The most common cause of hair loss is androgenetic alopecia (genetic pattern hair loss), in which hair follicles gradually shrink under the influence of the hormone DHT. Hair at the back and sides of the scalp is usually resistant to this process, so it continues to grow for life.
A hair transplant moves healthy follicles from this permanent donor area to areas that are thinning or bald. Each graft is a natural group of 1–3 hairs (a follicular unit), placed at the right angle and direction for a natural look. Kamol offers two techniques, FUE and FUT, alongside PRP and medical treatment to protect the hair you still have.
Hair transplant is also used to lower or reshape the hairline as part of facial feminization surgery, and can be combined with hairline lowering.
Who Is a Good Candidate?
- Men or women with pattern hair loss whose hair loss pattern has started to stabilize
- Enough healthy hair in the donor area at the back and sides of the scalp
- Trans women who want a lower, softer or more rounded hairline
- People with thinning caused by scars or previous surgery
- In good general health, with realistic expectations about density
Follicular Unit Extraction (FUE)
Individual follicular units are taken one by one from the donor area, usually at the back and sides of the head, using a fine punch 0.8–1.2 mm in diameter. Each unit is then placed in the thinning area.
- Advantages: no linear scar, and a faster recovery with less pain and discomfort
- Scarring: tiny, dot-like white scars that are hidden in the hair after about a week
- Anesthesia: local anesthesia or intravenous sedation
Many patients choose FUE because they want to avoid a linear scar, especially if they like to wear their hair short.
Follicular Unit Transplantation (FUT)
A thin strip of skin is taken from the permanent donor zone at the back and sides of the scalp, then divided into individual follicular units under a microscope. These are placed in the thinning area in the same way as FUE.
- Advantages: a large number of grafts can be harvested in one session, with high-quality grafts
- Scarring: a fine linear scar at the back of the head. Kamol uses a trichophytic closure, which allows hair to grow through the scar, with dissolvable stitches that don’t need removing.
- Anesthesia: local anesthesia or intravenous sedation
The donor area is planned with future hair loss in mind, so the scar remains hidden even if surrounding hair thins over time.
Platelet Rich Plasma (PRP) for Alopecia Treatment
What is PRP?
PRP means Platelet Rich Plasma.
PRP is used for therapeutic applications, other than hematological treatment since the end of the 20th century, after the discovery that it contains growth factors. Used to stimulate tissue healing and regeneration. Platelets play crucial role in hemostasis and blood clot formation. They contain granules full of clothing mediators and growth factors (GF). Plasma is the liquid part of the blood which contains cell nutrients, vitamins, hormones, electrolytes and growth factors (IGF, HGF). It also contains proteins (albumins, globulins, clothing factors, and fibrinogen).
How many types of PRP? and What are the differences?
The technology used for PRP preparation affects its composition not only platelet concentration but also the level of contamination with red and white blood cells.
PRP Treatments at Kamol Cosmetic Hospital
We use the Regen Lab: The PRP company system. This is the Swiss pharmaceutical and medical device manufacturing company which is the leader in regenerative medicine. The medical device was certified Class IIb and III according to European medical device directive. The platelet and cell concentrates produced with Regen Lab devices are used with success in many clinical indications (>150 published studies, >80 indexed in PubMed).
Alopecia Treatment Pattern
- Point by point injection technique
- Frequency of treatment: every three to four weeks with booster at 6 months
- Minimum number of treatment required = 3
- This protocol increases hair density, and reduces hair loss to normal levels.
PRP Treatments combination with Hair Transplant
- Pre-treatment: 1 to 2 tubes of PRP mesotherapy injections of graft donor and recipient sites to be performed 1-2 weeks prior to grafting.
- Hair graft day: collect follicular unit grafts and place in PRP for follicular nourishment until re-implantation
- Directly post grafting, PRP could be applied topically on donor and recipient sites.
- Post graft treatment: 1 to 2 tubes of PRP mesotherapy injections of graft donor and recipient sites to be performed 3-4 weeks post-grafting.
- Follow up treatment: Booster at 6 months
- PRP stimulates and supports hair growth in three main steps:
- Promoting vascularity to the hair root thereby increasing viability to the follicle before, during and after hair transplantation
- Promoting tissue repair and regeneration post transplantation
- Stimulating dormant hair follicles and growing new hair
Medical Treatment
We use medical treatment as a supplement to surgical procedures. Minoxidil and Finasteride are the two well-known medicines for the treatment of common hair loss (androgenetic alopecia). Both these medicines act at different levels; while finasteride is androgen modulator, minoxidil is primarily a hair growth stimulator. For this reason, it is best to use them simultaneously when hair loss is progressive or severe. We also have other option in medical treatment category such as Anti hair loss serum, Low-level laser therapy (LLLT), and Aroma massage shampoo.
Finasteride
Finasteride is the single most effective medication proven to treat genetic pattern hair loss. Finasteride works by acting as a potent and specific, competitive inhibition of 5 alpha-reductase, specifically the type II isoenzyme. By inhibiting type II, 5alpha-reductase it causes a decrease in serum dihydrotestosterone (DHT) levels by about 65-70 percent. This reduces DHT induced perifollicular inflammation and partial reversal of scalp hair miniaturization as evidenced by histopathologic evaluation of scalp biopsies.
The clinical use of finasteride for the treatment of androgenetic alopecia (AGA) in men dosage is 1mg daily. The clinical studies at 1 year, showed 12 percent increase in hair count and 48 percent increase in hair growth for finasteride group. Those patients who stopped finasteride lost the hair gain.
The finasteride-related sexual dysfunction is the main side effects which can occur varying from 1.1 to 18.5%. These effects are generally reversible after stopping the medicine. The recent study in this year (2019) shows that the use of finasteride does not result in sexual dysfunction in men with AGA. This reflect recent research which suggests that men with alopecia may be inherently more susceptible to sexual dysfunction regardless of treatment.
Minoxidil
Minoxidil is an arteriolar dilator introduced in clinical practice in the 1970s for the treatment of hypertension. Minoxidil acts on three levels for hair growth effects.
1 Induces cell growth factors in dermal papilla cells, so that prolonging anagen phase and contributing to increased hair shaft diameter.
2 Inhibits of transforming growth factor-beta (TGF-B) induced apoptosis of hair matrix cells, therefore prolonging that anagen phase.
3 Dilates hair follicle arterioles and increases blood flow in dermal papilla.
Primary indication of minoxidil is in male pattern baldness. Minoxidil seems to reduce the rate of hair follicle miniaturization, increase in thickness of hair and prolongation of anagen phase. All these effects combine to increase total hair mass and consequently coverage. Currently, 2-5 percent minoxidil as lotion used twice daily is considered first time treatment for male pattern hair loss but 56 percent solution is usually preferred over 2 percent solution.
Some side effect can happen after minoxidil usage such as hypertrichosis with hair in undesirable areas like over arms and face due to systemic absorption of the topical drug. After discontinuation of minoxidil,about 3 months the hairs usually disappear but may rarely require LASER depilation. Local skin reactions like pruritic and allergic contact dermatitis may also occur but our formula develop for less skin reactions to all types of scalp skin.
Kosmet Anti-Hair Loss Serum
Our anti-hair-loss and regrowth serum stimulates growth, reduces shedding, strengthens the follicles, and builds density. It also helps control excess oil and dandruff, and suits patients of any gender.
Kosmet Everyday Shampoo
An organic, mild shampoo for all hair and scalp types. It nourishes the hair along its full length without leaving chemical residue, helps prevent a dry scalp, and reduces split ends. It has a pleasant fragrance and a soothing feel, and is gentle enough for babies, pregnant women, and sensitive scalps — including anyone who exercises often and washes their hair daily.
How to use
- Apply to wet hair.
- Massage gently into the scalp and through the hair.
- Rinse thoroughly with clean water.
- Suitable for daily use.
Low Level Laser Treatments (LLLT)
iGrow Hair Growth System
Clinically proven, safe and effective, iGrow is a revolutionary in-home hair growth system that provides full scalp coverage. It is fully portable, simple to use, and requires no manual movement. iGrow incorporates Apira Science’s proprietary dual light Laser and LED design.
Equipped with headphones and an iPod/MP3 interface, iGrow is a convenient and highly effective Low-Level Laser Therapy (LLLT) system that deliives significant hair growth for men and women suffering from Androgenetic Alopecia (genetic-based hair thinning/loss).
LLLT is a highly effective hair growth treatment process. LLLT energizes cellular activity within the hair follicle, and promotes the proliferation of thick, full and healthier –looking hair.
Kosmet Anti-Hair Loss Shampoo
This shampoo suits anyone wanting to care for their hair and scalp and reduce shedding caused by pollution, or to repair hair damaged by chemical treatments or heat styling. Made to a French standard from natural ingredients, using formulation technology from Switzerland and Japan, it cares for the scalp and nourishes the hair from root to tip. It also helps clear chemical residue, calms itching, reduces shedding, and encourages new growth.
How to use
- Apply to wet hair.
- Massage gently into the scalp and through the hair.
- Leave for one to two minutes.
- Rinse thoroughly with clean water.
- Use every other day, or daily if preferred.
Online Consultation
- Complete the form beneath, andour doctors will analyze your information and send you’re a personal reply.
- The online consultation can give us the preliminary information about your hair loss problem which is valuable to us before in-person consultation
Why Choose Kamol Hospital in Bangkok for a Hair Transplant
- FUE and FUT available: The technique is chosen around your donor hair, hairstyle and the number of grafts you need.
- Natural hairline design: Grafts of 1–3 hairs are placed at the right angle and direction to look natural, with donor planning that considers future hair loss.
- Complete hair loss care: PRP, medication and home treatments to protect existing hair before and after surgery.
- Hairline expertise for trans patients: Hair transplant can be planned alongside facial feminization surgery and hairline lowering.
- Free online consultation: A preliminary assessment before you travel.
- Hospital-level safety: A JCI-accredited hospital.
- Support for international patients: Multilingual coordinators and Kamol Trip help you plan your stay in Bangkok.
Frequently Asked Questions (FAQs)
Should I choose FUE or FUT?
FUE leaves tiny, dot-like scars and has a faster recovery, which suits people who wear their hair short. FUT leaves a single fine linear scar but can harvest a large number of high-quality grafts in one session. Your doctor will recommend the best option based on your donor hair, how many grafts you need and your preferred hairstyle.
Are the results permanent?
Transplanted hair comes from the back and sides of the scalp, which is naturally resistant to pattern hair loss, so it usually keeps growing for life. However, your existing hair can continue to thin over time. That’s why medication or PRP is often recommended to protect the rest of your hair.
When will I see results?
The transplanted hairs usually shed within the first few weeks, which is normal. New growth starts at around 3–4 months, and most of the result is visible by about 12 months, with hair continuing to thicken for up to 18 months.
Does a hair transplant hurt, and how long does it take?
The procedure is done under local anesthesia or sedation, so you shouldn’t feel pain during surgery. Some tenderness and swelling afterwards are normal and are managed with medication. Depending on the number of grafts, the procedure takes from about 6 hours to 12 hours or more.
Can women and trans women have a hair transplant?
Yes. Women with thinning hair can benefit if they have a stable donor area. For trans women, hair transplant can lower and soften the hairline or fill in receded temples, and can be planned with facial feminization surgery or hairline lowering.
Will I need to shave my head?
It depends on the technique. FUE often requires trimming the donor area, while FUT may allow longer hair to cover the donor scar straight away. Your doctor will explain what to expect before surgery.
Can I combine a hair transplant with other procedures at your hospital?
Yes. Many patients travelling to Bangkok, Thailand for surgery combine a transplant with hairline lowering or another facial procedure in a single trip, which our team can plan together. Whether this is advisable depends on the length of each operation and your overall health, so we assess it case by case at consultation.
How long should I stay in Bangkok after a hair transplant?
Plan to stay in Bangkok for about 3–5 days. This allows for a check-up and your first gentle scalp wash before you fly home. Thailand is a popular destination for hair restoration, and Kamol Trip can arrange accommodation close to the hospital.
