreich, “the father of the modern hair transplant,” described his first surgical procedures.

It was not until the 1990s that a new hair transplant called FUSS, follicular unit single strip, emerged, providing hair transplants but with scarring.

In the 2000s, another method called FUE, follicular unit extraction, was popularised by Doctor William Rassman and Doctor Robert Berstein. This procedure is less invasive and less painful, and provides even more natural results. The latter is a hair transplant procedure without any scarring.

Our experienced team that has been working together for over 12 years is ready and able to personalise each one of your sessions, from the consultation to the procedure. Doctor Lemierre is specialised in micro capillary transplants and provides the upmost care to all of his patients to have the most natural results.


Why choose a hair transplant?

The hair cycle is characterised by the growth, death, and then falling out of the hair. Androgenic alopecia is a slowing down of the hair cycle. Throughout the cycle, hair can become blocked in between certain stages. When the alopecia is significant enough that it disrupts the patients day-to-day life, it is recommended to have a hair transplant where hair is missing.

Androgenic alopecia is a hair loss whose initial cause is unknown. It can happen at any age for men and women, evolving over time. The only way to fix the balding is with implants.

For men, balding is usually caused by genetic or hormonal factors. The pace at which the hair loss occurs is then determined by the sensitivity of the scalp. Balding can begin to appear around 18 or 20 years old. It begins near the temples and then moves towards the rest of the scalp.

For women, androgenic alopecia is also in part hereditary. It can start early for women as well because of poor hair treatment, harmful products, etc. Balding can also appear later on, in particular after menopause. During menopause some female hormones disappear which causes the scalp to become more fragile.

The causes of hair loss are numerous. This is why our clinic provides personalised treatment plans for every patient. We work on a case-by-case basis to provide the best results and care possible.

However, a patient whose hair loss is extremely significant may not be able to receive implants. If you are suffering from a hair disease, it is recommended to have it treated before having a hair transplant.

Which hair transplant technique should you choose?

Our team is trained in the two most commonly used hair transplant techniques.

  • FUSS, follicular unit single strip: if you choose this technique, your surgeon Doctor Lemierre will collect a strip of hair from the back of your head. This method removes a significant amount of grafts at once. The scarring will be visible for a few months.
  • FUE, follicular unit extraction: more modern, no scarring, and without any post-op pain, this technique collects follicular units from a zone which has a lot or collects grafts containing 1 to 3 or 4 hairs, to transplant them directly to the zone which is balding.

Our clinic is an expert in the field of hair transplants. We have experimented with many methods to ensure we can provide you with the best results after your hair transplants. We are constantly staying updated with the newest methods, especially those using new equipment and tools. They allow the procedure to be more efficient in terms of the collecting of the hair grafts and to reduce the loss of follicular units during the procedure. Our team uses these modern techniques to ensure you have the more natural result for your wellbeing.

We do not use robots because we do not feel this technique is necessary for you, or for us. The robots do not function on all types of hair (frizzy, wavy, too long, white, blond) and do not have a high success rate. The robots also have a tendency to shave everything, which is not what everyone wants.

Our team has been working together for over 12 years and we are ready and able to suggest techniques to collect hair grafts from specific zones. Doctor Guillaume Lemierre can perform hair transplants on all types of hair. The robot may have more precision, but its abilities are more limited. We are not necessarily better than a robot, but at the very least we have the same abilities.

Doctor Lemierre, who is specialised in micro capillary transplants in Bordeaux, Royan and London, can guide you towards the method best suited to your needs and desires.

What are the advantages and the inconveniences for a hair transplant ‘without scarring’?

The advantages

Thanks to the precision and small size of the tools used for this procedure, the scarring in the zone where the grafts are extracted will be invisible. The micro-perforations in this zone will heal within a few days after the procedure. This technique is not very painful and provides natural results.

The inconveniences

The risks of this procedure are very minimal. The risk of infection is also extremely low because the scalp is able to defend itself. The ingrown hairs can resist several grafting sessions, which greatly diminishes the risk of infection.

What does a typical hair transplant ‘without scarring’ look like (FUE)?

During the consultation session, we will decide together how much hair to shave for the grafting. The night before and the morning of the procedure you will just need to wash your hair. Our team will help you with the shaving and all other preparatory acts. The procedure will last a whole day and will use local anaesthesia.

First step: the extraction of the hair grafts

For this part of the procedure you will either be laying down on your stomach or on your side. We will then administer local anaesthesia and one by one we will extract the hair grafts with a micro-punch. A micro-punch is an automatic tool that simplifies the extraction and reduces the time it takes. This is a motorised hand tool that allows us to remove the hair grafts from your scalp with more precision. Once the extraction is done, our team stays by your side for lunch. These relaxing moments are part of the care provided by our clinics.

Second step: the re-implantation

During this next step, the patient will be in a semi-upright position, like at the dentist, and has the possibility of watching shows on the screen. We will then administer local anaesthesia on the re-implantation zone, where we will make small incisions to slide in the grafts. This part of the procedure lasts 3 hours.

A natural and stable result between 12 and 18 months after the procedure

The hair cycle is long; hair likes to take its time. The results of a hair transplant are visible after three to four months. The time frame depends on the patient, their scalp, and their hair cycle.

In general, the results take about three to four months to show. The results stabilise around 12 to 18 months after the procedure.

The hair grafts contain the root and the hair shaft. The hair shaft will fall, but the root will stay. The graft needs to take root before it can grow new hair.

If you continue to lose hair, the result may not be exactly what you expected.

What is the post-procedural process?

  • A bruise in the grafting zone can appear in the 24 to 48 hours following the procedure. It will migrate to the forehead and the eyelids making them look slightly puffy. This will disappear after 3 or 4 days.
  • The hair will start growing back as soon as the day after the procedure, but you will have to wait two to three weeks to see it.
  • Avoid the sun for 15 days, sports and swimming for several days, and do not wear a helmet for a month after the procedure.
  • 2 to 3 days after the procedure, small scabs will form around each graft. 8 to 10 days later they will fall out and disappear.
  • Post-procedure consultations to follow-up after the operation
  • We can also offer photomodulation sessions and injections (PRP, etc) to accelerate hair growth and sooth your scalp

Doctor Lemierre is specialised in hair transplants and has been practicing them since 1998. Trained and experienced, the surgeon and his team are ready and able to help you throughout the process.

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