CHOIEXPERT 's 5-Step Method
Safe Hair Transplant
The five steps to a safe and high-quality hair transplant — we diagnose your hair using a specialized diagnostic system and plan the transplant accordingly.
Follicle extraction is performed manually with motor-assisted support using a dedicated special punch, carried out exclusively by physicians.
A scientific solution preserves hair grafts with up to 100% viability (HypoThermosol). The donor area heals faster with the help of stem cell therapy, and results are visible to the eye from the very beginning through the use of ATP spray after the procedure.
1 – A groundbreaking diagnostic system for the best possible treatments
2 – Manual hair follicle extraction combined with motor-assisted techniques
3 – A scientific solution for graft preservation (guaranteeing up to 100% graft survival)
4 – Fast recovery through stem cell therapy after the procedure
5 – A special ATP spray that accelerates growth and softens scabs during the first few days.
Advanced diagnostic system
Diagnosis system: The diagnostic system used at ChoiExpert is the most advanced in the field of hair loss treatment and scalp analysis. Its purpose is to plan a fully personalized treatment for you and achieve the best possible results in line with your expectations. We perform an in-depth analysis of your hair and scalp, including measuring the number of hairs per cm², hair type, hair thickness, skin type, and calculating the capacity of your donor area.
Next, we calculate how much hair is required to correct the gaps in the thinning area, and finally we create your personalized, scientifically based treatment plan.
Before proceeding with the procedure, we check for any dermatological conditions of the scalp and apply the necessary treatment. Our hair analysis system was designed by hair transplant surgeons and developed by experienced software engineers.
Using micro-cameras, we analyze the capacity of your donor area, the number of hairs that can be extracted, and the number of grafts that can be safely harvested while maintaining the minimum required hair density (hair thickness is a very important factor when filling thinning areas). This is how we take the first step toward a safe and successful hair transplant.
Follicle extraction
Manual or motor-assisted extraction?
Manual FUE is למעשה the original FUE technique. Over time, doctors have used various terms to describe this method, and it is commonly known as ‘manual extraction.’ In both manual extraction and micro motor-assisted extraction, the critical factor is removing the hair follicle intact without causing follicle transection (a common issue in technician-based clinics, particularly in Turkey).
This procedure is performed entirely by hand. A cylindrical punch with a diameter of 1 mm or less is used for extraction. Follicular units are manually removed from the donor area using gentle rotational movements. In both manual FUE and micro motor-assisted FUE, the surgeon calculates the length of the follicular units and determines the punch diameter according to each patient’s unique anatomy. After extraction, the follicular units are collected one by one by hand. An experienced physician can safely extract 1,500–2,000 follicular units per day while maintaining strict safety standards.
Years ago, the main question was FUT or FUE — but that is no longer in doubt, as FUE has proven to be more effective and is far preferred by patients. Today, the key question in FUE hair transplantation is: manual or motor-assisted extraction? Our answer is that every person is unique and every case is different. Therefore, we evaluate all relevant factors each time and use manual extraction, motor-assisted extraction, or a combination of both to perform a safe hair transplant that maximizes the donor area, following ChoiExpert’s unique protocol.
Follicle preservation
Graft preservation solution (HypoThermosol + ATP)
Scientific studies report that this solution enables up to 99% graft survival in procedures lasting more than four hours, compared to other solutions such as Ringer’s lactate or normal saline.
This is a critically important factor in every hair transplant, as extracted grafts must be stored outside the body without being damaged. The best way to achieve this is to treat grafts exactly as one would treat any other organ. Numerous studies conducted over many years have shown that in procedures lasting more than 4–5 hours, grafts begin to dry out and deteriorate due to intra- and extracellular changes. The highest graft loss rates occur in procedures lasting over four hours, especially when grafts are stored in standard infusion fluids.
We overcome this problem by storing grafts in two specialized solutions known as HypoThermosol-FRS and ATP, which allow grafts to maintain up to 99% viability, even for up to 12 hours. This high success rate applies to every single hair and graft.
In a scientific study authored by Dr. J. Matthew and published in the Safe Hair Transplant Forum, the scientific professional journal of the ISHRS (International Society of Hair Restoration Surgery), 100% graft survival was achieved under certain conditions using HypoThermosol-FRS and ATP in hair transplant procedures lasting 6–12 hours. The study also scientifically demonstrated that 27–44% graft loss occurred when standard infusion fluids or solutions such as Ringer’s lactate were used for graft preservation.
Furthermore, the same publication showed that adding serums such as PRP to storage solutions has no effect on graft survival. PRP does not assist graft survival in this context, as it is only effective when injected into tissue and platelets and does not function outside the body.
At ChoiExpert, we use HypoThermosol and ATP as a standard protocol in every hair transplant to ensure the highest success and survival rates. Cheaper solutions such as Ringer’s lactate, saline, or standard infusion fluids lead to inferior results and have no place in our clinic. The capacity of the donor area should never be wasted.
Donor area treatment
PRP is the most commonly used medical treatment in hair transplantation for accelerating recovery of both the donor area and the transplant area. Because it promotes rapid relief in both zones, it helps patients return to their daily routine sooner. PRP has been used for many years in medicine for wound healing and the improvement of various medical conditions. It is essentially a serum that is highly effective in tissue repair.
At our clinic, we apply this treatment as a standard protocol, specifically to support fast healing of the micro-incisions in both the donor and transplant areas, reducing visible signs until full recovery.
Post-procedure treatment
Safe hair transplantation and the use of ATP spray:
In medical science, ATP is the energy molecule of cells — it gives life to the cell. ATP begins to be applied to the transplant area about four hours after the hair transplant and is sprayed onto the area every hour for 3–5 days. ATP is the energy supply of hair root cells just as it is for all living cells. Newly transplanted hair must begin receiving nourishment through spraying in the area where it is implanted.
During this period, grafts need moisture and energy in order to survive. Since transplanted grafts are not supplied by blood vessels during the first 72 hours, ATP becomes the only source of nourishment for the transplanted roots. On average, 30–40% of transplanted roots cannot survive these 72 hours and regress. This means that within 2–4 weeks, transplanted roots pull existing hair roots toward them in an attempt to survive and re-enter the hair production phase.
However, 30–40% of transplanted follicles are unable to produce new roots because they cannot be nourished during the first 72 hours. This leads to one of the most common complications seen in FUE procedures: areas that appeared dense during transplantation later become thinner and less aesthetically pleasing in the final result.
ATP, with its nourishing properties, keeps transplanted hair strong. As a result, the percentage of hair that grows directly without shedding — typically around 10% during the first month — can be increased to as much as 30%.
