Hair Replacement

Hair isn’t something that we just wash, brush and comb. It’s an important part of your attire. But sometimes we’re not fully satisfied with our hair. Luckily today you have a number of hair transplant options to make that improvement.

Hair transplantation produces permanent results. Although it’s your own hair, it’s still a surgical procedure. It’s important to know that not everybody qualifies for a hair transplant. You need to be well informed and ask many questions before undergoing a hair transplant. Time is absolutely necessary so don’t expect immediate results. You must be patient. Your age at the time of hair transplant will need careful consideration. The younger you are the most conservative the initial approach needs to be. Whatever is being done today, must also look good in the future. It’s extremely important to focus on results.

It’s also important to understand the theory behind hair transplants. Roots moved from a hair-bearing area of the body to a bald site will take hold and grow. In common male-patterned baldness a rim of hair persists, even in the most advanced cases, around the sides of the head. If these follicles are transplanted from this hairy fringe to a bald area, they will root and grow. The hair to be transplanted during Hair Replacement, must come from the patient’s OWN scalp. Therefore, not all individuals are good candidates for this procedure. You must be realistic as you cannot expect more than what your donor hair can contribute. By nature, hair growth is very slow.

Because of significant surgical advances with improved results, interest in hair replacement surgery has increased significantly during the past decade. Hair loss affects two out of every three men, and one in five women. For men, heredity is the major factor in hair loss. For women, hormonal changes, including those that occur in menopause, are mainly responsible for female “pattern changes,” which include thinning and loss. Accidents, burns and disease can also trigger hair loss. The key factor in hair replacement is the presence of donor hair on the side or the back scalp, which is then used to replace hair where loss has occurred.

Total baldness makes replacement surgery impossible. Hair quality is another factor. Light-colored hair, as well as coarse-textured hair, produce a look of greater density than fine or dark hair.


The most commonly known hair replacement surgery requires taking a strip of hair-bearing scalp from the back of the head. The strip is then divided into several hundred smaller grafts. These grafts are then inserted into tiny slits in the scalp, and must be placed in such a way that hair all grows in the same, natural direction. This is known as mini and micro-grafting.

Skin flap surgery is another efficient technique used to cover balding areas. After a piece of bald scalp is removed, a section of hair-covered scalp is moved and sutured into place. Scars are generally covered by new hair growth. Bald spots at the crown of the head can be covered by removing the hairless area of skin and then stretching the hair-covered scalp adjacent to the bald spot over the opening. This is known as scalp reduction surgery.


Frequently Asked Questions About Hair Transplants


How successful are hair transplants?

Our state of the art Hair Transplant technique is extremely successful. Between 90-95% take rate for successful hair transplants.

Are all hair transplants alike?

Definitely not. Hair replacement techniques and skills vary greatly just as each patients needs vary.

How much hair can one expect from a hair transplant?

That varies with the quality and density of the donor site in each individual patient.

Will the grafts you take from the donor site leave the donor site bald?

No. After the graft is removed, Dr. Nassif will close the donor site leaving only a tiny scar that will be hard to find. Remarkably, often more than 1000 grafts can be taken from the back of the head without ruining the cosmetic appearance of the hair.

Will the hair look very natural?

If done properly by a skilled surgeon, such as Dr. Nassif the results are quite acceptable.


Are there different types of grafts?

Yes, with our hair replacement technique, mini-grafts, micro-grafts and individual hair grafts are used for transplantation.

How soon after a transplant can one expect hair?

New growth is seen 16 weeks after a hair transplant.

Is the procedure painful?

In the hands of Dr. Nassif, who is a very experienced and caring surgeon, a transplant will cause very little discomfort.

Is it done under anesthesia?

The procedure can be done under a local anesthesia, or a mild sedation can be given for the transplant.

Can transplanted hair be colored, straightened, or permed?


Do you have to go to the hospital for a hair transplant?

No. We perform hair transplants in our outpatient surgical procedure.


Can a hair piece be worn after an operation?

Yes. A hair piece can provide an excellent cosmetic screen when a patient’s hair loss is extensive and the donor site cannot yield enough graphs for complete coverage. Transplanted hair may be used as a frontal hair line to enhance the natural appearance of the hair piece.

Can other people be donors?

No. Presently, this method is considered experimental.

What about the prescription medication Rogaine?

Rogaine is approved for male and female pattern hair loss. It can be beneficial, however, it is not the perfect solution for everyone with hair loss. It can be beneficial in promoting and maintaining new hair growth. This can be used independent or in conjunction with hair transplantation.

Is everybody a candidate for hair transplant?

Unfortunately, there are some patients who have expectations that are unrealistic based on the size of the bald area and the amount of donor hair available to transplant. Dr. Nassif will provide you with an evaluation and will help you explore your options. However, after your evaluation it can be determined if Propecia, hair transplantation, or both, can improve your hair loss problem.

How much time does a hair transplant session take?

With proper care, about 2 ½ to 4 hours.

How long will I be at the surgery center the day of the surgery?

In most cases, you will remain at our surgery center for at least 30 to 60 minutes after completion of the surgery.

How long will it take before my hair grows?

It may begin to grow between 12 to 16 weeks after the hair transplant. Hair grows at an average of ½ inch per month.

Can women have a hair transplant?

Yes, however, evaluation would be indicated prior to hair transplantation.

Paul S. Nassif, M.D., F.A.C.S. is a world-renowned facial plastic and reconstructive surgeon whose work has been featured on numerous international and national television and print media. He has been featured on such programs as NBC World Nightly News with Tom BrokawABC World News Tonight with Peter Jennings, CBS’ The Early Show, CNN, MSNBC, E!, EXTRA!, VH1, BBC, The Learning Channel and Discovery Health. Dr. Nassif has also been quoted in such publications as the New York TimesAssociated Press (world-wide)The Wall Street JournalUSA Today, and Los Angeles Times among others.

For a complete list of his media work, go to the Media section.



"I would like to start off by first saying that I have enjoyed my experience here at Spalding Plastic surgery. You might be asking yourself; how could someone enjoy having surgery? Well the staff has made me feel at home and have been some of the kindest people I have ever met PERIOD." —Manuel
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