City Medical Centre · hair transplant clinicOpen 24/7
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City Medical Centre

Hair Transplant in
Bejaia: FUE & DHI

0% instalments

from $367/mo

First talk and pricing — $0.

A real case

Hair transplant: photo of a patient before the operation and 12 months later

earlier

12 months on

FUE method, no scalpel and no sutures. Graft count and forecast added up, nothing to pay — before you decide.

Find out your price and number of
grafts

Free, no catch, no surgery booking required

Message our coordinator

Free online consultation · Reply within 15 minutes

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results

This is how hair looks
8–12 months later

Not one image is stock: only genuine patients.

Everything patients say in our Telegram chat comes from them, not from us.

Come into the group →
Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

earlier

12 months on

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3500 grafts, FUE method

earlier

12 months on

3,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2600 grafts, FUE method

earlier

12 months on

2,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

earlier

12 months on

3,000 grafts

FUE method

Beard transplant: photo before and 12 months later, 2700 grafts, FUE method

earlier

12 months on

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3300 grafts, FUE method

earlier

12 months on

3,300 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2900 grafts, FUE method

earlier

12 months on

2,900 grafts

FUE method

Beard transplant: photo before and 12 months later, 2500 grafts, FUE method

earlier

12 months on

2,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3400 grafts, FUE method

earlier

12 months on

3,400 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2500 grafts, FUE method

earlier

12 months on

2,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3100 grafts, FUE method

earlier

12 months on

3,100 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3600 grafts, FUE method

earlier

12 months on

3,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 4000 grafts, FUE method

earlier

12 months on

4,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3200 grafts, FUE method

earlier

12 months on

3,200 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

earlier

12 months on

3,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3700 grafts, FUE method

earlier

12 months on

3,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2700 grafts, FUE method

earlier

12 months on

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3800 grafts, FUE method

earlier

12 months on

3,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3300 grafts, FUE method

earlier

12 months on

3,300 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

earlier

12 months on

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2500 grafts, FUE method

earlier

12 months on

2,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3900 grafts, FUE method

earlier

12 months on

3,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3500 grafts, FUE method

earlier

12 months on

3,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3800 grafts, FUE method

earlier

12 months on

3,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2900 grafts, FUE method

earlier

12 months on

2,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3600 grafts, FUE method

earlier

12 months on

3,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2600 grafts, FUE method

earlier

12 months on

2,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2700 grafts, FUE method

earlier

12 months on

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3700 grafts, FUE method

earlier

12 months on

3,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3200 grafts, FUE method

earlier

12 months on

3,200 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

earlier

12 months on

3,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

earlier

12 months on

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 4000 grafts, FUE method

earlier

12 months on

4,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3400 grafts, FUE method

earlier

12 months on

3,400 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2900 grafts, FUE method

earlier

12 months on

2,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3100 grafts, FUE method

earlier

12 months on

3,100 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2600 grafts, FUE method

earlier

12 months on

2,600 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3300 grafts, FUE method

earlier

12 months on

3,300 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3900 grafts, FUE method

earlier

12 months on

3,900 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3500 grafts, FUE method

earlier

12 months on

3,500 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2700 grafts, FUE method

earlier

12 months on

2,700 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3800 grafts, FUE method

earlier

12 months on

3,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3200 grafts, FUE method

earlier

12 months on

3,200 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3000 grafts, FUE method

earlier

12 months on

3,000 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 2800 grafts, FUE method

earlier

12 months on

2,800 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3100 grafts, FUE method

earlier

12 months on

3,100 grafts

FUE method

Scalp hair transplant: photo before and 12 months later, 3600 grafts, FUE method

earlier

12 months on

3,600 grafts

FUE method

Comparison

Hair transplant methods
FUE and DHI

Grafts can be transferred by three technologies: classic FUE, suture-free DHI and a combined protocol. Compare implantation technique, tissue trauma and graft survival, and decide with your eyes open.

FUE

Classic technique without incisions or stitches

Hair transplant with the FUE method
Discount until the end of October

$2,200

$2,700

Graft implantation technique

Forceps

Graft trauma

Minimal

Natural hair growth angle

Natural

Graft survival

98–100%

Suitable for

Androgenetic alopecia

DHI

Suture-free implantation with a Choi pen

Hair transplant with the DHI method
Discount until the end of October

$2,500

$2,900

Graft implantation technique

DHI pen (Choi implanter)

Graft trauma

Minimal

Natural hair growth angle

Natural

Graft survival

98–100%

Suitable for

Densification

Combined DHI/FUE

FUE extraction, DHI pen implantation

Combined DHI and FUE protocol
Discount until the end of October

$2,700

$2,900

Graft implantation technique

FUE extraction + DHI implantation

Graft trauma

Minimal

Natural hair growth angle

Natural

Graft survival

98–100%

Suitable for

Androgenetic alopecia and densification

Survival and trauma rates are given per method as averages, for guidance: the exact figures depend on the transplant area and the patient's individual features, and the doctor sets them out at the consultation.

Reserve an appointment

Hair transplants from the inside: doctors explain, patients tell

Video about hair transplants at City Medical Centre, clip 1
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Video about hair transplants at City Medical Centre, clip 12
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Video about hair transplants at City Medical Centre, clip 19
Video about hair transplants at City Medical Centre, clip 20
Reserve an appointment

about the clinic

A clinic where you
will feel at ease

The rooms are comfortable, the equipment current, the care attentive

The City Medical Centre team with a patient after a hair transplant

Message us wherever you feel at home

We will hear your questions out and find a convenient time for a consultation

Message us on Telegram Message us on WhatsApp Write to us

Half of those asking hear a no

Cases that can be solved without surgery are named by the doctor right at the consultation — so you will not waste your money. Below are the conditions in which a transplant works.

A man with thinning hair at a consultation: a case where a hair transplant helps

Types of loss it covers

  • Androgenetic or diffuse
    alopecia
  • A receding hairline
  • A high hairline
  • Insufficient hair density
  • Genetic features of hair growth
  • Consequences of an injury or a burn
  • Shedding after an illness
  • Shedding due to a hormonal imbalance

Would a doctor decide for you?

Leave your number and get the photos checked: a coordinator asks in a messenger, the doctor says if a transplant helps. Free, no booking.

A doctor looking at a photo of a thinning area on a phone
Find out if I qualify

services

You learn the price
before the surgery

You will not hear a figure until the grafts have been counted at the free consultation; it then goes in the contract.

PROMOTION UNTIL THE END OF OCTOBER

FUE method

suture-free graft extraction

Hair transplant with the FUE method — operating room at City Medical Centre

$2,200$2,700

or $367/mo — 0% instalments for 6 months

Hold the price
PROMOTION UNTIL THE END OF OCTOBER

DHI method

implantation without channels

Hair transplant with the DHI method and a Choi pen — operating room at City Medical Centre

$2,500$2,900

or $417/mo — 0% instalments for 6 months

Hold the price
PROMOTION UNTIL THE END OF OCTOBER

DHI+FUE combo method

combined technique

Combined DHI and FUE hair transplant — operating room at City Medical Centre

$2,700$2,900

or $450/mo — 0% instalments for 6 months

Hold the price
PROMOTION UNTIL THE END OF OCTOBER

Something else?

Talking to a doctorFree
Eyebrow transplant, FUE$1,700$1,600
Beard transplant, FUEinstalments $467/mo$3,000$2,800
Hair trichopigmentation$2,000$1,700
PRP therapy / session$200
Hold the price

all included

What is included
in $2,200

From preparation for surgery to 12 months of follow-up.

Lifetime hair growth guarantee
Instalments available

No additional charges on the day of surgery.

two extra zones

Beard and eyebrow
transplants

The scalp is not the only area. The same grafts from the back of the head, the same FUE method — only the zone changes.

Beard transplant

FUE method, no incisions or stitches

A surgeon marking the beard line before a transplant at City Medical Centre

We take grafts from the donor area at the back of the head and move them through micro-punctures of about 1 mm — no scars remain. Before the operation the doctor agrees the shape with you, taking your facial features into account. Transplanted hair grows for life: the beard is trimmed and styled as usual.

$2,800$3,000

or $467/mo — 0% instalments for 6 months

Hold the price

Eyebrow transplant

FUE method, no incisions or stitches

A surgeon marking the eyebrow shape before a transplant at City Medical Centre

Contour first: the surgeon draws it at the first appointment, references are lined up for comparison, and the design follows your facial proportions. Hairs set at the growth angle make the brows look natural up close. Where years of plucking stopped growth, this is the answer.

$1,600$1,700

an outpatient session under a local anaesthetic

Hold the price

Find the graft total and the cost

The doctor will look at your donor area, count the grafts and show the result achievable in your case. The cost is quoted at the consultation and fixed in the contract.

Operating room at City Medical Centre

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Free online consultation · Reply within 15 minutes

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Process

One day at the clinic —
and you go home

From consultation to going home — all in one day

Talking to a doctor — hair transplant at City Medical Centre
1

Talking to a doctor

For patients in Bejaia, the starting point is a talk about DHI and FUE, answers to their questions, and an examination of the donor zone.

Paying the deposit by bank card at the terminal at the City Medical Centre reception
2

Picking the operation day

Choosing the date is one thing, holding it is another: that takes a deposit, settled at the clinic by card or online.

Getting your scalp ready for it — hair transplant at City Medical Centre
3

Getting your scalp ready for it

Preparation for the surgery includes a set of tests, and the clinic makes the process easy with a full list and instructions.

Anaesthesia – surgery without the ache — hair transplant at City Medical Centre
4

Anaesthesia – surgery without the ache

Local anaesthesia is applied before the procedure begins, so patients in Bejaia feel no pain during surgery.

The donor stage of the whole operation — hair transplant at City Medical Centre
5

The donor stage of the whole operation

Grafts leave the donor zone at the rear of the scalp or the temples without a single suture being placed.

Covering the thinned-out part with grafts — hair transplant at City Medical Centre
6

Covering the thinned-out part with grafts

Surgeons transfer every collected graft into the area that has gone bald.

What to expect while everything mends — hair transplant at City Medical Centre
7

What to expect while everything mends

You are sent home with the required items and a complete explanation of how to heal quickly.

Healing after a hair transplant, 0-10 days
8

0-10 days — Recovery

The crusts separate, the puffiness clears, the skin settles down again

Shedding of the transplanted hairs after a hair transplant, 2-4 weeks
9

2-4 weeks — Hairs shed from the treated zone

Losing the shafts is normal, and the roots are not lost

Growth begins after a hair transplant, 3-4 months
10

3-4 months — Sprouts appear

The area gradually thickens, and the result shows

Visible density after a hair transplant, 6-9 months
11

6-9 months — Visibly thicker

The hair gains body, and the volume and hairline can be seen

Final result after a hair transplant, 12-18 months
12

12-18 months — Full result

The last of the volume arrives and the edge looks natural

At the consultation the doctor will calculate how many grafts you need and explain how the transplant will go

A doctor's appointment at City Medical Centre

Free, prior to the operation, no commitment at all.

Reserve an appointment

doctors

Our doctors

Anastasia A. Kolesnik, hair transplant doctor, trichologist, surgeon

Anastasia A. Kolesnik

Hair transplant doctor, trichologist, surgeon

10 years of experience

Ellina V. Goncharova, dermatovenereologist, trichologist, surgeon

Ellina V. Goncharova

Dermatovenereologist, trichologist, surgeon

11 years of experience

Mareta E. Meirieva, plastic surgeon

Mareta E. Meirieva

Plastic surgeon

9 years of experience

Anait S. Safaryan, plastic surgeon

Anait S. Safaryan

Plastic surgeon

9 years of experience

Kristina A. Tropina, assistant

Kristina A. Tropina

Assistant

9 years of experience

At the consultation the person who will operate speaks to you.

The doctor will look at your donor area, count the grafts and say what result you can get.

Reserve an appointment

coordinators

Clinic staff on call

A personal coordinator leads you from your very first enquiry through to recovery.

Svetlana, patient care specialist

Svetlana

Patient care coordinator

Stays available the whole way through

Picks up all your forms and your bookings

Ekaterina, patient care specialist

Ekaterina

Patient care coordinator

Stays available the whole way through

Picks up all your forms and your bookings

Maria, patient care specialist

Maria

Patient care coordinator

Stays available the whole way through

Picks up all your forms and your bookings

Yulia, patient care specialist

Yulia

Patient care coordinator

Stays available the whole way through

Picks up all your forms and your bookings

A club of CMC patients, gathered on Telegram

A private channel for those who want the professional truth

A club of CMC patients, gathered on Telegram
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How it actually
happens

How a hair transplant goes, clip 1
How a hair transplant goes, clip 2
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story
A City Medical Centre patient story

Want a result like this — the consultation is free

We will hear your questions out and find a convenient time for a consultation

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Usual things asked

We answer what people
ask before booking

City Medical Centre doctors

Yes — where a patient lives changes nothing at all, and photographs can be reviewed online before anything else.

The base prices are $2,200 (≈ DZD 295,000) (FUE), $2,500 (≈ DZD 335,000) (DHI) and $2,700 (≈ DZD 365,000) (combined). The precise cost is determined at a free consultation and graft count, then fixed in your contract.

Just a day, and then patients are on their way back home.

No — the numbing is local and lasts through the whole operation.

FUE is the classic method: grafts are harvested with tweezers, with no cuts or stitches. DHI implants grafts without channels, using a Choi pen. A combined method harvests grafts by FUE and implants them with the DHI pen.

The total is individual and is named by the doctor, without charge, after the donor area is examined.

Plan for 0–10 days of healing. A shedding period at 2–4 weeks is part of the process. Growth appears from 3–4 months, noticeable fullness comes at 6–9 months, the definitive result at 12–18 months.

The clinic provides a lifetime guarantee on hair growth, stated in the contract.

Everything can be checked
before you pay

The clinic has a medical licence and provides care to the standards and clinical guidelines

of the Ministry of Health.

City Medical Centre medical licence

Clinic medical licence

No. Л041-01137-77/00754324

Open the documents
Diploma of a City Medical Centre doctor
Certificate of a City Medical Centre doctor

Qualification certificates of our surgeons

Open the documents

AKC POMOSHCH LLC

the clinic's legal entity

1057746096924

OGRN

7728536872

INN

Planning a hair transplant in Bejaia

FUE and DHI suit a patient in Bejaia: no cuts, no stitches, local anaesthesia only, and the operation is over in a single day. Graft survival runs 98-100 %, and a price from $2,200 (≈ DZD 295,000) is fixed in the contract after a free graft count, so nothing is added later.

You can get started in Bejaia from the kitchen table. The online consultation is free, the doctor reviews photographs of the area and says whether a transplant is likely to help. The line is open 24/7.

Give the scalp 0-10 days to heal. The loss of transplanted hairs at 2-4 weeks is written into the process and should not be read as a setback. Growth kicks off at 3-4 months and carries on by itself.

Hair Transplant in Bejaia: price and what is included

Prices are in US dollars; the amount in brackets is an approximate conversion to DZD at the rate of 02.10.2026. The final price is fixed in your contract.

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Bejaia, Between Mount Gouraya and the Bay

Bejaia lies on a sickle-shaped bay of the Algerian coast, sheltered by Cape Carbon to the west and overlooked by Mount Gouraya behind, at the outlet of the Soummam valley and the sea door of Kabylie. The commune counted 177,988 inhabitants at the 2008 census. Its past is distinguished: in the eleventh century the Hammadid ruler Nasir ibn Alnas made it his capital and called it al-Nasiriya, and in the Middle Ages it was a centre of trade and learning.

Today it combines a port, a university and busy markets. Abderrahmane Mira University was founded in 1983 and has grown into several faculties, and the harbour handles a great deal of commercial traffic and exports. So the city holds students at the start of their careers, engineers, civil servants and traders, and among them there are men who ask about a hairline that retreated early or a density that is no longer what it was.

People in Bejaia like to be out in the hills and by the sea. Gouraya National Park, on the edge of the city, is a coastal protected area that, together with Taza, is recognised by UNESCO as a biosphere reserve. Anyone who walks the forest paths or sits on the seafront corniche wants to know when he can go back to that routine after a transplant, and what he should wear on his head meanwhile.

Be clear about what we are and are not: we have no office, no clinic and no doctors in Bejaia. A resident starts with us by sending photographs, a doctor assesses them, and you hear whether a transplant is appropriate before anything is asked of you.

Whether he lives in a mountain village or a quarter near the port, the person asking usually has the same questions: will the transplanted hair stay in place, and will the new hairline look natural next to the old? The answer depends on the donor area and on how the surgeon plans the line, so the conversation starts with an examination of your photos and not with promises.

Winter Rain, Humid Summers and Planning the Healing Weeks

The climate of Bejaia is Mediterranean and humid. Climate tables give a mean of about 12 degrees Celsius in January, 24 in July and 25 in August, an annual relative humidity near 77 percent, January rain of about 116 millimetres against 6 in July, and some 771 millimetres a year. Winter is wet, and summer is dry but with moist air.

If you are operated on in winter, rain is the nuisance in the first 0-10 days: do not let rainwater soak the treated area, choose a roomy, breathable cap that does not press on the grafts, and ask the surgeon when it may be worn and how to dry the scalp. If you are operated on in summer, the cautions are sun, sweat and sea salt on skin that is still healing.

The sea is a question of its own in Bejaia: when can I go into the water? The surgeon answers according to how your skin has closed, so do not set the date yourself. The same goes for pools and mountain trails: keep away from dust and heavy friction until you are allowed, and return to your activities by degrees.

Sea winds are part of life here, especially near the corniche and the port. If you go out in the early days, choose a covering that will not blow off and does not squeeze the head, and do not touch the area with unwashed hands. If you live in a mountain village near the city, plan the journey home after the operation so that you do not stand long in sun, dust or wind.

From the second to the fourth week the grafted hairs shed and then return, which is expected. Growth starts at 3-4 months, density appears at 6-9 months, and the final result is reached at 12-18 months, whatever the season of the operation. This is why some residents of Bejaia pick late spring or early autumn, when the first week neither sits under heavy rain nor under fierce heat.

Doctor Registration in Algeria and Your Questions Before You Decide

No one in Algeria may practise medicine without entry on the roll of the doctors' professional body, which works within the national council of medical ethics and has regional councils that hold the lists. The Ministry of Health, with its official site at www.sante.gov.dz, handles health policy and the organisation of medical establishments. Those are your references if you want to confirm a doctor's standing or a place's legitimacy.

Ask who will actually perform the operation, what his specialty is and how many FUE cases he has done, and whether he does the implantation himself. Look at the cases shown to you: are they taken at 12 months or more, and do they resemble yours in age and loss pattern?

Ask about follow-up as well. Ours is check-ups at 1, 3, 6, 9 and 12 months with photographs, and a coordinator who replies to you. If a clinic pushes for a quick decision or promises a certain result before it has seen your photos, slow down.

On coverage: this is mostly a cosmetic operation, so do not assume insurance includes it. Check directly and write down what you are told.

From the First Photograph to the Final Result

The transplant uses FUE, DHI or a combination, without cuts or stitches and under local anaesthesia, and takes one day. With FUE the grafts are harvested with forceps; with DHI they are implanted with a Choi pen without opening channels first; the combined method joins FUE harvesting to DHI implanting.

The skin then heals within 0-10 days. Between the second and the fourth week the expected shedding takes place, growth begins at 3-4 months, density shows at 6-9 months and the final result arrives at 12-18 months.

Students and office workers can normally return to classes and desk work a few days after the first healing, according to the doctor's view. Sport and hill walking are reintroduced gradually once the skin has healed.

The doctor's plan rests on the state of the donor area at the back of the head and what it can give; if it cannot cover what you expect, you will hear it before any step is taken.

Begin From Bejaia With Your Photographs

Photograph in daylight the front hairline, the crown from above, both sides and the back of the head, with no cap and no flash, and send them in original quality. The coordinator passes them to the doctor, who gives a first opinion.

Coordinators are reachable around the clock on Telegram and Telegram, so write between lectures, after work or on a day off and the reply will come.

For a more accurate answer, mention when the loss began and whether it is still advancing, whether relatives had the same pattern, and which medicines or chronic conditions you have.

Can someone in Bejaia consult the doctor without visiting in person?

Yes. Send photographs of the hair to the coordinator on Telegram or Telegram and the doctor tells you what he thinks. The first consultation is free and needs no booking.

Does Bejaia's winter rain rule out the operation?

The season does not change the growth timeline, but in the first 0-10 days do not let rain wet the treated area. Choose a roomy breathable cap and ask the surgeon how to dry the scalp.

When can I go into the sea after the operation?

The doctor sets the date according to how the skin has healed; do not decide it yourself. Salt, sun and sand do not suit skin that is still mending.

How long does healing take and when do the grafted hairs shed?

Healing takes 0-10 days, the expected shedding happens between two and four weeks, and growth starts at 3-4 months.

When do density and the final result show?

Density at 6-9 months, the final result at 12-18 months.

Is it done under general anaesthesia?

No. It is under local anaesthesia, without cuts or stitches, and finishes in one day.

How do I check that a doctor is properly registered?

Ask about the entry on the roll of the doctors' professional body, check with the Ministry of Health about the establishment, and ask for photographs of cases at 12 months or more.

When can I go back to university or work, and to sport?

Usually a few days after the first healing for classes and desk work, and sport gradually, as the doctor directs.