What does Dr. Civas do in the surgery?
The hair transplant operation involves extracting over 3000 tiny grafts one by one, making over 3000 tiny incisions in a natural design and distribution, then implanting them in place one by one while maintaining focus, detail, attention and perfection. If you think of the complexity and detail required to complete a full hair transplant operation, with great results; the doctor cannot possibly do all this by himself. It is wrong for patients to expect all the work to be done by the doctor.
The final result of your hair transplant is completely determined by Dr. Civas. The assistants help with the bulk work of extracting and implanting. Dr. Civas does the following roles.
When you come in for the surgery, Dr. Civas after discussing with you the best possible options designs your hairline.
Anesthesia Administration – Donor
Dr. Civas has developed his own painless and perfect dosage anesthesia administration technique. Patients have never complained of pain or discomfort when he does over 20 anesthesia injections on the scalp.
Tumescent Solution – Donor
This is the solution injected under your skin to place it in suitable position and the right conditions for the surgery. For the donor area, it expands the skin tissue and places it in a firm position to facilitate extracting the grafts. During implantation, the expansion of the skin makes it easy to place incisions closer, once the skin contracts the grafts become dense packed. Tumescent solution also has anesthetic properties and reduces bleeding during surgery. Dr. Civas injects tumescent solution at all stages of the surgery.
Understanding the Skin and Hair Structure
Once the surgery preparations are done and the patient is ready, Dr. Civas does a test extraction and implantation in order to fully understand the patient’s skin and follicles structure, so he can instruct the team how to handle the follicles.
Dr. Civas extracts grafts for 1 hour before leaving the assistants to proceed with the rest of the extraction.
Anesthesia and Tumescent Solution Injection on the Recipient Area
Once all grafts have been extracted, the doctor prepares the recipient area for implantation by administering anesthesia and injecting tumescent solution.
This is the most important part of the surgery. It is where all the planning and designing is involved in terms of – where will all 1s, 2s, 3s and 4s grafts be placed; what’s the density on the hairline, right behind the hairline, frontal and crown area; how will these grafts be distributed to give the best results; what angles are the grafts placed to make the results look natural; the right size of incision where the 1s-4s grafts perfectly fit to avoid scarring. This is the part that determines the end result – not extraction or implantation. This part is done by Dr. Civas.
It is a repetitive process of insertion that is done by the assistants.
Who are the doctor’s assistants?
These are 2 international university graduate nurses that have been doing hair transplant with Dr. Civas since 1999. They have an advanced level of experience as the doctor and have worked as a team for the last 19 years. We do not change staff or hire inexperienced technicians.
Pre and post surgery consultation
The initial and final consultation is done by the doctor. During the pre surgery consultation all patient’s questions are answered, the whole procedure is explained, limits, risks and expectations are clearly elaborated. The patient only proceeds with the surgery when he is fully aware of what will happen. The next day after the surgery, the patient meets Dr. Civas for another consultation; the doctor explains to the patient how to take care of his fragile scalp after surgery and what results to expect.