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Serdev Clinic - MC "Aesthetic Surgery, Aesthetic Medicine". Rejuvenation and Beautification Without Scars.

Artificial Hair Implants. Biofibre®

In Serdev Clinic - MC "Aesthetic Surgery, Aesthetic Medicine", we offer both hair implantation and transplantation methods for treating hair loss. However, we achieve best results by implantation of Biofibre artificial hair.

Multiple factors and their combination can be the reason behind hair loss - ageing, hormonal changes, and a genetic history of baldness. The earlier hair loss begins, the more severe the baldness. Trauma or burns can also cause baldness. In such cases the patient will be subject to reconstructive surgery.

Biofibre Artificial Hair Implantation

Unlike transplantation, in which we take natural hair from the back of the head to make grafts, hair implantation is a method in which we cover the head with biocompatible fibers (Biofibre) to achieve the desired appearance immediatelly. 

In transplantation cases, new hair grows later - 4 to 6 months after surgery. In cases of improper technique, visible scars can occur and make further transplantation difficult. 

Biofibre® are the most advanced organic fibers, adapted for hair implantation. They comply with international standards ISO 9002, EN 46,002 and the requirements of European Directive 93/42/EEC on medical devices for implantation. 

Biofibers are soft, flexible, fine, and resistant to color change. The result is natural, immediate and aesthetic. For this purpose, Biofibre comes in a variety of 13 colors, length of 15, 30 or 45 cm, and three styles - straight, wavy or curly. Of course, this artificial hair is washable and has a natural look. Under appropriate selection and blending, these characteristics will satisfy almost all patient requirements.

The artificial hair implantation procedure is quick and painless, done under local anesthesia. 40-50 fibers per square centimeter create a natural density of hair. Due to high surgical sterility, we do not have infections.

The average annual loss of fibers ranges from 5 to 20% and depends on the type of skin, hair and most importantly - patient skin care. The loss of fibers does not leave scars. Surely, we can repeat the thickening procedure any time if necessary. 

The sensation of movement of the Biofibre artificial hair is the same as with natural hair. Patients describe the pleasure of the wind in their hair immediately after the procedure.

Hair Transplantation. Methods.

The procedure consists of resurfacing bald areas of the scalp with hair. We remove plugs of bald scalp and then fill them with plugs of scalp containing several hair roots taken from hair-bearing areas. Thеse grafts root themselves into their new locations and hair follicles start to grow eventually.

The degree of baldness determines the number of grafts and the length of treatment. Several operations may be necessary. The technique may leave many small scars on the donor sites, but are usually not noticeable.


Follicular Unit Extraction (FUE) Hair Transplant

Follicular unit extraction (FUE) is a hair transplant technique in which we use a small round punch to extract follicular units from a patient's bald resistant donor areas. We then transplant hese hair follicular unit grafts into patient's balding areas.

Given the time consuming and tedious nature of this procedure, we are often cannot transplant more than 500 to 600 follicular unit grafts in one day. The cost per graft of FUE is also typically twice the cost of the standard follicular unit hair transplant procedure, in which we remove a strip of donor tissue from the back of the head and trim it under magnification into individual follicular unit grafts. 


Comparing Follicular Unit Extraction (FUE) to the Standard Strip Procedure

While the FUE procedure has grown in popularity, largely due to the minimally invasive way in which follicular unit grafts are removed, the standard strip excision method is still the most popular hair transplant procedure. It involves surgically removing a strip of scalp from the bald resistant donor area of the patient. The physician the sutures the donor area together.

These sutures (either stitches or staples) stay for about ten days after surgery. Some physicians use absorbable sutures, so that their removal is not necessary. When the linear incision has fully healed, the patient is left with a thin scar in the back of the head. This scar is typically hard to see once the surrounding hair grows out and conceals it.


Scalp Flap Transfer

This is done when the sides of the scalp (above the ears) and the back of the scalp are hair-bearing. A long, thin "flap" of scalp that is hair-bearing is removed and placed across a bald section to create a band of normal hair growth. As part of the treatment, we may remove parts of the bald scalp. The surgeon closes the donor site by stretching the opposite side of the scalp. This procedure replaces hair across a large area of bald scalp. The hair growth looks normal, and the narrow scars are hidden between the hair follicles.


Scalp Reduction (Serial Excision)

This is the removal of as much of the bald section as possible and done in the first operation. The adjacent hair bearing areas of scalp are pulled in close to the bald section, with the understanding that some bald areas will remain. We repeat this technique one or more times at a later date to eventually reconstruct the bald area.

Tissue Expansion

The surgeon places a device called "tissue expander" under a hair growth area, adjacent to a bald area. After several weeks, the tissue expander causes the skin to grow new skin cells. Then, another operation is necessary to place the newly expanded skin over the ajoining bald area.

Almost everyone believes that follicular units are the best size grafts for hair transplantation, but reality is a bit different. In our clinic, we use 3 sizes of grafts: single hair follicular units, follicular units, and modified follicular units. We use single hair follicular units mostly for the hairline, while follicular units could be the basic size for the rest of the grafts. 

Ideal candidates for hair replacement must have a healthy growth of hair at the back and sides of the head. The hair on the back and sides of the head will be the donor sites, from where we will surgically remove the flaps and grafts.

To achieve the desired fullness, several surgical sessions are needed. There is a healing period of several months recommended between each session. The final result with a full transplant series may take up to 2 years. 

A month or 2 after surgery, the grafted hair falls out (which is normal and temporary). It takes another month or more before hair growth starts. To create more natural-looking results, a surgical touch-up procedure may be necessary. This may consist of using a combination of mini grafts or slit grafts to fill and blend in the hairline.



Gallery - Biofibre Artificial Hair Implantation (above); Hair Transplantation (below).

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FAQ – Biofibre


Below you will find answers to the frequently asked questions regarding the implantation procedure of Biocompatible Biofibre Artificial Hair in Serdev Clinic.


Q: What are the features that make Biofibre® Artificial Hair suitable for implantation?

The fibers meet all the requirements set by International Standards for safety and biocompatibility of Medical Devices.

Q: How is the Implantation procedure performed?

The implantation is a simple, light surgery procedure. It consists of introducing one Biofibre® hair at a time, until the density required by the patient is obtained.

Q: What does the implanted hair look like? How is it treated?

Biofibers are aesthetically identical to natural hair. Patient should maintain the implanted hair in the same way they would maintain their natural hair – with hair quality products. The fibres do not lose their colour and should not be died with aggressive products. They are very resistant and do not break.

Q: How long does it take until a Biofibre implant is stabilized?

The final fixing of implanted Biofibres is completed about 20-30 days after implantation and will remain unchanged for a long period of time.

Q: How many Biofibre hairs are implanted during each implant session?

Usually, 800-1500 hairs are implanted per session, or a maximum of 2000 in case of complete baldness. If the patient desires a greater density, Medicap High Density hair (MHD) can be implanted to provide a triple volume of hair outside the scalp, compared to implanted hair (3000 hairs are obtained by implanting 1000 fibres).

Q: What is the interval between the Biofibre implant sessions?

Normally, a Biofibre hair implant session can be repeated every 15-28 days, the rule being that every implant can be performed only on healthy scalp.

Q: Can I have a Biofibre Hair Implant after an autologous hair transplantation?

Yes! This has has become a regular practice today. Biofibre® is added to increase the density of hair.

Q: Can I have a Hair Implant session during therapy with Minoxidil and Finasteride?

Yes, many dermatologists today implant Biofibre® artificial hair simultaneously with the dermo-trichological therapy.

Q: I wear a wig. Can I have a Biofibre Hair Implant?

Yes, an implantation with Biofibre hair starts from the nape. Afterwards, the portion of wig corresponding to the implanted area is eliminated step-by-step, as the newly implanted area must always remain free to be rapidly healed.

Q: What is the duration of the aesthetic result?

The duration of the aesthetic result obtained with Biofibre® implantation varies depending on the correct management of the post-implant period. The literature on the subject reports an annual loss of approximately 10 % of the implanted fibers.

Q: How many Biofibre® hairs are necessary for a generalized hair loss?

Approximately 2,500 Biofibre hairs are sufficient to obtain a good aesthetic result.

Photoepilation using Spa-Touch


There are two new methods for hair removal - laser and photoepilation.

In laser epilation destroying the hair bulbs is achieved with single laser beams.The method has a couple of drawbacks - it can be successfully applied only on patients with dark hairs - white and blonde hairs are hardly affected by the treatment; patients with dark skin or with sun tan, diabetics, pregnant women etc. are not suitable for the treatment; there is redness and possible swelling after the procedure; there is a risk of depigmentation and direct sunlight should be avoided for about a month.

Photoepilation is the latest development of the idea of photo (light) hair removal - the pigment cells are influenced through intense pulse light that destroys the hair bulbs. The spectrum is wider and harmless. It is an inexpensive procedure. 

Photoepilation has a unique advantage - it is applicable to any type and color of hair and to all skin types. The energy and duration of the pulse are chosen according to individual characteristics of patient's skin and hair. The procedure is painless and does not cause complications. There is no redness, no cooling gels are applied. Photoepilation achieves the effect of thinning and reducing the number of hairs, as well as extending the period of hair growth, so that the interval  between sessions increases from 2-3 months to up to one year. 


We work with the best quality machine on the market - SpaTouch. The impulse of device is 11 square cm (5/2.2 cm). In comparison, an IPL impulse is 3 square centimeters.


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