Hair loss phase

Hair Loss Stage can be defined depending on the question “What is hair loss?” and the growth (anagen) and resting (telogen) phases of the hair. On average, the anagen phase lasts 3 years, and the telogen phase lasts 3 months. With the arrival of new anagen hair, the hair in rest will fall in the Telogen phase. Normally, 5 – 15% of the hair is in the telogen stage. The increase in hair in the telogen phase and the loss of these hair causes excessive hair loss that disturbs the person.

The cause of hair loss

The cause of hair loss can be hereditary, metabolic, or physical. Febrile illness, severe trauma or operation, medications (beta-blockers, vitamin A derivatives, anticoagulants, propyl thiouracil, etc.) and dietary changes (low protein diet), iron deficiency anemia can cause hair loss.

Hair may fall out in thyroid diseases, severe liver and kidney failure, rheumatic diseases (systemic lupus erythematosus), and cancers.

Androgenetic Alopecia (Male Pattern Hair Loss)

Androgenetic hair loss is the most common type of hair loss in men and women worldwide. Androgenic hair loss is also called male pattern hair loss. The main reason for hair loss is the negative effects of male hormones (androgens) on genetically sensitive hair follicles.

Hair in the front, middle and top parts of the head are sensitive to androgens. For this reason, hair loss occurs in these areas.

Hair follicles in the nape between the two ears, which are the donor area for hair transplantation, are resistant to the effects of androgens, so no hair loss is observed in this area.

Although it is called “male pattern hair loss”, androgenetic hair loss can also affect women and is also one of the most common types of hair loss in women.

Hamilton-Norwood Scale

The male pattern hair loss staging method is applied according to the Hamilton-Norwood Scale.

Hamilton-Norwood scale for hair loss stages is a scale used to determine the level of male pattern baldness. According to this scale, baldness is graded between I and VII.

- Hair Loss Stage 1

In general, the hairline is within clear limits. Since it is confused with seasonal or stress-induced hair loss, it is mostly the stage without the use of treatment methods. Supportive treatments such as vitamins, PRP and Mesotherapy are recommended as the continuation of hair loss in young people carries the risk of loosing the hair line.

- Hair Loss Stage 2

It is the first stage of baldness. The frontal hairline receded to the midline without leaving an islet in the middle. It is the first stage of baldness. The front hairline receded to the midline without leaving an islet in the middle. It includes the deep regression of the mature hairline with no hair or very little hair on both sides of the temples and the minimum hair loss that can be considered as baldness.

- Hair Loss Stage 3

The frontal hairline recedes more clearly. However, the middle part of the head area also begins to lose hair at this stage. It is the period when hair loss is accepted by the person.

- Hair Loss Stage 4

As in Phase 3, the temple and top area scalp become more visible. It is the period in which hair loss clearly manifests itself. It is more common in the 28-35 age group.

- Hair Loss Stage 5

Hairless areas in the temple area and on the top are enlarged. The hairy strip between the two areas almost disappeared or became sparse. It is also called the critical stage. The transition from Stage 4 to Stage 5 is quite fast, and patients usually pass to Stage 5 without realizing it. Hairless areas are more visible, hair structure is weaker and lifeless.

- Hair Loss Stage 6

A thin hair is observed in the frontal area, and just behind it, prominent baldness is observed. There are sparse areas on the back and sides that are still hairy.

- Hair Loss Stage 7

At this stage, the hair bridge is completely disappeared. The temples, anterior, and vertex hair loss are combined. There is no treatment option, including hair transplantation. It is the stage where the hair scale is completed.

What is a hair transplantation?

Hair transplantation, which is very popular today, is a surgical procedure performed under local anesthesia.  It should be performed under the supervision of a plastic surgeon and with trained teams. It is the natural and permanent way to gain hair for the people who suffer hair loss. Hair transplantation is the transplantation of the patient’s healthy hair taken from the nape area to the area where the hair is lost.

The nape area is coded not to have a hair loss, and hair transplantation operations give the person his own hair permanently as if it had never been lost before. The same methods can be performed for beard, mustache, and eyebrow transplantation. Anyone who has a suitable general health condition and a sufficient number of hair follicles in the donor area can have hair transplantation. Hair follicles taken from the nape area are divided into special containers as single, double, and triple hair follicles. For the transplanted hair to have a natural appearance, single hair follicles are transplanted to the front areas at certain frequencies. The angle and direction of the hair strands to be transplanted are determined exactly. By respecting these angles, the targeted natural image is achieved with the indented sowing technique.

What are hair transplantation techniques?

- Fue Technique

Fue micromotor is the most used hair transplantation technique. It is a technique performed by taking hair follicles in the donor area of the person one by one with tips called micromotor punch with a diameter of 0.6-0.8 mm and transferring them to the bald areas. Successful results are obtained in people with healthy skin and donor areas.

- DHI (Pencil) Technique

It is a method that can be applied in patients with incomplete hair loss. Existing hair is not damaged. It is a method of hair transplantation performed without shaving the hair. At the same time, it is performed without any incision on the skin.

- Manual Technique

Manual hair transplantation is a very special technique. It is the process of taking the hair with the help of a punch that is attached to the end of a special tool like a pen manually. With this method, the maximum number and quality of hair follicles are taken one by one. This technique, which is difficult to apply, cannot be performed by every clinic or doctor because it requires a good level of experience. It is mostly applied to people with insufficient donor area or weak hair follicles. The success rate is 95%.

What to consider before the hair transplantation

  • The person should have a strong but light breakfast before the operation.
  • Smoking should be stopped or reduced 1 week before the operation and should not be used on the day of the operation.
  • You should come to the clinic without shaving your hair.
  • You should wear comfortable button-up or zipped clothes and a crew-neck sleeveless or short-sleeved t-shirt.
  • Alcohol use should be stopped 1 week before. Your regular medications should be taken before the operation in consultation with your doctor.
  • If you are using aspirin, flu medications, or blood thinners, you should stop at least 2 days in advance, in consultation with your doctor.
  • If possible, do not keep your jewelry and valuables with you on the day of the operation.
  • Wash your hair with shampoo before the operation.

What to consider after the hair transplantation

  • Medicines prescribed after the hair transplantation should be used regularly.
  • Alcohol should not be used as long as drugs are used.
  • You should definitely come to the clinic for the medical dressing the day after the operation.
  • After the procedure, 10 minutes of ice compresses should be applied to the forehead, temple, and undereye area on the same evening and for the first 3 days until you sleep.
  • The first 3 days after the procedure is the holding phase of the transplanted hair. One should be very careful and rest.
  • You should hit any part of your head. Driving, heavy work, sports activities, stress, and exciting activities should be avoided.
  • The head should be protected from direct sunlight and rain for 4 weeks after the hair transplantation.
  • Local anesthesia effect lasts by decreasing for 1 month. Since the sensation will decrease, the head should be protected from possible impacts.
  • The first 5 days should sleep on your back using a high and hard pillow. Do not put the hair transplantation area on the pillow.
  • For the first 5 days, do not lean your head forward while reading a book or using a phone or computer. Otherwise, edema occurs on the face and around the eyes, and facial swelling may occur.
  • Smoking after the procedure creates an obstacle in oxygen transmission to the hair follicles. Smoking should be stopped for at least 1 week after transplantation.
  • You can see hair falls until the 8th day. These are hair pieces around or near the transplanted root, so do not be afraid of losing your hair.
  • If blood is seen in the transplantation area, do not worry and do not wipe it. You can only wipe non-transplantation bleeding.
    In the first week, you should avoid sexual intercourse and should not be in too hot and too cold environments.
  • You should avoid clothes that are worn over your head for the first 15 days. Buttoned or zippered clothes should be preferred.
  • Consuming 2.5 or 3 liters of water after the operation is beneficial for the transplanted hair.

Hair growth time after hair transplantation

The hair growth period after the operation varies according to the person who had the transplant. According to researches, hair transplantation in men give faster results than in women. Apart from gender, age, health condition, and skin structure also affect the results. After hair transplantation, 60% of the hair is shed and 40% of the hair continues to grow. These expected hair fallings are called shock effect. The fallen part starts to grow stronger again after 2 or 3 months. The hair in the front grows fast. The hair on the top part grows slower than the front part, and it can take up to 1 year for the hair in this area to grow.

There is no need to apply any extra procedure other than the applications recommended by your doctor in order to accelerate the growth process of the transplanted hair. People can continue their daily lives, provided that they are more careful at first. If the instructions and the doctor’s advice are fully followed, the hair will absolutely grow.

Beard and mustache transplantation

Beard and mustache provide a dynamic and different look for men as well as dense and healthy-looking hair. Past trauma, hormonal imbalance, or congenital in beardless areas on our face may adversely affect our appearance. In these cases, the beard and mustache transplantation procedure will give good results.

Beard and mustache transplantation with FUE method

As in the hair transplantation with the Fue method, the roots taken from the nape area are transplanted to the beard or mustache area. In this process, the person performing the transplantation must be experienced in beard and mustache transplantation because the angles of the hair follicles in the beard and mustache area are different than the hair. Beard and mustache transplantation is done under local anesthesia within 1-2 hours without feeling pain. The transplantation area will look completely natural without any scar.

After beard and mustache transplantation

You can wash your face or take shower 2-3 days after the beard and mustache transplantation. After the first two weeks, a temporary hair loss called shock loss can be observed in the transplanted area. In the area where the hair loss occurs, it will reappear within 3 to 6 months. The first shave after the operation should be done 1 month later.

Hair transplantation in women

Women also suffer from hair loss due to genetic, hormonal, or physiological reasons, and hair transplantation is now frequently performed in women with correct planning by investigating the cause of hair loss.

Since women’s hair is long, hair transplantation can be performed without having to cut it.

Treatment and Planning

  • The first meeting to get information is with our health advisor. In this meeting, you can talk about your health problems and expectations.
  • You need to make an online appointment on our Appointment Form page to meet the health advisor.
  • Our health advisor may ask for some information to evaluate your suitability for the surgery you want, such as your age, weight, height, medications you regularly use, smoking, blood tests, X-Ray, photograph, your expectations from the surgery, and your medical history.
  • The health advisor gives you information about
  • Surgeon and Hospital information
  • Our previous experiences (Before & After)
  • The things to do before the surgery and information about the surgery and the post-surgical process
  • Video conferencing with your surgeon and receiving information if necessary
  • Surgery fee and what is included in the price (surgery, accommodation, airport pick-up, and transfers)
  • Planning dates about your travel (dates about the hospital, hotel, and full length of stay)
  • Answers to your questions about the surgery are sent to you


  • Airport pick-up and hotel transfer
  • Hotel Check-In: Our health advisor will welcome you and inform you about the process.
  • Meeting with the surgeon: Your surgeon plans your surgery and informs you about the plan. You are expected to discuss your expectations and answers to your questions about the surgery with your surgeon. Our health advisor will be with you during this process.
  • Tests: Evaluation tests such as blood tests required for the surgery, COVID 19 test, and X-Ray are performed. Our health advisor will be with you during this process.
  • Meeting with the anesthesiologist: Your medical history and your suitability for the surgery are evaluated. Our health advisor will be with you during this process.
  • Operation: The things to be done the previous day are forwarded to you in preparation for the operation. You will be informed about the solid and liquid feeding times, the medications you will use, if any, the time you will be in the hospital for the operation, etc.
  • You are transferred to the hospital.
  • Hospital Check-In is done.
  • You enter your room.
  • The nurse informs you and prepares you for the surgery.
  • An informative meeting is made with your surgeon again before the surgery.
  • You will be taken into surgery.
  • Our post-surgical health advisor comes to you to check the surgeon process and you.
  • Your surgeon will visit and inform you after the surgery.

Our health advisor will be with you during the entire process on the day of surgery.

  • The length of stay in the hospital may vary depending on the surgery to be performed. During this period, you will be visited by our health advisor every day you stay in the hospital.
  • After the surgery, you will be informed about the follow-up period, medications you will use by your surgeon’s decision, and the post-surgical process, and your hospital exit procedures will be carried out.
  • You will be transferred to the hotel.
  • You will be transferred for a control examination on the days determined by your surgeon.
  • During the hotel stay, you will be followed up by our health advisor regarding the surgery process.
  • Our health advisor will inform you about the restaurant, shopping, places to visit, and other needs during your hotel stay.
  • In the last control examination with the surgeon, you will be informed about what to do in the next period.
  • Hotel Check-Out and airport transfer


As Estebox Istanbul, we will stand by you, our valuable clients, with our experienced surgeons and healthcare professionals, ensure that the whole process is carried out reliably and that you return to your country healthily and happily so that your journey and operation go well.

Frequently Asked Questions

It should be done by an experienced plastic surgeon and professional healthcare professionals, as stated in the hair transplant legislation of the Ministry of Health. Hair transplantation is a surgical operation and must be performed under sterile conditions. Therefore, a hospital that is internationally accredited such as JCI and involves other branches to intervene in case of any need, provides significant confidence for the person who will have a hair transplant.

Hair loss usually begins in the 30s, but the severity of hair loss rather than age is decisive in hair transplantation. If the scalp is visible from the outside, it means that the hair density fell below 50% than necessary and hair transplantation should be done.

Determining the hairline requires experience because everyone has a different anatomical structure. The existing hair structure determines the line where the hairline will begin on the forehead. The hairline is approximately 7 cm above the eyebrow in men and is in the form of a ram. That is, its middle part is lower, and its two sides slightly reachinwards. This line is flatter in women than in men.

Yes. Depending on the size of the area to be transplanted, hair transplantation can be performed with the DHI method without hair shaving.

Although it varies depending on the number of grafts taken for the area where the hair is transplanted and the hair transplantation technique, it takes an average of 5-8 hours.

Transplantation of the hair follicles taken from the donor area into the canal opened in a healthy way should be completed within 4 hours. Therefore, 2 sessions of hair transplantation can be performed by planning in advance according to the size of the area to be transplanted.

In some cases, the person who had hair transplantation may find his/her hair sparse after hair transplantation, or another transplant may be required for some areas. In this case, 1 more session of hair transplantation can be performed depending on the condition of the donor area.

After a good hair transplant, there will be no scar in the transplanted area and in the area where the hair follicles are taken.

After the hair transplant operation, the process called shock loss occurs between 2-8 weeks and at the end of this process, most of the transplanted hair is lost. Lost hair starts to grow again within 3 months and 70% of it grows by the 6th month. All of the hair grows out at the end of a year and gain a natural appearance.

A process called shock loss occurs between 2 and 8 weeks after hair transplantation. This is a normal and expected process. After this process is over, your permanent hair starts to grow. In the future, even if there is a loss caused by the life cycle of the hair strands, as in everyone, your new hair will regrow.

Depending on the size of the area to be transplanted, hair transplantation can be done with the DHI method without cutting the hair.

The donor area for the hair transplantation is the nape area between our two ears. The hair in this area consists of hair follicles that are efficient for hair transplantation and will not be lost in the area where it will be transplanted.

The FUE method generally allows hair transplantation in a wider area. The DHI is a suitable method for more frequent hair transplantation, and this method will only require a haircut in the donor area. You will be informed by our doctor about which of these two methods is more suitable for you.

Why Estebox Istanbul for Hair Transplantation?

  • To provide a right and quality service to you as Estebox Istanbul, we work with doctors who have years of experience in their field, carried out successful operations with the title of Professor, Associate Professor, or Specialist, trained many new doctors as instructors, conducted national and international clinical studies, published scientific articles, and have a high degree of satisfaction in patient feedbacks.
  • There are many operations such as nasal aesthetics, breast aesthetics, abdominoplasty, liposuction, hair transplantation, and obesity surgery for your health and aesthetic needs. Although these operations seem similar to each other, each operation requires a separate experience and good planning. Estebox Istanbul offers the best solution to your aesthetic needs with experienced surgeons who will meet your expectations from the hair transplantation.
  • In addition to meeting your health and aesthetic needs, your safety is also important to us. That is why we prioritize the compliance of the hospital, technical equipment, and anesthesia team to international accreditations such as JCI.
  • We know that you may be worried about making a surgery decision in another country. As Estebox Istanbul, we will be at your side until you return to your country healthily and happily, offering you the best solutions from the first moment you contact us to make a surgery decision.
  • With the arrival of more than 1,000,000 patients for health and aesthetic needs every year, Turkey is one of the most popular countries in health tourism with its worldwide trained experienced doctors, hospitals that use cutting edge technology, quality service, and economic treatments. As Estebox Istanbul, we continue our work with our 30 years of experience in the health sector, unlike many companies that are involved in Health Tourism, whose number is increasing day by day.

Online Appointment

You can send your information by filling out our online appointment form and create your free examination appointment. Our authorized staff will contact you and determine the most appropriate examination time for you.

WhatsApp and Phone Support : +90 536 825 34 65

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