
Emrah CINIK MD
Hair Transplant Surgeon
Developments in hair transplant techniques have paved the way for minimally invasive methods that decrease the experienced pain and discomfort during and after a hair transplant surgery. DHI and FUE methods are among the innovative methods offered by modern medical facilities like Dr. Cinik Hair Transplant.
However, as minimal as it is, the experienced pain in a hair transplant surgery is not totally removed, and some patients require furthur reduction in the pain. To this end, pre-needle-free anesthesia is offered.
A common concern in people who want to undergo a hair transplant is the pain they experience during a hair transplant surgery. The main stages of the surgery patients can experience painful experiences in are the extraction phase and channel opening (in the FUE method) or the direct implantation (in the DHI method).
Minimal Invasion
FUE (Follicular Unit Extraction) and DHI (Direct Hair Implant) techniques are such minimally invasive techniques that can be compared with a dental check up in terms of pain. However, even smallest incisions can cause some pain.
The FUE method consists of 3 steps: Extraction, Channel Opening, and Implantation. During the extraction, manual or motorized punches are used to extract grafts from the donor areas. In the channel opening, Sapphire or metal blades open small holes on the scalp and hair grafts are put into those holes in the implantation phase.
DHI, by merging the channel opening and the implantation into one step, reduces the stages to two stages. The extraction phase is exactly the same as FUE, while in the implantation phase grafts are placed into a special device called Choi Pen and inserted directly into the skin layers.

Hair transplant surgeries are performed under local anesthesia. Local anesthesia agent is injected into the scalp (first to the donor site and then to the recipient area) before the surgery starts. In the usual anesthesia, the anesthetics specialist makes the injection just using normal needles.
You might experience mild pain when the needle is inserted into your skin and until the anesthetics start numbing your scalp, you will feel the injections.
To further reduce the pain and remove the numbing injection’s pain, a special device can be used to shoot anesthetics into your skin without any injections. We use a comfort-in system that makes shots using jet injection.
This state-of-the-art technology enables the anesthesia specialist to get your scalp numb before making any injections, so you won’t feel other injections and your scalp will be totally numb before the extraction procedure starts.
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Anesthetic medications are administered into the tissue by spraying them into the skin with high air pressure from a device placed on the scalp's skin. The medicine then diffuses into the tissue, blocking the pain-transmitting nerves.
After having the skin numbed, the medical team injects the anesthesia medication into the skin more deeply and massages your scalp to spread the medication and make sure every spot on your scalp is numbed.

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Dr. Emrah Cinik, who has founded and worked in his own hair transplant center, is one of the world’s most trusted names in hair transplant surgeries. He has over 19 years of experience and has performed more than 5000 hair transplant surgeries in his professional life.

FUE and DHI techniques both are minimally invasive and the levels of pain experienced in both techniques are the lowest possible. However, needle-free anesthesia is applied for both mentioned techniques.
As needle-free anesthesia technology enables the administration of anesthetic material without any pain, even the initial injections are not felt on the skin. You can enjoy your time during the surgery, listening to music, sleeping, or watching TV. Feeling less pain during the surgery also reduces the stress levels, so you can relax during and after the surgery which is vital for a good recovery.
No, it doesn’t. The accurate name of this technique is pre-needleless anesthesia. It means that your skin is numbed to an extent before the anesthetic injections are made, so you don’t feel any pain during the injection procedure.
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Needle-free anesthesia doesn’t have much difference from the conventional methods of numbing before hair transplants and doesn’t have any special side effects.
Hair transplants are not too painful. DHI and FUE hair transplant techniques are compared to light dentist operations in terms of pain, however, they are not free of pain and a slight level of pain is anticipated, which is why local anesthesia is applied.
Needle-free anesthesia is the act of injecting anesthetic agents into the outer layers of skin without needles and by jet injections to numb the scalp before anesthetic injections are made. In this way, the patient does not feel the pain of injection.
Hair transplants, especially FUE and DHI methods are minimally painful. As these two techniques have minimized the incision and local anesthesia is applied before the surgery, patients feel a minimum amount of pain during the surgery.
FUE and DHI have striking similarities. Their procedure has more than 90% similarities, however, due to less incision, DHI is slightly less painful than FUE.