Preoperative Laboratory Tests for Hair Transplantation &
Their Clinical Significance

These tests assess whether the patient has anemia, an infection, or any abnormalities in blood clotting mechanisms.

Complete Blood Count (CBC):

• Hemoglobin (Hgb), Hematocrit (Hct): Evaluates the presence of anemia. Low hemoglobin levels can reduce oxygen transport capacity, negatively affecting wound healing.
• Platelet Count (PLT): Thrombocytopenia increases the risk of prolonged bleeding during and after the procedure.
• White Blood Cell Count (WBC): Helps identify infections or inflammatory processes.

Coagulation Tests (PT, aPTT, INR):

• Determines blood clotting time. Patients with coagulation disorders are at a higher risk of intraoperative and postoperative bleeding.

These tests assess metabolic functions and overall organ health.

Fasting Blood Glucose and HbA1c:

• The presence of diabetes mellitus can delay wound healing and increase the risk of infection. HbA1c provides insight into the patient’s blood sugar control over the past 2–3 months.

Liver Function Tests (AST, ALT, GGT, ALP, Bilirubin):

• Evaluates liver metabolism. Liver diseases can affect drug metabolism and alter sensitivity to anesthetic agents.

Kidney Function Tests (Urea, Creatinine, eGFR):

• Renal failure can disrupt fluid and electrolyte balance, leading to postoperative complications.

Preoperative screening for bloodborne infections is crucial to prevent the transmission of infectious diseases to both the medical team and the patient.

Hepatitis B (HBsAg), Hepatitis C (Anti-HCV), HIV:

• These tests screen for viral hepatitis and HIV.
• In positive cases, a multidisciplinary evaluation with an infectious disease specialist is recommended before proceeding with the surgery.

C-Reactive Protein (CRP) and Erythrocyte Sedimentation Rate (ESR):

• Indicates the presence of acute or chronic infections. If an infection is detected, appropriate treatment should be administered before the procedure.

Hormonal factors play a crucial role in hair loss. In patients with suspected androgenetic alopecia, hormonal assessments are necessary.

Thyroid Function Tests (TSH, T3, T4)

• Hypothyroidism or hyperthyroidism can contribute to hair loss and affect wound healing and metabolism.
• Used in evaluating androgenetic alopecia. In patients with high DHT levels, additional pharmacological treatments may be recommended to prevent postoperative hair loss.

Blood group determination is essential to facilitate emergency transfusions if needed during the procedure

Preoperative laboratory tests for hair transplantation are critical for evaluating the patient's general health status, determining surgical eligibility, and preventing potential complications. These tests enhance the safety of the procedure and optimize postoperative recovery.

Dr. Musa Balta, with his extensive experience in the field, adopts a boutique, ethical, and principled approach to hair transplantation. His commitment to patient safety, high medical standards, and individualized care ensures optimal results while prioritizing the well-being of his patients. His expertise and meticulous attention to detail not only improve patient safety but also contribute to natural, long-lasting results in hair transplantation.