Frequently Asked Questions
Will I benefit from a hair transplant?
There are many forms of balding. A Direct Hair Implantation (DHI) is useful for androgenic alopecia (genetic form) of hair loss. At the clinic, you can receive a free, no-obligation consultation to evaluate your concerns and accurately assess the balding site. For suitable candidates, the DHI technique offers maximum density and natural results. For hair that is thinning, or dense hair that continues to fall/shed, we can discuss suitable medical options for you.
Can women have the DHI procedure?
Yes. Female pattern baldness follows the Ludwig scale rather than the male pattern (Norwood scale) of baldness. Extraction can be done using thin strips, in order to provide discretion and allow for up-styles immediately after. Hairline design and distribution focuses on a strong and feminine hairline with good overall density and natural results.
Who would not be suitable for a hair transplant?
Individuals with unstable cardiac conditions, poor kidney function or those who have undertaken chemotherapy within 2 years are not suitable. Men under the age of 23 are encouraged to trial medical therapies first.
Who will perform the procedure?
DHI certified doctors will perform the procedure form beginning to end. DHI certification ensures the highest standard of care and adherence of strict protocols. DHI Manila benefits from pioneering European research, French artistry and styling, and friendly Filipino service. Our qualified nursing staff assist with the collection and arrangement of follicles during the procedure.
I’ve already had a hair transplant before, can I still have a DHI Hair Transplant?
Yes. Depending on the alopecia test using the DHI specialised scalp camera, we can accurately calculate the number of hairs available for extraction and the requirement for implantation. In fact, up to 30% of our clients have had previous strip surgery (FUT) and FUE before finally arriving at DHI. In younger patients, a second DHI procedure can be done in advancing hair loss, provided there are adequate donor follicles for extraction.
What’s the difference between FUE, FUT and DHI?
Hair transplant began 30 years ago with Follicular Unit transplant (FUT), and refers to ‘strip surgery’ where a slice of the scalp is surgically removed, the follicles divided and implanted. However, this often leads to an unsightly scar which prohibits short hairstyles, and can warp the normal direction of hair at the back. Next came the Follicular Unit Extraction (FUE) which used a larger punch (up to 1cm) to remove units of hair. However, to implant larger grafts, ‘pre holes’ in the forehead were required for them to be implanted, and can lead to upstanding, artificial looking results.
10 years ago, the Direct Hair Transplant (DHI) method was pioneered in Europe. We use a 0.7mm punch to isolate follicles with minimal discomfort, rest them in Hypothermasol (also used in organ transplants), then implant them one at a time, allowing for maximal density and controlling the angles for the most natural looking hair.
How many hairs or grafts will I need?
At DHI, we use a specialised alopecia camera to examine the scalp and accurately count the number of follicles for extraction and implantation. Next, a new hairline is designed to suit the patients’ age and face shape in consultation with the medical team. Finally, the number of grafts are then mathematically calculated to produce the desired result. We offer Small (up to 1k hairs), Regular (2k hairs), Mega (3k hairs), and Giga (5k hairs) sessions.
Why do you only extract the hairs at the back, won’t it look bald after extraction?
In men and women, hair at the back and sides are less sensitive to dihydrotestosterone (DHT), a major cause of hairloss. Once extracted, they maintain this property and will not fall out when transplanted to the hairline. Hairs at the back also lie flat to cover more surface area, and extraction will not exceed the minimum of 70 hairs per square cm. This ensures a voluminous donor site post op and allows room for future extractions if needed. For women, we can use cut thin lines which can easily be disguised and up-styled post-op.
Will the procedure hurt?
Once local anaesthetic is infiltrated by the surgeon into the area, the procedure is painless. Oral sedation allows the patient to sleep and remain still during extraction. During implantation, local anaesthetic is again applied while the patient is awake (often chatting to the staff or watching movies). It is common to feel some discomfort for a couple of days following the procedure, but rarely do clients require further medication.
How much downtime will I need?
After the procedure, the staff will instruct you on the post-op protocol used by all DHI clinics. You will be required to spray to transplanted hairs every 30 minutes while awake for 3 days, then take off the bandage from the donor site on day 4 for the first gentle shampoo. It is recommended to lie flat when resting and avoid looking down at screens to avoid facial swelling. Light exercise can resume at 1 week, heavy exercise, hats, strong sun exposure and swimming at 2 weeks. Return to work depends on comfort and exposure to pollutants. Hats and helmets can be worn at 10 days, and hair dyes after 1 month.
What are the main side effects of the procedure?
The DHI technique is renown to be minimally invasive with few side effects. When you leave the clinic after your procedure, it is common to feel some discomfort in the scalp, though few require pain medication. Occasionally, facial swelling can occur if the patient looks down at screens or sleeps on their side. The staff will carefully step you and your family through the post-op procedures to ensure optimal health of the newly implanted hairs. Staff are always happy to answer questions or concerns after the procedure.
What follow up will I need?
At DHI Manila we offer follow up at anytime as part of the premium service. We recommend official review at 3, 6, 9 and 12 months to assess the growth of the hair. Our staff are happy to answer any questions you may have via text, email, or call. For international clients, we can also do tele-medical review by appointment.
I will be travelling to undertake the procedure, what will I need to prepare?
At DHI Manila, we benefit from European pioneering research, French artistry and styling, and friendly Filipino service. We speak English, French, Filipino (Tagalog and dialects). For those travelling for the procedure, we recommend contacting the clinic via email on firstname.lastname@example.org for pre-op medical questionnaires to assess suitability. We recommend a recent viral screen for all patients and an ECG for patients >45yrs.
For those travelling from the Philippines, we can provide 100ml spray bottles and medical certification to fly, but it is important to schedule swimming and sun exposure prior to DHI.
Need more information?
Call or email, text or walk in, we are always ready and willing to help you find the best hair solution. Find us on Instagram (@dhiphilippines), Facebook (DHI Philippines) or our Youtube channel to see our results and view behind-the-scenes footage and watch other undergo the DHI journey.