A hair transplant is a surgical transplant that moves healthy hairs and their follicles from a donor area of the scalp (usually the back of the head) to thinning or bald areas. Modern approaches include graft based techniques such as follicular unit extraction (FUE) and strip (FUT), which are forms of hair restoration used when other hair loss treatments haven’t worked. Good candidates are typically in overall good health and still have stable, thicker donor hair on the scalp — for example, someone with male pattern baldness and strong occipital donor hair.
What is a hair transplant?
A hair transplant is a surgical treatment that moves healthy hair and their hair follicles from a donor site to thinning or bald areas on the scalp. This form of hair restoration (also called hair replacement) is considered when non surgical hair loss treatments haven’t produced the desired results. Trained specialists — commonly dermatologists or plastic surgeons with expertise in hair transplants — plan the procedure to match your hairline, donor supply, and goals.
How does a hair transplant work?
Surgeons harvest grafts — small units containing one or more hair follicles — from a donor area where hairs are genetically resistant to thinning (usually the back of the head). The grafts are placed into tiny incisions in the recipient areas of the scalp. Once the transplanted follicles settle and the skin heals, the transplanted hair typically grows like the rest of your hair because the follicles retain their original characteristics.
What conditions does hair restoration surgery treat?
Hair transplants can address many causes of permanent hair loss. Common indications include:
- Alopecia areata, an autoimmune condition that damages hair follicles.
- Androgenic alopecia (pattern baldness), the most common cause of hair loss in adults.
- Thyroid disease or other hormonal imbalances that cause permanent thinning in some cases.
- Scalp damage from traumatic injuries or burns where native hair won’t regrow.
Who is a candidate for hair replacement?
You may be a good candidate if you meet several practical and medical criteria:
- Be in generally good health with no uncontrolled medical issues that increase surgical risk.
- Have realistic expectations about improvement — a transplant restores hair density but may not fully recreate youth-era hair in all areas.
- Have usable donor hair on the scalp — typically thicker hair at the back and sides that can supply grafts.
Treatment Details
What are the different types of hair transplant surgery?
There are multiple techniques used in hair transplant surgery. Below is a concise, modern overview of the most relevant types, with typical candidates and trade-offs:
- Follicular Unit Extraction (FUE) — Modern grafting method in which individual follicular units (1–4 follicles) are extracted with tiny punches and transplanted. Best for patients seeking minimal linear scarring and quicker healing (e.g., small hairline work or people who prefer short hair). Pros: less visible donor scar; cons: may take longer and can be costlier per graft.
- Follicular Unit Transplantation (FUT / strip) — A strip of scalp is removed from the donor (back head) and dissected into follicular units. Typically yields many grafts in a single session; better when a large number of grafts are needed. Pros: efficient for large coverage; cons: linear scar and longer initial recovery.
- Grafting (historical note) — Early “plug” grafts contained many hairs and often looked unnatural. Today’s micrografts and follicular units replace those older techniques for more natural results; most modern grafting refers to FUE/FUT processing of follicular units rather than large plugs.
- Scalp reduction, flap surgery, and tissue expansion — These are reconstructive options often used for large bald areas or scarred scalp (for example after burns). They involve cutting and repositioning scalp skin (flap/scalp reduction) or expanding adjacent skin (tissue expansion) and are typically performed by experienced reconstructive surgeons; they may require general anesthesia and staged procedures.
How grafting (FUE/FUT) is done: grafts are carefully harvested from the donor area — usually the occipital (back) part of the head where hairs are thicker — then prepared and placed into recipient sites. Modern follicular unit grafts typically contain 1–4 follicles; older “plug” grafts (10–15 hairs) are largely historic. Most procedures are performed with local anesthesia and sedation; reconstructive techniques or larger flap/tissue-expansion operations may require general anesthesia. Sessions can last several hours and you may need multiple procedures spaced by several months (commonly 3–9 months) to achieve the desired coverage and natural-looking density.
Typical candidates: FUE is often chosen by people wanting smaller sessions or minimal linear scarring (e.g., hairline refinement). FUT (strip) can be preferred when a surgeon needs to harvest a larger number of grafts in one session for extensive thinning. Scalp reduction/flap/tissue expansion are reconstructive choices for scarring alopecia or large defects (for example after burns).
When discussing options, ask your surgeon which technique best fits your pattern of thinning, donor supply, recovery time, and cosmetic goals. Consider requesting before-and-after photos of similar cases and confirmation of the surgeon’s experience with the chosen technique.
Risks / Benefits
What are the risks of hair transplant surgery?
Like any surgical surgery, hair transplant procedures carry risks. It helps to think of these in three categories — anesthesia and systemic risks, wound-related risks, and graft-specific issues — so you and your surgeon can plan to reduce them.
- Anesthesia/systemic: allergic reaction to anesthesia or sedation, and general surgical risks (rare) such as excessive bleeding — usually minimized with pre-op screening and experienced surgical teams.
- Wound/related: infection, scabbing, swelling, tightness, and scarring — FUT (strip) can leave a linear scar, while FUE leaves tiny dot scars; careful surgical technique and aftercare reduce these risks.
- Graft/related: failed grafts, temporary shock loss of surrounding hairs, and altered sensation (temporary numbness) at donor or recipient areas. Most side effects are temporary and improve with time and proper care.
What are the side effects of hair transplant surgery?
Most side effects are temporary and manageable with good post-op care. Common, short-term effects include crusting, itching, mild pain, swelling, and transient loss of sensation. Your surgeon will give clear instructions for wound care and medications to reduce infection risk and discomfort.
What are the benefits of hair restoration?
When performed by a skilled surgeon, hair transplants can provide durable cosmetic improvement. Benefits often include:
- Improved coverage and a fuller head of hair in treated areas, reducing visible baldness.
- Potential psychological benefits such as improved self-image and confidence for many people.
- A long-term option for many people with permanent hair loss, though additional touch-ups may be needed over time.
Before surgery, discuss risk mitigation steps with your surgeon: stop smoking, review medications that increase bleeding, and share your full health history so the team can plan anesthesia and wound care. Ask your surgeon about their complication rates, the expected scar pattern (FUE vs strip), and realistic results for your hairline and donor supply.
Recovery and Outlook
What is the recovery process after hair transplant surgery?
Most hair transplants are outpatient procedures — you can usually go home the same day. Recovery varies by type of transplant (FUE versus strip/FUT, or reconstructive techniques), but here are practical, commonly recommended time points and actions to help you plan:
- Day 1: Bandages are typically removed. Follow the surgeon’s instructions for gentle cleaning and topical care; take prescribed medications for pain and to reduce infection risk.
- Day 2: You may be instructed to gently wash your hair as shown by staff. Avoid rubbing grafts; use mild shampoo and pat dry.
- Days/3/5: Many patients resume light work and daily activities; avoid heavy lifting and bending that increase blood pressure to the scalp.
- After 10 days: Stitches (if present from strip/FUT) are usually removed by your provider; graft crusts should be healing.
- After ~3 weeks: Most patients can resume exercise and moderate activity; follow surgeon guidance on intensity and sun exposure.
How long do the results of a hair transplant last?
You’ll start to see early regrowth at about 3–4 months, with noticeable improvement between 6–9 months and fuller maturation often by 12 months; in some cases follicles continue to thicken up to 18 months. It’s common for transplanted hair to shed (shock loss) in the first few weeks before new hair grows — this is expected. Depending on your pattern of hair loss and cosmetic goals, you may need additional touch-up procedures months or years later to maintain a natural-looking result.
Follow your surgeon’s aftercare to maximize graft survival and new hair growth. If you notice unexpected symptoms or poor healing, contact your care team promptly for assessment.
When To Call the Doctor
When should I see my healthcare provider about a hair transplant?
You’ll typically have several follow up visits after surgery so your team can track healing and early regrowth. Contact your provider immediately if you notice any of the following:
- A fever that doesn’t go away.
- Excessive bleeding from your scalp.
- Severe redness or increasing pain at the donor or recipient sites.
- Pus or foul drainage from the incision sites — signs of infection.
A note from Acibadem Hair Transplant Center
Hair transplant surgery may be an option if other hair growth treatments didn’t work for you. There are many different hair transplant techniques. So, it’s important to work with a healthcare provider to choose the procedure that will best meet your goals. Look for a skilled professional with experience in hair loss and hair restoration. They are the only ones who should perform transplant surgery. You should also consider the practical aspects of hair transplant surgery. Think about the cost and the healing time between treatments.


