Hair-Loss Surgery

A hairline that suits the face you have today.

Permanent hair restoration with follicular-unit techniques (FUE and, where indicated, FUT) at Palazzo Manzoni in Brescia. A single specialist plans your density, the design of your hairline, and the trajectory of your existing hair — so the result fits the face and ages with you.

Hair-loss surgery at Palazzo Manzoni in Brescia covers follicular-unit extraction (FUE) and follicular-unit transplantation (FUT, the “strip” technique) for androgenetic alopecia in men and women, plus eyebrow restoration, beard restoration and scar-area grafting — planned by Dr. Stefano Di Nonno, the department’s hair-restoration specialist, after a full diagnostic work-up that includes scalp examination, trichoscopy and the exclusion of medical causes of hair shedding.

Portrait of a man worried about hair loss

One specialist

From the first consultation through follow-up

Pre-operative trichoscopy

A real measurement, not an estimate by eye

FUE & FUT

Two follicular-unit techniques, chosen case by case

Day surgery

Local anaesthesia, home the same day

Where It Starts

You noticed it first.

It usually starts in photographs taken from above, or in the bathroom mirror under direct light, or with a barber’s small comment that you replay for weeks. By the time you sit down to read about hair surgery, you have probably already tried over-the-counter products, tried not to think about it, and tried the careful comb-forward that works only at specific angles.

Hair loss is one of the most ordinary things in medicine — by sixty, the majority of men and a substantial proportion of women have some degree of androgenetic alopecia — and one of the most quietly destabilising. It changes how the face is read in passport photographs, in lifts, in video calls, in evenings out.

A serious hair-restoration consultation does not start with the question of how many grafts you want. It starts with what is actually happening on your scalp, why, and what your hair will look like in ten years. The right surgical plan is the one that still looks right at sixty, not the one that looks fullest at thirty-five.

What Makes Our Approach Different

Diagnosis first, then a plan built on measurement

Not all hair loss is androgenetic. Temporary shedding after stress or illness, autoimmune patchy loss, traction alopecia and scarring alopecias can all look similar at first glance — but do not respond to surgery, and may worsen if surgery is performed prematurely. The diagnostic work-up rules these in or out before any surgical plan is offered. Sometimes the answer is surgery; sometimes it is medical management; sometimes it is patient observation while a temporary shed resolves.

Hair-restoration surgery at Palazzo Manzoni is planned and performed by Dr. Stefano Di Nonno, within the plastic surgery department led by Dr. Enrico Motta.

01

Trichoscopy, not guesswork

Donor density is measured under the microscope, hair by hair, before any graft number is promised — so the plan is realistic about what your donor area can give.

02

Medication first, when it should come first

Early, rapidly progressing loss is usually treated medically for 12 to 18 months before surgery, so the eventual plan accounts for the final pattern — not the pattern of the day.

03

Honesty about candidacy

If your donor density cannot support the coverage you want, we say so during consultation — even when it is disappointing news. No one is talked into a hairline that will not age well.

04

A plan for the next decade

Conservative hairline design and age-appropriate density, built around how your hair will continue to change — the result must look right at sixty, not just fullest today.

Your Journey

How a hair-restoration plan is built, step by step.

Step 01

Book your diagnostic visit

Call, email, WhatsApp, or book online. No referral needed. Allow about an hour.

Step 02

The diagnostic work-up

Scalp examination, trichoscopy, staging, donor-area density assessment, and a review of your history and current treatments. Where indicated, blood work to exclude reversible causes. You leave knowing what is happening and why.

Step 03

A written plan — and time to decide

Technique (FUE or FUT), graft number, a hairline drawn on photographs and discussed in front of a mirror, and the expected trajectory over the next decade. There is no countdown. Most patients take the plan home.

Step 04

The procedure

One full day, under local anaesthesia with optional light oral sedation. Most sessions last between four and eight hours, depending on graft number. You go home the same day.

Step 05

Recovery and the 12-month curve

Crusts resolve in 7 to 10 days; transplanted hair sheds at 2 to 6 weeks (normal and expected); regrowth begins at 3 to 4 months; the result matures over 9 to 12 months. Reviews are scheduled at 1 week, 1 month, 3, 6 and 12 months.

Patient Stories

Patients who
took the time

Hairline, crown, eyebrows: different starting points, the same method — diagnosis first, then a plan built to age well.

Real experiences from patients who took the step

I’d thought about it for ten years. The thing that surprised me was that the consultation talked me out of the hairline I had drawn for myself, and into one that suited the rest of my face. A year later, nobody has ever asked. They just stopped asking.

D., 38

FUE, frontal restoration

By fifty-two, the medical treatments had done what they could. The strip procedure gave me a single big session and a result that still looks right years later. The scar is hidden by hair I keep at any normal length.

R., 52

FUT, advanced loss

I’d over-plucked through my twenties and thirties. The eyebrows had stopped coming back. The procedure restored a brow that suits my face, and I don’t have to draw them on every morning.

S., 44

Eyebrow restoration

Your Specialist

Dr. Stefano Di Nonno

Plastic surgeon. Hair-restoration specialist of the plastic surgery department at Palazzo Manzoni — FUE and FUT follicular-unit transplantation, eyebrow, beard and scar-area grafting.

Hair-restoration specialist

plans and performs the department’s hair-loss surgery, from the first consultation through the 12-month follow-up

FUE and FUT

both follicular-unit techniques, chosen case by case after the diagnostic assessment, never by default

Trichoscopy-based planning

donor density measured under the microscope, not estimated by eye

Eyebrow, beard and scar grafting

the same follicular-unit principles applied beyond the scalp, each with its own planning conversation

Conservative hairline design

age-appropriate density and an honest discussion of likely loss progression, as the single most effective form of risk reduction

“The right surgical plan is the one that still looks right at sixty, not the one that looks fullest at thirty-five. Diagnosis comes first. Surgery, if it is the right answer, comes second.”

Options

Two techniques — and the paths that come before them

Neither FUE nor FUT is universally superior. The right choice depends on your loss pattern, your donor density, the size of the planned session, and how you prefer to wear your hair — and the consultation makes that choice explicit and reasoned, with the rationale written into the plan you take home.

And surgery is not always the first step. Early, rapidly progressing loss is usually treated medically for 12 to 18 months first, so that the trajectory stabilises and the eventual plan accounts for the final pattern — not the pattern of the day.

FUE — follicular-unit extraction

Individual follicular units harvested one by one with a fine punch — no linear scar, short hair stays an option, generally preferred for smaller-to-medium sessions.

FUT — strip technique

A donor strip dissected under stereo-microscopy — very high single-session yields, a single linear scar hidden at any meaningful hair length, an excellent option for advanced loss.

Medical treatment

Minoxidil, finasteride or dutasteride — evidence-based options that protect the native hair surgery does not transplant, before and after a procedure.

Eyebrow, beard and scar grafting

The same follicular-unit principles applied beyond the scalp — eyebrow restoration, beard reconstruction and grafting into scarred areas, each planned in its own right.

Your diagnostic assessment will clarify which path is right.

Common Questions

Common questions
about hair-loss surgery

Is the result permanent?

Yes. Hair transplanted from the DHT-resistant donor region behaves like donor hair for the rest of your life — it does not fall under the same hormonal influence that produced your pattern loss. What can change is the surrounding native hair, which may continue to thin under androgenetic influence; this is why an age-appropriate plan and, in some cases, ongoing medical maintenance are part of the long-term strategy.

FUE or FUT — which is better?

Neither is universally better. FUE produces no linear scar, allows short hair, and is preferred for smaller-to-medium sessions. FUT permits higher single-session yields and preserves donor density more efficiently in advanced loss. The right choice for you depends on your hair length preference, donor density, and the size of the planned session — and is decided during consultation.

How many grafts do I need?

There is no single number. Graft requirement depends on the area to be covered, the desired density, your donor-area capacity, and the loss-progression trajectory we plan around. Frontal-only restorations frequently use 1,500 to 2,500 grafts; mid-scalp adds 1,000 to 2,000; full top-of-scalp restoration in advanced loss can require 3,000 to 4,500. The number is decided after diagnostic assessment, not in the first email.

Will the transplant be visible while it heals?

The recipient area shows small scabs for 7 to 10 days. The transplanted hairs shed at 2 to 6 weeks — this is normal, the follicles remain alive and re-grow. Regrowth becomes visible at 3 to 4 months, and the result matures over 9 to 12 months. Most patients return to social activity in the second week and to all normal activities by week three; specific timelines depend on your role and exposure.

Can I shave my head after a transplant?

After FUE, the donor area can be shaved short — the dot scars are usually inconspicuous, but they are not invisible at extreme lengths in patients with high contrast between hair and scalp. After FUT, shaving the back of the head exposes a fine linear scar. If your long-term style preference is a shaved or buzzed head, this is a genuine factor in the FUE-versus-FUT decision and we discuss it openly.

Will I lose my native hair from the procedure (shock loss)?

A transient shock loss of pre-existing native hairs around the recipient sites is common and recovers fully in three to six months. Permanent loss of native hair from the procedure itself is uncommon with good technique. Continuing native loss from the underlying androgenetic process is a separate and ongoing matter, which is why medical maintenance is often part of the long-term plan.

What about finasteride, dutasteride, and minoxidil?

These are evidence-based medical treatments for androgenetic alopecia and are frequently part of the long-term plan, both before and after surgery — not as alternatives to surgery, but as protective treatment for the native hair that surgery does not transplant. The benefits, side-effect profile, and the decision to use them are reviewed during consultation, with respect for your choice. We do not pretend surgery alone solves a continuing biological process.

Can women have hair transplants?

Yes. Female-pattern hair loss differs from the male pattern and requires a different diagnostic workup — specifically to exclude hormonal, thyroid, and nutritional contributors and to rule out scarring alopecias, which contraindicate surgery in active disease. When the diagnosis is stable androgenetic loss with adequate donor density, surgical results in women can be excellent.

What about eyebrow, beard, and scar restoration?

Follicular-unit grafting works well for eyebrow restoration (typically 150 to 400 grafts per brow, designed direction by direction), beard restoration (typically 1,000 to 3,000 grafts depending on goals), and into scars or burn areas (planned according to vascularity and graft survival expectations in the specific scar). Each of these is a planning conversation distinct from scalp restoration.

What does it cost?

Cost depends on the technique, graft number, and case complexity. After your diagnostic consultation, once a plan has been agreed, you receive a written, itemised estimate. We do not negotiate on price and do not run promotions on hair surgery — the work is the work, and the result must look right at sixty.

Take the Next Step

Your next step starts
with a conversation

At Palazzo Manzoni in Brescia, every consultation is personal, unhurried, and designed to give you clarity about your next step.

Address

Via dei Mille 14, 25122 Brescia, Italia

WhatsApp

Hours

Mon-Fri 8:30-18:30 · Sat 9:00-13:00

01

Get in touch

Call, email, WhatsApp, or book online.

02

Meet your specialist

A personal consultation to understand your situation.

03

Your plan, your pace

Together you decide the best path forward.

Dr. Enrico Motta

Content reviewed by Dr. Enrico Motta, specialist in Plastic Surgery.