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Desk work possible despite scabbing; physical work needs clearance."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Significant complications within 12 months of primary FUE, such as infection, wound problems or scarring. Excludes expected scabbing and swelling."},"contraindications":["Insufficient donor hair density for the planned coverage","Active scalp infection or inflammatory scalp disease","Unstable diffuse alopecia or alopecia areata without specialist assessment","Uncontrolled systemic disease (e.g., diabetes, cardiovascular) or bleeding disorders","Tendency toward keloid or poor scarring (relative)","Very young age with unstable hair loss pattern (relative)","Trichotillomania not under control (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Single-session hair transplant is performed as an outpatient procedure with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity earlier; avoid strenuous exercise, heavy sweating and contact sports for about 2-4 weeks."},"final_result_months":{"min":9,"max":18,"unit":"months","qualifier":"Months for grafts to grow and density to settle after last session. 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Final density may take longer."}}],"indications":["Stable androgenetic alopecia (male or female pattern hair loss)","Receding hairline or thinning crown with adequate donor area","Scarring alopecia that is stable (after specialist evaluation)","Hair loss after trauma, burns or previous surgery","Eyebrow or beard restoration in selected cases"],"main_risks":["Temporary swelling of forehead and around eyes","Bleeding, crusting and scabbing","Infection or folliculitis","Numbness or altered sensation of the scalp","Temporary shedding of transplanted hair (shock loss)","Poor graft growth or uneven density or unnatural appearance","Visible donor-area scarring or thinning"],"pain":"Local anesthetic injections cause brief discomfort; the procedure is then mostly painless. 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Excludes planned second sessions."},"scars":"Tiny dot-like scars in the donor area, usually hidden by surrounding hair; recipient-area scarring is typically minimal.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One primary FUE operation; a second planned density session is conditional, usually 9-12 months later."},"stages":[{"code":"hair_transplant_session","label":"Hair transplant surgery (graft extraction and implantation)","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial session on day 0."}},{"code":"conditional_second_fue","label":"Optional planned second scalp FUE session","after":{"min":270,"max":365,"unit":"days","qualifier":"Only if more density is agreed after assessing growth and donor capacity."}}],"qualifier":"Primary adult scalp FUE. Recovery, travel and wound-check intervals restart after each operation; routine checks are not sessions."},"success":{"metric":"Transplanted grafts showing visible growth","value":85,"unit":"percent","horizon":"12-18 months after primary session","population":"Adults with stable androgenetic alopecia and adequate donor density","evidence_status":"limited"},"techniques":[{"name":"FUE (follicular unit extraction) under local anesthesia, about 1,500-3,000 grafts","suits_whom":"Adults with stable androgenetic scalp hair loss and adequate donor density.","recovery":"Small dot-like donor scabs heal in about 1 week; no linear scar."},{"name":"FUT (follicular unit transplantation, strip method)","suits_whom":"Patients needing many grafts in one session with sufficient scalp laxity who accept a linear scar.","recovery":"Linear donor wound with sutures or staples; tightness for 1-2 weeks and slightly longer limits on strenuous activity."},{"name":"DHI (direct hair implantation) with implanter pen","suits_whom":"Patients seeking controlled placement and density, often with FUE extraction.","recovery":"Similar to FUE."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"One primary FUE session of about 1,500-3,000 grafts under local anesthesia; excludes consultation. FUT and very large sessions excluded."},"initial_assessment_documents":["Front, top, crown and both side scalp photos","Photos of donor area at back of head","Hair loss photos 2-3 years ago (if available)","Previous hair transplant records (if available)","Recent blood test results (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers the session and a 2-5 day stay; results are reviewed remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm a properly trained, licensed physician is responsible for the treatment","scope":"procedure","source":{"url":"https://ishrs.org/patients/consumer-advocacy/","host":"ishrs.org","quote":"Be sure that a properly trained and licensed physician is responsible for your treatment.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask whether anyone unlicensed will make incisions or harvest 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certification.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Any advertisement promising scarless hair transplant surgery is making a false claim","scope":"procedure","source":{"url":"https://ishrs.org/patients/consumer-advocacy/","host":"ishrs.org","quote":"There is no such thing as \"scarless surgery\" in hair transplantation.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Excessive bleeding from the scalp","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21519-hair-transplant","host":"my.clevelandclinic.org","quote":"Excessive bleeding from your scalp.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Severe redness or pain on the scalp","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21519-hair-transplant","host":"my.clevelandclinic.org","quote":"Severe redness or pain on your scalp.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"A fever that does not go away","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21519-hair-transplant","host":"my.clevelandclinic.org","quote":"A fever that doesn't go away.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Records planned stitch or clip removal, so the home doctor can follow it","document":"discharge letter","source":{"url":"https://roh.nhs.uk/services-information/other-info/after-surgery/after-your-operation","host":"roh.nhs.uk","quote":"This should coincide with the removal of clips or stitches as documented on your discharge letter.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Written postoperative information the patient and carers can read after discharge","document":"post-operative information leaflet","source":{"url":"https://roh.nhs.uk/services-information/other-info/after-surgery/after-your-operation","host":"roh.nhs.uk","quote":"This leaflet contains some useful postoperative information for you and your family or carers to read.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Shows how grafts were harvested, so a home doctor can check the donor area","document":"donor-area photographs","source":{"url":"https://fightthefight.ishrs.org/hair-transplant-repair-case-study/","host":"fightthefight.ishrs.org","quote":"Chris urges anyone considering a hair transplant to request photos of the donor area immediately after the procedure to verify that grafts were harvested carefully and correctly.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your thinning hair may respond to an over-the-counter scalp medication","name":"Minoxidil","source":{"url":"https://my.clevelandclinic.org/health/diseases/21753-hair-loss","host":"my.clevelandclinic.org","quote":"Over-the-counter medications you apply to your scalp (such as minoxidil, or Rogaine®) are usually the first course of treatment for thinning hair.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null},{"id":"A2","text":"You are a man with male pattern baldness","name":"Finasteride","source":{"url":"https://my.clevelandclinic.org/health/diseases/21753-hair-loss","host":"my.clevelandclinic.org","quote":"A prescription oral medication (finasteride, or Propecia®) is approved only for men with male pattern baldness.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"fue","name":"FUE (follicular unit extraction) under local anesthesia, about 1,500-3,000 grafts","how_it_works":{"text":"Follicles are removed directly from the scalp","source":{"url":"https://www.healthline.com/health/hair-transplant","host":"healthline.com","quote":"During FUE, a surgeon removes follicles directly from your scalp.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"fut","name":"FUT (follicular unit transplantation, strip method)","how_it_works":{"text":"A strip is cut from the scalp, then follicles are extracted","source":{"url":"https://www.healthline.com/health/hair-transplant","host":"healthline.com","quote":"During FUT, a surgeon cuts a strip of hair from the back of your scalp and extracts individual hair follicles.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"dhi","name":"DHI (direct hair implantation) with implanter pen","how_it_works":{"text":"A pen makes the openings and places follicles at the same time","source":{"url":"https://www.healthline.com/health/dhi-hair-transplant","host":"healthline.com","quote":"During DHI, they use a specialized pen-shaped tool that can do both at the same 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