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Hair Transplant Procedure: Step-by-Step Process Explained

GLOJAS Specialist Clinic in Kuala Lumpur is an MOH-approved centre for hair restoration, aesthetic treatments, and cosmetic surgery. With 30+ years of specialist experience, we provide safe, evidence-based care tailored to your needs. From hair transplants to body contouring, achieve natural-looking results with trusted, expert-led treatments.

What is the step-by-step procedure for hair transplant in Malaysia? Hair transplant in Malaysia in 2026 is a 7-step FUE procedure done under local anaesthesia in 6-9 hours. It includes consultation and hairline design, preparation and local anaesthesia, FUE extraction of individual follicular units using 0.8-1.0mm micro punches, graft sorting and preservation in hypothermosol under microscope, recipient site creation at correct angle and direction, implantation one by one using implanters, and dressing with discharge same day. No general anaesthesia and no stitches.

Overview

Technique: FUE (Follicular Unit Extraction) – 95% of cases in Malaysia 2026.
Time: 6-9 hours for 1500-4000 grafts.
Anaesthesia: Local only.
Setting: MOH-licensed clinic or private hospital OT.

Step 1: Consultation and Hairline Design (30-45 mins)

Donor density measured with trichoscope.
Hairline drawn while sitting upright, considering forehead proportion, age-appropriate recession, and future loss.
Graft number calculated by zone.
Photos taken from 5 angles.

Step 2: Preparation and Local Anaesthesia (30 mins)

Donor trimmed to 1-2mm, head washed with chlorhexidine.
Local anaesthesia (Lidocaine + Bupivacaine) to donor and recipient areas.

Step 3: FUE Extraction (2-4 hours)

Face down or side position.
Micro punch 0.8-1.0mm scores skin around follicular unit.
Follicles extracted with micro forceps, collected in chilled solution.
Staggered extraction, max 25-30% of donor per session.

Step 4: Graft Sorting and Preservation

Technicians sort grafts under microscope into 1-hair, 2-hair, 3-hair, 4-hair.
Stored at 4°C in HypoThermosol or saline, hydrated every 15 minutes.
Implantation within 4-6 hours for viability.

Step 5: Recipient Site Creation (30-60 mins)

Micro-incisions made with sapphire blade 0.9-1.2mm.
Angle controlled: 30-45 degrees frontal hairline, acute at temples, 45 degrees mid-scalp, radial whorl at crown.
Density: 35-45 grafts/cm2 hairline, 25-35 behind.

Step 6: Implantation (2-3 hours)

1-hair grafts in first 1-2 rows for soft hairline.
2-3 hair grafts behind for density.
Placed with K.E.E.P or DHI implanter pen.

Step 7: Dressing and Discharge (15-30 mins)

Donor dressed with antibiotic spray, light bandage.
Recipient left open, headband applied for 24 hours.
Same-day discharge.

Frequently Asked Questions

Q1: How long does FUE take?
A: 6-9 hours for 2000-3000 grafts.

Q2: Is general anaesthesia used?
A: No, local anaesthesia only. Patient is awake.

Q3: What happens in extraction?
A: Individual follicular units are harvested with 0.8-1.0mm punches, leaving dot scars, no stitches.

Q4: How are grafts kept alive?
A: Stored chilled at 4°C in HypoThermosol and implanted within 4-6 hours.

Q5: How is angle decided?
A: Based on natural growth: forward at hairline, outward at temples, radial at crown.

Q6: How many grafts per session?
A: 1500-3500 grafts standard. Over 4000 may need 2 days.

Q7: Will donor look bald?
A: No, only 25-30% extracted in staggered pattern, covered by remaining hair.

Medical Disclaimer: This content is for educational and informational purposes only and does not constitute medical advice, diagnosis, or treatment, nor does it create a doctor-patient relationship. All surgical and aesthetic procedures carry risks and results vary. Always consult a qualified, licensed healthcare professional for personalized advice.