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Patient Walk-Through · 8 min read

What to Expect on Your Surgery Day at Vinci

A full hour-by-hour walk-through of a hair transplant day at our London Harley Street clinic — from arrival to going home. Written for patients who want to know exactly what they’re walking into.

Dr Salvar Björnsson, Medical Director

Reviewed by Dr Salvar BjörnssonWritten by Our Editorial Team

Most patients arrive nervous and leave surprised by how routine the day actually was. The Vinci procedure has been refined over 20 years and 100,000+ patients — every part of the day is designed to be predictable.

The night before

You’ll have received a pre-surgery checklist by email. Don’t drink alcohol for 48 hours before. Don’t take aspirin or ibuprofen for 7 days. Eat normally. Wash your hair the night before — no products. Get a good sleep; we won’t start until you’re rested.

Arrival and welcome

8:30 AM

Reception

You’re greeted by name. Quick paperwork: consent form review, photographic consent, payment confirmation if not yet completed. You’re given a food menu for the day’s lunch (the procedure is several hours and you’ll need a break).

Tone: calm, unhurried

8:45 AM

Pre-op consultation

You sit down with your surgeon — not a salesperson, not a coordinator. Final review of your hair history, your goals, your Norwood stage, your donor density. Anything that has changed since your consultation gets discussed now.

Tone: clinical, reassuring

9:00 AM

Hairline design

Your surgeon draws your new hairline directly on your scalp with a sterile marker. This is the most important 15 minutes of your day. Look in the mirror. Speak up. The line gets adjusted until you’re happy.

Tone: collaborative

9:20 AM

Pre-op photographs

Standardised photos from five angles. These are matched against post-op photos at 7 days, 3 months, and 12 months. We use the same lighting and same angles every time.

9:35 AM

Shaving the donor

This is the part most patients describe as the scariest. We shave the donor area — usually the back and sides of your head — to a uniform 1mm length. If you’ve never had your head this short, it’s a surprise. Within a week the hair regrows enough to be unnoticeable.

Tone: brief, practical

9:50 AM

Re-marking and final photos

With the donor shaved, your surgeon re-confirms the hairline plan and takes one more set of photographs. Now you’re ready for the medical part.

10:00 AM

Local anaesthetic

Local anaesthetic is administered to the donor and recipient zones. This is the only painful part of the day — a series of injections, finished within 5–10 minutes. After this you feel pressure and sensation but no pain.

Tone: honest — this part stings

10:15 AM – 1:00 PM

FUE extraction

Your surgeon and the surgical team extract follicular units one by one from the donor area. You’re lying on your front, headphones in, watching whatever you want on the in-room screen. Most patients are surprised how comfortable this is.

Tone: long but easy

1:00 PM

Lunch break

You move from the surgical chair to a recovery room. You eat the lunch you chose this morning. Most patients take photos here (“Eden the dog has been known to make appearances in patient TikToks”). You stretch, walk around, message family.

Tone: relaxed

2:00 PM – 5:00 PM

Graft placement

You move back to the surgical chair, this time on your back. The team places each graft into the channels your surgeon prepared. This is the slowest and most technical part of the day — angle, depth, and density all decided graft-by-graft.

Tone: meticulous, slow

5:00 PM

Final review

Surgery is finished. Your surgeon reviews the result with you in the mirror. You’ll look striking — the new hairline is visible immediately, though it’ll go through several phases of change before the final result at month 12.

5:15 PM

Aftercare briefing

A 20-minute walk-through of what to do for the next 14 days — sleeping position, washing protocol, what to eat, what to avoid, how to recognise something going wrong. You also get a printed instruction sheet, not just a verbal briefing.

Tone: thorough

5:35 PM

Aftercare pack and discharge

You’re given your leather aftercare bag (saline spray, shampoo, foam, sleep pillow, instructions). You’re walked to your car or taxi. Surgery is over.

Your aftercare kit — what’s in the bag

Saline spray

To gently rinse the grafts during the first 7 days.

Specialist shampoo

pH-balanced, no parabens or sulphates. Use from day 4.

Foam cleanser

Pre-wash foam for soaking off scabs gently.

Cervical sleep pillow

Designed to keep your scalp off the pillow at a 45° angle.

Printed instruction sheet

Day-by-day protocol. Read it twice.

Antibiotic course

Prescribed standard 5-day course as a precaution.

The honest version

Six to eight hours is a long day. You will be tired. You will feel a tightness in the donor and recipient areas. You will sleep badly the first night. By day three you’ll feel mostly normal. By day seven you’ll be questioning why you waited so long.

FAQs about surgery day

Can I drive home?

No. We strongly recommend a taxi or family member. You’ll be tired, lightly bandaged, and on prescription anti-inflammatories that affect reaction time.

Can someone wait with me?

A companion can be in our waiting area but is not present during surgery. Most patients find they prefer the privacy. Your companion can collect you at discharge.

What do I wear?

A button-up or zip-up shirt. Do not wear anything that has to go over your head when leaving.

Is the procedure really 6–8 hours?

For a Medium-size procedure, yes — including breaks. Large and Max sizes can extend to 10 hours, but always within a single day.

Can I eat normally during lunch?

Yes. We provide a menu in the morning. We recommend something filling but not heavy.

What if I need the bathroom?

You will, and that’s planned for. The procedure is paused; you’re walked to the bathroom; nothing is rushed.

Will I be able to see the result that day?

Yes — your new hairline is visible immediately, although the area will look red and scabbed for the first 7–10 days. Final density emerges between months 6 and 12.

Can I document the day (photos, video)?

Yes, with a few restrictions during the surgical phase itself. Several of our patients have documented their day on social media — we’re comfortable with patient-led content.

Book a consultation

Once you’re ready, your surgery day will look like this — predictable, structured, and led by a doctor who has done this thousands of times.

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