What Happens on the Day of Your Hair Transplant at My Hair UK in London
As a doctor at My Hair UK, I’ve seen how much preparation goes into every transplant before the patient even walks through the door. Our team in London follows a strict medical protocol to ensure each procedure is delivered safely and consistently. Understanding what your surgery day will involve can help you prepare both physically and mentally for the experience.
Once you arrive, you’ll be welcomed by our surgical team and taken through a pre-procedure review. We’ll check your identity, confirm your consent forms, and go through your health questionnaire again. If you’re on any regular medication—especially blood thinners, antihypertensives, or antidepressants—this will be re-checked by the clinical lead. A few basic observations are taken too, including blood pressure, pulse, and oxygen levels. Provided all is in order, we proceed to final surgical planning.
We’ll draw your agreed hairline design with a sterile surgical marker and confirm graft numbers. You’ll have already discussed this in detail during your consultation, but today you’ll have a chance to ask last-minute questions. We encourage patients to speak up at this stage, even if it’s a small detail—they often feel more at ease once they do.
The procedure begins with trimming the donor area to around 1mm in length. This is necessary for visibility and precision during follicle extraction. We inject local anaesthetic into both the donor and recipient areas using small dental needles. While this part isn’t painless, it is short-lived and well tolerated. Most patients report only minor discomfort lasting a few minutes. We do not use general anaesthesia.
Hair follicles are extracted one at a time using a motorised punch device. The punch diameter is between 0.7 to 0.95 mm depending on your hair type, which allows for high precision and low transection rates. Extracted grafts are sorted by hair count and immersed in a cold, isotonic solution until ready for implantation. Cooling has been shown to significantly increase graft viability during storage by reducing cellular metabolism.
Once the grafts have been harvested, the next phase is incision and implantation. Your scalp will be marked with tiny entry points that match the natural angulation and direction of your original hair. At My Hair UK, we do not use robotic systems or implanter pens. All grafts are placed manually using fine-tipped forceps. This allows the surgeon to adjust for curl pattern, hair calibre, and skin texture in real time, which is especially important in patients with Afro-Caribbean or mixed-heritage hair.
The whole procedure can take between 6 to 8 hours depending on the number of grafts. For example, a 1000-graft procedure usually takes one session from morning to mid-afternoon. A larger case, such as 3000 grafts, may take the full day. The clinics hair transplant prices in London are the same as our other clinics nationwide: 1000 grafts is £2,899, while 3000 grafts costs £4,499. These prices include aftercare, follow-up, and all medications. There are no extra charges based on hair type or donor area complexity.
You’ll be able to sit up, drink fluids, and take regular breaks throughout. A lunch break is built into the day, and we provide food that is light and easy to digest. After surgery, we’ll clean your scalp, apply a sterile dressing to the donor area, and provide you with a full aftercare kit. We’ll also go through a detailed post-op guide and demonstrate how to use the saline spray and shampoo.
Most people are well enough to travel home independently, but you may wish to have someone accompany you. We advise avoiding alcohol, smoking, or strenuous activity for at least 72 hours. You should sleep with your head elevated and avoid touching the grafted area. Swelling may occur around the forehead on day 2 or 3—this is expected and usually self-limiting.
The healing process begins immediately. Crusting forms over the grafts within 24 hours and naturally sheds by day 10. Redness can persist for 2 to 3 weeks. During this visible recovery period, some patients choose to wear modern hair extensions as a temporary way to maintain a natural, confident appearance while the scalp heals. However, hair extensions should only be used once the scalp has healed sufficiently and with approval from the treating surgeon, as applying them too soon could interfere with recovery. Most grafts enter a resting (telogen) phase before regrowing from month 3 onward. Full results take 12 months to develop. Studies on FUE hair transplant outcomes consistently report high patient satisfaction and minimal long-term complications when procedures are performed under sterile, controlled conditions.
Patients often ask whether it’s necessary to have a GP check-up before surgery. While not mandatory, it is medically sensible—particularly if you have high blood pressure, diabetes, or undiagnosed fatigue. A routine set of blood tests and a general physical examination can help flag issues early. In London, you might consider registering with local GPs such as The Bloomsbury Surgery (WC1E), The Ridgmount Practice (WC1E), or Brondesbury Medical Centre (NW6) for pre-op clearance.
Have you had any recent changes to your health since your last consultation? If you’re unsure whether you’re ready for surgery, we can arrange a further medical assessment before confirming your procedure.
- United Kingdom
- May 7, 2025
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What Happens on the Day of Your Hair Transplant in London
A lot of preparation goes into a hair transplant before the day itself. For London patients, My Hair UK arranges FUE (Follicular Unit Extraction) hair transplants at the London clinic, 158-160 Kenton Road, Harrow, which is registered with the CQC and rated Good. Understanding what your surgery day will involve helps you prepare, both physically and mentally.
Arrival and checks
When you arrive, the surgical team welcomes you and goes through a final pre-procedure review: your identity, your consent forms and your health questionnaire. Any regular medicines, especially blood thinners, blood pressure tablets or antidepressants, are checked again, and basic observations such as blood pressure and pulse are taken. If all is well, final planning begins.
Final planning
Your surgeon marks the agreed hairline and confirms the number of grafts. You will already have discussed this in detail at your free consultation with your named GMC-registered surgeon, but this is your chance to ask any last questions. It is worth speaking up about even small details, as most people feel more relaxed once they have.
Local anaesthetic
The donor area is trimmed short, to around a millimetre, so each follicle can be seen clearly. Local anaesthetic is then injected into the donor and recipient areas. The injections are the only part most people find uncomfortable, and the discomfort passes within a few minutes. General anaesthetic is not used.
Extraction and placement
The surgical team extracts the follicles one at a time with a fine punch, and keeps the grafts cool and moist until they are placed. Your surgeon then makes the recipient incisions, setting the angle and direction of each new hair to match your natural growth, and the team places the grafts by hand. This allows the plan to be adjusted for curl pattern, hair thickness and skin type, which matters particularly for Afro-Caribbean and mixed-heritage hair.
The procedure usually takes most of the day, depending on the number of grafts. A 1,000-graft case may finish by mid-afternoon, while 3,000 grafts can take the full day. There are breaks throughout, including time for lunch.
Costs
Hair transplant prices for London patients are the same at the London and Manchester clinics: for example, up to 1,000 grafts costs £2,899 and up to 3,000 grafts costs £4,499, with the full range running from £2,499 to £4,899. The price includes aftercare, follow-up appointments and all post-transplant medication. There are no extra charges for hair type or a more complex donor area.
After the procedure
Your scalp is cleaned and you receive aftercare instructions, with access to a patient portal with instructional videos from your surgeon. Most people can travel home on their own, although you may prefer someone to come with you. Avoid alcohol, smoking and strenuous activity for at least 72 hours, sleep with your head raised and do not touch the grafts. Swelling across the forehead on day 2 or 3 is common and settles on its own.
Small crusts form over the grafts within a day and usually fall away by day 10, and redness can last two to three weeks. Most transplanted hairs shed and then regrow from around month 3, with the full result at about 12 months. Studies of FUE hair transplant outcomes report high satisfaction and few long-term complications when the procedure is carried out in a clean, controlled setting. My Hair UK checks in every month while the hair grows, with free follow-ups with your surgeon at 6 and 12 months.
See your GP first
A GP check-up before surgery is not compulsory but it is sensible, particularly if you have high blood pressure, diabetes or unexplained tiredness. Routine blood tests and an examination can flag problems early. In London, GP practices include The Bloomsbury Surgery (WC1E), The Ridgmount Practice (WC1E) and Brondesbury Medical Centre (NW6).
If your health has changed since your consultation, tell the team before your surgery date. On reviews.io, My Hair UK has earned a 4.95 out of 5 rating from patients. To book a free consultation in London, call 020 3368 3012.
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