Who is an ideal candidate for hair restoration?

Hair replacement surgery can enhance your appearance and your self-confidence, but the results won't necessarily match your ideal expectations. It's important to understand that all hair replacement techniques use your existing hair. The goal of surgery is to find the most efficient uses for existing hair. If you are fortunate enough to have a full head of hair in your 50s, chances are you’ll keep it for life. However, for many men, hair loss is inevitable. Roughly 80% of men will experience some amount of balding, with a noticeable change in appearance. Many men (and women) become increasingly self-conscious as their hair begins to become progressively thinner and eventually dies altogether.

Several medications have FDA approval for the treatment of androgenetic pattern hair loss. Minoxidil (brand name Rogaine) is a topical medicine for men and women that must be applied twice daily. Finasteride (Propecia) is a pill only for men, to be taken once daily. These medications have limited effectiveness, slowing down or stopping altogether the progression of hair loss in the back of the head in less than two-thirds of all men. The only permanent remedy for hair loss is surgical hair restoration, or hair transplantation.

Hair replacement candidates must have healthy hair growth at the back and sides of the head to serve as donor areas. Donor areas are the places on the head from which grafts and flaps are taken. Other factors, such as hair color, texture and waviness or curliness may also affect the cosmetic result. There are a number of techniques used in hair replacement surgery. Sometimes, two or more techniques are used to achieve the best results.

Transplant techniques, such as punch grafts, mini-grafts, micro-grafts, slit grafts, and strip grafts are generally performed on patients who desire a more modest change in hair fullness. Flaps, tissue-expansion and scalp-reduction are procedures that are usually more appropriate for patients who desire a more dramatic change.

Remember, there are limits to what can be accomplished. An individual with very little hair might not be advised to undergo hair replacement surgery.

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