Hair Transplantation and Hair Restoration

While premature balding is an all too common occurrence, there are very effective forms of corrective interventions available. Don’t get caught up in the maze of miracle cures that pop up on your media screens each day. Most of these are ‘snake oil’ and placebo at best. Stick to the tested and proven treatments and have your hair loss evaluated and monitored properly by a qualified Doctor.


A hair loss treatment will typically offer, or involve a combination of, two steps: Hair Restoration and Hair Transplantation. 

* Please note individual results may vary. Results are not guaranteed.

Hair Transplantation

Hair Transplant - The area that has become bald or has thinned out, will be given a hair transplant. The lost hair will be replaced with hair from the same patient, but from another area which has hair. The surgical hair restoration replacement can be a wonderful option for those who would like to regain the appearance of having a full or fuller head of hair. The hairline on the forehead also becomes even and smooth.

Hair Restoration


Hair Restoration aims at stopping further hair loss and stimulate dormant hair follicles to regrow new hair. This can be done with certain topical medicines, oral medicines and scalp treatments such as “Dermapen”, AQ Skin Solutions Hair Complex or PRP treatments, or a combination thereof.

Frequently asked questions

What are the reasons for my hair loss?

“Male pattern baldness”, medically referred to as androgenetic alopecia (AGA), is a common problem in adolescent and young adult males throughout the world. It is estimated that 60% of males, between the ages of 20 and 40, suffer from “Male pattern baldness” to some extent.
In a nutshell: Male pattern hair loss is a result of the effect that male hormones (like testosterone) have on the scalp hair.
At a certain age, the secretion of male sex hormones, also called androgens, starts in the body. This results in a number of physical and functional changes in the male body, such as the growth of beard hair, and pubic and axillary hair growth, development of male genital organs and an overall development of the physique of the male body.
The primary and most well-known androgen is testosterone. It is the principal male sex hormone and is the main anabolic steroid produced by the body. It is often used by men to help increased fitness, muscle and bone mass and performance during exercise. Testosterone is responsible for the male pattern baldness (androgenic alopecia). It is, however, not the testosterone, or abnormal amounts of testosterone, that actually cause the hair loss in males. It is rather the sensitivity of the hair roots to the hormone that results in hair loss. Sensitive follicles react in such a way that changes their hair shafts: they become progressively thinner and shorter, replacing strong, thick, pigmented hair with fine, short and hair. This process and state of hair is also called miniaturisation.

Am I a suitable candidate?

Men and women naturally benefit from the S.A.F.E.R.® automated technique at any age as long as the donor zone is adequate. People with very curly or frizzy hair or those having a very scarce donor zone are not good candidates for this technique. Dr Manoj Bagwandeen will be able to advise you.

How old must I be to receive Hair Transplantation?

It is recommended to have hair transplantation surgery done after the age of 25. As the hairline is still developing in teens and young adults it is difficult to predict the ultimate hairline and therefore not recommended.

How must I prepare for the procedure?

Transplantation requires you to shave, or cut very short, a strip of hair at the back of the head (donor area). Try to keep the length of your hair in this area long enough that the shaved zone is covered up by the hair just above it. For further information on how best to prepare, please see our patient information for hair transplantation.

What other areas can be treated with hair transplantation?

Basically any area that typically has hair growth can receive hair transplant, i.e. scalp, chest, chin, eyebrow, etc. The most common and well-known procedure is hair transplantation for the scalp, followed by hair transplantation for the beard. For more detailed information on a particular area you are concerned about, please contact Dr Manoj Bagwandeen at CapeMAC.

What about my miniaturised hair next to the bald area – can I get hair transplantation there as well?

Miniaturised hair, i.e. the fine short hair that is typically located adjacent to the bald patches on the scalp, results from a reduction in the size of the hair roots. In order to have miniaturised hairs grow back stronger and longer, Dr Bagwandeen will put the patient on a medical treatment. It does not usually require a hair transplant.*

How do I best choose the right practitioner and practice?

Your decision, as to which practice or practitioner to choose, should be based on the practitioner’s reputation, the practitioner’s apparent skill and the practitioner’s experience. In addition, the practitioner’s ability to communicate with you in a manner that is professional, sincere, unhurried and that makes you feel comfortable is of utmost importance. Please also see the information on “How to choose a Medical Aesthetics Practitioner”. We hope this helps you make the right choice.

What is the cost of hair transplantation?

The price varies, because it depends essentially on the number of grafts or hairs to be transplanted. Dr Manoj Bagwandeen will be glad to discuss the price for your hair transplantation after an initial assessment. Contact us now at CapeMAC to book an appointment with Dr Bagwandeen as a first step towards revealing a more radiant and confident you.
Use our “Prices” section for an up-to-date overview on other available treatment options and price ranges for aesthetics treatments at CapeMAC.

What is the risk of hair transplantation?

Hair transplantation using S.A.F.E.R. is not an invasive procedure and carries minimal risks. Some basic hygiene guidelines prevent any risk of infection. Besides that, the procedure is safe and poses no risk to the life or health of the patient. The outcome is not guaranteed – individual results may vary. How thick hair will be after the hair transplantation can vary depending on factors such as the quality of the existing hair, the stage of hair loss at which the procedure is performed and the post-procedure care. Dr Manoj Bagwandeen will discuss any risks with you and ensure you know what to expect from a hair transplant procedure.

Can I see before and after pictures?

Due to new regulations regarding sample patient pictures, we do currently not publish any before or after pictures of patients.

Does hair transplantation leave visible scars?

All hair transplantation techniques will leave some form of scar – they might not be visible though . The Follicular Unit Extraction (FUE) technique will leave tiny circular scars on the back of the head, where the hair follicles have been taken out. These tiny scars are concealed by the hair. The skill of the hair transplantation surgeon and how well you heal will further determine if or how visible scars will be.*

Will my “new” hair grow like the rest of the hair?

Yes. The transplanted hair roots will grow hair shafts as the rest of your hair; they will grow in length as the rest of your hair, and they will need cutting and other daily maintenance as the rest of your hair (scalp hair).

Will my “new” frontal hair have the shoe-brush like appearance?

No. The un-natural ‘shoe brush like hair’ at the front part of the scalp was a result of the so called “punch graft” technique. Large punches of skin were removed from the donor area of the scalp and then put in similar sized holes at the front of the hairline. This technique is somewhat out dated and has been replaced by advanced techniques like the FUT, FUE and other methods of hair transplantation like ‘robotic hair transplants’. The newer, more sophisticated techniques produce natural results with a harmonious hairline on the forehead.*

How soon after the hair transplantation procedure will I see results?

All or part of your transplanted hair may fall out during the days following the operation, this is perfectly normal. Since the hairs only grow about 1 cm a month, as all hair does, a period of 4 to 6 months is needed for the transplanted hair to grow back as normal and for the improvement to be visible. Be patient. Should you wish to look your best and with fuller, healthier looking hair for a very special event, plan accordingly.

Will I still lose hair after hair transplantation surgery?

Hair transplantation will have no effect on the process of hair loss and it will not stop any hair loss that is already occurring! For this reason, hair loss treatment does not only include hair transplantation but also other means of hair restoration. Usually, the hair loss problem will be estimated first and treated with appropriate medicines and/or scalp treatments. The patient is further required to continue medication after the hair transplantation in order to stop further hair fall from the area which has not been transplanted and which is prone to hair loss.*

Will the transplanted hair last a lifetime?

The transplanted hair bulb has the ability to never fall out! Please not though, that hair transplantation will have no effect on the process of hair loss and it will not stop any hair loss that is already occurring! For this reason, hair loss treatment does not only include hair transplantation but also other means of hair restoration. Usually, the hair loss problem will be estimated first and treated with appropriate medicines and/or scalp treatments. The patient is further required to continue medication after the hair transplantation in order to stop further hair fall from the area which has not been transplanted and which is prone to hair loss.*

What is the Follicular Unit Technique or FUT?

There are two autologous micro-graft techniques most widespread throughout the world: • Strip Technique, also called F.U.T. (Follicular Unit Transplantation) • Punch or direct technique and often called F.U.E. (Follicular Unit Extraction) The Follicular Unit Technique, FUT or Strip Technique, is a technique for hair transplantation. In FUT, a strip of skin with its hair roots or follicles is taken off the scalp and then dissected in order to get all the individual follicular units from the donor strip. Each of these follicular units consists of 1 to 3 hair roots. These individual follicular units are then inserted in the recipient area of the scalp.

What is the Follicular Unit Extraction or FUE Technique?

The Follicular unit extraction technique (FUE) is one of the two most performed hair transplantation techniques in the world. It is a Hair Transplantation technique that is based on the extraction of single follicular units (follicular unit = natural anatomic unit of 1 to 4 hairs) from the donor area by means of special follicle extractors. These extracted follicles are then inserted individually in the recipient area of the scalp. It is clearly a less surgically invasive technique than the other hair transplantation technique, called the strip technique.

What is the difference between Follicular Unit Technique (FUT) and Follicular Unit Extraction (FUE)?

The difference between hair transplantation approaches like FUT and FUE lies in the way the follicles are harvested from the donor area of the scalp; in this case the harvesting of either follicles or follicular units (follicular unit = natural anatomic unit of 1 to 4 hairs). FUT takes a strip of skin with its hair roots or follicles off the scalp and then dissects them into follicular units, as compared with FUE, which extracts single follicles from the scalp. FUE is more popular as there is no scarring in the donor area. Also, as a result of the direct extraction of the follicular unit, fewer follicles are wasted and follicles can be transplanted on the recipient scalp without any delay. FUE is, however, more tedious than FUT and it usually takes more time to transplant a similar number of follicles.

What is the S.A.F.E.R.® automated hair micro-graft technique?

At CapeMAC, we use the S.A.F.E.R.® automated hair micro-graft technique for hair transplantation. S.A.F.E.R. stands for Suction Assisted Follicular Extraction and Re-Implantation. The S.A.F.E.R.® automated hair micro-graft technique is essentially an F.U.E. technique. It is based on the use of the patented Punch Hair Matic® electro-pneumatic device, developed by the company MEDICAMAT. The use of the S.A.F.E.R.® automated hair micro-graft technique allows for optimisation of both the extraction of the grafts and their re-implantation in the recipient area, reducing the traditional procedure time by more than half.

How many hair roots or follicles can be transplanted in a single hair transplantation session?

Between 1000 and 4000 hair follicles can typically be transplanted in a single session, with hair transplantation sessions of more than 2000/2500 follicles being considered big sessions. Two to three sessions may be necessary to cover extensive baldness. How many hair roots can or will be transplanted in one hair transplantation procedure depends on two factors: 1) The size of the recipient area
A small bald area might require about a 1000 follicles as compared to larger bald areas which would need up to 4000 follicles – or even more. 2) The size of the donor area
The required number of hair follicles that can be transplanted should be available in the first place. For a patient, for instance, who has lost the majority of their scalp hair, hair transplantation is impossible or would not deliver the desired results, as there are not enough roots that can be taken out and transplanted.

How long does the actual hair transplantation procedure take?

The hair transplantation procedure commonly takes between 4-8 hours to complete – depending on the area/s being treated and the number of hair grafts that are being transplanted.

Does hair transplantation require a general anaesthetic?

No. The hair transplantation procedure done at CapeMAC is performed under local anaesthetic and conscious sedation. You are given a mild sedative to calm you a bit (depending on your level of anxiety).

Does the hair transplantation require hospital admission?

No. Since there is no general anaesthetic used and the procedure is minimally invasive, no hospital stay is required and you can be discharged soon after the procedure and if all is well. Almost all patients are up and about within one hour and can be back at work on the following day (depending on the nature of your work). Dr Bagwandeen will advise you further in this regards.

Is hair transplantation with the F.U.E. technique painful?

This technique is not painful. Local anaesthesia, possibly supplemented by premedication (mild tranquiliser) makes the session perfectly painless during and immediately after the procedure. The procedure is not stressful either. The patient can listen to music during the entire session, and read a book or use their iPad during the re-implantation phase.

Can I go home on the same day?

Yes. Patients require a relatively short period of observation in a recovery room after the procedure and are discharged home about 1-2 hours after completion of the hair transplantation.

When can I fly?

In most cases you may fly 2 days after the procedure. Just make sure that you will be able to make yourself comfortable on the plane and do walk around every hour while on the plane. Keep in mind though, that you are required to come in for follow-up visits after the hair transplantation procedure.

When can I exercise?

You will be up and about on the day of your hair transplantation procedure; you can go to work and resume all normal activities. The less active you are, however, the sooner you will recover. This is why we recommend not taking up any rough sports or a heavy exercise routine not earlier than about 4 weeks after surgery. Wearing a motorcycle helmet is also strongly disapproved discouraged during in this same period. However, on the day after the surgery, take a short easy walk. This promotes aids the healing process. You might also engage in very mild exercise if you feel up to it in the days after the procedure.

We hope that this helps you understand a little more about Hair Transplantation and assists you in making a better choice for your aesthetic treatments. To find out if Hair Transplantation is the right Hair Loss treatment for you, please contact us at Cape Medical Aesthetics Centre. Also, you might still have anxieties about having Hair Transplantation done for yourself. Dr Manoj Bagwandeen will be glad to discuss any queries and questions you may have about the procedure. Please contact us at CapeMAC to get further information or to book an appointment.

* Please note individual results may vary. Results are not guaranteed.