Is Hair Transplant painful

Hair transplant is a surgical procedure. Because of this, there is a misconception that it is a painful affair. But, it is not true. There is little pain in the procedure compared to any other surgery. Since, scalp is a delicate part of the head; people have got a feel that it still hurts. Luckily, you hardly experience any pain thanks to the local anesthetic and post-operative medications. Although, it is a simple procedure, people need to understand what it includes and the level of pain and discomfort they might experience before, during and after the procedure

Pain before the Hair Transplant

The Donor area is numbed by administering the anesthesia before the Hair Transplant starts. There may be a slight discomfort while giving the anesthesia. Once the donor area is numbed, there will be no pain or discomfort on the scalp. The anesthesia normally lasts for 3 hrs. So, it needs to be reapplied multiple times depending on the duration of the procedure. 

Pain during the Hair Transplant

Following the anesthetic injections, the donor area will be numbed. So, patient will not feel any pain or discomfort while extraction of follicles is going on. After the extraction procedure is over, another anesthetic injection is given on the recipient area. Again, patient might feel slight discomfort while receiving the anesthesia. After that there will be no pain or discomfort while the grafts are placed on the recipient area.

Pain during the Hair Transplant

The scalp will remain numbed till the time Hair Transplant is over. After the procedure, the doctors will give post operative medicines including antibiotics and painkillers to the patient. It will relieve them of any pain or discomfort. After 2 days, patient will feel comfortable. No pain killers might be needed beyond this period. 

Receding Hairline

Hair loss affect men mostly in the form of  Male Pattern Hair Loss, Receding Hairline, Maturing Hairline etc.. Among this, Male Pattern Hair loss is the most common type. It follows a particular pattern often with a receding hairline.

7 Stages of Male Pattern Hair Loss

Medical experts use certain scales to track hair loss among men. The most commonly used tool for Male Pattern Baldness is Hamilton–Norwood Scale commonly known as Norwood Scale. The scale classifies seven stages of baldness. Doctors use Norwood Scale to measure the degree of hair loss.

Stage 1

In stage 1 of Norwood scale, there are very few signs of a receding hairline or there will be none at all.

What needs to be done?

  1. Follow a balanced diet and supplement if necessary.
  2. Quit smoking.
  3. Keep stress at bay.
  4. Use mild natural shampoos

Stage 2

In stage 2, a receding hairline is slightly visible. This is one of the early signs of balding.  Here the forehead becomes wider and temple slightly visible. Though this is unnoticeable, the hair loss is visible around the temple.

What needs to be done?

  1. If you are in the early stages of Male Pattern Baldness or thinning hair, you can continue applying the tips given for stage 1.

Can take therapies to control hair loss like PRP, Meso therapy, Biotin PRP, Meso Therapy etc

Stage 3

At this stage the hair loss tends to become more visible. The receding temple deepens and it takes an M shape

What needs to be done?

  1. At this stage, the hair loss can be termed as baldness at the Norwood scale. Men prefer to go for a different hair style at this stage. A shaved head or another short hair cut tends to work with this stage.
  2. You can continue taking the therapies to control hair loss.
  3. There are some medicines containing minoxidil which can be tried on scalp but with caution on their withdrawal hair loss if stopped abruptly.

Stage 4

By the time someone reaches stage 4, their hairline would have receded much deeper.  The bald spot at the back will become more noticeable.

What needs to be done?

  1. At this stage, all the above treatments can be tried to reduce further hair loss.
  2. Hair Transplantation can be a treatment choice in this stage for some men.

Stage 5

This is a progressive version of Stage 4.  Here the hairline and bald area are still separated, but, the strip of hair that separates them becomes narrower & thinner.

What needs to be done?

At this stage, most men go for Hair Transplantation or scalp micro pigmentation.

Stage 6

At this stage, hairline and bald spot get merged. Still hairs at sides can be seen. But, little hair can be seen in the front

What needs to be done?

Hair Transplant can still be an option

Stage 7

At this stage, almost all the hair would have lost. Hairline would have receded to crown area. Very little hair will be remaining on the sides.

What needs to be done?

Here, even the surgical procedure like Hair Transplant will not always give you a full coverage. So, Hair Transplant may be combined with Hair Fixing techniques to give better coverage.

Hair Transplant in Women

Hair loss is devastating for women as it is associated with their looks and is a source of beauty. So, when they face hair loss, it is more of an emotional issue.

There was a myth in the past that Hair Transplant was meant for men only. But, that was proved false when women started opting for Hair Transplants for their hair loss issue. However, the percentage of women going for Hair Transplants compared to men is significantly low.

Reasons for hair loss in women

Androgenic Alopecia

The hair loss in women is mainly due to Androgenic Alopecia. It is more of a hereditary issue. It is caused by a genetically shorter hair-growing period and a longer period between the shedding and growth phases. It is similar to male pattern baldness, except that hair loss tends to occur in a different pattern. Even the genes from parents can affect the hair, causing thinner strands and smaller hair follicles. In Androgenic Alopecia, the hair’s growing phase slows down. It also takes a longer period for new hair to start growing. Hair follicles shrink causing the hair that grows to be thinner and finer. Ultimately, it results in hair breakage.

Alopecia Areata

Alopecia areata is an autoimmune disease. When there is alopecia areata, cells in the immune system surround and attack the hair follicles causing the attached hair to fall out. The more hair follicles that the immune system attacks, the more hair loss will occur. Hair transplant is contraindicated in alopecia areata.

Medical Treatment

Some medical treatments like chemotherapy and certain medications can cause hair loss as a side effect.


A large number of hair will fall out during the resting period after pregnancy. Excessive hair fall might happen 3-4 months after delivery

Hormonal imbalances

The hair may start falling out due to hormonal disturbances which can occur in thyroid disorders, menopause, etc.


a longer period for new hair to start growing. Hair follicles shrink causing the hair that grows to be thinner and finer. Ultimately, it results in hair breakage.

Alopecia Areata

Alopecia areata is an autoimmune disease. When there is alopecia areata, cells in the immune system surround and attack the hair follicles causing the attached hair to fall out. The more hair follicles that the immune system attacks, the more hair loss will occur. Hair transplant is contraindicated in alopecia areata.

Medical Treatment

Some medical treatments like chemotherapy and certain medications can cause hair loss as a side effect.


A large number of hair will fall out during the resting period after pregnancy. Excessive hair fall might happen 3-4 months after delivery


Hormonal imbalances

The hair may start falling out due to hormonal disturbances which can occur in thyroid disorders, menopause, etc.


Two types of Hair Transplant methods

  • FUE (Follicular Unit Extraction)
  • FUT (Follicular Unit Transplant)

FUE (Follicular Unit Extraction)

FUE is considered to be the ideal method of Hair Transplant in women. This method involves extracting follicular units from the donor area and transplanting them into the recipient area. The follicular units or, in other words, grafts contain one to four hairs in a single unit. Single-haired hair grafts are usually placed along the hairline, and two, three, and four-strand graft units are placed behind a follicular hair unit to create a denser hair appearance. This method makes the transplanted hair look quite natural.

FUT (Follicular Unit Transplant)

FUT is a surgical method where a strip of hair is taken from the donor area (Back or sides of the scalp) After harvesting, the extracted hair strip is divided into follicular unit grafts. These grafts are transplanted via tiny incisions to where they are needed to restore hairline and hair density in the balding area.


Advantages of Hair Transplant in women

  • Hair Transplant is a permanent solution for hair loss in women.
  • The Results are quite natural and good looking.
  • It can enhance the attractiveness of the women and boost up their confidence.

The importance of Hairline Designing in Hair Transplant

It is very common for patients to lose some of their transplanted hair in the first few weeks following a hair transplant procedure. While this may be worrisome at first, there is no cause for alarm if you are following your post-operative care instructions. The hair will grow in due course.

What is hair shedding?

Majority of transplanted hair falls out after two weeks in a process called hair shedding it is necessary for follicles to regenerate & create new hair. After hair transplant, a crust may be formed at the base of each hair shaft. The scabs falling off with hairs still attached to it do not mean that the follicle has been removed. The follicle remains in the same place beneath the scalp from which new hairs start growing gradually. The scabs will start to fall off in 5 to 7 days from the donor area & 7-10 days from the recipient area.

Great care must be taken post-surgery to minimize pain & eliminate the chances of infection. Cleaning is necessary to get rid of scabs & promote healing. Hair survives during the first 5 days after the hair transplant. But, the patient should still be very careful about scratching the scalp or washing the recipient area. The healthy follicles would be firmly in place within 10 days after the procedure and they cannot be dislodged. The shedding does not represent a lost graft.

What is shock loss?

The sudden loss of hair from the recipient or donor area within 4-8 weeks after surgery is called shock loss. In some cases, shock loss can occur even sooner. Great care should be taken to minimize the risk of experiencing the shock loss. However, this is a temporary phase and a normal part of the healing process.

Generally, shock loss is a natural response to hair transplant surgery among the minority of the population. Women are more likely to experience shock loss compared to men.

The importance of Hairline Designing in Hair Transplant

An accurate and natural looking hairline is an important part of Hair Transplant Surgery that decides its effectiveness. Basically, a surgeon needs to take into consideration a few things when he is designing a hairline. Let`s have a look into it.


The most important factor when designing a hairline is the age.  Most of the patients who visit the Hair Transplant clinics are in the 20 to 40 age bracket. Designing a hairline for a person of 40 with a hairline that suits a person of 20 might not be a great idea. It will give an artificial look.


Normally, the people who visit Hair Transplant clinics are males. Unlike in the past, ladies have also started coming to clinics for Hair transplant. A hairline of ` M `shape is normally given to males.  Designing Fronto-Temporal angle is an important part of it. This is little bit tough. But, an expert doctor can do this.

Hair features

Density of hair may be varied in people. It may be thick or thin.  When a doctor is doing Hair Transplant, he has to look into hair features because the number of grafts needed are dependent on it. There will be single, double or triple grafts. Generally, thin, single grafts are used for Hairline. Multiple grafts are implanted in area just after that.  It gives density on the frontal area. A micro irregularity also is given on the hairline to get a natural look.

Grade of baldness

Important factor here is that we have to know the degree of baldness. Then only, the no of grafts to cover the baldness have to be decided. For Ex, If it is a Grade 3 baldness to be transplanted, we have to cover the front area that is area 2 with full density. About 3000 grafts would be needed for this. But, it depends on the quality of donor area. Whereas, if it is a grade 7 case, we have to raise the hairline little bit higher to give a good coverage.

Facial features

Everybody knows that faces of people are different in shape and features. They are seen in round, oval or `V`shape. Hair line and features of face have to be synchronized. Symmetry of face is another factor. Exact symmetry on the left and right side is not needed. Then, the hairs will grow in one line. Hairline depends on Skull bones also.

In a nutshell, when we design a hairline, it has to be customized depending on the faces. The scientific and aesthetic aspects of hairline designing have to be combined to get a good Hair Transplant result.

Crown Hair Transplant

Crown area or vertex area is seen at the extreme back of the scalp. When we consider the level of baldness, the crown area is affected by Grade 5- Grade 7 baldness. The Crown area baldness is normally seen on round or oval shape. For some people having Grade 3 or Grade 4 baldness, the hairs on crown area are seen thin without adequate thickness.

Taking note of their age and considering the level of hair fall, Medical treatment or PRP Treatment are normally suggested for them.

There are a few things to take care of before doing Crown Hair Transplant.

The age of the patient is an important part of it.  Then, it is the area of the baldness. Any medical treatment the patient underwent in the past also has to be verified. Another important part is the availability of Graft on the Donor area.

Crown Transplant is normally said to be the complex part of Hair Transplant. For some who have done crown HT, the density at Crown area is seen less compared to areas 2, 3 and 4. The reason is that the hair on Crown area staring from its centre point is seen like a whirlpool. So the density is comparatively less.  When we take a Grade 5 case of good Donor area, the max graft that can be taken is approximately 4000 only. Since the frontal area or area 2 is given more aesthetic importance, the transplant is done by lowering the density at the Crown area thereby improving the density of existing hair. At the same time when it comes to a Grade 6 case, there is a requirement for density at the Crown area. In that case, the Hair Transplant is done at other area first. The Crown Hair Transplant is done in the second sitting.

Though the hairs on the Crown area are in different patterns, doing a Crown Transplant could be possible for any HT Surgeon. However, doing a HT with good density on other parts of the scalp and a natural whirlpool kind of pattern on the crown area is an art in itself. Only an experienced surgeon can do this. Arranging the grafts taken in the right proportion and depth without damaging other grafts is to be done with great care. Normally, when doing the hairline reconstruction, multiple grafts are not used on hairline. In the same way, placing multiple grafts on the centre point of Crown is also important       (Doing HT with grafts of triple or more hairs). So, grafts of single or double hairs are used for implanting. Another important thing is the direction of hairs on the Crown area. The hairs have to be transplanted maintaining a whirlpool kind of pattern on 20 to 40 degree angle.

When we talk about the result of Crown HT, it takes more time to grow hairs on the Crown area compared to any other area on the scalp. That means when it takes 8 months to 1 year at other areas, it is 1 year to 1.5 years for the Crown area. All these depend purely on the availability and quality of grafts on the Donor area. One sitting can never cover Crown HT. Sometimes, more than one sitting would be required. In extreme cases, Hair Transplant can be completed in three sittings covering the Crown area too.

Surgical Safety of our Hair Transplant Procedures

Hair Transplant is a surgical procedure prescribed for people who are facing partial or full baldness. Since it is a surgical process, it is scientifically underlined to ensure the best results. With over 4000+ successful hair transplants, Hairocraft has been the most sought after hair transplant and hair restoration expert since 2006. 

Our treatments follow International standards and we have a very intuitive process. Efficient and effective hair transplantation isn’t about more number of grafts, but it is about determining the quality of grafts that will give the naturally best outcome for the customer.

At Hair O craft, we ensure safe surgical procedures that match the most up-to-date scientific standards. Our procedures are designed to incorporate both meticulous pre-testing for clients’ physical health and safety and post-care that can eliminate any infections. Our 2+ decades of experience have instilled in us a safe practice that ensures that every client has a set of individual needs and healing capacities and tailor the surgery in accordance to that.  Detailed consultation helps us understand the lifestyle and habits of each client – this helps in magnifying the treatment to gain the best possible result. 

Our ISO certified clinics employ experienced and qualified specialists who are passionate and professional. They are trained to meet your medical needs with care and respect for your medical needs. Our brand is built with an intention to satisfy our customers and provide them with the highest quality and commitment and we have strived to achieve that with our processes and resources. From onboarding to aftercare – our team is with you.

Hair Transplant for Grade 6 & 7

The picture given above shows grade 6 & 7 baldness cases. Normally, we might think if Hair Transplant for these cases is possible. Here, the possibility of doing Hair Transplant is purely dependent on the no of grafts available that can be extracted from their donor area.

Donor area

Generally, there are some principles when considering Hair Transplant for Grade 6 & 7. We can have a look at it.

Mainly, it is about how the grafts are distributed. Then, it is about how we can create a natural look in the frontal area. An experienced Surgeon will have a calculation of what to do when he sees these cases. Hair Transplant basically is a procedure in which hair follicles are extracted from the donor area and are implanted on the bald area.  So, when we take a grade 7 case, the area that is getting bald will be about 75 % of the scalp. The donor area holds the rest 25 %. It is called Androgen Resistant Hair.

75%                                                                             25 %

So, it needs necessary to cover this 75 % area with the grafts taken from the 25 % donor area. Still, we cannot fully use 25 % hair to implant in the frontal area.  Even though the hairs are seen overlapped on the donor area, we cannot take more hairs from there since it is visible. Because of this, it won`t be possible to cover the area with the 25 % hair exclusively from the scalp using the FUE method.  So, what we are doing is giving the good density in the frontal area and giving the maximum coverage to the back.

Even, we can use beard hair for giving the coverage. When we do this, care should be taken to mix beard hair and scalp hair. It will be visible if the beard hair is implanted independently. So, we have to implant the hair after mixing the beard hair and scalp hair. Normally, we don`t implant more beard hair onto the front. Because, it will give an unnatural look. The beard hair texture and scalp hair texture will be seen differently. So, we mix these before implanting it. So, when we do hair transplant for grade 6 & 7, it is ideal to give density in the frontal area and giving the maximum coverage to the back.

We can give good result by doing this. In addition, we can plan a second sitting after 4 or 6 months either to improve the density in the frontal area or giving a good coverage to the back. But, everything will depend on the quality of the grafts.

Is your hair falling? What should you do before choosing hair transplantation?

Experiencing the loss of your precious hairs??? You may be the one among thousands who feel their self-confidence is eroding with hair loss. Fret Not!!! We feel you and that is why we are up for hair talk from our trusted experts in the hair care industry.

Over the past few decades, hair fall has been an unsettling concern of everyone irrespective of gender. Loss of a few strands while combing is quite normal. But it can upset you when you do not see new hair growing in place of the old fallen ones and suddenly you start noticing hair everywhere at your home.

Excessive hair loss not just affects your appearance but also your self-esteem and confidence. The fear of going bald seems to strike you pretty hard as you start to experience the shedding of your attractive tresses.

Relax! Doing proper diagnosis from hairocraft, your hair loss problem can be dealt with to a certain extent. According to the hair care experts at hairocraft, hair fall can be due to various causes and there are treatments available as well as preventive measures of the same which we should be well versed with.

Surprising reasons behind your hair fall

Very prominent causes of hair fall are as mentioned below;

  • You’re on Certain Medications

Are you on medication for acne, arthritis, depression, high blood pressure, heart problem etc.? Since when did hair loss become a problem for you? Ever since you started taking that drug, right? You may not have thought yet that hair loss is number one on the list of side effects of this drug. Radiation therapy is used to treat cancer and it leads to severe hair fall. Consult your medical expert and get suggestions.

  • You’re nutrition deficient

Be aware that nutrients such as iron, zinc, vitamin D, and copper play a major role in keeping your hair healthy. Lack of such nutrients in your diet can cause hair loss. Track your nutrition intake to know if you are getting enough.

  • Your condition can be Heredity

Hair loss due to genetics is a natural condition. It is most commonly observed in men and is called androgenetic alopecia. It’s also called male pattern baldness.

  • If you’re a woman!

Women after 30 years mostly experience hormonal imbalance and lifestyle disorders like PCOS/PCOD and Thyroid. It is quite common during pregnancy, childbirth, and menopause or even during a change of contraceptives. These changes affect the growth cycle of hair.

  • It’s time to care for your scalp

Bacterial and fungal infections cause balding or hair thinning. Treating them does help you restore your hair growth.

  • Track your Lifestyle habits

Lifestyle habits like smoking, having an unstable sleep cycle, working outdoors in the sun, exposure to pollution, too, causes hair fall.

  • Work and personal stress? Press pauses to that!!!

As that is more than enough to make you lose your valuable and beautiful strands.

There are various traditional methods to stop hair fall naturally. We are well-read and aware of those, but sometimes those just don’t work for us. That’s when we start thinking of or opting for hair transplantation.

Hair Transplantation

Hair transplantation is a scientifically proven technique that guarantees restoration for hair loss. During this cosmetic surgery, hair follicles from the donor site are withdrawn and transplanted to the balding part known as the recipient site under local anaesthesia. It is a minimally invasive clinical procedure, is durable and reliable when done at the hairocraft clinic.

Dos and Don’ts

Like each medical procedure, there are some precautions to be taken and certain things to be kept in mind.

  • If you are using any medicines or drugs, stop taking them a week before the procedure as they may increase bleeding.
  • Stop smoking!!! (at least a week before)
  • Steer clear of alcohol at least for 72 hours before.
  • Inform your doctor of any medications you have been taking or conditions that might affect the surgery such as allergies, blood clotting disorders, sleep disorders, asthma, high blood pressure, etc.

Stop Dandruff before it is too late

What is Dandruff?

Dandruff is a common scalp condition in which small pieces of dry scalp skin fall off in flakes. It can also cause scaly, itchy scalp. It usually starts during puberty and peaks in your 20`s. It is less common in people over 50 years. Dandruff is related to another skin condition called Seborrheic dermatitis the severity of which is varying compared to normal skin condition.

In Seborrheic dermatitis, other than the scalp, the skin condition affects the face, behind the ears, and the upper chest. Visible skin inflammation, redness & itching are very common in Seborrheic dermatitis.

What causes Dandruff?

There is a common belief that Dandruff is a sign of poor hygiene. But it is not! Nobody knows exact cause of Dandruff. But, there are certain factors that make you prone to dandruff including the presence of fungus called Malassezia and the oiliness of your skin.

The skin fungus Malassezia lives on the skin of people. However, people with dandruff are more sensitive to it. Malassezia causes the scalp skin to break and triggers an inflammatory response on it. It ultimately leads to scalp skin to flake.

The dandruff as mentioned earlier is related to Seborrhea dermatitis. You have sebaceous glands on your skin on most part of your body that produces sebum. You can see sebum mostly on face, scalp and chest. The sebum produced is also related to hormonal changes. Sebum production increases in puberty and into your 20`s and then, decreases after 30-60. The Dandruff also is affected by these pattern where it is mostly seen in puberty and into your 20`s and becomes less active after 60.

Several other factors like weak immune system, emotional stress and genetics also play a role in developing dandruff.

Can dandruff cause hair loss?

Normally Dandruff as well as anti-dandruff shampoos and medicated shampoos do not cause hair loss. These treatments use anti fungal agents like pyrithione zinc, selenium sulfide, or ketoconazole to treat infection from Malassezia. They are not known to cause hair loss. Severe dandruff can cause intense itching and scratching that can result in damage to the hair follicles and subsequent hair loss. But, that is very uncommon. Hair loss due to mild scratching can be reversed. But, damage to hair follicles due to severe scratching cannot be reversed due to possible scarring. Seeking treatment for dandruff as soon as you notice it can alleviate the itching faster and ensure that you do not scratch enough. This will lower the chance of irreversible damage to the hair follicles and subsequent hair loss. Still, temporary hair loss can happen. There is every possibility that hair will grow back once the scalp condition is treated. The key is minimizing the damage to the hair follicles and the inflammation that will have lasting effects on the density of hair re growth.

Treatment for Dandruff

Barring any underlying health condition, treating dandruff is rather easy. Using anti-dandruff shampoo is the most common treatment for it. There are many over-the-counter shampoos having the anti fungal agents like pyrithione zinc, selenium sulfide, or ketoconazole for the better treatment for Dandruff. You have to use shampoo consistently to see better results. Your dermatologist can prescribe medicated shampoos as well.


Dandruff is an inflammatory skin condition which is not infectious or contagious. Apart from flaking and itching, it is typically a harmless skin condition. It doesn`t develop into any serious medical condition and is fairly easy to treat.