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"Drs. Leonard and Lopresti are the nicest guys, and the whole process was quick and painless."

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Hair Transplantation

DSC_1970_5x7As experienced hair restoration surgeons, we have treated men and women in the communities of Massachusetts, New Hampshire, and Rhode Island for more than 30 years. Surprisingly, many people come to us believing that hair plugs, which was a technique originally developed in the 1950s, are still used in today’s methods of hair transplantation. At Leonard Hair Transplant Associates, we have not used the old hair plug technique for more than 20 years.

Using today’s latest advances in hair restoration methodology, hair is taken from the donor area, which consists of the follicles around the sides and back of the head. We only take hair from those two areas because the hair there is programmed to grow throughout one’s lifetime. Once the hairs have been redistributed to the thinning or bald areas of the scalp during the hair transplantation, these hair grafts maintain their integrity and will continue to perpetually grow.

At our Massachusetts and Rhode Island offices, we can perform hair transplants on almost any part of the body. Hair restoration may be necessary for aesthetic reasons or possibly due to an injury. It can also benefit those who have lost hair in specific areas following a cosmetic procedure. We commonly perform hair restoration for balding or thinning areas along the head, as well as eyebrow hair transplantation and restoration of sideburns and hairlines in men and women who have had facelifts or browlifts. Although less common, some patients also request hair transplants to the pubic area.

Today’s current hair replacement techniques make the hair transplantation process more efficacious and less painful. Even after a single but thorough hair transplant session, beautiful aesthetic results can be achieved from the comfort of our state-of-the-art, yet welcoming offices. For more information, or to schedule a consultation, please contact us today.

The Hair Transplantation Procedure


During the hair transplantation procedure, our patients sit in a plush, comfortable chair designed specifically for hair transplants. During the session, patients are able to watch movies or television, and are typically not able to feel anything other than a touching and/or pressure sensation.

To begin, a local anesthetic is applied to the donor area of the scalp. A strip of skin is then harvested for hair replacement. At the end of the procedure, the area removed is sutured together, and will heal in a line. In most individuals, it’s a fine line about the width of a pencil line, and is usually completely covered by the time the hair regrows.

The second part of the procedure is the transplant. Under magnification, the follicular units from the donor strip are dissected out and individual grafts are created. Using extreme precision, each follicular unit graft is placed into the balding or thinning areas of the scalp, striving to create an aesthetically pleasing end result of naturally thicker and fuller hair.

Additionally, there are some cases where we either correct or refine previous hair replacement methods, in which case we use larger grafts. As experienced hair restoration surgeons, we understand that each patient is unique, and that one size doesn’t always fit all. That also means we employ a variety of surgical hair transplantation techniques to provide the greatest benefit for our patients.

When the hair transplantation procedure is complete, we shampoo the patient’s scalp, and blow-dry and style the hair. Patients leave our offices without any bandages at all, and are able to drive themselves to and from the office. In the circumstances where pre-operative medications are requested during the hair replacement surgery, however, a patient will need a ride home following the procedure.

When Should I Expect Results?

Approximately three to four weeks after the procedure, the individual hairs in the transplanted grafts will grow and then fall out. Generally, it takes around four months for the new, permanent hairs to grow at the average rate of hair growth, which is about 1/4 to 1/2 inch per month.

“I am so pleased that I took this step and did something about losing my hair. It has been just a year since I had the surgery and I can’t believe the improvement and the wonderful results! Even my hairdresser told me that my hair is so fuller now she forgot I even had a problem. ”

~ Patient

Hair Transplant Surgery and Future Hair Loss

Many types of hair loss are progressive, and it’s normal to wonder if your hair will continue to thin and fall out after having a hair transplant procedure. There are two primary reasons why hair might fall out after hair transplantation. The first one is temporary post-operative shedding, which can occur with hair restoration surgery. This hair should grow back over the next few months as was discussed in your hair loss consultation. The second, which almost always occurs with genetic hair loss, is due to progressive hair follicle miniaturization in areas susceptible to male pattern baldness or female pattern hair loss.

For men and women experiencing hair loss, we harvest hairs from the donor site located in the back of one’s head. These hair follicles grow permanently in the thinning or balding areas after a hair transplant. However, it is important to remember that the native, non-transplanted hair may continue to thin or bald without medical treatment. To minimize the risk of this occurrence, Drs. Leonard and Lopresti will evaluate your hair loss to determine if future miniaturization is likely to be significant.

If you are in the early stages of hair thinning and loss, non-surgical treatments will be recommended initially. These currently include Capillus272® PRO laser device, Propecia®, and Rogaine® foam. For men and women with advanced hair loss, our hair restoration surgeons will discuss hair transplant surgery. Drs. Leonard and Lopresti will take progressive hair loss into consideration when developing your customized treatment plan. For most of our patients, we recommend utilizing a multi-modality approach, a combination of surgical and non-surgical therapies, to optimize your outcome. This provides the patient stabilization of their non-transplanted hair plus newly transplanted hair to enjoy for the rest of their life.

Hair Restoration for Women

Often in our American society, it’s considered “normal” for a man to lose his hair and eventually begin considering the hair transplant process. Though perhaps a somewhat discomforting experience for many men, it is not considered unusual. Unfortunately, treating hair loss or baldness in women frequently does not receive that same openness by the public.

At Leonard Hair Transplants Associates, approximately 20 percent of all our hair restoration surgical patients are women. Compared to a typical hair restoration surgeon’s practice, this number is quite high, which we believe reflects our surgeons’ true commitment and leadership in the field of hair restoration for every individual.

Dr. Leonard and Dr. Lopresti encourage women experiencing hair loss to seek out our hair restoration services without hesitation, fear, or embarrassment. We welcome the opportunity to evaluate any patient who is concerned about her lost or thinning hair.

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Frequently Asked Questions (FAQs) About Hair Transplant Surgery

To help our patients become as well-informed as possible about their hair restoration options, our skilled surgeons have provided answers to some of the most commonly asked questions about hair transplantation. For additional guidance, please contact our practice to schedule your complimentary consultation.

Who is a good candidate for hair transplant surgery?

Although it can be an excellent method to restore hair, hair transplantation is not appropriate for everyone. If you’re experiencing temporary hair loss, you should attempt to address those underlying causes rather than have an operation. Causes of temporary hair loss include stress, a medical condition or medication, or certain lifestyle behaviors. If, like most people, your hair thinning and loss is due to genetic factors, hair restoration may be right for you. Hair loss due to a cosmetic procedure or injury may also be improved with this technique. Patients should be in good general health and have reasonable expectations for results. Our physicians will take you through each step of the process so you have a firm foundation of knowledge to help you make the best decision for your needs and goals.

What are the different hair transplantation techniques?

Several methods are available to restore hair, including the traditional strip method, the follicular unit extraction (FUE) method, and scalp reduction, to name a few. Each approach offers unique benefits and considerations. Dr. Leonard and Dr. Lopresti can review each modality and guide you in selecting the ideal approach based on your anatomic characteristics and expressed goals. Additionally, non-surgical options are always recommended as an alternative, or in addition to, a hair transplant operation, to optimize your outcome.

How long will recovery take?

Patience is required, but the results are typically well worth it. The procedure will be relatively brief, and you should be able to go home the same day. The full results can take about a year and a half to finalize, but you should begin to see the  positive effects long before this point. The hair grafts that are transplanted during your surgery will initially fall out—but don’t worry! This is supposed to happen and is completely normal. This is the standard shedding process, and your new hair should begin to grow in again in about three or four months. This is your own natural, growing hair that you can style however you wish. Most people’s hair grows at about ¼ inch per month, a gradual process that will take some time. If you have any questions about this process, don’t hesitate to reach out to our team.

Will I need to repeat the treatment?

Hair transplant surgery is designed to be a permanent procedure. That said, if you have progressive hair loss, you could continue to lose hair where your genes dictate you will. While the transplanted grafts should not fall out—we select the “donor zone” for hair grafts because this is where hair is genetically programmed to never fall out—however, other areas of the scalp may continue to recede. We will evaluate your hair quality and condition when we develop a customized treatment plan. Our physicians will let you know if additional treatments may be necessary and help you formulate a long-term approach to stabilizing, preserving, and restoring your hair.

Will there be a visible scar?

Depending on the hair transplant harvesting technique used, there may be a fine linear scar hidden under your hair even from the day of surgery. With this strip method, you will not be able to wear your hair very short in the back. If the FUE procedure is performed, there will be small white “speckled” scars remaining in your donor area. However, they typically are not particularly noticeable, even with a short haircut in the back. Dr. Leonard and Dr. Lopresti will make every effort to ensure any marks are as inconspicuous as possible. They will provide additional details about what to expect from the final result during your first meeting.

Are there any non-surgical options to help regrow hair?

We offer a comprehensive range of state-of-the-art minimally invasive and non-surgical treatments for hair loss. In addition to medical options of Rogaine® Foam and Propecia®, we also offer the Capillus272 PRO laser device. These methods can be used in conjunction with hair transplant surgery or as alternatives to an operation. During your initial consultation, we can discuss your desired outcome and unique needs to determine the best course of action.

Contact Leonard Hair Transplant Associates

If you have bald spots or thinning hair, but have not yet come in for a hair loss consultation, we encourage you to schedule one as soon as possible. For our patients who have already successfully undergone their hair transplantation surgical procedure, we invite you to schedule your follow-up examination with Dr. Robert Leonard or Dr. Matthew Lopresti. For more information on whether hair transplantation may be the right solution for you, please contact us today!