DHI Hair Transplant (Direct Hair Implantation) Technique
DHI Hair Transplant (Direct Hair Implantation), also known as DHT (Direct Hair Transport) is a technique that is developed to minimize the transport duration between a collection of grafts and implantation. In this technique, the hair grafts are extracted smoothly and individually from the collection site with the help of micro punches and planted in the hairless area. There are many different aspects that determine the survival rate of the collected grafts. Researchers observed that these factors improved if the graft’s transit duration was reduced. Therefore, in 2013 a group of researchers modified the FUE technique that the individual grafts are implanted right after they are collected. Since then, some calls this “a new method” and others call it “a modification or subtype of the FUE method”.
Are you aware that more than 56 million people are dealing with hair loss worldwide? It’s a fact that you might have to deal either with baldness or a receding hairline at some point in your life. The reason is that you have not given much importance to the early signs of hair fall (losing more than 80-100 strands a day) for the last few years.
When your hair starts to thin or fall out, you start losing confidence, and your self-esteem begins to suffer. All you want to do is understand the root cause and find an appropriate solution in this situation. With the technological advancement in the hair care industry, there are many ways to curb hair loss and take a proactive approach to improve your condition. One of the most effective methods to solve thinning hair is hair transplantation- a surgical procedure wherein hair follicles are taken from the donor area and grafted on the recipient area (where the hairline is receding or thinning). It’s a permanent solution that helps patients to regain their lost hair without any side effects.
By 2023, the global market of hair transplants is expected to value at USD 23,881.9 million. The boost in the market is due to the use of advanced procedures like the DHI hair transplant. This procedure aims to enhance the quality of hair transplantation, provide a better look, and ensure a smoother and quick recovery.
Out of all the available hair transplantation techniques, we are happy to provide more detailed information about the DHI hair transplant procedure at EsteNove.
Who Can Go for DHI Procedure?
- DHI hair transplant works well for people facing androgenic alopecia (male or female pattern hair loss)
- Only people above 25 can opt for the procedure
- People with thick hair will get good results as compared to people with thin hair.
- People should have more than 40 follicles per square centimeter.
- People with light hair often achieve the best DHI hair transplant results.
The DHI Method with Choi Implanter Pen
In the DHI method, the collected hair follicles are transplanted with a special device that is called Choi Implanter Pen. Therefore, sometimes people refer to the DHI method as the Choi pen method. Choi Implanter Pen is the original device that is developed by Kyungpook National University in Korea. At first, it was not very widely received by the hair transplantation community due to taking a significant amount of time. However, some surgeons prefer to use this pen due to their increased control over the angle of grafts that are going to be implemented. CHOI pen has a needle that is between 0.5-1.5mm in size. The size of the needle is chosen by the surgeon according to the hair features of the patient. After being collected the grafts are loaded into this pen. Both canal opening and implementation are carried out with this pen.
Stages of DHI Hair Transplantation
DHI Hair transplantation steps are very similar to FUE hair transplantation except for the site creation and graft implantation is performed simultaneously. DHI Hair Transplantation steps can be summed up as follows:
In this stage patient is physically examined by a doctor. This doctor determines the final hair transplantation plan and hairline design. Some physical and oral examinations are held. In this stage, the doctor can tell you if the DHI method is suitable for the expected results. Blood is taken and sent to the laboratory for the necessary tests. These tests ensure that the patient does not have any medical conditions that prevent him from having surgery.
Anesthesia of DHI Hairtransplant:
Before anesthesia normally preparation step involves hair-cutting but in the DHI method this is optional. The transplantation site is disinfected. This step takes about 30 minutes. Then, local anesthesia is administered either by needle or needleless (if the patient prefers needle-free Painless Anesthesia Comfort in the system, he will receive virtually no pain during the process.)
In this step, a device called micromotor is used to collect hair grafts. Unlike the other hair transplantation techniques, there is not a step involving canal opening. These grafts are immediately suitable for transplantation. The collected grafts are examined under the microscope and are grouped according to how many follicles they have.
The hairs are placed and planted to the receiving site by the use of a Choi Implanter Pen. This pen can both open the canal and transplants the hair.
PRP (Platelet Rich Plasma) procedure (which strengthens the hair follicles) and the wound dressings are applied.
Post-operative Hair Wash:
During 30 days after the surgery, the hair should be washed according to the appropriate conditions. After 10 days the crust will be gone and will accelerate the process.
NOVE MIC® Method
In the arrangement step, as described earlier, grafts are separated according to their follicle number. For the most natural look, one follicle containing grafts should be transplanted into the hair frontline, whereas the others should be transplanted to the banding sites.This step is a very important stage of the transplantation which is taken for granted usually by other hair transplantation centers. Usually, many centers carry this separation process manually which causes false counts. In EsteNove, we use MIC NOVE® system for the separation process. After being collected, our grafts are counted and grouped under the light microscope. Therefore, the margin of error decreases to 0. This ensures that patients have the most natural look and are more content with the results.
Differences Between DHI and Sapphire FUE Techniques
The choose of hair transplantation technique depends on many factors such as the number of grafts needed, cost, recovery time, etc. Therefore, when comparing DHI vs Sapphire FUE, telling one method is superior to others will not be completely true. Moreover, many centers using the FUE technique, use different devices which effects the result. The most advanced type of FUE is sapphire blade FUE which uses sapphire blades to open canals.
These blades cause less scarring and a more natural look than steel blades using FUE methods. In DHI method instead of blades, CHOI implementer pen is used.The main difference between the two methods is; during the hair transplantation operation canal opening is not a separate stage in DHI and it is performed right after the extraction phase. However, if a person needs more than 4000 grafts of transplantation, the DHI method cannot be used in one operation. The main advantage of DHI is it has a faster recovery period and no scarring. In the Sapphire FUE method, if the donor area is suitable, the maximum number of grafts can be implemented.
Advantages and Disadvantages of DHI Technique
Like all the different hair transplantation technique DHI method has its own advantages and disadvantages. Some advantages of DHI;
- Faster recovery period
- No scarring
- High-density follicle transplantation
- No shaving necessary
Where are some disadvantages of DHI are;
- Maximum 4000 graft in a single session
- High cost
- A significant amount of time during operation
- Since the learning curve of the DHI technique requires more time, if the person making the DHI hair transplant does not have enough experience, Choi may damage the ends and other hair follicles
DHI Hair Transplantation Recovery and Results
The recovery time is very short after the DHI method. Patients can continue their routine life after the operation. The results start to show after 6 months following the operation. Usually, the hair on top of the roots that are planted with the process starts to fall off after 2 weeks to 2,5 months, and after 3 months the newly transplanted hair starts to grow. All kinds of hairdressing services should be postponed for 6 months. Our patients have outstanding results. As EsteNove, we are happy to answer all your questions about hair transplant or DHI Turkey applications.
- For the first three days, avoid touching the recipient area.
- Prefer sleeping on the side for four to five days.
- After seven days, return to exercise and avoid heavy weight lifting.
- Avoid direct sun exposure for four weeks and do not swim for seven days.
- Minimise smoking for three days
- Avoid alcohol while taking antibiotics
FAQ About DHI Hair Transplant in Turkey
For hair transplant surgery, local anesthesia is used so that the patients do not feel any discomfort. Also, EsteNove uses the needle-free injection called Comfort-in™, which makes the operation painless.
Yes, hair transplant clinics in Turkey use advanced technologies, knowledge and experienced surgeons. Besides, these clinics use a solution-oriented approach that provides excellent results. Overall, there are 44 JCL-certified hospitals in Turkey which provide premium post-operation consultation and follow-ups.
DHI hair transplant cost depends on the number of grafts to cover the hairless areas, hair loss, texture, and characteristics of the donor’s hair. To know the actual cost, we encourage you to visit one of our centers and take the consultation.
The DHI hair transplant method is minimally invasive and therefore has few side effects. Once you leave the clinic, it’s normal to feel some discomfort in the scalp, but it can be taken care of with medications. Sometimes, facial swelling can occur if you sleep on the side after the procedure. In such cases, our staff will carefully guide you through the post-op procedures to ensure the optimal health of transplanted hairs.
At EsteNove, we give follow-up consultations the highest priority. So, we suggest a review at three, six, nine and twelve months to ensure proper growth of transplanted hair.
Yes, women can undergo a DHI hair transplant. This is because female pattern baldness is widespread, which can be treated with this procedure. Also, extraction can be done from a narrow area that can be hidden by existing hair.
Yes, we can use a DHI-specialised microcamera to calculate the hairs available for proper extraction. It’s also important to understand whether it would be enough for implantation. Moreover, younger patients can quickly adopt a second DHI procedure with good donor follicles for extraction.