MAXIMUM COMFORT, ZERO STRESS

Hair transplant with sedation

Zero pain felt during the session

Dedicated anaesthetist and full monitoring

Patient satisfaction above 95%

Recommended by more than 50,000 patients
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+ 20 YEARS OF EXCELLENCE

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NATURAL RESULTS

THE 3 ANAESTHESIA TECHNIQUES IN HAIR TRANSPLANT SURGERY

Let’s clear up the first myth: “sedation” and “general anaesthesia” are not the same thing. And there’s even a third route, local anaesthesia on its own. Three techniques in total, with three very different levels of comfort and safety. Here’s how each one stacks up.

Local anaesthesia: the foundation of every transplant

An injection of lidocaine with adrenaline numbs the scalp by blocking the nerves at the source, without any effect on the rest of the body. You stay fully conscious, free to chat, move your head, get up for a quick break. It’s the foundation of every hair transplant procedure, anywhere in the world.

The only mildly uncomfortable bit is the first 10 to 15 minutes of infiltration. Pinpricks sting, no surprise there. Patients usually flag this as the high point on the pain scale. Once the scalp goes numb, nothing else for the rest of the session.

Conscious sedation: real comfort

Conscious sedation is local anaesthesia plus anxiolytics: alprazolam in tablet form, midazolam or a low dose of propofol via IV drip. Anxiety drops, the pain threshold goes up, and the memories of the session fade. You don’t sleep, you breathe on your own, your reflexes work normally.

In practice, it’s an in-between state: consciousness drops a notch, but breathing and reflexes hold up. No intubation, no ventilator, no heavy recovery room. Just enough extra comfort on top of local anaesthesia.

General anaesthesia: avoid for a transplant

Full sleep with intubation? No. Professional bodies (ISHRS, American Academy of Dermatology) clearly advise against it for hair transplant surgery. The cardiovascular and respiratory risks are out of all proportion with a procedure that stays on the surface. If a clinic offers it, walk away.

THE 4 ANAESTHESIA PROTOCOLS WE OFFER

  • Pure local anaesthesia

    Lidocaine with adrenaline, nothing else. You’re fully aware from start to finish. It’s the standard protocol, and it suits most patients.

  • Light oral sedation

    An anxiolytic tablet (alprazolam) before local anaesthesia. It takes the edge off without any fasting beforehand, and you leave with no recovery time.

  • Moderate IV sedation

    Midazolam via IV drip, on top of local anaesthesia. Comfort is maximal, with a mild amnesic effect. Allow 30 minutes for recovery.

  • Deep sedation

    Propofol on a continuous drip, more for very anxious patients. An anaesthetist stays at your side throughout. Recovery in 45 minutes.

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Personalised consultation with our experts
FREE HAIR DIAGNOSIS

Is conscious sedation right for your profile? We talk it through over a video call with Dr Cinik’s team, and a tailored pre-anaesthesia review rounds off the appointment. No commitment, no fee.

PAIN, FEAR, MEMORY: THE REAL EXPERIENCE

  • DURING THE PROCEDURE

    Whatever you feel stays very mild from start to finish. Sedation kicks in within 2 to 5 minutes, with a pleasant feeling of warmth and relaxation. Local anaesthesia comes next, but the pinpricks feel filtered, distant. The extraction and implantation themselves? Nothing. No pain, full stop.

  • A DAY THAT GOES BY QUICKLY

    You’re relaxed, a bit drowsy, sometimes chatting, sometimes drifting into a quick nap. The 6 to 8 hours of the procedure go by much faster than you’d think. Music, breaks, drinks: all available whenever you want. At the end of the session, a bupivacaine nerve block extends pain relief by 8 to 12 hours, just enough to head back to the hotel in peace.

  • LIGHTER MEMORIES

    One of the points of sedation is exactly that: a gentle, selective amnesia. Most patients come away with blurred or partial memories. You talk, you reply, sometimes you laugh, but the details fade. A lot of them leave saying “I didn’t see the time go by”. A welcome bonus.

FREE PRE-ANAESTHESIA REVIEW

Our anaesthetist looks over your medical history to work out which level of sedation suits you. Past conditions, current treatments, allergies: everything is reviewed before the transplant.

WHO BENEFITS MOST FROM SEDATION?

  • THE PROFILES WHO BENEFIT MOST

    Anxious or phobic patients, first and foremost. The thought of staying 6 to 8 hours on a treatment table worries them long before the day itself: sedation changes everything. Needle-phobic patients next, where the amnesic effect blurs out a good chunk of the memory of those first injections. And finally long procedures (more than 5 hours), where holding the same position becomes the real issue. For these three profiles, sedation changes the whole experience.

  • A 100% TAILORED PROTOCOL

    Before any sedation, the anaesthetist reviews your full file: medical history, treatments, allergies, blood test results. This pre-anaesthesia review helps pick the right protocol (light, moderate or deep), or, on the contrary, to recommend local anaesthesia alone if it suits you better. Nothing is left to chance.

7 KEY STEPS

HOW A HAIR TRANSPLANT WITH SEDATION UNFOLDS

PRE-ANAESTHESIA CONSULTATION

The anaesthetist runs through your medical history, allergies, current treatments and cardiovascular status. A blood test checks coagulation, liver and kidneys. This step locks down everything else and steers the choice of protocol (light, moderate or deep).

PARTIAL FAST ON THE MORNING (IV SEDATION)

For IV sedation, a 4 to 6 hour fast is required before the transplant. Clear fluids (water, tea without milk) are still allowed up to 2 hours before. No coffee, no big breakfast. For light oral sedation or local anaesthesia alone, fasting isn’t required. The anaesthetist adjusts the protocol to your usual treatment.

ARRIVAL AND MONITORING

As soon as you arrive, full monitoring is set up: blood pressure every 5 minutes, oxygen saturation on the finger, continuous ECG. IV line placed on the back of the hand. The anaesthetist stays close by, watching over things, throughout the session.

SEDATION ADMINISTRATION

Depending on the level chosen: light sedation (oral alprazolam plus local anaesthesia), moderate sedation (IV midazolam dosed gradually), deep sedation (continuous propofol drip). The effect kicks in within 2 to 5 minutes.

LOCAL ANAESTHESIA OF THE SCALP

The surgeon then carries out local anaesthesia with lidocaine and adrenaline. This is exactly where sedation adds the most comfort: you barely feel the injections. Vibration, cold, buffered solutions: every trick is used to soften the sensation even further.

EXTRACTION, CHANNELS, IMPLANTATION

The transplant then runs as usual. You’re relaxed, sometimes drowsy, but conscious. You can ask for a break, a glass of water, change the music. The anaesthetist tweaks the dose in real time, based on what you feel.

POST-SEDATION RECOVERY

Sedation is stopped at the end of the session. For IV sedation, recovery happens in a monitoring room, in 20 to 45 minutes depending on depth. For light oral sedation, no significant recovery time. No driving for 24 hours after any sedation, an escort is strongly recommended for the trip back to the hotel. A good night’s sleep and there’s nothing left of it.

FREQUENTLY ASKED QUESTIONS ABOUT SEDATION

DOES CONSCIOUS SEDATION PUT YOU TO SLEEP?

Not really, not in the strict sense. You’re somewhere in between, halfway between awake and asleep. You can answer a question, ask for a drink, flag any discomfort. Some patients fully drift off, others stay awake but very relaxed. It comes down to the dose and to how you personally react to sedatives. It’s not general anaesthesia: you breathe on your own, your reflexes work.

DOES SEDATION INCREASE THE PRICE OF THE TRANSPLANT?

Yes, but reasonably so. The extra cost covers the pre-anaesthesia consultation, a dedicated anaesthetist during the session, monitoring kit and medication. In Dr Cinik’s packages, sedation is an option on every technique: FUE, Sapphire, DHI, manual. The full breakdown sits in our hair transplant pricing details.étail est dans les prix de la greffe de cheveux.

HOW LONG BEFORE I CAN GO BACK TO THE HOTEL?

It depends on the protocol. After IV sedation, allow 20 to 45 minutes of observation in a monitoring room. During that time, the medical team keeps an eye on you. Once the discharge criteria are met (normal awareness, stable blood pressure, no nausea), a driver takes you back to the hotel. After light oral sedation or local anaesthesia alone, no special wait. In every case, no driving for 24 hours and an adult escort is strongly advised.

ARE THE SEDATION DRUGS DANGEROUS?

Midazolam, propofol and alprazolam are routine drugs, used every day in operating theatres around the world, with several decades of track record. The main risks (drop in blood pressure, slowed breathing) are anticipated by the anaesthetist thanks to continuous monitoring. An antidote (flumazenil for benzodiazepines) is always available in the room.

CAN I EAT BEFORE SEDATION?

It depends on the type of sedation. For IV sedation (moderate or deep), a 4 to 6 hour fast is required for anything solid or dairy. Clear fluids (water, tea without milk) are still allowed up to 2 hours before. This rule cuts the rare risk of stomach contents going into the lungs (aspiration) if vomiting happens during sedation. For light oral sedation or local anaesthesia alone, no strict fast is needed, but a light breakfast is still better.

DO I NEED TO STOP MY USUAL MEDICATION?

The decision sits with the anaesthetist, after reviewing your current treatment. Some medications (anticoagulants, anti-inflammatories) need to be stopped 5 to 7 days before the transplant. Others (antihypertensives, antidiabetics) are kept or simply adjusted. Never change a treatment on your own, even a week before the procedure.

CAN MY PARTNER BE PRESENT?

Not in the procedure room, to keep things sterile. But she or he can be with you before and after the session. After conscious sedation, having an adult escort is even strongly recommended for the trip back to the hotel and the first 24 hours. The clinic provides comfortable waiting lounges, with internet access.

DOES SEDATION LEAVE ANY AFTER-EFFECTS?

No known after-effects with the current protocols. You may feel slightly drowsy or unusually tired for the next 24 hours. A good night’s sleep, and that’s it. Some patients keep a partial “memory gap” on the day itself: benzodiazepines briefly block the brain from forming new memories, what doctors call anterograde amnesia. No long-term consequences.

IF I’M NOT ANXIOUS, IS SEDATION RECOMMENDED?

No, it’s not compulsory. Most of Dr Cinik’s patients have their transplant under local anaesthesia alone and come out very happy. Sedation is a comfort option, worth considering if the thought of 6 hours of surgery weighs on you, if you’re needle-phobic or if you’ve had a rough medical experience before. It’s never imposed.

WHAT’S THE DIFFERENCE BETWEEN SEDATION IN TURKEY AND IN THE UK?

The medical protocols are the same in both countries: same drugs, same monitoring standards, same safety rules. The real difference is on cost. In Turkey, sedation is included or offered at an accessible price, while in the UK it can double the price of a transplant. More details on hair transplant in Turkey.

Academic Sources

  1. Hassan, S. Z., Sharif, N., Ahmad, S., & Nazir, M. (2020). Pain perception of a new Ahmad-Humayun solution for local anesthesia in hair transplantation: One step ahead. Journal of Cosmetic Dermatology. https://pubmed.ncbi.nlm.nih.gov/32304608/
  2. Park, J. H., Na, Y. C., & Moh, J. S. (2019). Comparison of postoperative pain according to the harvesting method used in hair restorative surgery. Archives of Plastic Surgery, 46(3), 252-258. https://pmc.ncbi.nlm.nih.gov/articles/PMC6536877/
  3. Kridel, R. W. H., & Amiri, S. M. (2004). Techniques to reduce pain associated with hair transplantation: optimizing anesthesia and analgesia. Dermatologic Surgery. https://pubmed.ncbi.nlm.nih.gov/14979739/
  4. Imagawa, K., et al. (2023). Anesthesia Techniques for Harvesting Via Follicular Unit Excision (FUE). Dermatologic Surgery. https://pubmed.ncbi.nlm.nih.gov/37879350/
  5. Ghanem, A. M., et al. (2016). Local Anesthesia Techniques in Hair Restoration Surgery. Facial Plastic Surgery Clinics of North America. https://pubmed.ncbi.nlm.nih.gov/27207354/
  6. Coldiron, B. M. (2000). Safe and effective conscious sedation administered by dermatologic surgeons. Archives of Dermatology. https://pubmed.ncbi.nlm.nih.gov/11074694/
  7. Johnston, B. D., & Baker, D. C. (2013). Conscious sedation/local anesthesia in the office-based surgical and procedural facility. Clinics in Plastic Surgery. https://pubmed.ncbi.nlm.nih.gov/23830746/
  8. Drucker, E. A., et al. (2024). The Impact of Anesthesia on Dermatological Outcomes: A Narrative Review. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC11585352/
  9. Khan, S., et al. (2023). The use of local anaesthetics in dermatology, aesthetic medicine and plastic surgery: review of the literature. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC9993209/
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