The cost of a NeoGraft Hair Transplant starts at $6,000.
The average length it takes to recover from a NeoGraft Hair Transplant is 1-2 weeks.
The procedure time for a NeoGraft Hair Transplant can take between 3-8 hours. All procedures performed under comfortable laughing gas (Pronox, Nitrous oxide), oral sedation and local tumescent anesthesia.
The NeoGraft is one of the newest FUE devices available for hair restoration, automating the implantation of hair grafts. FUE Hair Transplantation stands for Follicular Unit Extraction. It is the method of using a small, automated, rotatory punch to harvest the individual “hair families,” including the shafts and root systems they share. There is NO linear scar, NO scalpel, NO stitches and NO surgical excision!
All scalp hari hair grows in little family units. 1,2,3 and/or 4 follicular hair units. The FUE system will harvest these necessary embryological units as they occur naturally, rather than surgically excising the scalp, as in a Strip Graft.
The FUE method avoids the unsightly scar found in the Strip Graft procedure, allowing patients to wear their hair short if they choose, avoid the stigma of linear scar and, come back to harvest more FUE grafts over time as hair continues to thin.
The NeoGraft can accurately harvest 600-900 FUE’s per hour, allowing it to compete numerically with Strip Graft, without resulting in the unsightly linear scar.
Dr. Mulholland was the first physician in North America to use and master the art and science of FUE hair transplantation systems and procedures. SpaMedica uses both Automated NeoGraft and Artas Robots to accomplish the renown hair restorations they are famous for.
These FUE hair transplant systems extracts hair follicles from the scalp or other areas, one at a time and then transplant them to a designated spot.
The donor site is from the “preferred and protected” site at the back of your scalp. The hair bulbs in balding areas at the front, middle and crown have a genetically weak enzyme called 5-alpha-reductase. This weak enzyme cannot break down testosterone into helpful metabolites and a toxic compound called Dihydrotestosterone, or DHT, builds up over the years and is toxic to the hair bulbs, which kills them and results in hair thinning or going bald.
However, the good news is that the area at the back or your scalp, called the occipital hair, or the “preferred hair” has very healthy enzymes; the hair is robust and does not die. We don’t know the scientific reason for this, it is a genetic trait (or curse), but you can’t escape your genetic fate. The other piece of good news is that the transplanted hair from the back to the top, lives happily in this new location, with its normal enzyme, and will not fall out with age.
Good candidates are patients who are experiencing hair loss and patterned baldness. Those who are looking for hair growth options and have hair that has matured are also candidates for NeoGraft procedures. Other indications include those looking to lower a genetically high hairline, or genetically determined side recessions. Also creating a full beard, mustache, sideburns, eyebrows that have been over plucked and upper eyelashes.
Our patients are generally pleased with the results and come in to get more hair grafted, as needed over the years, due to the success of the initial procedure.
More Youthful Appearance
Unlike older hair transplant methods, which were infamous for a ‘plugged’ look, NeoGraft uses hair follicles in batches of 1 to 4 units, creating a new, more youthful hairline and more natural wavy density, as the hair is growing in its natural units.
Because there are no scalpel or incisions, the procedure is more tolerable for patients, resulting in much less discomfort. With NeoGrafting, hair follicles are extracted in natural units using a handheld harvesting tool, so no need for stitches. Each harvest site is less than 1mm!
Short Recovery Period
People usually recover faster from a NeoGraft hair transplant than after a traditional hair transplant, mainly because the procedure itself is far less invasive. Many can return to regular activity within days after their procedure.
Many patients are concerned that their restoration areas will be painful after the procedure. Due to the advancement of technology, there is almost no pain with automated NeoGraft FUE hair transplant, as there are no scalpels or sutures used. The very tiny harvest holes and recipient slits are more itchy than painful.
At SpaMedica we offer one the most high tech and experienced FUE Hair Transplantation systems in the country. Dr. Mulholland is a world recognized expert in both the NeoGraft Automated FUE Hair Transplantation device, as well as the Robotic Artas hair transplantation system.
SpaMedica has performed more automated and robotic FUE hair transplants than any other center in the country! Over 10 years of experience. Other centers, with less experience, who are not as dedicated to FUE hair restoration, bring in a “rent a tech” 1-2 times per month. SpaMedica has a dedicated FUE team that works for SpaMedica and Dr.Mulholland full time, with over 1 million grafts placed, to ensure you get the best possible care in one of the best hair transplant clinics in Toronto.
At SpaMedica patients will receive the benefits of both the NeoGraft or the Artas. The Artas is automated and Robotic, deploying computerized software, algorithms and controls to direct the robot to harvest the larger 3 and 4 hair Follicular units. The Artas has been a big advancement in the fast and accurate harvest of larger follicular units and can be the right system for selected patients.
There are several types of FUE hair transplantation, depending upon the harvest technique deployed
Automated, rotatory punch harvesting. Most accurate, least traumatic and most accurate, but relies on an excellent dedicated hair technician.
Robotic controlled rotatory punch. Also an excellent system, does not require the same hair technician expertise. BUT slower and less accurate.
Tried and true, some physicians and technicians still use a manual punch to harvest and this can also be a good option, BUT relies on a very experienced harvest technician and is much, much slower, so you cannot achieve the same density or coverage as NeoGraft.
SpaMedica also offers Platelet Rich Plasma (PRP) and High intensity low level light therapy. Topical hair products are also very popular at SpaMedica. The PRP can help increase growth of dormant follicles, especially in women with female pattern alopecia. PRP can also decrease the risk of Telogen effluvium, known as “shock hair” from a transplant and is offered pre- FUE transplant in some higher risk male and female patients.
After the design of your hairline, (a joint aesthetic decision between the patient and the Spamedica hair team) the FUE harvest begins from the preferred donor site at the back of the scalp. You are usually done the FUE harvest by lunchtime (depending upon the number of grafts). The second half of your day will be the implantation. Dr. Mulholland has advanced the art and science of “stick and place” FUE graft insertion. In this technique, we use a small hypodermic needle to create a small slit in the scalp, into which the follicular unit graft is placed.
There are two types of placement, automated, “no-touch” placement using an “implanter” and then, manual implantation. For the very sensitive single hair grafts, Dr. Mulholland’s full-time team of hair technicians will use the “NeoGraft implanter” to place the delicate single hair follicular units at the front of your hairline.
The advantage of this automated implanter technique is that it avoids grasping the fragile single hair follicular unit grafts with forceps that may damage the bulb or bulge cells, which are responsible for hair growth.
The larger 2, 3 and 4 hair follicular units have a more robust dermal scalp matrix supporting the hair bulb and shaft and Dr. Mulholland’s very experienced hair technicians will insert these follicular units manually.
One of the most basic plastic surgery principles of grafting is taking “like for like” to ensure natural and attractive results. Often in a full-frontal hairline restoration, patients will require 400-600 single hair follicular units.
The angle on the harvesting handpiece allows the physician or technician to see the exact angle of the shaft while coring out the hair graft. This enables Dr. Mulholland and his expert team of hair technicians to have a transection rate of less than 4%, one of the lowest reported automated or robotic hair shaft transections rates.
Dr. Mulholland does not implant transecting shafts, relying on inserting only the finest, intact Follicular units, with complete shafts, bulb and dermal matrix.
The SpaMedica Hair consult coordinator and Dr. Roskies, our SpaMedica Facial Plastic Surgeon and FUE specialist, together with Isaac Acevada, our senior technician will outline with you during your consultation. The actual design of your hairline is the most critical part of your procedure. This step is an artistic blend of understanding your natural facial shape and proportion, taking into consideration the donor hair graft quality, density and the current and future pattern hair loss needs. From there, Dr. Roskies and will be able to suggest which procedure is right for your needs.
Dr. Mulholland and SpaMedica offer their Toronto Hair Transplantation and FUE Hair Restoration patients a comprehensive post-transplant program consisting of high fluence, low-level light therapy, topical minoxidil and nutrient serum as well as a medicated shampoo. This regimen will help nourish the grafts and help natural genetic hair growth as well. Some patients also receive PRP if there hair is at risk for “shock hair”.
Following the NeoGraft procedure, most patients will require 7 days off work.
2-3 days: The donor site is covered in a head wrap. The wrap is removed by the third day by our SpaMedica team, gently washing and shampooing, utilizing a glass of water and light fingertip pressure. We show you how to do this.
1 Week: The tiny donor harvest sites are difficult to even see by one week and, if the recipient site is covered by existing genetic hair, patients can often return to work after the seventh day.
3-4 months: The first phase growth includes 40-50% of the actual transplanted hair grafts, which pick up a blood supply and begin growth within 3-4 weeks.
4-6 months: Second phase growth – After the bulb “takes” by picking up a blood supply, approximately 40-50% of the other transplanted shafts will go into “shock hair,” fall out and start to grow again.
12-14 months: Over 85% of all FUE grafts “take” and survive, it is not until then that the final density and aesthetic appearance of the hair can be seen after enough time is left for the two-phase growth. Be patient, your nice new hair will take one year, and you will love it. The good news about the gradual re-densification and hair restoration is it is gradual and natural, so you won’t be attracting attention until it looks great!
Many FUE clients elect to add an upper or lower lid blepharoplasty for heavy upper lids or lower lid bags. Removing a double chin, under local anesthesia using Facetite Lipo and a little botox injection into your angry frown lines can complete a natural “guy makeover”, taking years off your appearance.
NeoGraft is less painful than the conventional hair transplant as there is no scalpel on long incisions within the procedure, making the experience much more tolerable. The local anesthesia is made comfortable with laughing gas and after that most patients describe the day as “painless”.
At SpaMedica, you can expect the highest possible graft transplantation survival rates, the lowest possible transection rates and the lowest incidence of shock hair. We extract grafts from the back and sides of your scalp, which are areas that you are genetically programmed never to lose hair. The results of your hair restoration are permanent and lifelong.
Our patients are well-selected and realistic, achieving over 85% graft survival rate, less than 4% transection rate and a very natural hair design that they can customize with the help of Dr. Mulholland.
During your consultation, we will outline a program of hair restoration treatments that may be performed over 10-20 years that you may require from ongoing genetic hair loss.
SpaMedica FUE patients are very comfortable, between the laughing gas, oral sedation and watching Netflix all afternoon, it is one of the more comfortable, if not pleasurable procedures you will ever elect to undergo. Because of the pleasant oral sedation, FUE patients must have a designated pick up and post care person, as you will not be able to drive.
You will be placed in our SpaMedica Transplant baseball cap, which will protect your surgery for the next 2 weeks.
If there is very little genetic hair to hide the transplants, we suggest shaving the top of the head pre-procedure on the recipient site to allow the grafts and healthy genetic hair to grow out together. If this is the route you take, the area will often look acceptable without any visible scabbing in 10 days. If you have nice long hair at the back and some at the top, grow an old school Mullet at the back and we can hide your donor site immediately.
Our average first transplant volume is 3000 FUE grafts. There are approximately 20,000
FUE grafts available at the back of the scalp. We can steal 12,000 without leaving you looking thin haired back there. With 12,000 FUE’s, even if you are destined to be completely
bald at the top, we can give you great looking hair in the front 2/3 often leaving you to crown out a bit, as most guys do.
The answer is yes and we have done this many times, but the hair is not ideal, they are singles, not long and more like a shrub than a tree. BUT, they can provide some coverage in a crown
As a singular technique, it is not optimal as it always looks fake the more balding you get. BUT, at SpaMedica, we use it after FUE transplantation, to create the illusion of thicker hair. With a less visible scalp.