What to Avoid – Hair Transplant Procedures


Your health is important. Hair transplant procedures are medical procedures. They need to be performed by medical teams. Remember, there are both ethical and skilled teams, and also unethical teams which perform dangerous hair transplant procedures.

Surgeon in mask close-up portrait

A good hair transplant clinic or hospital is one with the best medical teams, and environment. It is a sanitized place with the latest tools and technology. The right place invests in the right people and instruments. Also, those places which have been in the industry for some years now, have expertise in the field. Their teams have performed many hair transplant operations. They now have the expertise, the skill, and the aesthetic grasp of hair transplants. They cater to your needs without trying to only get your money. They will tell you what is suitable for you, and what is not. What the cons and pros of a technique are and so on.

They will train their teams, and make you feel at home. They will be there when you have concerns or questions, and for the post-surgery, they will still be interested in your wellbeing and answer your questions. They will take good care of you.

Some things to consider and avoid before having your hair transplant are:

  1. Try to find a place/a surgeon whom you know. Your friend might have had a hair transplant there, or you can ask your acquaintances and they can recommend you a place. Talk to previous hair transplant patients. See their before and after pictures. Ask them if they had any complications and if they are happy and comfortable with the results.
  2. A hair transplant surgery can take from 6 to 8 hours on average. Often not shorter than 5 hours, and not longer than 10 hours. If the place you are inquiring about your hair transplant tells you otherwise, ask them why. The current technology is quite demanding, and require an entire work day to complete the procedure. Shorter procedures may mean less skillful work. An unethical clinic may want to perform as many hair transplant procedures as possible for more money. A good surgery requires some time and effort, and 6-8 hours is an ideal duration in most cases.
  3. Avoid having hair flap or free-from flap surgeries as these might cause some health problems. If your surgeon is recommending you one, try to find out why, and if you do not have any other options. In a hair flap, a flap of skin with hair follicles is cut. This is a serious surgery that needs to be performed in a hospital. A scar occurs where the flap has been twisted. These rotation type hair transplants can be bad. There is also the possibility of infection. The cons are not limited to these. There are several side effects and possibilities such as:

Permanent shock loss is not a far possibility which leaves a serious scar.

A serious condition, necrosis might occur and the flap might die while being placed. This leaves a severe scar.

The flap positioning is not always correct. It looks bad. The new hairline is not always perfect, and there might be a gap behind it due to absence of hair.

If the skin on the forehead is loose, it may hang over the brow which does not look nice.

The newly transplanted hair grows in the opposite direction of the natural hairline of the patient.

A flap surgery is not a great option. Avoid having one.

Linear graft surgeries are also surgeries to avoid. In linear or line graft a graft is removed from the donor site. It is not divided. It is a 3 to 4 mm strip/tissue, and leaves a very visible line after it is transplanted. It does not look aesthetically pleasing. The result is artificial.

Square and round grafts are not very different in terms of the results. If large round or square grafts are transplanted, they cause bad looking results. The cobble-stoning of the scalp and the doll look can be due to square or round grafts.

Mini and micro grafts do not guarantee a natural looking result either. Try to avoid mini-micrografting surgeries.

The best and natural looking results are achieved by the use of follicular units. Follicular units are the units of 1-4 hair strands in a hair graft. They are extracted based on their natural appearance.

If your doctor recommends you the scalp reduction, think twice. This is a very disfiguring procedure. In a scalp reduction, the surgeon cuts the bald sites of the scalp, and sews the edges of the hair bearing skin together. This can cause more hair loss – more rapid than usual. Your scalp may be thinner after it.  It will leave a scar, can cause infections, hemorrhages, and it will not look natural.

Scalp reduction also goes by the names Alopecia Reduction, male pattern scalp reduction, and galeoplasty. There are different types of scalp reduction hairline lowering, forehead reduction, hair lift, scalp extension, scalp expansion… Hair lift requires general anesthesia, and can cause scarring, hair loss, and unnatural looks. Tissue or scalp expanders can be useful. They are silicone balloons that are used to lift the scalp. The doctors often use them in the case of a trauma or burns but otherwise they can cause some complications. Every patient is different, and one method which worked in a patient may not work for someone else. In the lifting and reducing surgeries, there is the high risk of deformities, stretching back, reduced density and elasticity of the scalp, and so on.

Not all hair restoration procedures have the same effect. Not all of them are as smooth as the latest methods as in FUE hair transplants. Try to avoid the risky ones. Your safety comes first. Your health is your primary concern.

Invest in a reputable surgeon. Find a clinic or surgeon whose sole focus is on hair transplants rather than practicing hair transplants part time. Avoid place which favor FUE or FUT over one another. They both have pros and cons, or some patients are more suitable for either one of them than the other one. “No scarring” promise is a lie. There is little scarring in all transplants. If done correctly, the scars will be hardly visible.

Be aware. Know yourself, and the hair transplant methods. Do not agree on undergoing a surgery that you think is not a good method for your baldness.


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