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We are going to give you our unbiased and honest opinion.
We are going to give you our unbiased and honest opinion.
Dr. Ali Emre Karadeniz (Dr. K) was born in Edinburgh, Scotland and has dual nationality in Britain and Turkey. He is fluent in English. He received his medical degree and plastic surgery specialist diploma in Turkey.
Due to his enthusiasm and dedication to hair restoration surgery he started practicing hair restoration surgery exclusively from the year 2010. He performed 1500 hair operations in a relatively short period of time, which also lead to active participation in scientific events. In 2011 he became a member of the International Society of Hair Restoration Surgeons (ISHRS) and since has been invited numerous times for presentations in scientific meetings. In order to provide a very high standard of surgical treatments he founded Dr.K Hair Institute, Istanbul, Turkey in 2014, where he performs all of the surgical procedures himself. In 2015, he became the first Turkish plastic surgeon that is a diplomate of the American Board of Hair Restoration Surgery (ABHRS). He was also elected to be a member of the ISHRS FUE Research Committee (FUERC).
The Dr.K Hair Institute medical team consists of the most experienced and skilled medical staff in Turkey, who are always dedicated to provide the highest standard of care and to give the best result possible for every patient.
Dr.K Hair Institute offers the most advanced techniques currently available in the world, including both FUSS (strip surgery) and FUE. Dr. K is one of the very few surgeons in Turkey that can offer the FUSS method, which is the main treatment method for afro-hair. Dr. K is able to achieve close to invisible strip scars with his surgical technique that includes the ‘trichophytic closure technique’. With the aid of microscopic dissection of individual grafts performed by a very experienced team of technicians, up to 6000 grafts can be transplanted. Dr.K Hair Institute is the only hair clinic in Turkey that can perform such ‘ultra-refined surgery’.
Dr. Karadeniz uses a motorised sharp punch to manually extract all grafts by himself when doing FUE. He strongly believes that FUE should be performed exclusively by the surgeon himself and doesn’t use technicians for this purpose. Up to 3000 grafts in a single day and up to 5000 grafts in two consecutive days can be performed at Dr.K Hair Institute.
Dr. K has special interest in dealing with afro-hair patients. Afro-hair type has many technical challenges due to the nature of the hair. Only surgical teams that operate at very high standards are able to deal with these challenges. Our satisfaction rate is very high as can be seen in online testimonials.
Other surgical treatments such as body hair transplant (BHT), beard transplant and eyebrow transplant are also offered at Dr.K Hair Institute.
The fact that there are very few professional hair clinics in the world that provide state of the art procedures and very high costs at some countries, encourage patients to search abroad for a suitable clinic. However we are aware that it is not easy for a patient to go to a country with a very different culture, standard of health care and language and to have a surgical treatment. We provide the following services for our patients to overcome the mentioned difficulties:
It is our priority to establish trust with our patients.
We don’t see our patients as customers who we are trying to sell a standard product. Our potential patients are only accepted if we honestly believe we can solve their problems; if we feel that we cannot, we will freely admit it and recommend other options.
We put ourselves in the position of our patients; we never do treatments that we would not have done to ourselves.
After an overall assessment of each potential patient we formulate a long term treatment plan that does not only fix the problem at hand but also keeps options open for possible future interventions.
We only offer treatments that have proven effects and are widely accepted in the scientific world of hair surgery and we do not offer methods that have more marketing value than treating a problem. We are open to including any treatment that has proven benefits however we will never abandon a treatment method with proven results for a new method, without any scientific evidence of benefits.
We keep constantly in touch with the best of new techniques and instruments that can enhance surgical results. We are active members of scientific organisations and constantly attend scientific meetings for the latest discoveries.
We always make sure that every part of every treatment is taken care by a professional who is not only licensed to do it but is also trained and experienced enough to do the best in a variety of situations.
We are aware that no guarantee can be given in medical procedures and we find it unethical to claim a guarantee could be given. However, we strictly believe in ‘responsibility’. This means that we will make every effort to give our patients the best result possible and we will do our best to fix a problem if it occurs.
We are the first and only clinic in Turkey that has devoted its services in treating Afro-hair patients.
We are enthusiastic about helping Afro-hair patients.
As can be seen with our online testimonials, previous patients have been very pleased with our services and the results they got.
We always give you a realistic picture of what can be expected from surgery and the limitations.
Our prices are about a quarter of clinics that are known to work on Afro-hair.
Our services continue after the surgical procedure; we are prepared to discuss on regular updates and answer questions that you may have.
Hair transplantation is the surgical solution to hair loss that can be done as long as hair density is below a critical level to make it worth an operation and there is a donor area that has potential permanent hair follicles to be taken without significant weakening of that area. It is the only solution available to achieve a cosmetically satisfactory and natural hair restoration.
A hair transplant consists of three steps: graft harvesting, recipient site incisions and graft placement.
The first step, the graft harvesting phase can be done using two techniques; follicular unit transplantation (FUT, FUSS, strip method) and follicular unit extraction (FUE, one by one graft extraction). FUSS and FUE are not hair transplantation techniques, but are the two techniques for graft harvesting; the second and third steps of the operation are common.
Follicular unit transplantation, FUT or follicular unit strip surgery, FUSS is considered the gold standard method that has proven its efficiency for many years. It is based on taking out a skin strip from the back of the head taking advantage of the skin laxity. The donor area is closed with stitches and a linear scar is left behind after healing occurs, which is the most important disadvantage of the technique although mostly overemphasised. The skin strip is slivered, then cut into individual grafts by an experienced team of technicians.
FUSS, is a very sophisticated procedure. It requires expertise to remove the skin strip without transecting follicles at the wound edges and close the wound in a way that causes minimal scarring. The graft dissection technique requires extensive training for years to master. A surgical team for FUSS requires many of these well-trained technicians.
The advantages of FUSS are;
Follicular Unit Extraction, FUE is a graft harvesting technique popularised in the last fifteen years. Each follicular unit is isolated individually using a sharp metal tube, called a ‘punch’. The punch can be rotated to pass through the skin surface manually or by installing it on a powered device; the latter enabling an easier extraction. The technique was introduced in the hope of preventing the linear scar in FUSS and provide a ‘scarless’ extraction method. Indeed, FUE has been advertised by hair clinics as a scarless method as opposed to FUSS. However, the graft extraction sites do heal leaving small scars which are visible as either white dots or depleted areas on close examination. Although it is not true that FUE is a scarless technique, the scars can be close to invisible on a hairy scalp when performed with a good technique.
The main challenge when doing FUE is to prevent significant hair follicle damage by the punch, which is called the ‘follicle transection rate’, FTR. FTR is significantly increased when the surgeon is inexperienced; it takes a lot of practice to reduce it to an acceptable level. In clinics where technicians are permitted to do careless graft extractions the FTR can be up to 70% even in non-afro-hair patients.
The problem with doing FUE in Afro-hair patients is that the kinky nature of the hair causes a very high FTR even if the surgeon is very experienced. Since FUE is the blind penetration of the surgical punch through the skin surface, it becomes inevitable that a significant number of grafts are damaged by the curved hair root being cut by the punch. Thus, the main graft harvesting method in afro-hair patients must be FUSS.
The second step of the operation is the recipient site incisions. It is done by using custom made pre-cut blades that are prepared to the characteristics of the patient’s grafts. These incisions later heal without leaving visible scars as opposed to the circular punch holes which were used in old times. This part of the operation is important as it defines hair distribution, density, direction and angles.
The last last is the graft placement. The grafts are inserted carefully into the incisions.
An average hair transplant session of 2000 grafts takes 7-8 hours.
Afro-hair has unique surgical characteristics due to its curly/kinky nature. The difficulties associated with Afro-hair are;
The most common hair loss problem in female afro-hair patients is Traction Alopecia, which is hair loss due to using too tight braids. It is usually presented as the loss of hair at the edges (temple points) and receding of the hairline.
In advanced cases, a type of scarring alopecia may occur, causing extensive loss including the mid-scalp and crown areas.
The good news in traction alopecia patients is that there usually is a health donor area at the back of the head where donor hair can be harvested for a transplant.
In non-afro-hair females, hair loss is usually a sophisticated problem. It is usually related to metabolic or dermatologic diseases that firstly need to be diagnosed by an experienced dermatologist and medically treated. All possible metabolic and dermatologic diseases must be overruled before surgical restoration can be considered, as attempts at doing surgery while an underlying disease is present are doomed to failure. Female afro-hair patients are no exception and all possible underlying diseases should be ruled out first before an attempt at surgical restoration is made. Once the diagnosis of traction alopecia is made, then plans for surgery can be done.
Technical details about the graft harvesting methods, FUSS and FUE were explained in the relevant chapter of this website. We already know that FUSS is the main method for afro-hair patients. In female patients, there are additional reasons why FUSS is overwhelmingly the better option:
The number of hairs transferred during a FUSS procedure depends on donor density and skin elasticity, however, neither of them can be measured by looking at photographs. A live examination is needed to make these measurements, although the vast majority of female patients receive between 1500-2500 grafts, 2000 in average. Many clinics subdivide follicular units while preparing the grafts in order to increase the graft number and thus the price. However, subdividing kinky afro-hair follicular units is especially risky in that there is an increased risk of graft damage and follicle transection. We prefer to not divide units and keep their natural architecture. We find that this protects the grafts and avoids the surgical cost rising unnecessarily for the same number of hairs transferred. We also charge a fixed price for the surgical session to avoid confusion. We then do our best for each patient’s individual situation.
Male pattern baldness (androgenic alopecia), is the most common cause of hair loss in men. This is the thinning of hair at the top of the head, while leaving a more permanent area at the back of the head intact. However, hair loss in Afro-hair men is associated with some difficulties;
Due to the above-mentioned limitations, hair transplants in Afro-men should be done cautiously. FUSS should be the method of choice if the donor area is estimated to provide enough coverage for the linear scar. The ‘trichophytic closure’ technique allows for hairs growing through the linear scar which greatly improves the camouflage. If FUE is desired, a test must be performed at the beginning of surgery to find out if it can be done safely. If it is, then graft harvesting must be done conservatively in order not to cause significant donor damage and preserve donor area aesthetics.
Our years of experience in helping the most sophisticated hair loss patients - Afro-hair loss patients - has led to the creation of this website, that is designed to provide comprehensive information on possible treatment options for Afro-hair patients.