Top 4 Concerns Frequently Enquired by People Considering Hair Transplants and Restorations

 If you are considering a hair restoration (replacement) surgery, you may have a few concerning questions to ask your surgeon. We asked Dr. Shelly Friedman the top 4 concerns frequently enquired by people who are considering hair transplants and restorations. Dr. Shelley Friedman is located in Scottsdale, AZ at the Scottsdale Institute. He is the Founding President of the American Board of Hair Restoration Surgery, the certifying board for hair transplant surgeons.

If you are interested in hair restoration procedures contact Dr. Shelley Friedman or find hair restoration doctors in your area in the above section for a consultation.

Take some time to view the hair transplant restoration pictures in the above section or to the right of the page.

 Here are his answers:

Q.  I want to have a hair transplant but I do not know if Follicular Unit Extraction (FUE) or Donor “strip” method is best. Which is most commonly recommended  and why?

A.  The donor “strip” method is most commonly performed hair transplant.  The Follicular Unit Transplant (FUT) is the preferred method for several reasons:

  • The strip is removed with direct visualization allowing the surgeon to preserve most of the follicles as compared to FUE where the surgeon punches blindly.
  • A larger number of grafts can be harvested within one surgery whereas with FUE we can only punch approximately 1,000-1,500 grafts in one surgery.
  • More grafts can be ultimately obtained over the available donor region utilizing FUT rather than FUE.
  • The typical price for FUE is double the price for FUT.
  • FUT grafts have a much higher survival than FUE grafts by as much as 20%.

Q.  Will I have a natural looking hairline? I do not want others to notice I had hair restoration.

A.  With today’s technology and follicular unit grafts, we can achieve a totally natural and undetectable hairline.  Most surgeons are meticulous in placing only one hair follicular unit grafts in the anterior hairline. This is accomplished by the techs preparing the grafts using microscopes for accurate visualization.  A hairline is actually a transition zone between a bald forehead and thicker hair over the frontal region of the scalp.  We are not trying to create a “wall” of hair.  Rather, we are trying to give a person an age appropriate appearance.   This imitates the hairline seen in people who do not experience hair loss as they age. 

Q.  I’m afraid to have a hair transplant because most of the transplants I see look like a “dolls hair” or “corn rows” and look very noticeable. What advancements have been made?

A.  The “dolls hair” or “corn row” hair transplants are a thing of the past. The transplants that utilized “plugs” of 15-25 hairs have been long retired by most surgeons.   For the past 10-15 years we have been cutting follicular unit grafts (1, 2, 3, or 4 hairs) under stereoscopic microscopes.  Follicular unit grafts resemble naturally growing hairs since hair normally grows in groups of 1, 2, 3, or 4 hairs, not groups of 15-25 hairs as seen in the “plugs”.  For this reason, today’s transplants look totally undetectable.

Q.  What is the highest recommend grafts that can be done in one session?

A.  The highest number of grafts transplanted in one surgery is dependent on several factors:

  • The degree of baldness or hair loss.  The more extensive the hair loss, the more grafts are required to cover the area in a cosmetically acceptable result.   The less hair loss, the less number of grafts are needed to cover the area.
  • The more follicular unit density per square inch within the available donor region, the more grafts can be harvested during one surgery.
  • The greater the scalp laxity, the wider the donor strip can be harvested.  Obviously, if we can remove a wider strip, we will achieve more grafts than removing a narrower strip.  Scalp elasticity or laxity can be improved with pre-operative stretching exercises for 30-60 days prior to surgery.